PMID- 14568894 OWN - NLM STAT- MEDLINE DCOM- 20031124 LR - 20210507 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 108 IP - 17 DP - 2003 Oct 28 TI - Transdifferentiation of human peripheral blood CD34+-enriched cell population into cardiomyocytes, endothelial cells, and smooth muscle cells in vivo. PG - 2070-3 AB - BACKGROUND: Adult human peripheral blood cells have been shown to differentiate into mature cells of nonhematopoietic tissues, such as hepatocytes and epithelial cells of the skin and gastrointestinal track. We investigated whether these cells could also transdifferentiate into human cardiomyocytes, mature endothelial cells, and smooth muscle cells in vivo. METHODS AND RESULTS: Myocardial infarction was created in SCID mice by occluding the left anterior descending coronary artery, after which adult peripheral blood CD34+ cells were injected into the tail vein. Hearts were harvested 2 months after injection and stained for human leukocyte antigen (HLA) and markers for cardiomyocytes, endothelial cells, and smooth muscle cells. Cardiomyocytes, endothelial cells, and smooth muscle cells that bear HLA were identified in the infarct and peri-infarct regions of the mouse hearts. In a separate experiment, CD34+ cells were injected intraventricularly into mice without experimental myocardial infarction. HLA-positive myocytes and smooth muscle cells could only be identified in 1 of these mice killed at different time points. CONCLUSIONS: Adult peripheral blood CD34+ cells can transdifferentiate into cardiomyocytes, mature endothelial cells, and smooth muscle cells in vivo. However, transdifferentiation is augmented significantly by local tissue injury. The use of peripheral blood CD34+ cells for cell-based therapy should greatly simplify the procurement of cells for the regeneration of damaged myocardium. FAU - Yeh, Edward T H AU - Yeh ET AD - Department of Cardiology, The University of Texas-M.D. Anderson Cancer Center, Houston, Tex, USA. etyeh@mdanderson.org FAU - Zhang, Sui AU - Zhang S FAU - Wu, Henry D AU - Wu HD FAU - Korbling, Martin AU - Korbling M FAU - Willerson, James T AU - Willerson JT FAU - Estrov, Zeev AU - Estrov Z LA - eng PT - Journal Article DEP - 20031020 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Antigens, CD34) RN - 0 (Antigens, Differentiation) RN - 0 (HLA Antigens) SB - IM MH - Animals MH - Antigens, CD34/*biosynthesis MH - Antigens, Differentiation/biosynthesis MH - Cell Differentiation/*physiology MH - Cell Survival MH - Cells, Cultured MH - Disease Models, Animal MH - Endothelium, Vascular/cytology/*physiology MH - Flow Cytometry MH - Graft Survival MH - HLA Antigens/biosynthesis/immunology MH - Humans MH - Mice MH - Mice, SCID MH - Muscle, Smooth, Vascular/cytology/*physiology MH - Myocardial Infarction/pathology/*therapy MH - Myocytes, Cardiac/cytology/*physiology MH - Stem Cell Transplantation MH - Stem Cells/cytology/*metabolism EDAT- 2003/10/22 05:00 MHDA- 2003/12/03 05:00 CRDT- 2003/10/22 05:00 PHST- 2003/10/22 05:00 [pubmed] PHST- 2003/12/03 05:00 [medline] PHST- 2003/10/22 05:00 [entrez] AID - 01.CIR.0000099501.52718.70 [pii] AID - 10.1161/01.CIR.0000099501.52718.70 [doi] PST - ppublish SO - Circulation. 2003 Oct 28;108(17):2070-3. doi: 10.1161/01.CIR.0000099501.52718.70. Epub 2003 Oct 20.