低氧预处理的鼠间充质干细胞对小鼠模型心肌梗死后心律失常的影响。

The Effects of Hypoxic Preconditioned Murine Mesenchymal Stem Cells on Post-Infarct Arrhythmias in the Mouse Model.

机构信息

Department of Cardiac Surgery, Rostock University Medical Center, 18057 Rostock, Germany.

Department of Life, Light & Matter, Interdisciplinary Faculty, Rostock University, 18059 Rostock, Germany.

出版信息

Int J Mol Sci. 2022 Aug 9;23(16):8843. doi: 10.3390/ijms23168843.

Abstract

Ventricular arrhythmias associated with myocardial infarction (MI) have a significant impact on mortality in patients following heart attack. Therefore, targeted reduction of arrhythmia represents a therapeutic approach for the prevention and treatment of severe events after infarction. Recent research transplanting mesenchymal stem cells (MSC) showed their potential in MI therapy. Our study aimed to investigate the effects of MSC injection on post-infarction arrhythmia. We used our murine double infarction model, which we previously established, to more closely mimic the clinical situation and intramyocardially injected hypoxic pre-conditioned murine MSC to the infarction border. Thereafter, various types of arrhythmias were recorded and analyzed. We observed a homogenous distribution of all types of arrhythmias after the first infarction, without any significant differences between the groups. Yet, MSC therapy after double infarction led to a highly significant reduction in simple and complex arrhythmias. Moreover, RNA-sequencing of samples from stem cell treated mice after re-infarction demonstrated a significant decline in most arrhythmias with reduced inflammatory pathways. Additionally, following stem-cell therapy we found numerous highly expressed genes to be either linked to lowering the risk of heart failure, cardiomyopathy or sudden cardiac death. Moreover, genes known to be associated with arrhythmogenesis and key mutations underlying arrhythmias were downregulated. In summary, our stem-cell therapy led to a reduction in cardiac arrhythmias after MI and showed a downregulation of already established inflammatory pathways. Furthermore, our study reveals gene regulation pathways that have a potentially direct influence on arrhythmogenesis after myocardial infarction.

摘要

与心肌梗死(MI)相关的室性心律失常对心脏病发作后患者的死亡率有重大影响。因此,有针对性地减少心律失常是预防和治疗梗塞后严重事件的一种治疗方法。最近关于间充质干细胞(MSC)移植的研究表明了它们在 MI 治疗中的潜力。我们的研究旨在探讨 MSC 注射对梗死后心律失常的影响。我们使用了我们之前建立的鼠双梗塞模型,以更接近模拟临床情况,并将缺氧预处理的鼠 MSC 心内注射到梗塞边界。此后,记录和分析了各种类型的心律失常。我们观察到第一次梗塞后所有类型的心律失常都呈均匀分布,各组之间没有显著差异。然而,双梗塞后 MSC 治疗导致简单和复杂心律失常显著减少。此外,对再梗塞后接受干细胞治疗的小鼠样本进行 RNA 测序表明,大多数心律失常的炎症途径明显减少。此外,在干细胞治疗后,我们发现许多高表达的基因要么与降低心力衰竭、心肌病或心源性猝死的风险有关,要么与心律失常的关键突变有关。此外,已知与心律失常发生有关的基因和关键突变基因的表达下调。总之,我们的干细胞治疗导致 MI 后心脏心律失常减少,并显示已建立的炎症途径下调。此外,我们的研究揭示了基因调控途径,它们可能对心肌梗死后心律失常的发生有直接影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2231/9408396/31def7d6cc72/ijms-23-08843-g001.jpg

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