Abstract

Ischemic heart disease kills more people than any other condition. Medical treatment for ischemic heart disease is currently limited by the heart’s lack of regeneration after injury. Recent reports have suggested the existence of cardiac progenitor cells in the adult normal and diseased mammalian heart. The origin of these cells is unclear. We implemented novel culturing conditions to isolate putative cardiac progenitor cells (pCPCs) from the adult murine heart atrium with the properties of cardiac regeneration. Putative adult cardiac progenitor cells were purified and expanded from adult murine hearts by expansion medium supplemented with 2% fetal calf serum, epidermal growth factor, platelet-derived growth factor and leukemia inhibitory factor. Under the culture condition of 5% O2 , these cells can be expanded beyond 42 days, expressed stem cell antigen (Sca-1) and cardiac-specific transcription factors. When treated with oxytocin in vitro, these cells express cardiac contractile proteins and when injected intramuscularly in the tibialis anterior muscle these cells give rise to cardiomyocyte-like cells. In contrast, transplantation of these pCPCs in uninjured heart did not result in cardiomyocyte differentiation suggesting that the heart environment is less permissive than the skeletal muscle of cardiogenesis. These results suggest that cells from the adult murine heart selected with this culture conditions and transplanted in the skeletal muscle have cardiogenic potential. Thus, this approach warrants further investigation for the therapeutic development of strategies for cardiac tissue engineering and myocardial regeneration.

Highlights

  • Ischemic heart disease kills more people than any other condition [1]

  • Expansion medium consisted of 60% low glucose Dulbecco’s Modified Eagle Medium (DMEM) (Hyclone, Logan, UT), 40% MCDB 201, 2% fetal calf serum (FCS), 1X insulin transferrin selenium (ITS), 1X linoleic bovine serum albumin (LA-BSA), 10-9 M dexamethasone, and 10-4 M ascorbic acid 2-phosphate

  • Cultured cells express Sca-1, smooth muscle actin and cardiac transcription factors putative cardiac progenitor cells (pCPCs) grown in expansion medium stained positive for Sca-1

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Summary

Introduction

Current medical treatment can partially improve the outcome of an infarct. Cell-based therapies are currently being investigated as alternative treatments to achieve cardiac repair [4]. Recent studies have shown that the adult mammalian heart cells can regenerate after injury [5,6]. It has been suggested that Sca-1+ cells play a regenerative role following myocardial infarction (MI) based on the observation that the number of endogenous Sca1+, CD 31- cells increased significantly 7 days after MI, as did the expression of Sca-1 protein [9]. Some studies suggest that c-Kit+ and cardiac SP cells in the heart may arise from the bone marrow [14,15]

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