Improvement in cardiac function following transplantation of human umbilical cord matrix-derived mesenchymal cells

Cardiology. 2011;120(1):9-18. doi: 10.1159/000332581. Epub 2011 Nov 11.

Abstract

Objectives: Human umbilical cord mesenchymal cells (hUCM) can be easily obtained and processed in a laboratory. These cells may be considered as a suitable source in the repair of heart failure diseases. We, therefore, examined whether these cells may contribute to heart regeneration following an acute experimental myocardial infarction (MI).

Methods: MI-induced animals received 5 × 10(6) hUCM cells, 5 × 10(6) 5-azacytidine-treated cells (dhUCM), or PBS alone, subepicardially. A group of animals with MI and no other former intervention served as controls. dhUCM cells were assessed for F-actin, myogenin and troponin-I expression.

Results: dhUCM cells appeared as binucleated cells with extensive cytoplasmic processes. These differentiated cells were F-actin and myogenin positive. Thirty days after LAD ligation, left ventricular ejection fraction and the percentage of fractional shortening improved significantly in cell-receiving animals. In addition, the amount of scar tissue was significantly reduced in hUCM and dhUCM groups compared to MI group (p < 0.05). These parameters were comparable between hUCM and dhUCM groups. Histopathological evaluations revealed that some engrafted cells adjacent to and remote from the MI area expressed troponin-I, F-actin and connexin43.

Conclusion: These findings demonstrated the potential therapeutic use of either differentiated or undifferentiated hUCM cells in treatment of heart failure conditions.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Differentiation / physiology
  • Cicatrix / physiopathology
  • Feasibility Studies
  • Female
  • Heart / physiology*
  • Humans
  • Ligation
  • Mesenchymal Stem Cell Transplantation / methods*
  • Mesenchymal Stem Cells / cytology*
  • Myocardial Infarction / physiopathology
  • Myocardial Infarction / therapy*
  • Myocarditis / physiopathology
  • Rabbits
  • Regeneration / physiology*
  • Stroke Volume / physiology
  • Umbilical Cord / cytology*
  • Ventricular Dysfunction, Left / physiopathology