PMID- 17239026 OWN - NLM STAT- MEDLINE DCOM- 20070322 LR - 20070122 IS - 0934-0874 (Print) IS - 0934-0874 (Linking) VI - 20 IP - 2 DP - 2007 Feb TI - Combining erythropoietin infusion with intramyocardial delivery of bone marrow cells is more effective for cardiac repair. PG - 174-83 AB - We postulated that combining erythropoietin (EPO) infusion with bone marrow mesenchymal stem cells (MSC) delivery may give better prognosis in a rat infarcted heart. Acute myocardial infarction (MI) model was developed by coronary artery ligation. Animals were grouped (n=18) to receive intramyocardial injection of 30 microl saline solution without cells (EPO and control groups) or with 3x10(6) MSC from transgenic green fluorescent protein (GFP)+ male mice (MSC and MSC-EPO groups). The animals received either 5000 U/kg body weight EPO (EPO and MSC-EPO groups) or saline solution (MSC and control groups) for 7 days after MI. Cardiac functions were measured by echocardiography and cardiac tissue was harvested for immunohistological studies 3 weeks after surgery. We observed regeneration of MSC in and around the infarcted myocardium in MSC and MSC-EPO groups. Capillary density was markedly enhanced with significantly smaller infarct size and reduced fibrotic area in MSC-EPO group as compared with other three groups. A smaller left ventricular (LV) diastolic dimension and a higher LV fractional shortening were observed in MSC-EPO group than in other three groups. Transplantation of MSC combined with cytokine EPO is superior to either of the monotherapy approach for angiomyogenesis and cardiac function recovery. FAU - Zhang, Dingguo AU - Zhang D AD - First affiliated hospital of Nanjing Medical university, Nanjing, China. FAU - Zhang, Fumin AU - Zhang F FAU - Zhang, Yuqing AU - Zhang Y FAU - Gao, Xiang AU - Gao X FAU - Li, Chuanfu AU - Li C FAU - Yang, Naiquan AU - Yang N FAU - Cao, Kejiang AU - Cao K LA - eng PT - Journal Article PL - Switzerland TA - Transpl Int JT - Transplant international : official journal of the European Society for Organ Transplantation JID - 8908516 RN - 11096-26-7 (Erythropoietin) SB - IM MH - Animals MH - Bone Marrow Transplantation/*methods MH - Capillaries/drug effects MH - Cell Differentiation/drug effects MH - Cells, Cultured MH - Combined Modality Therapy MH - Echocardiography MH - Erythropoietin/pharmacology/*therapeutic use MH - Female MH - Fibrosis/pathology/prevention & control MH - Injections, Intralesional MH - Male MH - Mesenchymal Stem Cell Transplantation/*methods MH - Mice MH - Myocardial Infarction/pathology/*therapy MH - Neovascularization, Physiologic/*drug effects MH - Rats MH - Rats, Wistar EDAT- 2007/01/24 09:00 MHDA- 2007/03/23 09:00 CRDT- 2007/01/24 09:00 PHST- 2007/01/24 09:00 [pubmed] PHST- 2007/03/23 09:00 [medline] PHST- 2007/01/24 09:00 [entrez] AID - TRI407 [pii] AID - 10.1111/j.1432-2277.2006.00407.x [doi] PST - ppublish SO - Transpl Int. 2007 Feb;20(2):174-83. doi: 10.1111/j.1432-2277.2006.00407.x.