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Updated: Jun 20, 2026

Isolation of Perivascular Multipotent Precursor Cell Populations from Human Cardiac Tissue
Published on: October 8, 2016
Intramyocardial angiogenic cell precursors in nonischemic dilated cardiomyopathy
Kitipan V Arom1, Permyos Ruengsakulrach, Michael Belkin
1Cardiovascular Surgery, Bangkok Heart Hospital, Bangkok, Thailand. karom@bangkokheart.com
Insights
Intramyocardial injection of angiogenic cell precursors shows promise for treating nonischemic dilated cardiomyopathy. This cell therapy improved patient function and heart function, suggesting a potential new treatment option.
Area of Science:
- Regenerative Medicine
- Cardiology
Background:
- Non-ischemic dilated cardiomyopathy (NIDC) is a serious condition with limited treatment options.
- Current medical management for NIDC often fails to fully restore cardiac function.
Purpose of the Study:
- To evaluate the efficacy of intramyocardial injection of angiogenic cell precursors in patients with NIDC.
- To assess the impact of this cell therapy on cardiac function, functional class, and quality of life.
Main Methods:
- 35 patients with NIDC received intramyocardial injections of autologous angiogenic cell precursors into the left ventricle.
- A control group of 17 NIDC patients received standard medical treatment.
- Outcomes were assessed using New York Heart Association functional class, left ventricular ejection fraction, and a short-form health survey.
Main Results:
- The cell therapy group showed significant improvement in New York Heart Association functional class (1.1 classes).
- Left ventricular ejection fraction improved in 71.4% of patients in the cell group (mean increase 4.4%).
- Patients receiving cell therapy reported enhanced quality of life across multiple health domains.
Conclusions:
- Intramyocardial injection of angiogenic cell precursors appears to be a potentially effective treatment for NIDC.
- This cell-based therapy offers a promising approach to improve cardiac function and patient outcomes in NIDC.
- Further research is warranted to confirm the long-term efficacy and safety of this intervention.
Abstract:
To determine the efficacy of intramyocardial injection of angiogenic cell precursors in nonischemic dilated cardiomyopathy, 35 patients with nonischemic dilated cardiomyopathy underwent injections of angiogenic cell precursors into the left ventricle (cell group). Seventeen patients with nonischemic dilated cardiomyopathy were matched from the heart failure database to form a control group that was treated medically. Angiogenic cell precursors were obtained from autologous blood, cultured in vitro, and injected into all free-wall areas of the left ventricle in the cell group. After these injections, New York Heart Association functional class improved significantly by 1.1 +/- 0.7 classes at 284.7 +/- 136.2 days, and left ventricular ejection fraction improved in 71.4% of patients (25/35); the mean increase in left ventricular ejection fraction was 4.4% +/- 10.6% at 192.7 +/- 135.1 days. Improved quality of life was demonstrated by better physical function, role-physical, general health, and vitality domains in a short-form health survey at the 3-month follow-up. In the control group, there were no significant improvements in left ventricular ejection fraction or New York Heart Association class which increased by 0.6 +/- 0.8 classes. It was concluded that intramyocardial angiogenic cell precursor injection is probably effective in the treatment of nonischemic dilated cardiomyopathy.
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