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心力衰竭的细胞疗法

Cell-Based Therapies for Heart Failure.

作者信息

Campos de Carvalho Antonio Carlos, Kasai-Brunswick Tais H, Bastos Carvalho Adriana

机构信息

Laboratory of Cellular and Molecular Cardiology, Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

National Center of Structural Biology and Bioimaging (CENABIO), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Front Pharmacol. 2021 Apr 12;12:641116. doi: 10.3389/fphar.2021.641116. eCollection 2021.

DOI:10.3389/fphar.2021.641116
PMID:33912054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8072383/
Abstract

Heart failure has reached epidemic proportions with the advances in cardiovascular therapies for ischemic heart diseases and the progressive aging of the world population. Efficient pharmacological therapies are available for treating heart failure, but unfortunately, even with optimized therapy, prognosis is often poor. Their last therapeutic option is, therefore, a heart transplantation with limited organ supply and complications related to immunosuppression. In this setting, cell therapies have emerged as an alternative. Many clinical trials have now been performed using different cell types and injection routes. In this perspective, we will analyze the results of such trials and discuss future perspectives for cell therapies as an efficacious treatment of heart failure.

摘要

随着缺血性心脏病心血管治疗方法的进步以及世界人口的不断老龄化,心力衰竭已达到流行程度。目前有有效的药物疗法可用于治疗心力衰竭,但不幸的是,即使采用优化治疗,预后往往也很差。因此,他们最后的治疗选择是心脏移植,而心脏移植存在器官供应有限以及与免疫抑制相关的并发症等问题。在这种情况下,细胞疗法应运而生。现在已经使用不同的细胞类型和注射途径进行了许多临床试验。从这个角度出发,我们将分析这些试验的结果,并讨论细胞疗法作为心力衰竭有效治疗方法的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87c3/8072383/96ff0e4867ea/fphar-12-641116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87c3/8072383/96ff0e4867ea/fphar-12-641116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87c3/8072383/96ff0e4867ea/fphar-12-641116-g001.jpg

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本文引用的文献

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Cell therapy for acute myocardial infarction: Requiescat in Pace.急性心肌梗死的细胞治疗:愿其安息。
Eur Heart J. 2020 Oct 7;41(38):3711-3714. doi: 10.1093/eurheartj/ehaa802.
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The effect of intracoronary infusion of bone marrow-derived mononuclear cells on all-cause mortality in acute myocardial infarction: the BAMI trial.冠状动脉内注入骨髓来源的单个核细胞对急性心肌梗死全因死亡率的影响:BAMI试验
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通过黏附分子的机械转导:在调节干细胞微环境中的新作用。
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c-kit Haploinsufficiency impairs adult cardiac stem cell growth, myogenicity and myocardial regeneration.c-kit 杂合性缺失损害成年心脏干细胞的生长、成肌性和心肌再生。
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Clin Cardiol. 2018 Mar;41(3):392-399. doi: 10.1002/clc.22882. Epub 2018 Mar 22.
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Kit knock-in mice fail to fate-map cardiac stem cells.试剂盒敲入小鼠无法对心脏干细胞进行命运图谱分析。
Nature. 2018 Mar 21;555(7697):E1-E5. doi: 10.1038/nature25771.
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Transplantation of Human Embryonic Stem Cell-Derived Cardiovascular Progenitors for Severe Ischemic Left Ventricular Dysfunction.人胚干细胞衍生心血管祖细胞移植治疗严重缺血性左心室功能障碍。
J Am Coll Cardiol. 2018 Jan 30;71(4):429-438. doi: 10.1016/j.jacc.2017.11.047.
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Autologous CD34+ cell therapy improves exercise capacity, angina frequency and reduces mortality in no-option refractory angina: a patient-level pooled analysis of randomized double-blinded trials.自体 CD34+ 细胞治疗可改善运动能力、心绞痛发作频率并降低无选择难治性心绞痛患者的死亡率:随机双盲试验的患者水平汇总分析。
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