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on August 4, 2003

Circulation. 2003
Published online before print August 4, 2003, doi: 10.1161/01.CIR.0000084828.50310.6A
A more recent version of this article appeared on August 19, 2003
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Submitted on February 10, 2003
Revised on April 17, 2003
Accepted on April 25, 2003

Systemic Delivery of Bone Marrow-Derived Mesenchymal Stem Cells to the Infarcted Myocardium. Feasibility, Cell Migration, and Body Distribution

Israel M. Barbash MD, Pierre Chouraqui MD, Jack Baron MS, Micha S. Feinberg MD, Sharon Etzion PhD, Ariel Tessone BMedSc, Liron Miller BSc, Esther Guetta PhD, Dov Zipori PhD, Laurence H. Kedes MD, Robert A. Kloner MD, PhD, and Jonathan Leor MD*

From the Neufeld Cardiac Research Institute (I.M.B., P.C., J.B., M.S.F., S.E., A.T., L.M., J.L.) and Danek Gertner Institute of Human Genetics (E.G.), Sheba Medical Center, Tel-Hashomer, Israel; Department of Molecular Cell Biology (D.Z.), Weizmann Institute of Science, Rehovot, Israel; Institute for Genetic Medicine (L.H.K., R.A.K.), Department of Biochemistry & Molecular Biology, Los Angeles, Calif; Department of Medicine (L.H.K.), Keck School of Medicine of the University of Southern California, Los Angeles, Calif; and Heart Institute (R.A.K.), Good Samaritan Hospital, Los Angeles, Calif.

* To whom correspondence should be addressed. E-mail: leorj{at}post.tau.ac.il.

Background--Systemic delivery of bone marrow-derived mesenchymal stem cells (BM-MSCs) is an attractive approach for myocardial repair. We aimed to test this strategy in a rat model after myocardial infarction (MI).

Methods and Results--BM-MSCs were obtained from rat bone marrow, expanded in vitro to a purity of >50%, and labeled with 99mTc exametazime, fluorescent dye, LacZ marker gene, or bromodeoxyuridine. Rats were subjected to MI by transient coronary artery occlusion or to sham MI. 99mTc-labeled cells (4x106) were transfused into the left ventricular cavity of MI rats either at 2 or 10 to 14 days after MI and were compared with sham-MI rats or MI rats treated with intravenous infusion. Gamma camera imaging and isolated organ counting 4 hours after intravenous infusion revealed uptake of the 99mTc-labeled cells mainly in the lungs, with significantly smaller amounts in the liver, heart, and spleen. Delivery by left ventricular cavity infusion resulted in drastically lower lung uptake, better uptake in the heart, and specifically higher uptake in infarcted compared with sham-MI hearts. Histological examination at 1 week after infusion identified labeled cells either in the infarcted or border zone but not in remote viable myocardium or sham-MI hearts. Labeled cells were also identified in the lung, liver, spleen, and bone marrow.

Conclusions--Systemic intravenous delivery of BM-MSCs to rats after MI, although feasible, is limited by entrapment of the donor cells in the lungs. Direct left ventricular cavity infusion enhances migration and colonization of the cells preferentially to the ischemic myocardium.


Key words: cells • myocardial infarction • nuclear medicine • transplantation




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