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Arrowheads indicate host myocardium, and the asterisk indicates fibrous tissue at the implantation site. (c) Incorporation of DAPI-labeled cells into the host myocardiac fiber adjacent to the implantation site. Arrows indicate DAPIlabeled cells. (d) Consecutive section to that shown in (c). MSC-derived cells have the same structure as the surrounding cardiomyocytes. Asterisks in c & d indicate corresponding tissue clefts in this pair of images. Scale bars: 15µm. Discussion In cellular cardiomyoplasty, one would like to see implanted donor cells perform specific physiologic roles to improve the function of a failing heart based on true regeneration of the myocardium.
4b) demonstrated that MSC-derived donor cells had started to develop, with increased amounts of cytoplasm. However, they remained unorganized and were surrounded by the fibrous tissue of the needle tract scar. 4c). The labeled cells had centrally located nuclei and mature morphology indistinguishable from that of the normal CMs, and had aligned themselves with non-labeled host CMs. 4d). The phenotypes of implanted MSCs were further confirmed by immunohistochemistry. To view a section from the implantation site 6 weeks after MSC implantation, we used a simultaneous excitation filter to obtain combined DAPI (blue fluorescence) and Texas Red (red fluorescence) images in the same microscopic field.
Jackson KA, Majka SM, Wang H et al. Regeneration of ischemic cardiac muscle and vascular endothelium by adult stem cells. J Clin Invest 2001; 107:1395–402. Quaini F, Urbanek K, Beltrami AP et al. Chimerism of the transplanted heart. N Engl J Med 2002; 346:5–15. Laflamme MA, Myerson D, Saffitz JE, Murry CE. Evidence for cardiomyocyte repopulation by extracardiac progenitors in transplanted human hearts. Circ Res 2002; 90:634–40. 2. CELLULAR CARDIOMYOPLASTY: THE BIOLOGY AND CLINICAL IMPORTANCE OF MILIEU-DEPENDENT DIFFERENTIATION Ray C-J Chiu and Jih-Shiuan Wang Introduction Cellular cardiomyoplasty In a paper published in 1995 entitled ‘Cellular cardiomyoplasty: myocardial regeneration with satellite cell implantation',1 we suggested the term ‘cellular cardiomyoplasty’ to indicate a new therapeutic approach of using cells to repair damaged myocardium.
