J Thorac Cardiovasc Surg 2005;130:1492-1493
© 2005 The American Association for Thoracic Surgery
Stem cell transplantation for ischemic cardiomyopathy: Hope or hype?
Vivek Rao, MD, PhD
*
Heart Transplant Program, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada
Received for publication August 12, 2005; accepted for publication August 16, 2005.
* Address for reprints: Vivek Rao, MD, PhD, 4N-464, 200 Elizabeth St, Toronto General Hospital, Toronto, Ontario M5G 2C4, Canada (Email: vivek.rao@uhn.on.ca).
| The first 20% of the full text of this article appears below. |
Until
recently, the adult mammalian heart was considered a terminally differentiated organ incapable of regeneration. Remarkable observational data reported by Anversa and others challenged this dogma and postulated that under appropriate circumstances, the myocardium does indeed have a limited regenerative capacity secondary to a population of pluripotent stem cells.
1,2
The last several years have seen a flurry of research activity into the promise of stem cell therapy for end-stage heart disease. The first clinical reports of feasibility further encouraged investigation into this exciting new field.
3
As with most new areas of investigation, once the excitement surrounding the initial discovery wanes, the real science begins.
4
In this issue of the Journal, Patel and colleagues
5
report preliminary data from a prospective randomized trial in patients subjected to hybrid surgical revascularization with or without autologous bone marrowderived stem cell injections. The authors are to be congratulated for providing the readership with one of the first prospective surgical evaluations of this new . . . [Full Text of this Article]
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Copyright © 2005 by The American Association for Thoracic Surgery.