If you've ever used a loofah in the shower, you've stirred up some stem cells. As the outer layer of skin sloughs off, stem cells in the dermis rush to repair and replace those buffed away.
Now imagine a tiny loofah that works in much the same way inside the corridors of the human heart. As it scrubs, it alerts heart stem cells to rush to the site of dying cells to begin renewal and repair of cardiomyocytes - cells that pump blood through the heart.
While a heart loofah may remain the stuff of medical fantasy, Steven Houser, Ph.D., Director of Cardiovascular Research Center at Temple University School of Medicine, is sold on the idea that the heart - like the skin - contains its own stem cells: cells that are self-renewing and can be differentiated into different types of heart tissue. It's a controversial subject in cardiovascular circles, but for Houser, who spent thirty years studying the molecular biology of heart cells, the stakes are worth it when it comes to combating congestive heart failure (CHF).
Although stem cells have been found in many other organs in the body, including the brain, many researchers remain unconvinced that the heart contains stem cells. Houser respectfully disagrees. Abandoning his prior cell research, he has joined forces with one of the foremost investigators in cardiac stem cells, Pierro Anversa, M.D., professor of medicine and Director of the Cardiovascular Institute at New York Medical College. Anversa, who has been on the forefront of stem cell research for the past five years, has suggested that heart cells undergo an ongoing turnover fueled by cardiac stem cells. In June of this year, he published a study that actually identified cardiac stem cells in animal models that repaired tissue damaged by a heart attack.
One element that convinced Houser of Anversa's work was his own research into how the heart reacts under the stress of hypertensive diseases that can lead to congestive heart failure. Early in the disease, the heart muscle mass increases and the chambers stretch in a vain attempt to increase contracting power. While part of the enlargement is due to increased muscle mass, the question of how the chambers grow is less certain.