PMID- 33207756 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20210630 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 9 IP - 11 DP - 2020 Nov 16 TI - Stem Cell Metabolism: Powering Cell-Based Therapeutics. LID - 10.3390/cells9112490 [doi] LID - 2490 AB - Cell-based therapeutics for cardiac repair have been extensively used during the last decade. Preclinical studies have demonstrated the effectiveness of adoptively transferred stem cells for enhancement of cardiac function. Nevertheless, several cell-based clinical trials have provided largely underwhelming outcomes. A major limitation is the lack of survival in the harsh cardiac milieu as only less than 1% donated cells survive. Recent efforts have focused on enhancing cell-based therapeutics and understanding the biology of stem cells and their response to environmental changes. Stem cell metabolism has recently emerged as a critical determinant of cellular processes and is uniquely adapted to support proliferation, stemness, and commitment. Metabolic signaling pathways are remarkably sensitive to different environmental signals with a profound effect on cell survival after adoptive transfer. Stem cells mainly generate energy through glycolysis while maintaining low oxidative phosphorylation (OxPhos), providing metabolites for biosynthesis of macromolecules. During commitment, there is a shift in cellular metabolism, which alters cell function. Reprogramming stem cell metabolism may represent an attractive strategy to enhance stem cell therapy for cardiac repair. This review summarizes the current literature on how metabolism drives stem cell function and how this knowledge can be applied to improve cell-based therapeutics for cardiac repair. FAU - Rigaud, Vagner O C AU - Rigaud VOC AUID- ORCID: 0000-0002-1194-9380 AD - Center for Metabolic Disease Research (CMDR), Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA. FAU - Hoy, Robert AU - Hoy R AUID- ORCID: 0000-0001-9000-5793 AD - Center for Metabolic Disease Research (CMDR), Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA. FAU - Mohsin, Sadia AU - Mohsin S AUID- ORCID: 0000-0002-2106-1094 AD - Cardiovascular Research Center (CVRC), Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA. FAU - Khan, Mohsin AU - Khan M AUID- ORCID: 0000-0001-7007-1048 AD - Center for Metabolic Disease Research (CMDR), Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA. AD - Department of Physiology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20201116 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Cell Proliferation/physiology MH - Energy Metabolism/*physiology MH - Glycolysis/*physiology MH - Humans MH - Oxidative Phosphorylation MH - *Stem Cell Transplantation/methods MH - Stem Cells/*cytology PMC - PMC7696341 OTO - NOTNLM OT - cell therapy OT - metabolic reprogramming OT - metabolism OT - myocardial injury OT - stem cells COIS- The authors declare no conflict of interest. EDAT- 2020/11/20 06:00 MHDA- 2021/07/01 06:00 PMCR- 2020/11/01 CRDT- 2020/11/19 01:02 PHST- 2020/10/09 00:00 [received] PHST- 2020/11/11 00:00 [revised] PHST- 2020/11/12 00:00 [accepted] PHST- 2020/11/19 01:02 [entrez] PHST- 2020/11/20 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2020/11/01 00:00 [pmc-release] AID - cells9112490 [pii] AID - cells-09-02490 [pii] AID - 10.3390/cells9112490 [doi] PST - epublish SO - Cells. 2020 Nov 16;9(11):2490. doi: 10.3390/cells9112490.