Stem Cells and Myocardial Regeneration (eBook)

Marc S. Penn (Herausgeber)

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2007 | 2007
400 Seiten
Humana Press (Verlag)
978-1-59745-272-4 (ISBN)

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Over the past 5 years there has been great excitement and controversy in the scientific, financial, and lay literature for the potential of stem cell-based strategies for the prev- tion and treatment of chronic heart failure (CHF). Not that long ago we believed we were born with a set number of cardiac myocytes and that once damaged there was no hope to replace them. The interest in the field stems from the magnitude of cardiovascular disease in the world. Our ability to treat and help patients survive acute myocardial infarction (MI) has resulted in a near epidemic of CHF. There are more than 5 million Americans who currently carry the diagnosis of CHF. With more than 1 million MIs a year in the United States, there are approx 500,000 new cases of CHF diagnosed each year. The goal of Stem Cells and Myocardial Regeneration is to present, in a coherent manner, the current state of knowledge of stem cell-based therapies for cardiac dysfunction, including current findings in both the laboratory and the clinic trials. The first section of this Stem Cells and Myocardial Regeneration focuses on the magnitude of the problem and the successes and failures of what we consider optimal medical therapy. It is on this background that stem cell-based therapy needs to build.
Over the past 5 years there has been great excitement and controversy in the scientific, financial, and lay literature for the potential of stem cell-based strategies for the prev- tion and treatment of chronic heart failure (CHF). Not that long ago we believed we were born with a set number of cardiac myocytes and that once damaged there was no hope to replace them. The interest in the field stems from the magnitude of cardiovascular disease in the world. Our ability to treat and help patients survive acute myocardial infarction (MI) has resulted in a near epidemic of CHF. There are more than 5 million Americans who currently carry the diagnosis of CHF. With more than 1 million MIs a year in the United States, there are approx 500,000 new cases of CHF diagnosed each year. The goal of Stem Cells and Myocardial Regeneration is to present, in a coherent manner, the current state of knowledge of stem cell-based therapies for cardiac dysfunction, including current findings in both the laboratory and the clinic trials. The first section of this Stem Cells and Myocardial Regeneration focuses on the magnitude of the problem and the successes and failures of what we consider optimal medical therapy. It is on this background that stem cell-based therapy needs to build.

PREFACE 7
CONTENTS 8
CONTRIBUTORS 10
The Challenge for Stem Cell Therapy 13
I CELLS OF INTEREST FOR MYOCARDIAL REGENERATION 19
Hematopoietic Stem Cells for Myocardial Regeneration 20
Mesenchymal Stem Cells for Cardiac Therapy 39
Multipotent Adult Progenitor Cells 54
Mesenchymal Progenitor Cells for Vascular Network Formation and Cardiac Muscle Regeneration 66
Umbilical Cord Blood Stem Cells for Myocardial Regeneration and Angiogenesis 76
Endogenous Cardiac Stem Cells 91
Embryonic Stem Cells for Myocardial Repair 109
II MECHANISMS AND CRITICAL PATHWAYS INVOLVED IN MYOCARDIAL REPAIR 126
Chemokine and Homing Factor Expression in Acute Myocardial Infarction and Chronic Heart Failure 127
Stem Cell Differentiation Toward a Cardiac Myocyte Phenotype 144
Electrical Coupling and/or Ventricular Tachycardia Risk of Cell Therapy 159
Cell Therapy for Myocardial Damage 167
III STRATEGIES FOR CELL DELIVERY: ADVANTAGES/DISADVANTAGES 178
Aspects of Percutaneous Cellular Cardiomyoplasty 179
Stem Cells and Myocardial Regeneration 186
IV STEM CELL-BASED CLINICAL TRIALS FOR CARDIAC DYSFUNCTION 208
Measures of Effective Cell-Based Therapy 209
A CHRONIC HEART FAILURE 224
Whole Bone Marrow Transplantation 225
Clinical Angioblast Therapy 246
Use of Skeletal Myoblasts for the Treatment of Chronic Heart Failure 260
B ACUTE MYOCARDIAL INFARCTION 275
Bone Marrow and Angioblast Transplantation 276
Strategies for Cytokine Modification and Stem Cell Mobilization for Acute Myocardial Infarction 284
SUMMARY/FUTURE CHALLENGES 294
Summary and Future Challenges 295
INDEX 301

Erscheint lt. Verlag 6.11.2007
Reihe/Serie Contemporary Cardiology
Zusatzinfo 400 p. 67 illus., 10 illus. in color.
Verlagsort Totowa
Sprache englisch
Themenwelt Medizinische Fachgebiete Innere Medizin Kardiologie / Angiologie
Naturwissenschaften Biologie Zellbiologie
Schlagworte angiogenesis • Cardiovascular • Cell • cell differentiation • Cytokine • heart • hematopoietic stem cell • Regeneration • Stem Cell • Stem Cells • Transplantation • vascular disease
ISBN-10 1-59745-272-6 / 1597452726
ISBN-13 978-1-59745-272-4 / 9781597452724
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