Department of Cardiology, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
Clin Sci (Lond). 2013 Oct;125(7):319-27. doi: 10.1042/CS20130019.
Stem cell therapy has emerged as a promising strategy for cardiac and vascular repair. The ultimate goal is to rebuild functional myocardium by transplanting exogenous stem cells or by activating native stem cells to induce endogenous repair. CS/PCs (cardiac stem/progenitor cells) are one type of adult stem cell with the potential to differentiate into cardiac lineages (cardiomyocytes, smooth muscle cells and endothelial cells). iPSCs (induced pluripotent stem cells) also have the capacity to differentiate into necessary cells to rebuild injured cardiac tissue. Both types of stem cells have brought promise for cardiac repair. The present review summarizes recent advances in cardiac cell therapy based on these two cell sources and discusses the advantages and limitations of each candidate. We conclude that, although both types of stem cells can be considered for autologous transplantation with promising outcomes in animal models, CS/PCs have advanced more in their clinical application because iPSCs and their derivatives possess inherent obstacles for clinical use. Further studies are needed to move cell therapy forward for the treatment of heart disease.
干细胞疗法已成为心脏和血管修复的一种有前途的策略。其最终目标是通过移植外源性干细胞或激活内源性干细胞来诱导内源性修复,从而重建具有功能的心肌。CS/PCs(心脏干/祖细胞)是一种具有分化为心脏谱系(心肌细胞、平滑肌细胞和内皮细胞)潜能的成体干细胞。iPSCs(诱导多能干细胞)也有能力分化为重建受损心脏组织所需的细胞。这两种类型的干细胞都为心脏修复带来了希望。本综述总结了基于这两种细胞来源的心脏细胞治疗的最新进展,并讨论了每种候选物的优缺点。我们得出结论,尽管这两种类型的干细胞都可以考虑用于自体移植,并且在动物模型中具有有前景的结果,但 CS/PCs 在临床应用方面取得了更大的进展,因为 iPSCs 及其衍生物在临床应用中存在固有障碍。需要进一步的研究来推动细胞治疗在心脏病治疗中的应用。