Therapeutic angiogenesis by autologous transplantation of bone marrow mononuclear cells for peripheral artery disease

2007 ◽  
Vol 1299 ◽  
pp. 203-209 ◽  
Author(s):  
Kazuhiro Nagai ◽  
Ichiroh Matsumaru ◽  
Takuya Fukushima ◽  
Yasushi Miyazaki ◽  
Hiroichiroh Yamaguchi ◽  
...  
2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Munehisa Shimamura ◽  
Hironori Nakagami ◽  
Hiroshi Koriyama ◽  
Ryuichi Morishita

Gene therapy and cell-based therapy have emerged as novel therapies to promote therapeutic angiogenesis in critical limb ischemia (CLI) caused by peripheral artery disease (PAD). Although researchers initially focused on gene therapy using proangiogenic factors, such as vascular endothelial growth factor (VEGF), fibroblast growth factor (FGF), and hepatocyte growth factors (HGF), cell therapy using bone marrow mononuclear cells (BMMNCs), mesenchymal stem cells (BMMSCs), G-CSF-mobilized peripheral blood mononuclear cells (M-PBMNCs), and endothelial progenitor cells (EPCs) have also been extensively studied. Based on the elaborate studies and favorable results of basic research, some clinical phase I/II trials have been performed, and the results demonstrate the safety of these approaches and their potential for symptomatic improvement in CLI. However, the phase 3 clinical trials have thus far been limited to gene therapy using the HGF gene. Further studies using well-designed larger placebo-controlled and long-term randomized control trials (RCTs) will clarify the effectiveness of gene therapy and cell-based therapy for the treatment of CLI. Furthermore, the development of efficient gene transfer systems and effective methods for keeping transplanted cells healthy will make these novel therapies more effective and ease the symptoms of CLI.


Circulation ◽  
1995 ◽  
Vol 91 (11) ◽  
pp. 2687-2692 ◽  
Author(s):  
Jeffrey M. Isner ◽  
Kenneth Walsh ◽  
James Symes ◽  
Ann Pieczek ◽  
Satoshi Takeshita ◽  
...  

The Lancet ◽  
2002 ◽  
Vol 360 (9350) ◽  
pp. 2083 ◽  
Author(s):  
Shoichi Inaba ◽  
Kensuke Egashira ◽  
Kimihiro Komori

2012 ◽  
Vol 5 (1) ◽  
pp. 46-55 ◽  
Author(s):  
Koen E.A. van der Bogt ◽  
Alwine A. Hellingman ◽  
Maarten A. Lijkwan ◽  
Ernst-Jan Bos ◽  
Margreet R. de Vries ◽  
...  

2012 ◽  
Vol 17 (3) ◽  
pp. 174-192 ◽  
Author(s):  
Geoffrey O Ouma ◽  
Rebecca A Jonas ◽  
M Haris U Usman ◽  
Emile R Mohler

Circulation ◽  
2006 ◽  
Vol 114 (24) ◽  
pp. 2679-2684 ◽  
Author(s):  
Koji Miyamoto ◽  
Kazuhiro Nishigami ◽  
Noritoshi Nagaya ◽  
Koichi Akutsu ◽  
Masaaki Chiku ◽  
...  

Gene ◽  
2013 ◽  
Vol 525 (2) ◽  
pp. 220-228 ◽  
Author(s):  
Anna Grochot-Przeczek ◽  
Jozef Dulak ◽  
Alicja Jozkowicz

2020 ◽  
Vol 40 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Gian Paolo Fadini ◽  
Gaia Spinetti ◽  
Marianna Santopaolo ◽  
Paolo Madeddu

Diabetes mellitus increases the risk and accelerates the course of peripheral artery disease, making patients more susceptible to ischemic events and infections and delaying tissue healing. Current understanding of pathogenic mechanisms is mainly based on the negative influence of diabetes mellitus on atherosclerotic disease and inflammation. In recent years, the novel concept that diabetes mellitus can impinge on endogenous regenerative processes has been introduced. Diabetes mellitus affects regeneration at the local level, disturbing proper angiogenesis, collateral artery formation, and muscle repair. Recent evidence indicates that an impairment in vascular mural cells, alias pericytes, may participate in diabetic peripheral vasculopathy. Moreover, the bone marrow undergoes a global remodeling, consisting of microvessels and sensory neurons rarefaction and fat accumulation, which creates a hostile microenvironment for resident stem cells. Bone marrow remodeling is also responsible for detrimental systemic effects. In particular, the aid of reparative cells from the bone marrow is compromised: these elements are released in an improper manner and become harmful vectors of inflammatory and antiangiogenic molecules and noncoding RNAs. This new understanding of impaired regeneration is inspiring new therapeutic options for the treatment of ischemic complications in people with diabetes mellitus.


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