携带血管生成素的骨髓基质干细胞移植治疗缺血性心脏病

目的 评价转染血管生成素基因的自体骨髓间充质干细胞移植治疗慢性缺血性心脏病的疗效.方法 腺病毒介导的血管生成素基因转染自体骨髓基质干细胞并移植于置入Ameriod缩窄环的猪慢性心肌缺血模型上,通过冠状动脉造影、心脏彩超、核磁心肌灌注成像、病理学观察等评价治疗效果.结果 置环后的动物均为有效的动物模型.转染血管生成索的骨髓基质干细胞移植后侧支血管增生明显,血管计数增加,Rentrop分数、左室射血分数改善,梗死区缩小而移植细胞的成活率高.结论 携带血管生成素基因的自体骨髓基质干细胞移植治疗缺血性心脏病可明显改善心功能,使局部血液循环改善明显.

Transplantation of autologous bone marrow mesenchymal stem cells transfected by angiogenin gene in a porcine chromic ischemic heart model

Objective To investigate the effect of the transplantation of autologous marrow mesenchymal stem cells transfected by angiogenin gene in a porcine chronic ischemic beart model.Methods Methods Mesenchymal stem cells were trnsfected byAd/Ang.The pigs underwent placement of amerold occluder around LCx and 4 weeks later sujected to transplantation of the trandected mesenchymal stem cells.The animals were evaluated by coronary angiography,echocardiography,mannetic resonance imaging end pathologic observation.Results All animal showed 95%occlusion fo LCx.4 weeks after treatment ,the perfusion of LCx,left ventricular ejection fracton were greatly evhanced.A large number of labeled mesenchymal stem cells were successfully uncorporated into blood vessels in the ischemic myocardial regions with increased vessels countin and survival of implanted cell.Conclusion Transplantaton of autologous mesenchymal stem cells trendected by angiogenin gene offere obvious advsntases of great improvement of blood supply and the heart funcition.