TUESDAY, Nov. 16 (HealthDay News) -- By substituting a healthy
gene for a defective one, scientists were able to partially restore
the heart's ability to pump in 39 heart failure patients,
"This is the first time gene therapy has been tested and shown to improve outcomes for patients with advanced heart failure," study lead author Dr. Donna Mancini, professor of medicine and the Sudhir Choudhrie professor of cardiology at Columbia University College of Physicians and Surgeons in New York City, said in a university news release.
"The therapy works by replenishing levels of an enzyme necessary for the heart to pump more efficiently by introducing the gene for SERCA2a, which is depressed in these patients. If these results are confirmed in future trials, this approach could be an alternative to heart transplant for patients without any other options," she added.
Mancini presented the results Monday at the annual meeting of
the American Heart Association (AHA) in Chicago.
The gene for SERCA2a raises levels of the enzyme back to where
the heart can pump more efficiently. The enzyme regulates calcium
cycling, which, in turn, is involved in how well the heart
contracts, the researchers said.
"Heart failure is a defect in contractility related to calcium cycling," explained Dr. Robert Eckel, past president of the AHA and professor of medicine at the University of Colorado Denver.
The study authors hope that, if replicated in larger trials, the
gene-therapy treatment could actually delay or obviate the need for
heart transplants in patients with heart failure.
"There are a lot of treatments for heart failure but at some point patients stop responding and then the prognosis is poor," said Dr. Rita Redberg, AHA spokeswoman and professor of medicine at the University of California, San Francisco. After that, the only option is a transplant.
For this phase 2 study, 39 patients with advanced heart failure
were randomly chosen to receive either the gene therapy (through
cardiac catheterization) or a placebo.
At both six months and a year later, the patients who had
received the new gene saw their risk for death, cardiac
transplantation, worsening heart failure and hospitalization
decline by half.
Results were even more heartening at higher doses, where
participants had an 88 percent decrease in risk for death, cardiac
transplant, hospitalizations and other outcomes, the study authors
Redberg cautioned that the study was still preliminary and
"requires more investigation."
And research presented at meetings isn't subjected to the same
level of scrutiny as studies published in peer-reviewed
The study was funded by the Celladon Corp. of La Jolla,
The American Heart Association has more on
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