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Updated: Apr 18, 2026

Delayed Intramyocardial Delivery of Stem Cells after Ischemia Reperfusion Injury in a Murine Model
Published on: September 3, 2020
Post-myocardial infarct inflammation and the potential role of cell therapy
Vanessa-leigh van Zuylen1, Melina C den Haan, Sacha B Geutskens
1Department of Cardiology, Leiden University Medical Center, P.O. Box 9600, 2300, RC, Leiden, The Netherlands.
Insights
Inflammation after heart attack can worsen damage and lead to heart failure. Mesenchymal stromal cells show promise in cell therapy to reduce this inflammation and improve outcomes in cardiac ischemic disease.
Area of Science:
- Cardiovascular Biology
- Regenerative Medicine
- Immunology
Background:
- Myocardial infarction (MI) initiates inflammation for tissue repair.
- This inflammatory process can paradoxically cause further myocardial injury, progressing to heart failure.
- Cardiac ischemic disease remains a leading global cause of mortality.
Purpose of the Study:
- To review molecular and cellular mechanisms of post-infarction inflammation.
- To discuss the potential of cell therapy in mitigating adverse inflammatory responses after MI.
- To highlight mesenchymal stromal cells (MSCs) as a potential therapeutic agent.
Main Methods:
- Literature review of studies on post-MI inflammation.
- Analysis of research on stem cell therapy for cardiac repair.
- Focus on immunomodulatory properties of mesenchymal stromal cells.
Main Results:
- Inflammation following MI is a complex process with potential for secondary injury.
- Cell therapy, particularly using MSCs, is being investigated for its regenerative and immunomodulatory effects.
- MSCs possess properties that may counteract detrimental inflammation post-MI.
Conclusions:
- Mesenchymal stromal cells offer a promising cell therapy approach for treating myocardial infarction.
- Targeting post-infarction inflammation with MSCs could potentially reverse disease progression towards heart failure.
- Further research into MSC-based therapies is warranted for cardiac ischemic disease.
Abstract:
Myocardial infarction triggers reparative inflammatory processes programmed to repair damaged tissue. However, often additional injury to the myocardium occurs through the course of this inflammatory process, which ultimately can lead to heart failure. The potential beneficial effects of cell therapy in treating cardiac ischemic disease, the number one cause of death worldwide, are being studied extensively, both in clinical trials using adult stem cells as well as in fundamental research on cardiac stem cells and regenerative biology. This review summarizes the current knowledge on molecular and cellular processes implicated in post-infarction inflammation and discusses the potential beneficial role cell therapy might play in this process. Due to its immunomodulatory properties, the mesenchymal stromal cell is a candidate to reverse the disease progression of the infarcted heart towards heart failure, and therefore is emphasized in this review.
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