Mesenchymal Stem Cell Transplantation Has a Regenerative Effect in Ischemic Myocardium: An Experimental Rat Model Evaluated by SPECT-CT Assessment.

Autor: Koutela A; 1st Department of Propaedeutic Surgery, Hippokratio Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.; Department of Cardiac Surgery, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.; Department of Thoracic Surgery, Red Cross Hospital, 11527 Athens, Greece.; Experimental, Educational and Research Centre ELPEN, ELPEN, 11527 Athens, Greece., Loudos G; BIOMTECH Laboratories, 15341 Athens, Greece., Rouchota M; BIOMTECH Laboratories, 15341 Athens, Greece., Kletsas D; Laboratory of Cell Proliferation and Ageing, Institute of Biosciences and Applications, NCSR 'Demokritos', 15341 Athens, Greece., Karameris A; Department of Pathology, NIMTS Hospital, 11521 Athens, Greece., Vilaras G; Department of Pathology, NIMTS Hospital, 11521 Athens, Greece., Zografos GC; 1st Department of Propaedeutic Surgery, Hippokratio Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece., Myoteri D; Department of Pathology, Aretaieion University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece., Dougenis D; Department of Cardiac Surgery, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece., Papalois AE; 1st Department of Propaedeutic Surgery, Hippokratio Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.; Experimental, Educational and Research Centre ELPEN, ELPEN, 11527 Athens, Greece.; 2nd Department of Surgery, Aretaieion University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2024 Feb 12; Vol. 14 (4). Date of Electronic Publication: 2024 Feb 12.
DOI: 10.3390/diagnostics14040401
Abstrakt: Translational perspective: Ischemic heart disease remains a major medical problem with high mortality rates. Beside the great efforts devoted to research worldwide and the use of numerous experimental models, an absolute understanding of myocardial infarction and tissue loss has not yet been achieved. Furthermore, the regeneration of myocardial tissue and the improvement of myocardial activity after ischemia is one of the major areas of interest in the medical (and especially cardiovascular) community. In a novel experimental rat model, the beneficial effect of mesenchymal stem cell transplantation (MSCT) in a surgically induced ischemic myocardium was documented. From a clinical perspective, this work supports the surgical administration of MSCT in the infarcted area during coronary artery bypass surgery.
Aims: The regeneration of myocardial tissue and the improvement of myocardial activity after ischemia is one of the major areas of interest in cardiovascular research. We developed a novel experimental rat model and used it to examine the effect of mesenchymal stem cell transplantation (MSCT) on myocardial ischemia evaluated by SPECT-CT and immunohistochemistry.
Methods and Results: An open thoracotomy took place for forty adult female Wistar rats with ( n = 30) or without ( n = 10) surgical ligation of the left anterior descending coronary artery (LAD) in order to cause myocardial ischemia. Myocardial viability was evaluated via SPECT/CT 7 days before surgery, as well as at 7 and 14 days post-surgery. At day 0, 15 animals received homologous stem cells injected at the ischemic myocardium area. A SPECT/CT evaluation showed decreased activity of the myocardial cells in the left ventricle one week post-infarction. Regeneration of the ischemic myocardium fifteen days post-infarction was recorded only in animals subjected to stem cell transplantation. These findings were also confirmed by histology and immunohistochemical analysis, with the significantly higher expression of GATA4 and Nkx2.5.
Conclusions: The positive effect of mesenchymal stem cell transplantation in the ischemic myocardium was recorded. The application of SPECT-CT allowed a clear evaluation of both the quality and quantity of the living myocardium post-infarction, leading to a new approach in the research of cardiovascular diseases. From a clinical perspective, MSCT may be beneficial when accompanied by myocardial revascularization procedures.
Databáze: MEDLINE
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