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MSCs transfected with hepatocyte growth factor or vascular endothelial growth factor improve cardiac function in the infarcted porcine heart by increasing angiogenesis and reducing fibrosis.
Int J Cardiol. 2013 Sep 10; 167(6):2524-32.IJ

Abstract

BACKGROUND

Cell transplantation and gene therapy have been demonstrated to have beneficial effects after a myocardial infarction (MI). Here, we used a large animal model of MI to investigate the beneficial effects of mesenchymal stem cells (MSCs) transfected with hepatocyte growth factor (HGF) or vascular endothelial growth factor (VEGF) genes.

METHODS

A porcine MI model was created by balloon occlusion of the distal left anterior descending artery for 90 min followed by reperfusion. At 1 week after MI, the pigs were infused via the coronary vein with saline (n=8), MSCs + AdNull(n=8), MSC+VEGF(n=10), or MSC+HGF(n=10). Cardiac function and myocardial perfusion were evaluated by using echocardiography and gated cardiac perfusion imaging before and 4 weeks after transplantation. Morphometric and histological analyses were performed.

RESULTS

All cell-implanted groups had better cardiac function than the saline control group. There were further functional improvements in the MSC+HGF group, accompanied by smaller infarct sizes, increased cell survival, and less collagen deposition. Blood vessel densities in the damaged area and cardiac perfusion were significantly greater in the MSC+AdNull group than in the saline control group, and further increased in the MSC+VEGF/HGF groups. Tissue fibrosis was significantly less extensive in the MSC and MSC+VEGF groups than in the saline control group and was most reduced in the MSC+HGF group.

CONCLUSION

MSCs (alone or transfected with VEGF/HGF) delivered into the infarcted porcine heart via the coronary vein improved cardiac function and perfusion, probably by increasing angiogenesis and reducing fibrosis. MSC+HGF was superior to MSC+VEGF, possibly owing to its enhanced antifibrotic effect.

Authors+Show Affiliations

Institute of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, PR China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22981278

Citation

Lu, Fanglin, et al. "MSCs Transfected With Hepatocyte Growth Factor or Vascular Endothelial Growth Factor Improve Cardiac Function in the Infarcted Porcine Heart By Increasing Angiogenesis and Reducing Fibrosis." International Journal of Cardiology, vol. 167, no. 6, 2013, pp. 2524-32.
Lu F, Zhao X, Wu J, et al. MSCs transfected with hepatocyte growth factor or vascular endothelial growth factor improve cardiac function in the infarcted porcine heart by increasing angiogenesis and reducing fibrosis. Int J Cardiol. 2013;167(6):2524-32.
Lu, F., Zhao, X., Wu, J., Cui, Y., Mao, Y., Chen, K., Yuan, Y., Gong, D., Xu, Z., & Huang, S. (2013). MSCs transfected with hepatocyte growth factor or vascular endothelial growth factor improve cardiac function in the infarcted porcine heart by increasing angiogenesis and reducing fibrosis. International Journal of Cardiology, 167(6), 2524-32. https://doi.org/10.1016/j.ijcard.2012.06.052
Lu F, et al. MSCs Transfected With Hepatocyte Growth Factor or Vascular Endothelial Growth Factor Improve Cardiac Function in the Infarcted Porcine Heart By Increasing Angiogenesis and Reducing Fibrosis. Int J Cardiol. 2013 Sep 10;167(6):2524-32. PubMed PMID: 22981278.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - MSCs transfected with hepatocyte growth factor or vascular endothelial growth factor improve cardiac function in the infarcted porcine heart by increasing angiogenesis and reducing fibrosis. AU - Lu,Fanglin, AU - Zhao,Xianxian, AU - Wu,Jun, AU - Cui,Yong, AU - Mao,Yanjun, AU - Chen,Kebiao, AU - Yuan,Yang, AU - Gong,Dejun, AU - Xu,Zhiyun, AU - Huang,Shengdong, Y1 - 2012/09/13/ PY - 2011/08/30/received PY - 2012/04/04/revised PY - 2012/06/09/accepted PY - 2012/9/18/entrez PY - 2012/9/18/pubmed PY - 2014/4/23/medline KW - Angiogenesis KW - Fibrosis KW - Hepatocyte growth factor KW - Mesenchymal stem cells KW - Vascular endothelial growth factor SP - 2524 EP - 32 JF - International journal of cardiology JO - Int J Cardiol VL - 167 IS - 6 N2 - BACKGROUND: Cell transplantation and gene therapy have been demonstrated to have beneficial effects after a myocardial infarction (MI). Here, we used a large animal model of MI to investigate the beneficial effects of mesenchymal stem cells (MSCs) transfected with hepatocyte growth factor (HGF) or vascular endothelial growth factor (VEGF) genes. METHODS: A porcine MI model was created by balloon occlusion of the distal left anterior descending artery for 90 min followed by reperfusion. At 1 week after MI, the pigs were infused via the coronary vein with saline (n=8), MSCs + AdNull(n=8), MSC+VEGF(n=10), or MSC+HGF(n=10). Cardiac function and myocardial perfusion were evaluated by using echocardiography and gated cardiac perfusion imaging before and 4 weeks after transplantation. Morphometric and histological analyses were performed. RESULTS: All cell-implanted groups had better cardiac function than the saline control group. There were further functional improvements in the MSC+HGF group, accompanied by smaller infarct sizes, increased cell survival, and less collagen deposition. Blood vessel densities in the damaged area and cardiac perfusion were significantly greater in the MSC+AdNull group than in the saline control group, and further increased in the MSC+VEGF/HGF groups. Tissue fibrosis was significantly less extensive in the MSC and MSC+VEGF groups than in the saline control group and was most reduced in the MSC+HGF group. CONCLUSION: MSCs (alone or transfected with VEGF/HGF) delivered into the infarcted porcine heart via the coronary vein improved cardiac function and perfusion, probably by increasing angiogenesis and reducing fibrosis. MSC+HGF was superior to MSC+VEGF, possibly owing to its enhanced antifibrotic effect. SN - 1874-1754 UR - https://www.unboundmedicine.com/medline/citation/22981278/MSCs_transfected_with_hepatocyte_growth_factor_or_vascular_endothelial_growth_factor_improve_cardiac_function_in_the_infarcted_porcine_heart_by_increasing_angiogenesis_and_reducing_fibrosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-5273(12)00827-3 DB - PRIME DP - Unbound Medicine ER -