Strategies to Overcome the Barrier of Ischemic Microenvironment in Cell Therapy of Cardiovascular Disease

Int J Mol Sci. 2021 Feb 25;22(5):2312. doi: 10.3390/ijms22052312.

Abstract

The transplantation of various immune cell types are promising approaches for the treatment of ischemic cardiovascular disease including myocardial infarction (MI) and peripheral arterial disease (PAD). Major limitation of these so-called Advanced Therapy Medicinal Products (ATMPs) is the ischemic microenvironment affecting cell homeostasis and limiting the demanded effect of the transplanted cell products. Accordingly, different clinical and experimental strategies have been evolved to overcome these obstacles. Here, we give a short review of the different experimental and clinical strategies to solve these issues due to ischemic cardiovascular disease.

Keywords: Advanced Therapy Medicinal Product (ATMP); Ischemia/Reperfusion (I/R); Myocardial Infarction (MI); Peripheral Arterial Disease (PAD); cardiovascular disease; cell therapy.

Publication types

  • Review

MeSH terms

  • Animals
  • Cardiovascular Diseases / therapy
  • Cell Hypoxia / physiology
  • Cell Transplantation / instrumentation
  • Cell Transplantation / methods*
  • Cell- and Tissue-Based Therapy / instrumentation
  • Cell- and Tissue-Based Therapy / methods*
  • Cellular Microenvironment / drug effects
  • Hematopoietic Stem Cells / metabolism*
  • Humans
  • Intercellular Signaling Peptides and Proteins / pharmacology
  • Intercellular Signaling Peptides and Proteins / therapeutic use
  • Ischemia / therapy*
  • MicroRNAs / genetics
  • MicroRNAs / metabolism
  • Myocardial Infarction / immunology
  • Myocardial Infarction / therapy*
  • Neovascularization, Physiologic / drug effects*
  • Neovascularization, Physiologic / immunology
  • Peripheral Arterial Disease / immunology
  • Peripheral Arterial Disease / therapy*

Substances

  • Intercellular Signaling Peptides and Proteins
  • MicroRNAs