PMID- 17965233 OWN - NLM STAT- MEDLINE DCOM- 20080128 LR - 20220310 IS - 0027-8424 (Print) IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 104 IP - 45 DP - 2007 Nov 6 TI - Bone marrow cells adopt the cardiomyogenic fate in vivo. PG - 17783-8 AB - The possibility that adult bone marrow cells (BMCs) retain a remarkable degree of developmental plasticity and acquire the cardiomyocyte lineage after infarction has been challenged, and the notion of BMC transdifferentiation has been questioned. The center of the controversy is the lack of unequivocal evidence in favor of myocardial regeneration by the injection of BMCs in the infarcted heart. Because of the interest in cell-based therapy for heart failure, several approaches including gene reporter assay, genetic tagging, cell genotyping, PCR-based detection of donor genes, and direct immunofluorescence with quantum dots were used to prove or disprove BMC transdifferentiation. Our results indicate that BMCs engraft, survive, and grow within the spared myocardium after infarction by forming junctional complexes with resident myocytes. BMCs and myocytes express at their interface connexin 43 and N-cadherin, and this interaction may be critical for BMCs to adopt the cardiomyogenic fate. With time, a large number of myocytes and coronary vessels are generated. Myocytes show a diploid DNA content and carry, at most, two sex chromosomes. Old and new myocytes show synchronicity in calcium transients, providing strong evidence in favor of the functional coupling of these two cell populations. Thus, BMCs transdifferentiate and acquire the cardiomyogenic and vascular phenotypes restoring the infarcted heart. Together, our studies reveal that locally delivered BMCs generate de novo myocardium composed of integrated cardiomyocytes and coronary vessels. This process occurs independently of cell fusion and ameliorates structurally and functionally the outcome of the heart after infarction. FAU - Rota, Marcello AU - Rota M AD - Cardiovascular Research Institute, Department of Medicine, New York Medical College, Valhalla, NY 10595, USA. FAU - Kajstura, Jan AU - Kajstura J FAU - Hosoda, Toru AU - Hosoda T FAU - Bearzi, Claudia AU - Bearzi C FAU - Vitale, Serena AU - Vitale S FAU - Esposito, Grazia AU - Esposito G FAU - Iaffaldano, Grazia AU - Iaffaldano G FAU - Padin-Iruegas, M Elena AU - Padin-Iruegas ME FAU - Gonzalez, Arantxa AU - Gonzalez A FAU - Rizzi, Roberto AU - Rizzi R FAU - Small, Narissa AU - Small N FAU - Muraski, John AU - Muraski J FAU - Alvarez, Roberto AU - Alvarez R FAU - Chen, Xiongwen AU - Chen X FAU - Urbanek, Konrad AU - Urbanek K FAU - Bolli, Roberto AU - Bolli R FAU - Houser, Steven R AU - Houser SR FAU - Leri, Annarosa AU - Leri A FAU - Sussman, Mark A AU - Sussman MA FAU - Anversa, Piero AU - Anversa P LA - eng GR - R01 HL088243/HL/NHLBI NIH HHS/United States GR - R01 HL088243-01/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20071026 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Antigens, CD) RN - 9007-49-2 (DNA) RN - EC 3.1.3.48 (Leukocyte Common Antigens) SB - IM MH - Antigens, CD/analysis MH - Bone Marrow Cells/*cytology MH - Cell Differentiation/*physiology MH - Cell Division MH - DNA/genetics MH - Diploidy MH - Humans MH - Leukocyte Common Antigens/analysis MH - Myocardial Infarction/therapy MH - Myocytes, Cardiac/*cytology/physiology MH - Regeneration MH - *Stem Cell Transplantation MH - Tissue Donors PMC - PMC2077031 COIS- The authors declare no conflict of interest. EDAT- 2007/10/30 09:00 MHDA- 2008/01/29 09:00 PMCR- 2008/05/06 CRDT- 2007/10/30 09:00 PHST- 2007/10/30 09:00 [pubmed] PHST- 2008/01/29 09:00 [medline] PHST- 2007/10/30 09:00 [entrez] PHST- 2008/05/06 00:00 [pmc-release] AID - 0706406104 [pii] AID - 8004 [pii] AID - 10.1073/pnas.0706406104 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2007 Nov 6;104(45):17783-8. doi: 10.1073/pnas.0706406104. Epub 2007 Oct 26.