Division of Cardiothoracic Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Division of Cardiothoracic Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Biomaterials. 2014 Jul;35(21):5627-35. doi: 10.1016/j.biomaterials.2014.03.070. Epub 2014 Apr 14.
Mesenchymal stem cell (MSC) therapy for the treatment of myocardial infarction (MI) has shown considerable promise in clinical trials. A billion MSCs need to be administered for therapeutic efficacy, however, because only ∼1% of the cells reach the ischemic myocardium after systemic infusion. This is due to the loss of the homing signal on the surface of the MSCs during their expansion in culture. Stromal-derived factor-1 (SDF-1) is up-regulated immediately after infarction and is released into the peripheral blood. This SDF-1 reaches the bone marrow and recruits CXC chemokine receptor 4 (CXCR4)-positive stem cells. The CXCR4/SDF-1 axis plays an important role in MSC homing to the ischemic myocardium. Since SDF-1 is highly expressed for only 48 h after infarction, the current approaches requiring long-term culture of MSCs to induce CXCR4 expression are not clinically useful. To provide a clinically viable means to improve the homing of MSCs, we have developed a surface modification method to incorporate recombinant CXCR4 protein on the membrane of MSCs within 10 min. Using this method, we have confirmed the improved migration of MSCs toward an SDF-1 gradient.
间充质干细胞(MSC)疗法治疗心肌梗死(MI)在临床试验中显示出相当大的前景。然而,需要给予十亿个 MSCs 才能发挥治疗效果,因为在全身输注后,只有约 1%的细胞到达缺血性心肌。这是由于在培养过程中细胞扩张时表面上的归巢信号丢失所致。基质衍生因子-1(SDF-1)在梗塞后立即上调,并释放到外周血中。这种 SDF-1 到达骨髓并招募 CXC 趋化因子受体 4(CXCR4)阳性干细胞。CXCR4/SDF-1 轴在 MSC 归巢到缺血性心肌中起着重要作用。由于 SDF-1 在梗塞后仅高度表达 48 小时,因此目前需要长期培养 MSCs 来诱导 CXCR4 表达的方法在临床上并不实用。为了提供一种可行的临床手段来改善 MSCs 的归巢,我们开发了一种表面修饰方法,可在 10 分钟内将重组 CXCR4 蛋白整合到 MSCs 的膜上。使用这种方法,我们已经证实 MSC 向 SDF-1 梯度的迁移得到了改善。