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http://story.news./news?tmpl=story2 & cid=571 & ncid=751 & e=3 & u=/nm/20030331\

/hl_nm/vitamin_heart_dc

 

Vitamin C Helps Stem Cells Morph Into Heart Cells

 

Mon Mar 31, 5:23 PM ET Health - Reuters

 

By Jacqueline Stenson

NEW YORK (Reuters Health) - In a finding that could aid the development of new

heart failure treatments, scientists have observed that vitamin C prompts mouse

embryonic stem cells to transform into beating heart muscle cells.

 

 

 

 

 

A big hope is that doctors will one day have an ample supply of healthy human

heart cells to transplant into failing hearts, potentially offering an

alternative to patients whose only option is the transplantation of an entire

donor heart.

 

Heart failure is a chronic condition in which the muscle cannot pump enough

blood to meet the body's needs. It results from damage to the heart muscle,

often caused by heart attack.

 

" Once the heart muscle is dead, we don't have a lot of tools for that, " said

study author Dr. Richard T. Lee, an associate professor of medicine at Brigham

and Women's Hospital and Harvard Medical School (news - web sites), both in

Boston, Massachusetts.

 

Stem cells are so-called master cells that can develop into various tissues in

the body.

 

To date, the available method for coaxing embryonic stem cells into heart cells

has proved slow and labor-intensive, according to Lee. " It's not a very

efficient process, " he told Reuters Health.

 

But in the new study, published in the rapid track issue of Circulation: Journal

of the American Heart Association (news - web sites), Lee and colleagues

reported that vitamin C treatment readily coaxed embryonic stem cells to convert

into heart cells.

 

" Out of 880 compounds tested, only one of them actually worked and it surprised

us, " Lee said.

 

The stem cells had been genetically altered to produce a bright green color if

they converted to heart cells. Not only did they turn green, they also began

rhythmically beating, results showed.

 

It's not known how vitamin C achieves this effect or whether it would work with

human embryonic stem cells. Research involving human embryonic stem cells is

highly controversial and restricted by the U.S. government.

 

Researchers also have been experimenting with transplanting adult stem cells

taken from thigh muscle or bone marrow into damaged human hearts. But Lee said

embryonic stem cells may hold the greatest promise because they are the most

versatile.

 

In a statement, Dr. Robert O. Bonow, president of the American Heart

Association, said that " although the findings of this study are very preliminary

with respect to their impact on human lives, this line of research has enormous

implications for the future care of thousands of patients who develop heart

failure each year.

 

" Identifying mechanisms to transform stem cells into differentiated heart muscle

cells is an important step toward clinical reality, " Bonow said.

 

SOURCE: Circulation 2003;10.1161/01.CIR.0000064899.53876.A3.

 

 

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