Moonshots with Peter Diamandis - EP #40 No More Waiting on Heart Transplants? w/ Dr. Doris Taylor
Episode Date: April 27, 2023In this episode, filmed during this year’s Abundance360 summit, Dr. Doris Taylor and Peter discuss her cure for the #1 disease on the planet, heart disease. No more waiting lists, no big costs; how ...hard can it be to build a personalized heart for you? You will learn about: 05:26 | Doris' Commitment To Get Rid Of The Waiting List. 10:23 | We Should Build A Heart. How Hard Could It Be? 22:55 | The Lack Of Stem Cells Is The Cause Of Heart Disease & Aging. Doris A. Taylor, PhD is an innovator, scientist, and entrepreneur in regenerative medicine. She is the founder of multiple companies, including Organamet Bio, which aims to bioengineer personalized replacement hearts on demand. Her unique cell removal (decellularization) method was recognized as one of the Top 10 Research Advances by the American Heart Association. > Learn about Organamet Bio. _____________ I only endorse products and services I personally use. To see what they are, please support this podcast by checking out our sponsor: I use AG1 literally every day. Build a foundation for better health with Athletic Green’s AG1. Try it today. Levels: Real-time feedback on how diet impacts your health. levels.link/peter _____________ I send weekly emails with the latest insights and trends on today’s and tomorrow’s exponential technologies. Stay ahead of the curve, and sign up now: Tech Blog _____________ Connect With Peter: Twitter Instagram Youtube Moonshots and Mindsets Learn more about your ad choices. Visit megaphone.fm/adchoices
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Heart disease is the number one killer on the planet.
Why don't we talk about that?
There are a lot of reasons, but my opinion is... Heart disease is the number one killer on the planet. Why don't we talk about that?
There are a lot of reasons, but my opinion is...
Let's build a heart. How hard can it be?
350 people in this room have heart disease.
If it's not them, it's you.
The good news is I can fix it. The bad news is someone
has to die for someone else to live. Every 34 seconds someone on the planet has a heart
attack. That really hit me hard. Lifestyle has an impact, but that's not the bottom line.
But if you need a pediatric heart, where do you go?
I'm committed. In the next five years, I'm going to change that. And so the work that you're doing
is nothing short of extraordinary. I want to leave the world a better place,
and this is the way I've chosen to do it. Welcome to Moonshots and Mindsets. You know,
there are some extraordinary people on this planet who are doing things that, up until now,
have just been in the pages of science fiction novels.
And one of those individuals is Dr. Doris Taylor.
She is building new hearts,
literally and figuratively creating brand new hearts,
starting with a skin cell from you,
creating what are called pluripotent stem cells,
and then growing you a heart. She's beginning by looking at the hearts needed for children.
Where do you get a heart transplant for a child? You know, we don't have many children
volunteering their organs. Dr. Doris Taylor is a regenerative medicine researcher,
volunteering their organs. Dr. Doris Taylor is a regenerative medicine researcher,
previously a professor at the Texas Heart Institute. She's just joined Dean Kamen at the Advanced Regenerative Manufacturing Institute called ARMI in New Hampshire,
and her work is extraordinary. Today, you're going to join me in a conversation with Doris
from Abundance360, which is my annual private summit.
Enjoy this conversation.
The work that she's doing is literally saving lives and reinventing how we think about our
health and our healthspan.
And if Abundance360 is of interest to you, you can check it out at a360.com.
All right.
Enjoy the episode. First of out at a360.com. All right, enjoy the episode.
First of all, thank you. Wow, what a great few days this has been. And now I kind of have some
bad news and some good news. The good news is I can fix it. The bad news is 350 people in this room have heart disease.
And if you look around, look to your left and look to your right.
And I'm serious.
Look to your left and look to your right.
If it's not them, it's you.
Because 48% of the people in the U.S. have heart disease. It's you Because
48% of the people in the u.s. Have heart disease
48% and
Heart disease is the number one killer on the planet
1-3rd of all deaths and
in fact every 34 seconds someone on the planet has a heart attack and
And in fact, every 34 seconds, someone on the planet has a heart attack. And over the course of this session already this morning, 105 people on the planet have
had a heart attack.
Now that's the bad news.
And it affects men, women, and children.
So I have a question.
How many of you know a woman with breast cancer?
Quite a few of you. How many of you know a woman with heart disease?
Many fewer. And yet, five times more women, not three times as you heard yesterday, five times more women have heart disease and breast cancer. But we don't talk about that.
have heart disease and breast cancer.
But we don't talk about that.
Why don't we talk about that?
There are a lot of reasons, but my opinion is because we blame people for their heart disease.
If you ate right, if you lived better,
if you didn't smoke, you wouldn't have heart disease.
The reality is lifestyle has an impact,
but that's not the bottom line.
And for the people who do have heart disease, and if you're one of the people who has a heart attack,
10% of people die within an hour, and everyone else loses heart function over the remainder of their life.
Now, that's all the bad news except for the fact that kids are being born every day with complex congenital heart disease.
And it's estimated that 1% of the U.S. population is going to need a heart transplant, of babies
born are going to need a heart transplant in their lifetime.
One percent.
If that were my child or grandchild, I'd sure want that heart to
be available. But today, the reality is that in our line of work, someone has to die for someone
else to live. Now, the good news is, in the next five years, I'm going to change that.
five years, I'm going to change that.
I'm committed to curing the number one disease affecting humanity, heart disease.
And I can do it with the people in this room.
So in fact, organ transplant isn't just about hearts.
The number of people who die every month waiting for an organ transplant equals the equivalent of two jumbo jets with no survivors.
In the U.S., we transplant 10 hearts a day.
And what that means, and there are 2,700 people on the waiting list.
What that means is that you have to be really sick to get a heart. If you're too young, you don't get one. If you're too old, you don't get one.
If you're not sick enough, you don't get one. If you're too sick, you don't get one. Again,
if you're lucky enough to be one of the people who gets one, then you take drugs every day for the rest of your life to keep from
rejecting that. And those drugs not only cost a lot of money, up to $32,000 a month, a month,
but they make you sick. Every day you have to take that drug. I had a young woman call me and she after she heard me give a talk and
she said I had a heart transplant at 18 and
Every day every it's been nothing but biopsies medical tests and drugs every day since then and she said I've gone from
Being it's true. I don't have heart failure anymore, but I walk around every day
It's true, I don't have heart failure anymore, but I walk around every day terrified that because I got busy and forgot to take my drugs, I'm going to die.
She's 24 years old.
That's not okay.
The status quo is over.
We have to change that so I want to build personalized on-demand human hearts and
if they're personalized
That means you don't need those drugs now big pharma doesn't love that but let's not go there right now
But it also reduces your risk
it's going to reduce a lifetime cost of a heart transplant by 49%, and transplant
can become that Hollywood story that we all hear about that's a new lease on life instead
of the way it is today.
It'll improve the quality of life, and more than that, what I forgot to mention a minute ago is if you can't afford those
drugs, you don't make the waiting list for a heart.
Which means that people of color are 90% less likely to get an organ transplant than the
rest of us.
How do you say that to a mom or a dad or a son or a daughter who reaches out to you and says,
my dad's sick, help.
We can change that.
So in 2005, I basically said, okay, let's build a heart.
How hard can it be?
How hard can it be?
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Unfortunately, I didn't know what I was doing,
because if I'd known what I was doing, I wouldn't have believed it was possible.
So what I said is, okay, let's take cells. What do you need to build a heart? All you really need is heart cells and a place to put those heart cells, and then a way to make those heart cells grow up and become a heart. So I started that process.
And at the time, I had no idea what I was getting into because let me tell you about
the human heart.
It's the most amazing machine in the body.
It's phenomenal.
The heart's about the size of your fist.
It contains one billion cells for every gram it weighs.
And in an adult like me, I probably
have a 125 gram heart.
And some of the people you've seen on this stage,
they probably have a 350 gram heart.
They're a little bit taller, a little bit, yeah. That means we have to grow 350 billion
cells for every one of those hearts that we build. And we have to build them personally to match you
or you or you. We also have to build a heart that's going to beat 60 to 80 times a minute
every minute. People have said, gosh, that sounds expensive. And I'm like, I can build you a cheaper
heart. I kind of want the one that's going to be 60 to 80 beats per minute every minute of every
hour of every day for the rest of my life. But in addition, the heart is such an amazing machine
that over the course of our lifetime, it generates enough power to literally
power an 18-wheeler to the moon and back. And it pumps 1.5 million barrels of
blood throughout our lifetime. So we have to build a machine that can do that
every day for the rest of your life. And so on the bottom here you see a heart. And you see a heart that I'm going
to show you we can wash the cells out of to create a scaffold that we call a ghost heart. We basically
use baby shampoo to do that. That should scare you a little bit, but that's a different issue.
Baby shampoo. So we can wash all the cells out of this heart and
at the end of the day we have a ghost heart and one of the rate limits
everybody says okay you 3d print a heart. No we don't. We use this scaffold. Why?
Because this scaffold has the blood supply for a heart and 3d printing today
you can't create that blood supply, and this is nature.
Nature knows how to build a blood supply for a heart.
And let me show you, there's 60,000 miles of blood vessels in one of those hearts.
And if you hook it up to the blood system, those blood vessels work.
So we can now build something that gets food, clothing, and shelter and put cells in there.
So I'm going to go, so fast forward 10 years, we started building a three gram heart and it took me
14 years to solve the problems of building a heart double that size. At that rate it was going to take me 42 years to build a
heart to even fit a kid. Not okay. So a year ago I said screw this. I'm gonna
figure out how to automate this process. And I got smarter. I started, we started a
company and we began automating.
So we were able to take cell production from something we did by hand,
removing the cells from an organ from something we did, again,
by hand in a Rube Goldberg garage to something we could automate,
and take the recellularization, injecting those billion cells into something done by a robot.
And with Dean Kamen's assistance at Army BioFab in Manchester, New Hampshire, we were able to shorten
14 years to less than a year for creating a beating human heart.
creating a beating human heart.
Less than a year.
I have a five-year plan.
We're going to succeed within the decade.
We're going to be in people in five years with the right partners.
And it's not just about building hearts.
It's about curing heart failure.
And I'm going to stop here
so that Peter and I'm gonna stop here so that Peter
and I can talk about this but we have also developed a number of biologics
because we've learned what heart cells need to be happy and we can also deliver
those my group was the first group to do stem cells in the heart 1998 I've
learned a lot since then the main thing I've learned is we can cure this
with the right people, in the right room,
at the right time, with the right tools,
and we can save lives.
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I first heard your name two years ago on our Longevity Platinum trip when we were visiting
Dean Kamen's ARMY, Advanced Regenerative Manufacturing Institute, and he was buzzing about stealing
you from Texas to go and join Army.
And, you know, we'll talk a little about Army
because I want people to get what you're doing there.
And he asked a question.
It's interesting, right?
So if you need a heart transplant today,
and those numbers were stunning,
only 10 a day and a 2700 person waiting list
and that represents only those who could afford it which means it's a fraction a minute fraction
and so if if you need a heart today you're effectively waiting for someone to die and
donate it which is typically someone on a motorcycle without a helmet.
Right. Just to be clear. We tell people to move to states without helmet laws
if you need an organ transplant. I mean, we laugh at that because of how sad it is. But if you need a pediatric heart, where do you go?
You can't take an adult-sized heart and put it into a newborn. That really hit me
hard. It's true. And so the work that you're doing is nothing short of extraordinary.
Can you just talk one second about what your vision is and what Army is one second?
I want people to get a sense of what you and Dean are building there. Sure.
So Army BioFab is a Department of Defense-funded
advanced regenerative manufacturing initiative
because the realization,
it was made pretty abundantly clear
that although we've been tissue engineering
and laboratories across the U.S. for a number of years,
we haven't gotten products to market in this field.
And that's in part because we haven't had the infrastructure
to be able to build something complex.
Every time we failed building our hearts,
it was because they got contaminated.
Because we didn't have the right closed infrastructure,
automated infrastructure, somebody sneezed.
Dean said, I can do that.
I've built a lot of businesses and he's put together an amazing infrastructure
that allows you, they're incubating companies there now, but more than that
they're bringing together people who can speak process development in a complex
way for those of us who didn't grow up speaking that vocabulary.
A number of you went with me two years ago
on the longevity trip to see Dean's facility, right?
And we're gonna go back there this year.
When we were there last,
he was building ligament bone segments.
And Dean's genius applied with Doris's
genius is he's a manufacturer processing engineer and put stem cells or put skin
cells created into induced pluripotent stem cells in one end and get a heart
coming out the other end. I remember having a conversation with Elon in which he said that the idea is the easy
part. Even the design is the easy part. It's the operationalizing it, making it into something that
can be repeated over and over again. That's everything. Right. And we're at the slog through it stage yeah we're at the slog through
it until we're convinced it's i can do it with yourselves and yourselves and yourselves when
people come uh this august and september uh and we visit you and dean what will they see
down there so what we will what we will show you is places where we are storing cells, how we're growing the cells,
and a clean room system.
You'll be able to look in our clean room system, see the robot injecting cells into hearts.
And the future is building a heart hotel where we have 40 hearts in a hotel behind the robot that live in that ecosystem every day.
We're partnering with Advanced Solutions, a great robotics company, to do this.
And I've already taught BAB, their bioassembly bot, how to inject hearts.
We do a fist bump at the end of those.
It's pretty fun. But the reality is this is not science fiction anymore,
and it's not BS. You know, I had some surgeons come visit, and they said, Doris, we've heard
about this for years, but we couldn't wrap our minds around it until we saw it. And I said,
yeah, some surgeons still think this is BS and 20 years away like we heard with quantum
And it's not
With the right people and the right resources. It's five years away. That's amazing
Can you imagine having a backup set of organs?
We have that for our cars or planes or dishwashers
But the idea of having a backup set of organs to you I mean people don't realize and thank you for
correcting me it's five times the number of women in breast cancer thank you I
have that new data point but people don't realize how vicious heart disease
and stroke is it robs fathers and mothers and sometimes teenagers every 34 seconds you said that
that these that heart disease and aging is a failure of stem cells right you
speak to that a second yeah I believe aging and all the chronic diseases that
associated with aging or a failure of endogenous repair. And that endogenous repair is stem cell based.
And that as we age, we've shown data.
First of all, we were the first to show data that the stem cells you have,
if you're a man or a woman, differ.
That the composition of your bone marrow.
Which one's better?
Who do you think?
Who do you think?
I'm clear. Do you think I Who do you think? I'm clear.
Do you think I'd bring it up?
Come on.
No, seriously.
Seriously, we were able to show that as you age, as you develop cardiovascular disease,
men develop cardiovascular disease like this.
They get it earlier.
Over time, women develop it later
and they catch up we were able to measure stem cells of blood and show that they directly
paralleled amazing that development you know we start as a newborn with a huge supply of
endogenous stem cells in every compartment of your body brain muscle every place blood bone marrow yeah and as you age that
population goes down because the body was never meant to live past age 30. right and because
because we every time we take a hit we use some of those cells right and that explains why when
someone has a trauma traumatic injury they age very quickly thereafter. And I just want to say,
stress is another word for inflammation. And inflammation is basically nature's cue.
You fall down, you scrape your knee. This is the example I always use. Fall down, scrape your knee,
it turns red. That's inflammation. That's nature's cue to say, hey I've got an injury send me cells if you get the right cells there you turn off the inflammation if you're two years old
You regenerate that skin. You don't have a scar if you're 62
You still get the same redness you still recruit cells
But the cells are fewer in number and less potent. And that was the whole thought behind
exogenous stem cell therapy in the 90s when we started it was, if you don't have time or you
don't have the number, let's get them there. And what we're finding, as you've heard over and over
here, is that inflammation is basically a biomarker of whether or not that's working.
And what I want to say is stress is another word for inflammation.
And if you don't believe that, I measured, I was privileged.
I got to measure stem cells in one of His Holiness the Dalai Lama's monks.
Yes.
And I drew his blood before and after
he meditated on compassion for 15 minutes.
Wow.
There was a 40% increase in circulating stem cells
in that 15-minute time.
40% increase.
That's another reason to meditate, everybody.
So, and if you don't believe inflammation,
in other words, for stress or stress, vice versa, look at a president after four years.
Yeah.
Holy cow.
Talk about a job I would not want to have.
Hey, everybody.
This is Peter.
A quick break from the episode.
I'm a firm believer that science and technology and how entrepreneurs can change the world is the only real news out there worth consuming. I don't watch the crisis
news network I call CNN or Fox and hear every devastating piece of news on the planet. I spend
my time training my neural net the way I see the world by looking at the incredible breakthroughs
in science and technology, how entrepreneurs are solving the world's grand challenges,
what the breakthroughs are in longevity.
How exponential technologies are transforming our world.
So twice a week, I put out a blog.
One blog is looking at the future of longevity, age reversal, biotech, increasing your health span.
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These technologies are transforming what you as an entrepreneur can do.
If this is the kind of news you want to learn about and shape your neural nets with, go
to demandus.com backslash blog and learn more.
Now back to the episode.
I want to talk about how much money you've spent and how much you need to implement
this five-year vision. Talk to us about your capitalization. Talk to us about how you've
been supported and what you need going forward. So the company has brought in mostly non-dilutive
funding and grants and my checkbook. This has been me and a few people who
have worked with me because they believe in this for no compensation right now. So
we've basically existed on non-dilutive grants and a little bit of family
money from families of individuals with heart disease. To get through our
clinical trials and have this approved, 300 million dollars. That's not a lot of
money. Well relative to the size of the business opportunity and the lives saved.
But this is not a three-year 10x ROI. This is a 10-year, 1,000x ROI. What we really need is partners. We need people who are
going to help us think through this plan, who have a vision, who want to change the world, because
the reality is everyone out there is changing the world every day. The question is whether
you're doing it for the better or the worse worse and I want to leave the world a better place
and and this is the way I've chosen to do it. Join with us. Let's let's do this.
Let's are you here through tomorrow? I am here through late tonight. Okay so if
you're interested on this moonshot please check out Doris at lunch or this afternoon or this evening.
I'm going to be bringing Doris back on stage for your questions in just a little bit.
Let's give it up for Dr. Doris Taylor.