A comparison between percutaneous and surgical transplantation of autologous skeletal myoblasts in a swine model of chronic myocardial infarction

Our aim was to compare the efficacy of surgical versus percutaneous administration of skeletal myoblasts (SkM) in a swine model of chronic myocardial infarction and to determine the mechanism(s) involved in their beneficial effect. Two months after induction of myocardial infarction (MI), Goettingen...

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Veröffentlicht in:Cardiovascular research 2006-09, Vol.71 (4), p.744-753
Hauptverfasser: GAVIRA, Juan José, PEREZ-ILZARBE, Maitane, PANIZO, Angel, GARCIA DE JALON, José A, MARTINEZ-CARO, Diego, PROSPER, Felipe, ABIZANDA, Gloria, GARCIA-RODRIGUEZ, Alba, ORBE, Josune, PARAMO, José Antonio, BELZUNCE, Miriam, RABAGO, Gregorio, BARBA, Joaquin, HERREROS, Jesus
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container_end_page 753
container_issue 4
container_start_page 744
container_title Cardiovascular research
container_volume 71
creator GAVIRA, Juan José
PEREZ-ILZARBE, Maitane
PANIZO, Angel
GARCIA DE JALON, José A
MARTINEZ-CARO, Diego
PROSPER, Felipe
ABIZANDA, Gloria
GARCIA-RODRIGUEZ, Alba
ORBE, Josune
PARAMO, José Antonio
BELZUNCE, Miriam
RABAGO, Gregorio
BARBA, Joaquin
HERREROS, Jesus
description Our aim was to compare the efficacy of surgical versus percutaneous administration of skeletal myoblasts (SkM) in a swine model of chronic myocardial infarction and to determine the mechanism(s) involved in their beneficial effect. Two months after induction of myocardial infarction (MI), Goettingen miniature pigs underwent autologous SkM transplant either by direct surgical injection (n=6) or percutaneous access and intramyocardial delivery under fluoroscopic and echocardiographic guidance (n=6). Control animals received media alone (n=4). Functional analysis was performed by 2D echocardiography. Myoblast engraftment, in vivo cell differentiation, vessel formation, fibrosis, and the ratio between collagen type I/III deposition were analyzed in the infarct (IA) and non-infarct area (NIA) by immunohistochemistry. Animals received a median of 407.55+/-115x10(6) BrdU-labeled autologous SkM. Myoblast transplant was associated with a statistically significant increase in left ventricular ejection fraction (p
doi_str_mv 10.1016/j.cardiores.2006.06.018
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Two months after induction of myocardial infarction (MI), Goettingen miniature pigs underwent autologous SkM transplant either by direct surgical injection (n=6) or percutaneous access and intramyocardial delivery under fluoroscopic and echocardiographic guidance (n=6). Control animals received media alone (n=4). Functional analysis was performed by 2D echocardiography. Myoblast engraftment, in vivo cell differentiation, vessel formation, fibrosis, and the ratio between collagen type I/III deposition were analyzed in the infarct (IA) and non-infarct area (NIA) by immunohistochemistry. Animals received a median of 407.55+/-115x10(6) BrdU-labeled autologous SkM. Myoblast transplant was associated with a statistically significant increase in left ventricular ejection fraction (p&lt;0.01), increased vasculogenesis and decreased fibrosis (p&lt;0.05), and reduced collagen type I/III ratio in the IA and NIA areas as compared with control animals. 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Two months after induction of myocardial infarction (MI), Goettingen miniature pigs underwent autologous SkM transplant either by direct surgical injection (n=6) or percutaneous access and intramyocardial delivery under fluoroscopic and echocardiographic guidance (n=6). Control animals received media alone (n=4). Functional analysis was performed by 2D echocardiography. Myoblast engraftment, in vivo cell differentiation, vessel formation, fibrosis, and the ratio between collagen type I/III deposition were analyzed in the infarct (IA) and non-infarct area (NIA) by immunohistochemistry. Animals received a median of 407.55+/-115x10(6) BrdU-labeled autologous SkM. Myoblast transplant was associated with a statistically significant increase in left ventricular ejection fraction (p&lt;0.01), increased vasculogenesis and decreased fibrosis (p&lt;0.05), and reduced collagen type I/III ratio in the IA and NIA areas as compared with control animals. No differences were found between groups receiving SkM by percutaneous or surgical access. Our results indicate that increased vasculogenesis and changes in matrix remodeling with decreased fibrosis are associated with the beneficial effect of SkM transplant in chronic MI. The equivalent benefit observed from surgical and percutaneous delivery has important clinical implications.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>16843451</pmid><doi>10.1016/j.cardiores.2006.06.018</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Actins - analysis
Animals
Biological and medical sciences
Biomarkers - analysis
Cardiology. Vascular system
Cell Differentiation
Collagen - analysis
Coronary heart disease
Echocardiography
Fibrosis
Heart
Image Processing, Computer-Assisted
Immunohistochemistry
Injections, Subcutaneous
Medical sciences
Models, Animal
Myoblasts, Skeletal - transplantation
Myocardial Infarction - pathology
Myocardial Infarction - physiopathology
Myocardial Infarction - surgery
Myocarditis. Cardiomyopathies
Myocardium - metabolism
Myocardium - pathology
Neovascularization, Physiologic
Swine
Transplantation, Autologous
Treatment Outcome
Ventricular Dysfunction, Left
Ventricular Remodeling
title A comparison between percutaneous and surgical transplantation of autologous skeletal myoblasts in a swine model of chronic myocardial infarction
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