Stem cell therapy for cardiac regeneration: past, present, and future

Can J Physiol Pharmacol. 2024 Mar 1;102(3):161-179. doi: 10.1139/cjpp-2023-0202. Epub 2024 Jan 16.

Abstract

Cardiac disorders remain the leading cause of mortality worldwide. Current clinical strategies, including drug therapy, surgical interventions, and organ transplantation offer limited benefits to patients without regenerating the damaged myocardium. Over the past decade, stem cell therapy has generated a keen interest owing to its unique self-renewal and immune privileged characteristics. Furthermore, the ability of stem cells to differentiate into specialized cell types, has made them a popular therapeutic tool against various diseases. This comprehensive review provides an overview of therapeutic potential of different types of stem cells in reference to cardiovascular diseases. Furthermore, it sheds light on the advantages and limitations associated with each cell type. An in-depth analysis of the challenges associated with stem cell research and the hurdles for its clinical translation and their possible solutions have also been elaborated upon. It examines the controversies surrounding embryonic stem cells and the emergence of alternative approaches, such as the use of induced pluripotent stem cells for cardiac therapeutic applications. Overall, this review serves as a valuable resource for researchers, clinicians, and policymakers involved in the field of regenerative medicine, guiding the development of safe and effective stem cell-based therapies to revolutionize patient care.

Keywords: cardiac regeneration; induced pluripotent stem cells; mesenchymal stem cells; myocardial ischemia.

Publication types

  • Review

MeSH terms

  • Embryonic Stem Cells
  • Heart Diseases* / metabolism
  • Heart Diseases* / therapy
  • Heart*
  • Humans
  • Regeneration
  • Stem Cell Transplantation