Creating a repair patch using grafted heart-muscle cells is a significant advance in efforts to repair a damaged heart after a heart attack, reports a study at University of Alabama at Birmingham. Overexpression a gene that activates the cell-cycle of the grafted muscle cells was the key. This allows the muscle cells to they grow and divide more than control grafted cells. Up to now, an extremely low amount of engraftment of cardiomyocytes has been a stumbling block in hopes to use grafted cells to repair hearts after a heart attack. Without the successful repair that a graft could potentially offer, the damaged heart is prone to later heart failure and patient death.
‘Overexpression of CCND2 gene increased growth of grafted cardiomyocytes which resulting in better heart function and decreased size of dead tissue.’
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In experiments in a mouse model, UAB researchers showed that gene C. This led to increased remuscularization of the heart at the dead-tissue site of the heart attack, a larger graft size, improved cardiac function and decreased size of the dead tissue, or infarct. Besides regenerating muscle, the grafted cells also increased new blood vessel formation at the border zone of the infarct, apparently through increased activation of the paracrine mechanism. The UAB team used cardiomyocytes that were derived from human induced pluripotent stem cells, as they work toward a goal of eventual clinical treatment for human heart attack patients.
This UAB study, published online in Circulation Research, is led by Jianyi "Jay" Zhang, M.D., Ph.D., chair and professor of the UAB Department of Biomedical Engineering and holder of the T. Michael and Gillian Goodrich Endowed Chair of Engineering Leadership.
Study details
Researchers first showed that overexpression of CCND2 in the human induced pluripotent stem cells-derived cardiomyocytes, or hiPSC-CMs, increased the proportion of cells that exhibited markers for the S and M phases of the cell-cycle, and for cytokinesis, as measured in cell culture.
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Overexpression also led to an increased number of engrafted hiPSC-CMs, as measured by bioluminescence and human cell markers.
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Source-Eurekalert