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Updated: Aug 20, 2026

The Aortic Ring Co-culture Assay: A Convenient Tool to Assess the Angiogenic Potential of Mesenchymal Stromal Cells In Vitro
Published on: September 18, 2017
Current clinical perspectives on myocardial angiogenesis
1Division of Cardiology, The University of Michigan, Ann Arbor, MI 48109-0311, USA. dmukherj@umich.edu
Insights
Gene therapy offers a promising new treatment for severe coronary artery disease and heart failure when traditional methods fail. Myocardial angiogenesis, using growth factors or cell transplantation, is emerging as a viable therapeutic option.
Area of Science:
- Cardiovascular Medicine
- Regenerative Medicine
- Molecular Therapy
Background:
- Current treatments for atherosclerotic coronary artery disease (CAD) and congestive heart failure (HF) include medication, surgery, and transplantation.
- A subset of patients with severe CAD and end-stage HF are ineligible for or do not benefit adequately from conventional therapies.
- Gene therapy represents a novel therapeutic avenue for these challenging patient populations.
Purpose of the Study:
- To review myocardial angiogenesis as a therapeutic strategy for patients with severe symptomatic CAD and end-stage HF.
- To explore the potential of therapeutic angiogenesis using growth factors and cell transplantation.
Main Methods:
- Review of current literature on gene therapy and myocardial angiogenesis for cardiovascular diseases.
- Discussion of therapeutic approaches involving growth factors and cell-based therapies.
Main Results:
- Gene therapy is emerging as a promising treatment for patients with severe CAD and HF.
- Myocardial angiogenesis, through growth factors or cell transplantation, is a key focus for therapeutic development.
Conclusions:
- Gene therapy, specifically myocardial angiogenesis, holds significant promise for patients with advanced cardiovascular disease unresponsive to standard treatments.
- Further investigation into growth factor and cell transplantation therapies is warranted to improve outcomes for patients with severe CAD and HF.
Abstract:
Currently accepted modalities of treatment for atherosclerotic coronary artery disease (CAD) include pharmacological therapy, and revascularization with either bypass surgery or percutaneous coronary intervention (PCI). Similarly, conventional treatment of congestive heart failure (HF) is limited to medical therapy, temporary assist devices and in a select few, cardiac transplantation. A significant subset of patients with severe symptomatic CAD and end stage HF is not eligible for these traditional methods of treatment. In spite of maximal medical and revascularization therapy, these patients may not get adequate symptomatic relief. After a decade of investigations, gene therapy is emerging as a promising therapeutic option for this group of patients. This review discusses myocardial angiogenesis as a therapeutic modality in these patients including therapeutic angiogenesis with growth factors and cell transplantation.
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