Abstract
Since both myocardium and vasculature in the heart are excessively damaged following myocardial infarction (MI), therapeutic strategies for treating MI hearts should concurrently target both so as to achieve true cardiac repair. Here we demonstrate a concomitant method that exploits the advantages of cardiomyocytes derived from human induced pluripotent stem cells (hiPSC-CMs) and human mesenchymal stem cell-loaded patch (hMSC-PA) to amplify cardiac repair in a rat MI model. Epicardially implanted hMSC-PA provide a complimentary microenvironment which enhances vascular regeneration through prolonged secretion of paracrine factors, but more importantly it significantly improves the retention and engraftment of intramyocardially injected hiPSC-CMs which ultimately restore the cardiac function. Notably, the majority of injected hiPSC-CMs display adult CMs like morphology suggesting that the secretomic milieu of hMSC-PA constitutes pleiotropic effects in vivo. We provide compelling evidence that this dual approach can be a promising means to enhance cardiac repair on MI hearts.
Original language | English |
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Article number | 3123 |
Journal | Nature Communications |
Volume | 10 |
Issue number | 1 |
DOIs | |
State | Published - 1 Dec 2019 |
Bibliographical note
Funding Information:We would like to thank Mr. Joseph Seo at Konkuk University School of Medicine for instrumental discussions, directions and edits for this paper. This study was supported by CityU Research Project (9610355 to K.B.), the Hong Kong Research Grants Council (21100818 to K.B.), National Research Foundation of Korea grants (2015-M3A9C7030091, 2016R1C1B2015529 to S.H.M. and H.J.P., respectively), and the Bio & Medical Technology Development Program grant (NRF-2017M3A9B3061954 to H.J.P.) funded by the Ministry of Science & I.C.T. This study was also supported by the Technology Innovation Program funded (Grant No. 20000325 to S.H.M.) from the Ministry of Trade, Industry & Energy (MOTIE), Republic of Korea.
Publisher Copyright:
© 2019, The Author(s).