PMID- 21918107 OWN - NLM STAT- MEDLINE DCOM- 20120413 LR - 20220310 IS - 1946-6242 (Electronic) IS - 1946-6234 (Print) IS - 1946-6234 (Linking) VI - 3 IP - 100 DP - 2011 Sep 14 TI - Donor myocardial infarction impairs the therapeutic potential of bone marrow cells by an interleukin-1-mediated inflammatory response. PG - 100ra90 LID - 10.1126/scitranslmed.3002814 [doi] AB - Delivery of bone marrow cells (BMCs) to the heart has substantially improved cardiac function in most rodent models of myocardial infarction (MI), but clinical trials of BMC therapy have led to only modest improvements. Rodent models typically involve intramyocardial injection of BMCs from distinct donor individuals who are healthy. In contrast, autologous BMCs from individuals after MI are used for clinical trials. Using BMCs from donor mice after MI, we discovered that recent MI impaired BMC therapeutic efficacy. MI led to myocardial inflammation and an increased inflammatory state in the bone marrow, changing the BMC composition and reducing their efficacy. Injection of a general anti-inflammatory drug or a specific interleukin-1 inhibitor to donor mice after MI prevented this impairment. Our findings offer an explanation of why human trials have not matched the success of rodent experiments and suggest potential strategies to improve the success of clinical autologous BMC therapy. FAU - Wang, Xiaoyin AU - Wang X AD - Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA 94143, USA. FAU - Takagawa, Junya AU - Takagawa J FAU - Lam, Viola C AU - Lam VC FAU - Haddad, Daniel J AU - Haddad DJ FAU - Tobler, Diana L AU - Tobler DL FAU - Mok, Pamela Y AU - Mok PY FAU - Zhang, Yan AU - Zhang Y FAU - Clifford, Brian T AU - Clifford BT FAU - Pinnamaneni, Kranthi AU - Pinnamaneni K FAU - Saini, Shereen A AU - Saini SA FAU - Su, Robert AU - Su R FAU - Bartel, Maya J AU - Bartel MJ FAU - Sievers, Richard E AU - Sievers RE FAU - Carbone, Larry AU - Carbone L FAU - Kogan, Scott AU - Kogan S FAU - Yeghiazarians, Yerem AU - Yeghiazarians Y FAU - Hermiston, Michelle AU - Hermiston M FAU - Springer, Matthew L AU - Springer ML LA - eng GR - R01 HL086917/HL/NHLBI NIH HHS/United States GR - R03 EB005802/EB/NIBIB NIH HHS/United States GR - R21 HL097129/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 RN - 0 (Interleukin-1) SB - IM MH - Animals MH - Bone Marrow Transplantation/*methods MH - Echocardiography MH - Flow Cytometry MH - Interleukin-1/*metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Myocardial Infarction/*immunology/pathology/*therapy MH - *Tissue Donors PMC - PMC3350804 MID - NIHMS375523 EDAT- 2011/09/16 06:00 MHDA- 2012/04/14 06:00 PMCR- 2012/05/13 CRDT- 2011/09/16 06:00 PHST- 2011/09/16 06:00 [entrez] PHST- 2011/09/16 06:00 [pubmed] PHST- 2012/04/14 06:00 [medline] PHST- 2012/05/13 00:00 [pmc-release] AID - 3/100/100ra90 [pii] AID - 10.1126/scitranslmed.3002814 [doi] PST - ppublish SO - Sci Transl Med. 2011 Sep 14;3(100):100ra90. doi: 10.1126/scitranslmed.3002814.