Rationale: Cardiac stem cells (CSC) therapy has been clinically introduced for cardiac repair after myocardial infarction (MI). To date, there has been no systematic overview and meta-analysis of studies using CSC therapy for MI.Objective: Here, we used meta-analysis to establish the overall effect of CSCs in preclinical studies and assessed translational differences between and within large and small animals in the CSC therapy field. In addition, we explored the effect of CSC type and other clinically relevant parameters on functional outcome to better predict and design future (pre)clinical studies using CSCs for MI. Methods and Results:A systematic search was performed, yielding 80 studies. We determined the overall effect of CSC therapy on left ventricular ejection fraction and performed meta-regression to investigate clinically relevant parameters. We also assessed the quality of included studies and possible bias. The overall effect observed in CSC-treated animals was 10.7% (95% confidence interval 9.4-12.1; P<0.001) improvement in ejection fraction compared with placebo controls. Interestingly, CSC therapy had a greater effect in small animals compared with large animals (P<0.001). Meta-regression indicated that cell type was a significant predictor for ejection fraction improvement in small animals. Minor publication bias was observed in small animal studies. Conclusions:
The autonomic nervous system (cANS) is essential for proper heart function, and complications such as heart failure, arrhythmias and even sudden cardiac death are associated with an altered cANS function. A changed innervation state may underlie (part of) the atrial and ventricular arrhythmias observed after myocardial infarction. In other cardiac diseases, such as congenital heart disease, autonomic dysfunction may be related to disease outcome. This is also the case after heart transplantation, when the heart is denervated. Interest in the origin of the autonomic nerve system has renewed since the role of autonomic function in disease progression was recognized, and some plasticity in autonomic regeneration is evident. As with many pathological processes, autonomic dysfunction based on pathological innervation may be a partial recapitulation of the early development of innervation. As such, insight into the development of cardiac innervation and an understanding of the cellular background contributing to cardiac innervation during different phases of development is required. This review describes the development of the cANS and focuses on the cellular contributions, either directly by delivering cells or indirectly by secretion of necessary factors or cell-derivatives.
Cardiac-derived stem or progenitor cells (CSCs) have emerged as a possible therapeutic intervention for myocardial infarction, potentially ameliorating the devastating effects caused by inadequate blood flow to the heart. The first human clinical trials using these myocardial-derived cells have recently started, but scientific controversy exists regarding the efficacy and origin of some of these stem cells in preclinical animal models. Systematic review of the current literature on CSCs in ischaemic cardiomyopathy can provide useful additional information on the use of CSCs in preclinical trials. By combining all available data, we can adequately compare the different types of cells being used and possibly identify factors that influence cardiac stem cell therapy in general. This protocol provides a thorough description of the methodology that will be used in our systematic review and meta-analysis of all preclinical animal studies involving cardiac stem cell treatment for ischaemic cardiomyopathy.
Essential oils are well-known for their antimicrobial activity against different plant and human pathogenic microorganisms. The results of the most commonly used antimicrobial assays are very different; sometimes their reliability is questionable, therefore standardized methods need to be used to solve this problem. The present study aims at the phytochemical characterization of some essential oils (thyme, lavender, eucalyptus, spearmint and cinnamon) that are important from the therapeutic and economic aspects and the optimized microbiological investigation of the effect of essential oils on human and plant pathogenic microorganisms. The chemical composition of the essential oils was analysed with thin-layer chromatography (TLC) and their composition was controlled by gas chromatography (GC). The antibacterial effect was investigated using the TLC-bioautographic method. The solvents applied in TLC developing systems were also tested. Our results showed that toluene, ethyl acetate, ethanol and chloroform as solvents used in the assay had no inhibiting effect on the test bacteria. The antibacterial activity of thyme, lavender and cinnamon oils and their main components (thymol, carvacrol, linalool, eugenol) was observed in the case of two plant pathogenic bacteria (Xanthomonas campestris pv. vesicatoria and Pseudomonas syringae pv. phaseolicola) and some human pathogens (Staphylococcus epidermidis, S. saprophyticus and two strains of S. aureus, including one methicillin-resistant strain). On the whole, the antibacterial activity of essential oils can be related to their most abundant components, but the effect of the minor components should also be taken into consideration. Direct bioautography is more cost-effective and compares better with traditional microbiological laboratory methods (e.g. disc-diffusion, agar-plate technique).
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