Heart
in sentence
6221 examples of Heart in a sentence
This imbalance between supply and demand is the crux of
heart
failure.
Other tissues like the
heart
are quite stable, and as far as we can tell, the
heart
lacks stem cells entirely.
So for the heart, we're going to have to bring stem cells in from the outside, and for this, we turn to the most potent stem cell type, the pluripotent stem cell.
So this is my big idea: I want to take human pluripotent stem cells, grow them up in large numbers, differentiate them into cardiac muscle cells and then take them out of the dish and transplant them into the hearts of patients who have had
heart
attacks.
I think this is going to reseed the wall with new muscle tissue, and this will restore contractile function to the
heart.
We began with the quest to turn these pluripotent stem cells into
heart
muscle.
We got these little clumps of beating human
heart
muscle in the dish, and that was cool, because it said, in principle, this should be able to be done.
But when we got around to doing the cell counts, we found that only one out of 1,000 of our stem cells were actually turning into
heart
muscle.
So how do you coax a cell that can become anything into becoming just a
heart
muscle cell?
For over a century, the embryologists had been pondering the mysteries of
heart
development.
We grow our
heart
muscle cells in little three-dimensional clumps called cardiac organoids.
Each of them has 500 to 1,000
heart
muscle cells in it.
And this makes our
heart
muscle cells flash green every time they beat.
We took our cardiac muscle cells and we transplanted them into the hearts of rats that had been given experimental
heart
attacks.
And now when I looked through the microscope, I could see this fresh, young, human
heart
muscle growing back in the injured wall of this rat's
heart.
The next question was: Will this new muscle beat in synchrony with the rest of the
heart?
What you're seeing here is a zoomed-in view, a black-and-white image of a guinea pig's
heart
that was injured and then received three grafts of our human cardiac muscle.
Our cells are flashing, and they're flashing in synchrony, back through the walls of the injured
heart.
If you look at that tracing that's along the bottom, that's the electrocardiogram from the guinea pig's own
heart.
In other words, the guinea pig's natural pacemaker is calling the shots, and the human
heart
muscle cells are following in lockstep like good soldiers.
This next slide shows you a microscopic image from the
heart
of a macaque that was given an experimental
heart
attack and then treated with a saline injection.
The macaque
heart
muscle is shown in red, and in blue, you see the scar tissue that results from the
heart
attack.
So as you look as this, you can see how there's a big deficiency in the muscle in part of the wall of the
heart.
And it's not hard to imagine how this
heart
would have a tough time generating much force.
Again, you can see the monkey's
heart
muscle in red, but it's very hard to even see the blue scar tissue, and that's because we've been able to repopulate it with the human
heart
muscle, and so we've got this nice, plump wall.
We've learned how to keep them alive after transplantation, we've showed that they beat in synchrony with the rest of the heart, and we've shown that we can scale them up into an animal that is the best possible predictor of a human's response.
These macaque studies also taught us that our human
heart
muscle cells created a period of electrical instability.
We've studied it extensively, and it turns out that it results from the fact that our cellular graphs are quite immature, and immature
heart
muscle cells all act like pacemakers.
So what happens is, we put them into the heart, and there starts to be a competition with the
heart'
s natural pacemaker over who gets to call the shots.
So one big question still remains, and that is, of course, the whole purpose that we set out to do this: Can we actually restore function to the injured
heart?
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