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Published on: September 3, 2020
Immune Cells and Immunotherapy for Cardiac Injury and Repair
Joel G Rurik1, Haig Aghajanian1, Jonathan A Epstein1
1Department of Cell and Developmental Biology, Department of Medicine, Penn Cardiovascular Institute, Institute for Regenerative Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Insights
The immune system plays a key role in heart repair after injury. Harnessing immune cells offers promising new therapeutic strategies for cardiac disease and heart failure treatment.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Regenerative Medicine
Background:
- Cardiac injury often leads to progressive heart failure, with limited therapeutic options beyond transplantation.
- Current treatments primarily focus on hemodynamic modification or direct cardiac myocyte function, often failing to halt disease progression.
- The immune system's role in cardiac function and injury response is an emerging area of research.
Purpose of the Study:
- To review the immune response following heart injury.
- To examine the immune system's contribution to cardiac fibrosis.
- To explore the potential of immune-modifying therapies for cardiac repair.
Main Methods:
- Literature review of studies investigating the immune response to cardiac injury.
- Analysis of research on immune cell involvement in cardiac fibrosis development.
- Evaluation of preclinical and clinical data on immune-based therapies for heart disease.
Main Results:
- The immune system significantly influences the heart's response to acute injury.
- Immune cells and their mediators contribute to the development of cardiac fibrosis.
- Immune-modifying strategies show potential for promoting cardiac repair and mitigating heart failure progression.
Conclusions:
- Understanding the immune response to cardiac injury is crucial for developing novel treatments.
- Targeting immune pathways offers a promising avenue for halting or reversing heart failure progression.
- Immune cell-based therapies represent a potential paradigm shift in managing cardiovascular disease.
Abstract:
Cardiac injury remains a major cause of morbidity and mortality worldwide. Despite significant advances, a full understanding of why the heart fails to fully recover function after acute injury, and why progressive heart failure frequently ensues, remains elusive. No therapeutics, short of heart transplantation, have emerged to reliably halt or reverse the inexorable progression of heart failure in the majority of patients once it has become clinically evident. To date, most pharmacological interventions have focused on modifying hemodynamics (reducing afterload, controlling blood pressure and blood volume) or on modifying cardiac myocyte function. However, important contributions of the immune system to normal cardiac function and the response to injury have recently emerged as exciting areas of investigation. Therapeutic interventions aimed at harnessing the power of immune cells hold promise for new treatment avenues for cardiac disease. Here, we review the immune response to heart injury, its contribution to cardiac fibrosis, and the potential of immune modifying therapies to affect cardiac repair.
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