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Table 1 Summary of advantages, disadvantages and current clinical trials for the various sources of stem cells mentioned in this article

From: Therapeutic use of stem cells for cardiovascular disease

Cell type

Advantages

Disadvantages

Current clinical trials

Embryonic stem cells

Effectively differentiate into all three primary germ layers

Ethical/political issues surrounding the use of these cells

ESCORT

iPSs

Demonstrate an embryonic-like state and can be derived from somatic cells

Strong regenerative capacity and integration within host cardiomyocytes

Risk of teratoma formation, thus there is a need to direct differentiation before transplantation

None

MSCs

Immunomodulatory characteristics permits the potential to use allogeneic cells

Self-renewal, proliferation and differentiation properties

More studies needed to support the efficacy of these cells on a long-term basis

BOOST, REPAIR-AMI,

 Bone marrow

Immunomodulatory characteristics

Easy to isolate via liposuction

Rich source of stem cells

MySTromalCell Trial

The Precise Trial

 Adipose tissue

CSCs

Express cardiac specific markers and can thus differentiate more effectively into cardiomyocytes compared to other cell types

Difficult to isolate/extract cells

Need for ex vivo expansion before transplantation, which can be costly

SCIPIO, CADUCEUS

  1. iPSs induced pluripotent stem cells; MSCs mesenchymal stem cells; CSCs cardiac stem cells