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Circulation. 2002;105:93-98
doi: 10.1161/hc0102.101442
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(Circulation. 2002;105:93.)
© 2002 American Heart Association, Inc.


Basic Science Reports

Human Mesenchymal Stem Cells Differentiate to a Cardiomyocyte Phenotype in the Adult Murine Heart

Catalin Toma, MD; Mark F. Pittenger, PhD; Kevin S. Cahill, BS; Barry J. Byrne, MD, PhD; Paul D. Kessler, MD

From the Department of Medicine, Division of Cardiology, Johns Hopkins School of Medicine (C.T., P.D.K.), and Osiris Therapeutics, Inc (M.F.P.), Baltimore, Md; and the Powell Gene Therapy Center, Departments of Pediatrics, Molecular Genetics, and Microbiology, University of Florida School of Medicine, Gainesville, Fla (K.S.C., B.J.B.).

Correspondence to Mark Pittenger, PhD, Osiris Therapeutics Inc, 2001 Aliceanna St, Baltimore, MD 21231. E-mail mpittenger{at}osiristx.com

Background Cellular cardiomyoplasty has been proposed as an alternative strategy for augmenting the function of diseased myocardium. We investigated the potential of human mesenchymal stem cells (hMSCs) from adult bone marrow to undergo myogenic differentiation once transplanted into the adult murine myocardium.

Methods and Results A small bone marrow aspirate was taken from the iliac crest of healthy human volunteers, and hMSCs were isolated as previously described. The stem cells, labeled with lacZ, were injected into the left ventricle of CB17 SCID/beige adult mice. At 4 days after injection, none of the engrafted hMSCs expressed myogenic markers. A limited number of cells survived past 1 week and over time morphologically resembled the surrounding host cardiomyocytes. Immunohistochemistry revealed de novo expression of desmin, ß-myosin heavy chain, {alpha}-actinin, cardiac troponin T, and phospholamban at levels comparable to those of the host cardiomyocytes; sarcomeric organization of the contractile proteins was observed. In comparison, neither cardiac troponin T nor phospholamban was detected in the myotubes formed in vitro by MyoD-transduced hMSCs.

Conclusions The purified hMSCs from adult bone marrow engrafted in the myocardium appeared to differentiate into cardiomyocytes. The persistence of the engrafted hMSCs and their in situ differentiation in the heart may represent the basis for using these adult stem cells for cellular cardiomyoplasty.


Key Words: stem cells • genes • myocytes • heart failure




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J. Am. Coll. Cardiol., October 4, 2005; 46(7): 1339 - 1350.
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J Am Coll CardiolHome page
V. J. Dzau, M. Gnecchi, and A. S. Pachori
Enhancing Stem Cell Therapy Through Genetic Modification
J. Am. Coll. Cardiol., October 4, 2005; 46(7): 1351 - 1353.
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J CARDIOVASC PHARMACOL THERHome page
R. R. Makkar, M. J. Price, M. Lill, M. Frantzen, K. Takizawa, T. Kleisli, J. Zheng, S. Kar, R. McClelan, T. Miyamota, et al.
Intramyocardial Injection of Allogenic Bone Marrow-Derived Mesenchymal Stem Cells Without Immunosuppression Preserves Cardiac Function in a Porcine Model of Myocardial Infarction
Journal of Cardiovascular Pharmacology and Therapeutics, October 1, 2005; 10(4): 225 - 233.
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CirculationHome page
D. L. Kraitchman, M. Tatsumi, W. D. Gilson, T. Ishimori, D. Kedziorek, P. Walczak, W. P. Segars, H. H. Chen, D. Fritzges, I. Izbudak, et al.
Dynamic Imaging of Allogeneic Mesenchymal Stem Cells Trafficking to Myocardial Infarction
Circulation, September 6, 2005; 112(10): 1451 - 1461.
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Am. J. Pathol.Home page
M. A. Laflamme, J. Gold, C. Xu, M. Hassanipour, E. Rosler, S. Police, V. Muskheli, and C. E. Murry
Formation of Human Myocardium in the Rat Heart from Human Embryonic Stem Cells
Am. J. Pathol., September 1, 2005; 167(3): 663 - 671.
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CirculationHome page
N. Nagaya, K. Kangawa, T. Itoh, T. Iwase, S. Murakami, Y. Miyahara, T. Fujii, M. Uematsu, H. Ohgushi, M. Yamagishi, et al.
Transplantation of Mesenchymal Stem Cells Improves Cardiac Function in a Rat Model of Dilated Cardiomyopathy
Circulation, August 23, 2005; 112(8): 1128 - 1135.
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Eur. J. Cardiothorac. Surg.Home page
M. Siepe, C. Heilmann, P. von Samson, P. Menasche, and F. Beyersdorf
Stem cell research and cell transplantation for myocardial regeneration
Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 318 - 324.
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Am. J. Respir. Cell Mol. Bio.Home page
M. Rojas, J. Xu, C. R. Woods, A. L. Mora, W. Spears, J. Roman, and K. L. Brigham
Bone Marrow-Derived Mesenchymal Stem Cells in Repair of the Injured Lung
Am. J. Respir. Cell Mol. Biol., August 1, 2005; 33(2): 145 - 152.
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Cardiovasc ResHome page
C. Ventura
Forced myocardin expression primes cardiac and smooth muscle transcription patterning in human mesenchymal stem cells
Cardiovasc Res, August 1, 2005; 67(2): 182 - 183.
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K. C. Wollert and H. Drexler
Mesenchymal Stem Cells for Myocardial Infarction: Promises and Pitfalls
Circulation, July 12, 2005; 112(2): 151 - 153.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. K. Haider and M. Ashraf
Bone marrow stem cell transplantation for cardiac repair
Am J Physiol Heart Circ Physiol, June 1, 2005; 288(6): H2557 - H2567.
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Arterioscler. Thromb. Vasc. Bio.Home page
R. Matsumoto, T. Omura, M. Yoshiyama, T. Hayashi, S. Inamoto, K.-R. Koh, K. Ohta, Y. Izumi, Y. Nakamura, K. Akioka, et al.
Vascular Endothelial Growth Factor-Expressing Mesenchymal Stem Cell Transplantation for the Treatment of Acute Myocardial Infarction
Arterioscler Thromb Vasc Biol, June 1, 2005; 25(6): 1168 - 1173.
[Abstract] [Full Text] [PDF]


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RadiologyHome page
C. Riviere, F. P. Boudghene, F. Gazeau, J. Roger, J.-N. Pons, J.-P. Laissy, E. Allaire, J.-B. Michel, D. Letourneur, and J.-F. Deux
Iron Oxide Nanoparticle-labeled Rat Smooth Muscle Cells: Cardiac MR Imaging for Cell Graft Monitoring and Quantitation
Radiology, June 1, 2005; 235(3): 959 - 967.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Hofmann, K. C. Wollert, G. P. Meyer, A. Menke, L. Arseniev, B. Hertenstein, A. Ganser, W. H. Knapp, and H. Drexler
Monitoring of Bone Marrow Cell Homing Into the Infarcted Human Myocardium
Circulation, May 3, 2005; 111(17): 2198 - 2202.
[Abstract] [Full Text] [PDF]


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HeartHome page
P. L Weissberg and A. Qasim
Stem cell therapy for myocardial repair
Heart, May 1, 2005; 91(5): 696 - 702.
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BloodHome page
S. Aggarwal and M. F. Pittenger
Human mesenchymal stem cells modulate allogeneic immune cell responses
Blood, February 15, 2005; 105(4): 1815 - 1822.
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Circ. Res.Home page
K. C. Wollert and H. Drexler
Clinical Applications of Stem Cells for the Heart
Circ. Res., February 4, 2005; 96(2): 151 - 163.
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Cardiovasc ResHome page
S. Davani, F. Deschaseaux, D. Chalmers, P. Tiberghien, and J.-P. Kantelip
Can stem cells mend a broken heart?
Cardiovasc Res, February 1, 2005; 65(2): 305 - 316.
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CirculationHome page
G. V. Silva, S. Litovsky, J. A.R. Assad, A. L.S. Sousa, B. J. Martin, D. Vela, S. C. Coulter, J. Lin, J. Ober, W. K. Vaughn, et al.
Mesenchymal Stem Cells Differentiate into an Endothelial Phenotype, Enhance Vascular Density, and Improve Heart Function in a Canine Chronic Ischemia Model
Circulation, January 18, 2005; 111(2): 150 - 156.
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Eur. J. Cardiothorac. Surg.Home page
A. J. Rastan, T. Walther, M. Kostelka, J. Garbade, A. Schubert, A. Stein, S. Dhein, and F. W. Mohr
Morphological, electrophysiological and coupling characteristics of bone marrow-derived mononuclear cells--an in vitro-model
Eur. J. Cardiothorac. Surg., January 1, 2005; 27(1): 104 - 110.
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Cardiovasc ResHome page
A. Deten, H. C. Volz, S. Clamors, S. Leiblein, W. Briest, G. Marx, and H.-G. Zimmer
Hematopoietic stem cells do not repair the infarcted mouse heart
Cardiovasc Res, January 1, 2005; 65(1): 52 - 63.
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N Dainiak and R C Ricks
The evolving role of haematopoietic cell transplantation in radiation injury: potentials and limitations
Br. J. Radiol., January 1, 2005; Supplement_27(1): 169 - 174.
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Am. J. Physiol. Heart Circ. Physiol.Home page
N. Nagaya, T. Fujii, T. Iwase, H. Ohgushi, T. Itoh, M. Uematsu, M. Yamagishi, H. Mori, K. Kangawa, and S. Kitamura
Intravenous administration of mesenchymal stem cells improves cardiac function in rats with acute myocardial infarction through angiogenesis and myogenesis
Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2670 - H2676.
[Abstract] [Full Text] [PDF]


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BloodHome page
H. Kawada, J. Fujita, K. Kinjo, Y. Matsuzaki, M. Tsuma, H. Miyatake, Y. Muguruma, K. Tsuboi, Y. Itabashi, Y. Ikeda, et al.
Nonhematopoietic mesenchymal stem cells can be mobilized and differentiate into cardiomyocytes after myocardial infarction
Blood, December 1, 2004; 104(12): 3581 - 3587.
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F. Anjos-Afonso, E. K. Siapati, and D. Bonnet
In vivo contribution of murine mesenchymal stem cells into multiple cell-types under minimal damage conditions
J. Cell Sci., November 1, 2004; 117(23): 5655 - 5664.
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Eur Heart J SupplHome page
L.G Melo, M Gnecchi, A.S Pachori, K Wang, and V.J Dzau
Gene- and cell-based therapies for cardiovascular diseases: current status and future directions
Eur. Heart J. Suppl., September 1, 2004; 6(suppl_E): E24 - E35.
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J. Liu, Q. Hu, Z. Wang, C. Xu, X. Wang, G. Gong, A. Mansoor, J. Lee, M. Hou, L. Zeng, et al.
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Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H501 - H511.
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M. F. Pittenger and B. J. Martin
Mesenchymal Stem Cells and Their Potential as Cardiac Therapeutics
Circ. Res., July 9, 2004; 95(1): 9 - 20.
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Exp. Biol. Med.Home page
W. Xu, X. Zhang, H. Qian, W. Zhu, X. Sun, J. Hu, H. Zhou, and Y. Chen
Mesenchymal Stem Cells from Adult Human Bone Marrow Differentiate into a Cardiomyocyte Phenotype In Vitro
Experimental Biology and Medicine, July 1, 2004; 229(7): 623 - 631.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
J. Honold, B. Assmus, R. Lehman, A. M. Zeiher, and S. Dimmeler
Stem cell therapy of cardiac disease: an update
Nephrol. Dial. Transplant., July 1, 2004; 19(7): 1673 - 1677.
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