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Eur J Cardiothorac Surg 2006;30:353-361
© 2006 Elsevier Science NL
a Department of Physiology, XiangYa School of Medicine, Central South University, Changsha, Hunan 410078, People's Republic of China
b Institute Of Clinical Medicine, Renmin Hospital, YunYang Medical College, Shiyan, Hubei 442000, People's Republic of China
c Department of Physiology, YunYang Medical College, Shiyan, Hubei 442000, People's Republic of China
d Stem Cells Research Institute of Hainan Province, Haikou 570102, Hainan, People's Republic of China
Received 6 October 2005; received in revised form 11 February 2006; accepted 20 February 2006.
* Corresponding author. Address: Department of Physiology, XiangYa School of Medicine, Central South University, Changsha, Hunan 410078, People's Republic of China. Tel.: +86 731 8905361; fax: +86 731 8905361. (Email: tangjm416{at}163.com; qxie18{at}hotmail.com; qxie{at}xysm.net; panther75{at}163.com; rywjn{at}vip.163.com; slwangmingjiang{at}sina.com).
Objective: The effect of transplanted mesenchymal stem cells (MSCs) on the left ventricular (LV) function and morphology in a rat myocardial infarct heart with reperfusion model were analyzed. Methods: One week after 60 min of myocardial ischemia and reperfusion by left anterior descending artery (LAD) occlusion, 1.0 x 107 6-diamidino-2-phenylindole (DAPI)-labeled MSCs were injected into the infarcted myocardium and compared with controls, and sham-operated rats, in which a cell-free serum medium was injected into the infarcted region or the myocardial wall, respectively. Measurement of vascular endothelial growth factor (VEGF) expression 1 week after MSC injection using Western blot analysis (n = 5), and immunohistochemical staining using HE staining and fluorescent microscopy of the DAPI-positive regions from MSC implantation, cTnT immunostaining of potential myocardial-like cells, and SM-actin and CD31 immunostaining demonstrating neovascular transformation of implanted MSCs 1 week, 2 weeks and 4 weeks after transplantation (n = 5). Hemodynamic measurements were performed after 4 weeks in vivo. Subsequently, hearts were quickly removed and cut for histological analysis using HE staining with measurement of the infracted LV-area, the LV-wall thickness within the scar segment compared to non-infarcted scar segments, and the capillary density counting capillary vessels with 400x light microscopy (n = 10). Results: Measurement of hemodynamics 4 weeks after transplantation in vivo showed LV function to be significantly greater in MSCs than in the control group. Semi-quantitative histomorphometric examinations showed a significantly lower infract size, a greater LV-wall thickness, and a lower Hochman-Choo expansion index in the MSC-treated group compared to the control group. Immunofluorescence demonstrated that transplanted MSCs were positive for cTnT, suggesting that a small number of transplanted MSCs can differentiate into cardiomyocytes. Other MSCs were positive for CD31 and SM-actin. The transplanted MSCs in MI area had significantly higher expression rates of cTnT, CD31 and SM-actin 2 weeks after transplantation. HE staining showed marked augmentation of neovascularization in the MSC group. Semi-quantitative analysis demonstrated that capillary density was significantly higher in the MSC group than in the control group. Conclusion: Implanted MSCs could improve cardiac structure and function through the combined effect of myogenesis and angiogenesis.
Key Words: Myocardial infarction Mesenchymal stem cell Angiogenesis Transplantation Rats
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