Lights and shadows in cardiac regeneration

Given that the adult human heart has an extremely limited regenerative capacity, diseases characterized by contractile cell loss, as myocardial infarction and cardiomyopathies, lead to ventricular remodeling and heart failure. Hence, diverse strategies to promote myocardial regeneration have been pr...

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Detalles Bibliográficos
Autores principales: Giménez, Carlos Sebastián, Crottogini, Alberto José
Formato: Articulo Revision
Lenguaje:Inglés
Publicado: 2019
Materias:
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/126790
https://pmr.safisiol.org.ar/archive/id/108
Aporte de:
id I19-R120-10915-126790
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Cardiac regeneration
Regeneración cardíaca
spellingShingle Ciencias Médicas
Cardiac regeneration
Regeneración cardíaca
Giménez, Carlos Sebastián
Crottogini, Alberto José
Lights and shadows in cardiac regeneration
topic_facet Ciencias Médicas
Cardiac regeneration
Regeneración cardíaca
description Given that the adult human heart has an extremely limited regenerative capacity, diseases characterized by contractile cell loss, as myocardial infarction and cardiomyopathies, lead to ventricular remodeling and heart failure. Hence, diverse strategies to promote myocardial regeneration have been proposed and assessed in animals and humans with ischemic heart disease. Of these, gene transfer and especially stem cell therapy have been used. So far, the overall main outcome is a gross disparity between the promising results obtained in mammalian models and the poor, if any, benefit observed in randomized, controlled clinical trials. Many reasons may account for this disappointing scenario. Some, including flawed trial design and methodology, differences in cell type and dosing as well as in route of administration, erroneous end points selection and heterogeneous patient populations have been extensively discussed in comprehensive reviews. Others, more recently addressed, signal the use of inadequate or non-precise laboratory techniques in cell identification and fate, this leading to precarious or misleading conclusions. We hereby summarize part of the work done and quote some new approaches, like the use of induced pluripotent stem cells and the promotion of selfregeneration by targeting the adult cardiomyocyte cell cycle, that may cast some light in the otherwise shadowy field of cardiac regeneration.
format Articulo
Revision
author Giménez, Carlos Sebastián
Crottogini, Alberto José
author_facet Giménez, Carlos Sebastián
Crottogini, Alberto José
author_sort Giménez, Carlos Sebastián
title Lights and shadows in cardiac regeneration
title_short Lights and shadows in cardiac regeneration
title_full Lights and shadows in cardiac regeneration
title_fullStr Lights and shadows in cardiac regeneration
title_full_unstemmed Lights and shadows in cardiac regeneration
title_sort lights and shadows in cardiac regeneration
publishDate 2019
url http://sedici.unlp.edu.ar/handle/10915/126790
https://pmr.safisiol.org.ar/archive/id/108
work_keys_str_mv AT gimenezcarlossebastian lightsandshadowsincardiacregeneration
AT crottoginialbertojose lightsandshadowsincardiacregeneration
bdutipo_str Repositorios
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