Cardiac stem cell therapy and the promise of heart regeneration

Jessica C Garbern1, Richard T Lee

  • 1Department of Medicine, Boston Children's Hospital, Boston, MA 02115, USA.

Cell Stem Cell
|June 11, 2013
PubMed

Insights

Stem cell therapy shows promise for heart disease but faces challenges. Further research into cardiac stem cell behavior and regeneration mechanisms is crucial for effective clinical treatments.

Area of Science:

  • Cardiovascular Research
  • Regenerative Medicine
  • Stem Cell Biology

Background:

  • Stem cell therapy for cardiac disease is a rapidly advancing field.
  • Current strategies include cell transplantation and reprogramming.
  • Clinical trials have yielded mixed results, highlighting knowledge gaps.

Purpose of the Study:

  • To review the progression of cardiac stem cell biology into clinical trials.
  • To identify unresolved issues in stem cell behavior and therapeutic strategies.
  • To emphasize the need for resolving controversies in experimental regeneration for clinical success.

Main Methods:

  • Review of current stem cell therapy strategies for cardiac disease.
  • Analysis of experimental data and clinical trial outcomes.
  • Discussion of unresolved questions in cardiac stem cell biology.

Main Results:

  • Stem cell strategies have shown both potential and limitations.
  • Understanding of cardiomyocyte turnover and optimal therapeutic approaches remains incomplete.
  • Clinical efficacy is hindered by fundamental knowledge gaps.

Conclusions:

  • Cardiac stem cell biology has informed current clinical trial designs.
  • True cardiac regeneration in patients may depend on resolving experimental controversies.
  • Further investigation into fundamental stem cell mechanisms is essential for therapeutic advancement.

Related Concept Videos

Stem Cell Therapy for Tissue Regeneration01:21

Stem Cell Therapy for Tissue Regeneration

Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell types that...
Stem Cell Culture01:17

Stem Cell Culture

Stem cell research aims to find ways to use stem cells to regenerate and repair cellular damage. Over time, most adult cells undergo the wear and tear of aging and lose their ability to divide and repair themselves. Stem cells do not display a particular morphology or function. Adult stem cells, which exist as a small subset of cells in most tissues, keep dividing and can differentiate into a number of specialized cells generally formed by that tissue. These cells enable the body to renew and...
iPS Cell Differentiation01:22

iPS Cell Differentiation

The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.
Induced Pluripotent Stem Cells01:13

Induced Pluripotent Stem Cells

Stem cells are undifferentiated cells that divide and produce different types of cells. Ordinarily, cells that have differentiated into a specific cell type are post-mitotic—that is, they no longer divide. However, scientists have found a way to reprogram these mature cells so that they “de-differentiate” and return to an unspecialized, proliferative state. These cells are also pluripotent like embryonic stem cells—able to produce all cell types—and are therefore called induced pluripotent stem...
Embryonic Stem Cells00:58

Embryonic Stem Cells

Embryonic stem (ES) cells are undifferentiated pluripotent cells, meaning they can produce any cell type in the body. This gives them tremendous potential in science and medicine since they can generate specific cell types for use in research or to replace body cells lost due to damage or disease.
Embryonic Stem Cells00:57

Embryonic Stem Cells

Embryonic stem (ES) cells were first discovered in mice in 1981 by Martin Evans. In 1998, James Thomson identified a method to isolate embryonic stem cells from humans. Human embryonic stem cells (hESCs) are obtained from 3-5 day old embryos that remain unused after an in vitro fertilization procedure.
ES cells are grown in a culture medium where they can divide indefinitely, creating ES cell lines. Under certain conditions, ES cells can differentiate, either spontaneously into a variety of...