Second Department of Internal Medicine, Kansai Medical University, Moriguchi City, Japan.
Cardiovasc Pathol. 2011 May-Jun;20(3):146-55. doi: 10.1016/j.carpath.2010.04.001. Epub 2010 May 26.
Bone marrow-derived cells (BMCs) are critically involved in inflammation and regeneration after myocardial infarction (MI). However, the participation of BMCs in the reconstruction of infarcted myocardium remains unclear. In this study, we investigated phenotypic modulation of BMCs and their turnover in the heart following MI.
MI was produced in rats with intra-bone marrow-bone marrow transplantation from the syngenic rats expressing green fluorescence protein (GFP). The number of GFP-positive BMCs recruited to the infarcted myocardium peaked at 3 days after MI, and the majority of BMCs recruited to the heart after MI underwent turnover within 2 weeks. This turnover rate was unchanged for up to 16 weeks after MI, although the number of BMCs recruited to the infarcted myocardium rapidly decreased between 2 and 8 weeks after MI. A small number of BMCs recruited to the heart were positive for CD31 and α-smooth muscle actin, and the majority of these were positive for vimentin at 3 days and 4 weeks after MI. None of BMCs expressed α-actinin or von Willebrand factor 4 weeks after MI.
These results suggest that BMCs recruited to the heart underwent phenotypic modulation to a fibroblastic cell type and turnover within 2 weeks after MI without differentiating into cardiomyocytes or endothelial cells, and that although the number of BMCs in the infarcted myocardium decreased over time, the rate of turnover remained relatively constant during the chronic phase of MI.
骨髓来源的细胞(BMCs)在心肌梗死后的炎症和再生中起着至关重要的作用。然而,BMCs 在梗死心肌重构中的参与仍不清楚。在这项研究中,我们研究了骨髓间充质干细胞在心肌梗死后在心脏中的表型调节及其更新。
通过同基因大鼠的骨髓间充质干细胞-骨髓间充质干细胞移植,在大鼠中产生心肌梗死。在心肌梗死后 3 天,GFP 阳性 BMC 募集到梗死心肌的数量达到峰值,并且在心肌梗死后募集到心脏的大多数 BMC 在 2 周内发生了更新。这种更新率在心肌梗死后 16 周内没有变化,尽管在心肌梗死后 2 至 8 周内募集到梗死心肌的 BMC 数量迅速减少。一小部分募集到心脏的 BMCs 对 CD31 和 α-平滑肌肌动蛋白呈阳性,并且在心肌梗死后 3 天和 4 周时,这些细胞中的大多数对波形蛋白呈阳性。在心肌梗死后 4 周时,BMC 不表达α-辅肌动蛋白或血管性血友病因子 4。
这些结果表明,在心肌梗死后 2 周内,募集到心脏的 BMCs 经历了向成纤维细胞类型的表型调节和更新,而没有分化为心肌细胞或内皮细胞,并且尽管梗死心肌中的 BMC 数量随时间减少,但在心肌梗死后的慢性期,更新率仍相对稳定。