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Cells and Matrix |
1 Center for Cardiovascular Repair, and Department of Medicine 2 and Center for Cardiovascular Repair, University of Minnesota, Minneapolis, Minnesota
Correspondence to: D.A. Taylor, Center for Cardiovascular Repair, 312 Church
Street SE, 7-105 Nils Hasselmo Hall, Minneapolis, Minnesota 55455
U.S.A.
dataylor{at}umn.edu
The recently discovered therapeutic potential of stem or progenitor cells
has initiated development of novel treatments in a number of
diseases—treatments that could not only improve patients' quality of
life, but also halt or even prevent disease progression. Hypertension;
fluctuations in glycemia, electrolytes, nutrient levels, and circulating
volume; and frequent infections and the associated inflammation all greatly
impair the endothelium in patients undergoing peritoneal dialysis. As our
understanding of the regulatory function of the endothelium advances, focus is
increasingly being placed on endothelial repair in acute and chronic renal
failure and after renal transplantation. The potential of progenitor cells to
repair damaged endothelium and to reduce inflammation in patients with renal
failure remains unexamined; however, a successful cell therapy could reduce
morbidity and mortality in kidney disease.
Important contributions have been made in identifying progenitor cell
populations in the kidney, and further investigations into the relationships
of these cells with the pathophysiology of the disease are underway. As the
kidney disease field prepares for the first human trials of progenitor cell
therapies, we deemed it important to review representative original research,
and to share our perspectives and lessons learned from clinical trials of
progenitor cell-based therapies that have commenced in patients with
cardiovascular disease.
KEY WORDS: KEY WORDS:; End-stage renal disease; kidney disease; stem cells.
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