PMID- 37029069 OWN - NLM STAT- MEDLINE DCOM- 20230807 LR - 20230807 IS - 1444-2892 (Electronic) IS - 1443-9506 (Linking) VI - 32 IP - 7 DP - 2023 Jul TI - Cardiac Regeneration Using Pluripotent Stem Cells and Controlling Immune Responses. PG - 836-843 LID - S1443-9506(23)00108-7 [pii] LID - 10.1016/j.hlc.2022.12.014 [doi] AB - Pluripotent stem cell (PSC)-derived cardiomyocytes are a promising source of cells in myocardial regeneration therapy for end-stage heart failure. Because most previous reports have focussed on xenotransplantation models using immunocompromised animals, studies on immune rejection in allogeneic transplantation models are needed for preclinical and clinical applications. Human leukocyte antigen (HLA) plays an important role in allogeneic transplantation, and cell bank projects are currently underway worldwide to stock induced pluripotent stem cells (iPSCs) generated from healthy individuals with homozygous HLA haplotypes. However, it is difficult to stock iPSCs that match the entire population in these cell banks; thus, several groups have produced hypoimmunogenic PSCs by knocking out HLA. These HLA-knockout PSCs were able to avoid rejection by T cells but still suffered rejection by natural killer (NK) cells caused by 'missing self-recognition'. Recent studies have attempted to generate hypoimmunogenic PSCs with gene editing to inhibit NK cell activation. Regenerative medicine using autologous iPSCs can be an ideal transplantation therapy, but, currently, there are major hurdles to its practical application. Hopefully, further research will resolve these issues. This review provides an overview of the current understanding and progress in this field. CI - Copyright (c) 2023 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved. FAU - Ichimura, Hajime AU - Ichimura H AD - Department of Regenerative Science and Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Department of Surgery, Division of Cardiovascular Surgery, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Chino, Shuji AU - Chino S AD - Department of Surgery, Division of Cardiovascular Surgery, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Shiba, Yuji AU - Shiba Y AD - Department of Regenerative Science and Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Institute for Biomedical Sciences, Shinshu University, Matsumoto, Japan. Electronic address: yshiba@shinshu-u.ac.jp. LA - eng PT - Journal Article PT - Review DEP - 20230405 PL - Australia TA - Heart Lung Circ JT - Heart, lung & circulation JID - 100963739 SB - IM MH - Animals MH - Humans MH - *Pluripotent Stem Cells MH - *Induced Pluripotent Stem Cells MH - Myocytes, Cardiac MH - Immunity MH - Regeneration OTO - NOTNLM OT - Allogeneic transplantation OT - Cardiomyocytes OT - Pluripotent stem cells EDAT- 2023/04/08 06:00 MHDA- 2023/08/07 06:42 CRDT- 2023/04/07 22:05 PHST- 2022/07/22 00:00 [received] PHST- 2022/11/02 00:00 [revised] PHST- 2022/12/05 00:00 [accepted] PHST- 2023/08/07 06:42 [medline] PHST- 2023/04/08 06:00 [pubmed] PHST- 2023/04/07 22:05 [entrez] AID - S1443-9506(23)00108-7 [pii] AID - 10.1016/j.hlc.2022.12.014 [doi] PST - ppublish SO - Heart Lung Circ. 2023 Jul;32(7):836-843. doi: 10.1016/j.hlc.2022.12.014. Epub 2023 Apr 5.