Optimizing Cardiac Repair and Regeneration Through Activation of the Endogenous Cardiac Stem Cell Compartment

  • Georgina M. Ellison
  • Bernardo Nadal-Ginard
  • Daniele Torella
Article

Abstract

Given the aging of the Western World and declining death rates due to acute coronary syndromes, the increasing trends in the magnitude and morbidity of heart failure (HF) are predicted to continue for the foreseeable future. It is imperative to develop effective therapies for the amelioration and prevention of HF. The search for the best cell type to be used in clinical protocols of cardiac regeneration is still on. That the adult mammalian heart harbors endogenous, multipotent cardiac stem/progenitor cells (eCSCs) and that cardiomyocytes are replaced throughout adulthood represent a paradigm shift in cardiovascular biology. The presence of eCSCs supports the view that the heart can repair itself if the eCSCs can be properly stimulated. Pending a better understanding of eCSC biology, it should be possible to replace autologous cell transplantation-based myocardial regeneration protocols with an “off-the-shelf,” readily available, and effective regenerative/reparative therapy based on activation of the eCSCs in situ.

Keywords

Endogenous cardiac stem/progenitor cells Growth factors Paracrine Allogeneic Myocardial regeneration Multipotent 

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Georgina M. Ellison
    • 1
    • 2
  • Bernardo Nadal-Ginard
    • 1
  • Daniele Torella
    • 2
    • 1
  1. 1.Stem Cell & Regenerative Biology Unit (BioStem), RISESLiverpool John Moores UniversityLiverpoolUK
  2. 2.Molecular and Cellular Cardiology, Department of Medical and Surgical SciencesMagna Graecia UniversityCatanzaroItaly

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