Paracrine mechanisms in adult stem cell signaling and therapy

Massimiliano Gnecchi, Zhiping Zhang, Aiguo Ni, Victor J. Dzau

Research output: Contribution to journalArticle

1287 Citations (Scopus)

Abstract

Animal and preliminary human studies of adult cell therapy following acute myocardial infarction have shown an overall improvement of cardiac function. Myocardial and vascular regeneration have been initially proposed as mechanisms of stem cell action. However, in many cases, the frequency of stem cell engraftment and the number of newly generated cardiomyocytes and vascular cells, either by transdifferentiation or cell fusion, appear too low to explain the significant cardiac improvement described. Accordingly, we and others have advanced an alternative hypothesis: the transplanted stem cells release soluble factors that, acting in a paracrine fashion, contribute to cardiac repair and regeneration. Indeed, cytokines and growth factors can induce cytoprotection and neovascularization. It has also been postulated that paracrine factors may mediate endogenous regeneration via activation of resident cardiac stem cells. Furthermore, cardiac remodeling, contractility, and metabolism may also be influenced in a paracrine fashion. This article reviews the potential paracrine mechanisms involved in adult stem cell signaling and therapy.

Original languageEnglish
Pages (from-to)1204-1219
Number of pages16
JournalCirculation Research
Volume103
Issue number11
DOIs
Publication statusPublished - Nov 21 2008

Fingerprint

Adult Stem Cells
Cell- and Tissue-Based Therapy
Stem Cells
Regeneration
Blood Vessels
Cell Transdifferentiation
Cytoprotection
Cell Fusion
Cardiac Myocytes
Intercellular Signaling Peptides and Proteins
Cell Count
Myocardial Infarction
Cytokines

Keywords

  • Adult stem cells
  • Cytoprotection
  • Neovascularization
  • Paracrine signaling
  • Regeneration

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Paracrine mechanisms in adult stem cell signaling and therapy. / Gnecchi, Massimiliano; Zhang, Zhiping; Ni, Aiguo; Dzau, Victor J.

In: Circulation Research, Vol. 103, No. 11, 21.11.2008, p. 1204-1219.

Research output: Contribution to journalArticle

Gnecchi, Massimiliano ; Zhang, Zhiping ; Ni, Aiguo ; Dzau, Victor J. / Paracrine mechanisms in adult stem cell signaling and therapy. In: Circulation Research. 2008 ; Vol. 103, No. 11. pp. 1204-1219.
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