Navigation Links
UCSF study identifies weakness in heart attack therapy
Date:9/20/2011

A UCSF study holds clues to why an emerging clinical trials option for heart attack patients has not been as successful as anticipated. Treatment of human hearts with bone marrow cells has led to limited to no success in improving their heart function even though a similar method has been much more effective in rodents.

Scientists didn't have a plausible research-based answer until now, according to the UCSF researchers. In a paper published this month in the scientific journal Science Translational Medicine, researchers offer an explanation of why a gap exists been the success of human trials and rodent experiments.

Researchers use bone marrow from young, healthy donor rodents to treat mice that had heart attacks. However in humans, bone marrow cells came from the patients themselvestypically olderafter they suffered heart attacks.

"It's very important to consider the disease, whenever you think about treatments that involve returning cells into the same person from whom they were taken," said the paper's senior author Matt Springer, PhD, associate professor of medicine in the UCSF Division of Cardiology and UCSF Cardiovascular Research Institute. "The very disease you're trying to treat might actually cause a problem for those cells, and that seems to be the case here.

A heart attack occurs about every 20 seconds in the United States with a heart attack death occurring approximately every minute, according to the Centers for Disease Control and Prevention (CDC). That translates to about 500,000 deaths from 1.5 million heart attacks. It is the leading cause of death for men and women in America.

"Heart attacks are very complicated, and are hard to treat even with pharmacology and interventional therapies," said Xiaoyin Wang, MD, lead author, and an associate research specialist at the UCSF Cardiovascular Research Institute. "It's difficult to get reasonable and realistic results to heal heart attacks."

Treatment for heart attacks has had limited success. Once part of the heart tissue dies, the heart becomes weaker and doesn't function as well as it did before the attack. That's why Springer and his colleagues created a rodent experiment that closely mimicked real world circumstances.

"Because we cannot easily separate the patient from the disease, we have to use distinct factors such as heart attacks or aging to understand why a trial is successful or not," Wang said. "But in animal studies, we can easily separate donor and recipient to determine whether heart attacks or aging factors impact bone marrow cells."

They found cells from donor mice that had a heart attack were impaired, similar to the level of impairment in human bone marrow cells. The researchers also determined that cells from diseased mice were not as effective in reversing the negative effects of a heart attack as those from healthy mice.

"We've done a bit of scientific judo," Springer said. "Mouse experiments use a different donor from the recipient. That can be a disadvantage as a model system. We're taking that and are using it to our advantage."

Humans cannot receive bone marrow cells from other human beings because their immune system would naturally fight it, he said. Scientists are also looking at other types of cells for cell therapy, such as stem cells.

Researchers found another obstacle: inflammation caused by heart attack reduced the therapeutic potential of bone marrow cells. Preventing inflammation could be the key in finding an effective heart attack treatment in humans, although many current anti-inflammation treatments cause other risks for heart attack patients.

"We can try to find the parts of the inflammatory response that need to be inhibited without inhibiting the beneficial aspects of the inflammatory response and try to tailor the therapies," Springer said.

Researchers also hope to better understand which specific cells are problematic for heart attack recovery. Flexibility in a laboratory setting would allow scientists to remove cells to find out if they're inhibiting recovery. If researchers are able to isolate "bad" cells in rodent experiments, they may hold the key to improving treatment for heart attack patients.

"If we can solve the problem in the mice, it should be translatable to humans," Springer said.

Researchers believe this study could take them a step closer to finding an effective treatment.

"We're not saying we're going to cure heart attacks in five years," Springer said. "But if we can use studies like this to figure out why therapies are not as good as they could be, and simply do something like use a drug, or change the cells, that could conceivably be used very soon in a clinical trial."


'/>"/>

Contact: Leland Kim
leland.kim@ucsf.edu
415-502-6397
University of California - San Francisco
Source:Eurekalert  

Related medicine news :

1. Diverticulitis Surgery More Dangerous for Older Black Patients: Study
2. ADHD Drug Delays Puberty in Male Monkeys, Study Finds
3. U.S. Flu Shot Policy Shields More Kids Than Canadas Program, Study Finds
4. Brains of Obese May Crave High-Calorie Foods More: Study
5. Study: Overweight older women have less leg strength, power
6. Lack of Sleep Hurts Kids Academic Performance: Study
7. Study suggests possible link between two Type 2 diabetes drugs and pancreatic cancer
8. Major grant awarded for HIV prevention study in Africa
9. Number of children poisoned by medication rising dramatically, study says
10. Study update: Cancer information on Wikipedia is accurate, but not very readable
11. Wikipedia Accurate on Cancer Facts, But Hard to Read: Study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
UCSF study identifies weakness in heart attack therapy
(Date:2/5/2016)... , ... February 05, 2016 , ... ... President George H. Van Allen have signed a joint enrollment and degree completion ... seamless pathway toward associate and baccalaureate degrees at FHU|Dickson. , The agreement ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... The American ... technology, such water may be safer than regular municipal or well water. The recent ... radio host Sharon Kleyne, could go a long way toward increasing public acceptance of ...
(Date:2/5/2016)... ... February 05, 2016 , ... At its annual meeting held ... as Chairman of the National Board of Directors. Mr. McDermott succeeds former APDA Chairman, ... stated Leslie A. Chambers , APDA President and CEO. “Pat has tirelessly served ...
(Date:2/5/2016)... ... 05, 2016 , ... In sleep, when the defenses of the day are ... of patients with eating disorders is significant self-criticism, and consequently these patients experience this ... regarded as maladaptive means for coping with this unease, but also leads to a ...
(Date:2/5/2016)... , ... February 05, 2016 , ... ... Columbia University Men’s Soccer Career Development event in New York City on Thursday, ... Commisso, Chairman and CEO of Mediacom, (both alumnus of the varsity Columbia soccer ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... , Feb. 5, 2016  Venice,s newest ... is the first of its kind in the ... tattoos through advanced laser treatment. The physician-owned and ... Suncoast by storm with its revitalizing ... and advanced multi-wavelength Astanza Trinity technology. ...
(Date:2/5/2016)... India , February 5, 2016 ... a new market research report "Fetal (Labor & Delivery) ... & Antepartum), Warmer, Incubator, Pulse Oximeter, Phototherapy/Jaundice Management Devices, ... published by MarketsandMarkets, This report studies the global market ... market is estimated at USD 6.28 Billion in 2015 ...
(Date:2/5/2016)... Feb. 5, 2016 ... the "Global Obstetrics Partnering 2010-2016: Deal ... to their offering. --> http://www.researchandmarkets.com/research/hcdvg6/global_obstetrics ... "Global Obstetrics Partnering 2010-2016: Deal trends, ... their offering. --> Research and ...
Breaking Medicine Technology: