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Gene Therapy Converts Heart Cells Into "Biological Pacemakers"

Posted by Unknown on from the tick-tock dept.

Zothecula (1870348) writes Pacemakers serve an invaluable purpose, by electrically stimulating a recipient's heart in order to keep it beating at a steady rate. The implantation of a pacemaker is a major surgical procedure, however, plus its presence in the body can lead to complications such as infections. Now, for the first time, scientists have instead injected genes into the defective hearts of pigs, converting unspecialized heart cells into "biological pacemakers." Research Paper (abstract, full text paywalled).

14 of 26 comments (clear)

  1. Progress by s3anister · · Score: 4, Interesting

    It's science like this that makes me hopeful for the future. As someone who in their 20s suffers from heart problems I certainly hope developments like this which change the base nature of cells can treat my condition.

    1. Re:Progress by NatasRevol · · Score: 3, Funny

      Also, bacon tastes REALLY good.

      --
      There are two types of people in the world: Those who crave closure
    2. Re:Progress by Chewbacon · · Score: 1

      Posting as an AC says you REALLY believe in your cause.

      --
      Chewbacon
      The Bible is like Wikipedia: written by a bunch of people and verifiable by questionable sources.
    3. Re:Progress by fuego451 · · Score: 2

      For now, I can tolerate my atrial fibrillation but being nearly age 70 that may not last for long and I really don't want a pacemaker. Hopefully, I can get some new SA node genes and you can get what you need some day soon.

    4. Re:Progress by s3anister · · Score: 1

      Well that's the first time I've ever been called a sociopath for wanting scientific progress that helps others and myself. Thanks for the kind words, though.

    5. Re:Progress by Chewbacon · · Score: 2

      Pacers won't help afib except for ablating the av node with rapid rates. Have you talked to your ep about a pulmonary vein isolation (afib ablation) being an option?

      --
      Chewbacon
      The Bible is like Wikipedia: written by a bunch of people and verifiable by questionable sources.
    6. Re:Progress by fuego451 · · Score: 1

      Doc was talking about a newer pacemaker/defibrillator device I believe (I should have specified such). At the time I, wasn't interested. I've been cardioverted once which lasted about a year. I'll definitely look into the PVI solution.

  2. Re:And What Of the Gay Gene? by Anonymous Coward · · Score: 1

    sigh

  3. Re:And What Of the Gay Gene? by NatasRevol · · Score: 1

    Please explain.

    You're ignorant and have horribly inaccurate facts?

    --
    There are two types of people in the world: Those who crave closure
  4. Very nice. by nospam007 · · Score: 1

    As long as you don't get a couple of thousand pacemakers around the body, usually called 'cancer'.

  5. Re:And What Of the Gay Gene? by graphius · · Score: 1

    When will democracy finally have somthing they can point to that really works to fix politicians?

    FTFY

    FTFY again

  6. It's a start by Chewbacon · · Score: 3, Interesting

    Cloning sinus nodes will help patients with sick sinus syndrome. You'll still need devices to help those in complete heart block (but could fix if you grow an AV node or perkinje fibers), ICDs for deadly arrhythmias, and biventricular devices for cardiac resync therapy. But if you clone an AV mode or a His bundle, will they connect to the perkinje network? A rep from Medtronic said this could put them out of business. Despite the Benjamins, this will be better for patients as a less painful procedure and likely less infections. I hope they answer all the questions and make this work. This will be really good for young patients who would no longer have to have a device change every 8-12 years or worry about wires going bad in their lifetime.

    --
    Chewbacon
    The Bible is like Wikipedia: written by a bunch of people and verifiable by questionable sources.
    1. Re:It's a start by Japie_H · · Score: 1

      This does work in complete heartblock. They injected their adenoviral construct into the right ventricle, in fact they tested this approach in pigs with complete heartblock (as per title of the paper).

      Having said that, this is not the first time (or the only approach for which there is prove of principle) to create a biological pacemaker in big animals. And there are many considerations to take into account, a basic one is the different sequence of cardiac activation and how this influences pump function. With an electronic pacemaker you can reposition the lead, program it differently (timing, pulse strength etc.), but with gene-therapy you just have to hope for the best. Also, cloning a sinoatrial node/AV-node is not a simple matter as they are both highly complex structures, composed of multiple cell types. While definitely interesting gene therapy approaches to create a biological pacemaker have a long way to go.

  7. Hope this pans out by fatboy · · Score: 4, Interesting

    My daughter has complete congenital heartblock due to exposure to SSa/Ro antibodies. (My wife had undiagnosed Sjogren's syndrome) She has had a pacemaker most of her life, with her first pacemaker implanted at 12 days. I'm very excited about this and hope that one day doctors could grow her a new AV node,

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    --fatboy