PMID- 37600026 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230823 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 10 DP - 2023 TI - Targeted cell delivery of mesenchymal stem cell therapy for cardiovascular disease applications: a review of preclinical advancements. PG - 1236345 LID - 10.3389/fcvm.2023.1236345 [doi] LID - 1236345 AB - Cardiovascular diseases (CVD) continue to be the leading cause of morbidity and mortality globally and claim the lives of over 17 million people annually. Current management of CVD includes risk factor modification and preventative strategies including dietary and lifestyle changes, smoking cessation, medical management of hypertension and cholesterol lipid levels, and even surgical revascularization procedures if needed. Although these strategies have shown therapeutic efficacy in reducing major adverse cardiovascular events such as heart attack, stroke, symptoms of chronic limb-threatening ischemia (CLTI), and major limb amputation significant compliance by patients and caregivers is required and off-target effects from systemic medications can still result in organ dysfunction. Stem cell therapy holds major potential for CVD applications but is limited by the low quantities of cells that are able to traffic to and engraft at diseased tissue sites. New preclinical investigations have been undertaken to modify mesenchymal stem cells (MSCs) to achieve targeted cell delivery after systemic administration. Although previous reviews have focused broadly on the modification of MSCs for numerous local or intracoronary administration strategies, here we review recent preclinical advances related to overcoming challenges imposed by the high velocity and dynamic flow of the circulatory system to specifically deliver MSCs to ischemic cardiac and peripheral tissue sites. Many of these technologies can also be applied for the targeted delivery of other types of therapeutic cells for treating various diseases. CI - (c) 2023 Huerta, Voza, Ortiz, Liu and Velazquez. FAU - Huerta, Carlos Theodore AU - Huerta CT AD - DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, United States. FAU - Voza, Francesca A AU - Voza FA AD - DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, United States. FAU - Ortiz, Yulexi Y AU - Ortiz YY AD - DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, United States. FAU - Liu, Zhao-Jun AU - Liu ZJ AD - DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, United States. AD - Vascular Biology Institute, University of Miami Miller School of Medicine, Miami, FL, United States. AD - Department of Biochemistry & Molecular Biology, University of Miami Miller School of Medicine, Miami, FL, United States. FAU - Velazquez, Omaida C AU - Velazquez OC AD - DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, United States. AD - Vascular Biology Institute, University of Miami Miller School of Medicine, Miami, FL, United States. AD - Department of Biochemistry & Molecular Biology, University of Miami Miller School of Medicine, Miami, FL, United States. LA - eng PT - Journal Article PT - Review DEP - 20230804 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC10436297 OTO - NOTNLM OT - cardiovascular disease OT - cell-based therapy OT - chronic limb-threatening ischemia OT - mesenchymal stem cell OT - myocardial infarction OT - stem cell therapy OT - targeted cell delivery COIS- ZJ-L and OV declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: the E-selectin gene modification technologies described in referenced articles by ZJ-L and OV were developed in our research laboratory and patented/Licensed by the University of Miami. This technology is currently under pre-clinical development by Ambulero Inc., a new start-up company out of the University of Miami that focuses on developing new vascular treatments for ischemic conditions. Co-authors, ZJ-L and OV, serve as consultants and scientific and medical advisory officers in Ambulero Inc. OV and ZJ-L are co-inventors, co-principal investigators funded by the NIH and are minority share holders in Ambulero Inc. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/08/21 06:42 MHDA- 2023/08/21 06:43 PMCR- 2023/01/01 CRDT- 2023/08/21 04:39 PHST- 2023/06/07 00:00 [received] PHST- 2023/07/25 00:00 [accepted] PHST- 2023/08/21 06:43 [medline] PHST- 2023/08/21 06:42 [pubmed] PHST- 2023/08/21 04:39 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2023.1236345 [doi] PST - epublish SO - Front Cardiovasc Med. 2023 Aug 4;10:1236345. doi: 10.3389/fcvm.2023.1236345. eCollection 2023.