PMID- 17933755 OWN - NLM STAT- MEDLINE DCOM- 20080619 LR - 20161124 IS - 0195-668X (Print) IS - 0195-668X (Linking) VI - 28 IP - 21 DP - 2007 Nov TI - Intracoronary administration of autologous adipose tissue-derived stem cells improves left ventricular function, perfusion, and remodelling after acute myocardial infarction. PG - 2667-77 AB - AIMS: This study was designed to assess whether intracoronary application of adipose tissue-derived stem cells (ADSCs) compared with bone marrow-derived stem cells (BMSCs) and control could improve cardiac function after 30 days in a porcine acute myocardial infarction/reperfusion model. METHODS AND RESULTS: An acute transmural porcine myocardial infarction was induced by inflating an angioplasty balloon for 180 min in the mid-left anterior descending artery. Two million cultured autologous stem cells were intracoronary injected through the central lumen of the inflated balloon catheter. Analysis of scintigraphic data obtained after 28 +/- 3 days showed that both absolute and relative perfusion defect decreased significantly after intracoronary administration of ADSCs or BMSCs (relative 30 or 31%, respectively), compared with carrier administration alone (12%, P = 0.048). Left ventricular ejection fraction after 4 weeks increased significantly more after ADSC and BMSC administration than after carrier administration: 11.39 +/- 4.62 and 9.59 +/- 7.95%, respectively vs. 1.95 +/- 4.7%, P = 0.02). The relative thickness of the ventricular wall in the infarction area after cell administration was significantly greater than that after carrier administration. The vascular density of the border zone also improved. The grafted cells co-localized with von Willebrand factor and alpha-smooth muscle actin and incorporated into newly formed vessels. CONCLUSION: This is the first study to show that not only bone marrow-derived cells but also ADSCs engrafted in the infarct region 4 weeks after intracoronary cell transplantation and improved cardiac function and perfusion via angiogenesis. FAU - Valina, Christian AU - Valina C AD - Department of Medicine, Tulane University Health Sciences Center, New Orleans, LA 70112, USA. FAU - Pinkernell, Kai AU - Pinkernell K FAU - Song, Yao-Hua AU - Song YH FAU - Bai, Xiaowen AU - Bai X FAU - Sadat, Sanga AU - Sadat S FAU - Campeau, Richard J AU - Campeau RJ FAU - Le Jemtel, Thierry H AU - Le Jemtel TH FAU - Alt, Eckhard AU - Alt E LA - eng GR - 1P01HL076100/HL/NHLBI NIH HHS/United States GR - 1R01NS044832/NS/NINDS NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20071011 PL - England TA - Eur Heart J JT - European heart journal JID - 8006263 SB - IM CIN - Eur Heart J. 2007 Nov;28(21):2565-7. PMID: 17933758 MH - Adipocytes/diagnostic imaging/*transplantation MH - Angioplasty, Balloon, Coronary/methods MH - Animals MH - Bone Marrow Transplantation/*methods MH - Cardiac Catheterization/methods MH - Mesenchymal Stem Cell Transplantation/*methods MH - Myocardial Infarction/diagnostic imaging/*therapy MH - Myocardial Reperfusion/methods MH - Radionuclide Imaging MH - Random Allocation MH - Stroke Volume/physiology MH - Swine MH - Ventricular Remodeling/*physiology EDAT- 2007/10/16 09:00 MHDA- 2008/06/20 09:00 CRDT- 2007/10/16 09:00 PHST- 2007/10/16 09:00 [pubmed] PHST- 2008/06/20 09:00 [medline] PHST- 2007/10/16 09:00 [entrez] AID - ehm426 [pii] AID - 10.1093/eurheartj/ehm426 [doi] PST - ppublish SO - Eur Heart J. 2007 Nov;28(21):2667-77. doi: 10.1093/eurheartj/ehm426. Epub 2007 Oct 11.