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Published on: June 14, 2017
Preconditioning and stem cell survival
Husnain Kh Haider1, Muhammad Ashraf
1Department of Pathology and Laboratory Medicine, University of Cincinnati, 231-Albert, Sabin Way, OH 45267-0529, USA. haiderkh@ucmail.uc.edu
Insights
Transplanted stem cells face challenges in heart repair due to the harsh environment. Preconditioning and reprogramming enhance stem cell survival and effectiveness for cardiac therapy.
Area of Science:
- Cardiovascular Research
- Regenerative Medicine
- Stem Cell Biology
Background:
- The infarcted myocardium presents a hostile microenvironment for transplanted stem cells, leading to significant cell death.
- This cell death severely limits the efficacy of stem cell therapy for heart repair.
- Current strategies to improve cell survival have limitations.
Purpose of the Study:
- To review novel approaches for enhancing transplanted stem cell survival and function in the context of cardiac repair.
- To explore preconditioning and reprogramming strategies to improve stem cell resilience.
- To summarize methods for optimizing stem cell therapy effectiveness.
Main Methods:
- Review of existing literature on cellular preconditioning and reprogramming techniques.
- Discussion of physical, chemical, genetic, and pharmacological manipulation of stem cells.
- Analysis of approaches including ischemic preconditioning, use of preconditioning mimetics, growth factor treatment, and genetic modification.
Main Results:
- Cellular preconditioning and reprogramming prime stem cells to better withstand ischemic and inflammatory conditions.
- These strategies promote stem cell survival both in vitro and post-transplantation.
- Overexpression of survival molecules, microRNAs, and trophic factors enhances cytoprotection.
Conclusions:
- Preconditioning and reprogramming are promising strategies to overcome stem cell loss in cardiac therapy.
- These methods improve stem cell survival through intracrine, autocrine, and paracrine mechanisms.
- Optimized stem cell manipulation holds significant potential for advancing heart cell therapy.
Abstract:
The harsh ischemic and cytokine-rich microenvironment in the infarcted myocardium, infiltrated by the inflammatory and immune cells, offers a significant challenge to the transplanted donor stem cells. Massive cell death occurs during transplantation as well as following engraftment which significantly lowers the effectiveness of the heart cell therapy. Various approaches have been adopted to overcome this problem nevertheless with multiple limitations with each of these current approaches. Cellular preconditioning and reprogramming by physical, chemical, genetic, and pharmacological manipulation of the cells has shown promise and "prime" the cells to the "state of readiness" to withstand the rigors of lethal ischemia in vitro as well as posttransplantation. This review summarizes the past and present novel approaches of ischemic preconditioning, pharmacological and genetic manipulation using preconditioning mimetics, recombinant growth factor protein treatment, and reprogramming of stem cells to overexpress survival signaling molecules, microRNAs, and trophic factors for intracrine, autocrine, and paracrine effects on cytoprotection.
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