Autologous Mesenchymal Stem Cells Show More Benefit on Systolic Function Compared to Bone Marrow Mononuclear Cells in a Porcine Model of Chronic Myocardial Infarction

T. I G van der Spoel, W. A. Gathier, S. Koudstaal, F. van Slochteren, S. Jansen Of Lorkeers, J. P G Sluijter, I. E. Hoefer, P. Steendijk, M. J M Cramer, P. A. Doevendans, E. van Belle, S. A J Chamuleau*

*Corresponding author for this work

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Abstract

Cardiac cell therapy is a strategy to treat patients with chronic myocardial infarction (MI). No consensus exists regarding the optimal cell type. First, a comparison between autologous bone marrow-derived mononuclear cells (BMMNC) and mesenchymal stem cells (MSC) on therapeutic efficacy after MI was performed. Next, the effect of repetitive, NOGA-guided transendocardial injection was determined via a crossover design. Nineteen pigs were allocated in three groups: (1) placebo (at 4 and 8 weeks), (2) MSC (followed by placebo at 8 weeks), or (3) BMMNC (followed by MSC at 8 weeks) delivery including a priming strategy to enhance MSC effect. At 4 weeks, ejection fraction (EF) was significantly improved after MSC injection and not by BMMNC injection. After 8 weeks, no difference was observed in EF between cell-treated groups demonstrating the positive systolic effect of MSC. This study showed that MSC rather than BMMNC injection improves systolic function in chronic MI.

Original languageEnglish
Pages (from-to)393-403
Number of pages11
JournalJournal of Cardiovascular Translational Research
Volume8
Issue number7
DOIs
Publication statusPublished - 2015

Keywords

  • Ischemic cardiomyopathy
  • Mesenchymal stem cell
  • Stem cells
  • Systolic function

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