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ǥ : ȣ - 550582   24 
Transplantation of Cardiac Stem Cell Lines Immortalized With hTERT Gene Improved Cardiac Function of Infarcted Rat Myocardium and Modulated Immune Response in Peripheral Blood
고려대학교 의과대학 순환기내과
박치연, 김종호, 최승철, 최지현, 박재형, 김제상, 안철민, 홍순준, 임도선
Background: Recent studies have reported the existence of resident cardiac stem cells (CSCs) that have potential differentiating into cardiomyogenic and endothelial cell lineage, and therefore promising candidates for cell therapy in cardiovascular field. Mouse CSC lines were transplanted into myocardial infarction (MI) rats to investigate their effects on cardiac regeneration and immune response. Methods and Results: Mouse CSCs were infected with retroviruses harboring the hTERT-IRES eGFP genes, and selected based on their morphology, GFP intensity and phenotypic characterization. Fifteen MI rats were divided into 3 groups (group 1, medium; group 2, CD31- CSC; group 3, CD31+ CSC), and 5 X 105 cells per rat were transplanted. Cardiac function and peripheral blood inflammatory cytokines and immune cells were analyzed at 1 day, 1 week, 2 weeks and 4 weeks after cell transplantation. Significant improvements in ejection fraction value were observed in the CD31- CSC and CD31+ CSC transplanted group compared with the control group at 4 week. Peripheral blood MCP-1 at both transcript and protein levels was significantly decreased in the CD31- CSC and CD31+ CSC transplanted group at day 1 or 4 weeks. Peripheral blood IL-6 mRNA and protein were also significantly decreased at 1, 2 or 4 weeks in the CD31- CSC and CD31+ CSC transplanted group. Peripheral blood NK cells were significantly decreased in the CD31+ CSC transplanted group at 4 weeks compared to medium and CD31- CSC transplanted group. In contrast, peripheral blood NKT cells were significantly increased in the CD31+ CSC transplanted group at 1 week and 4 weeks compared to medium or CD31- CSC transplanted group. However, peripheral blood CD4T, CD8T and B cells were not affected by transplantation of mouse CSC lines. Conclusions: Transplantation of mouse CSCs into infarcted myocardium improved cardiac function in rat MI model, and modulated expressions of peripheral blood inflammatory cytokines and immune cells in a cell type-specific manner.


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