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Updated: May 28, 2026

A Hypoxia-Reoxygenation Injury Model in Self-Assembling Human Cardioids
10:41

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Published on: March 17, 2026

Extracellular Vesicles in Cardiac Repair Approaches: Implications for In Vitro Heart Models and Potential ATMP

Simona Di Stefani1,2, Maura Cimino1, Rosaria Tinnirello1

  • 1IRCCS ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), Via E. Tricomi 5, 90127 Palermo, Italy.

Cells
|May 27, 2026
PubMed
Summary
This summary is machine-generated.

Cardiovascular diseases cause significant mortality. This review explores mesenchymal stromal cell-derived extracellular vesicles (EVs) as advanced therapy medicinal products for heart repair and regeneration.

Keywords:
advanced therapy medicinal products (ATMPs)cardiac progenitor cellscardiosphere-derived cells (CDCs)cardiospheresheart transplantationheart-on-a-chip technologiesmesenchymal stromal cells (MSCs)organ failureorgan-on-a-chip systemsorganoids

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Cardiac Spheroids as in vitro Bioengineered Heart Tissues to Study Human Heart Pathophysiology
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Cardiac Spheroids as in vitro Bioengineered Heart Tissues to Study Human Heart Pathophysiology

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10:41

Cardiac Spheroids as in vitro Bioengineered Heart Tissues to Study Human Heart Pathophysiology

Published on: January 23, 2021

Area of Science:

  • Cardiovascular Research
  • Regenerative Medicine
  • Cell Biology

Background:

  • Cardiovascular diseases, particularly acute myocardial infarction (AMI), are leading causes of death.
  • Adult cardiomyocytes (CMs) have limited regenerative capacity, leading to fibrosis and dysfunction after injury.
  • MicroRNAs (miRNAs) and extracellular vesicles (EVs) are key regulators of cardiac repair.

Purpose of the Study:

  • To review recent advances in EV-based therapeutic strategies for cardiovascular regeneration.
  • To highlight the potential of mesenchymal stromal cell (MSC)-derived EVs.
  • To discuss bioengineering approaches for enhancing EV therapeutic efficacy.

Main Methods:

  • Literature review of current research on EVs in cardiovascular repair.
  • Analysis of studies on MSCs and their therapeutic properties.
  • Examination of bioengineering techniques for EV modification.

Main Results:

  • MSCs exhibit immunomodulatory and anti-fibrotic properties beneficial for cardiac repair.
  • MSC-derived EVs show promise as cell-free therapeutic agents.
  • Bioengineering can enhance the targeted delivery and efficacy of EVs.

Conclusions:

  • EV-based therapies, particularly from MSCs, offer a promising avenue for cardiovascular regeneration.
  • EVs represent a potential advanced therapy medicinal product (ATMP) for treating heart damage.
  • Further research into bioengineered EVs could optimize treatments for heart disease.