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Published on: May 31, 2024
Cell-based therapy in Chagas disease
Antonio C Campos de Carvalho1, Adriana B Carvalho, Regina C S Goldenberg
1Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro and National Cardiology Institute, Rio de Janeiro, RJ, Brazil.
Insights
Cell-based therapies offer a promising new avenue for treating Chagasic cardiomyopathy, a severe heart condition. These innovative treatments may help regenerate damaged heart tissue and improve the prognosis for affected patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Regenerative Medicine
Background:
- Chagas disease, a neglected tropical illness, causes cardiomyopathy with a poor prognosis.
- The underlying mechanisms of chagasic cardiomyopathy are not fully understood.
- Current treatments for heart failure in Chagas disease are limited to standard therapies.
Purpose of the Study:
- To review the current knowledge on cell-based therapies for Chagas disease.
- To explore the potential of cell-based treatments in addressing chagasic cardiomyopathy.
- To highlight the regenerative and immunomodulatory effects of cell therapies.
Main Methods:
- Literature review of preclinical and clinical studies on cell-based therapies for Chagas disease.
- Analysis of studies investigating the mechanisms of cell therapy in the context of Chagas disease.
- Synthesis of current evidence on the efficacy and safety of cell-based approaches.
Main Results:
- Cell-based therapies show potential in replacing damaged cardiomyocytes and blood vessels.
- These therapies may modulate the inflammatory microenvironment perpetuating the disease.
- Emerging research suggests possible benefits for heart function and disease progression.
Conclusions:
- Cell-based therapies represent a novel and promising treatment strategy for Chagasic cardiomyopathy.
- Further research is needed to optimize cell types, delivery methods, and long-term outcomes.
- These therapies offer hope for improving the management of heart failure in Chagas disease.
Abstract:
Chagas disease was first described one century ago, yet the mechanisms underlying chagasic cardiomyopathy remain elusive. Disease progression often leads to heart failure and patients with this infectious cardiomyopathy have a poor prognosis. Treatment options for heart failure due to Chagas disease are not different from standard therapy. Over the past decade, cell-based therapies have emerged as a new alternative in the treatment of this disease, not only because of the possibility of replacing lost vessels and cardiomyocytes but also because these cells could potentially influence the microenvironmental changes that perpetuate the disease. In this chapter, we will review current knowledge on cell-based therapies for the treatment of Chagas disease.
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