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.

Annual Review of Physiology
|February 15, 2011
PubMed

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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