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What is a Ghost Heart?

Published in Bioengineered Hearts 3 mins read

A ghost heart is essentially an animal heart that has been stripped of all its original cells, leaving behind only the protein scaffold or structure.

What Does That Mean?

Think of a heart as a building. Normally, it’s full of cells (like the residents of a building). A "ghost heart" is like that building being emptied. All the residents are gone, but the structure of the building – the walls and floors – remains.

Here's a more detailed breakdown:

The Process

  1. Decellularization: Scientists use a specialized process called decellularization to remove the cells from a donor animal heart. This process uses chemicals to gently wash away the cells, leaving behind the extracellular matrix (ECM), the scaffold.
  2. The Remaining Scaffold: The resulting "ghost heart" is primarily made of proteins like collagen and other structural components that held the heart's cells in place. These proteins form the heart's structure, its "skeleton."
  3. Repopulation with Stem Cells: Scientists then inject the ghost heart with stem cells from the patient who will receive the heart. The stem cells are expected to grow and become the new heart cells, in essence, creating a personalized heart.

Why Create Ghost Hearts?

  • Overcoming Transplant Shortages: By using animal hearts as a starting scaffold, scientists hope to create a larger supply of transplantable hearts.
  • Reducing Rejection Risk: Because the "new" heart cells will be derived from the patient, the risk of the body rejecting the transplant should be reduced significantly.
  • Personalized Medicine: The stem cell approach allows for the creation of a heart specific to the patient's needs.

Table Summary

Feature Original Heart Ghost Heart Repopulated Heart
Structure Cells, ECM ECM only ECM and patient’s cells
Function Pumping blood No pumping function, only a scaffold Potential for functional, personalized pumping
Cell Origin Donor cells No cells, only ECM Patient’s own stem cells
Rejection Risk High Not applicable, no living cells Lower because cells are from the patient
Transplant Use Traditional heart transplants The base for engineered hearts Experimental personalized heart transplant option

Example of Pioneering Work

One of the pioneers in the area of developing ghost hearts is mentioned in the provided reference. She focused on creating these “ghost hearts”— animal hearts that are stripped of their original cells, leaving only the protein structure behind and then injected them with stem cells to create a personalized heart.

Practical Insights

  • Research is Ongoing: The technology is still experimental, but it has enormous potential for revolutionizing heart transplantation.
  • Challenges Remain: The biggest challenges include perfecting the decellularization process and ensuring that the stem cells grow correctly and become functional heart muscle cells.