Document Detail


Skeletal myoblasts preserve remote matrix architecture and global function when implanted early or late after coronary ligation into infarcted or remote myocardium.
MedLine Citation:
PMID:  18824744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The inability of skeletal myoblasts to transdifferentiate into cardiomyocytes suggests that their beneficial effects on cardiac function after a myocardial infarction are mediated by paracrine effects. We evaluated the roles of these factors in the preservation of matrix architecture (in the infarct and remote regions) by varying the timing (postmyocardial infarction) and delivery site of the implanted cells. METHODS AND RESULTS: Skeletal myoblasts (5x10(6)) or control media were injected into the infarct or noninfarcted myocardium at 5 or 30 days after coronary artery ligation in rats. Function was assessed by echocardiography before transplantation and 14 and 30 days thereafter and with a Millar catheter at 30 days after transplantation. Ventricular geometry, remote fibrillar collagen architecture, and changes in the matrix metalloproteinase-TIMP system were evaluated. Myoblast implantation in both sites and at both times preserved matrix architecture (length and width of collagen fibers) in the remote myocardium (in association with some decreases in remote myocardial matrix metalloprotease activity), improved global cardiac function, and attenuated the progressive increase in end diastolic volume (P<0.05 for all measures compared with medium controls). Cells delivered into the infarct region preserved scar thickness; cells delivered into the noninfarcted myocardium preserved wall thickness. CONCLUSIONS: Regardless of whether the cells were injected into the infarct or the noninfarcted myocardium early after an myocardial infarction or later, skeletal myoblasts improved cardiac function by preventing ventricular dilation and preserving matrix architecture in the remote region, likely mediated by paracrine effects.
Authors:
Patrick Farahmand; Teresa Y Y Lai; Richard D Weisel; Shafie Fazel; Terrence Yau; Philippe Menasche; Ren-Ke Li
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Circulation     Volume:  118     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-30     Completed Date:  2008-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S130-7     Citation Subset:  AIM; IM    
Affiliation:
MaRS Centre, Toronto Medical Discovery Tower, Room #3-702, 101 College Street, Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiac Surgical Procedures*
Cells, Cultured
Collagen / ultrastructure
Coronary Vessels
Echocardiography
Female
Heart / physiopathology
Injections
Ligation
Matrix Metalloproteinases / metabolism
Myoblasts, Skeletal / transplantation*
Myocardial Infarction / pathology,  physiopathology,  surgery*,  ultrasonography
Myocardium / enzymology,  ultrastructure
Rats
Rats, Inbred Lew
Stroke Volume
Time Factors
Ventricular Function
Ventricular Remodeling
Chemical
Reg. No./Substance:
9007-34-5/Collagen; EC 3.4.24.-/Matrix Metalloproteinases

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