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Brain & Heart





                                        MINI-REVIEW
                                        Therapeutic potential of mesenchymal stem

                                        cells and their mechanisms of regeneration for
                                        cardiac diseases



                                                                                  1
                                                                                                        1
                                        Merlin Sobia Poomani , Varshini Radhakrishnan , Senolin Bindhia James ,
                                                           1
                                        Krishnaveni Muthan , and Venkatesh Subramanian *
                                                          2
                                                                                     1
                                        1 Department of Biotechnology, Manonmaniam Sundaranar University, Tirunelveli, Tamil Nadu, India
                                        2 Department of Animal Science, Manonmaniam Sundaranar University, Tirunelveli, Tamil Nadu, India

                                        Abstract

                                        Ischemic  heart disease  remains  a  major  contributor  to  mortality  and  disability
                                        despite significant advancements in traditional treatments. This threat underscores
                                        the need for exploring innovative cell-based therapies. The analysis of various stem
                                        and progenitor cells’ capacity to promote heart regeneration has led to encouraging
                                        outcomes in preclinical and clinical experiments. Mesenchymal stem cells (MSCs)
                                        have demonstrated the ability to contribute to heart regeneration through several
                                        pathways, including differentiation from the mesoderm lineage, immunomodulatory
                                        characteristics, and paracrine actions. In addition, their accessibility, maintenance,
                                        and capacity to replenish endogenous stem cell niches render them appropriate for
            *Corresponding author:      cutting-edge research. This review outlines the robust mechanism underpinning
            Venkatesh Subramanian       MSC-based heart regeneration, presents the potential therapeutic uses of MSCs for
            (venkatesh@msuniv.ac.in)
                                        ischemic heart disease, and highlights some preclinical findings.
            Citation: Poomani MS,
            Radhakrishnan V, James SB,
            Muthan K, Subramanian V.    Keywords: Mesenchymal stem cells; Exosomes; Cardiac diseases; Clinical trials;
            Therapeutic potential of    Regeneration
            mesenchymal stem cells and their
            mechanisms of regeneration for
            cardiac diseases. Brain & Heart.
            2024;2(1):2065.
            https://doi.org/10.36922/bh.2065   1. Introduction
            Received: October 18, 2023
                                        A cardiac disorder known as ischemic heart disease (IHD) is characterized by a decrease
            Accepted: November 30, 2023  in the blood and oxygen flow in the heart. It is a major factor in cardiovascular diseases
            Published Online: February 13, 2024  (CVDs) and may be the cause of myocardial infarction (MI) and heart failure. Heart
                                        failure is a condition that is on the rise and is prevalent in urbanized countries.  MI
                                                                                                          1
            Copyright: © 2024 Author(s).
            This is an Open-Access article   results from insufficient oxygen supply to the cardiomyocytes, leading to a switch from
            distributed under the terms of the   mitochondrial aerobic respiration to anaerobic glycolysis, causing nutrient depletion
            Creative Commons Attribution   and reduced clearance of metabolic end products. Cardiomyocytes lose their function
            License, permitting distribution,
                                                                                                             2
            and reproduction in any medium,   and structure and are the primary cause of ischemic conditions and heart failure.
            provided the original work is   Cell-based therapy as a method of regenerative medicine is one of the most promising
            properly cited.             disciplines in medicine. Mesenchymal stem cells (MSCs) are an optimal cell source for
            Publisher’s Note: AccScience   tissue regeneration due to their availability from sources such as bone marrow (BM),
            Publishing remains neutral with   fat, and synovium. They can differentiate into diverse cell lineages tailored to specific
            regard to jurisdictional claims in        3
            published maps and institutional   biomedical needs.  This review concentrates on the application of MSCs and their
            affiliations.               paracrine effects in MI to reverse dysfunction. The analysis also explores clinical studies



            Volume 2 Issue 1 (2024)                         1                         https://doi.org/10.36922/bh.2065
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