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诱导多能干细胞疗法在心力衰竭治疗中的应用:一项荟萃分析与系统评价

Induced pluripotent stem cell therapies in heart failure treatment: a meta-analysis and systematic review.

作者信息

Le Duy Cao Phuong, Bui Hoa The, Vu Yen Thi Hai, Vo Quan Duy

机构信息

Departmentof Cardiovascular Intervention, Nguyen Tri Phuong Hospital, Ho Chi Minh city, 700000, Vietnam.

Faculty of Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, 700000, Vietnam.

出版信息

Regen Med. 2024 Sep-Oct;19(9-10):497-509. doi: 10.1080/17460751.2024.2393558. Epub 2024 Sep 12.

DOI:10.1080/17460751.2024.2393558
PMID:39263954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11487948/
Abstract

Heart failure (HF) causes over 266,400 deaths annually. Despite treatment advancements, HF mortality remains high. Induced pluripotent stem cells (iPSCs) offer promising new options. This review assesses iPSC-based treatments for HF. the review included studies from PubMed, ScienceDirect and Web of Science. Analysis of 25 studies with 553 animals showed a baseline ejection fraction (EF) of 39.2 ± 8.9%. iPSC treatment significantly improved EF (MD = 8.6,  < 0.001) and fractional shortening (MD = 6.38,  < 0.001), and reduced ventricular remodeling without increasing arrhythmia risk. iPSC-based therapy improves heart function and reduces ventricular volumes in HF animal models, aligning with promising early clinical trial outcomes.

摘要

心力衰竭(HF)每年导致超过266,400人死亡。尽管治疗取得了进展,但HF死亡率仍然很高。诱导多能干细胞(iPSC)提供了有前景的新选择。本综述评估了基于iPSC的HF治疗方法。该综述纳入了来自PubMed、ScienceDirect和科学网的研究。对25项涉及553只动物的研究分析显示,基线射血分数(EF)为39.2±8.9%。iPSC治疗显著改善了EF(MD = 8.6,<0.001)和缩短分数(MD = 6.38,<0.001),并减少了心室重构,且未增加心律失常风险。基于iPSC的疗法可改善HF动物模型的心脏功能并减少心室容积,这与早期临床试验的良好结果相符。

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J Extracell Vesicles. 2024 May;13(5):e12445. doi: 10.1002/jev2.12445.
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Pre-clinical evaluation of the efficacy and safety of human induced pluripotent stem cell-derived cardiomyocyte patch.人诱导多能干细胞衍生心肌细胞贴片的疗效和安全性的临床前评估。
Stem Cell Res Ther. 2024 Mar 13;15(1):73. doi: 10.1186/s13287-024-03690-8.
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Induced Pluripotent Stem Cell-Derived Cardiomyocytes Therapy for Ischemic Heart Disease in Animal Model: A Meta-Analysis.诱导多能干细胞衍生的心肌细胞治疗动物模型缺血性心脏病的Meta 分析。
Int J Mol Sci. 2024 Jan 12;25(2):987. doi: 10.3390/ijms25020987.
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Safety confirmation of induced pluripotent stem cell-derived cardiomyocyte patch transplantation for ischemic cardiomyopathy: first three case reports.诱导多能干细胞来源的心肌细胞贴片移植治疗缺血性心肌病的安全性确认:前三例病例报告
Front Cardiovasc Med. 2023 Sep 15;10:1182209. doi: 10.3389/fcvm.2023.1182209. eCollection 2023.
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