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Published on: September 3, 2020
Cardiac regeneration and cellular therapy: is there a benefit of exercise?
P A Figueiredo1, H-J Appell Coriolano2, J A Duarte1
1CIAFEL - Faculty of Sport, University of Porto, Portugal.
Insights
Regular physical exercise may boost heart health by activating stem cells, potentially improving cardiac repair and enhancing regenerative medicine for cardiovascular diseases (CVD). This approach could improve overall heart function.
Area of Science:
- Cardiology and Regenerative Medicine
- Exercise Physiology
Background:
- Cardiovascular diseases (CVD) represent a significant global health challenge.
- The heart possesses a regenerative capacity throughout life, suggesting potential for therapeutic intervention.
- Current medical treatments for CVD have improved patient outcomes, but regenerative strategies are gaining interest.
Purpose of the Study:
- To explore the relationship between physical exercise, stem cell activity, and cardiovascular health.
- To review the mechanisms of exercise-induced cardiovascular adaptations involving stem and progenitor cells.
- To hypothesize how exercise-mediated stem cell activation could enhance cardiac function and cellular therapies.
Main Methods:
- Review of existing epidemiological and clinical data on exercise and cardiovascular health.
- Analysis of proposed mechanisms for exercise-induced cardiovascular adaptations.
- Discussion of the role of blood-circulating progenitor cells and resident cardiac stem cells.
Main Results:
- Evidence suggests regular physical exercise positively impacts cardiovascular health.
- Exercise may induce cardiovascular adaptations through the activation, mobilization, differentiation, and homing of stem and progenitor cells.
- Potential link between exercise, stem cell recruitment, and biological activity.
Conclusions:
- Exercise-induced stem cell activation is a potential mechanism for improving heart function.
- This activation may enhance the efficacy of cardiac cellular therapeutic protocols for cardiovascular diseases.
- Further research into exercise and stem cell interactions could advance regenerative cardiology.
Abstract:
Cardiovascular diseases (CVD) are a global epidemic in developed countries. Cumulative evidence suggests that myocyte formation is preserved during postnatal life, in adulthood or senescence, suggesting the existence of a growth reserve of the heart throughout lifespan. Several medical therapeutic approaches to CVD have considerably improved the clinical outcome for patients. Intense interest has been focused on regenerative medicine as an emerging strategy for CVD. Cellular therapeutic approaches have been proposed for enhancing survival and propagation of stem cells in myocardium, leading to cardiac cellular repair. Strong epidemiological and clinical data exists concerning the impact of regular physical exercise on cardiovascular health. Several mechanisms of acute and chronic exercise-induced cardiovascular adaptations to exercise have been presented, considering primary and secondary prevention of CVD. In this context, exercise-related improvements in the function and regeneration of the cardiovascular system may be associated with the exercise-induced activation, mobilization, differentiation, and homing of stem and progenitor cells. In this review several topics will be addressed concerning the relation between exercise, recruitment and biological activity of blood-circulating progenitor cells and resident cardiac stem cells. We hypothesize that exercise-induced stem cell activation may enhance overall heart function and improve the efficacy of cardiac cellular therapeutic protocols.
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