Application of Adipose-Derived Stem Cells in Heart Disease
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Abstract
Therapy with mesenchymal stem cells is one of the promising tools to improve outcomes after myocardial infarction. Adipose-derived stem cells (ASCs) are an ideal source of mesenchymal stem cells due to their abundance and ease of preparation. Studies in animal models of myocardial infarction have demonstrated the ability of injected ASCs to engraft and differentiate into cardiomyocytes and vasculature cells. ASCs secrete a wide array of angiogenic and anti-apoptotic paracrine factors such as vascular endothelial growth factor, hepatocyte growth factor, and insulin-like growth factor 1. ASCs are capable of enhancing heart function, reducing myocardial infarction, promoting vascularization, and reversing remodeling in the ischemically injured hearts. Furthermore, several ongoing clinical trials using ASCs are producing promising results for heart diseases. This article reviews the isolation, differentiation, immunoregulatory properties, mechanisms of action, animal models, and ongoing clinical trials of ASCs for cardiac disease.
Keywords
Adipose-derived stem cells Heart disease Myocardial infarction Mesenchymal stem cellsAbbreviations
- ASCs
Adipose-derived stem cells
- MI
Myocardial infarction
- MSCs
Mesenchymal stem cells
- BM
Bone marrow
- SVF
Stromal vascular fraction
- VEGF
Vascular endothelial growth factor
- COX-2
Cyclooxygenase-2
- PGE-2
Prostaglandin E2
- HGF
Hepatocyte growth factor
- Tregs
Regulatory T cells
- GVHD
Graft-versus-host disease
- IGF-I
Insulin-like growth factor 1
- eNOS
Endothelial nitric oxide synthase
- ADRCs
Adipose-derived stem and regenerative cells
Notes
Funding
This work was supported by the National Natural Science Foundation of China (81270068), Zhejiang Health Bureau Cultivation Plan (2014PYA020), and Shaoxing 330 Plan to JX and the National Natural Science Foundation of China (81272139) and the National Science and Technology Support Program (2012BAI04B05) to QS.
Conflict of Interest
The authors declare that they have no competing interests.
Supplementary material
References
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