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Pluripotent Stem Cell Derived Cardiac Cells for Myocardial Repair
Published on: February 3, 2017
Uterus: A Unique Stem Cell Reservoir Able to Support Cardiac Repair via Crosstalk among Uterus, Heart, and Bone
Ana Ludke1, Kota Hatta1, Alina Yao1
1Division of Cardiovascular Surgery, Toronto General Hospital Research Institute, University Health Network, Toronto, ON M5G 1L7, Canada.
Insights
The uterus may act as a reservoir for cardiac stem cells, similar to bone marrow. Uterine stem cells can migrate to the heart to promote healing and repair after injury.
Area of Science:
- Cardiovascular Biology
- Stem Cell Biology
- Reproductive Biology
Background:
- Premenopausal women exhibit lower cardiac disease prevalence than postmenopausal women and men.
- Uterine stem cells are abundant and have shown potential in cardiac neovascularization.
- Existing research suggests multiple factors contribute to sex-based differences in heart disease.
Purpose of the Study:
- To investigate the novel concept of an 'utero-cardiac axis'.
- To explore the role of uterine stem cells in cardiac repair.
- To examine the potential triangular relationship between bone marrow, uterus, and heart stem cell exchange.
Main Methods:
- Review of existing studies on stem cell exchange between organs.
- Analysis of evidence supporting stem cell migration from the uterus to the heart.
- Discussion of the uterus as a potential stem cell reservoir.
Main Results:
- Evidence supports the existence of an utero-cardiac axis.
- Uterine stem cells demonstrate the capacity to home to cardiac tissue.
- The uterus functions as a potential reservoir for cardiac reparative stem cells, analogous to bone marrow.
Conclusions:
- The uterus serves as a significant source of stem cells for cardiac repair.
- Uterine stem cells migrate to injured cardiac tissue, promoting healing.
- A complex interplay exists among bone marrow, uterus, and heart stem cell populations.
Abstract:
Clinical evidence suggests that the prevalence of cardiac disease is lower in premenopausal women compared to postmenopausal women and men. Although multiple factors contribute to this difference, uterine stem cells may be a major factor, as a high abundance of these cells are present in the uterus. Uterine-derived stem cells have been reported in several studies as being able to contribute to cardiac neovascularization after injury. However, our studies uniquely show the presence of an "utero-cardiac axis", in which uterine stem cells are able to home to cardiac tissue to promote tissue repair. Additionally, we raise the possibility of a triangular relationship among the bone marrow, uterus, and heart. In this review, we discuss the exchange of stem cells across different organs, focusing on the relationship that exists between the heart, uterus, and bone marrow. We present increasing evidence for the existence of an utero-cardiac axis, in which the uterus serves as a reservoir for cardiac reparative stem cells, similar to the bone marrow. These cells, in turn, are able to migrate to the heart in response to injury to promote healing.
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