Progress and challenges in transplantation of human pluripotent stem cell derived cardiomyocytes for cardiac therapy

Jacelyn D Bain1, Ryan W Barrs1,2, Ying Mei1,3

  • 1Bioengineering Department, Clemson University, Clemson, SC USA.

Npj Biomedical Innovations
|January 12, 2026
PubMed

Insights

Human pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) offer a promising therapy for heart attack and heart failure. This review details advancements in hPSC-CM production, delivery, and clinical translation for cardiac repair.

Area of Science:

  • Cardiovascular Research
  • Regenerative Medicine
  • Stem Cell Biology

Background:

  • Myocardial infarction and heart failure are primary global mortality causes.
  • Human pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) show potential for myocardial regeneration.
  • Current treatments for cardiac damage have limitations.

Purpose of the Study:

  • To review advancements in hPSC-CMs for cardiac repair.
  • To examine differentiation, manufacturing, delivery, and clinical studies of hPSC-CMs.
  • To discuss challenges and future directions for hPSC-CM clinical translation.

Main Methods:

  • Literature review of hPSC-CM research.
  • Analysis of differentiation and scale-up techniques.
  • Evaluation of preclinical and clinical study data.
  • Examination of repair mechanisms and challenges.

Main Results:

  • Significant progress in hPSC-CM differentiation and manufacturing.
  • Development of various delivery strategies for hPSC-CMs.
  • Insights from preclinical models and early clinical trials.
  • Identification of key challenges in hPSC-CM therapy.

Conclusions:

  • hPSC-CMs represent a viable therapeutic strategy for cardiac regeneration.
  • Further research is needed to overcome manufacturing and delivery hurdles.
  • Clinical translation of hPSC-CM therapies is progressing but requires continued effort.