한빛사논문
이화여자대학교 약학대학
Min Ah Hana,1, Jeong Hwa Jeona,1, Ji Young Shina,1, Hee Jung Kima, Ji Soo Leea, Chae Won Seoa, Ye Jin Yuna, Mi Yun Yoonb, Jong Tae Kimc, Young Il Yangc, Seung Jin Leea,*
aDepartment of Pharmacy, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea bDepartment of Cosmetology, Dongnam Health University, 50, Cheoncheon-ro 74-gil, Jangan-gu, Suwon-si, Gyeonggi-do 16328, Republic of Korea cPaik Institute for Clinical Research, Inje University College of Medicine, 75, Bokji-ro, Busanjin-gu, Busan 47392, Republic of Korea
1These authors contributed equally.
*Corresponding author.
Abstract
Strategies for stem cell-based cardiac regeneration and repair are key issues for the ischemic heart disease (IHD) patients with chronic complications related to ischemic necrosis. Cardiac stem cells (CSCs) have demonstrated high therapeutic efficacy for IHD treatment owing to their specific cardiac-lineage commitment. The therapeutic potential of CSCs could be further enhanced by designing a cellular spheroid formulation. The spheroid culture condition of CSCs was optimized to ensure regulated size and minimal core necrosis in the spheroids. The CSC spheroids revealed mRNA profiles of the factors related to cardiac regeneration, angiogenesis, anti-inflammatory, and cardiomyocyte differentiation with a higher expression level than the CSCs. Intramyocardially delivered CSC spheroids in the rat IHD model resulted in a significant increase in retention rate by 1.82-fold (day 3) and 1.98-fold (day 14) compared to CSCs. Endothelial cell differentiation and neovascularization of the engrafted CSC spheroids were noted in the infarcted myocardium. CSC spheroids significantly promoted cardiac regeneration: i.e., decreased infarction and fibrotic area (11.22% and 4.18%) and increased left ventricle thickness (0.62 mm) compared to the untreated group. Cardiac performance was also improved by 2.04-fold and 1.44-fold increase in the ejection fraction and fractional shortening, respectively. Intramyocardial administration of CSC spheroids might serve as an advanced therapeutic modality with enhanced cell engraftment and regenerative abilities for cardiac repair after myocardial infarction.
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