Transplantation of exogenous adipose tissue derived mesenchymal stem cells for treatment of acute myocardial infarction in rat

AIM: To establish a method of isolating,culturing the adipose tissue-derived mesenchymal stem cells in vitro and to investigate the possibility of exogenous transplanting the adipose tissue derived mesenchymal stem cells for treatment of rat acute myocardial infarction.METHODS: 18 male rats were separated randomly into 3 groups: sham surgery group (control,n=6),acute myocardial infarction control group (AMI,n=6) and myocardial infarction plus cell transplantation group (AMI+cell,n=6).The infarcted hearts were made by occlusion of left coronary artery.The mesenchymal stem cells were isolated from the rats’ peritoneum by using digestion methods and reproduced in vitro,then the cells were labeled with BrdU and implanted into the infarcted heart of the rats.Heart functions were measured 4 weeks after implantation.The hearts were also harvested for pathological and histoimmunochemical observations to determine the survival and location of the implanted cells.RESULTS: Plenty of mesenchymal stem cells were obtained from the adipose tissue of rats’ peritoneum.Compared with the AMI group,the left ventricular systolic pressure in the cell therapy group was increased significantly (P<0.01),the left ventricular end-diastolic pressure was decreased (P<0.01),and the ratio of the left ventricular pressure rise and decay (±dp/dt) was decreased (P<0.05).The number of blood vessels was increased at the boundary of infarction site by pathological observation.The labeled cells were founded in the infarcted myocardium and the blood vessel wall.CONCLUSION: The adipose tissue is a new optional stem cell source.The methods of exogenous transplantation of adipose tissue derived mesenchymal stem cells for treatment of AMI is effective and feasible.