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[基于干细胞和祖细胞的治疗方法:急性心肌梗死和慢性缺血性心肌病治疗的当前进展]

[Stem and progenitor cell-based therapy approaches: current developments on treatment of acute myocardial infarction and chronic ischemic cardiomyopathy].

作者信息

Templin C, Lüscher T F, Landmesser U

机构信息

Klinik für Kardiologie, UniversitätsSpital Zürich, Rämistr. 100, 8091, Zürich, Schweiz.

出版信息

Herz. 2010 Oct;35(7):445-56. doi: 10.1007/s00059-010-3397-0.

Abstract

Percutaneous coronary intervention (PCI) for coronary revascularization in conjunction with an optimized pharmacological treatment can reduce adverse left ventricular remodeling and dysfunction in patients with acute myocardial infarction. Despite these modern therapeutic strategies a significant number of these patients continue to develop adverse cardiac remodeling and LV dysfunction which is associated with a poor prognosis. Stem and progenitor cell-based approaches for treatment of acute myocardial infarction and chronic ischemic cardiomyopathy are an interesting direction of current experimental and clinical research. The current review article provides a summary of recent developments of cell-based therapies of ischemic heart disease, including the assessment of the repair and regeneration capacity of different stem and progenitor cell populations. In addition the advantages and disadvantages of different modes of cell application and potential strategies for the improvement of stem and progenitor cell function for their use in cell-based cardiovascular therapies will be described.

摘要

经皮冠状动脉介入治疗(PCI)联合优化的药物治疗用于冠状动脉血运重建,可减少急性心肌梗死患者左心室不良重塑和功能障碍。尽管有这些现代治疗策略,但仍有相当数量的此类患者继续出现不良心脏重塑和左心室功能障碍,这与预后不良相关。基于干细胞和祖细胞的方法治疗急性心肌梗死和慢性缺血性心肌病是当前实验和临床研究的一个有趣方向。本综述文章总结了缺血性心脏病基于细胞治疗的最新进展,包括评估不同干细胞和祖细胞群体的修复和再生能力。此外,还将描述不同细胞应用方式的优缺点以及改善干细胞和祖细胞功能以用于基于细胞的心血管治疗的潜在策略。

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