Review Article

Critical Roles of Reactive Oxygen Species in Age-Related Impairment in Ischemia-Induced Neovascularization by Regulating Stem and Progenitor Cell Function

Table 4

Selected human cell-based clinical studies.

ConditionsCell typeTherapyDelivery methodsOutcomeReference

Acute myocardial infarctionBMCBOOST (randomized controlled)Intracoronary injectionImprovement in LVEF at 6-month follow-up, but it failed to sustain the functional enhancement at 18-month and 5-year follow-ups [33]
BMCREPAIR-AMI (randomized controlled)Intracoronary infusionImproved LVEF at 4-month follow-up; improvement of LV function sustained at 12-month follow-up and reduced major adverse CV events[34ā€“36]
BMCSTEMI (randomized controlled)Intracoronary infusion within 24ā€‰h administrationReduced infarct size, but no significant improvement in LV function at 4-month follow-up [37]
BMCASTAMI (randomized controlled)Intracoronary injectionNo changes in LV end-diastolic volume or infarct size at 6-month follow-up [38]
BMCBALANCE (controlled but nonrandomized)Intracoronary infusionImproved LV function, contractility, infarct size, haemodynamics, and exercise capacity at 12- and 60-month follow-up [39]
CD133+ progenitor cellsSmall scale; nonrandomizedIntracoronary infusionImproved LVEF at 4-month follow-up but increased incident of coronary events [40, 41]
CD133+ progenitor cellsSmall scale; nonrandomizedTransplantation to peri-infract zone during CABG surgeryImprovements in myocardial viability and local perfusion; no adverse events at 6-month follow-up [42]
BMC and BM-derived CD34+/CXCR4+ progenitor cellsREGENTIntracoronary infusionIncreased LVEF; no significant differences in absolute changes of LVEF between groups at 6-month follow-up [43]
BM-derived MSCsRandomized controlledIntravenous injectionIncreased LVEF; improved global symptom at 6-month follow-up; MSCs traps in pulmonary passage in animal model [44, 45]
BMC and circulating blood-derived CD34+ progenitor cellsTOPCARE-AMI (randomized controlled)Intracoronary infusionImprovement in LVEF at 3-month follow-up; effect of BMC transplantation is greater than CPC; functional improvements sustained for 2 years[46, 47]

Ischemic cardiomyopathyAutologous skeletal myoblastsMAGIC (randomized controlled)Injection around the scar tissuesNo significant improvement in global and regional LV function; an increase in arrhythmic events in treated patients [48]

Chronic heart failureBone marrow cellsSTARIntracoronary infusionImprovements in LV function, exercise capacity, and oxygen uptake over a 5-year follow-up [49]

Refractory myocardial ischemiaBone marrow cells(Randomized controlled)Intramyocardial injectionImprovement of myocardial perfusion, angina severity, and quality of life at 3-month follow-up [50]
CD34+ progenitor cellsACT34-CMI (randomized controlled)Intramyocardial, transendocardial injectionImprovement in angina frequency and exercise tolerance [51, 52]

Severe coronary artery diseasesBone marrow cellsPROTECT-CAD (randomized controlled)Endomyocardial injectionImproved LV function, exercise time, and NYHA functional class at 6-month follow-up[53]

BMC, bone marrow cells.
LVEF, LV ejection fraction.
MI, myocardial infarction.
NYHA, New York Heart Association.
CABG, coronary artery bypass grafting.
MSC, mesenchymal stem cell.