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. Author manuscript; available in PMC: 2016 Jul 4.
Published in final edited form as: Macromol Biosci. 2016 Mar 8;16(7):958–977. doi: 10.1002/mabi.201500396

Table 1.

Advantages and drawbacks of different types of stem cells, delivery methods and fabricated biomaterials used.

Stem cell type Advantages Drawbacks Ref.
Embryonic Clonality, self-renewal,
pluripotency
Ethical concern
[3,10,12,32]
Very sensitive to temperature
and pH changes
Bone marrow derived adult
stem cells
No ethical issues; widely
investigated under
pre-clinical and clinical
settings
Access requires invasive
surgery
[139]
Isolation is required due
to heterogeneous cell
population
Adipose derived adult stem
cells
Less invasive and painful
surgery
Isolation is required due
to heterogeneous cell
population
[3,19,139]
Induced pluripotent Alternative to embryonic
cells
Probability of forming
teratoma
[5,25]
Availability of producing
large amounts of
patient-specific cells
Endothelial progenitor Production of large
amounts of growth factors
and cytokines
Rare population [31,140]

Delivery methods Advantages Drawbacks Ref.

Intracoronary No risk of systemic
delivery
Low cell delivery [35]
Direct delivery
Intravenous Not invasive Cells can be isolated in
lung, liver or spleen
[36,38,141]
Intramyocardial Direct delivery Perforation risk [43]
Intrapericardial Large number of cells
delivered
Visceral pericardium transmigration
required
[40]
Retrograde coronary sinus Homogeneous cell delivery Endothelial wall transmigration
required
[48]

Biomaterials Advantages Possible concerns Ref.

Cell sheets Long-term survival
and growth rate after
implementation
Retention of implant at
transplant site; integration
to host tissue
[79,81]
Injectable hydrogels Enhance stem cell retention
and survivability upon
injection
Suitable rheological
properties of the injected
materials
[142]
Porous scaffolds Increased Vascularization Biodegradation properties [92]