Effect of Bone Marrow Cell Intramyocardial Autotransplantation upon Perfusion of Ischemic Myocardium in Experiment

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Abstract

The article presents results of investigation into comparative evaluation of the effects of autologous intramyocardial transplantation of multipotent mesenchymal stromal cells taken from bone marrow and of mononuclear bone marrow fraction upon perfusion of a rabbit ischemic myocardium. Myocardial infarction was simulated by means of ligation of the left coronary artery descending branch. Myocardium perfusion was evaluated with single-photon emission computed tomography with the application of a radiopharmaceutic drug [RPD] 99mTc-tetraphosmine [Myoview] prior to the simulation of myocardial infarction and in 10 days, 1.5 months, 3,6 and 12 months. The animals were divided into three groups: the 1st group [n=12] included animals whom multipotent mesenchymal bone marrow stromal cells were introduced into the ischemic zone [2Ч106]; in the 2nd group [n=14] mononuclear bone marrow fraction was introduced [2Ч106]; and the 3rd group [n=15, control] where growth medium was used.

In all the animals of the1st and 2nd groups, considerable improvement of perfusion was observed in 1.5 months following the operation. Mean values of the RPD accumulation were 0.92±0.03 and 0.89±0.031 respectively. In the control group this value was 0.62±0.02. By the third month following the operation complete normalizing of perfusion occurred in the experimental groups with the RPD accumulation level of 1.00±0.02 and 0.98±0.01, whereas this parameter did not increase in the control group and was 0.61±0.01. On the 10th day after the operation the perfusion evenness parameters in pathologic and reference zones were as follows: in the 1st group - 2.7±0.2 and 2.1±0.2; in the 2nd group - 2.6±0.2 and 1.8±0.3; in the controls - 2.8±0.3 and 2.1±0.1. In 3 months after the infarction simulation these values did not significantly differ in the 1st and 2nd groups [1.9±0.2; 2.0±0.1 and 2.1±0.1; 2.0±0.2]; in the controls the unevenness of perfusion increased considerably and amounted up to 3.5±0.2 in the damaged segment as compared with 2.0±0.1 in the intact one.

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About the authors

A. A. Matyukov

Saint-Petersburg State Pavlov Medical University

Author for correspondence.
Email: redaktor@celltranspl.ru
Russian Federation, Saint-Petersburg

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig.1. Doping of the anterior descending branch of the left coronary artery

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3. Fig. 2. Introduction of cells into the ischemic zone of the left ventricular myocardium

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4. Fig. 3. Perfusion tomoscintigraphy of rabbit myocardium

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5. Fig. 4. Culture of multipotent mesenchymal stromal cells obtained from rabbit bone marrow, 21st day of cultivation, azur II staining. Magnification x20

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6. Fig. 5. Fluorescence microscopy of rabbit myocardium preparation after enzymatic dissociation. The arrows indicate the nuclei of transplanted cells labeled with Hoechst fluorochrome. Magnification x400

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7. Fig. 6. Perfusion tomoscintigrams of rabbit myocardium: the first group is transplantation of multipotent mesenchymal stromal bone marrow cells; the second group is transplantation of nucleated bone marrow cells; the third group is control

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8. Fig. 7. Uniformity of RFP distribution after transplantation of multipotent mesenchymal stromal cells (the first group) and the nucleated fraction (the second group) of bone marrow in the pathological (indicated in red) and reference (indicated in blue) zones

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9. Fig. 7_2

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