The Heart of the Matter: An Introduction to Engineering Heart Tissue - By MITK12Videos
Transcript
00:10 | Hey guys today , I'm going to give you a | |
00:12 | brief overview of your heart . How can break and | |
00:15 | thinks that researchers are doing today to fix it . | |
00:18 | What you're breaking up with me , but you're breaking | |
00:22 | my heart . That wasn't exactly what I had in | |
00:27 | mind . See , I was talking about your literal | |
00:29 | heart . You know the thing that beats inside of | |
00:31 | you , The thing that keeps you alive ? Just | |
00:34 | uh , never mind her . Why don't you guys | |
00:37 | just come with me ? Your heart is a pretty | |
00:39 | complicated organ . But for the purposes of this video | |
00:42 | , I'm going to simplify things a little bit . | |
00:44 | There are veins that carry deoxygenated blood from the rest | |
00:47 | of your body back to the heart . This blood | |
00:50 | gets pumped to your lungs where gas exchange occurs , | |
00:53 | putting oxygen in the blood and taking carbon dioxide out | |
00:57 | . Now this new 02 equipped blood goes back to | |
01:00 | your heart , which then can be carried to the | |
01:03 | rest of your body through arteries . The aorta is | |
01:06 | the biggest artery in your body carrying blood out of | |
01:09 | your heart and it branches off into all sorts of | |
01:12 | arteries that eventually connect to the rest of the muscles | |
01:14 | in your body . However , your heart is a | |
01:16 | muscle to and it needs oxygen to function . So | |
01:20 | there are coronary arteries that branch from the aorta and | |
01:23 | deliver oxygen rich blood back to the heart muscle . | |
01:26 | So let's recap what we just learned . Your blood | |
01:29 | carries oxygen to muscles in your body because your muscles | |
01:31 | need oxygen in order to move blood that doesn't have | |
01:35 | oxygen , which we call deoxygenated blood goes to your | |
01:38 | heart through veins where it can then be sent to | |
01:41 | the long , straight oxygen that blood that has all | |
01:44 | this new oxygen in it gets sent to muscles in | |
01:46 | your body , including your heart through arteries , your | |
01:49 | heart needs oxygen to pump and beat . Sound good | |
01:52 | so far I guess so Generally this is a pretty | |
01:55 | good system of keeping your body functioning and happy . | |
01:58 | However , heart disease is one of the biggest killers | |
02:00 | in our country , so clearly something can go wrong | |
02:03 | with this system Now the good news is that most | |
02:07 | of the time you can prevent heart attacks and heart | |
02:09 | disease through diet and a healthy lifestyle . But what | |
02:13 | exactly breaks the heart then a Mario cardio infarction or | |
02:17 | what most of us call a heart attack , is | |
02:20 | the death of heart cells caused by a blockage of | |
02:22 | blood flow to the heart . Most of the time | |
02:25 | this happens when a coronary artery remember these guys carry | |
02:28 | oxygenated blood back to the heart . Includes a fancy | |
02:32 | word for block by atherosclerotic plaque . See over time | |
02:37 | , cholesterol , fatty acids and white blood cells can | |
02:40 | collect and harden on the insides of the artery , | |
02:42 | narrowing the space through which blood can flow . No | |
02:46 | blood means no oxygen to the heart , and no | |
02:48 | oxygen means serious damage or death of the heart muscle | |
02:51 | tissue . Cardiac maya sites adult Hartsell muscles cannot regenerate | |
02:57 | or heal themselves , so instead your body forms a | |
03:00 | scar in the damaged area . Wait , doesn't that | |
03:03 | lead to irregular heartbeats ? Another really bad consequences . | |
03:07 | Exactly , scars can't move the way the rest of | |
03:10 | the heart does when it pumps because it can't contract | |
03:12 | , so the heart becomes weaker now , the way | |
03:15 | the damage is usually treated is through bypass surgery , | |
03:18 | which involves taking healthy vessels from another part of your | |
03:21 | body and grafting them onto the damaged area . Drugs | |
03:24 | that reduce the blood clotting can be used , as | |
03:27 | well as other surgical techniques , like angioplasty , which | |
03:30 | uses balloons to stretch out the occluded artery . But | |
03:34 | as you can imagine , there's tons of risks associated | |
03:36 | with these treatments . That's why there's so much research | |
03:39 | going on today on building artificial and healthy heart walls | |
03:42 | and blood vessels . One field of research seeks to | |
03:45 | create vascular prostheses or essentially create new blood vessels to | |
03:50 | replace or repair the damaged ones . There are three | |
03:52 | approaches to this field . Doctors use a fabric that's | |
03:56 | kind of like a thin sponge and roll it up | |
03:58 | into a tube . It gets covered with a thin | |
04:01 | layer of natural stuff from your blood . So your | |
04:03 | body gets tricked into thinking it's a normal blood vessel | |
04:09 | . The problem with this approach is that this graph | |
04:11 | tends to be a lot stiffer than normal blood vessels | |
04:13 | , creating what is called a compliance mismatch . The | |
04:17 | stiffness of the prosthesis doesn't match the stiffness of the | |
04:20 | native vessel , which it is stitched , too . | |
04:22 | This prevents blood from flowing normally and can lead to | |
04:26 | another heart attack . Now , another approach to uses | |
04:29 | autographs where vessels are taken from another part of the | |
04:32 | patient's body , just like the bypass surgery I mentioned | |
04:35 | before , this isn't an ideal situation but generally works | |
04:39 | okay . This leads us to our current situation . | |
04:41 | What if we could just grow blood vessels in the | |
04:44 | lab ? The newest approach is to use a tissue | |
04:46 | engineered blood vessel . In this case , a researcher | |
04:49 | will take a scaffold , a sponge like material made | |
04:52 | of special proteins that supports and hold cells and is | |
04:55 | similar in its biology to the environment . Normal cells | |
04:59 | . They'll add cells , endothelial cells , smooth muscle | |
05:02 | cells and culture in a certain condition . Sometimes they'll | |
05:07 | even pulse it to promote the formation of blood vessels | |
05:11 | . After a while , all the ingredients will come | |
05:13 | together as a vessel that is strong but still stretchy | |
05:16 | . They can roll up the material just like a | |
05:18 | vessel and implanted in the patient . Another field of | |
05:21 | research seeks to engineer heart muscle tissue to either repair | |
05:26 | or patch up the damage part of the heart , | |
05:28 | similar to engineering blood vessels . The key to this | |
05:31 | is finding the right kind of scaffold and the right | |
05:33 | kind of cells . There's a lot that still needs | |
05:35 | to be done in this field , but hopefully I've | |
05:37 | given you enough background information to start learning about heart | |
05:40 | engineering . Who knows ? You could be the creator | |
05:42 | of the next best engineered heart tissue . I'm on | |
05:46 | it . |
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