Stem cell-based therapy in cardiac repair after myocardial infarction : Promise, challenges, and future directions

Copyright © 2023. Published by Elsevier Ltd..

Stem cells represent an attractive resource for cardiac regeneration. However, the survival and function of transplanted stem cells is poor and remains a major challenge for the development of effective therapies. As two main cell types currently under investigation in heart repair, mesenchymal stromal cells (MSCs) indirectly support endogenous regenerative capacities after transplantation, while induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) functionally integrate into the damaged myocardium and directly contribute to the restoration of its pump function. These two cell types are exposed to a common microenvironment with many stressors in ischemic heart tissue. This review summarizes the research progress on the mechanisms and challenges of MSCs and iPSC-CMs in post-MI heart repair, introduces several randomized clinical trials with 3D-mapping-guided cell therapy, and outlines recent findings related to the factors that affect the survival and function of stem cells. We also discuss the future directions for optimization such as biomaterial utilization, cell combinations, and intravenous injection of engineered nucleus-free MSCs.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:188

Enthalten in:

Journal of molecular and cellular cardiology - 188(2024) vom: 18. März, Seite 1-14

Sprache:

Englisch

Beteiligte Personen:

Yan, Wenjun [VerfasserIn]
Xia, Yunlong [VerfasserIn]
Zhao, Huishou [VerfasserIn]
Xu, Xiaoming [VerfasserIn]
Ma, Xinliang [VerfasserIn]
Tao, Ling [VerfasserIn]

Links:

Volltext

Themen:

Induced pluripotent stem cell-derived cardiomyocytes
Ischemic heart disease
Journal Article
Mesenchymal stromal cell
Metabolism
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 04.03.2024

Date Revised 03.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.yjmcc.2023.12.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367365790