Cardiac regeneration by progenitor cells - bedside before bench?

被引:3
作者
Bauersachs, J [1 ]
Thum, T [1 ]
Frantz, S [1 ]
Ertl, G [1 ]
机构
[1] Univ Wurzburg, Univ Klinikum, Med Klin 1, D-97080 Wurzburg, Germany
关键词
cardiac repair; heart failure; left ventricular remodelling; myocardial infarction; stem cell transplantation;
D O I
10.1111/j.1365-2362.2005.01510.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recent experimental and clinical trials give rise to the hope that progenitor cells could replace scar tissue after myocardial infarction with healthy functional myocardium. However, while a significant increase in left ventricular ejection fraction has been described after progenitor cell transplantation in several clinical trials, long-term results are lacking, and the mechanisms underlying the improvement of ejection fraction are unclear. Therefore, the efficacy of progenitor cell transplantation after myocardial infarction has not been established, and potential problems may have been underestimated. In-depth laboratory and animal studies are needed to determine the best cell type, optimal amount of cells, and time point for transplantation. Treatment of patients with progenitor cells outside well controlled prospective trials should be avoided.
引用
收藏
页码:417 / 420
页数:4
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