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Implantation of a three-dimensional fibroblast matrix improves left ventricular function and blood flow after acute myocardial infarction

Thai, Hoang M. and Juneman, Elizabeth and Lancaster, Jordan and Hagerty, Tracy and Do, Rose and Castellano, Lisa and Kellar, Robert and Williams, Stuart and Sethi, Gulshan and Schmelz, Monika and Gaballa, Mohamed and Goldman, Steven (2009) Implantation of a three-dimensional fibroblast matrix improves left ventricular function and blood flow after acute myocardial infarction. Cell Transplantation, 18 (3). pp. 283-295. ISSN 1555-3892


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Publisher’s or external URL: http://www.ncbi.nlm.nih.gov/pubmed/19558777


This study was designed to determine if a viable biodegradable three-dimensional fibroblast construct (3DFC) patch implanted on the left ventricle after myocardial infarction (MI) improves left ventricular (LV) function and blood flow. We ligated the left coronary artery of adult male Sprague-Dawley rats and implanted the 3DFC at the time of the infarct. Three weeks after MI, the 3DFC improved LV systolic function by increasing (p < 0.05) ejection fraction (37 +/- 3% to 62 +/- 5%), increasing regional systolic displacement of the infarcted wall (0.04 +/- 0.02 to 0.11 +/- 0.03 cm), and shifting the passive LV diastolic pressure volume relationship toward the pressure axis. The 3FDC improved LV remodeling by decreasing (p < 0.05) LV end-systolic and end-diastolic diameters with no change in LV systolic pressure. The 3DFC did not change LV end-diastolic pressure (LV EDP; 25 +/- 2 vs. 23 +/- 2 mmHg) but the addition of captopril (2mg/L drinking water) lowered (p < 0.05) LV EDP to 12.9 +/- 2.5 mmHg and shifted the pressure-volume relationship toward the pressure axis and decreased (p < 0.05) the LV operating end-diastolic volume from 0.49 +/- 0.02 to 0.34 +/- 0.03 ml. The 3DFC increased myocardial blood flow to the infarcted anterior wall after MI over threefold (p < 0.05). This biodegradable 3DFC patch improves LV function and myocardial blood flow 3 weeks after MI. This is a potentially new approach to cell-based therapy for heart failure after MI.

Item Type: Article
Publisher’s Statement: © 2009 Cell Transplantation. Published by Cognizant Communication Corporation.
ID number or DOI: 10.3727/096368909788535004
Keywords: Acute myocardial infarct; ami trial; angiogenesis; Bioabsorbable scaffold; bone-marrow-cells; clinical-trial; Extracellular matrix; Fibroblasts; growth factors; heart-failure; hematopoietic stem-cells; injection; progenitor cells; regeneration; transplantation
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
MeSH Subjects: C Diseases > C14 Cardiovascular Diseases
NAU Depositing Author Academic Status: Faculty/Staff
Department/Unit: College of Engineering, Forestry, and Natural Science > Biological Sciences
Date Deposited: 30 Sep 2015 22:53
URI: http://openknowledge.nau.edu/id/eprint/552

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