Department of Molecular Biomedical Sciences and Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA; Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, NC, USA.
Department of Molecular Biomedical Sciences and Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.
Biomaterials. 2014 Oct;35(30):8528-39. doi: 10.1016/j.biomaterials.2014.06.031. Epub 2014 Jul 16.
Stem cell transplantation is a promising therapeutic strategy for acute or chronic ischemic cardiomyopathy. A major limitation to efficacy in cell transplantation is the low efficiency of retention and engraftment, due at least in part to significant early "wash-out" of cells from coronary blood flow and heart contraction. We sought to enhance cell retention and engraftment by magnetic targeting. Human cardiosphere-derived stem cells (hCDCs) were labeled with FDA-approved ferumoxytol nanoparticles Feraheme(®) (F) in the presence of heparin (H) and protamine (P). FHP labeling is nontoxic to hCDCs. FHP-labeled rat CDCs (FHP-rCDCs) were intracoronarily infused into syngeneic rats, with and without magnetic targeting. Magnetic resonance imaging, fluorescence imaging, and quantitative PCR revealed magnetic targeting increased cardiac retention of transplanted FHP-rCDCs. Neither infusion of FHP-rCDCs nor magnetic targeting exacerbated cardiac inflammation or caused iron overload. The augmentation of acute cell retention translated into more attenuated left ventricular remodeling and greater therapeutic benefit (ejection fraction) 3 weeks after treatment. Histology revealed enhanced cell engraftment and angiogenesis in hearts from the magnetic targeting group. FHP labeling is safe to cardiac stem cells and facilitates magnetically-targeted stem cell delivery into the heart which leads to augmented cell engraftment and therapeutic benefit.
干细胞移植是治疗急性或慢性缺血性心肌病的一种有前途的治疗策略。细胞移植疗效的一个主要限制是保留和植入的效率低,这至少部分是由于细胞从冠状动脉血流和心脏收缩中早期“冲洗”出来的程度很大。我们试图通过磁靶向来增强细胞的保留和植入。在肝素 (H) 和鱼精蛋白 (P) 的存在下,用美国食品和药物管理局批准的 Ferumoxytol 纳米颗粒 Feraheme(®) (F) 标记人心肌球源性干细胞 (hCDC)。FHP 标记对 hCDC 无毒。将 FHP 标记的大鼠 CDCs (FHP-rCDCs) 经冠状动脉内输注到同种异体大鼠体内,并进行和不进行磁靶向。磁共振成像、荧光成像和定量 PCR 显示,磁靶向增加了移植的 FHP-rCDCs 在心脏中的保留。FHP-rCDCs 的输注或磁靶向均未加重心脏炎症或导致铁过载。急性细胞保留的增加转化为治疗后 3 周左心室重构的减弱和更大的治疗益处(射血分数)。组织学显示,磁靶向组心脏中的细胞植入和血管生成增强。FHP 标记对心脏干细胞是安全的,并促进磁靶向干细胞递送到心脏,从而增加细胞植入和治疗益处。
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