In Vivo Myocardial Distribution of Multipotent Progenitor Cells Following Intracoronary Delivery in a Swine Model of Myocardial Infarction

Eur Heart J. 2009; 30(23):2861-2868

Ly HQ, Hoshino K, Pomerantseva I, Kawase Y, Yoneyama R, Takewa Y, Fortier A, Gibbs-Strauss SL, Vooght C, Frangioni JV, Hajjar RJ

OBJECTIVES: There are few data comparing the fate of multipotent progenitor cells (MPCs) used in cardiac cell therapy after myocardial infarction (MI). To document in vivo distribution of MPCs delivered by intracoronary (IC) injection.

METHODS: Using an anterior MI swine model, near-infrared (NIR) fluorescence was used for in vivo tracking of labelled MPCs [mesenchymal stromal (MSCs), bone marrow mononuclear (BMMNCs), and peripheral blood mononuclear (PBMNCs)] cells early after IC injection. Signal intensity ratios (SIRs) of injected over non-injected (reference) zones were used to report NIR fluorescence emission.

RESULTS: Following IC injection, significant differences in mean SIR were documented when MSCs were compared with BMMNCs [1.28 +/- 0.10 vs. 0.77 +/- 0.11, P < 0.001; 95% CI (0.219, 0.805), respectively] or PBMNCs [1.28 +/- 0.10 vs. 0.80 +/- 0.14, P = 0.005; 95% CI (0.148, 0.813), respectively]. Differences were maintained during the 60 min tracking period, with only the MSC-injected groups continuously emitting NIR fluorescence (SIR>1). This is correlated with greater cell retention for MSCs relative to mononuclear cells. However, there was evidence of MSC-related vessel plugging in some swine.

CONCLUSIONS: Our in vivo NIR fluorescence findings suggest that MPC distribution and retention immediately after intracoronary delivery vary depending on cell population and could potentially impact the clinical efficacy of cardiac cell therapy.

PMID: 19687154

2 Responses

  1. Eric M. Dandes  on December 1st, 2009

    VERY Exciting! This is another interesting article relating just how important imaging is, in being able to record this data:

    Intracoronary delivery of autologous bone marrow mononuclear cells radiolabeled by 18F-fluoro-deoxy-glucose: tissue distribution and impact on post-infarct swine hearts.
    Qian H, Yang Y, Huang J, Gao R, Dou K, Yang G, Li J, Shen R, He Z, Lu M, Zhao S.
    J Cell Biochem. 2007 Sep 1;102(1):64-74.
    PMID: 17407141

  2. Paul Schoenhagen, MD  on December 1st, 2009

    Imaging with different modalities is a big issue for stem cell therapy, see e.g:

    - Embryonic stem cell grafting in normal and infarcted myocardium: serial assessment with MR imaging and PET dual detection.
    Qiao H, Zhang H, Zheng Y, Ponde DE, Shen D, Gao F, Bakken AB, Schmitz A, Kung HF, Ferrari VA, Zhou R.
    Radiology. 2009 Mar;250(3):821-9.

    - Imaging survival and function of transplanted cardiac resident stem cells.
    Li Z, Lee A, Huang M, Chun H, Chung J, Chu P, Hoyt G, Yang P, Rosenberg J, Robbins RC, Wu JC.
    J Am Coll Cardiol. 2009 Apr 7;53(14):1229-40.

    Also, near infrared fluorescence use in the study by Ly et al. has recently described in other context, e.g. plaque imaging:

    - Real-time catheter molecular sensing of inflammation in proteolytically active atherosclerosis.
    Jaffer FA, Vinegoni C, John MC, Aikawa E, Gold HK, Finn AV, Ntziachristos V, Libby P, Weissleder R.
    Circulation. 2008 Oct 28;118(18):1802-9.


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