Key result
Intramyocardial adipose-derived stem cells fail to regulate small EV miRNAs versus placebo in ischemic heart failure.
Why the study?
To explore small extracellular vesicle miRNA dynamics after intramyocardial treatment with adipose derived stem cells compared to placebo in patients with ischemic heart disease.
Does percutaneous intramyocardial treatment with ADSCs alter small EV miRNA dynamics in patients with ischemic heart failure?
RCT (n=15)
Placebo-controlled
Randomized
Does percutaneous intramyocardial treatment with ADSCs alter small EV miRNA dynamics in patients with ischemic heart failure?
Intramyocardial injection of ADSCs in ischemic heart failure patients does not significantly regulate most small EV miRNAs, aligning with the overall negative clinical results of the SCIENCE study.
ADSC injection offers no miRNA-based benefit in ischemic HF; confirms the SCIENCE trial's negative clinical results.
Small extracellular vesicles (EVs) and their cargo are an important component of cell-to-cell communication in cardiac disease. Allogeneic adipose derived stem cells (ADSCs) are thought to be a potential approach for cardiac regenerative therapy in ischemic heart disease. The SCIENCE study investigated the effect of ADSCs administered via intramyocardial injection on cardiac function in patients with ischemic heart disease. The aim of this substudy, based on samples from 15 patients, was to explore small EV miRNA dynamics after treatment with ADSCs compared to a placebo. Small EVs were isolated at several timepoints after the percutaneous intramyocardial application of ADSCs. No significant effect of ADSC treatment on small EV concentration was detected. After 12 months, the expression of miR-126 decreased significantly in ADSC patients, but not in the placebo-treated group. However, all cardiac miRNAs correlated with plasma cardiac biomarkers. In line with the overall negative results of the SCIENCE study, with the exception of one miR, we did not detect any significant regulation of small EV miRNAs in this patient collective.
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Traxler et al. (2023) conducted an RCT in Ischemic heart failure (n=15). Allogeneic adipose derived stem cells (ADSCs) vs. Placebo was evaluated on Small EV miRNA dynamics. Intramyocardial injection of adipose-derived stem cells did not significantly regulate small EV miRNAs compared to placebo in ischemic heart failure, except for a decrease in miR-126 at 12 months.
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