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Induction of Endothelial Differentiation in Cardiac Progenitor Cells Under Low Serum Conditions
Published on: January 7, 2019
c-kit(+) cells: the tell-tale heart of cardiac regeneration?
Patrizia Nigro1, Gianluca Lorenzo Perrucci, Aoife Gowran
1Laboratory of Vascular Biology and Regenerative Medicine, Centro Cardiologico Monzino-IRCCS, Via Parea 4, 20138, Milan, Italy, patrizia.nigro@ccfm.it.
Insights
Stem cell therapy using c-kit(+) cells shows promise for cardiac repair after heart attack. This review critically evaluates their potential, benefits, and controversies in cardiovascular regeneration.
Area of Science:
- Regenerative Medicine
- Cardiology
- Stem Cell Biology
Background:
- Cardiovascular disease remains a leading cause of death globally.
- Current therapies manage symptoms but don't address cardiac tissue loss.
- Stem/progenitor cell therapy offers a promising avenue for cardiac repair and regeneration.
Purpose of the Study:
- To provide a comprehensive and critical evaluation of the literature on c-kit(+) cells.
- To address the true potential, benefits, and controversies surrounding c-kit(+) cell therapy for cardiac repair.
- To review the evidence from bench to bedside regarding c-kit(+) cell applications.
Main Methods:
- Literature review of preclinical and clinical studies on c-kit(+) cells.
- Critical analysis of the functional contribution of c-kit(+) cells to cardiomyocyte turnover.
- Evaluation of the regenerative potential, benefits, and controversies of c-kit(+) cell therapy.
Main Results:
- c-kit(+) cells are self-renewing, clonogenic, and multipotent, with potential to differentiate into cardiovascular lineages.
- Evidence suggests c-kit(+) cells can improve cardiac function, despite ongoing debate about their role in cardiomyocyte turnover.
- Numerous studies support the capacity of c-kit(+) cells for cardiac repair.
Conclusions:
- c-kit(+) cells represent a significant area of interest and debate in cardiac regeneration.
- Further research is needed to fully elucidate their functional contribution and optimize therapeutic applications.
- The review aims to provide an impartial assessment of c-kit(+) cells for clinical translation.
Abstract:
Cardiovascular disease is the leading cause of morbidity and mortality in the developed world. Although ongoing therapeutic strategies ameliorate symptoms and prolong life for patients with cardiovascular diseases, they do not solve the critical issue related to the loss of cardiac tissue. Accordingly, stem/progenitor cell therapy has emerged as a paramount approach for cardiac repair and regeneration. In this regard, c-kit(+) cells have animated much interest and controversy. These cells are self-renewing, clonogenic, and multipotent and display a noteworthy potential to differentiate into all cardiovascular lineages. However, their functional contribution to cardiomyocyte turnover is one of the centrally debated issues concerning their regenerative potential. Regardless, plentiful preclinical and clinical studies have been conducted which provide evidence for the capacity of c-kit(+) cells to improve cardiac function. The purpose of this review is to give a comprehensive, impartial, critical description and evaluation of the literature on c-kit(+) cells from bench to bedside in order to address their true potential, benefits and controversies.
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