Pluripotent stem cell-derived cardiomyocyte transplantation: marching from bench to bedside

Yi Hong1,2, Jiarui Liu1, Weixuan Wang1

  • 1Department of Physiology and Pathophysiology, School of Basic Medical Sciences, State Key Laboratory of Vascular Homeostasis and Remodeling, Beijing Advanced Center of Cellular Homeostasis and Aging-Related Diseases, Center for Non-coding RNA Medicine, Clinical Stem Cell Research Center, Peking University Third Hospital, Peking University, Beijing, 100191, China.

PubMed

Insights

Pluripotent stem cell-derived cardiomyocytes (PSC-CMs) offer a promising solution for cardiac regeneration, addressing limitations in treating heart diseases. This review covers advancements, challenges like immune rejection, and clinical progress in PSC-CM transplantation (PCT).

Area of Science:

  • Regenerative Medicine
  • Cardiology
  • Stem Cell Biology

Background:

  • Cardiovascular diseases remain a leading cause of mortality worldwide.
  • Limited regenerative capacity of adult human hearts restricts current treatment efficacy.
  • Pluripotent stem cell-derived cardiomyocytes (PSC-CMs) present a potential therapeutic strategy for cardiac repair.

Purpose of the Study:

  • To review the latest advancements and future prospects of PSC-CM transplantation (PCT).
  • To discuss existing challenges in PCT, including immune rejection and engraftment arrhythmias.
  • To explore potential solutions and the progression of PCT from preclinical research to clinical trials.

Main Methods:

  • Comprehensive literature review of fundamental research, preclinical studies, and clinical trials.
  • Analysis of current data on PSC-CM generation and characterization.
  • Evaluation of strategies to overcome transplantation barriers.

Main Results:

  • PSC-CM transplantation shows promise for cardiac regeneration.
  • Immune rejection and arrhythmias are significant hurdles in PCT.
  • Ongoing research and clinical trials are actively addressing these constraints.

Conclusions:

  • PCT is a rapidly advancing field with significant therapeutic potential for cardiovascular diseases.
  • Overcoming immunological barriers and ensuring safe engraftment are critical for clinical success.
  • Translational efforts are moving PCT from bench to bedside, offering hope for improved cardiac repair.

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