Abstract
BackgroundBone marrow -derived cells (BMDCs) can either limit or contribute to the process of pulmonary vascular remodeling. Whether the difference in their effects depends on the mechanism of pulmonary hypertension (PH) remains unknown.ObjectivesWe investigated the effect of BMDCs on PH induced in mice by either monocrotaline or exposure to chronic hypoxia.MethodsIntravenous administration of the active monocrotaline metabolite (monocrotaline pyrrole, MCTp) to C57BL/6 mice induced PH within 15 days, due to remodeling of small distal vessels. Three days after the MCTp injection, the mice were injected with BMDCs harvested from femurs and tibias of donor mice treated with 5-fluorouracil (3.5 mg IP/animal) to deplete mature cells and to allow proliferation of progenitor cells.ResultsBMDCs significantly attenuated PH as assessed by reductions in right ventricular systolic pressure (20 ± 1 mmHg vs. 27 ± 1 mmHg, P ≤ 0.01), right ventricle weight/left ventricle+septum weight ratio (0.29 ± 0.02 vs. 0.36 ± 0.01, P ≤ 0.03), and percentage of muscularized vessels (26.4% vs. 33.5%, P ≤ 0.05), compared to control animals treated with irradiated BMDCs. Tracking cells from constitutive GFP-expressing male donor mice with anti-GFP antibodies or chromosome Y level measurement by quantitative real-time PCR showed BMDCs in the lung. In contrast, chronically hypoxic mice subjected to the same procedure failed to show improvement in PH.ConclusionThese results show that BMDCs limit pulmonary vascular remodeling induced by vascular injury but not by hypoxia.
Highlights
Bone marrow -derived cells (BMDCs) can either limit or contribute to the process of pulmonary vascular remodeling
Effects of bone marrow-derived cells on monocrotalineinduced pulmonary hypertension (PH) PH developed within 15 days of MCT pyrrole (MCTp) injection, as shown by a sustained increase in right ventricular systolic pressure (RVSP), RV/LV+S, and muscularization of distal pulmonary vessels, compared to vehicle-injected animals (Fig. 1)
Ratio of right ventricle to left ventricle + septum weight [RV/(LV+S)] on day 15 in control untreated mice, MCTp-treated mice, MCTp-treated mice injected with bone marrow-derived cells (BMDCs), and MCTp-treated mice injected with irradiated BMDCs
Summary
Bone marrow -derived cells (BMDCs) can either limit or contribute to the process of pulmonary vascular remodeling. Human studies after hematopoietic stem cell transplantation or lung transplantation have shown significant chimerism, in epithelial and endothelial cells [4,5,6,7]. These results have not always be confirmed by more recent articles using multiple methods of engraftment assessment [8]. GM-CSF induces a 23% increased in angiogenesis without evidence of bone marrow cells contribution to endothelium remodeling
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