Cell Therapy for Critical Limb Ischemia: Advantages, Limitations, and New Perspectives for Treatment of Patients with Critical Diabetic Vasculopathy

Yue Gu, Valeria V Alvino, Andrea Rampin, Gaia Spinetti, Paolo R Madeddu*

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

19 Citations (Scopus)
80 Downloads (Pure)

Abstract

Purpose of Review To provide a highlight of the current state of cell therapy for the treatment of critical limb ischemia in patients
with diabetes.
Recent Findings The global incidence of diabetes is constantly growing with consequent challenges for healthcare systems
worldwide. In the UK only, NHS costs attributed to diabetic complications, such as peripheral vascular disease, amputation,
blindness, renal failure, and stroke, average £10 billion each year, with cost pressure being estimated to get worse. Although giant
leaps forward have been registered in the scope of early diagnosis and optimal glycaemic control, an effective treatment for
critical limb ischemia is still lacking. The present review aims to provide an update of the ongoing work in the field of
regenerative medicine. Recent advancements but also limitations imposed by diabetes on the potential of the approach are
addressed. In particular, the review focuses on the perturbation of non-coding RNA networks in progenitor cells and the
possibility of using emerging knowledge on molecular mechanisms to design refined protocols for personalized therapy.
Summary The field of cell therapy showed rapid progress but has limitations. Significant advances are foreseen in the upcoming
years thanks to a better understanding of molecular bottlenecks associated with the metabolic disorders.
Original languageEnglish
Article number11
JournalCurrent Diabetes Reports
Volume21
DOIs
Publication statusPublished - 2 Mar 2021

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