Plant-Derived Remedy for Repair of Infarcted Heart

Background: Myocardial infarction (MI) due to coronary artery disease remains one of the leading causes of premature death. Replacement of infarcted heart tissue with regenerating myocardium from endogenous progenitor pools or exogenously introduced stem cells remains a therapeutic ideal. Their impr...

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Veröffentlicht in:PloS one 2009-02, Vol.4 (2), p.e4461-e4461
Hauptverfasser: Cheng, Lei, Chen, Hao, Yao, Xinsheng, Qi, Guoqing, Liu, Hongwei, Lee, Kwongman, Lee, Kaho, Zhang, Jieting, Chen, Shihui, Lin, Xiaoli, Zhao, Wenchao, Li, Jiankuan, Li, Ming
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container_issue 2
container_start_page e4461
container_title PloS one
container_volume 4
creator Cheng, Lei
Chen, Hao
Yao, Xinsheng
Qi, Guoqing
Liu, Hongwei
Lee, Kwongman
Lee, Kaho
Zhang, Jieting
Chen, Shihui
Lin, Xiaoli
Zhao, Wenchao
Li, Jiankuan
Li, Ming
description Background: Myocardial infarction (MI) due to coronary artery disease remains one of the leading causes of premature death. Replacement of infarcted heart tissue with regenerating myocardium from endogenous progenitor pools or exogenously introduced stem cells remains a therapeutic ideal. Their impracticality mainly lies in their low efficiency in cardiogenic differentiation (CD). Our recent studies with an acute MI animal model have already demonstrated the therapeutic effect of the MeOH extract of Geum japonicum (EGJ), providing clear evidence of myocardial regeneration. Methods and Findings: The present study further isolated the active component contained in EGJ using bioassay-guided isolation and investigated its efficacy in the treatment of infarcted heart in animal MI models. We demonstrated that substantial repair of infarcted heart in animal MI models by EGJ can be mimicked by the isolated candidate compound (cardiogenin) in MI animal models. Clear evidence of newly regenerated endogenous mesenchymal stem cells (MSCs) derived cardiomyocytes was observed throughout the infarct zone, accompanied by significantly improved functional performance of the heart. Transplantation of MSCs pretreated with EGJ or cardiogenin into a MI animal model also resulted in substantial regeneration of functional myocardium, implying that the activated MSCs carry all the necessary blueprints for myocardial regeneration. Signaling pathways specific to cell survival, CD identified in embryonic heart induction and angiogenesis were activated in both cardiogenin-treated MSCs and cardiogenin-induced regenerating myocardium. Conclusions: This study has demonstrated the therapeutic effects of cardiogenin in infarcted heart repair, and identified the associated signalling pathways for effective cardiogenic differentiation of MSCs, cell survival and angiogenesis. These findings should enable new treatment strategies for MI to be developed immediately.
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Replacement of infarcted heart tissue with regenerating myocardium from endogenous progenitor pools or exogenously introduced stem cells remains a therapeutic ideal. Their impracticality mainly lies in their low efficiency in cardiogenic differentiation (CD). Our recent studies with an acute MI animal model have already demonstrated the therapeutic effect of the MeOH extract of Geum japonicum (EGJ), providing clear evidence of myocardial regeneration. Methods and Findings: The present study further isolated the active component contained in EGJ using bioassay-guided isolation and investigated its efficacy in the treatment of infarcted heart in animal MI models. We demonstrated that substantial repair of infarcted heart in animal MI models by EGJ can be mimicked by the isolated candidate compound (cardiogenin) in MI animal models. Clear evidence of newly regenerated endogenous mesenchymal stem cells (MSCs) derived cardiomyocytes was observed throughout the infarct zone, accompanied by significantly improved functional performance of the heart. Transplantation of MSCs pretreated with EGJ or cardiogenin into a MI animal model also resulted in substantial regeneration of functional myocardium, implying that the activated MSCs carry all the necessary blueprints for myocardial regeneration. Signaling pathways specific to cell survival, CD identified in embryonic heart induction and angiogenesis were activated in both cardiogenin-treated MSCs and cardiogenin-induced regenerating myocardium. Conclusions: This study has demonstrated the therapeutic effects of cardiogenin in infarcted heart repair, and identified the associated signalling pathways for effective cardiogenic differentiation of MSCs, cell survival and angiogenesis. These findings should enable new treatment strategies for MI to be developed immediately.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0004461</identifier><identifier>PMID: 19221596</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Angiogenesis ; Animal models ; Animals ; Bioassays ; Biochemistry/Drug Discovery ; Biochemistry/Small Molecule Chemistry ; Bone Morphogenetic Protein 4 - metabolism ; Cancer ; Cardiac Myosins - genetics ; Cardiac Myosins - metabolism ; cardiogenin ; Cardiomyocytes ; Cardiovascular Disorders/Cardiovascular Pharmacology ; Cardiovascular Disorders/Myocardial Infarction ; Cell differentiation ; Cell Differentiation - drug effects ; Cell survival ; Chinese medicine ; Coronary artery ; Coronary artery disease ; Coronary heart disease ; Differentiation ; Echocardiography ; Education ; Embryos ; Gene Expression Profiling ; Genes ; Geum ; Geum japonicum ; Health aspects ; Health sciences ; Heart ; Heart diseases ; Heart transplantation ; herbal medicines ; Humans ; Kinases ; Laboratory animals ; Lymphoma ; Male ; medicinal properties ; Mesenchymal Stem Cell Transplantation - methods ; Mesenchymal stem cells ; Mesenchymal Stromal Cells - cytology ; Mesenchymal Stromal Cells - drug effects ; Mesenchymal Stromal Cells - physiology ; Mesenchyme ; Microarray Analysis ; Molecular Structure ; Morphology ; Myocardial Contraction - drug effects ; Myocardial infarction ; Myocardial Infarction - therapy ; Myocardium ; Myocardium - cytology ; Myocardium - metabolism ; Myocardium - pathology ; Myosin Light Chains - genetics ; Myosin Light Chains - metabolism ; plant extracts ; Plant Extracts - pharmacology ; Plant Extracts - therapeutic use ; Plants ; Rats ; Rats, Sprague-Dawley ; Recombinant Fusion Proteins - genetics ; Recombinant Fusion Proteins - metabolism ; Regeneration ; Regeneration - drug effects ; Rheumatology ; Saponins - pharmacology ; Saponins - therapeutic use ; Signal transduction ; Signal Transduction - physiology ; Signaling ; Stem cell transplantation ; Stem cells ; Survival ; Transplantation</subject><ispartof>PloS one, 2009-02, Vol.4 (2), p.e4461-e4461</ispartof><rights>COPYRIGHT 2009 Public Library of Science</rights><rights>2009 Cheng et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Cheng et al. 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c686t-1c351d57b3378426db1b2435a9e156f2408cdaac3e9491113e74899a594e2cea3</citedby><cites>FETCH-LOGICAL-c686t-1c351d57b3378426db1b2435a9e156f2408cdaac3e9491113e74899a594e2cea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637970/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637970/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19221596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Lei</creatorcontrib><creatorcontrib>Chen, Hao</creatorcontrib><creatorcontrib>Yao, Xinsheng</creatorcontrib><creatorcontrib>Qi, Guoqing</creatorcontrib><creatorcontrib>Liu, Hongwei</creatorcontrib><creatorcontrib>Lee, Kwongman</creatorcontrib><creatorcontrib>Lee, Kaho</creatorcontrib><creatorcontrib>Zhang, Jieting</creatorcontrib><creatorcontrib>Chen, Shihui</creatorcontrib><creatorcontrib>Lin, Xiaoli</creatorcontrib><creatorcontrib>Zhao, Wenchao</creatorcontrib><creatorcontrib>Li, Jiankuan</creatorcontrib><creatorcontrib>Li, Ming</creatorcontrib><title>Plant-Derived Remedy for Repair of Infarcted Heart</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Background: Myocardial infarction (MI) due to coronary artery disease remains one of the leading causes of premature death. Replacement of infarcted heart tissue with regenerating myocardium from endogenous progenitor pools or exogenously introduced stem cells remains a therapeutic ideal. Their impracticality mainly lies in their low efficiency in cardiogenic differentiation (CD). Our recent studies with an acute MI animal model have already demonstrated the therapeutic effect of the MeOH extract of Geum japonicum (EGJ), providing clear evidence of myocardial regeneration. Methods and Findings: The present study further isolated the active component contained in EGJ using bioassay-guided isolation and investigated its efficacy in the treatment of infarcted heart in animal MI models. We demonstrated that substantial repair of infarcted heart in animal MI models by EGJ can be mimicked by the isolated candidate compound (cardiogenin) in MI animal models. Clear evidence of newly regenerated endogenous mesenchymal stem cells (MSCs) derived cardiomyocytes was observed throughout the infarct zone, accompanied by significantly improved functional performance of the heart. Transplantation of MSCs pretreated with EGJ or cardiogenin into a MI animal model also resulted in substantial regeneration of functional myocardium, implying that the activated MSCs carry all the necessary blueprints for myocardial regeneration. Signaling pathways specific to cell survival, CD identified in embryonic heart induction and angiogenesis were activated in both cardiogenin-treated MSCs and cardiogenin-induced regenerating myocardium. Conclusions: This study has demonstrated the therapeutic effects of cardiogenin in infarcted heart repair, and identified the associated signalling pathways for effective cardiogenic differentiation of MSCs, cell survival and angiogenesis. These findings should enable new treatment strategies for MI to be developed immediately.</description><subject>Analysis</subject><subject>Angiogenesis</subject><subject>Animal models</subject><subject>Animals</subject><subject>Bioassays</subject><subject>Biochemistry/Drug Discovery</subject><subject>Biochemistry/Small Molecule Chemistry</subject><subject>Bone Morphogenetic Protein 4 - metabolism</subject><subject>Cancer</subject><subject>Cardiac Myosins - genetics</subject><subject>Cardiac Myosins - metabolism</subject><subject>cardiogenin</subject><subject>Cardiomyocytes</subject><subject>Cardiovascular Disorders/Cardiovascular Pharmacology</subject><subject>Cardiovascular Disorders/Myocardial Infarction</subject><subject>Cell differentiation</subject><subject>Cell Differentiation - drug effects</subject><subject>Cell survival</subject><subject>Chinese medicine</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Coronary heart disease</subject><subject>Differentiation</subject><subject>Echocardiography</subject><subject>Education</subject><subject>Embryos</subject><subject>Gene Expression Profiling</subject><subject>Genes</subject><subject>Geum</subject><subject>Geum japonicum</subject><subject>Health aspects</subject><subject>Health sciences</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart transplantation</subject><subject>herbal medicines</subject><subject>Humans</subject><subject>Kinases</subject><subject>Laboratory animals</subject><subject>Lymphoma</subject><subject>Male</subject><subject>medicinal properties</subject><subject>Mesenchymal Stem Cell Transplantation - 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genetics</subject><subject>Recombinant Fusion Proteins - metabolism</subject><subject>Regeneration</subject><subject>Regeneration - drug effects</subject><subject>Rheumatology</subject><subject>Saponins - pharmacology</subject><subject>Saponins - therapeutic use</subject><subject>Signal transduction</subject><subject>Signal Transduction - physiology</subject><subject>Signaling</subject><subject>Stem cell transplantation</subject><subject>Stem cells</subject><subject>Survival</subject><subject>Transplantation</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl9v0zAUxSMEYmPwDRBUQprEQ4uv7TjxC9I0_qzSpKGN8WrdODetqzQudjKxb49LA2sRDygPtuzfPdf35GTZS2AzEAW8W_khdNjONr6jGWNMSgWPsmPQgk8VZ-Lx3v4oexbjirFclEo9zY5Acw65VscZ_9Ji108_UHB3VE-uaU31_aTxIW036MLEN5N512Cwfbq-IAz98-xJg22kF-N6kt1--vj1_GJ6efV5fn52ObWqVP0UrMihzotKiKKUXNUVVFyKHDVBrhouWWlrRCtISw0AggpZao25lsQtoTjJXu90N62PZhw3GuClLsoclErEfEfUHldmE9waw73x6MyvAx8WJr3X2ZbMVloWSlVFcopViHVVc01WgaUacKv1fuw2VMkDS10fsD0QPbzp3NIs_J3hShS6YEngdBQI_vtAsTdrFy21yV_yQzRKaZFaQwLf_AX-e7bZjlpger7rGp-62vTVtHY2_fPGpfMzWQjJNJNlKnh7UJCYnn70CxxiNPOb6_9nr74dsqd77JKw7ZfRt0PvfBcPQbkDbfAxBmr-mAfMbCP7e06zjawZI5vKXu0b_1A0ZvQhBw16g4vgorm94clIBioFRwnxE3GJ7b4</recordid><startdate>20090214</startdate><enddate>20090214</enddate><creator>Cheng, Lei</creator><creator>Chen, Hao</creator><creator>Yao, Xinsheng</creator><creator>Qi, Guoqing</creator><creator>Liu, Hongwei</creator><creator>Lee, Kwongman</creator><creator>Lee, Kaho</creator><creator>Zhang, Jieting</creator><creator>Chen, Shihui</creator><creator>Lin, Xiaoli</creator><creator>Zhao, Wenchao</creator><creator>Li, Jiankuan</creator><creator>Li, Ming</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20090214</creationdate><title>Plant-Derived Remedy for Repair of Infarcted Heart</title><author>Cheng, Lei ; Chen, Hao ; Yao, Xinsheng ; Qi, Guoqing ; Liu, Hongwei ; Lee, Kwongman ; Lee, Kaho ; Zhang, Jieting ; Chen, Shihui ; Lin, Xiaoli ; Zhao, Wenchao ; Li, Jiankuan ; Li, Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c686t-1c351d57b3378426db1b2435a9e156f2408cdaac3e9491113e74899a594e2cea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Analysis</topic><topic>Angiogenesis</topic><topic>Animal models</topic><topic>Animals</topic><topic>Bioassays</topic><topic>Biochemistry/Drug Discovery</topic><topic>Biochemistry/Small Molecule Chemistry</topic><topic>Bone Morphogenetic Protein 4 - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Lei</au><au>Chen, Hao</au><au>Yao, Xinsheng</au><au>Qi, Guoqing</au><au>Liu, Hongwei</au><au>Lee, Kwongman</au><au>Lee, Kaho</au><au>Zhang, Jieting</au><au>Chen, Shihui</au><au>Lin, Xiaoli</au><au>Zhao, Wenchao</au><au>Li, Jiankuan</au><au>Li, Ming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plant-Derived Remedy for Repair of Infarcted Heart</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2009-02-14</date><risdate>2009</risdate><volume>4</volume><issue>2</issue><spage>e4461</spage><epage>e4461</epage><pages>e4461-e4461</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Background: Myocardial infarction (MI) due to coronary artery disease remains one of the leading causes of premature death. Replacement of infarcted heart tissue with regenerating myocardium from endogenous progenitor pools or exogenously introduced stem cells remains a therapeutic ideal. Their impracticality mainly lies in their low efficiency in cardiogenic differentiation (CD). Our recent studies with an acute MI animal model have already demonstrated the therapeutic effect of the MeOH extract of Geum japonicum (EGJ), providing clear evidence of myocardial regeneration. Methods and Findings: The present study further isolated the active component contained in EGJ using bioassay-guided isolation and investigated its efficacy in the treatment of infarcted heart in animal MI models. We demonstrated that substantial repair of infarcted heart in animal MI models by EGJ can be mimicked by the isolated candidate compound (cardiogenin) in MI animal models. Clear evidence of newly regenerated endogenous mesenchymal stem cells (MSCs) derived cardiomyocytes was observed throughout the infarct zone, accompanied by significantly improved functional performance of the heart. Transplantation of MSCs pretreated with EGJ or cardiogenin into a MI animal model also resulted in substantial regeneration of functional myocardium, implying that the activated MSCs carry all the necessary blueprints for myocardial regeneration. Signaling pathways specific to cell survival, CD identified in embryonic heart induction and angiogenesis were activated in both cardiogenin-treated MSCs and cardiogenin-induced regenerating myocardium. Conclusions: This study has demonstrated the therapeutic effects of cardiogenin in infarcted heart repair, and identified the associated signalling pathways for effective cardiogenic differentiation of MSCs, cell survival and angiogenesis. These findings should enable new treatment strategies for MI to be developed immediately.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>19221596</pmid><doi>10.1371/journal.pone.0004461</doi><tpages>e4461</tpages><oa>free_for_read</oa></addata></record>
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subjects Analysis
Angiogenesis
Animal models
Animals
Bioassays
Biochemistry/Drug Discovery
Biochemistry/Small Molecule Chemistry
Bone Morphogenetic Protein 4 - metabolism
Cancer
Cardiac Myosins - genetics
Cardiac Myosins - metabolism
cardiogenin
Cardiomyocytes
Cardiovascular Disorders/Cardiovascular Pharmacology
Cardiovascular Disorders/Myocardial Infarction
Cell differentiation
Cell Differentiation - drug effects
Cell survival
Chinese medicine
Coronary artery
Coronary artery disease
Coronary heart disease
Differentiation
Echocardiography
Education
Embryos
Gene Expression Profiling
Genes
Geum
Geum japonicum
Health aspects
Health sciences
Heart
Heart diseases
Heart transplantation
herbal medicines
Humans
Kinases
Laboratory animals
Lymphoma
Male
medicinal properties
Mesenchymal Stem Cell Transplantation - methods
Mesenchymal stem cells
Mesenchymal Stromal Cells - cytology
Mesenchymal Stromal Cells - drug effects
Mesenchymal Stromal Cells - physiology
Mesenchyme
Microarray Analysis
Molecular Structure
Morphology
Myocardial Contraction - drug effects
Myocardial infarction
Myocardial Infarction - therapy
Myocardium
Myocardium - cytology
Myocardium - metabolism
Myocardium - pathology
Myosin Light Chains - genetics
Myosin Light Chains - metabolism
plant extracts
Plant Extracts - pharmacology
Plant Extracts - therapeutic use
Plants
Rats
Rats, Sprague-Dawley
Recombinant Fusion Proteins - genetics
Recombinant Fusion Proteins - metabolism
Regeneration
Regeneration - drug effects
Rheumatology
Saponins - pharmacology
Saponins - therapeutic use
Signal transduction
Signal Transduction - physiology
Signaling
Stem cell transplantation
Stem cells
Survival
Transplantation
title Plant-Derived Remedy for Repair of Infarcted Heart
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