Abstract
Cell therapy has developed as a complementary treatment for myocardial regeneration. While both autologous and allogeneic uses have been advocated, the ideal candidate has not been identified yet. Amniotic fluid-derived stem (AFS) cells are potentially a promising resource for cell therapy and tissue engineering of myocardial injuries. However, no information is available regarding their use in an allogeneic context. c-kit-sorted, GFP-positive rat AFS (GFP-rAFS) cells and neonatal rat cardiomyocytes (rCMs) were characterized by cytocentrifugation and flow cytometry for the expression of mesenchymal, embryonic and cell lineage-specific antigens. The activation of the myocardial gene program in GFP-rAFS cells was induced by co-culture with rCMs. The stem cell differentiation was evaluated using immunofluorescence, RT-PCR and single cell electrophysiology. The in vivo potential of Endorem-labeled GFP-rAFS cells for myocardial repair was studied by transplantation in the heart of animals with ischemia/reperfusion injury (I/R), monitored by magnetic resonance imaging (MRI). Three weeks after injection a small number of GFP-rAFS cells acquired an endothelial or smooth muscle phenotype and to a lesser extent CMs. Despite the low GFP-rAFS cells count in the heart, there was still an improvement of ejection fraction as measured by MRI. rAFS cells have the in vitro propensity to acquire a cardiomyogenic phenotype and to preserve cardiac function, even if their potential may be limited by poor survival in an allogeneic setting.
References
Gonzales, C., & Pedrazzini, T. (2009). Progenitor cell therapy for heart disease. Experimental Cell Research, 315(18), 3077–3085.
Menasche, P. (2009). Cell-based therapy for heart disease: a clinically oriented perspective. Molecular Therapy, 17(5), 758–766.
Shintani, Y., Fukushima, S., Varela-Carver, A., et al. (2009). Donor cell-type specific paracrine effects of cell transplantation for post-infarction heart failure. Journal of Molecular and Cellular Cardiology, 47(2), 288–295.
Reinecke, H., Minami, E., Zhu, W. Z., & Laflamme, M. A. (2008). Cardiogenic differentiation and transdifferentiation of progenitor cells. Circulation Research, 103(10), 1058–1071.
Ausoni, S., & Sartore, S. (2009). From fish to amphibians to mammals: in search of novel strategies to optimize cardiac regeneration. The Journal of Cell Biology, 184(3), 357–364.
Oh, H., Chi, X., Bradfute, S. B., et al. (2004). Cardiac muscle plasticity in adult and embryo by heart-derived progenitor cells. Annals of the New York Academy of Sciences, 1015, 182–189.
Mummery, C., Ward-van, O. D., Doevendans, P., et al. (2003). Differentiation of human embryonic stem cells to cardiomyocytes: role of coculture with visceral endoderm-like cells. Circulation, 107(21), 2733–2740.
DeCoppi, P., Bartsch, G., Jr., Siddiqui, M. M., et al. (2007). Isolation of amniotic stem cell lines with potential for therapy. Nature Biotechnology, 25(1), 100–106.
DeCoppi, P., Callegari, A., Chiavegato, A., et al. (2007). Amniotic fluid and bone marrow derived mesenchymal stem cells can be converted to smooth muscle cells in the cryo-injured rat bladder and prevent compensatory hypertrophy of surviving smooth muscle cells. Journal d'Urologie, 177(1), 369–376.
Mauro, A., Turriani, M., Ioannoni, A., et al. (2010). Isolation, characterization, and in vitro differentiation of ovine amniotic stem cells. Veterinary Research Communications, 34(Suppl 1), S25–S28.
Gekas, J., Walther, G., Skuk, D., Bujold, E., Harvey, I., & Bertrand, O. F. (2010). In vitro and in vivo study of human amniotic fluid-derived stem cell differentiation into myogenic lineage. Clinical and Experimental Medicine, 10(1), 1–6.
Fujimoto, K. L., Miki, T., Liu, L. J., et al. (2009). Naive rat amnion-derived cell transplantation improved left ventricular function and reduced myocardial scar of postinfarcted heart. Cell Transplantation, 18(4), 477–486.
Zhao, P., Ise, H., Hongo, M., Ota, M., Konishi, I., & Nikaido, T. (2005). Human amniotic mesenchymal cells have some characteristics of cardiomyocytes. Transplantation, 79(5), 528–535.
Okamoto, K., Miyoshi, S., Toyoda, M., et al. (2007). ‘Working’ cardiomyocytes exhibiting plateau action potentials from human placenta-derived extraembryonic mesodermal cells. Experimental Cell Research, 313(12), 2550–2562.
Sartore, S., Lenzi, M., Angelini, A., et al. (2005). Amniotic mesenchymal cells autotransplanted in a porcine model of cardiac ischemia do not differentiate to cardiogenic phenotypes. European Journal of Cardiothoracic Surgery, 28(5), 677–684.
Chiavegato, A., Bollini, S., Pozzobon, M., et al. (2007). Human amniotic fluid-derived stem cells are rejected after transplantation in the myocardium of normal, ischemic, immuno-suppressed or immuno-deficient rat. Journal of Molecular and Cellular Cardiology, 42(4), 746–759.
Iop, L., Chiavegato, A., Callegari, A., et al. (2008). Different cardiovascular potential of adult- and fetal-type mesenchymal stem cells in a rat model of heart cryoinjury. Cell Transplantation, 17(6), 679–694.
Guan, X., Delo, D. M., Atala, A., & Soker, S. (2010). In vitro cardiomyogenic potential of human amniotic fluid stem cells. J Tissue Eng Regen Med.
Yeh, Y. C., Lee, W. Y., Yu, C. L., et al. (2010). Cardiac repair with injectable cell sheet fragments of human amniotic fluid stem cells in an immune-suppressed rat model. Biomaterials, 31(25), 6444–6453.
Li, C. D., Zhang, W. Y., Li, H. L., et al. (2005). Mesenchymal stem cells derived from human placenta suppress allogeneic umbilical cord blood lymphocyte proliferation. Cell Research, 15(7), 539–547.
Chang, C. J., Yen, M. L., Chen, Y. C., et al. (2006). Placenta-derived multipotent cells exhibit immunosuppressive properties that are enhanced in the presence of interferon-gamma. Stem Cells, 24(11), 2466–2477.
Magatti, M., De, M. S., Vertua, E., Gibelli, L., Wengler, G. S., & Parolini, O. (2008). Human amnion mesenchyme harbors cells with allogeneic T-cell suppression and stimulation capabilities. Stem Cells, 26(1), 182–192.
Banas, R. A., Trumpower, C., Bentlejewski, C., Marshall, V., Sing, G., & Zeevi, A. (2008). Immunogenicity and immunomodulatory effects of amnion-derived multipotent progenitor cells. Human Immunology, 69(6), 321–328.
Ditadi, A., DeCoppi, P., Picone, O., et al. (2009). Human and murine amniotic fluid c-Kit + Lin- cells display hematopoietic activity. Blood, 113(17), 3953–3960.
Dobreva, M. P., Pereira, P. N., Deprest, J., & Zwijsen, A. (2010). On the origin of amniotic stem cells: of mice and men. The International Journal of Developmental Biology, 54(5), 761–777.
Radisic, M., Park, H., Shing, H., et al. (2004). Functional assembly of engineered myocardium by electrical stimulation of cardiac myocytes cultured on scaffolds. Proceedings of the National Academy of Sciences of the United States of America, 101(52), 18129–18134.
Riegler, J., Wells, J. A., Kyrtatos, P. G., Price, A. N., Pankhurst, Q. A., & Lythgoe, M. F. (2010). Targeted magnetic delivery and tracking of cells using a magnetic resonance imaging system. Biomaterials, 31(20), 5366–5371.
Heiberg, E., Sjogren, J., Ugander, M., Carlsson, M., Engblom, H., & Arheden, H. (2010). Design and validation of Segment–freely available software for cardiovascular image analysis. BMC Medical Imaging, 10, 1.
Beltrami, A. P., Barlucchi, L., Torella, D., et al. (2003). Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell, 114(6), 763–776.
Miyamoto, S., Kawaguchi, N., Ellison, G. M., Matsuoka, R., Shin’oka, T., & Kurosawa, H. (2010). Characterization of long-term cultured c-kit + cardiac stem cells derived from adult rat hearts. Stem Cells and Development, 19(1), 105–116.
Rogers, W. J., Meyer, C. H., & Kramer, C. M. (2006). Technology insight: in vivo cell tracking by use of MRI. Nature Clinical Practice. Cardiovascular Medicine, 3(10), 554–562.
Weisskoff, R. M., Zuo, C. S., Boxerman, J. L., & Rosen, B. R. (1994). Microscopic susceptibility variation and transverse relaxation: theory and experiment. Magnetic Resonance in Medicine, 31(6), 601–610.
Stuckey, D. J., Carr, C. A., Martin-Rendon, E., et al. (2006). Iron particles for noninvasive monitoring of bone marrow stromal cell engraftment into, and isolation of viable engrafted donor cells from, the heart. Stem Cells, 24(8), 1968–1975.
Kadner, A., Hoerstrup, S. P., Tracy, J., et al. (2002). Human umbilical cord cells: a new cell source for cardiovascular tissue engineering. The Annals of Thoracic Surgery, 74(4), S1422–S1428.
Schmidt, D., Breymann, C., Weber, A., et al. (2004). Umbilical cord blood derived endothelial progenitor cells for tissue engineering of vascular grafts. The Annals of Thoracic Surgery, 78(6), 2094–2098.
Yen, B. L., Huang, H. I., Chien, C. C., et al. (2005). Isolation of multipotent cells from human term placenta. Stem Cells, 23(1), 3–9.
Miao, Z., Jin, J., Chen, L., et al. (2006). Isolation of mesenchymal stem cells from human placenta: comparison with human bone marrow mesenchymal stem cells. Cell Biology International, 30(9), 681–687.
Chan, J., Kennea, N. L., & Fisk, N. M. (2007). Placental mesenchymal stem cells. American Journal of Obstetrics and Gynecology, 196(2), e18–e19.
Wang, M., Yang, Y., Yang, D., et al. (2009). The immunomodulatory activity of human umbilical cord blood-derived mesenchymal stem cells in vitro. Immunology, 126(2), 220–232.
Kadner, A., Hoerstrup, S. P., Tracy, J., et al. (2002). Human umbilical cord cells: a new cell source for cardiovascular tissue engineering. The Annals of Thoracic Surgery, 74(4), S1422–S1428.
Prusa, A. R., Marton, E., Rosner, M., Bernaschek, G., & Hengstschlager, M. (2003). Oct-4-expressing cells in human amniotic fluid: a new source for stem cell research? Human Reproduction, 18(7), 1489–1493.
Perin, L., Sedrakyan, S., DaSacco, S., & DeFilippo, R. (2008). Characterization of human amniotic fluid stem cells and their pluripotential capability. Methods in Cell Biology, 86, 85–99.
Perin, L., Giuliani, S., Sedrakyan, S., DaSacco, S., & DeFilippo, R. E. (2008). Stem Cell and Regenerative Science Applications in the Development of Bioengineering of Renal Tissue. Pediatr Res.
Simantov, R. (2008). Amniotic stem cell international. Reproductive Biomedicine Online, 16(4), 597–598.
Delo, D. M., Olson, J., Baptista, P. M., et al. (2008). Non-invasive longitudinal tracking of human amniotic fluid stem cells in the mouse heart. Stem Cells and Development, 17(6), 1185–1194.
Sessarego, N., Parodi, A., Podesta, M., et al. (2008). Multipotent mesenchymal stromal cells from amniotic fluid: solid perspectives for clinical application. Haematologica, 93(3), 339–346.
Steigman, S. A., Armant, M., Bayer-Zwirello, L., et al. (2008). Preclinical regulatory validation of a 3-stage amniotic mesenchymal stem cell manufacturing protocol. Journal of Pediatric Surgery, 43(6), 1164–1169.
Grisafi, D., Piccoli, M., Pozzobon, M., et al. (2008). High transduction efficiency of human amniotic fluid stem cells mediated by adenovirus vectors. Stem Cells and Development, 17(5), 953–962.
Li, C., Zhou, J., Shi, G., et al. (2009). Pluripotency can be rapidly and efficiently induced in human amniotic fluid-derived cells. Human Molecular Genetics, 18(22), 4340–4349.
Ausoni, S., & Sartore, S. (2009). The cardiovascular unit as a dynamic player in disease and regeneration. Trends in Molecular Medicine, 15(12), 543–552.
Rangappa, S., Entwistle, J. W., Wechsler, A. S., & Kresh, J. Y. (2003). Cardiomyocyte-mediated contact programs human mesenchymal stem cells to express cardiogenic phenotype. The Journal of Thoracic and Cardiovascular Surgery, 126(1), 124–132.
Park, J., Setter, V., Wixler, V., & Schneider, H. (2009). Umbilical cord blood stem cells: induction of differentiation into mesenchymal lineages by cell-cell contacts with various mesenchymal cells. Tissue Engineering. Part A, 15(2), 397–406.
Choi, Y. S., Dusting, G. J., Stubbs, S., et al. (2010). Differentiation of human adipose-derived stem cells into beating cardiomyocytes. Journal of Cellular and Molecular Medicine, 14(4), 878–889.
Iijima, Y., Nagai, T., Mizukami, M., et al. (2003). Beating is necessary for transdifferentiation of skeletal muscle-derived cells into cardiomyocytes. The FASEB Journal, 17(10), 1361–1363.
Zhu, Y., Liu, T., Song, K., Ning, R., Ma, X., & Cui, Z. (2009). ADSCs differentiated into cardiomyocytes in cardiac microenvironment. Molecular and Cellular Biochemistry, 324(1–2), 117–129.
Ishikawa, F., Shimazu, H., Shultz, L. D., et al. (2006). Purified human hematopoietic stem cells contribute to the generation of cardiomyocytes through cell fusion. The FASEB Journal, 20(7), 950–952.
Nygren, J. M., Jovinge, S., Breitbach, M., et al. (2004). Bone marrow-derived hematopoietic cells generate cardiomyocytes at a low frequency through cell fusion, but not transdifferentiation. Natural Medicines, 10(5), 494–501.
Nassiri, S. M., Khaki, Z., Soleimani, M., et al. (2007). The similar effect of transplantation of marrow-derived mesenchymal stem cells with or without prior differentiation induction in experimental myocardial infarction. Journal of Biomedical Science, 14(6), 745–755.
Mazo, M., Planat-Benard, V., Abizanda, G., et al. (2008). Transplantation of adipose derived stromal cells is associated with functional improvement in a rat model of chronic myocardial infarction. European Journal of Heart Failure, 10(5), 454–462.
Yeh, Y. C., Wei, H. J., Lee, W. Y., et al. (2010). Cellular cardiomyoplasty with human amniotic fluid stem cells: in vitro and in vivo studies. Tissue Engineering. Part A, 16(6), 1925–1936.
Giebel, S., Dziaczkowska, J., Wojnar, J., et al. (2005). The impact of immunosuppressive therapy on an early quantitative NK cell reconstitution after allogeneic haematopoietic cell transplantation. Annals of Transplantation, 10(2), 29–33.
Nifontova, I., Svinareva, D., Petrova, T., & Drize, N. (2008). Sensitivity of mesenchymal stem cells and their progeny to medicines used for the treatment of hematoproliferative diseases. Acta Haematologica, 119(2), 98–103.
Broekema, M., Harmsen, M. C., Koerts, J. A., et al. (2009). Ciclosporin does not influence bone marrow-derived cell differentiation to myofibroblasts early after renal ischemia/reperfusion. American Journal of Nephrology, 30(1), 73–83.
Terrovitis, J., Stuber, M., Youssef, A., et al. (2008). Magnetic resonance imaging overestimates ferumoxide-labeled stem cell survival after transplantation in the heart. Circulation, 117(12), 1555–1562.
Eixarch, H., Gomez, A., Kadar, E., et al. (2009). Transgene expression levels determine the immunogenicity of transduced hematopoietic grafts in partially myeloablated mice. Molecular Therapy, 17(11), 1904–1909.
Moloney, T. C., Dockery, P., Windebank, A. J., Barry, F. P., Howard, L., Dowd, E. (2010). Survival and Immunogenicity of Mesenchymal Stem Cells From the Green Fluorescent Protein Transgenic Rat in the Adult Rat Brain. Neurorehabil Neural Repair.
Delo, D. M., Guan, X., Wang, Z., et al. (2010). Calcification after myocardial infarction is independent of amniotic fluid stem cell injection. Cardiovasc Pathol.
Drukker, M., Katz, G., Urbach, A., et al. (2002). Characterization of the expression of MHC proteins in human embryonic stem cells. Proceedings of the National Academy of Sciences of the United States of America, 99(15), 9864–9869.
Magliocca, J. F., Held, I. K., & Odorico, J. S. (2006). Undifferentiated murine embryonic stem cells cannot induce portal tolerance but may possess immune privilege secondary to reduced major histocompatibility complex antigen expression. Stem Cells and Development, 15(5), 707–717.
Tian, L., Catt, J. W., O’Neill, C., & King, N. J. (1997). Expression of immunoglobulin superfamily cell adhesion molecules on murine embryonic stem cells. Biology of Reproduction, 57(3), 561–568.
Lampton, P. W., Crooker, R. J., Newmark, J. A., & Warner, C. M. (2008). Expression of major histocompatibility complex class I proteins and their antigen processing chaperones in mouse embryonic stem cells from fertilized and parthenogenetic embryos. Tissue Antigens, 72(5), 448–457.
Tsai, M. S., Lee, J. L., Chang, Y. J., & Hwang, S. M. (2004). Isolation of human multipotent mesenchymal stem cells from second-trimester amniotic fluid using a novel two-stage culture protocol. Human Reproduction, 19(6), 1450–1456.
Portmann-Lanz, C. B., Schoeberlein, A., Huber, A., et al. (2006). Placental mesenchymal stem cells as potential autologous graft for pre- and perinatal neuroregeneration. American Journal of Obstetrics and Gynecology, 194(3), 664–673.
Ilancheran, S., Moodley, Y., & Manuelpillai, U. (2009). Human fetal membranes: a source of stem cells for tissue regeneration and repair? Placenta, 30(1), 2–10.
Swijnenburg, R. J., Tanaka, M., Vogel, H., et al. (2005). Embryonic stem cell immunogenicity increases upon differentiation after transplantation into ischemic myocardium. Circulation, 112(9 Suppl), I166–I172.
Dressel, R., Nolte, J., Elsner, L., et al. (2010). Pluripotent stem cells are highly susceptible targets for syngeneic, allogeneic, and xenogeneic natural killer cells. The FASEB Journal, 24(7), 2164–2177.
Dressel, R., Guan, K., Nolte, J., et al. (2009). Multipotent adult germ-line stem cells, like other pluripotent stem cells, can be killed by cytotoxic T lymphocytes despite low expression of major histocompatibility complex class I molecules. Biology Direct, 4, 31.
Pozzobon, M., Ghionzoli, M., & DeCoppi, P. (2010). ES, iPS, MSC, and AFS cells. Stem cells exploitation for Pediatric Surgery: current research and perspective. Pediatric Surgery International, 26(1), 3–10.
Cananzi, M., Atala, A., & DeCoppi, P. (2009). Stem cells derived from amniotic fluid: new potentials in regenerative medicine. Reproductive Biomedicine Online, 18(Suppl 1), 17–27.
Acknowledgments
This work was supported by grant # 07/02 from “Città della Speranza”, Malo, Vicenza, Italy (SB, PDC) and by the Wellcome Trust (MN and AT). The authors also acknowledge the support of the Biotechnology and Biological Sciences Research Council, the British Heart Foundation and the Engineering and Physical Sciences Research Council.
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GFP-rAFS cell with spontaneous contractile activity in co-culture with rCMs. After 4 days of co-culture, some GFP-rAFS cells were detected in CM-enriched beating areas expressing contractile activity as detected by the video recording. (MPG 583 kb)
Supplement Figure 1
Calibration curve for Endorem particles concentration mg/ml, [c] versus R2 (1/T2), demonstrating a linear relation between iron particles concentration and T2 (as long as the T2 values are between 20 and 90 seconds). (GIF 7.23 kb)
Supplement Figure 2
Analysis of differentiation of GFP-rAFS cells by immunofluorescence and gene expression analysis after 6 and 9 days of indirect co-culture with rCMs with Transwell® Membrane Inserts and after treatment with rCMs-conditioned medium. (a–c) GFP-rAFS cells after indirect co-culture with rCMs and (d–f) after rCMs-conditioned medium treatment for 9 days, showing no expression of CM-specific markers as cTnT, bar, 100 μm. (g) Gel electrophoresis of RT-PCR products of control untreated GFP-rAFS cells (control GFP-rAFS cells, lane 1), GFP-rAFS cells co-cultured with rCMs on Transwell® Membrane Inserts for 6 days (lane 2), GFP-rAFS cells treated with rCM-conditioned medium for 6 days (lane 3), GFP-rAFS cells co-cultured with rCMs on Transwell® Membrane Inserts for 9 days (lane 4), GFP-rAFS cells treated with rCM-conditioned medium for 9 days (lane 5), control rCMs (lane 6) and H2O (negative control, lane 7) for the expression of the housekeeping gene β-Actin and the cardiac genes troponin I (cTnI) and sarcomeric α-actinin (cαA). GFP-rAFS cells co-cultured with rCMs with inserts and treated with rCMs-conditioned medium did not show any expression of cardiomyocyte genes (lane 2–5) compared to control undifferentiated GFP-rAFS cells (lane 1). (JPEG 2.09 mb)
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Bollini, S., Pozzobon, M., Nobles, M. et al. In Vitro and In Vivo Cardiomyogenic Differentiation of Amniotic Fluid Stem Cells. Stem Cell Rev and Rep 7, 364–380 (2011). https://doi.org/10.1007/s12015-010-9200-z
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DOI: https://doi.org/10.1007/s12015-010-9200-z