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Published on: September 3, 2020
The role of antioxidation and immunomodulation in postnatal multipotent stem cell-mediated cardiac repair
Arman Saparov1, Chien-Wen Chen, Sarah A Beckman
1Nazarbayev University Research and Innovation System, Nazarbayev University, Astana 010000, Kazakhstan. asaparov@nu.edu.kz
Insights
Stem cell therapy can reduce oxidative stress and inflammation after myocardial infarction (MI). Understanding stem cell interactions with immune cells is key to improving cardiac repair and regeneration following heart disease.
Area of Science:
- Cardiovascular Medicine
- Regenerative Medicine
- Immunology
Background:
- Oxidative stress and inflammation are central to coronary heart disease pathogenesis, including myocardial infarction (MI).
- Post-MI cardiac repair involves complex interactions between resident and recruited cells, influencing inflammation and regeneration.
- Excessive inflammation post-MI can lead to adverse cardiac remodeling and dysfunction.
Purpose of the Study:
- To review recent findings on antioxidant and immunomodulatory roles of stem cells in cardiac repair after ischemic heart disease.
- To focus on mesenchymal, muscle, and blood-vessel-derived stem cells for their therapeutic potential.
- To highlight the importance of stem cell-immune cell crosstalk in improving cardiac regeneration post-MI.
Main Methods:
- Literature review of recent studies on stem cell therapy for ischemic heart disease.
- Focus on antioxidant and immunomodulatory mechanisms of stem cells.
- Analysis of stem cell interactions with immune cells in the context of cardiac repair.
Main Results:
- Stem cell therapy shows promise in ameliorating oxidative stress and inflammation post-MI.
- Mesenchymal, muscle, and blood-vessel-derived stem cells possess significant antioxidant and immunomodulatory properties.
- Effective stem cell-mediated cardiac regeneration relies on harnessing beneficial immune responses.
Conclusions:
- Stem cell therapy is a promising approach for treating ischemic heart disease by modulating oxidative stress and inflammation.
- Understanding stem cell-immune cell interactions is crucial for optimizing cardiac repair and regeneration.
- Targeting antioxidant and immunomodulatory functions of stem cells can improve outcomes after myocardial infarction.
Abstract:
Oxidative stress and inflammation play major roles in the pathogenesis of coronary heart disease including myocardial infarction (MI). The pathological progression following MI is very complex and involves a number of cell populations including cells localized within the heart, as well as cells recruited from the circulation and other tissues that participate in inflammatory and reparative processes. These cells, with their secretory factors, have pleiotropic effects that depend on the stage of inflammation and regeneration. Excessive inflammation leads to enlargement of the infarction site, pathological remodeling and eventually, heart dysfunction. Stem cell therapy represents a unique and innovative approach to ameliorate oxidative stress and inflammation caused by ischemic heart disease. Consequently, it is crucial to understand the crosstalk between stem cells and other cells involved in post-MI cardiac tissue repair, especially immune cells, in order to harness the beneficial effects of the immune response following MI and further improve stem cell-mediated cardiac regeneration. This paper reviews the recent findings on the role of antioxidation and immunomodulation in postnatal multipotent stem cell-mediated cardiac repair following ischemic heart disease, particularly acute MI and focuses specifically on mesenchymal, muscle and blood-vessel-derived stem cells due to their antioxidant and immunomodulatory properties.
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