Sunday, December 16, 2012

Ordinary Heart Cells Become 'Biological Pacemakers' With Injection of Single Gene

Source: Cedars-Sinai Medical Center
Date: December 16, 2012

Summary:

LOS ANGELES – Cedars-Sinai Heart Institute researchers have reprogrammed ordinary heart cells to become exact replicas of highly specialized pacemaker cells by injecting a single gene (Tbx18) – a major step forward in the decade-long search for a biological therapy to correct erratic and failing heartbeats.  The advance will be published in the Jan 8 issue of Nature Biotechnology and also will be available today on the journal’s website.

Cedars-Sinai researchers, employing a virus engineered to carry a single gene (Tbx18) that plays a key role in embryonic pacemaker cell development, directly reprogrammed heart muscle cells (cardiomyocytes) to specialized pacemaker cells. The new cells took on the distinctive features and function of native pacemaker cells, both in lab cell reprogramming and in guinea pig studies.

If subsequent research confirms and supports findings of the pacemaker cell studies, the researchers said they believe therapy might be administered by injecting Tbx18 into a patient’s heart or by creating pacemaker cells in the laboratory and transplanting them into the heart. But additional studies of safety and effectiveness must be conducted before human clinical trials could begin.