Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Cardiac Surgery, Tabriz University of Medical, Tabriz, Iran; Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Biomed Pharmacother. 2019 Jan;109:304-313. doi: 10.1016/j.biopha.2018.10.065. Epub 2018 Nov 3.
Heart Diseases are serious and global public health concern. In spite of remarkable therapeutic developments, the prediction of patients with Heart Failure (HF) is weak, and present therapeutic attitudes do not report the fundamental problem of the cardiac tissue loss. Innovative therapies are required to reduce mortality and limit or abolish the necessity for cardiac transplantation. Stem cell-based therapies applied to the treatment of heart disease is according to the understanding that natural self-renewing procedures are inherent to the myocardium, nonetheless may not be adequate to recover the infarcted heart muscle. Following the first account of cell therapy in heart diseases, examination has kept up to rapidity; besides, several animals and human clinical trials have been conducted to preserve the capacity of numerous stem cell population in advance cardiac function and decrease infarct size. The purpose of this study was to censoriously evaluate the works performed regarding the usage of four major subgroups of stem cells, including induced Pluripotent Stem Cells (iPSC), Embryonic Stem Cells (ESCs), Cardiac Stem Cells (CDC), and Skeletal Myoblasts, in heart diseases, at the preclinical and clinical studies. Moreover, it is aimed to argue the existing disagreements, unsolved problems, and prospect directions.
心脏病是严重的全球性公共健康问题。尽管治疗方法有了显著的发展,但心力衰竭(HF)患者的预测仍然很薄弱,目前的治疗方法并没有解决心脏组织损失的根本问题。需要创新疗法来降低死亡率,并限制或消除心脏移植的必要性。基于干细胞的疗法应用于心脏病的治疗是基于这样的理解,即心肌具有内在的自然自我更新程序,但可能不足以恢复梗死的心肌。在首次报道细胞疗法治疗心脏病后,研究一直在迅速跟进;此外,已经进行了几项动物和人类临床试验,以预先保持多种干细胞群体的能力,从而提高心脏功能并减少梗死面积。本研究旨在批判性地评估在基础和临床研究中使用四大干细胞亚群(包括诱导多能干细胞(iPSC)、胚胎干细胞(ESC)、心脏干细胞(CDC)和骨骼肌成肌细胞)治疗心脏病的研究工作。此外,还旨在讨论现有的分歧、未解决的问题和未来的方向。