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Cardiac stem cells: Current knowledge and future prospects
Authors:Radwa A Mehanna  Marwa M Essawy  Mona A Barkat  Ashraf K Awaad  Eman H Thabet  Heba A Hamed  Hagar Elkafrawy  Nehal A Khalil  Abeer Sallam  Marwa A Kholief  Samar S Ibrahim  Ghada M Mourad
Abstract:Regenerative medicine is the field concerned with the repair and restoration of the integrity of damaged human tissues as well as whole organs. Since the inception of the field several decades ago, regenerative medicine therapies, namely stem cells, have received significant attention in preclinical studies and clinical trials. Apart from their known potential for differentiation into the various body cells, stem cells enhance the organ's intrinsic regenerative capacity by altering its environment, whether by exogenous injection or introducing their products that modulate endogenous stem cell function and fate for the sake of regeneration. Recently, research in cardiology has highlighted the evidence for the existence of cardiac stem and progenitor cells (CSCs/CPCs). The global burden of cardiovascular diseases’ morbidity and mortality has demanded an in-depth understanding of the biology of CSCs/CPCs aiming at improving the outcome for an innovative therapeutic strategy. This review will discuss the nature of each of the CSCs/CPCs, their environment, their interplay with other cells, and their metabolism. In addition, important issues are tackled concerning the potency of CSCs/CPCs in relation to their secretome for mediating the ability to influence other cells. Moreover, the review will throw the light on the clinical trials and the preclinical studies using CSCs/CPCs and combined therapy for cardiac regeneration. Finally, the novel role of nanotechnology in cardiac regeneration will be explored.
Keywords:Cardiac stem and progenitor cells  Cardiac stem cells’ secretome  Cardiac stem cells’ niche and metabolism  Nanotechnology  Clinical trials  Combined therapy
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