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Therapeutic Use of Stem Cells for Myocardial Infarction

机译:干细胞在心肌梗死中的治疗用途

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摘要

Myocardial infarction is a leading cause of morbidity and mortality worldwide. Although medical and surgical treatments can significantly improve patient outcomes, no treatment currently available is able to generate new contractile tissue or reverse ischemic myocardium. Driven by the recentovel understanding that regenerative processes do exist in the myocardium—tissue previously thought not to possess regenerative properties—the use of stem cells has emerged as a promising therapeutic approach with high expectations. The literature describes the use of cells from various sources, categorizing them as either embryonic, induced pluripotent, or adult/tissue stem cells (mesenchymal, hematopoietic, skeletal myoblasts, cardiac stem cells). Many publications show the successful use of these cells to regenerate damaged myocardium in both animal and human models; however, more studies are needed to directly compare cells of various origins in efforts to draw conclusions on the ideal source. Although numerous challenges exist in this developing area of research and clinical practice, prospects are encouraging. The following aims to provide a concise review outlining the different types of stem cells used in patients after myocardial infarction.
机译:心肌梗塞是全世界发病率和死亡率的主要原因。尽管医学和外科治疗可以显着改善患者的预后,但目前尚无可用的治疗能够产生新的收缩组织或逆转缺血性心肌。在最近/新颖的认识上,再生过程确实存在于心肌中(以前认为该组织不具有再生特性),这种驱动推动了对干细胞的使用,这是一种寄予厚望的有前途的治疗方法。文献描述了来自各种来源的细胞的用途,将其分类为胚胎干细胞,诱导多能干细胞或成年/组织干细胞(间充质,造血,骨骼成肌细胞,心脏干细胞)。许多出版物显示在动物和人类模型中成功使用这些细胞再生受损的心肌。然而,需要更多的研究来直接比较各种来源的细胞,以期在理想来源上得出结论。尽管在这一研究和临床实践的发展领域中存在众多挑战,但前景令人鼓舞。以下目的是简要概述心肌梗塞后患者使用的干细胞类型。

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