PMID- 32194175 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 1873-4995 (Electronic) IS - 0168-3659 (Linking) VI - 322 DP - 2020 Jun 10 TI - Local delivery of cardiac stem cells overexpressing HIF-1alpha promotes angiogenesis and muscular tissue repair in a hind limb ischemia model. PG - 610-621 LID - S0168-3659(20)30169-3 [pii] LID - 10.1016/j.jconrel.2020.03.017 [doi] AB - Critical limb ischemia (CLI) is the most advanced stage of peripheral artery disease, associated with significant risk of limb loss, morbidity and mortality; however, there remains unmet therapeutic needs for arterial revascularization and ischemic tissue repair. Stem cell therapies have emerged as compelling candidates due to beneficial proangiogenic and immunosuppressive function. Nevertheless, in vivo efficacy was insufficient in proliferation, differentiation and survival/engraftment rate. Cardiac stem cells (CSCs) was firstly attempted for CLI as a novel therapeutic modality to provide superior angiogenic potency to bone marrow-derived stem cells (BMSCs). It was noted that CSCs demonstrated 3.2-fold in HGF, 2.9-fold in VEGF and 8.7-fold in PDGF-B higher gene expressions compared to BMSCs. To enhance the hypoxia-induced proangiogenic effect, CSCs were transfected with hypoxia-inducible factor-1 alpha (HIF-1alpha) by using electroporation method, specifically optimized for CSCs yielding 45.77% of transfection efficiency and 89.75% of viability. HIF-1alpha overexpression significantly increased CSC survival in hypoxia, proangiogenic factors production and endothelial differentiation. In mouse hind limb ischemia model, local intramuscular delivery of CSC overexpressing HIF-1alpha (HIF-CSC) significantly improved the blood flow recovery. Histological analysis revealed that muscle degeneration and fibrosis in the ischemic limb were attenuated. Local delivery of HIF-CSC might be a promising option for ischemic tissue restoration. CI - Copyright (c) 2020. Published by Elsevier B.V. FAU - Pei, Xing AU - Pei X AD - Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin 300070, PR China. FAU - Kim, Heejung AU - Kim H AD - Department of Pharmacy, College of Pharmacy, Ewha Womans University, Seoul 13760, Republic of Korea. FAU - Lee, Minjoo AU - Lee M AD - Department of Pharmacy, College of Pharmacy, Ewha Womans University, Seoul 13760, Republic of Korea. FAU - Wang, Nana AU - Wang N AD - Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin 300070, PR China. FAU - Shin, Jiyoung AU - Shin J AD - Department of Pharmacy, College of Pharmacy, Ewha Womans University, Seoul 13760, Republic of Korea. FAU - Lee, Seungjin AU - Lee S AD - Department of Pharmacy, College of Pharmacy, Ewha Womans University, Seoul 13760, Republic of Korea. Electronic address: sjlee@ewha.ac.kr. FAU - Yoon, Miyun AU - Yoon M AD - Department of cosmetology, Dongam Health University, Gyeonggi-do 16328, Republic of Korea. FAU - Yang, Victor C AU - Yang VC AD - Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin 300070, PR China; Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, MI 48109-1065, USA. FAU - He, Huining AU - He H AD - Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin 300070, PR China. Electronic address: hehuining@tmu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200316 PL - Netherlands TA - J Control Release JT - Journal of controlled release : official journal of the Controlled Release Society JID - 8607908 RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) SB - IM MH - Animals MH - Cell Differentiation MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics MH - Ischemia/therapy MH - *Mesenchymal Stem Cells MH - Mice MH - Neovascularization, Pathologic MH - Neovascularization, Physiologic MH - *Peripheral Arterial Disease/therapy OTO - NOTNLM OT - Cardiac stem cells OT - Electroporation-mediated gene transfection OT - Hind limb ischemia OT - Hypoxia-inducible factor-1 alpha OT - Therapeutic angiogenesis COIS- Declaration of Competing Interest The authors declared no conflicts of interest in this article. EDAT- 2020/03/21 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/03/21 06:00 PHST- 2019/12/03 00:00 [received] PHST- 2020/02/23 00:00 [revised] PHST- 2020/03/13 00:00 [accepted] PHST- 2020/03/21 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/03/21 06:00 [entrez] AID - S0168-3659(20)30169-3 [pii] AID - 10.1016/j.jconrel.2020.03.017 [doi] PST - ppublish SO - J Control Release. 2020 Jun 10;322:610-621. doi: 10.1016/j.jconrel.2020.03.017. Epub 2020 Mar 16.