Does cell therapy for myocardial infarction
and heart failure work? |
The infarcted heart heals by scar
formation, and large myocardial
infarctions typically result in heart
failure. Although adult stem cells
with the capacity to transform into
various cardiac cell types and to
secrete cardioprotective cytokines
have been identified, endogenous
repair mechanisms in the adult
heart are not sufficient for meaningful
tissue regeneration. These
observations, however, suggest that
it may be feasible to develop interventions
aimed at enhancing these
processes, and to promote functional
and, eventually, structural recovery
of the infarcted heart. Recent
randomized clinical trials indicate
that intracoronary delivery of bone
marrow (stem) cells leads to an
improvement in systolic function
after myocardial infarction, thereby
providing the first evidence that
cell therapy may work in patients...
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