Vascular Biology and Hypertension Program, Division of Cardiovascular Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama;
Am J Physiol Heart Circ Physiol. 2013 Aug 15;305(4):H590-8. doi: 10.1152/ajpheart.00571.2012. Epub 2013 Jun 14.
The endothelium is a dynamic component of the cardiovascular system that plays an important role in health and disease. This study tested the hypothesis that targeted delivery of endothelial cells (ECs) overexpressing neutrophil membrane IL-8 receptors IL8RA and IL8RB reduces acute myocardial infarction (MI)-induced left ventricular (LV) remodeling and dysfunction and increases neovascularization in the area at risk surrounding the infarcted tissue. MI was created by ligating the left anterior descending coronary artery in 12-wk-old male Sprague-Dawley rats. Four groups of rats were studied: group 1: sham-operated rats without MI or EC transfusion; group 2: MI rats with intravenous vehicle; group 3: MI rats with transfused ECs transduced with empty adenoviral vector (Null-EC); and group 4: MI rats with transfused ECs overexpressing IL8RA/RB (1.5 × 10⁶ cells post-MI). Two weeks after MI, LV function was assessed by echocardiography; infarct size was assessed by triphenyltetrazolium chloride (live tissue) and picrosirus red (collagen) staining, and capillary density and neutrophil infiltration in the area at risk were measured by CD31 and MPO immunohistochemical staining, respectively. When compared with the MI + vehicle and MI-Null-EC groups, transfusion of IL8RA/RB-ECs decreased neutrophil infiltration and pro-inflammatory cytokine expression and increased capillary density in the area at risk, decreased infarct size, and reduced MI-induced LV dysfunction. These findings provide proof of principle that targeted delivery of ECs is effective in repairing injured cardiac tissue. Targeted delivery of ECs to infarcted hearts provides a potential novel strategy for the treatment of acute MI in humans.
内皮细胞是心血管系统的一个动态组成部分,在健康和疾病中发挥着重要作用。本研究检验了这样一个假设,即过表达中性粒细胞膜 IL-8 受体 IL8RA 和 IL8RB 的内皮细胞(EC)的靶向递送可减少急性心肌梗死(MI)诱导的左心室(LV)重构和功能障碍,并增加梗死组织周围危险区域的新生血管形成。通过结扎 12 周龄雄性 Sprague-Dawley 大鼠的左前降支冠状动脉来创建 MI。研究了四组大鼠:第 1 组:未发生 MI 或 EC 输注的假手术大鼠;第 2 组:静脉注射载体的 MI 大鼠;第 3 组:转导有空腺病毒载体(Null-EC)的 EC 输注的 MI 大鼠;第 4 组:过表达 IL8RA/RB 的 EC 输注的 MI 大鼠(MI 后输注 1.5×10⁶ 个细胞)。MI 后 2 周,通过超声心动图评估 LV 功能;通过三苯基四唑氯化物(活组织)和 picrosirus 红(胶原)染色评估梗死面积,并通过 CD31 和 MPO 免疫组织化学染色分别测量危险区域的毛细血管密度和中性粒细胞浸润。与 MI+载体和 MI-Null-EC 组相比,IL8RA/RB-EC 的输注减少了危险区域的中性粒细胞浸润和促炎细胞因子表达,增加了毛细血管密度,减少了梗死面积,并减轻了 MI 诱导的 LV 功能障碍。这些发现为靶向递送 EC 修复受损心脏组织的有效性提供了原理证明。将 EC 靶向递送至梗死心脏为治疗人类急性 MI 提供了一种潜在的新策略。