G-CSF/SCF reduces inducible arrhythmias in the infarcted heart potentially via increased connexin43 expression and arteriogenesis

Granulocyte colony-stimulating factor (G-CSF), alone or in combination with stem cell factor (SCF), can improve hemodynamic cardiac function after myocardial infarction. Apart from impairing the pump function, myocardial infarction causes an enhanced vulnerability to ventricular arrhythmias. Therefo...

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Veröffentlicht in:The Journal of experimental medicine 2006-01, Vol.203 (1), p.87-97
Hauptverfasser: Kuhlmann, Michael T, Kirchhof, Paulus, Klocke, Rainer, Hasib, Lekbira, Stypmann, Jörg, Fabritz, Larissa, Stelljes, Matthias, Tian, Wen, Zwiener, Melanie, Mueller, Marcus, Kienast, Joachim, Breithardt, Günter, Nikol, Sigrid
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container_title The Journal of experimental medicine
container_volume 203
creator Kuhlmann, Michael T
Kirchhof, Paulus
Klocke, Rainer
Hasib, Lekbira
Stypmann, Jörg
Fabritz, Larissa
Stelljes, Matthias
Tian, Wen
Zwiener, Melanie
Mueller, Marcus
Kienast, Joachim
Breithardt, Günter
Nikol, Sigrid
description Granulocyte colony-stimulating factor (G-CSF), alone or in combination with stem cell factor (SCF), can improve hemodynamic cardiac function after myocardial infarction. Apart from impairing the pump function, myocardial infarction causes an enhanced vulnerability to ventricular arrhythmias. Therefore, we investigated the electrophysiological effects of G-CSF/SCF and the underlying cellular events in a murine infarction model. G-CSF/SCF improved cardiac output after myocardial infarction. Although G-CSF/SCF led to a twofold increased, potentially proarrhythmic homing of bone marrow (BM)-derived cells to the area of infarction,
doi_str_mv 10.1084/jem.20051151
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Apart from impairing the pump function, myocardial infarction causes an enhanced vulnerability to ventricular arrhythmias. Therefore, we investigated the electrophysiological effects of G-CSF/SCF and the underlying cellular events in a murine infarction model. G-CSF/SCF improved cardiac output after myocardial infarction. Although G-CSF/SCF led to a twofold increased, potentially proarrhythmic homing of bone marrow (BM)-derived cells to the area of infarction, &lt;1% of these cells adopted a cardial phenotype. Inducibility of ventricular tachycardias during programmed stimulation was reduced 5 wk after G-CSF/SCF treatment. G-CSF/SCF increased cardiomyocyte diameter, arteriogenesis, and expression of connexin43 in the border zone of the infarction. An enhanced expression of the G-CSF receptor demonstrated in cardiomyocytes and other cell types of the infarcted myocardium indicates a sensitization of the heart to direct influences of this cytokine. 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Apart from impairing the pump function, myocardial infarction causes an enhanced vulnerability to ventricular arrhythmias. Therefore, we investigated the electrophysiological effects of G-CSF/SCF and the underlying cellular events in a murine infarction model. G-CSF/SCF improved cardiac output after myocardial infarction. Although G-CSF/SCF led to a twofold increased, potentially proarrhythmic homing of bone marrow (BM)-derived cells to the area of infarction, &lt;1% of these cells adopted a cardial phenotype. Inducibility of ventricular tachycardias during programmed stimulation was reduced 5 wk after G-CSF/SCF treatment. G-CSF/SCF increased cardiomyocyte diameter, arteriogenesis, and expression of connexin43 in the border zone of the infarction. An enhanced expression of the G-CSF receptor demonstrated in cardiomyocytes and other cell types of the infarcted myocardium indicates a sensitization of the heart to direct influences of this cytokine. 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subjects Animals
Arrhythmias, Cardiac - prevention & control
Bone Marrow Transplantation
Cardiac Output - drug effects
Connexin 43 - metabolism
Disease Models, Animal
Female
Granulocyte Colony-Stimulating Factor - pharmacology
Heart - physiopathology
Male
Mice
Mice, Inbred C57BL
Mice, Transgenic
Myocardial Infarction - metabolism
Myocardial Infarction - physiopathology
Myocardium - metabolism
Myocytes, Cardiac - drug effects
Myocytes, Cardiac - metabolism
Neovascularization, Physiologic - drug effects
Receptors, Granulocyte Colony-Stimulating Factor - metabolism
Stem Cell Factor - pharmacology
Ventricular Dysfunction, Left - metabolism
Ventricular Dysfunction, Left - physiopathology
title G-CSF/SCF reduces inducible arrhythmias in the infarcted heart potentially via increased connexin43 expression and arteriogenesis
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