Biotech & Longevity · Tuesday, 29 September 2026
A transplanted heart takes on the biological age of the body it goes into, an early study of mice and 11 patients suggests
Old donor hearts looked younger inside young bodies, and young hearts looked older inside old ones, by chemical tags on their DNA. The study has not been checked by other scientists yet, and its author says older hearts now turned down might one day go to younger patients.
4,636
heart transplants in the US in 2024
81.5% more than in 2013, and in ever older patients
11
transplant patients whose stored heart samples were tested
donor and patient were 8 to 50 years apart in age
Under 45
the donor age generally recommended for a heart
older donors are considered only without serious artery disease
The lead story — what happened
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Hearts from young donors aged faster inside older bodies, and hearts from older donors became biologically younger inside young ones, a study by Jesse Poganik of Harvard and colleagues reports.
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Biological age here means how much wear a heart's cells show. It is read from chemical tags on DNA that shift as we age.
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In mice, the team added a second heart from a young, middle-aged or old donor and left each mouse's own heart in place.
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Four to six months later, three different DNA age tests put the extra hearts closer to the age of the mouse they lived in.
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The mice's own hearts, livers and blood did not appear to change age, so a young heart did not seem to make an old mouse younger.
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Stored heart samples from 11 transplant patients at Brigham and Women's Hospital in Boston showed the same pattern. The donors and patients were 8 to 50 years apart in age.
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In the records of hundreds of patients a year after surgery, heart rate, heart-wall thickness and fitness during exercise tracked the patient's age, not the donor's.
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Not everything moved. "Some things are probably simply irreversible," Poganik told Nature.
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Hearts are scarce. Of about 50,000 organs transplanted in the US each year, only a few thousand are hearts.
[4] Hundreds of people worldwide die each year on waiting lists for organs.[1] -
Guidelines generally recommend heart donors under 45, and many older hearts are thrown away on the assumption they will work less well.
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Poganik says older hearts that are now passed over might one day go to younger patients, but that much more work is needed first.
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The study was posted online before peer review. A King's College London researcher warned that the DNA age tests are still experimental.
[1] [2]
Who is involved
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Jesse Poganik
an ageing researcher at Harvard Medical School and Brigham and Women's Hospital in Boston; he and colleagues ran the study
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Brigham and Women's Hospital
a Boston hospital that has stored heart samples from past transplant patients for decades
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Michael Sagner
a longevity adviser at King's College London, not involved; he says the DNA age tests are still experimental
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Joao Pedro de Magalhaes
an ageing researcher at the University of Birmingham, not involved; he thinks the patient's immune system may drive the change
Where this points
The study still has to pass review by other scientists, and Poganik says much more work is needed before donor rules could change.
What is pushing on the whole day
The bar and the word are our reading of how hard each one is pushing today. The arrow is where it is heading. The evidence is in the stories below.
AstraZeneca will put $2 billion into Summit Therapeutics, which makes a cancer drug.
More than half the patients on Kodiak's eye drug went six months between shots, against every eight weeks on Eylea.
Novartis's cell treatment for autoimmune disease was linked to three deaths from severe inflammation.
The rest of the day
10 more stories on this beat.
Each with its own sources. None of these is a link to the story above.
-
02
A once-failed eye drug matches Eylea
Kodiak Sciences said on Monday that its drug Zenkuda matched Eylea, Regeneron's eye injection, in a final-stage trial in wet age-related macular degeneration.
[5] [6] In this disease, blood vessels in the eye overgrow, and drugs like Eylea block that growth.[6] Patients read 7.2 more letters on an eye chart on Zenkuda and 7.6 on Eylea.[6] A tool that spots fluid in the eye decided when each next shot was due, and 54% on Zenkuda went six months between shots.[5] [6] The same drug failed against Eylea over four years ago, and extra cataracts paused it in 2023.[5] [6] every 8 weeksEyleaevery 24 weeksZenkuda, 54% of patientsThe two drugs gave about the same gain in sight. The difference is how often more than half the patients needed a shot. Why it matters — Kodiak's shares more than doubled on Monday, and it plans to ask the FDA for approval by the end of 2026.
[5] [6] It will compete with cheaper copies of Eylea, whose patents have expired.[5] -
03
AstraZeneca puts $2 billion into Summit
AstraZeneca, the British drugmaker, will invest $2 billion in Summit Therapeutics, Summit said late on Monday 28 September.
[7] AstraZeneca is buying shares at the equivalent of $18.36 each, 18.6% above Summit's closing price that day.[7] Summit's drug ivonescimab blocks two things at once: PD-1, which helps cancer hide from the immune system, and VEGF, which tumours use to grow blood vessels.[7] The companies will run trials giving ivonescimab together with AstraZeneca's own cancer drugs.[7] Why it matters — AstraZeneca gets joint trials of its cancer drugs with ivonescimab, and the two agreed to look at pairing it with more of AstraZeneca's medicines.
[7] Summit's shares rose more than 15% in trading after the market closed.[7] -
04
First treatment for MCT8 deficiency approved
The FDA, the US drug regulator, approved Emcitate from Egetis Therapeutics, the first treatment for MCT8 deficiency, a very rare genetic disease that mostly affects boys and men.
[8] A faulty gene breaks the protein that carries thyroid hormone into the brain.[8] So the brain gets too little of the hormone, while too much builds up in the blood.[8] Many patients cannot walk, sit up alone or speak.[8] Emcitate's active ingredient, tiratricol, gets into cells without that protein, and it lowered the extra hormone in the blood in two trials.[8] Why it matters — The approval covers the too-high hormone level in the blood, which strains the heart and metabolism.
[8] Emcitate is a once-a-day liquid that can also go through a feeding tube, so patients who struggle to swallow can take it.[8] -
05
Ready-made cell treatment calms lupus in 12 of 22
Adicet Bio said on Monday that 12 of 22 people with lupus were in remission a year after one dose of its cell treatment, prula-cel, in a small early trial.
[9] In lupus, immune cells called B cells go rogue and help the body attack itself.[9] Prula-cel is made of immune cells built to hunt B cells.[9] Eight of the 16 whose kidneys were affected had their kidney disease go into remission.[9] It is made in advance and kept ready to use, while rival treatments from Novartis and Bristol Myers Squibb are built from each patient's own cells.[9] 12 of 22
patients in remission a year after one dose
12 of the 22 patients checked after a year were in remission. It was a small, early trial. Why it matters — Novartis's rival treatment was linked to three deaths from a severe inflammation, and Adicet reported no cases of it.
[9] Adicet says the FDA has agreed to one larger trial, with no comparison group, for lupus in the kidneys, starting next year.[9] -
06
Hepatitis D antibody passes a final test
Mirum Pharmaceuticals said on 28 September that its antibody brelovitug beat delayed treatment in a final-stage trial for chronic hepatitis delta, a virus that inflames the liver.
[10] The trial counted patients whose virus fell and whose main liver-inflammation test returned to normal.[10] That happened in 56% on a weekly dose, 45% on a dose every four weeks, and none of those whose treatment was held back for 24 weeks.[10] Gilead's daily shot Hepcludex was approved in the US after a 48% response on a combined measure in its own trial.[10] Weekly dose56%Every four weeks45%Treatment held back0%Share of patients whose virus fell and whose liver test returned to normal after 24 weeks. Why it matters — Liver inflammation is the main driver of scarring, cirrhosis and cancer, a Mirum executive said.
[10] Mirum expects a second trial's results in the last three months of 2026, and if it succeeds it could ask for approval in the first half of 2027.[10] -
07
Merck pays $400 million for a lab-stage cancer pill
Merck will pay $400 million up front to SciBrunch Therapeutics, a two-year-old company in Shanghai, for world rights to a cancer molecule called SPR2015.
[11] Further payments could lift the deal to $2.13 billion.[11] The molecule targets KRAS G12D, a faulty version of a protein that tells cells to grow, left switched on by the fault.[12] That fault is found in about 38% of pancreatic cancers.[11] SPR2015 has worked against tumours in lab dishes and animal tests, but has not yet been tested in people.[11] [12] Why it matters — For years no drug could grip KRAS, until Amgen's Lumakras and Mirati's Krazati hit a different faulty version of it.
[11] Bayer made a similar deal with Kumquat Biosciences, worth up to $1.3 billion, for an early G12D molecule.[11] -
08
Roche gives up a muscle-saving obesity drug
Roche stopped work on emugrobart, an antibody meant to protect muscle during weight loss, after an early look at a mid-stage trial said success was unlikely.
[13] Weight-loss drugs like Lilly's tirzepatide take off muscle as well as fat.[13] Emugrobart blocks myostatin, a protein that holds back muscle growth.[13] In March it had already failed to build muscle in trials for two muscle-wasting diseases, spinal muscular atrophy and a muscular dystrophy.[13] Roche handed it back to Chugai, its Japanese subsidiary.[13] Why it matters — Chugai says the data so far support a final-stage trial in spinal muscular atrophy, one of the diseases where it fell short, and is looking for partners.
[13] AstraZeneca, Biohaven and Wave Life Sciences are still chasing muscle-sparing weight loss.[13] -
09
A Sudan virus vaccine's first human test
A vaccine against Sudan virus, a cousin of Ebola, was well tolerated and made antibodies in its first human trial, the Lancet Microbe published on 23 September.
[14] Thirty-six healthy adults in Texas got one shot at one of three doses, or a dummy shot, in 2023.[14] Antibodies appeared by day 29 and were still there at six months in everyone who got the vaccine.[14] Two in three also had antibodies that block the virus in lab tests.[14] The trial was paid for by BARDA, the Biomedical Advanced Research and Development Authority.[14] Why it matters — Sudan virus has caused nine outbreaks since 1976, two of them in Uganda in 2022 and 2025.
[14] Data from this trial supported using the vaccine in a trial during Uganda's 2025 outbreak.[14] -
10
Canada suspends a plasma centre's licence
Health Canada suspended the licence of a Grifols centre on Taylor Avenue in Winnipeg to collect plasma, a part of the blood, Grifols said on Wednesday 23 September.
[15] The regulator had concerns about the centre's quality checks after a donor's death last year, the Globe and Mail reported.[15] CBC News had reported that two people died after giving plasma at Grifols clinics in Winnipeg, in October 2025 and January 2026.[15] Grifols, a Spanish drugmaker, says donors and patients were never put at risk.[15] Why it matters — Grifols says it had already stopped collecting there, retrained staff at all its Canadian centres and is working with the regulator on reopening.
[15] It sped up buying the rest of its Canadian plasma business after the regulator found faults at several centres.[15] -
11
Hospitals' fight over safety grades reaches appeal
Five hospitals in Palm Beach, Florida, all owned by Tenet Healthcare, won a lawsuit against Leapfrog, a nonprofit that grades US hospitals from A to F on safety.
[16] The hospitals had skipped Leapfrog's survey, and since 2024 Leapfrog has given the lowest scores in some categories where a hospital's data is missing.[16] After a trial in January, a US federal judge ruled this unfair and deceptive and ordered Leapfrog to stop grading them that way.[16] Leapfrog has appealed, saying its grades are opinions protected by free speech.[16] Why it matters — The New York Times, Yelp and Consumer Reports back Leapfrog, and news and civil-liberties groups warn the ruling could discourage public speech well beyond hospital grades.
[16] Leapfrog was also ordered to pay the hospitals' legal fees, which could top $10.5 million, more than its yearly revenue.[16]
Why a drug that was given up on can come back
A dropped drug has failed one trial run one way, so changing the dose plan, the disease or the owner can let the same drug pass.
The twist
A trial tests a drug one way: one dose plan, in one disease, for one owner. Kodiak changed when each patient got the next shot, and the drug that lost to Eylea more than four years ago matched it.
The picture
How it works
- A drug is tested one way: one dose plan, one disease, one owner's goal
- It falls short in that test, so the owner stops paying for it
- The molecule and its trial results still exist
- Someone changes one thing: when the dose is given, which disease, or who owns it
- The same drug is tested again, and this time it can pass
The same force, elsewhere today
Where this chain is also running, in today's other stories.
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Kodiak's eye drug
Kodiak blamed its first failure on patients who needed more shots, so the new trial gave each shot when fluid was found in the eye, and the drug matched Eylea.
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Roche's obesity antibody
Roche dropped emugrobart as an obesity drug, and Chugai took it back to prepare a final-stage trial in spinal muscular atrophy instead.
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Older donor hearts
Hearts from older donors are often not used, and the study suggests the same heart, put into a younger patient, may behave more like a younger heart.
Where you've seen this
Books
a novel one publisher turns down is taken by another that wants a different kind of book
Football
a player released by one club does well at another that plays a style that suits them
Old mills
a mill that closed as a factory is turned into flats
The catch
A second try can fail too: emugrobart already fell short in spinal muscular atrophy in March, and Chugai is now betting on that same disease.
And the whole of it
Patients live with choices other people made: the dose schedule a trial used, the disease a company wanted to sell for, the age limit on heart donors. When a drug is dropped, only the company holding its results can see whether a different plan might have worked.
What is really going on
The heart study is an early result, not a settled one: other scientists have not checked it yet, and its DNA age tests give estimates, not measurements.
Why it works on us — A headline saying old hearts age backwards speaks to the wish to live longer, but the old mice that received young hearts did not get any younger themselves.
Who gains
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Summit Therapeutics' shareholders
— AstraZeneca is paying $18.36 a share, 18.6% above Monday's closing price, and the shares rose more than 15% after hours.
[7] -
SciBrunch Therapeutics
— It gets $400 million up front for a molecule not yet tested in people, having raised $65 million in two funding rounds before.
[11] -
Kodiak Sciences' shareholders
— The stock rose 128% when trading opened on Monday, adding more than $3 billion to the company's value.
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Chugai
— It takes emugrobart back from Roche, and can run its own trial or license the drug to another company.
[13] -
Families living with MCT8 deficiency
— They have an approved treatment for the first time, one that can go through a feeding tube.
[8]
Who pays
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Leapfrog
— A judge ordered it to pay the hospitals' legal fees, which could top $10.5 million, more than its yearly revenue.
[16] -
Grifols
— It cannot collect plasma at its Taylor Avenue centre in Winnipeg until the regulator lets it reopen.
[15] -
Roche
— It paid for trials of emugrobart in obesity and two muscle diseases, then handed the drug back to Chugai, its Japanese subsidiary.
[13] -
Novartis
— Its cell treatment for autoimmune disease was linked to three deaths from severe inflammation, while a ready-made rival reported none.
[9] -
People waiting for a donor heart
— Guidelines still favour donors under 45, and hundreds of people die each year waiting for organs.
[1]
What nobody knows yet
Open questions from across today’s stories — ours included.
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01
Whether older donor hearts would work as well in younger patients.
The human evidence is stored samples from 11 patients and the records of hundreds more. Poganik says much more work is needed before donor rules could change.
[1] [2] -
02
What makes a transplanted heart change its biological age.
Poganik suspects the body as a whole, and Joao Pedro de Magalhaes suggests the patient's immune system. Neither idea has been tested.
[2] [3] -
03
Whether the DNA age tests measure real ageing.
Michael Sagner of King's College London says such tests are still experimental. The study also found some heart measures moved and others did not.
[1] [2] -
04
How long Zenkuda's longer gaps between shots hold up outside a trial.
Kodiak has not yet shared its detailed results. It argues that rival drugs have fallen short of their own dosing claims in everyday use.
[5] [6] -
05
Whether Adicet's lupus results last, and hold in more people.
22 patients were checked after one year in a small early trial. The next, larger trial agreed with the FDA will have no comparison group.
[9] -
06
Why Chugai sees a final-stage trial in spinal muscular atrophy for a drug that fell short there in March.
Chugai points to the safety, dosing and results so far. In March, Genentech told patients the drug did not consistently improve muscle growth and function.
[13] -
07
How many people died in Uganda's 2022 Sudan virus outbreak.
The same Lancet paper gives 77 deaths among 164 cases in one place, and 55 deaths among 145 people in another. It does not explain the gap.
[14] -
08
Whether Emcitate helps the brain as well as the blood.
The FDA approved it for the too-high thyroid hormone level in the blood. Its announcement reports blood hormone levels, blood pressure and heart rate, not brain development.
[8]
The US drug regulator approved Emcitate, the first treatment for MCT8 deficiency, a rare genetic disease that can leave patients unable to walk or speak. In trials of patients from infants to adults, it lowered the excess thyroid hormone in their blood.
Also true today
- A year after one dose of Adicet's ready-made cell treatment, 12 of 22 people with lupus were in remission, and every patient checked had stopped their usual immune-suppressing drugs.
- In Mirum's final-stage trial for hepatitis delta, the virus fell and the liver test returned to normal in 56% of patients on the weekly dose, and in none whose treatment was held back.
- A vaccine against Sudan virus, a cousin of Ebola, made antibodies that were still there six months later in all 30 volunteers who received it, in its first human trial.
- More than half of the people on Kodiak's eye drug went six months between shots and gained about as much sight as people given Eylea every eight weeks.
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