利用自组装肽植入心脏祖细胞可改善心肌梗死后的心脏功能。

Implantation of cardiac progenitor cells using self-assembling peptide improves cardiac function after myocardial infarction.

机构信息

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.

出版信息

J Mol Cell Cardiol. 2010 Dec;49(6):972-83. doi: 10.1016/j.yjmcc.2010.09.015. Epub 2010 Sep 24.

Abstract

Implantation of various types of cells into the heart has been reported to be effective for heart failure, however, it is unknown what kinds of cells are most suitable for myocardial repair. To examine which types of cells are most effective, we injected cell-Puramatrix™ (PM) complex into the border area and overlaid the cell-PM patch on the myocardial infarction (MI) area. We compared cardiac morphology and function at 2 weeks after transplantation. Among clonal stem cell antigen-1 positive cardiac progenitors with PM (cSca-1/PM), bone marrow mononuclear cells with PM (BM/PM), skeletal myoblasts with PM (SM/PM), adipose tissue-derived mesenchymal cells with PM (AMC/PM), PM alone (PM), and non-treated MI group (MI), the infarct area of cSca-1/PM was smaller than that of BM/PM, SM/PM, PM and MI. cSca-1/PM and AMC/PM attenuated ventricular enlargement and restored cardiac function in comparison with MI. Capillary density in the infarct area of cSca-1/PM was higher than that of other five groups. The percentage of TUNEL positive cardiomyocytes in the infarct area of cSca-1/PM was lower than that of MI and PM. cSca-1 secreted VEGF and some of them differentiated into cardiomyocytes and vascular smooth muscle cells. These results suggest that transplantation of cSca-1/PM most effectively prevents cardiac remodeling and dysfunction through angiogenesis, inhibition of apoptosis and myocardial regeneration.

摘要

已报道将各种类型的细胞植入心脏对于心力衰竭是有效的,然而,尚不清楚哪种细胞最适合心肌修复。为了研究哪种细胞最有效,我们将细胞-Puramatrix™(PM)复合物注射到边界区域,并在心肌梗死(MI)区域覆盖细胞-PM 贴片。我们比较了移植后 2 周的心脏形态和功能。在与 PM 结合的克隆干细胞抗原-1 阳性心脏祖细胞(cSca-1/PM)、与 PM 结合的骨髓单核细胞(BM/PM)、与 PM 结合的骨骼肌成肌细胞(SM/PM)、与 PM 结合的脂肪组织来源的间充质细胞(AMC/PM)、单独的 PM(PM)和未经处理的 MI 组(MI)中,cSca-1/PM 的梗死面积小于 BM/PM、SM/PM、PM 和 MI。与 MI 相比,cSca-1/PM 和 AMC/PM 减轻了心室扩张并恢复了心脏功能。cSca-1/PM 梗死区的毛细血管密度高于其他五组。cSca-1/PM 梗死区中 TUNEL 阳性心肌细胞的百分比低于 MI 和 PM。cSca-1 分泌 VEGF,其中一些分化为心肌细胞和血管平滑肌细胞。这些结果表明,cSca-1/PM 的移植通过血管生成、抑制细胞凋亡和心肌再生,最有效地防止心脏重构和功能障碍。

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