Use of the systemic transplantation of cardiomyoblasts produced from mesenchymal stem cells of autologous bone marrow during complex therapy of patients with chronic heart failure
A.F. Tsyb, AG. Konoplyannikov, M.A. Kaplan, O.E. Popovkina, L.A. Lepechina, S.Sh. Kalsina, I.V. Semenkova, E.V. Agaeva, A.A. Danilenko
I the Medial Radiological Research Center of RAMS, Obninsk
Keywords:
chronic heart failure, cell therapy, autologous mesenchymal stem cells, cardiomyoblast
In the pilot clinical study we investigated the effect of systemic
[intravenous] transplantation of cardiomyoblasts which have been received by
action of specific inducer of cardiomyogenic differentiations — 5-azacytidine
on cultured from autologous bone marrow mesenchymal stem cells at 46 patients
with the chronic heart failure received also the standard course of
medicamentous therapy. The technique of cardiomyoblasts and mesenchymal stem
cells production has been licensed by Federal Agency on Supervision in the
Field of Public Health Services [license FA-2006/206 from August, 11th, 2006].
It has been shown that the cell therapy with use of autologous cardiomyoblasts
has minimal invasiveness, it does not cause any complications [allergic
reactions, hazardous to health arrhythmia, embolism, heavy frustration of
haemodynamics, etc.] and also does not lead to level of health after cells
transplantation. In the first 3—6 months after systemic transplantation of
progenitor cells for cardiomyocytes we developed at patients advanced heart
contractive activity and increased myocardium perfusion that was clinically
shown in reduction of the heart failure level with further long stable health
compensation [till 1—2 years of monitoring].
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