A Tumor Necrosis Factor-alpha and Hypoxia-Induced Secretome Therapy for Myocardial Repair

作者:Selvasandran Kaviyanka; Makhoul Georges; Jaiswal Prashant K; Jurakhan Rishi; Ridwan Khalid; Cecere Renzo*
来源:Annals of Thoracic Surgery, 2018, 105(3): 715-723.
DOI:10.1016/j.athoracsur.2017.09.005

摘要

Background. Poor viability and retention of transplanted bone marrow mesenchymal stem cells (BM-MSC) remains an obstacle in promoting healing after myocardial infarction (MI). This study aimed to understand the migratory, angiogenic, and cardioprotective effects induced by tumor necrosis factor (TNF)-alpha and hypoxia through rat BM-MSC (rBM-MSC) paracrine secretions, collectively referred to as secretome, after MI.
Methods. Secretome from rBM-MSC cultures treated with various combinations of H9c2 cardiomyoblast-conditioned medium, TNF-alpha, and hypoxia was initially collected. Immunocytochemistry, Western blot analyses, and transwell cell migration assays were conducted. In vivo, echocardiography was performed on rats with induced MI after their treatment with TNF-alpha and hypoxia-induced secretome.
Results. Immunocytochemistry confirmed the presence of TNF receptors 1 and 2 on rBM-MSCs. Western blot analyses of rBM-MSCs treated with TNF-alpha and hypoxia showed an overall increasing trend in the expression of antiinflammatory proteins and angiogenic and migratory cytokines (transforming growth factor-beta, fibroblast growth factor-2, angiopoietin-2, vascular endothelial growth factor-1). In addition, the TNF-alpha and hypoxia-induced secretome significantly increased the in vitro rBM-MSCs migration. In the rat MI model, the rats treated with the TNF-alpha and hypoxia-induced secretome had a significantly higher left ventricular fractional shortening than the control group.
Conclusions. Our data suggest that after MI, rBM-MSCs secrete paracrine factors in response to TNF-alpha and hypoxia that work together to manipulate the microenvironment and decrease inflammation. In addition, these signaling factors trigger angiogenic and migratory effects at the site of the infarct to promote myocardial healing and improve the cardiac function.

  • 出版日期2018-3
  • 单位McGill