Review Article

Cell Therapy in Patients with Critical Limb Ischemia

Table 1

Comparison of advantages and limitations of different types of stem cells.

Stem cell typeLimitationsAdvantages

Embryonic stem cellsEthical dilemmas, possible immune rejection after implantation, a small number of differentiated cardiomyocytes being generated, leading to teratocarcinomas; genetic instabilityDifferentiating into cells of all three germ layers
Pluripotent stem cellsGenetic instability, more research needed before using for cardiovascular repair/regenerationAvoiding ethical concerns
Adult stem cellsNatural regeneration capacity of CSCs being too limited, acquisition and isolation difficulties, more research neededAvoiding ethical concerns, lower risk of immune rejection
Mesenchymal stem cellsMore research neededAllowing for allogeneic grafting without the use of immunosuppressive agents, self-renewal, proliferating, and differentiating, promoting growth of adjacent cells, less susceptible to mutations, easy to collect
Hematopoietic stem cellsHigh maintenance, low frequencies, unknown signaling pathwaysProliferating and migrating to injury site in response to physiological/pathological stimuli, capable of myogenesis and angiogenesis
Endothelial progenitor cellsExtremely low numbers in peripheral blood and bone marrow making ex vivo expansion difficultIncreasing its numbers in response to ischemia/cytokine stimuli and migrating to injury site and differentiating into new myocytes