Abstract

Regenerative medicine and stem cells could prove to be an effective solution to the problem of treating heart failure caused by ischemic heart disease. However, further studies on the understanding of the processes which occur during the regeneration of damaged tissue are needed. Microfluidic systems, which provide conditions similar to in vivo, could be useful tools for the development of new therapies using stem cells. We investigated how mesenchymal stem cells (MSCs) affect the metabolic activity of cardiac cells (rat cardiomyoblasts and human cardiomyocytes) incubated with a potent uncoupler of mitochondrial oxidative phosphorylation under microfluidic conditions. A cyanide p-trifluoromethoxyphenylhydrazone (FCCP) was used to mimic disfunctions of mitochondria of cardiac cells. The study was performed in a microfluidic system integrated with nanofiber mats made of poly-l-lactid acid (PLLA) or polyurethane (PU). The microsystem geometry allows four different cell cultures to be conducted under different conditions (which we called: normal, abnormal—as both a mono- and co-culture). Metabolic activity of the cells, based on the bioluminescence assay, was assessed in the culture’s performed in the microsystem. It was proved that stem cells increased metabolic activity of cardiac cells maintained with FCCP.

Highlights

  • Published: 23 April 2021Cardiovascular diseases (CVDs), with ischemic heart disease (IHD) at a forefront, are the leading cause of death worldwide [1]

  • Before starting the tests in the designed microsystem, preliminary studies were carried out in macroscale. This made it possible to assess the effect of stem cells on cardiac cells which were metabolically perturbed with high concentration of FCCP

  • Based on the obtained results, we can conclude that stem cells did not significantly increase the potential of the inner mitochondrial membrane

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Summary

Introduction

Published: 23 April 2021Cardiovascular diseases (CVDs), with ischemic heart disease (IHD) at a forefront, are the leading cause of death worldwide [1]. The use of heart transplant has some limitations, such as: the risk of organ rejection and the small number of donors [2]. Regenerative medicine, which has been developing in recent years, might turn out to be one of the methods that will improve the effectiveness of heart failure treatment. Regenerative medicine, as an interdisciplinary field, is focused on the repair, replacement of damaged cells, tissues, and organs in order to restore impaired function resulting from any cause (injury, birth defect, or disease) [3]. In developing new methods of treating cardiovascular diseases, research related to cell therapy and tissue engineering seem to be the most promising. Cells derived from donor tissue are used to form tissue in vitro Because of their limited number, the use of stem

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