Review Article

Immunomodulatory Effects of Mesenchymal Stromal Cells Revisited in the Context of Inflammatory Cardiomyopathy

Table 1

Advantages and disadvantages of different cell administration routes for the treatment of inflammatory cardiomyopathy. As long as no studies are performed directly comparing the effectiveness of intravenous versus endocardial and intracoronary application in inflammatory cardiomyopathy, one cannot conclude that extracardiac targeting of MSCs is superior to high cardiac engraftment.

ApplicationAdvantagesDisadvantages

IntravenousNoninvasiveness
Ability to perform reinjections [186]
Homing to the site of injury and inflammation [181, 182]
Extracardiac targeting [155]
Systemic immunomodulatory effects [86, 127]
Low cardiac engraftment [127, 155, 176]?
Limited cardiac residence time?

EndocardialHigher cardiac engraftment [176]?Invasiveness of application
Inability to perform reinjections Limited cardiac residence time [155]

IntracoronaryHigher cardiac engraftment [176]?Invasiveness of application Inability to perform reinjections
Limited cardiac residence time [155]