Repair of Infarcted Myocardium Mediated by Transplanted Bone Marrow–Derived CD34+ Stem Cells in a Nonhuman Primate Model

Rodent and human clinical studies have shown that transplantation of bone marrow stem cells to the ischemic myocardium results in improved cardiac function. In this study, cynomolgus monkey acute myocardial infarction was generated by ligating the left anterior descending artery, and autologous CD34...

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Veröffentlicht in:Stem cells (Dayton, Ohio) Ohio), 2005-03, Vol.23 (3), p.355-364
Hauptverfasser: Yoshioka, Toru, Ageyama, Naohide, Shibata, Hiroaki, Yasu, Takanori, Misawa, Yoshio, Takeuchi, Koichi, Matsui, Keiji, Yamamoto, Keiji, Terao, Keiji, Shimada, Kazuyuki, Ikeda, Uichi, Ozawa, Keiya, Hanazono, Yutaka
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container_issue 3
container_start_page 355
container_title Stem cells (Dayton, Ohio)
container_volume 23
creator Yoshioka, Toru
Ageyama, Naohide
Shibata, Hiroaki
Yasu, Takanori
Misawa, Yoshio
Takeuchi, Koichi
Matsui, Keiji
Yamamoto, Keiji
Terao, Keiji
Shimada, Kazuyuki
Ikeda, Uichi
Ozawa, Keiya
Hanazono, Yutaka
description Rodent and human clinical studies have shown that transplantation of bone marrow stem cells to the ischemic myocardium results in improved cardiac function. In this study, cynomolgus monkey acute myocardial infarction was generated by ligating the left anterior descending artery, and autologous CD34+ cells were transplanted to the peri‐ischemic zone. To track the in vivo fate of transplanted cells, CD34+ cells were genetically marked with green fluorescent protein (GFP) using a lentivirus vector before transplantation (marking efficiency, 41% on average). The group receiving cells (n = 4) demonstrated improved regional blood flow and cardiac function compared with the saline‐treated group (n =4) at 2 weeks after transplant. However, very few transplanted cell–derived, GFP‐positive cells were found incorporated into the vascular structure, and GFP‐positive cardiomyocytes were not detected in the repaired tissue. On the other hand, cultured CD34+ cells were found to secrete vascular endothelial growth factor (VEGF), and the in vivo regional VEGF levels showed a significant increase after the transplantation. These results suggest that the improvement is not the result of generation of transplanted cell–derived endothelial cells or cardiomyocytes; and raise the possibility that angiogenic cytokines secreted from transplanted cells potentiate angiogenic activity of endogenous cells.
doi_str_mv 10.1634/stemcells.2004-0200
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In this study, cynomolgus monkey acute myocardial infarction was generated by ligating the left anterior descending artery, and autologous CD34+ cells were transplanted to the peri‐ischemic zone. To track the in vivo fate of transplanted cells, CD34+ cells were genetically marked with green fluorescent protein (GFP) using a lentivirus vector before transplantation (marking efficiency, 41% on average). The group receiving cells (n = 4) demonstrated improved regional blood flow and cardiac function compared with the saline‐treated group (n =4) at 2 weeks after transplant. However, very few transplanted cell–derived, GFP‐positive cells were found incorporated into the vascular structure, and GFP‐positive cardiomyocytes were not detected in the repaired tissue. On the other hand, cultured CD34+ cells were found to secrete vascular endothelial growth factor (VEGF), and the in vivo regional VEGF levels showed a significant increase after the transplantation. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Acute myocardial infarction
Animals
Antigens, CD34 - analysis
Bone Marrow Transplantation
Cell Differentiation - physiology
Cell Movement - physiology
Coronary Vessels - surgery
Creatine Kinase - blood
Disease Models, Animal
Echocardiography
Female
Genetic marking
Green Fluorescent Proteins - genetics
Heart Function Tests
Lentivirus - genetics
Lentivirus vector
Ligation
Macaca fascicularis
Male
Myocardial Infarction - therapy
Myocardium - metabolism
Myocardium - pathology
Neoangiogenesis
Neovascularization, Physiologic - physiology
Nonhuman primate
Plasticity
Regional Blood Flow - physiology
Stem cell transplantation
Stem Cells - chemistry
Stem Cells - cytology
Stem Cells - physiology
Vascular Endothelial Growth Factor A - metabolism
title Repair of Infarcted Myocardium Mediated by Transplanted Bone Marrow–Derived CD34+ Stem Cells in a Nonhuman Primate Model
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