骨髓间充质干细胞移植对心肌缺血/再灌注大鼠心肌胶原与血管新生的影响
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天津市科委自然基金重点项目(05YFJZJC01602)


Effects of Intramyocardial Injection of Mesenchymal Stem Cells on Myocardial Collagen and Angiogenesis in Rats with Reperfused Acute Myocardial Infarction
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    摘要:

    目的通过心肌缺血/再灌注模型观察大鼠骨髓间充质干细胞心肌移植对心肌细胞外胶原、小血管新生和心功能变化的影响,并探讨其机制。方法分离、原代培养Wistar大鼠骨髓间充质干细胞,建立缺血/再灌注动物模型,分为假手术组、心肌梗死+骨髓间充质干细胞移植组、心肌梗死对照组,观察骨髓间充质干细胞移植后动物模型血流动力学指标、心肌梗死面积和心肌细胞形态、心肌间质、血管密度、心室膨展指数、心肌细胞横截面积和心肌胶原变化。结果(1)骨髓间充质干细胞心肌移植可缩小60min缺血/再灌注大鼠28d心肌梗死面积;(2)骨髓间充质干细胞移植可减轻心肌梗死动物左心室重塑,但心功能改善作用不明显;(3)骨髓间充质干细胞移植发挥细胞外基质抑制、促血管生成作用,心肌间质胶原含量、胶原分数下降,心肌毛细血管、小动脉密度增加。结论骨髓间充质干细胞移植可改善心肌梗死后心室重塑、促进血管新生和降低心肌胶原作用。

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    Aim To examine the effects of mesenchymal stem cells (MSC) intramyocardial injection after infarction on extracellular collagen matrix (ECCM),angiogenesis in ischemic myocardium and left ventricular function in ischemia-reperfused rats. Methods We created infarction in rat by ligaturing coronary anterior descending branch for 60 min and reperfused,administered DAPI-labeled allogeneic bone MSC intramyocardial injection before reperfusion and measured vessel density,cross-sectional area of viable myocardium,indexes of expansion and left ventricular remodeling,collagen volume fraction,and hemodynamic parameters at 7 and 28 days post-surgery. Results The infarct size were reduced and indexes of remodeling attenuated significantly,but without apparent improvement of ventricular function at 28 days post MSC injection. DAPI was found in infarct,and peri-infarct myocardium,some of them were vWF and α-SMA positive,which suggested that MSC might differentiate into smooth muscle cells and endothelial cells,result in increasing the vessel density in periphery region of infarction and reducing collagen profile. Conclusions In a ischemia-reperfusion rat MI model,MSC myocardial transplanted differentiated into vessel smooth muscle and endothelial cells,increased vascularity and therefore reduced infarct size and ECM,but without improving cardiac function.

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李贺,周欣,舒珺,叶帆,任宁,黄体钢,李玉明.骨髓间充质干细胞移植对心肌缺血/再灌注大鼠心肌胶原与血管新生的影响[J].中国动脉硬化杂志,2008,16(10):813~818.

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  • 收稿日期:2008-06-24
  • 最后修改日期:2008-10-25
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