Stem cell therapy linked to lower risk of heart failure after a heart attack

Technique may be a valuable add-on procedure for patients with weak heart function after a heart attack, say researchers

Patients with weak heart function who receive stem cell therapy shortly after a heart attack are at lower risk of developing heart failure and related hospital stays compared with standard care, finds a clinical trial published by The BMJ today.

The researchers say the findings suggest this technique may be a valuable add-on procedure for this particular group of patients after a heart attack to prevent subsequent heart failure and reduce the risk of future adverse events.

Advances in heart attack management have improved survival rates considerably, but this has also led to rising rates of subsequent heart failure. While recent studies have indicated that stem cell therapy may reduce rates of heart failure after a heart attack, clinical trials are needed to confirm these benefits.

To address this gap, the researchers set out to assess the impact of delivering stem cells directly into coronary arteries (known as intracoronary infusion) after a heart attack on the development of heart failure over three years.

Their findings are based on 396 patients (average age 57-59 years) with no previous heart conditions at three teaching hospitals in Iran. They had all experienced a first heart attack (myocardial infarction) leading to extensive heart muscle damage and weakened heart function – where the left ventricle, the heart’s main pumping chamber, is too weak to pump blood out to the body as effectively as it should.

Of these, 136 patients in the intervention group received an intracoronary infusion of allogenic Wharton’s jelly derived mesenchymal stem cells within 3-7 days of their heart attack in addition to standard care. The remaining 260 control group patients received standard care alone.

Factors such as age, sex, baseline heart function, smoking status, obesity, existing high blood pressure, diabetes, or kidney problems were taken into account, and patients were monitored for an average of 33 months.

Compared with the control group, intracoronary infusion of stem cells was associated with reduced rates of heart failure (2.77 vs 6.48 per 100 person years), readmission to hospital for heart failure (0.92 vs 4.20 per 100 person years), and a combined measure of cardiovascular death and readmission for heart attack or heart failure (2.8 vs 7.16 per 100 person years).

The intervention did not have a statistically significant effect on readmission to hospital for heart attack (1.23 vs 3.06 per 100 person years), death from any cause (1.81 vs 1.66 per 100 person years), or cardiovascular death (0.91 vs 1.33 per 100 person-years).

However, by six months heart function in the intervention group showed a significantly greater improvement from baseline at six months compared with the control group.

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New Cancer Breakthroughs:

Targeted Therapies Boost Survival and Hope

Recent advancements in cancer treatment are offering renewed hope, with several promising developments emerging across various types of cancer.

In a significant breakthrough for cervical cancer, researchers funded by Cancer Research UK have discovered that administering a short course of chemotherapy before the standard treatment can reduce the risk of death by 40%. This approach also decreases the likelihood of the cancer returning by 35%, marking the most substantial improvement in cervical cancer treatment in over two decades.

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Innovations in immunotherapy are also making strides. A new form of CAR T cell therapy has been developed to target brain cancers like gliomas, which have historically been challenging to treat. This therapy involves engineering a patient's immune cells to become "super killer cells" capable of attacking cancer cells more effectively. Early studies suggest this method could overcome existing barriers in treating aggressive brain tumors.

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In the realm of blood cancers, recent studies have highlighted the efficacy of combination treatments. For instance, a triple-drug regimen has shown high remission rates in patients with relapsed or advanced acute myeloid leukemia. Another combination has demonstrated significant responses in various blood cancers, indicating that multi-drug approaches may enhance treatment outcomes.

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These developments underscore the rapid progress in cancer research, bringing new therapeutic options that improve survival rates and quality of life for patients. As always, individuals should consult with healthcare professionals to understand the best treatment options available for their specific condition.

Slowing Ageing Might Be Simpler Than You Think

Recent research from the University of Zurich has highlighted the potential of omega-3 supplements in decelerating the ageing process. In a study involving 777 participants over the age of 70, those who consumed one gram of omega-3 daily for three years exhibited a reduction in biological age by approximately four months. This effect was further enhanced when combined with regular exercise and vitamin D supplementation.

The study employed epigenetic clocks to assess biological ageing, focusing on DNA methylation patterns. While the individual rejuvenation effect may appear modest, researchers suggest that, if sustained, such interventions could have significant implications for public health. Additional benefits observed included reduced rates of falls, infections, pre-frailty, and invasive cancers among participants adhering to the combined regimen.

These findings align with longevity practices observed in regions known as Blue Zones, where inhabitants often enjoy extended lifespans. Diets rich in omega-3, regular physical activity, and adequate vitamin D levels are common in these areas, supporting the study's conclusions.

While the results are promising, some experts advise caution regarding the widespread use of omega-3 supplements, particularly concerning cardiovascular health. They emphasize the need for further research to confirm these benefits and to understand the long-term implications of such interventions.

This study underscores the potential of accessible, cost-effective strategies to enhance healthspan. By integrating specific dietary supplements with lifestyle modifications, individuals may improve their quality of life as they age. However, it remains essential to consult with healthcare professionals before making significant changes to one's health regimen.

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