PMID- 23807796 OWN - NLM STAT- MEDLINE DCOM- 20140123 LR - 20211021 IS - 1940-6029 (Electronic) IS - 1064-3745 (Print) IS - 1064-3745 (Linking) VI - 1036 DP - 2013 TI - Clinical trials of cardiac repair with adult bone marrow- derived cells. PG - 179-205 LID - 10.1007/978-1-62703-511-8_15 [doi] AB - The past decade has witnessed a marked increase in the number of clinical trials of cardiac repair with adult bone marrow cells (BMCs). These trials included patients with acute myocardial infarction (MI) as well as chronic ischemic heart disease (IHD) and utilized different types of BMCs with variable numbers, routes of administration, and timings after MI. Given these differences in methods, the outcomes from these trials have been often disparate and controversial. However, analysis of pooled data suggests that BMC injection enhances left ventricular function, reduces infarct scar size, and improves remodeling in patients with acute MI as well as chronic IHD. BMC therapy also improves clinical outcomes during follow-up without any increase in adverse effects. Although the underlying mechanisms of heart repair are difficult to elucidate in human studies, valuable insights may be gleaned from subgroup analysis of key variables. This information may be utilized to design future randomized controlled trials to carefully determine the long-term safety and benefits of BMC therapy. FAU - Jeevanantham, Vinodh AU - Jeevanantham V AD - Division of Cardiovascular Diseases, Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City, KS, USA. FAU - Afzal, Mohammad R AU - Afzal MR FAU - Zuba-Surma, Ewa K AU - Zuba-Surma EK FAU - Dawn, Buddhadeb AU - Dawn B LA - eng GR - R01 HL089939/HL/NHLBI NIH HHS/United States GR - R01 HL-89939/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Methods Mol Biol JT - Methods in molecular biology (Clifton, N.J.) JID - 9214969 RN - 0 (AC133 Antigen) RN - 0 (Antigens, CD) RN - 0 (Antigens, CD34) RN - 0 (Glycoproteins) RN - 0 (Peptides) SB - IM MH - AC133 Antigen MH - Acute Disease MH - Adult MH - Antigens, CD/metabolism MH - Antigens, CD34/metabolism MH - Bone Marrow Cells/*cytology MH - Bone Marrow Transplantation/*methods MH - Chronic Disease MH - *Clinical Trials as Topic MH - Glycoproteins/metabolism MH - Humans MH - Mesenchymal Stem Cells/*cytology MH - Meta-Analysis as Topic MH - Myocardial Infarction/*therapy MH - Myocardial Ischemia/*therapy MH - Peptides/metabolism PMC - PMC4270749 MID - NIHMS648014 COIS- Conflict of Interest: None EDAT- 2013/06/29 06:00 MHDA- 2014/01/24 06:00 PMCR- 2014/12/18 CRDT- 2013/06/29 06:00 PHST- 2013/06/29 06:00 [entrez] PHST- 2013/06/29 06:00 [pubmed] PHST- 2014/01/24 06:00 [medline] PHST- 2014/12/18 00:00 [pmc-release] AID - 10.1007/978-1-62703-511-8_15 [doi] PST - ppublish SO - Methods Mol Biol. 2013;1036:179-205. doi: 10.1007/978-1-62703-511-8_15.