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Stem Cells in the Heart?

NewScientist reports that researchers have discovered stem cells in the heart, leading them to believe that the heart can regenerate itself. From the article: "The finding raises the possibility that these cardiac stem cells could one day be manipulated to rebuild tissues damaged by heart disease - still the leading cause of death in the US and UK. Because fully developed heart cells do not divide, experts have believed the organ was unable to regenerate after injury. But, in 2003, researchers at Piero Anversa's laboratory at New York Medical College in Valhalla, New York, US, discovered stem cells in the hearts of mice, and subsequently humans. However, they still did not know whether these stem cells actually resided in the heart or had merely migrated there from another tissue, such as bone marrow."

47 of 158 comments (clear)

  1. what exactly is the news here? by aliscool · · Score: 5, Informative

    Hey, I'm not a stem cell researcher, and I did read the article...
    But there was really not much actual science in this article.
    Are we talking about adult, embryonic or.. I assume not, but cord blood stem cells.
    I assume we are talking about adult stem cells. These have been discovered and are old news. In fact adult stem cells exist in basically any tissue, which includes the heart... So what exactly was the big news story here about?

    1. Re:what exactly is the news here? by Adriax · · Score: 5, Insightful

      Well, since you aren't a researcher, lemme translate.

      "Stem cells! Stem cells! Look, we found stem cells! Give us more grant money!"

      --
      I don't suffer from insanity, I enjoy every minute of it!
    2. Re:what exactly is the news here? by Metaleks · · Score: 5, Insightful

      The big news is that the heart was thought that it couldn't repair itself after damage has occurred. Damage like minor heart attacks (which people often don't even know about, yet still have them) create scars on the heart. Over time, the build up of these scars reduces the hearts ability to function properly. Now we learn, that there may be new hope in a heart that could regenerate. Think of all the lives that could be saved. That's the big deal!

    3. Re:what exactly is the news here? by aliscool · · Score: 2

      now that makes perfect sense.
      I was you know thinking of the actual science here, I forgot about the power of hype and the all mighty grant money:)

    4. Re:what exactly is the news here? by Doctor+Beavis · · Score: 5, Informative

      I'm doing some stem cell work in a very similar area and may be able to clarify a few points:

      1. They are not talking about embryonic cells. These are often referred to as "cardiac stem cells" and we each have them in our hearts. Thus they would be considered adult stem cells. As mentioned, their existence was established by Anversa's lab (and confirmed by others) a few years ago. That was a huge milestone, because we previously believed that all cells in the heart were "terminally differentiated" or incapable of generating new cells. We now know that there *are* cells in the hear that can do this, but not fast enough to make a difference in most cases. For example, if you have a heart attack, part of the muscle dies. For whatever reason (not enough cells, don't replicate fast enough, etc.), the cardiac stem cells are unable to completely repair the damage. Current trials of stem cells in the heart have focused on delivering cells derived from other sources (bone marrow, muscle cells, etc.), but it would be ideal to understand enough about the cardiac stem cells to be able to just "activate" them or at least improve the efficiency of what they do.

      2. You are absolutely right we are talking about adult stem cells and even that those exist in the heart is old news. The only news here is that this is a step towards identifying them more efficiently/effectively (which would help as alluded to in my point #1). It's an important step, but an incremental one and I don't think it merited a Slashdot story - I agree with you that it's not that big of a deal.

    5. Re:what exactly is the news here? by Doctor+Beavis · · Score: 5, Informative

      Sort of. The news that there are cells in the heart that can impact repair was news - in 2003, as the article mentioned. This story was that they have gotten better at identifying where those cells are. An important step, but not as important as the 2003 step was.

    6. Re:what exactly is the news here? by AndyAndyAndyAndy · · Score: 2

      Like the first poster, I'm no biologist, but I'm under the impression that stem cells replicate the cells they are around. If that's the case, then why CAN'T the heart replicate itself? If the cells are there, and the time is provided, shouldn't these stem cells become new heart tissue?

      --
      It's always confirmation bias!
    7. Re:what exactly is the news here? by UltraAyla · · Score: 2, Informative

      Growing New Heart Tissue

      Although I tend to think that popular science articles like this one are more "look at the cool gadgets we want to exist in 20 years" rather than "look at the cool gadgets that will exist in 20 years," I think this article is very relevant to this topic, especially what you were saying about the heart regenerating itself after damage from minor attacks.

    8. Re:what exactly is the news here? by sumdumass · · Score: 2, Informative

      It maybe that it can. A problem could be that the damaged tissue never leaves though. This would make it apear to not be repiard and maybe even introduce other problems.

      It would be interesting to find out what the effects of removing the damaged tissue might be. Could it be possible that new functional tissue would grow in its place? Maybe enough to get the job done? Of course this is speaking from not knowing how the damaged tissue effect the hearts operation or if it has been tried before.

    9. Re:what exactly is the news here? by Memnos · · Score: 2, Interesting

      TFA didn't really go into any depth, but the news, if there is any, would depend upon how pluripotent the stem cells are; that is, what types of fully-formed cells they can produce. For a heart to regenerate after an insult such as an infarction, numerous cell types must be regenerated, from cardiac myocytes to the specialized neurons that synchronize the heartbeat (e.g. the sino-atrial complex). So, depending on what they can get to regenerate Real Soon Now, it may in fact be news.

      --
      I don't trust atoms -- they make up stuff.
  2. Oh no by smvp6459 · · Score: 5, Funny

    Does this mean I won't be getting that gorilla heart?

    1. Re:Oh no by grammar+fascist · · Score: 2, Funny

      Does this mean I won't be getting that gorilla heart?

      Even better: you could grow a new gorilla heart, if that kind of thing floats your boat. I'm going to go out on a limb and say it does, along with having a chicken brain implanted in your butt to drive your legs more efficiently.

      --
      I got my Linux laptop at System76.
  3. Protest by Anonymous Coward · · Score: 4, Funny

    Let me be the first to say I oppose removal of people's hearts to extract stem cells from them.

    1. Re:Protest by paulthomas · · Score: 4, Funny

      Removal of a person's heart to extract stem cells from it STOPS A BEATING HEART!!!!!

      that is all.

    2. Re:Protest by frickendevil · · Score: 4, Interesting

      Supprisingly a heart can beat outside of the body, quite effectively too.

      The SA and AV nodes have a pacemaker feature that makes a heart beat at a constant rate of about 100 bpm (for SA control, 60~ for AV control), and this is not controlled by the CNS. However parasympathetic innervation of the heart slows the heart rate to about 70 bpm. This is why heart transplant patients have a high heart rate constantly, because they have no para/sympathetic control of the heart. http://en.wikipedia.org/wiki/Cardiac_pacemaker/

      Anyways if a good enough medium is made to supply the heart with nutrition, and about the same consistency as blood, it could support a heart beat for a fair while.

  4. Heard of this before.... by dfenstrate · · Score: 4, Informative

    This was news a few years ago when some folks got an electric pump installed to assist their failing heart, and their OEM heart recovered to the point where the pump was no longer needed.

    Fantastic they discovered stems cells, but the heart repairing itself when relieved of load is not news.

    (btw, I don't remember the name of the device used when they discovered this, but it was basically a small, simple liquid pump installed next to the heart. They didn't try to mimic a pulse, figuring it was unneccesary. They were right.)

    --
    Alcohol, Tobacco and Firearms should be the name of a store, not a government agency.
    1. Re:Heard of this before.... by iabervon · · Score: 3, Interesting

      There was a case recently where a girl with a transplanted heart couldn't stay on the anti-rejection drugs, and they were able to remove the transplanted heart and restart her original heart, which had recovered while she wasn't using it. A Google search for "organ removed" finds a bunch of stories about it.

    2. Re:Heard of this before.... by maxume · · Score: 2, Informative

      For anybody else scratching their head, they left her heart in when they did the transplant, the new heart was placed next to hers. It makes sense once you stop thinking of the transplant as a remove/replace operation.

      --
      Nerd rage is the funniest rage.
  5. Pumps by Doctor+Beavis · · Score: 4, Informative

    These pumps are called LVADs, or Left Ventricular Assist Devices, and they have been widely used for years (and continue to be). Here's one site with some pretty general, readable information on them. There are a few varieties (some provide pulsatile flow, like the HeartMate XVE) and some provide axial, non-pulsatile flow (HeartMate II). I don't work for Thoratec, but those are by far the most commonly used ones at my institution. Here is a link to some videos from Thoratec if you're interested. Hope you find this useful.

  6. Re:Hmmm by nmb3000 · · Score: 3, Funny

    Now instead of heart attacks from clogged arteries, people can get heart attacks from a kidney forming inside of their heart!

    At least people don't need to worry anymore that they'll wake up in a bathtub full of ice with a fresh scar on their side. Why steal a kidney when you can take a heart instead and get a 2-for-1 deal?

    --
    "What do you despise? By this are you truly known." --Princess Irulan, Manual of Muad'Dib
    /)
  7. This would be really helpful for someone I know. by thealsir · · Score: 4, Interesting

    He was born without an aorta, and has had 20+ surgeries, each time replacing the tubes connecting his heart to the rest of his body with longer ones. If a compatible aorta could be grown just with stem cells, he would have no further need for surgery.

    Right now, he is set for a few more years before they have to cut him open again and make adjustments. I hope by then they can just replace the tubes with living tissue and also replace the unsightly scar tissue that has developed from being cut open so many times.

    Let's pray to $DEITY that this gets off the ground. I'm pretty sure it will, mindless theologans aside.

    --
    Do not downmod posts "overrated" simply because you disagree with them.
  8. Heart Removal... by Anonymous Coward · · Score: 3, Funny

    Oh so that crazy witch-doctor guy in "Indiana Jones and the Temple of Doom" wasn't just performing some satanic ritual...he was harvesting stemcells for the benefeit of medical science...how nice of him.

    1. Re:Heart Removal... by AuMatar · · Score: 2, Informative

      Kali is a Hindu goddess, so he wasn't conducting a satanic ritual at all.

      --
      I still have more fans than freaks. WTF is wrong with you people?
  9. Migrating by SeaFox · · Score: 2, Insightful

    However, they still did not know whether these stem cells actually resided in the heart or had merely migrated there from another tissue, such as bone marrow.

    Well, bone marrow is reponsible for the production of blood cells, so having stem cells migrate into the blood stream and end up in the organ every ounce of one's blood eventually passes through makes sense to me.

  10. Good news for lovers by bakayoko · · Score: 3, Funny

    I just shared the news with my roommates, who are going through an awfully difficult break-up.

    They've been so upset for so long, and today when I told them about how their hearts can regenerate, I think I saw hope in their eyes for the first time...

    --
    A decibel - a RELATIONSHIP between two values of POWER http://arts.ucsc.edu/EMS/Music/tech_background/TE-
  11. What about... by slocan · · Score: 4, Insightful

    preventing heart atacks.

    Curing heart diseases is undoutedly important and necessary, but understanding why and how we have heart diseases could lead to less such diseases in the first place.

    The problem - and not only with heart related diseases - is that there are quite a lot of life-style related causes, isn't it so?

    And changing behaviours (what you eat, how you exercise, how you relate to your fellow human beings etc) is presently more "difficult" (for cultural reasons) than discovering cell manipulation techniques, that is, than intervening (than making a "patch").

    That is the tradition bestowed upon us at least since Francis Bacon: the world, including nature and the human body, are objects which we can manage, alter, change to suit our "needs", to extract profit etc, because we can.

    Instead of adopting a humbler attitude towards life, the universe and everything, trying to live seamlessly with our environment and with each others, we learned to alter the world so that it would adapat to our whims. The eventual errors, mistakes and disasters that follow such courses of action are tackled with further and deeper interventions.

    Is it possible to change centuries of an intervention tradition, to try to understand and adapt to the environment and others, instead of adapting others and the environment to us?

    Am I making any sense?

    1. Re:What about... by John+Hasler · · Score: 2, Insightful

      > Instead of adopting a humbler attitude towards life, the universe and
      > everything, trying to live seamlessly with our environment and with each
      > others, we learned to alter the world so that it would adapat to our whim.

      That's right. Let's all just live in grass huts and eat wild fruit.

      --
      Warning: this article may contain humor, sarcasm, parody, and perhaps even irony. Read at your own risk.
    2. Re:What about... by Daniel+Dvorkin · · Score: 5, Insightful

      You know what? People should be able to smoke. And drink. And use whatever other drugs they want. And eat crappy food. And not exercise unless they enjoy it. And have sex with as many partners as they please. And do all the other currently life-shortening things they enjoy, and not have it be a death sentence. Keeping people alive after a lifetime of doing the things that make them happy is one of the noblest goals of science.

      No, I'm not kidding.

      --
      The correlation between ignorance of statistics and using "correlation is not causation" as an argument is close to 1.
    3. Re:What about... by chudnall · · Score: 4, Interesting

      For some, heart disease is a lifestyle issue. Then there's people like me. Every single male person (that I know) on my father's side of the family has had heart attacks and subsequent bypass, many at a relatively early age. My dad had his emergency quintuple bypass at 43. His veins were already in such bad shape, that they had to cut all the way down both legs to harvest enough suitable segments. He was not overweight and exercised regularly. Needless to say, I try to practice a very heart-healthy lifestyle. I don't really have much reason to believe it will do a lot of good, though.If I follow my family history, I'll have my first heart attack in about 10 years, Get bypass surgery, be in the hospital about every 10 years after that, and finally die (if I'm lucky) of a massive stroke. Lifestyle changes haven't helped anyone in my family. So I welcome any new scientific advances in this area.

      --
      Disclaimer: Evolution comes with NO WARRANTY, except for the IMPLIED WARRANTY of FITNESS FOR A PARTICULAR PURPOSE.
    4. Re:What about... by TheLink · · Score: 2, Insightful

      "Keeping people alive _after_ a lifetime of doing the things that make them happy is one of the noblest goals of science."
      (emphasis mine).

      Whoa there... I think people would rather not be kept alive for too long after their lifetime of doing the happy stuff...

      Seriously though: a big problem is who pays for it.

      Seems like we're heading to a future where repairing people will be increasingly be limited by money (resouces) than by medical technology. Not sure when we'd ever be able to afford to pay to repair everybody.

      BTW in many countries smokers pay for more than their share in tobacco taxes, duties etc - so they're not a burden to everyone else. Smoking is addictive, so one can extract quite a lot of taxes from smokers.

      Even more seriously though. I think "happiness" shouldn't be the top goal by itself. Otherwise scientists could more easily and cheaply wire people up and _make_ them artificially happy and keep them going till they are beyond repair - then they'd be still happy till their last living second.

      Somehow that sort of artificial happiness doesn't seem that good to me (my biased subjective opinion).

      In contrast there are people who go through unhappy circumstances, persecution etc, but are filled with joy - they know they are doing the right thing and are doing something good for others.

      So, a lifetime of just doing things that make yourself happy seems rather empty in comparison.

      Thus a recursive: changing yourself to be happy to make others happy (and helping them be happy making others happy and similarly helping those others ) seems more interesting and fruitful.

      In our current universe there will always be sad times. There is a reason for hunger and pain.

      Maybe there was a species that was born permanently happy but it died out a long time ago :).

      --
  12. Truly, you are a master geek... by ChePibe · · Score: 5, Funny

    "their OEM heart"

    Wow. I've never actually heard organs referred to as OEM.

    Imagine an organ transplant...

    "Well, sir, we can pop in this OEM model here, but it's pretty pricey. We do, however, have this third-party Korean heart that we could slap on in there, but it would violate your warranty and, lemme tell ya', those boys in inspections on the other side are unforgiving of that sort of thing. Of course, we could just throw a refurb in there, but those can be hard to come by..."

    All in good humor of course, thanks for your informative post

    1. Re:Truly, you are a master geek... by grammar+fascist · · Score: 4, Funny

      Wow. I've never actually heard organs referred to as OEM.

      I don't think I could ever own a heart that came in a white box.

      --
      I got my Linux laptop at System76.
  13. Bacon... by DAldredge · · Score: 2, Funny

    Yum! You said Bacon...

    *Drools*

  14. Re:This would be really helpful for someone I know by LordLucless · · Score: 3, Informative

    Mindless slashdot posters aside too. This involves cardiac stem cells, not embryonic. That means no embryos are destroyed to harvest them, which means no theologans (or even any theologians) are going to be complaining about it. The debate is about embryonic stem cells, not stem cells. Note the emphasis on embryonic. In the future, please keep your flamebait on topic.

    Also, this development would not help your friend. These are cardiac stem cells, so they can only develop into cardiac tissue. The aorta is a blood vessel, and is composed of material very different to the heart. It wouldn't help with the visible scar tissue for the same reason.

    --
    Just because you're paranoid doesn't mean there isn't an invisible demon about to eat your face
  15. Great news by I+Like+Pudding · · Score: 5, Funny

    I've always believed that eating the heart of a fallen enemy would give me his courage. Getting his stem cells to boot is a totally unexpected bonus.

    1. Re:Great news by Thing+1 · · Score: 2, Funny
      I've always believed that eating the heart of a fallen enemy would give me his courage.

      That's really weird thinking, there. "I want to be more like this fool who rushed into my sword?"

      --
      I feel fantastic, and I'm still alive.
    2. Re:Great news by I+Like+Pudding · · Score: 2, Funny

      I'm eating his courage, not his inability to parry. The stem cells are just gravy. Literally.

  16. Dr Who Can Regenerate (Now We Can Regenerate too! by wolverine1999 · · Score: 2, Funny

    So now it will be relatively easy to imitate Dr Who's regeneration ability. Remember the Doctor has two hearts, too, so we could grow an extra heart also. Hmmm...

    http://www.youtube.com/watch?v=1lJUdZqoOdU

  17. touche by porkThreeWays · · Score: 2, Insightful

    You do have an extremely valid point. Many will probably poo-poo your thoughts, however (which is sad).

    We live in a society in which we really don't respect what fragile gifts our bodies are. The mantra seems to be "you could be hit by a bus tomorrow so live it up!!". While it is true that at any time your body can cease to function for a myriad of reasons, chances are you are going to live to see 60. What then? Living an entire life smoking, eating like a slob, and sitting on the couch will have taken a toll. You are going to put all your eggs in the medical science basket? Assume they can cut you open and make you all better? I've seen those who live their whole life abusing their bodies. It isn't pretty. You may be still biologically functioning, but that sure isn't living.

    The attitude in society should regard medical advances as a gift. A suppliment to a life of good eating and good living. As a way to give your body another 10 years which it might otherwise not have had. Sadly, it is viewed as an expectation.

    --
    If an officer ever threatens to taze you, say you have a pacemaker.
  18. Re:Limited to heart tissue? by LordLucless · · Score: 2, Informative

    As far as I understand it, embryonic stem cells are totally undifferentiated cells. Adult stem cells are generally somewhat differentiated. Thus you get the stem cells in this article, which are cardiac stem cells. They don't have the potential of embryonic stem cells to grow into anything, but they can still be used to help regrow damaged cardiac cells.

    Of course, when it comes to actual therapy, techniques will have to be developed that rely on adult stem cells. The whole point of stem cell therapy is that you use your own stem cells to regrow tissue that won't be rejected by your body. If you use embryonic stem cells to regrow stuff, because the stuff regrown is still a foreign body, you'd still be stuck with all the anti-rejection medication current transplant recipients need.

    The primary use of embryonic stem cells is not therepeutic, it's research oriented. Because embryonic stem cells are undifferentiated, it's easier to use them to do research. The idea is that the techniques developed using easy to obtain embryonic stem cells can then be translated into using adult stem cells, which is where the therapies are going to come from.

    I'm not a microbiologist, but that's what I've picked up from the debate.

    --
    Just because you're paranoid doesn't mean there isn't an invisible demon about to eat your face
  19. Re:This would be really helpful for someone I know by thealsir · · Score: 2, Interesting

    That would be true if it were initial growth, or if you wanted to summon the body to grow an aorta on its own. But an aorta could be made from generic stem-cell-cultured tissue, and it would be accepted by the body's other cells.

    --
    Do not downmod posts "overrated" simply because you disagree with them.
  20. Niche by Flyboy+Connor · · Score: 2, Funny
    "Stem Cells of the Heart"

    A chick flick aimed at cardiologists.

  21. Re:This would be really helpful for someone I know by Memnos · · Score: 2, Informative

    Also refer to the NIH Hematopoietic Stem Cells. There's tons of research going on, so tell your friend to hang on...

    --
    I don't trust atoms -- they make up stuff.
  22. But we're doing that in Thailand already by asiansweetheart · · Score: 2, Informative

    But we've been doing adult stem cell therapy to treat previously untreatable heart desease in Thailand for a couple of years already. It isn't approved yet in the U.S. so people come here to do it, including some famous people (sort of), like Don Ho (story http://www.breitbart.com/news/2005/12/23/D8ELPR3G8 .html)

  23. Political implications by Nuffsaid · · Score: 2, Funny

    Oh, no! This means that the Bush Administration will soon outlaw owning a heart! At least, one funded by taxpayers.

    --
    Nuffsaid
    ________

    Don't know about his cat, but Schroedinger is definitely dead.
  24. Re:Cardiac Scar Tissue Mechanism by Doctor+Beavis · · Score: 3, Interesting

    I know much less about this, so am sort of speculating, but I know that the scar consists of fibrous tissue, which is created from fibroblasts. There might be some of these present in the heart, but they more likely arrive via blood vessels, leave the vessels (extravasate), and migrate to the damaged area.

  25. Re:This would be really helpful for someone I know by Dcnjoe60 · · Score: 2, Insightful

    You assume theologans know and understand the difference. Some do, but a hell of a lot don't. They just hear the word stem cells, remember that their preacher said they were bad, and immediately go off. Its really an amazing brain washing system they have.

    If they are "real" theologians, then its the preacher who would be listening to them, not the other way around. And yes, a "real" theologian would understand the difference.