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Ann Thorac Surg 1996;62:654-660
© 1996 The Society of Thoracic Surgeons


Original Articles: Cardiovascular

Cardiomyocyte Transplantation Improves Heart Function

Ren-Ke Li, MD, PhD, Zhi-Qiang Jia, MD, Richard D. Weisel, MD, Donald A. G. Mickle, MD, Ji Zhang, MD, Molly K. Mohabeer, BSc, Vivek Rao, MD, Joan Ivanov, MSc

Division of Cardiovascular Surgery, Department of Clinical Biochemistry, and The Centre for Cardiovascular Research, The Toronto Hospital-General Division, University of Toronto, Toronto, Ontario, Canada

Background. Transplantation of cultured cardiomyocytes into myocardial scar tissue may prevent heart failure.

Methods. Scar tissue was produced in the left ventricular free wall of 15 rats (weight, 450 g) by cryoinjury. Seven animals had operation only and survived for 8 weeks (sham group). Four weeks after cryoinjury, cultured fetal rat cardiomyocytes or culture medium was injected into the scar tissue of transplantation (n = 5) and control (n = 5) animals, respectively. Five other rats were sacrificed for scar assessment. Eight weeks after cryoinjury heart function in the transplantation, control, and sham groups was measured using a Langendorff preparation. Histologic studies were performed to quantify the extent of the scar and the transplanted cells.

Results. Four weeks after cryoinjury, 36% ± 4% (mean ± 1 standard error) of the left ventricular free wall surface area was scar tissue. At 8 weeks, the scar size had increased (p < 0.01) to 55% ± 3% in the control group. Although the scar size (43% ± 2%) in the transplantation group at 8 weeks was not significantly different from that at 4 weeks, it was less (p < 0.05) than that in the control group. Hearts in the sham group had no scar tissue. The transplanted cardiomyocytes had formed cardiac tissue within the myocardial scar. Systolic and developed pressures in the transplantation group hearts were greater (p = 0.0001) than in the control group hearts but less (p < 0.01) than those in the sham group hearts.

Conclusions. The transplanted cardiomyocytes formed cardiac tissue in the myocardial scar, limited scar expansion, and improved heart function compared with findings in the control hearts.


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Discussion
Ann. Thorac. Surg. 1996 62: 660-661. [Extract] [Full Text]



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[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
B. Pouzet, J.-T. Vilquin, A. A. Hagege, M. Scorsin, E. Messas, M. Fiszman, K. Schwartz, and P. Menasche
Factors affecting functional outcome after autologous skeletal myoblast transplantation
Ann. Thorac. Surg., March 1, 2001; 71(3): 844 - 851.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
H. Yokomuro, R.-K. Li, D. A. G. Mickle, R. D. Weisel, S. Verma, and T. M. Yau
Transplantation of cryopreserved cardiomyocytes
J. Thorac. Cardiovasc. Surg., January 1, 2001; 121(1): 0098 - 107.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
J.-S. Wang, D. Shum-Tim, J. Galipeau, E. Chedrawy, N. Eliopoulos, and R. C.-J. Chiu
Marrow stromal cells for cellular cardiomyoplasty: Feasibility and potential clinical advantages
J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 999 - 1006.
[Abstract] [Full Text] [PDF]


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HeartHome page
A. A HAGEGE and P. MENASCHE
Cellular cardiomyoplasty: a new hope in heart failure?
Heart, November 1, 2000; 84(5): 465 - 466.
[Full Text]


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Ann. Thorac. Surg.Home page
K.-J. Yoo, R.-K. Li, R. D. Weisel, D. A.G. Mickle, G. Li, and T. M. Yau
Autologous smooth muscle cell transplantation improved heart function in dilated cardiomyopathy
Ann. Thorac. Surg., September 1, 2000; 70(3): 859 - 865.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
M. Scorsin, A. Hagege, J.-T. Vilquin, M. Fiszman, F. Marotte, J.-L. Samuel, L. Rappaport, K. Schwartz, and P. Menasche
COMPARISON OF THE EFFECTS OF FETAL CARDIOMYOCYTE AND SKELETAL MYOBLAST TRANSPLANTATION ON POSTINFARCTION LEFT VENTRICULAR FUNCTION
J. Thorac. Cardiovasc. Surg., June 1, 2000; 119(6): 1169 - 1175.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
R. Shahani, J. G. Marshall, B. B. Rubin, R.-K. Li, P. M. Walker, and T. F. Lindsay
Role of TNF-alpha in myocardial dysfunction after hemorrhagic shock and lower-torso ischemia
Am J Physiol Heart Circ Physiol, March 1, 2000; 278(3): H942 - H950.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
R.-K. Li, T. M. Yau, R. D. Weisel, D. A.G. Mickle, T. Sakai, A. Choi, and Z.-Q. Jia
CONSTRUCTION OF A BIOENGINEERED CARDIAC GRAFT
J. Thorac. Cardiovasc. Surg., February 1, 2000; 119(2): 368 - 375.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
R.-K. Li, R. D. Weisel, D. A. G. Mickle, Z.-Q. Jia, E.-J. Kim, T. Sakai, S. Tomita, L. Schwartz, M. Iwanochko, M. Husain, et al.
AUTOLOGOUS PORCINE HEART CELL TRANSPLANTATION IMPROVED HEART FUNCTION AFTER A MYOCARDIAL INFARCTION
J. Thorac. Cardiovasc. Surg., January 1, 2000; 119(1): 62 - 68.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
T. Sakai, R.-K. Li, R. D. Weisel, D. A.G. Mickle, E.-J. Kim, S. Tomita, Z.-Q. Jia, and T. M. Yau
Autologous heart cell transplantation improves cardiac function after myocardial injury
Ann. Thorac. Surg., December 1, 1999; 68(6): 2074 - 2080.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R.-K. Li, Z.-Q. Jia, R. D. Weisel, D. A. G. Mickle, A. Choi, and T. M. Yau
Survival and Function of Bioengineered Cardiac Grafts
Circulation, November 9, 1999; 100(90002): II-63 - II-69.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Tomita, R.-K. Li, R. D. Weisel, D. A. G. Mickle, E.-J. Kim, T. Sakai, and Z.-Q. Jia
Autologous Transplantation of Bone Marrow Cells Improves Damaged Heart Function
Circulation, November 9, 1999; 100(90002): II-247 - II-256.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Matsushita, M. Oyamada, H. Kurata, S. Masuda, A. Takahashi, T. Emmoto, I. Shiraishi, Y. Wada, T. Oka, and T. Takamatsu
Formation of Cell Junctions Between Grafted and Host Cardiomyocytes at the Border Zone of Rat Myocardial Infarction
Circulation, November 9, 1999; 100(90002): II-262 - II-268.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
T. Sakai, R.-K. Li, R. D. Weisel, D. A.G. Mickle, Z.-Q. Jia, S. Tomita, E.-J. Kim, and T. M. Yau
FETAL CELL TRANSPLANTATION: A COMPARISON OF THREE CELL TYPES
J. Thorac. Cardiovasc. Surg., October 1, 1999; 118(4): 715 - 725.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Reinecke, M. Zhang, T. Bartosek, and C. E. Murry
Survival, Integration, and Differentiation of Cardiomyocyte Grafts : A Study in Normal and Injured Rat Hearts
Circulation, July 13, 1999; 100(2): 193 - 202.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. Dipla, J. A. Mattiello, V. Jeevanandam, S. R. Houser, and K. B. Margulies
Myocyte Recovery After Mechanical Circulatory Support in Humans With End-Stage Heart Failure
Circulation, June 16, 1998; 97(23): 2316 - 2322.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
V. J. DiSesa
Cardiac Xenotransplantation
Ann. Thorac. Surg., December 1, 1997; 64(6): 1858 - 1865.
[Abstract] [Full Text]


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Cardiovasc ResHome page
J. Leor, H. Prentice, V. Sartorelli, M. J Quinones, M. Patterson, L. K Kedes, and R. A Kloner
Gene transfer and cell transplant: an experimental approach to repair a 'broken heart'
Cardiovasc Res, September 1, 1997; 35(3): 431 - 441.
[Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
R. E. Oakley, N. J. Brand, P. B. Burton, M. C. McMullen, G. B. Adams, M. C. Poznansky, P. J. Barton, and M. H. Yacoub
Efficiency of a high-titer retroviral vector for gene transfer into skeletal myoblasts
J. Thorac. Cardiovasc. Surg., January 1, 1994; 115(1): 1 - 8.
[Abstract] [Full Text] [PDF]




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