The present invention provides a
system for treating
heart disease using a combination of pro-
angiogenesis therapy and cellular cardiomyoplasty. The
system is particularly useful in treating patients with damaged myocardium due
coronary artery disease,
myocardial infarction, congestive
heart failure, and
ischemia. A pro-angiogenic factor (e.g., VEGF) or a means of delivering a pro-angiogenic factor (e.g., a
genetically engineered adenovirus, adeno-asssociated
virus, or cells) is administered to the heart in order to promote new
blood vessel growth in an ischemic or damaged area of the patient's heart. Cells such as skeletal myoblasts or stem cells (e.g., mesenchymal stem cells) with the potential to divide, differentiate, and integrate themselves into the injured myocardium are then administered into the affected area of the heart. By inducing new blood vessels growth in the injured myocardium, the cells are better able to grow and become an integral part of the heart. The invention also provides kits for use in treating a patient using the inventive method. Such kits may contain cells, catheters, syringes, needles,
cell culture materials, polynucleotides, media, buffers, etc.