Cell therapies for therapeutic angiogenesis: back to the bench

Vasc Med. 2009 May;14(2):153-66. doi: 10.1177/1358863X08098698.

Abstract

The discovery, over a decade ago, of endothelial progenitor cells that are able to participate in neovascularization of adult tissue has been greeted enthusiastically because of the potential for new cell-based therapies for therapeutic angiogenesis. Since that time, an ever-growing list of candidate cells has been proposed for cardiovascular regeneration. However, to date, pre-clinical and clinical studies evaluating the therapeutic potential of various cell therapies have reported conflicting results, generating controversy. Key issues within the field of cell therapy research include a lack of uniform cellular definitions, as well as inadequate functional characterization of the role of putative stem/progenitor cells in angiogenesis. Given the mixed results of initial clinical studies, there is now a scientific imperative to understand better the vascular biology of candidate cells in order to better translate cell therapy to the bedside. This review will provide a translationally relevant overview of the biology of candidate stem/progenitor cells for therapeutic angiogenesis.

Publication types

  • Review

MeSH terms

  • Adult
  • Adult Stem Cells / transplantation*
  • Animals
  • Cardiovascular Diseases / physiopathology
  • Cardiovascular Diseases / surgery*
  • Cell Differentiation
  • Cell Lineage
  • Cell Movement
  • Cell Proliferation
  • Embryonic Stem Cells / transplantation*
  • Endothelial Cells / transplantation*
  • Humans
  • Neovascularization, Physiologic*
  • Stem Cell Transplantation* / adverse effects
  • Stem Cell Transplantation* / methods
  • Treatment Outcome