Li Na, Huang RanRan, Zhang XiaoXia, Xin Yi, Li Jia, Huang YiMin, Cui Wei, Stoltz Jean-Francois, Zhou YuJie, Kong QingYu
Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing, P.R. China.
Beijng Institute of Heart Lung and Blood Vessels Disease, Beijing, P.R. China.
Biomed Mater Eng. 2017;28(s1):S87-S94. doi: 10.3233/BME-171628.
The construction of the high biocompatible biomaterials pretreated with MSC offers a promising strategy to improve the effects of stem cell therapy for the myocardial infarction (MI). However, assembling vascularized three-dimensional (3-D) myocardial tissues remains an enormous challenge. In this study, we optimized the decellularization protocol with the umbilical artery to construct microporous 3-D scaffold which is suitable for the stem cells (SC) proliferation. The SD rats underwent proximal left coronary ligation and a 5-mm diameter microporous SC patch was implanted directly on the infarct area (SC patch group). The LV contractile function, regional myocardial wall compliance, and tissue histology were assessed 4 weeks after patch implantation. The MSC patch integrated to the local heart tissue and the neo-vessels have been observed in the MSC patch. The vessels in the MSC patch were positive for the CD31 (marker for the mature endothelial cells). The left ventricle wall was thicker in the MSC patch group than the control group (p<0.05 vs. empty patch group). And the LVEF has been improved in the MSC patch group than empty patch group (59±6.7% vs. 31±4.5%, p<0.05).
Our results showed that the implantation of the MSC patch improved cardiac contractile function in heart infarction rat model. The construction of artificial tissue from the decellularized umbilical artery and the MSC may open a promising perspective for the tissue therapy for MI.
用间充质干细胞(MSC)预处理构建高生物相容性生物材料,为改善心肌梗死(MI)的干细胞治疗效果提供了一种有前景的策略。然而,构建血管化的三维(3-D)心肌组织仍然是一个巨大的挑战。在本研究中,我们优化了脐动脉脱细胞方案,以构建适合干细胞(SC)增殖的微孔3-D支架。对SD大鼠进行左冠状动脉近端结扎,并将直径5毫米的微孔SC贴片直接植入梗死区域(SC贴片组)。贴片植入4周后评估左心室收缩功能、局部心肌壁顺应性和组织组织学。在MSC贴片中观察到MSC贴片与局部心脏组织整合以及新生血管。MSC贴片中的血管CD31呈阳性(成熟内皮细胞标志物)。MSC贴片组的左心室壁比对照组厚(与空贴片组相比,p<0.05)。并且MSC贴片组的左心室射血分数(LVEF)比空贴片组有所改善(59±6.7%对31±4.5%,p<0.05)。
我们的结果表明,在心肌梗死大鼠模型中植入MSC贴片可改善心脏收缩功能。由脱细胞脐动脉和MSC构建人工组织可能为MI的组织治疗开辟一个有前景的前景。