Table 4 The reported clinical trials using MSCs from AT, BM, and UC in the treatment of cardiovascular diseases

From: Stem cell-based therapy for human diseases

Year

Disease

MSC source

No. of treated patients

Efficacy

2013307

Heart failure

BM

21

- Improvement in LVEF and MLHFQ

- Decrease in LVESV and LVEDV

- Increase in 6MWT

- No evidence of increased cardiac or systemic toxicity

2017308

Ischemic heart failure

BM

120

- Improvement in LVEF, ESV, LEVDV, and MLHFQ

2012309

ischemic cardiomyopathy

BM

30

- Functional improvement (change in 6MWT, MLHFQ, and NYHA classification)

2017310

Nonischemic Dilated Cardiomyopathy

BM

34

- Increase in 6MWT, ejection fraction

- Improvement in MLHFQ

- Reduction in inflammatory cytokine, TNF-a

2015311

Severe ischemic heart failure

BM

60

- Significant Improvement in LVEF, ESV, stroke volume, and myocardial mass. No difference in NYHA class, 6MWT, and Kansas City cardiomyopathy questionnaire after 6-month follow-up

2020312

Severe ischemic heart failure

BM

60

- Significant improvements in LVEF, LVESV, stroke volume and myocardial mass. Significant reduction in the amount of scar tissue and quality of life score after 12 months’ of follow-up.

- Significantly fewer hospitalizations for angina after 4 years of follow-up

2017313

Ischemic Cardiomyopathy

BM

30

- Reduction in scar size

- Increase in ejection fraction when using 100 million dose

2021314

Ischemic heart failure

BM

25

- Improvement in clinical outcomes, including MACE and quality of life

- No improvement in LVEF, left ventricular, scar size, 6MWT, and oxy peak oxygen consumption did not differ between groups

2013315

ischemic cardiomyopathy

BM

19

- Improvement in MLHF, 6MWT, regional myocardial function

- No change in ejection fraction and left ventricular chamber volume

2014316

Chronic ischemic cardiomyopathy

AD

21

- No significant change in LVEF, SPECT, and rest total severity score

- Increase in LV total mass

- Improvement in WMSI

- Preserved MVO2 and METs

2017318

Chronic myocardial ischemia

AD

15

- Significant improvement in LVEF, ESV, LEVDV, and MLHFQ

2017319

Ischemic heart failure

AD

10

- Improvement in LVEF, LVSEV, 6MWT, NYHA class

- No difference in KKCQ scores and CCS class

2017320

Chronic Ischemic Heart Disease

AD

41

- Improvement in Exercise capacity compared to placebo but not significant

2019321

Refractory angina

AD

41

- Improvement in cardiac symptoms but no change in exercise capacity

2017324

Heart failure

UC

15

- Improvements in LVEF compared to baseline at 3 months’follow-up

- No changes in left ventricular volumes

2020325

Chronic ischemic cardiomyopathy

UC

26

- Improvement in LVEF, 6MWT, and NYHA

2020326

Chronic ischemic heart disease

UC

32

- Improvement in LVEF, MLHF, and NYHA

- Decrease infarct size

  1. 6MWT 6-min walk test, CCS Canadian Cardiovascular Society, ESV end-systolic volume, LVEDV left ventricular end-diastolic chamber volume, LVEF left ventricular ejection fraction, LVESV left ventricular end-systolic volume, MACE major adverse cardiovascular events, MET metabolic equivalents, MLHF Minnesota Living with Heart Failure, MLHFQ Minnesota Living with Heart Failure Questionnaire, MVO2 maximal oxygen consumption, NYHA New York Heart Association, SPECT single photon emission computed tomography, TNF-α tumor necrosis factor alpha, WMSI wall motion score index