Publications by authors named "Santiago Roura"

Article Synopsis
  • - Sacubitril/valsartan (Sac/Val) shows better outcomes than β-blockers in reducing heart failure risks and improving myocardial scar remodeling after a myocardial infarction (MI) in pigs.
  • - In a study with 22 pigs post-MI, those treated with β-blocker plus Sac/Val exhibited significant reductions in inflammatory markers, scar mass, and specific types of collagen in the heart.
  • - The combination treatment also led to lowered risk of ventricular tachycardia, indicating a potential therapeutic benefit for heart health after MI.
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  • The PERISCOPE Phase I clinical trial assessed the safety of PeriCord, a tissue graft made from decellularised pericardial matrix and umbilical cord mesenchymal cells, in patients undergoing surgical revascularization after non-acute myocardial infarction.
  • In the trial, seven patients received PeriCord and demonstrated no adverse effects during the one-year follow-up, although there were no significant changes in overall quality of life or cardiac function compared to controls.
  • The study highlighted PeriCord's immunomodulatory effects, specifically in influencing the behavior of circulating monocytes towards a repair-promoting state, indicating potential for further exploration in treating inflammation-related conditions.
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Huntington's disease (HD) is an incurable inherited brain disorder characterised by massive degeneration of striatal neurons, which correlates with abnormal accumulation of misfolded mutant huntingtin (mHTT) protein. Research on HD has been hampered by the inability to study early dysfunction and progressive degeneration of human striatal neurons in vivo. To investigate human pathogenesis in a physiologically relevant context, we transplanted human pluripotent stem cell-derived neural progenitor cells (hNPCs) from control and HD patients into the striatum of new-born mice.

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  • Meteorin-like protein (Metrnl) is a cytokine that plays a role in reducing inflammation and its high levels are linked to poorer outcomes in heart failure patients.
  • This study focused on patients with ST-segment elevation myocardial infarction (STEMI) and measured Metrnl levels to evaluate its predictive power for health outcomes over three years.
  • Results showed that higher Metrnl levels correlated with greater risks of death or nonfatal heart attacks, indicating it could be a significant prognostic biomarker for complications in STEMI patients.
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Fibrosis is present in an important proportion of myocardial disorders. Injury activates cardiac fibroblasts, which deposit excess extracellular matrix, increasing tissue stiffness, impairing cardiac function, and leading to heart failure. Clinical therapies that directly target excessive fibrosis are limited, and more effective treatments are needed.

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Objective: To assess the arrhythmic safety profile of the adipose graft transposition procedure (AGTP) and its electrophysiological effects on post-myocardial infarction (MI) scar.

Background: Myocardial repair is a promising treatment for patients with MI. The AGTP is a cardiac reparative therapy that reduces infarct size and improves cardiac function.

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Mesenchymal stromal cell-derived extracellular vesicles (MSC-EV) are widely considered as a cell-free therapeutic alternative to MSC cell administration, due to their immunomodulatory and regenerative properties. However, the interaction mechanisms between EV and target cells are not fully understood. The surface glycans could be key players in EV-cell communication, being specific molecular recognition patterns that are still little explored.

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Extracellular vesicles (EVs) from mesenchymal stromal cell (MSC) are a potential therapy for cardiac healing after myocardial infarction (MI). Nevertheless, neither their efficient administration nor therapeutic mechanisms are fully elucidated. Here, we evaluate the preclinical efficacy of a tissue engineering approach to locally deliver porcine cardiac adipose tissue MSC-EV (cATMSC-EV) in an acute MI pig model.

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Primary ventricular fibrillation (PVF) is a life-threatening complication of ST-segment elevation myocardial infarction (STEMI). It is unclear what roles viral infection and/or systemic inflammation may play as underlying triggers of PVF, as a second hit in the context of acute ischaemia. Here we aimed to evaluate whether the circulating virome and inflammatory proteome were associated with PVF development in patients with STEMI.

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Extracellular vesicles (EVs) are becoming promising tools for clinical application, either as sources of disease-specific molecular signatures for the unraveling of disease pathophysiology and establishment of novel biomarkers, or as platforms for cell-free nanotherapy. Yet, an unsolved issue is to define standardized techniques for EV isolation allowing data comparison across laboratories worldwide. Considering the difficulties to find this necessary consensus, it has to be stressed out that the outcome of the downstream analysis might be deeply biased by the isolation method, among other variables.

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Compelling evidence supports the therapeutic benefit of extracellular vesicles (EVs). EVs are nanostructures with a lipid bilayer membrane that are secreted by multiple cells, including mesenchymal stromal cells (MSCs), as means of cellular communication. MSC-EVs, resembling their MSC origin, carry protected immunomodulatory and pro-regenerative cargoes to targeted neighboring or distant cells and tissues.

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Article Synopsis
  • Researchers investigated the molecular changes following a heart attack (myocardial infarction) using microarray data from swine heart biopsies collected at various recovery stages.
  • Findings revealed that key processes like adipogenesis, fatty acid metabolism, and muscle contraction were significantly altered during the healing period, with angiogenesis emerging as a key early response.
  • The study identified critical genes involved in these processes, providing insights into potential biomarkers and therapeutic targets for better understanding heart post-infarction recovery.
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  • - This commentary discusses the paper by Huang et al. (2021) on exosome proteins derived from human adipose-derived stem cells (hADSCs) and emphasizes the growing interest in using mesenchymal stromal cell extracellular vesicles (MSC-EVs) for research and clinical applications.
  • - The authors stress the importance of providing solid evidence for the safety and effectiveness of MSC-EV preparations as they are developed for use in humans.
  • - They highlight the need for consistent isolation methods to ensure reliable and high-quality MSC-EVs that meet the standards necessary for clinical-grade manufacturing.
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Stem cell therapy has an unparalleled potential to treat blood cancers, cardiovascular diseases and neurodegenerative conditions, among others. However, stem cell therapeutics must overcome multiple requirements before reaching clinical trials, including large animal safety and efficacy studies. In cardiovascular diseases swine models are the most widely adopted due to its great translational potential to humans.

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Outstanding progress has been achieved in developing therapeutic options for reasonably alleviating symptoms and prolonging the lifespan of patients suffering from myocardial infarction (MI). Current treatments, however, only partially address the functional recovery of post-infarcted myocardium, which is in fact the major goal for effective primary care. In this context, we largely investigated novel cell and TE tissue engineering therapeutic approaches for cardiac repair, particularly using multipotent mesenchymal stromal cells (MSC) and natural extracellular matrices, from pre-clinical studies to clinical application.

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The administration of extracellular vesicles (EV) from mesenchymal stromal cells (MSC) is a promising cell-free nanotherapy for tissue repair after myocardial infarction (MI). However, the optimal EV delivery strategy remains undetermined. Here, we designed a novel MSC-EV delivery, using 3D scaffolds engineered from decellularised cardiac tissue as a cell-free product for cardiac repair.

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Multipotent mesenchymal stromal cells (MSC) represent a promising strategy for a variety of medical applications. Although only a limited number of MSC engraft and survive after in vivo cellular infusion, MSC have shown beneficial effects on immunomodulation and tissue repair. This indicates that the contribution of MSC exists in paracrine signaling, rather than a cell-contact effect of MSC.

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Article Synopsis
  • - This study focused on scaling up a small cardiac tissue engineering construct, known as PeriCord, into a human-size therapeutic product to aid post-heart attack recovery in patients.
  • - PeriCord is made from a decellularised pericardial matrix and contains human stem cells, with tests confirming its quality and safety before it was implanted in a patient with significant heart damage.
  • - The first implantation in a 63-year-old male showed promising results, with no adverse reactions or need for immunosuppression, and a notable reduction in the heart scar observed after three months.
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Background: Orthopaedic diseases are one of the major targets for regenerative medicine. In this context, Wharton's jelly (WJ) is an alternative source to bone marrow (BM) for allogeneic transplantation since its isolation does not require an invasive procedure for cell collection and does not raise major ethical concerns. However, the osteogenic capacity of human WJ-derived multipotent mesenchymal stromal cells (MSC) remains unclear.

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Extracellular vesicles (EVs) include a variety of nanosized vesicles released to the extracellular microenvironment by the vast majority of cells transferring bioactive lipids, proteins, mRNA, miRNA or non-coding RNA, as means of intercellular communication. Remarkably, among other fields of research, their use has become promising for immunomodulation, tissue repair and as source for novel disease-specific molecular signatures or biomarkers. However, a major challenge is to define accurate, reliable and easily implemented techniques for EV isolation due to their nanoscale size and high heterogeneity.

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