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Stem Cells Keith  Channon Department of Cardiovascular Medicine University of Oxford John Radcliffe Hospital, Oxford For more slides click here     DOWNLOAD THIS SLIDE
Adult Stem Cells ,[object Object],[object Object],[object Object],[object Object]
Stem Cells
N Engl J Med 2003;349:570-82. Phenotypically Characterised  Adult Stem Cells
Why are Stem Cells Relevant to Interventional Cardiology? Understanding stem cell biology challenges and informs our understanding of cardiovascular disease Stem cells may offer new therapeutic approaches in cardiovascular disease
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Skeletal Myoblast Cell Transplant in Ischaemic Cardiomyopathy  Menasché P   et al. Myoblast transplantation   for heart failure. Lancet 2001
[object Object],[object Object],Nature 2001;410:701-705
Red=Cardiac Myosin a Green=Cell Nuclei c-kit neg c-kit pos
 
[object Object],[object Object],[object Object],[object Object],Nature Medicine  2003;9:1195-1201
Engraftment does not occur in absence of MI……..
 
 
 
Conclusions ,[object Object],[object Object]
Bone Marrow Derived Stem Cells : Vascular Injury
Bone Marrow Derived Stem Cells : Atherosclerosis
Bone Marrow Derived Stem Cells : Transplant Vasculopathy
Stem Cells in Human Restenosis ? smc-actin c-kit+ Hibbert et al.  Am J Physiol  2004
Stem Cells in Human Restenosis ? smc-actin c-kit+ Hibbert et al.  Am J Physiol  2004
[object Object],[object Object],[object Object]
Endothelial Progenitor Cells-  Role in Endothelial Maintenance Jonathan Hill, 2004 high blood pressure high cholesterol / triglycerides smoking diabetes infections other RISK FACTORS Cytokines e.g. G-CSF STATINS EXERCISE
J. Hill et al. NEJM 2003; 348:593-600
 
 
Mean  ~ CK 800 U/L
 
TOPCARE-AMI: Late MRI follow up
TOPCARE-AMI: Late MRI follow up
The STIMULATE Trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THE PRIMATIVE Trial Leicester ,[object Object],[object Object],[object Object],[object Object],[object Object]
Saline GM-CSF Saline GM-CSF
 
EPC Colony-Forming Capacity Following G-CSF J. Hill et al. JACC 2005; in press
G-CSF and In-stent Restenosis after MI Kang et al. Lancet 2004 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Shirota et al.  Biomaterials  2003 vWF Flk-1 LDL-Uptake Isolation of EPCs for Stent Delivery
 
 
Stem Cells in Interventional Cardiology vascular disease risk,  biology, drug therapy cell therapy for post-MI repair cell therapy in PCI
Future Directions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Stem Cells - Biology ppt slides

Editor's Notes

  1. Interaction between NO and superoxide appears to be an important feature of vascular disease models. However, its importance in human atherosclerosis is unclear.