PMID- 17574919 OWN - NLM STAT- MEDLINE DCOM- 20071001 LR - 20081121 IS - 1471-4914 (Print) IS - 1471-4914 (Linking) VI - 13 IP - 7 DP - 2007 Jul TI - Bone marrow cell-mediated cardiovascular repair: potential of combined therapies. PG - 278-86 AB - Recent evidence indicates that bone-marrow cells (BMCs) can contribute to the healing process of the injured cardiovascular system via the chemokine receptor CXCR4/SDF-1, thymosin beta(4) and integrin alpha(4)beta(1) molecular pathways. During tissue ischemia overwhelming numbers of detrimental oxygen radicals are generated, and therefore treatment with antioxidants and L-arginine, the precursor of nitric oxide (NO), could induce beneficial effects beyond those achieved by BMC transplantation alone. Recent studies have reported that BMCs have enhanced neovascularization capacity in cotreatment with alpha-tocopherol (vitamin E), ascorbic acid (vitamin C) and L-arginine. Moreover, BMC therapy can be combined with gene therapy. Clinical trials employing BMCs in the treatment of cardiovascular diseases have been completed with mixed or positive results, and several trials are ongoing. Here, we discuss the clinical potential of BMC transplantation alone and in combined therapy that aims to restore organ vascularization and function. We also consider the mechanisms of mobilization, differentiation and incorporation of BMCs. FAU - Napoli, Claudio AU - Napoli C AD - Department of General Pathology, Division of Clinical Pathology and Excellence Research Center on Cardiovascular Diseases, 1st School of Medicine, II University of Naples, Italy. claunap@tin.it FAU - Maione, Ciro AU - Maione C FAU - Schiano, Concetta AU - Schiano C FAU - Fiorito, Carmela AU - Fiorito C FAU - Ignarro, Louis J AU - Ignarro LJ LA - eng PT - Journal Article DEP - 20070615 PL - England TA - Trends Mol Med JT - Trends in molecular medicine JID - 100966035 SB - IM MH - Animals MH - Bone Marrow Cells/*physiology MH - *Bone Marrow Transplantation MH - Cardiovascular Diseases/surgery/*therapy MH - *Cardiovascular Physiological Phenomena MH - Cardiovascular System/metabolism MH - Cell Proliferation MH - Clinical Trials as Topic MH - Combined Modality Therapy MH - Humans MH - Models, Biological MH - Peripheral Vascular Diseases/therapy MH - Regeneration MH - Stem Cells/metabolism MH - *Wound Healing EDAT- 2007/06/19 09:00 MHDA- 2007/10/02 09:00 CRDT- 2007/06/19 09:00 PHST- 2006/08/04 00:00 [received] PHST- 2007/04/26 00:00 [revised] PHST- 2007/05/25 00:00 [accepted] PHST- 2007/06/19 09:00 [pubmed] PHST- 2007/10/02 09:00 [medline] PHST- 2007/06/19 09:00 [entrez] AID - S1471-4914(07)00103-7 [pii] AID - 10.1016/j.molmed.2007.05.004 [doi] PST - ppublish SO - Trends Mol Med. 2007 Jul;13(7):278-86. doi: 10.1016/j.molmed.2007.05.004. Epub 2007 Jun 15.