Cancer drug could promote regeneration of heart tissue: study

Researchers are developing an anti-cancer agent which also promotes regeneration of damaged heart muscle - an unexpected finding that may help prevent congestive heart failure in the future.
Many parts of the body, such as blood cells and the lining of the gut, continuously renew throughout life.
Others, such as the heart, do not. Because of the heart's inability to repair itself, damage caused by a heart attack causes permanent scarring that frequently results in serious weakening of the heart, known as heart failure.
For years, Lawrence Lum, associate professor at University of Texas Southwestern Medical Centre in the US worked on the cancer drug that targets Wnt signalling molecules.

These molecules are crucial for tissue regeneration, but also frequently contribute to cancer.
Essential to the production of Wnt proteins in humans is the porcupine (Porcn) enzyme, so-named because fruit fly embryos lacking this gene resemble a porcupine.

In testing the porcupine inhibitor researchers developed, they noted a curiosity.
"We saw many predictable adverse effects - in bone and hair, for example - but one surprise was that the number of dividing cardiomyocytes (heart muscle cells) was slightly increased," said Lum.
"In addition to the intense interest in porcupine inhibitors as anticancer agents, this research shows that such agents could be useful in regenerative medicine," Lum added.

Based on their initial results, the researchers induced heart attacks in mice and then treated them with a porcupine inhibitor.
Their hearts' ability to pump blood improved by nearly two-fold compared to untreated animals.
"Our lab has been studying heart repair for several years, and it was striking to see that administration of a Wnt inhibitor significantly improved heart function following a heart attack in mice," said Rhonda Bassel-Duby, professor at University of Texas Southwestern Medical Centre.
Importantly, in addition to the improved pumping ability of hearts in the mice, the researchers noticed a reduction in fibrosis, or scarring in the hearts.

Collagen-laden scarring that occurs following a heart attack can cause the heart to inappropriately increase in size, and lead to heart failure.
"While fibrotic responses may be immediately beneficial, they can overwhelm the ability of the heart to regenerate in the long run. We think we have an agent that can temper this fibrotic response, thus improving wound healing of the heart," said Lum.
Additionally, Lum said, preliminary experiments indicate that the porcupine inhibitor would only need to be used for a short time following a heart attack, suggesting that the unpleasant side effects typically caused by cancer drugs might be avoided.

The study was published in the journal Proceedings of the National Academy of Sciences.