State Research Institute of Circulation Pathology, 15 Rechkunovskaya St., Novosibirsk, Russia, 630055.
Curr Cardiol Rep. 2013 Oct;15(10):408. doi: 10.1007/s11886-013-0408-9.
Cardiovascular diseases are a leading cause of mortality worldwide. Terminally differentiated adult cardiomyocytes lack the innate ability to regenerate. Cell- and gene-based therapies are emerging as exciting new experimental strategies for myocardial repair and treatment of a variety of cardiovascular diseases. The potential advantages and shortcomings of each strategy for electrophysiological disorders are discussed. Since the first description of human induced pluripotent stem cell-derived cardiomyocytes, these cells have garnered tremendous interest for their potential use in patient-specific analysis and therapy. However, a full understanding of their electrophysiological and contractile function is necessary before this potential can be realized. This review focuses on the mechanisms by which stem cell therapy may function as an antiarrhythmic treatment and early clinical results.
心血管疾病是全球范围内导致死亡的主要原因。终末分化的成年心肌细胞缺乏再生的内在能力。细胞和基因治疗作为心肌修复和治疗各种心血管疾病的令人兴奋的新实验策略正在出现。讨论了每种策略对电生理紊乱的潜在优缺点。自从首次描述人诱导多能干细胞衍生的心肌细胞以来,这些细胞因其在患者特异性分析和治疗中的潜在用途而引起了极大的兴趣。然而,在实现这一潜力之前,必须充分了解其电生理和收缩功能。这篇综述重点介绍了干细胞治疗作为抗心律失常治疗的作用机制和早期临床结果。