Rubiano Andres, Qi Yanfei, Guzzo Dominic, Rathinasabapathy Anandharajan, Rowe Kyle, Pepine Carl, Simmons Chelsey
Department of Mechanical and Aerospace Engineering, College of Engineering, United States.
Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, United States.
J Mech Behav Biomed Mater. 2016 Jun;59:71-77. doi: 10.1016/j.jmbbm.2015.11.041. Epub 2015 Dec 19.
Extensive remodeling of the myocardium is seen in a variety of cardiovascular diseases, including systemic hypertension. Stem cell therapy has been proposed to improve the clinical outcomes of hypertension, and we hypothesized that changes in mechanical properties of the myocardium would accompany the progression of disease and the results of treatment conditions. Using spontaneously hypertensive rats (SHR) as a model of hypertension, we treated 13-week-old hypertensive rats with a single injection of adipose-derived stem cells (ADSC) isolated from a normotensive control. We indented the isolated ventricles of control, untreated sham-injected SHR, and ADSC-treated SHR hearts with a custom cantilever-based system and fit the resulting data to a standard linear solid model. SHR animals had higher blood pressure (198.4±25.9mmHg) and lower ejection fraction (69.9±4.2%) than age-matched control animals (109.0±1.6mmHg, 88.2±1.3%), and increased viscoelastic properties accompanied these clinical changes (right ventricle effective stiffness, SHR: 21.97±5.10kPa, Control: 13.14±3.48kPa). ADSC-treated animals saw improvement in clinical parameters compared to the untreated SHR group, which was also accompanied by a significant restoration of viscoelastic properties of the myocardium (ACSD-treated SHR: 9.77±6.96kPa).
在包括系统性高血压在内的多种心血管疾病中,均可观察到心肌的广泛重塑。干细胞疗法已被提出用于改善高血压的临床疗效,并且我们推测心肌机械性能的变化会伴随疾病进展以及治疗情况的结果。我们以自发性高血压大鼠(SHR)作为高血压模型,用单次注射从血压正常的对照动物分离出的脂肪源性干细胞(ADSC)来治疗13周龄的高血压大鼠。我们使用定制的基于悬臂梁的系统对对照动物、未治疗的假注射SHR以及经ADSC治疗的SHR心脏的离体心室进行压痕试验,并将所得数据拟合到标准线性固体模型。与年龄匹配的对照动物(血压109.0±1.6mmHg,射血分数88.2±1.3%)相比,SHR动物的血压更高(198.4±25.9mmHg),射血分数更低(69.9±4.2%),并且这些临床变化伴随着粘弹性特性的增加(右心室有效刚度,SHR:21.97±5.10kPa,对照:13.14±3.48kPa)。与未治疗的SHR组相比,经ADSC治疗的动物临床参数有所改善,这也伴随着心肌粘弹性特性的显著恢复(经ADSC治疗的SHR:9.77±6.96kPa)。