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Cell Therapy for the Treatment of Heart Failure

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Biology".

Deadline for manuscript submissions: closed (31 May 2022) | Viewed by 8621

Special Issue Editor


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Guest Editor
Department of Medicine, University of Louisville, Louisville, KY, USA
Interests: stem cells and heart disease; regenerative cardiology; progenitor cells for heart disease; cardiovascular pathophysiology; heart disease; heart failure; myocardial ischemia; myocardial infarction

Special Issue Information

Dear Colleagues,

After more than two decades, cell therapy for heart disease continues to be one of the most important (and controversial) topics in cardiovascular medicine. Overwhelming preclinical evidence shows that many different cell types are effective in improving cardiac function after myocardial infarction. Phase I and II clinical trials suggest potential beneficial effects, particularly in the settings of chronic heart failure and refractory angina. In heart failure, Phase II data suggest improvement in major adverse cardiac events and cardiac function, both in ischemic and non-ischemic cardiomyopathies. The purpose of this Special Issue is to bring together leading investigators in order to disseminate the latest information, at both preclinical and clinical levels, on the use of adult cells as a therapy for heart failure. As embryonic stem cells are unlikely to become a treatment for heart failure, this Special Issue will focus on adult stem/progenitor cells and inducible pluripotent stem cells. At the clinical level, new clinical data, new delivery techniques, new cell types, new protocols, and new indications would be of particular interest. At the basic level, the major unanswered question is the mechanism by which cell therapy improves cardiac function; new data illuminating this issue would be important, particularly with regard to the role of inflammation, fibrosis, and extracellular vesicles. Strategies to induce cellular reprogramming and to promote myocyte proliferation would also be of interest. By addressing both preclinical and clinical aspects, it is hoped that this Special Issue will contribute to advancing the promising development of cell therapy for heart failure.

Prof. Dr. Roberto Bolli
Guest Editor

Manuscript Submission Information

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Keywords

  • Heart failure
  • Stem cells
  • Cell therapy
  • Progenitor cells
  • Regenerative cardiology
  • Mesenchymal stromal cells
  • Dilated cardiomyopathy
  • Ischemic cardiomyopathy
  • Nonischemic cardiomyopathy
  • Cardiac function
  • Left ventricular remodeling

Published Papers (3 papers)

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Research

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18 pages, 5602 KiB  
Article
The Initial Cardiac Tissue Response to Cryopreserved Allogeneic Adipose Tissue-Derived Mesenchymal Stromal Cells in Rats with Chronic Ischemic Cardiomyopathy
by Bjarke Follin, Cecilie Hoeeg, Lisbeth D. Højgaard, Morten Juhl, Kaya B. Lund, Kristina B. V. Døssing, Simon Bentsen, Ingrid Hunter, Carsten H. Nielsen, Rasmus S. Ripa, Jens Kastrup, Annette Ekblond and Andreas Kjaer
Int. J. Mol. Sci. 2021, 22(21), 11758; https://doi.org/10.3390/ijms222111758 - 29 Oct 2021
Cited by 5 | Viewed by 2183
Abstract
Mesenchymal stromal cells have proven capable of improving cardiac pump function in patients with chronic heart failure, yet little is known about their mode of action. The aim of the study was to investigate the short-term effect of cryopreserved allogeneic rat adipose tissue-derived [...] Read more.
Mesenchymal stromal cells have proven capable of improving cardiac pump function in patients with chronic heart failure, yet little is known about their mode of action. The aim of the study was to investigate the short-term effect of cryopreserved allogeneic rat adipose tissue-derived stromal cells (ASC) on cardiac composition, cellular subpopulations, and gene transcription in a rat model of chronic ischemic cardiomyopathy (ICM). Myocardial infarction (MI) was induced by permanent ligation of the left anterior descending coronary artery. After 6 weeks, the rats were treated with ASCs, saline, or no injection, using echo-guided trans-thoracic intramyocardial injections. The cardiac tissue was subsequently collected for analysis of cellular subpopulations and gene transcription 3 and 7 days after treatment. At day 3, an upregulation of genes associated with angiogenesis were present in the ASC group. On day 7, increases in CCR2+ and CD38+ macrophages (p = 0.047 and p = 0.021), as well as in the CD4/CD8 lymphocyte ratio (p = 0.021), were found in the ASC group compared to the saline group. This was supported by an upregulation of genes associated with monocytes/macrophages. In conclusion, ASC treatment initiated an immune response involving monocytes/macrophages and T-cells and induced a gene expression pattern associated with angiogenesis and monocyte/macrophage differentiation. Full article
(This article belongs to the Special Issue Cell Therapy for the Treatment of Heart Failure)
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Review

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14 pages, 608 KiB  
Review
Hopes and Hurdles of Employing Mesenchymal Stromal Cells in the Treatment of Cardiac Fibrosis
by Sebastian Neuber, Maximilian Y. Emmert and Timo Z. Nazari-Shafti
Int. J. Mol. Sci. 2021, 22(23), 13000; https://doi.org/10.3390/ijms222313000 - 30 Nov 2021
Cited by 3 | Viewed by 2545
Abstract
Excessive cardiac fibrosis plays a crucial role in almost all types of heart disease. Generally, cardiac fibrosis is a scarring process triggered in response to stress, injury, or aging and is characterized by the accumulation of activated myofibroblasts that deposit high levels of [...] Read more.
Excessive cardiac fibrosis plays a crucial role in almost all types of heart disease. Generally, cardiac fibrosis is a scarring process triggered in response to stress, injury, or aging and is characterized by the accumulation of activated myofibroblasts that deposit high levels of extracellular matrix proteins in the myocardium. While it is beneficial for cardiac repair in the short term, it can also result in pathological remodeling, tissue stiffening, and cardiac dysfunction, contributing to the progression of heart failure, arrhythmia, and sudden cardiac death. Despite its high prevalence, there is a lack of effective and safe therapies that specifically target myofibroblasts to inhibit or even reverse pathological cardiac fibrosis. In the past few decades, cell therapy has been under continuous evaluation as a potential treatment strategy, and several studies have shown that transplantation of mesenchymal stromal cells (MSCs) can reduce cardiac fibrosis and improve heart function. Mechanistically, it is believed that the heart benefits from MSC therapy by stimulating innate anti-fibrotic and regenerative reactions. The mechanisms of action include paracrine signaling and cell-to-cell interactions. In this review, we provide an overview of the anti-fibrotic properties of MSCs and approaches to enhance them and discuss future directions of MSCs for the treatment of cardiac fibrosis. Full article
(This article belongs to the Special Issue Cell Therapy for the Treatment of Heart Failure)
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13 pages, 1035 KiB  
Review
Mass Customized Outlook for Regenerative Heart Failure Care
by Satsuki Yamada, Jozef Bartunek, Atta Behfar and Andre Terzic
Int. J. Mol. Sci. 2021, 22(21), 11394; https://doi.org/10.3390/ijms222111394 - 22 Oct 2021
Cited by 5 | Viewed by 3142
Abstract
Heart failure pathobiology is permissive to reparative intent. Regenerative therapies exemplify an emerging disruptive innovation aimed at achieving structural and functional organ restitution. However, mixed outcomes, complexity in use, and unsustainable cost have curtailed broader adoption, mandating the development of novel cardio-regenerative approaches. [...] Read more.
Heart failure pathobiology is permissive to reparative intent. Regenerative therapies exemplify an emerging disruptive innovation aimed at achieving structural and functional organ restitution. However, mixed outcomes, complexity in use, and unsustainable cost have curtailed broader adoption, mandating the development of novel cardio-regenerative approaches. Lineage guidance offers a standardized path to customize stem cell fitness for therapy. A case in point is the molecular induction of the cardiopoiesis program in adult stem cells to yield cardiopoietic cell derivatives designed for heart failure treatment. Tested in early and advanced clinical trials in patients with ischemic heart failure, clinical grade cardiopoietic cells were safe and revealed therapeutic improvement within a window of treatment intensity and pre-treatment disease severity. With the prospect of mass customization, cardiopoietic guidance has been streamlined from the demanding, recombinant protein cocktail-based to a protein-free, messenger RNA-based single gene protocol to engineer affordable cardiac repair competent cells. Clinical trial biobanked stem cells enabled a systems biology deconvolution of the cardiopoietic cell secretome linked to therapeutic benefit, exposing a paracrine mode of action. Collectively, this new knowledge informs next generation regenerative therapeutics manufactured as engineered cellular or secretome mimicking cell-free platforms. Launching biotherapeutics tailored for optimal outcome and offered at mass production cost would contribute to advancing equitable regenerative care that addresses population health needs. Full article
(This article belongs to the Special Issue Cell Therapy for the Treatment of Heart Failure)
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