缺血性心肌病血管生成细胞胶原贴片的快速制造。

IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING
Eric Pfrender, Sungwoo Kim, John A Farag, Shin Yajima, Yujiro Kawai, Koji Kawago, Umayr Syed, Gentaro Ikeda, Tsuyoshi Ueyama, Hiroyuki Takashima, Alex Dalal, Yuanjia Zhu, Kenzo Ichimura, Yu Liu, Seyedsina Moeinzadeh, Jayme Koltsov, Joseph C Wu, Y Joseph Woo, Phillip C Yang, Yunzhi P Yang, Yasuhiro Shudo
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引用次数: 0

摘要

背景:十分之一的美国人一生中有患缺血性心力衰竭的风险,这是缺血性心脏病中最严重的一种。携带近50%的5年死亡率,没有介入治疗存在的根本原因,微血管灌注不良。为了对抗微血管灌注不良,我们小组利用内皮祖细胞(EPCs)和平滑肌细胞(SMCs)的协同应用来诱导缺血心肌血管生成。方法:然后将细胞嵌入可快速制造的压缩胶原(CC)贴片中,以提供可用于移植的生物类似支架。然后在啮齿类动物急性心肌梗死缺血性心力衰竭模型上测试细胞压缩胶原贴片的性能。结果:移植后第28天,与非细胞CC贴片和对照组相比,细胞CC贴片改善了左心室射血分数(细胞CC贴片:49.1±1.8%;非细胞CC贴片:38.0±2.6%;对照组:39.2±2.1%;方差分析P = 0.0006)。细胞CC贴片移植还能诱导成熟血管生成,如动脉密度(细胞:1084±98 αSMA+vWF+/mm2;非细胞:338±57 αSMA+vWF+/mm2;对照组:449±39 αSMA+vWF+/mm2;方差分析P = 0.0003)和血管成熟指数(细胞:0.67±0.04;非细胞:0.48±0.02;对照组:0.46±0.04,P = 0.001)。结论:快速制造的基于EPC - SMC的压缩胶原贴片移植通过增强新生血管和减轻梗死后心肌损伤,有效地恢复心肌功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rapid manufacturing of angiogenic cellular collagen patches for ischemic cardiomyopathy.

Background: One in ten Americans carry a lifetime risk of ischemic heart failure, the most severe form of ischemic heart disease. Carrying a nearly 50% five‑year mortality rate, no interventional therapy exists to treat the underlying cause, microvascular malperfusion. In efforts to combat microvascular malperfusion, our group has utilized synergistic application of endothelial progenitor cells (EPCs) and smooth muscle cells (SMCs) to induce angiogenesis in ischemic myocardium.

Methods: Cells are then embedded into a rapidly manufacturable compressed collagen (CC) patch to provide a biosimilar scaffold ready for transplantation. The performance of the cellular compressed collagen patch was then tested on a rodent acute myocardial infarction model of ischemic heart failure.

Results: By post‑transplantation Day 28, the cellular CC patch improved left ventricular ejection fraction when compared to an acellular CC patch and control (cellular: 49.1 ± 1.8%; acellular: 38.0 ± 2.6%; control: 39.2 ± 2.1%; ANOVA P = .0006). Cellular CC patch transplantation also induced mature angiogenesis as shown by arteriolar density (cellular: 1084 ± 98 αSMA+vWF+/mm2; acellular: 338 ± 57 αSMA+vWF+/mm2; control: 449 ± 39 αSMA+vWF+/mm2; ANOVA P = .0003) and vascular maturation index (cellular: 0.67 ± 0.04; acellular: 0.48 ± 0.02; and control: 0.46 ± 0.04, P = .001).

Conclusions: In conclusion, transplantation of a rapidly manufacturable EPC‑SMC‑based compressed collagen patch effectively rescues myocardial function by enhancing neovascularization and attenuating post‑infarction myocardial injury.

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来源期刊
Stem Cells Translational Medicine
Stem Cells Translational Medicine CELL & TISSUE ENGINEERING-
CiteScore
12.90
自引率
3.30%
发文量
140
审稿时长
6-12 weeks
期刊介绍: STEM CELLS Translational Medicine is a monthly, peer-reviewed, largely online, open access journal. STEM CELLS Translational Medicine works to advance the utilization of cells for clinical therapy. By bridging stem cell molecular and biological research and helping speed translations of emerging lab discoveries into clinical trials, STEM CELLS Translational Medicine will help move applications of these critical investigations closer to accepted best patient practices and ultimately improve outcomes. The journal encourages original research articles and concise reviews describing laboratory investigations of stem cells, including their characterization and manipulation, and the translation of their clinical aspects of from the bench to patient care. STEM CELLS Translational Medicine covers all aspects of translational cell studies, including bench research, first-in-human case studies, and relevant clinical trials.
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