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Published on: September 27, 2013
Controlled release systems of angiogenic growth factors for cardiovascular diseases
Jiro Esaki1, Akira Marui, Yasuhiko Tabata
1Kyoto University Graduate School of Medicine, Department of Cardiovascular Surgery, 54 Kawara, Shogoin, Sakyo, Kyoto 606-8507, Japan.
Insights
Therapeutic angiogenesis offers a promising alternative for patients with myocardial and limb ischemia when traditional treatments fail. This review explores growth factor clinical trials and a novel hydrogel delivery system.
Area of Science:
- Cardiovascular Research
- Regenerative Medicine
- Biomaterials Science
Background:
- Increasing prevalence of myocardial and limb ischemia due to aging and atherosclerosis.
- Limitations of current treatments (medical, angioplasty, surgery) for severe cases.
- Therapeutic angiogenesis emerges as a potential alternative therapy.
Purpose of the Study:
- To review clinical trials of angiogenic growth factors for myocardial and limb ischemia.
- To introduce a novel controlled release system for growth factors.
- To highlight advancements in treating ischemic diseases.
Main Methods:
- Review of clinical trials involving angiogenic growth factors.
- Description of a novel gelatin hydrogel for controlled growth factor delivery.
- Analysis of therapeutic angiogenesis strategies.
Main Results:
- Growth factors show potential in treating myocardial and limb ischemia.
- Controlled release systems can improve therapeutic efficacy.
- Gelatin hydrogel offers a promising delivery platform.
Conclusions:
- Therapeutic angiogenesis is a viable option for refractory ischemic diseases.
- Novel delivery systems enhance the potential of growth factor therapy.
- Further research is warranted to optimize these approaches.
Abstract:
Worldwide, there is a growing number of patients with myocardial ischemia and limb ischemia associated with the aging population and an increased prevalence of atherosclerotic diseases. Medical therapy, percutaneous angioplasty and surgical revascularization are the present treatments of choice, but such treatments are not feasible for some patients with severe atherosclerosis. Therapeutic angiogenesis using growth factors or progenitor cells has drawn great attention as a favorable alternative treatment for such patients. This review discusses clinical trials using angiogenic growth factors for myocardial ischemia and limb ischemia, and also introduces a novel controlled release system for growth factors using a gelatin hydrogel.
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