Immunomodulatory effects of mesenchymal stromal cells revisited in the context of inflammatory cardiomyopathy.

Immunomodulatory effects of mesenchymal stromal cells revisited in the context of inflammatory cardiomyopathy.
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DOI:
10.1155/2013/353097
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发表时间:
2013
影响因子:
4.3
通讯作者:
Tschöpe C
Tschöpe C
中科院分区:
医学3区
文献类型:
--
作者:
Miteva K;Van Linthout S;Volk HD;Tschöpe C

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心肌炎是一种常见的炎症性心肌病,与心肌细胞凋亡相关,可导致慢性左心室功能障碍。在传统心力衰竭治疗下,炎症性心肌病通常呈进行性病程,表明需要替代治疗策略来改善长期结果。实验和临床研究一致支持细胞移植作为改善心肌功能的策略。间充质基质细胞(MSC)介导独特的旁分泌作用,支持内源性再生,但最重要的是其显着的免疫调节特性。在这篇综述中,将概述心肌炎免疫病理学的最新知识。此外,还将讨论目前有关 MSC 在心肌炎中的免疫调节特性的研究。最后,概述了环境引发的 MSC 对其功能的影响以及心肌炎下全身给药 MSC 的优势。
Myocarditis is a common inflammatory cardiomyopathy, associated with cardiomyocyte apoptosis, which can lead to chronic left ventricular dysfunction. Under conventional heart failure therapy, inflammatory cardiomyopathy typically has a progressive course, indicating a need for alternative therapeutic strategies to improve long-term outcomes. Experimental and clinical studies consistently support the application of cellular transplantation as a strategy to improve myocardial function. Mesenchymal stromal cells (MSCs) mediate distinct paracrine effects supporting endogenous regeneration, but most important are their remarkable immunoregulatory properties. In this review, an overview of current knowledge on immunopathology in myocarditis will be given. Furthermore, current research regarding the immunomodulatory properties of MSCs in the context of myocarditis will be discussed. Finally, the impact of MSC priming by the environment on their functionality and the advantages of systemic administration of MSCs under myocarditis are outlined.
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