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A insuficiência cardíaca tem sido um grave problema de saúde pública, e provavelmente será a doença cardiovascular predominante neste século. Como a morte dos cardiomiócitos é freqüentemente responsável pelo desenvolvimento da insuficiência cardíaca, uma opção terapêutica de recuperar a função cardíaca é o transplante de células contráteis, principalmente os mioblastos esqueléticos. Os resultados promissores obtidos no âmbito experimental, levou ao primeiro estudo clínico na França, onde mioblastos esqueléticos estão sendo implantados em áreas miocárdicas previamente infartadas, com promissores resultados parciais. Apesar do curto tempo de evolução e do pequeno número de pacientes operados, o transplante celular representa uma opção interessante no arsenal terapêutico da insuficiência cardíaca. Heart failure is becoming a major problem of public health and it is expected to represent the dominant cardiac disease of this century. Because the death of cardiomyocytes is often responsible for the development of progressive heart failure, cellular transplantation has emerged over recente past years as an attractive alternative therapy. This approach has been stimulated by the recognition in experimental studies that the normal and injured myocardium could be successfully colonized and functionally improved by a variety of contractile cells, mainly skeletal myoblasts. The promising results obtained in an experimental setting triggered the first clinical trial by a French group of myoblast transplantation in previously infarcted myocardium with encouraging preliminary results. Despite the short follow-up and the few patients subjected to this new therapy, cellular transplantation appears as an interesting option in the therapeutic armamentarium for heart failure

O transplante celular no tratamento da isuficiência cardíaca