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心肌炎和心肌病病例中心脏祖细胞的定性和定量分析

Qualitative and Quantitative Analysis of Cardiac Progenitor Cells in Cases of Myocarditis and Cardiomyopathy.

作者信息

Gerisch Marie, Smettan Jan, Ebert Sabine, Athelogou Maria, Brand-Saberi Beate, Spindler Nick, Mueller Wolf C, Giri Shibashish, Bader Augustinus

机构信息

Applied Stem Cell Biology and Cell Technology, Biomedical and Biotechnological Center, University of Leipzig, Leipzig, Germany.

Division of Cardiology and Angiology, Department of Internal Medicine, Neurology and Dermatology, University Hospital Leipzig, Leipzig, Germany.

出版信息

Front Genet. 2018 Mar 6;9:72. doi: 10.3389/fgene.2018.00072. eCollection 2018.

Abstract

We aimed to identify and quantify CD117 and CD90 endogenous cardiac progenitor cells (CPC) in human healthy and diseased hearts. We hypothesize that these cells perform a locally acting, contributing function in overcoming medical conditions of the heart by endogenous means. Human myocardium biopsies were obtained from 23 patients with the following diagnoses: Dilatative cardiomyopathy (DCM), ischemic cardiomyopathy (ICM), myocarditis, and controls from healthy cardiac patients. High-resolution scanning microscopy of the whole slide enabled a computer-based immunohistochemical quantification of CD117 and CD90. Those signals were evaluated by Definiens Tissue Phenomics® Technology. Co-localization of CD117 and CD90 was determined by analyzing comparable serial sections. CD117/CD90 cardiac cells were detected in all biopsies. The highest expression of CD90 was revealed in the myocarditis group. CD117 was significantly higher in all patient groups, compared to healthy specimens ( < 0.05). The highest co-expression was found in the myocarditis group (6.75 ± 3.25 CD90CD117 cells/mm) followed by ICM (4 ± 1.89 cells/mm), DCM (1.67 ± 0.58 cells/mm), and healthy specimens (1 ± 0.43 cells/mm). We conclude that the human heart comprises a fraction of local CD117 and CD90 cells. We hypothesize that these cells are part of local endogenous progenitor cells due to the co-expression of CD90 and CD117. With novel digital image analysis technologies, a quantification of the CD117 and CD90 signals is available. Our experiments reveal an increase of CD117 and CD90 in patients with myocarditis.

摘要

我们旨在识别和量化人类健康及患病心脏中的CD117和CD90内源性心脏祖细胞(CPC)。我们假设这些细胞通过内源性方式在克服心脏疾病状况方面发挥局部作用并做出贡献。从23例患者获取人类心肌活检样本,这些患者的诊断如下:扩张型心肌病(DCM)、缺血性心肌病(ICM)、心肌炎,以及来自健康心脏患者的对照样本。对整张切片进行高分辨率扫描显微镜检查,实现了基于计算机的CD117和CD90免疫组织化学定量分析。这些信号通过Definiens Tissue Phenomics®技术进行评估。通过分析可比的连续切片确定CD117和CD90的共定位。在所有活检样本中均检测到CD117/CD90心脏细胞。心肌炎组中CD90的表达最高。与健康样本相比,所有患者组中的CD117均显著更高(<0.05)。共表达最高的是心肌炎组(6.75±3.25个CD90CD117细胞/mm),其次是ICM组(4±1.89个细胞/mm)、DCM组(1.67±0.58个细胞/mm)和健康样本组(1±0.43个细胞/mm)。我们得出结论,人类心脏包含一部分局部的CD117和CD90细胞。我们假设由于CD90和CD117的共表达,这些细胞是局部内源性祖细胞的一部分。借助新型数字图像分析技术,可以对CD117和CD90信号进行定量分析。我们的实验揭示了心肌炎患者中CD117和CD90的增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce2f/5845648/5af00170af62/fgene-09-00072-g0001.jpg

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