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Derivation of Cardiac Progenitor Cells from Embryonic Stem Cells
Published on: January 12, 2015
Cardiomyocytes derived from stem cells
Linda W Van Laake1, Dennis Van Hoof, Christine L Mummery
1Hubrecht Laboratory (Netherlands Institute for Developmental Biology), Utrecht, Netherlands.
Insights
Embryonic stem cells and cardiac progenitors are the only proven sources for generating new heart muscle cells. Other stem cell therapies for heart repair may work through different mechanisms, not direct cell replacement.
Area of Science:
- Cardiology
- Regenerative Medicine
- Stem Cell Biology
Background:
- Myocardial infarction (heart attack) leads to loss of cardiac cells and impaired heart function.
- Cell replacement therapy is a potential strategy to restore heart function.
- Various stem cell sources are being investigated for cardiac repair.
Purpose of the Study:
- To review stem cell research for cardiac cell replacement.
- To focus on advancements in producing cardiomyocytes from embryonic stem cells.
- To evaluate the efficacy of different stem cell sources for heart repair.
Main Methods:
- Review of current literature on stem cell research for cardiac regeneration.
- Analysis of laboratory advances in differentiating embryonic stem cells into cardiomyocytes.
- Evaluation of clinical findings regarding stem cell therapy for myocardial infarction.
Main Results:
- Embryonic stem cells can be differentiated into cardiomyocytes in laboratory settings.
- Cardiac progenitor cells residing within the heart are a proven source of cardiomyocytes.
- Clinical benefits observed from bone marrow stem cell therapy may not be due to direct cardiomyocyte replacement.
Conclusions:
- Embryonic stem cells and endogenous cardiac progenitors are the only validated sources for generating new cardiomyocytes.
- The mechanisms behind the therapeutic effects of bone marrow stem cells in cardiac repair require further investigation and validation.
- Current evidence suggests that direct cardiac cell replacement is primarily achievable with embryonic stem cells and cardiac progenitors.
Abstract:
One way to restore failing heart function following myocardial infarction would be to replace lost or damaged cardiac cells by local or systemic injection. The sources of replacement cells presently discussed include embryonic stem cells, hematopoietic and non-hematopoietic stem cells from bone marrow or cord blood and small stem cell populations thought to reside in the heart itself or in skeletal muscle. Here we review this area of stem cell research with focus particularly on recent laboratory advances towards producing cardiomyocytes from embryonic stem cells. We conclude that embryonic stem cells and cardiac progenitors in the heart itself are the only proven sources of cardiomyocytes and that reported clinical effects of bone marrow stem currently undergoing validation are likely mediated by other mechanisms.
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