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Published on: June 14, 2016
Myocardial remodeling: cellular and extracellular events and targets
Jennifer A Dixon1, Francis G Spinale
1Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, 29425, USA.
Abstract:
The focus of this review is on translational studies utilizing large-animal models and clinical studies that provide fundamental insight into cellular and extracellular pathways contributing to post-myocardial infarction (MI) left ventricle (LV) remodeling. Specifically, both large-animal and clinical studies have examined the potential role of endogenous and exogenous stem cells to alter the course of LV remodeling. Interestingly, there have been alterations in LV remodeling with stem cell treatment despite a lack of long-term cell engraftment. The translation of the full potential of stem cell treatments to clinical studies has yet to be realized. The modulation of proteolytic pathways that contribute to the post-MI remodeling process has also been examined. On the basis of recent large-animal studies, there appears to be a relationship between stem cell treatment post-MI and the modification of proteolytic pathways, generating the hypothesis that stem cells leave an echo effect that moderates LV remodeling.
Insights
Stem cell treatments show promise in altering left ventricle remodeling after myocardial infarction (MI), even without long-term engraftment. Further research is needed to fully translate these findings into clinical practice.
Area of Science:
- Cardiovascular Research
- Regenerative Medicine
- Translational Science
Background:
- Left ventricle (LV) remodeling is a critical process following myocardial infarction (MI).
- Cellular and extracellular pathways significantly influence post-MI LV remodeling.
- Stem cell therapies are being investigated for their potential to modify this process.
Purpose of the Study:
- To review translational studies on stem cell therapies for post-MI LV remodeling.
- To explore the role of cellular and extracellular pathways in LV remodeling.
- To investigate the mechanisms behind stem cell-mediated effects on LV remodeling.
Main Methods:
- Analysis of large-animal models and clinical studies.
- Examination of endogenous and exogenous stem cell effects.
- Investigation of proteolytic pathways involved in post-MI remodeling.
Main Results:
- Stem cell treatment can alter LV remodeling, irrespective of long-term cell engraftment.
- A link exists between stem cell treatment post-MI and modulation of proteolytic pathways.
- The full potential of stem cell treatments in clinical settings is yet to be achieved.
Conclusions:
- Stem cells may exert beneficial effects on post-MI LV remodeling through an "echo effect."
- Modulation of proteolytic pathways is a potential mechanism for stem cell efficacy.
- Further translational research is crucial to optimize stem cell therapies for myocardial infarction recovery.
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