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Cells On Adult Heart's Outer Layer Can Induce Blood Vessel DevelopmentBy Dr arvind, Section Health
A recent research by a team at the Institute of Child Health, University College of London, may change forever the way scientists look at the adult heart.
The research, published in Thursday's issue of the journal Nature, has shown that cells in the outermost layer of an adult heart can, under the effect of a specific protein, induce blood vessel development in the adult heart. The protein, thymosin beta 4, is already known for its ability to reduce muscle cell loss after heart attack. The study was lead by Dr Paul Riley, a senior lecturer at the institute, who works on heart development. Speaking to Times City from London, Dr Riley explained, ``It was earlier believed that the process of formation of new blood vessels in the heart happens only at the embryo stage. But our experiments on mice have shown that thymosin beta 4 can induce cells in the outer layer of the adult heart epicardium to differen tiate into endothelial cells that can lead to the formation of new blood vessels.'' The formation of fresh vessels in the heart is important both in patients with known cardiac history or those who are exposed to cardiac risk factors. ``When some heart cells are compromised, the muscle mass in the immediate vicinity have to work extra hard to compensate. But so far there was no known way of increasing their nutrition level in a way that is commensurate with the extra load they are handling. This opens the possibility". Indian cardiologists agree. Says Dr Naresh Trehan, executive director and chief cardiac surgeon at Escorts Heart Institute and Research Centre: ``Research like this gives hope but it has to prove itself further through safe trials on humans. One of exciting possibilities the results raise is the revival of what is known as stunned myocardium, muscle cells around an infarcted area that are not dead but are dysfunctional because of lack of blood supply. Generating new vessels would supply them with the necessary fuel to work.''
On the other hand, in people who already have some degree of atherosclerosis in the vessels but have not yet suffered a cardiac arrest, Riley said this meant ways could be found to bypass the blocked arteries.
``The reason why such people have an arrest is that the heart has to work against increased vascular resistance to pump blood into the body. Bypassing blocked vessels would reduce the load,'' he said. Riley said his work, along with the ongoing research on stem cells that is looking at possibilities of regeneration of cardiac musculature, can in the next decade or so change the treatment modalities for myocardial infarction completely. ``That should be a realistic estimate as one US company has already started pre-clinical trials for thymosin beta 4 which since two years ago, has been known to be crucial for cell survival,'' he added. Says Dr Deepak Natarajan, consultant cardiologist at Indraprastha Apollo Hospital: ``This is an exciting discovery. Every small step in science is a big thing. But what is important is how it is used and also how it fares in randomised human trials.'' (Source-Times Of India,20/11/06)
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