title: [Autologous mesenchymal stem cell implantation promotes myocardial expressions of growth factors and improves cardiac function in failing rat hearts].
abstract: OBJECTIVE
  To explore the underlying mechanism of mesenchymal stem cells (MSCs) transfer induced cardiac function improvement in failing hearts.
  
  
  METHODS
  Congestive heart failure (CHF) was induced in rats by cauterization of the heart wall. MSCs were cultured from autologous bone marrow and injected into the border zone and the remote myocardium 5 days after cauterization.
  
  
  RESULTS
  Ten weeks later, cardiomyocyte nucleus mitotic index, capillary density and expression of insulin-like growth factor 1 (IGF-1), hepatocyte growth factor (HGF) and vascular endothelial growth factor (VEGF) were significantly increased in the border zone and significantly reduced in the remote myocardium in CHF rats (all P<0.05 vs. sham). Besides cardiac function improvement and left ventricular remodeling attenuation evidenced by hemodynamic and echocardiographic examinations, expressions of IGF-1, HGF and VEGF in the remote myocardium and in the border zone were also significantly upregulated (P<0.05 or P<0.01 vs. CHF), and cardiomyocyte nucleus mitotic index as well as capillary density were significantly increased in CHF rats with MSCs (P<0.05 or P<0.01 vs. CHF). Moreover, collagen area was significantly reduced and myocardial area was significantly increased in the border zone in these rats too.
  
  
  CONCLUSIONS
  Autologous MSC implantation upregulated expressions of growth factors enhanced cardioangiogenesis which might be the underlying mechanisms for improved cardiac function and attenuated left ventricular remodeling induced by MSCs transplantation in failing rat myocardium.
authors.affiliation: Department of Cardiovascular Diseases, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
authors.forename: Ze-wei
authors.initials: ZW
authors.lastname: Tao
authors.forename: Long-gui
authors.initials: LG
authors.lastname: Li
authors.forename: Zhao-hua
authors.initials: ZH
authors.lastname: Geng
authors.forename: Ming-bao
authors.initials: MB
authors.lastname: Song
authors.forename: Jia-rong
authors.initials: JR
authors.lastname: Zheng
authors.forename: Shi-yong
authors.initials: SY
authors.lastname: Yu
authors.forename: Tao
authors.initials: T
authors.lastname: Dang
authors.forename: Hua-li
authors.initials: HL
authors.lastname: Kang
authors.forename: Shan-jun
authors.initials: SJ
authors.lastname: Zhu
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D006333:Heart Failure / Q000378:metabolism* / Q000628:therapy*; D017228:Hepatocyte Growth Factor / Q000378:metabolism; D007334:Insulin-Like Growth Factor I / Q000378:metabolism; D008297:Male; D045164:Mesenchymal Stem Cell Transplantation; D009206:Myocardium / Q000378:metabolism*; D051381:Rats; D017207:Rats, Sprague-Dawley; D014182:Transplantation, Autologous; D042461:Vascular Endothelial Growth Factor A / Q000378:metabolism; D020257:Ventricular Remodeling
chemical_list: D042461:Vascular Endothelial Growth Factor A; C548904:insulin-like growth factor-1, rat; C467498:vascular endothelial growth factor A, rat; D017228:Hepatocyte Growth Factor; D007334:Insulin-Like Growth Factor I