Sandora Normalina, Putra Muhammad Arza, Nurhayati Retno Wahyu, Nauli Raisa, Kusuma Tyas Rahmah, Fitria Nur Amalina, Muttaqin Chaidar, Makdinata William, Alwi Idrus
Faculty of Medicine, Universitas Riau, Pekanbaru, 28293, Indonesia.
Indonesia Medical Education and Research Institute, Jakarta, 10430, Indonesia.
Cell Tissue Bank. 2022 Sep;23(3):489-497. doi: 10.1007/s10561-021-09970-4. Epub 2021 Oct 28.
Cardiovascular disease is the second highest cause of death across the globe. Myocardial infarction is one of the heart diseases that cause permanent impairment of the heart wall leads to heart failure. Cellular therapy might give hope to regenerate the damaged myocardium. Single cells isolated from an excess heart tissue obtained from the correction of the right ventricular hypertrophy in patients with Tetralogy of Fallot for future heart study were investigated.
Once resected, the heart tissues were transported at 37 °C, in Dulbecco's Modified Eagle's medium/ DMEM (4.5 g.L, antibiotic-antimycotic 3x, PRP10% (v/v)), to reach the lab within 30 min, weighted and grouped into less than 500 mg and more than 1000 mg (n = 4). Each sample was digested with 250 U.mL Collagenase type V and 4U.mL Proteinase XXIV in the MACS™ C-tube (Milltenyi, Germany), then dissociated using the MACS™ Octo Dissociator with Heater (Milltenyi, Germany) for 60 min at 37 °C.
All cells isolated were rod-shaped cells; viability was up to 90%. The cell density obtained from the 500 mg group were 4,867 ± 899 cells.mg tissue weight, significantly higher compared to the 1,000 mg group; had 557 ± 490 cells.mg tissue weight (mean of (n = 3) ± 95% C.l). The isolated cells were analyzed using FACs BD Flowcytometer, expressed cTnT + 13.38%, PECAM-1 + /VCAM-1- 32.25%, cKit + 7.85%, ICAM + 85.53%, indicating the cardiomyocyte progenitor cells.
Cardiomyocytes taken from the wasted heart tissue might be a candidate of cardiomyocytes source to study interventions to the heart as it contained up to 13.38% cardiomyocytes, and 32.25% of cardiac progenitor cells. Moreover, perhaps when cardiac cell therapy needs autologous cardiomyocytes, less than 500 mg tissue weight can be considered as sufficient.
心血管疾病是全球第二大致死原因。心肌梗死是导致心脏壁永久性损伤并引发心力衰竭的心脏病之一。细胞疗法可能为受损心肌的再生带来希望。研究人员对从法洛四联症患者右心室肥厚矫正术中获取的多余心脏组织中分离出的单细胞进行了研究,以供未来的心脏研究使用。
切除后的心脏组织在37℃下,置于杜氏改良伊格尔培养基/DMEM(4.5g/L,抗生素 - 抗真菌剂3倍浓度,10%(v/v)的富血小板血浆)中运输,在30分钟内送达实验室,称重并分为小于500mg和大于1000mg两组(n = 4)。每个样本在MACS™ C管(德国美天旎公司)中用250U/mL的Ⅴ型胶原酶和4U/mL的XXIV型蛋白酶消化,然后使用带有加热器的MACS™ Octo解离器(德国美天旎公司)在37℃下解离60分钟。
所有分离出的细胞均为杆状细胞;活力高达90%。500mg组获得的细胞密度为4867±899个细胞/mg组织重量,显著高于1000mg组;1000mg组为557±490个细胞/mg组织重量((n = 3)的平均值±95%可信区间)。使用BD流式细胞仪对分离出的细胞进行分析,结果显示心肌肌钙蛋白T阳性率为13.38%,血小板内皮细胞黏附分子 - 1阳性/血管细胞黏附分子 - 1阴性率为32.25%,干细胞因子受体阳性率为7.85%,细胞间黏附分子阳性率为85.53%,表明这些细胞为心肌祖细胞。
从废弃心脏组织中获取的心肌细胞可能是用于研究心脏干预措施的心肌细胞来源候选者,因为其含有高达13.38%的心肌细胞和32.25%的心脏祖细胞。此外,也许当心脏细胞治疗需要自体心肌细胞时,组织重量小于500mg可被视为足够。