Key result
Adult stem cell therapy shows promising early efficacy in end-stage HF, though optimal protocols remain unclear.
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INTRODUCTION: Cardiovascular disease is a major cause of death worldwide. Different medical and surgical therapeutic options are well established, but a significant number of patients are not amenable to standard therapeutic options. Cell-based therapies after clinical application have shown different results in recent years. Here, we are giving a comprehensive overview on major available clinical data regarding cell therapy. BACKGROUND: Cell-based therapies and tissue engineering provide new promising platforms to develop upcoming therapeutic options. Initial clinical trials were able to generate promising results. A variety of different stem cell types have been used for the clinical application. Different adult cardiac stem cells and progenitor cells, including mesenchymal, CD34(+) and CD133(+) autologous human bone marrow-derived stem cells (BMCs), human myoblasts, and peripheral blood-derived stem and progenitor cells (PBSCs) have been used for the therapy for end-stage heart failure. Future experiments will show the importance of novel cell populations and clarify the mechanism causing cell therapy-mediated observed effects. CONCLUSION: Several clinical trials have reported on sole therapy, as well as combined application of autologous adult stem cells with conventional revascularization. The reported promising findings encourage further research in the field of the translational research.
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Ghodsizad et al. (2013) conducted a review in Cardiac Disease / End-stage heart failure. Adult stem cells and progenitor cells (BMCs, myoblasts, PBSCs) was evaluated. Autologous adult stem cell therapies for end-stage heart failure have shown promising initial clinical results, though mechanisms and optimal cell populations remain to be clarified.
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