In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats

The scant ability of cardiomyocytes to proliferate makes heart regeneration one of the biggest challenges of science. Current therapies do not contemplate heart re-muscularization. In this scenario, stem cell-based approaches have been proposed to overcome this lack of regeneration. We hypothesize t...

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Main Authors: Diogo Biagi, Evelyn Thais Fantozzi, Julliana Carvalho Campos-Oliveira, Marcus Vinicius Naghetini, Antonio Fernando Ribeiro, Sirlene Rodrigues, Isabella Ogusuku, Rubia Vanderlinde, Michelle Lopes Araújo Christie, Debora Bastos Mello, Antonio Carlos Campos de Carvalho, Marcos Valadares, Estela Cruvinel, Rafael Dariolli
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/5/374
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author Diogo Biagi
Evelyn Thais Fantozzi
Julliana Carvalho Campos-Oliveira
Marcus Vinicius Naghetini
Antonio Fernando Ribeiro
Sirlene Rodrigues
Isabella Ogusuku
Rubia Vanderlinde
Michelle Lopes Araújo Christie
Debora Bastos Mello
Antonio Carlos Campos de Carvalho
Marcos Valadares
Estela Cruvinel
Rafael Dariolli
author_facet Diogo Biagi
Evelyn Thais Fantozzi
Julliana Carvalho Campos-Oliveira
Marcus Vinicius Naghetini
Antonio Fernando Ribeiro
Sirlene Rodrigues
Isabella Ogusuku
Rubia Vanderlinde
Michelle Lopes Araújo Christie
Debora Bastos Mello
Antonio Carlos Campos de Carvalho
Marcos Valadares
Estela Cruvinel
Rafael Dariolli
author_sort Diogo Biagi
collection DOAJ
description The scant ability of cardiomyocytes to proliferate makes heart regeneration one of the biggest challenges of science. Current therapies do not contemplate heart re-muscularization. In this scenario, stem cell-based approaches have been proposed to overcome this lack of regeneration. We hypothesize that early-stage hiPSC-derived cardiomyocytes (hiPSC-CMs) could enhance the cardiac function of rats after myocardial infarction (MI). Animals were subjected to the permanent occlusion of the left ventricle (LV) anterior descending coronary artery (LAD). Seven days after MI, early-stage hiPSC-CMs were injected intramyocardially. Rats were subjected to echocardiography pre-and post-treatment. Thirty days after the injections were administered, treated rats displayed 6.2% human cardiac grafts, which were characterized molecularly. Left ventricle ejection fraction (LVEF) was improved by 7.8% in cell-injected rats, while placebo controls showed an 18.2% deterioration. Additionally, cell-treated rats displayed a 92% and 56% increase in radial and circumferential strains, respectively. Human cardiac grafts maturate in situ, preserving proliferation with 10% Ki67 and 3% PHH3 positive nuclei. Grafts were perfused by host vasculature with no evidence for immune rejection nor ectopic tissue formations. Our findings support the use of early-stage hiPSC-CMs as an alternative therapy to treat MI. The next steps of preclinical development include efficacy studies in large animals on the path to clinical-grade regenerative therapy targeting human patients.
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spelling doaj.art-ae1c7d746c0e48628b3ceee53cff26312023-11-21T18:19:39ZengMDPI AGJournal of Personalized Medicine2075-44262021-05-0111537410.3390/jpm11050374In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted RatsDiogo Biagi0Evelyn Thais Fantozzi1Julliana Carvalho Campos-Oliveira2Marcus Vinicius Naghetini3Antonio Fernando Ribeiro4Sirlene Rodrigues5Isabella Ogusuku6Rubia Vanderlinde7Michelle Lopes Araújo Christie8Debora Bastos Mello9Antonio Carlos Campos de Carvalho10Marcos Valadares11Estela Cruvinel12Rafael Dariolli13PluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilCarlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, BrazilCarlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, BrazilCarlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilPluriCell Biotech, São Paulo 05508-000, BrazilThe scant ability of cardiomyocytes to proliferate makes heart regeneration one of the biggest challenges of science. Current therapies do not contemplate heart re-muscularization. In this scenario, stem cell-based approaches have been proposed to overcome this lack of regeneration. We hypothesize that early-stage hiPSC-derived cardiomyocytes (hiPSC-CMs) could enhance the cardiac function of rats after myocardial infarction (MI). Animals were subjected to the permanent occlusion of the left ventricle (LV) anterior descending coronary artery (LAD). Seven days after MI, early-stage hiPSC-CMs were injected intramyocardially. Rats were subjected to echocardiography pre-and post-treatment. Thirty days after the injections were administered, treated rats displayed 6.2% human cardiac grafts, which were characterized molecularly. Left ventricle ejection fraction (LVEF) was improved by 7.8% in cell-injected rats, while placebo controls showed an 18.2% deterioration. Additionally, cell-treated rats displayed a 92% and 56% increase in radial and circumferential strains, respectively. Human cardiac grafts maturate in situ, preserving proliferation with 10% Ki67 and 3% PHH3 positive nuclei. Grafts were perfused by host vasculature with no evidence for immune rejection nor ectopic tissue formations. Our findings support the use of early-stage hiPSC-CMs as an alternative therapy to treat MI. The next steps of preclinical development include efficacy studies in large animals on the path to clinical-grade regenerative therapy targeting human patients.https://www.mdpi.com/2075-4426/11/5/374stem cell-therapyhuman induced pluripotent stem cellscardiomyocytesmyocardial infarctionheart failureregeneration
spellingShingle Diogo Biagi
Evelyn Thais Fantozzi
Julliana Carvalho Campos-Oliveira
Marcus Vinicius Naghetini
Antonio Fernando Ribeiro
Sirlene Rodrigues
Isabella Ogusuku
Rubia Vanderlinde
Michelle Lopes Araújo Christie
Debora Bastos Mello
Antonio Carlos Campos de Carvalho
Marcos Valadares
Estela Cruvinel
Rafael Dariolli
In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats
Journal of Personalized Medicine
stem cell-therapy
human induced pluripotent stem cells
cardiomyocytes
myocardial infarction
heart failure
regeneration
title In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats
title_full In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats
title_fullStr In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats
title_full_unstemmed In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats
title_short In Situ Maturated Early-Stage Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes Improve Cardiac Function by Enhancing Segmental Contraction in Infarcted Rats
title_sort in situ maturated early stage human induced pluripotent stem cell derived cardiomyocytes improve cardiac function by enhancing segmental contraction in infarcted rats
topic stem cell-therapy
human induced pluripotent stem cells
cardiomyocytes
myocardial infarction
heart failure
regeneration
url https://www.mdpi.com/2075-4426/11/5/374
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