Abstract

Objective: To identify differences in bone marrow mesenchymal stem cell (BM-MSCs) distribution when delivered by transendocardial (TE) or intracoronary (IC) route to a canine acute myocardial ischemia model. Methods: 10 adult dogs (6 TE, 6 IC) received DAPI-labeled allogenic BM-MSCs 7 days after a 3-hour occlusion/reperfusion of the left anterior descending (LAD) and were sacrificed 14 days later. Hearts were excised, perfused and sliced into 4 transverse sections from apex to base. Each slice was separated into 9 segments. Frozen and formalin-fixed tissue was preserved. Frozen sections were immunostained for α-smooth muscle actin, α-sarcomeric actinin, or factor VIII and analyzed by epifluorescence and deconvolution fluorescence microscopy (DFM). Results: At 2 weeks post delivery, the TE group showed characteristic cluster patterns at injection sites, versus a homogeneous distribution in the IC group. The total MSC density at the infarct was 715±426 and 329±56 for the TE and IC groups, respectively. By DVM, most DAPI+ BM-MSC nuclei were localized to the interstitium, outside of cardiomyocytes. Conclusions: The TE group maintained a higher density of MSC in the infarct at 2 weeks post delivery.

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