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Isolation, Characterization, and Differentiation of Cardiac Stem Cells from the Adult Mouse Heart
Published on: January 7, 2019
Therapeutic potential of stem cells in elderly patients with cardiovascular disease
M Brehm1, B Stanske, B E Strauer
1Department of Cardiology, Pneumology and Vascular Medicine, Heinrich-Heine University, Düsseldorf, Germany. brehm@med.uni-duesseldorf.de
Insights
Elderly patients with chronic heart failure may benefit from autologous bone marrow-derived mononuclear cell therapy. This novel approach explores stem cell potential for tissue regeneration in myocardial ischemia.
Area of Science:
- Cardiology
- Regenerative Medicine
- Geriatrics
Background:
- Improved treatments for acute myocardial infarction and chronic ischemia have increased the population of heart failure patients.
- Current therapies enhance quality of life and lifespan but many elderly patients remain symptomatic.
- Autologous bone marrow-derived mononuclear cells offer a novel therapeutic option for tissue repopulation.
Purpose of the Study:
- To review the current understanding of stem cell therapy.
- To discuss early clinical experiences with stem cell application.
- To relate stem cell therapy to elderly patients with myocardial ischemia.
Main Methods:
- Review of current literature on stem cell therapy for cardiovascular conditions.
- Analysis of early clinical data regarding autologous bone marrow-derived mononuclear cells.
- Focus on application in elderly patients with symptomatic myocardial ischemia.
Main Results:
- Stem cell therapy is an emerging option for tissue regeneration in heart failure.
- Autologous bone marrow-derived mononuclear cells show potential for myocardial repair.
- Further research is needed to establish efficacy and safety in elderly populations.
Conclusions:
- Stem cell therapy, specifically using autologous bone marrow-derived mononuclear cells, presents a promising avenue for treating elderly patients with chronic heart failure and myocardial ischemia.
- While current treatments have improved outcomes, a significant unmet need exists for symptomatic patients, particularly the elderly.
- This review highlights the potential of regenerative medicine to address tissue loss and improve clinical results in this vulnerable patient group.
Abstract:
The success of treatment for acute myocardial infarction and chronic myocardial ischemia has improved general medical care in Europe, resulting in an increasing population of patients with chronic and congestive heart failure. By applying currently available therapeutic options the quality of life and lifespan of these patients have both increased. However, amongst patients -- predominantly the elderly -- who remain symptomatic despite intensive medical treatment, autologous bone marrow-derived mononuclear cells may trigger attempts to repopulate lost tissues directly as a novel therapeutic option. In this concised paper the current understanding of stem cell therapy and early clinical experiences are discussed and related to the application of stem cells in elderly patients with myocardial ischemia.
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