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Stem cell engraftment and survival in the ischemic heart
Authors:Wu Kai Hong  Mo Xu Ming  Han Zhong Chao  Zhou Bin
Affiliation:aDepartment of Cardiothoracic Surgery, Nanjing Children‘s Hospital, Nanjing Medical University, Nanjing, China;bNational Research Center for Stem Cell Engineering and Technology, State Key Laboratory of Experimental Hematology, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China;cInstitute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China
Abstract:Cellular therapy has emerged as a potentially novel treatment for severe ischemic heart disease, and there is increasing evidence that stem cell transplantation may improve the perfusion and contractile function of ischemic myocardium. However, the problem of poor donor cell engraftment and survival in ischemic myocardium limits the successful use of cellular therapy for treating ischemic heart disease. This review discusses the state-of-the-art understanding of the low level of cell engraftment and cell survival after transplantation into the ischemic heart, with a focus on the approaches that have been investigated for supporting and improving the survival and engraftment of transplanted cells in this setting.
Keywords:Abbreviations and Acronyms: ADSCs, adipose derived stem cells   Ang-1, angiopoietin-1   BM cells, bone marrow cells   CABG, coronary artery bypass grafting   ES cells, embryonic stem cells   FGF-2, fibroblast growth factor 2   GMP, good manufacturing practice   HIF-1α, hypoxia-inducible factor 1alpha   I/R:, ischemia/reoxygenation   ICD, cardioverter-defibrillator   IGF, insulin-like growth factor   MI, myocardial infarction   MSCs, mesenchymal stem cells   OPCABG, off-pump coronary artery bypass grafting   PBS, phosphate-buffered saline   SDF-1, stromal cell-derived factor 1   VEGF, vascular endothelial growth factor
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