Document Detail


YIA6 Effects of GLP-1 eluting stem cell therapy on collagen remodelling, infarct size and apoptosis in a porcine model of myocardial infarction.
MedLine Citation:
PMID:  20801784     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Glucagon-like peptide-1 (GLP-1) is a gut incretin hormone with cardioprotective effects. Human stem cells secreting a GLP-1 fusion protein and encapsulated in an alginate matrix (GLP-1 CellBeads) have been developed as a novel therapeutic agent. This study investigated the effects of GLP-1 CellBeads on post-myocardial infarction (MI) healing in a porcine model. GLP-1 CellBeads were delivered to the left anterior descending coronary artery to create micro-infarcts, with cell-free beads as controls. Hearts were explanted at 1 and 4 weeks post-MI. Gross infarct size was measured as a percentage of left ventricular area. Tissue was analysed for inflammation (number of MAC 387 positive cells/mm(2)), apoptosis (% TUNEL positive cells) and collagen (% picrosirius red staining). Compared with controls (n=4), the GLP-1-treated group (n=6) exhibited less infarct at one (6.21%+/-0.64 vs 9.78%+/-1.80% 2LV, p=NS) and 4 weeks post-MI (4.7%+/-2.1 vs 21.8%+/-4.8% LV, p=0.02). Within the infarct there was increased inflammation in GLP-1-treated groups at both time points (1 week: 97.22%+/-19.62 vs 36.67%+/-7.78, p=0.01; 4 weeks: 24.2%+/-4.57 vs 12.3%+/-3.16, p=0.03). At 1 week, apoptosis rates in the infarct area were similar in both groups (1.46 %+/-0.57 vs 1.47 %+/-0.17, p=NS), with less apoptosis in the GLP-1-treated group at 4 weeks (0.51%+/-0.18 vs 1.84%+/-0.62, p=NS). Collagen content at 1 week was lower (5.14%+/-1.19 vs 9.95%+/-1.42, p=0.05) and at 4 weeks higher in the treated group (20.89%+/-8.25 vs 6.87%+/-2.92, p=NS). GLP-1 CellBeads have an effect on post-MI infarct size, inflammation and ventricular remodelling. These findings require further validation before clinical translation.
Authors:
E J Wright; K A Farrell; C Wallrapp; P Geigle; A L Lewis; P W Stratford; N Malik; C M Holt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  96     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  e10-1     Citation Subset:  AIM; IM    
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