Autologous Cell Therapy for Chronic Limb Threatening Ischemia: Towards Personalized Medicine

Eugenio Caradonna1,2, Francesco Setacci3,4, Jessica Lanza5,6

  • 1Department of Pathology and Laboratory Medicine, Centro Diagnostico Italiano, Milan, Italy.

Angiology
|October 18, 2025
PubMed

Insights

Autologous cell therapy shows promise for treating Peripheral Artery Disease (PAD) with Chronic Limb Threatening Ischemia (CLTI) when conventional methods fail. Further research is needed to optimize these regenerative medicine approaches for better patient outcomes.

Area of Science:

  • Regenerative Medicine
  • Vascular Biology
  • Cell-Based Therapies

Background:

  • Peripheral Artery Disease (PAD) with Chronic Limb Threatening Ischemia (CLTI) is a severe condition often unresponsive to standard treatments, leading to amputation risk.
  • Conventional surgical, endovascular, and medical therapies can be insufficient for managing advanced PAD with CLTI.

Purpose of the Study:

  • To review current knowledge on autologous cell therapy and regenerative medicine for PAD with CLTI.
  • To evaluate the role of cell-based therapies in promoting angiogenesis, vascular restoration, and tissue regeneration.
  • To provide an overview of key clinical studies and factors influencing treatment success.

Main Methods:

  • Literature review of recent studies on autologous cell-based therapies for PAD with CLTI.
  • Evaluation of clinical trials and their outcomes.
  • Analysis of patient-specific factors influencing therapeutic performance.

Main Results:

  • Cell-based therapies demonstrate potential in promoting vascular repair and tissue regeneration in PAD with CLTI.
  • Patient clinical conditions and risk factors significantly correlate with the efficacy and success rates of autologous cell therapies.
  • Current evidence suggests these regenerative approaches are promising, though further investigation is warranted.

Conclusions:

  • Autologous cell therapy and regenerative medicine offer a promising adjunct for treating PAD with CLTI.
  • Personalized medicine approaches, considering individual patient profiles, are crucial for tailoring these advanced therapies.
  • Continued research and clinical studies are necessary to fully establish the role of these techniques in clinical practice.

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