Institute for Cardiovascular Science, Soochow University, Suzhou, China.
Department of Cardiovascular Surgery of The First Affiliated Hospital, Soochow University, Suzhou, China.
J Cell Mol Med. 2021 Sep;25(17):8103-8114. doi: 10.1111/jcmm.16830. Epub 2021 Aug 11.
Transplantation of stem cells is a promising, emerging treatment for cardiovascular diseases in the modern era. Mesenchymal stem cells (MSCs) derived from the umbilical cord are one of the most promising cell sources because of their capacity for differentiation into cardiomyocytes, endothelial cells and vascular smooth muscle cells in vitro/in vivo. In addition, umbilical cord-derived MSCs (UC-MSCs) secrete many effective molecules regulating apoptosis, fibrosis and neovascularization. Another important and specific characteristic of UC-MSCs is their low immunogenicity and immunomodulatory properties. However, the application of UC-MSCs still faces some challenges, such as low survivability and tissue retention in a harmful disease environment. Gene engineering and pharmacological studies have been implemented to overcome these difficulties. In this review, we summarize the differentiation ability, secretion function, immunoregulatory properties and preclinical/clinical studies of UC-MSCs, highlighting the advantages of UC-MSCs for the treatment of cardiovascular diseases.
干细胞移植是现代治疗心血管疾病的一种很有前途的新兴疗法。脐带间充质干细胞(MSCs)是最有前途的细胞来源之一,因为它们能够在体外/体内分化为心肌细胞、内皮细胞和血管平滑肌细胞。此外,脐带间充质干细胞(UC-MSCs)分泌许多有效的分子,调节细胞凋亡、纤维化和新血管生成。UC-MSCs 的另一个重要且独特的特征是其低免疫原性和免疫调节特性。然而,UC-MSCs 的应用仍面临一些挑战,例如在有害的疾病环境中存活率和组织保留率低。已经实施了基因工程和药理学研究来克服这些困难。在这篇综述中,我们总结了 UC-MSCs 的分化能力、分泌功能、免疫调节特性和临床前/临床研究,强调了 UC-MSCs 治疗心血管疾病的优势。