• Max Harry Weil and Zhi Wan.
• Weil Institute of Critical Care Medicine, Rancho Mirage, CA 92270, USA.
• Resuscitation. 2012 Nov 1;83(11):1391-6.

AimInfusion of bone marrow mesenchymal stem cells (MSCs) improves myocardial function following myocardial infarction (MI). The mechanisms, however, remain controversial. This study was to investigate changes of MSCs in vivo after administration into myocardial infarcted rats. Our hypothesis was that MSCs might differentiate into contractile myocytes and improve myocardial function in vivo.MethodsMI was induced in 21 Sprague-Dawley rats by ligation of the left anterior descending artery. One week after ligation, 18 rats were randomized to receive MSCs labeled with PKH26 in a phosphate buffer solution (PBS) by direct injection into the infarcted myocardium. The remaining 3 rats received PBS alone as placebo. An additional 3 non-ligated rats served as a normal group to obtain normal myocytes.ResultsEvery week for 6 weeks, hearts from 3 rats injected with MSCs were harvested to observe single cardiomyocytes. Although each week numerous round MSCs were found in the hearts of animals treated with MSCs, beating cardiomyocyte-like cells labeled with PKH26 were observed at the sixth week. The contractility of cardiomyocyte-like cells was the same to that of the unlabeled contractile native cardiomyocytes at the sixth week and that of the normal group (10.71±1.59 vs. 11.09±3.42 vs. 11.21±2.16, p>0.05). The contractility of cardiomyocyte-like cells was greater than cells both from the first week (10.71±1.59 vs. 7.37±3.47, p<0.01) and the second week (10.71±1.59 vs. 8.08±3.11, p<0.05) which was associated with significantly increased ejection fraction.ConclusionsMSCs can differentiate into beating cardiomyocytes in a rat model of MI and improve myocardial function.Copyright © 2012. Published by Elsevier Ireland Ltd.

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