Are Endothelial Progenitor Cells the Real Solution for Cardiovascular Diseases? Focus on Controversies and

Carmela R Balistreri1, Silvio Buffa1, Calogera Pisano2

  • 1Department of Pathobiology and Medical Biotechnologies, University of Palermo, 90134 Palermo, Italy.

Insights

Regenerative medicine offers potential for cardiovascular diseases (CVDs), but research on endothelial progenitor cells (EPCs) lacks consistent evidence. Clarifying EPC characterization is crucial for their clinical application as biomarkers and therapeutics.

Area of Science:

  • Regenerative Medicine
  • Stem Cell Biology
  • Cardiovascular Diseases (CVDs)

Background:

  • Regenerative medicine is a promising field for treating cardiovascular diseases (CVDs).
  • Research on endothelial progenitor cells (EPCs) for CVDs faces challenges due to inconsistent evidence and confusion.
  • The clinical application of regenerative medicine for CVDs is hampered by a lack of consistent data.

Purpose of the Study:

  • To review the biology and physiology of endothelial progenitor cells (EPCs).
  • To outline the clinical relevance of EPCs as predictive, diagnostic, and prognostic biomarkers for CVDs.
  • To discuss the therapeutic potential of EPCs for vascular impairment and clinical applications.

Main Methods:

  • Literature review focusing on endothelial progenitor cells (EPCs) in cardiovascular diseases.
  • Analysis of existing data regarding EPCs' role as biomarkers and therapeutic agents.
  • Discussion of conflicting data and challenges in EPC characterization and definition.

Main Results:

  • EPCs hold potential as both biomarkers and therapeutic agents for cardiovascular diseases (CVDs).
  • Significant heterogeneity exists in literature data concerning EPCs, largely due to issues with characterization and definition.
  • The advantages, disadvantages, and conflicting data regarding EPCs' clinical use require careful consideration.

Conclusions:

  • Standardized characterization and definition of EPCs are essential to resolve inconsistencies in research data.
  • Addressing these issues will facilitate the clinical translation of EPC-based regenerative medicine for cardiovascular diseases.
  • Clarifying EPC biology and application is critical for advancing regenerative therapies for CVDs.