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Position Paper of the European Society of Cardiology Working Group Cellular Biology of the Heart: Cell-based Therapies for Myocardial Repair and Regeneration in Ischemic Heart Disease and Heart Failure

Abstract

Despite improvements in modern cardiovascular therapy, the morbidity and mortality of ischaemic heart disease (IHD) and heart failure (HF) remain significant in Europe and worldwide. Patients with IHD may benefit from therapies that would accelerate natural processes of postnatal collateral vessel formation and/or muscle regeneration. Here, we discuss the use of cells in the context of heart repair, and the most relevant results and current limitations from clinical trials using cell-based therapies to treat IHD and HF. We identify and discuss promising potential new therapeutic strategies that include ex vivo cell-mediated gene therapy, the use of biomaterials and cell-free therapies aimed at increasing the success rates of therapy for IHD and HF. The overall aim of this Position Paper of the ESC Working Group Cellular Biology of the Heart is to provide recommendations on how to improve the therapeutic application of cell-based therapies for cardiac regeneration and repair.

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References
1.
Beitnes J, Gjesdal O, Lunde K, Solheim S, Edvardsen T, Arnesen H . Left ventricular systolic and diastolic function improve after acute myocardial infarction treated with acute percutaneous coronary intervention, but are not influenced by intracoronary injection of autologous mononuclear bone marrow cells: a 3 year.... Eur J Echocardiogr. 2010; 12(2):98-106. DOI: 10.1093/ejechocard/jeq116. View

2.
Blocklet D, Toungouz M, Berkenboom G, Lambermont M, Unger P, Preumont N . Myocardial homing of nonmobilized peripheral-blood CD34+ cells after intracoronary injection. Stem Cells. 2005; 24(2):333-6. DOI: 10.1634/stemcells.2005-0201. View

3.
Abraham T, Dimaano V, Liang H . Role of tissue Doppler and strain echocardiography in current clinical practice. Circulation. 2007; 116(22):2597-609. DOI: 10.1161/CIRCULATIONAHA.106.647172. View

4.
Liu X, Wang J, Ji X, Yu S, Wei L . Preconditioning of bone marrow mesenchymal stem cells by prolyl hydroxylase inhibition enhances cell survival and angiogenesis in vitro and after transplantation into the ischemic heart of rats. Stem Cell Res Ther. 2014; 5(5):111. PMC: 4535299. DOI: 10.1186/scrt499. View

5.
Sahoo S, Losordo D . Exosomes and cardiac repair after myocardial infarction. Circ Res. 2014; 114(2):333-44. DOI: 10.1161/CIRCRESAHA.114.300639. View