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心肌梗死后人脐带基质来源间充质基质细胞的长期治疗效果一致,尽管存在个体差异和短暂植入。

Consistent Long-Term Therapeutic Efficacy of Human Umbilical Cord Matrix-Derived Mesenchymal Stromal Cells After Myocardial Infarction Despite Individual Differences and Transient Engraftment.

作者信息

Laundos Tiago L, Vasques-Nóvoa Francisco, Gomes Rita N, Sampaio-Pinto Vasco, Cruz Pedro, Cruz Hélder, Santos Jorge M, Barcia Rita N, Pinto-do-Ó Perpétua, Nascimento Diana S

机构信息

Instituto de Investigação e Inovação em Saúde (i3S), University of Porto, Porto, Portugal.

Instituto Nacional de Engenharia Biomédica (INEB), University of Porto, Porto, Portugal.

出版信息

Front Cell Dev Biol. 2021 Feb 4;9:624601. doi: 10.3389/fcell.2021.624601. eCollection 2021.

Abstract

Human mesenchymal stem cells gather special interest as a universal and feasible add-on therapy for myocardial infarction (MI). In particular, human umbilical cord matrix-derived mesenchymal stromal cells (UCM-MSC) are advantageous since can be easily obtained and display high expansion potential. Using isolation protocols compliant with cell therapy, we previously showed UCM-MSC preserved cardiac function and attenuated remodeling 2 weeks after MI. In this study, UCM-MSC from two umbilical cords, UC-A and UC-B, were transplanted in a murine MI model to investigate consistency and durability of the therapeutic benefits. Both cellular products improved cardiac function and limited adverse cardiac remodeling 12 weeks post-ischemic injury, supporting sustained and long-term beneficial therapeutic effect. Donor associated variability was found in the modulation of cardiac remodeling and activation of the Akt-mTOR-GSK3β survival pathway. , the two cell products displayed similar ability to induce the formation of vessel-like structures and comparable transcriptome in normoxia and hypoxia, apart from UCM-MSCs proliferation and expression differences in a small subset of genes associated with MHC Class I. These findings support that UCM-MSC are strong candidates to assist the treatment of MI whilst calling for the discussion on methodologies to characterize and select best performing UCM-MSC before clinical application.

摘要

人骨髓间充质干细胞作为一种通用且可行的心肌梗死(MI)附加治疗方法备受关注。特别是,人脐带基质来源的间充质基质细胞(UCM-MSC)具有优势,因为它们易于获取且具有高增殖潜力。我们先前使用符合细胞治疗的分离方案,证明UCM-MSC在MI后2周可保留心脏功能并减轻心脏重塑。在本研究中,将来自两根脐带UC-A和UC-B的UCM-MSC移植到小鼠MI模型中,以研究治疗益处的一致性和持久性。两种细胞制品在缺血性损伤后12周均改善了心脏功能并限制了不良心脏重塑,支持了持续和长期的有益治疗效果。在心脏重塑的调节和Akt-mTOR-GSK3β存活途径的激活中发现了供体相关变异性。此外,除了UCM-MSCs在与MHC I类相关的一小部分基因中的增殖和表达差异外,两种细胞制品在常氧和缺氧条件下诱导血管样结构形成的能力相似,转录组也相当。这些发现支持UCM-MSC是辅助治疗MI的有力候选者,同时呼吁在临床应用前讨论表征和选择性能最佳的UCM-MSC的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9923/7890004/2c2085ee26d4/fcell-09-624601-g0001.jpg

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