Stem
cells found to help victims of heart attacks, study
shows
By Nancy McVicar
South Florida Sun-Sentinel
March 26, 2007
Heart attack patients who got infusions of stem
cells within a week of a heart attack had fewer
episodes of irregular heartbeat and better recovery
than those who didn't get the treatment, according
to a study reported Sunday by a University of Miami
researcher.
It was the first study in humans using a special
kind of stem cell that has been shown to seek out
damaged or inflamed areas in the body and repair
them. The cells are noncontroversial because they
are taken from adult bone marrow, not human embryos.
"Over the six-month follow-up period, the stem
cell patients had lower rates of side effects such
as cardiac arrhythmias, and they had significant
improvements in heart, lung, and [overall]
function," said Dr. Joshua Hare, professor of
medicine and director of the Interdisciplinary Stem
Cell Institute at Miami's Miller School of Medicine.
Hare, who presented the results at a meeting of the
American College of Cardiology in New Orleans, was
the lead investigator for the study, which included
53 heart attack patients recruited at 10 medical
centers across the country.
Hare said the trial was designed to assess the
safety of the experimental treatment using a
particular type of stem cells called mesenchymal
cells, derived from adult bone marrow. But he said
the early results of the study, financed by a
Baltimore company that plans to seek federal
approval for the treatment after more study, showed
very clearly that the cells were beneficial to the
patients.
"We had seen results in animals, but I have to
say I was truly surprised [at the human study
results] because the study design was to look at
safety, and we saw improved heart function, improved
lung function and improved [recovery]," Hare
said.
The cells were selected because they have been shown
to seek out inflammation and repair it, Hare said.
Patients who had the most heart damage from their
heart attacks improved the most, he said.
The cells can be taken from different donors and
don't have to be genetically matched to the
recipients. They can be grown quickly in the lab,
and once infused intravenously in the patient they
home in on injured areas and work to repair them.
Hare cautioned that the results are preliminary and
more research must be done. Hare said earlier
studies in heart patients using bone marrow stem
cells showed promise, but this is the first human
trial using just the mesenchymal cells.
The study was paid for by Osiris Therapeutics, of
Baltimore, which created the cell treatment as a
product called Provacel and hopes to proceed with a
second round of studies before seeking approval from
the U.S. Food and Drug Administration to bring the
treatment to market.
Dr. Jay Traverse, a cardiologist at the Minneapolis
Heart Institute, one of the clinical trial sites,
said unlike other cell therapies, these cells are
readily available and easily administered through a
standard IV line.