British Heart Foundation Centre of Research Excellence, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
J Clin Invest. 2013 Mar;123(3):1010-3. doi: 10.1172/JCI67961. Epub 2013 Feb 22.
Cardiac muscle restitution, or true regeneration, is an unmet need in the treatment of myocardial infarction (MI), prompting a decade of study with stem cells of many kinds. Among key obstacles to effective cardiac cell grafting are the cost of autologous stem cell-derived cardiomyocytes, the ethical implications of using embryonic stem cell (ESC) products, immunological barriers to allogeneic cells, functional maturation beyond just the correct lineage decision, and the lack of durable engraftment. In this issue of the JCI, Didié and colleagues show that cardiomyocytes made from parthenogenetic stem cells (PSCs) and deployed as engineered heart muscle (EHM) may overcome all of these formidable barriers.
心肌修复,或真正的再生,是心肌梗死(MI)治疗中未满足的需求,这促使人们用多种干细胞进行了长达十年的研究。有效心脏细胞移植的关键障碍包括自体干细胞衍生心肌细胞的成本、使用胚胎干细胞(ESC)产品的伦理问题、同种异体细胞的免疫障碍、除了正确的谱系决定之外的功能成熟,以及缺乏持久的植入。在本期 JCI 中,Didie 及其同事表明,由孤雌生殖干细胞(PSCs)制成并作为工程心脏肌肉(EHM)使用的心肌细胞可能克服所有这些艰巨的障碍。