» Articles » PMID: 37551212

Unlocking the Mysteries, Bridging the Gap, and Unveiling the Multifaceted Potential of Stem Cell Therapy for Cardiac Tissue Regeneration: A Narrative Review of Current Literature, Ethical Challenges, and Future Perspectives

Abstract

Revolutionary advancements in regenerative medicine have brought stem cell therapy to the forefront, offering promising prospects for the regeneration of ischemic cardiac tissue. Yet, its full efficacy, safety, and role in treating ischemic heart disease (IHD) remain limited. This literature review explores the intricate mechanisms underlying stem cell therapy. Furthermore, we unravel the innovative approaches employed to bolster stem cell survival, enhance differentiation, and seamlessly integrate them within the ischemic cardiac tissue microenvironment. Our comprehensive analysis uncovers how stem cells enhance cell survival, promote angiogenesis, and modulate the immune response. Stem cell therapy harnesses a multifaceted mode of action, encompassing paracrine effects and direct cell replacement. As our review progresses, we underscore the imperative for standardized protocols, comprehensive preclinical and clinical studies, and careful regulatory considerations. Lastly, we explore the integration of tissue engineering and genetic modifications, envisioning a future where stem cell therapy reigns supreme in regenerative medicine.

Citing Articles

Advancements in tissue engineering for cardiovascular health: a biomedical engineering perspective.

Razavi Z, Soltani M, Mahmoudvand G, Farokhi S, Karimi-Rouzbahani A, Farasati-Far B Front Bioeng Biotechnol. 2024; 12:1385124.

PMID: 38882638 PMC: 11176440. DOI: 10.3389/fbioe.2024.1385124.


Stem cell therapy as a promising approach for ischemic stroke treatment.

Yaqubi S, Karimian M Curr Res Pharmacol Drug Discov. 2024; 6:100183.

PMID: 38831867 PMC: 11144755. DOI: 10.1016/j.crphar.2024.100183.


Understanding host-graft crosstalk for predicting the outcome of stem cell transplantation.

Labusca L, Zugun-Eloae F World J Stem Cells. 2024; 16(3):232-236.

PMID: 38577233 PMC: 10989282. DOI: 10.4252/wjsc.v16.i3.232.

References
1.
Arjmand B, Abedi M, Arabi M, Alavi-Moghadam S, Rezaei-Tavirani M, Hadavandkhani M . Regenerative Medicine for the Treatment of Ischemic Heart Disease; Status and Future Perspectives. Front Cell Dev Biol. 2021; 9:704903. PMC: 8461329. DOI: 10.3389/fcell.2021.704903. View

2.
van der Spoel T, Jansen Of Lorkeers S, Agostoni P, Van Belle E, Gyongyosi M, Sluijter J . Human relevance of pre-clinical studies in stem cell therapy: systematic review and meta-analysis of large animal models of ischaemic heart disease. Cardiovasc Res. 2011; 91(4):649-58. DOI: 10.1093/cvr/cvr113. View

3.
Menasche P, Vanneaux V, Hagege A, Bel A, Cholley B, Parouchev A . Transplantation of Human Embryonic Stem Cell-Derived Cardiovascular Progenitors for Severe Ischemic Left Ventricular Dysfunction. J Am Coll Cardiol. 2018; 71(4):429-438. DOI: 10.1016/j.jacc.2017.11.047. View

4.
Yu Y, Tham S, Roslan F, Shaharuddin B, Yong Y, Guo Z . Large animal models for cardiac remuscularization studies: A methodological review. Front Cardiovasc Med. 2023; 10:1011880. PMC: 10050756. DOI: 10.3389/fcvm.2023.1011880. View

5.
Bartunek J, Behfar A, Dolatabadi D, Vanderheyden M, Ostojic M, Dens J . Cardiopoietic stem cell therapy in heart failure: the C-CURE (Cardiopoietic stem Cell therapy in heart failURE) multicenter randomized trial with lineage-specified biologics. J Am Coll Cardiol. 2013; 61(23):2329-38. DOI: 10.1016/j.jacc.2013.02.071. View