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间充质干细胞静脉移植可改善雌性大鼠急性心肌缺血后的心脏功能。

Intravenous transplantation of mesenchymal stem cells improves cardiac performance after acute myocardial ischemia in female rats.

作者信息

Jiang Wenhui, Ma Aiqun, Wang Tingzhong, Han Ke, Liu Yu, Zhang Yanmin, Zhao Xiaoge, Dong Anping, Du Yuan, Huang Xin, Wang Jun, Lei Xinjun, Zheng Xiaopu

机构信息

Cardiovascular Department, the First Hospital, Medical College of Xi'an Jiaotong University, Xi'an, China.

出版信息

Transpl Int. 2006 Jul;19(7):570-80. doi: 10.1111/j.1432-2277.2006.00307.x.

Abstract

Mesenchymal stem cells (MSCs) are potential sources of cells for tissue repairing. However, little information is available regarding the therapeutic potency of intravenously transplanted MSCs for myocardial ischemia (MI). In the present study, MSCs were isolated from bone marrow of male rats and expanded in vitro. Three hours after ligation of left anterior descending artery, the transplanted group received an infusion of MSCs through the tail vein. At the same time, a coronary-ligated control group was injected with culture medium. Homing of MSCs to the heart was assessed by expression of the Y chromosome sry gene using fluorescent in situ hybridization (FISH). At 1 week or 8 weeks after transplantation, sry positive cells were present in cardiac tissue in the transplanted group, but not in the hearts of control group. Cardiomyocytes, smooth muscle cells, and endothelial cells that bore sry gene were identified in transplanted group at 8 weeks after transplantation. Ultrastructural observation revealed that a large number of capillary and some immature myocytes were found to survive in the ischemia region. MSCs transplantation also decreased LVEDP pressure and -dP/dt, but increased LVSP and +dP/dt. The cardiac infarct size was significantly smaller in transplanted group than in control group. Our data suggest that intravenously transplanted MSCs improve cardiac performance and promote the regeneration of blood vessels and cardiomyocytes.

摘要

间充质干细胞(MSCs)是组织修复的潜在细胞来源。然而,关于静脉注射移植的间充质干细胞对心肌缺血(MI)的治疗效果,目前所知甚少。在本研究中,从雄性大鼠骨髓中分离出间充质干细胞并在体外进行扩增。在结扎左冠状动脉前降支3小时后,移植组通过尾静脉输注间充质干细胞。同时,冠状动脉结扎对照组注射培养基。使用荧光原位杂交(FISH)通过Y染色体性别决定区(sry)基因的表达来评估间充质干细胞向心脏的归巢情况。在移植后1周或8周,移植组心脏组织中存在sry阳性细胞,而对照组心脏中未发现。在移植后8周的移植组中鉴定出带有sry基因的心肌细胞、平滑肌细胞和内皮细胞。超微结构观察显示,在缺血区域发现大量毛细血管和一些未成熟的心肌细胞存活。间充质干细胞移植还降低了左室舒张末期压力(LVEDP)和 -dP/dt,但提高了左室收缩压(LVSP)和 +dP/dt。移植组的心脏梗死面积明显小于对照组。我们的数据表明,静脉注射移植的间充质干细胞可改善心脏功能,并促进血管和心肌细胞的再生。

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