2018
DOI: 10.1016/j.ymthe.2018.05.009
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Mesenchymal Stem Cell-Based Therapy for Cardiovascular Disease: Progress and Challenges

Abstract: Administration of mesenchymal stem cells (MSCs) to diseased hearts improves cardiac function and reduces scar size. These effects occur via the stimulation of endogenous repair mechanisms, including regulation of immune responses, tissue perfusion, inhibition of fibrosis, and proliferation of resident cardiac cells, although rare events of transdifferentiation into cardiomyocytes and vascular components are also described in animal models. While these improvements demonstrate the potential of stem cell therapy… Show more

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Cited by 249 publications
(177 citation statements)
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References 182 publications
(276 reference statements)
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“…Those drugs are slowly released from the exosomes and result in higher drug accumulation in target cells and longer blood circulation time and enhanced therapeutic efficacy 107 . MSC‐derived exosomes have been engineered as an efficient delivery system reported to exert higher anti–tumor efficacy and reduced toxicity 108,109 . For instance, BMSC‐derived exosomes encapsulated with doxorubicin are preferentially taken up by human epidermal growth factor receptor 2+ (HER2+) cells in vitro, leading to an inhibitory effect in a breast tumor model 110 .…”
Section: Introductionmentioning
confidence: 99%
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“…Those drugs are slowly released from the exosomes and result in higher drug accumulation in target cells and longer blood circulation time and enhanced therapeutic efficacy 107 . MSC‐derived exosomes have been engineered as an efficient delivery system reported to exert higher anti–tumor efficacy and reduced toxicity 108,109 . For instance, BMSC‐derived exosomes encapsulated with doxorubicin are preferentially taken up by human epidermal growth factor receptor 2+ (HER2+) cells in vitro, leading to an inhibitory effect in a breast tumor model 110 .…”
Section: Introductionmentioning
confidence: 99%
“…Currently, there are nine studies undergoing clinical trials, and they are listed in www.clinicaltrials.govhttp://. 109 A combination of ascites‐derived exosomes with granulocyte‐macrophage colony‐stimulating factor (GM‐CSF) underwent a phase I clinical trial for the treatment of advanced colorectal cancer, which was shown to be feasible and safe and also capable of triggering more CTL infiltration in tumor regions 112 . Another phase I clinical trial using exosome delivery of curcumin to colon tumors and normal colon tissue was started in 2011 and is estimated to end in 2020 (ClinicalTrials.gov identifier: NCT01294072).…”
Section: Introductionmentioning
confidence: 99%
“…To date, current clinical regimens largely rely on the administration of drugs and other therapeutic agents such as the stem cell and the growth factors (Madonna and De Caterina, 2011;Bagno et al, 2018), basing on the hypothesis that a certain disease consists of dysfunctional cells and molecules within healthy organs and body. As well known, on the one hand, drugs or other therapeutic materials need to overcome physiological barriers to reach targets sites and during the process of transporting them, potential adverse effects may be produced; on the other hand, another hamper is the retention time of agents in the injury site is not adequate for new vessel growth.…”
Section: Introductionmentioning
confidence: 99%
“…Mesenchymal stem cells (MSCs) therapy is widely used in the area of cardiovascular regeneration [1].…”
Section: Introductionmentioning
confidence: 99%