Differentiation in vivo of Cardiac Committed Human Embryonic Stem Cells in Post-myocardial Infarcted Rats.
Stem Cells. 2007 Sep;25(9):2200-5. Epub 2007 May 31.
Tomescot A, Leschik J, Bellamy V, Dubois G, Messas E, Bruneval P, Desnos M, Hagège AA, Amit M, Itskovitz J, Menasché P, Pucéat M.
INSERM, U 633; Assistance Publique-Hôpitaux de Paris, Ecole de Chirurgie, Paris, France.
Human embryonic stem (HES) cells can give rise to cardiomyocytes in vitro. However whether undifferentiated HES cells also feature a myocardial regenerative capacity after in vivo engraftment has not been established yet. We compared two HES cell lines (HUES-1 & I6) that were specified towards a cardiac lineage by exposure to bone morphogenetic protein (BMP2) and SU5402, a FGF receptor inhibitor. Real time PCR revealed that the cardiogenic inductive factor turned on expression of mesodermal and cardiac genes (Tbx6, Isl1, FoxH1, Nkx2.5, Mef2c, and alpha-actin). Thirty immunosuppressed rats underwent coronary artery ligation and, 2 weeks later, were randomized and received in-scar injections of either culture medium (controls) or BMP2 (+/-SU5402)-treated HES cells. After 2 months, human cells were detected by anti-human lamin immunostaining and their cardiomyocytic differentiation was evidenced by their expression of cardiac markers by RT-PCR and immunofluorescence using an anti-beta myosin antibody. No teratoma was observed in hearts or any other organ of the body. The ability of cardiac-specified HES cells to differentiate along the cardiomyogenic pathway following transplantation into infarcted myocardium raises the hope that these cells might become effective candidates for myocardial regeneration.
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