The Journal of Experimental Medicine
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Published online
doi:10.1084/jem.20070166
The Journal of Experimental Medicine, Vol. 204, No. 13, 3257-3269
The Rockefeller University Press, 0022-1007 $30.00
© Cho et al.
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ARTICLE

Role of host tissues for sustained humoral effects after endothelial progenitor cell transplantation into the ischemic heart

Hyun-Jai Cho, Namho Lee, Ji Yoon Lee, Yong Jin Choi, Masaaki Ii, Andrea Wecker, Jin-Ok Jeong, Cynthia Curry, Gangian Qin, and Young-sup Yoon

Division of Cardiovascular Research, Caritas St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, MA 02135

CORRESPONDENCE Young-sup Yoon: young.yoon{at}tufts.edu

Noncellular differentiation effects have emerged as important mechanisms mediating therapeutic effects of stem or progenitor cell transplantation. Here, we investigated the expression patterns and sources of humoral factors and their regional and systemic biological effects after bone marrow (BM)-derived endothelial progenitor cell (EPC) transplantation into ischemic myocardium. Although most of the transplanted EPCs disappeared within a week, up-regulation of multiple humoral factors was sustained for longer than two weeks, which correlated well with the recovery of cardiac function. To determine the source of the humoral factors, we injected human EPCs into immunodeficient mice. Whereas the expression of human EPC (donor)-derived cytokines rapidly decreased to a nondetectable level within a week, up-regulation of mouse (recipient)-derived cytokines, including factors that could mobilize BM cells, was sustained. Histologically, we observed higher capillary density, a higher proliferation of myocardial cells, a lower cardiomyocyte apoptosis, and reduced infarct size. Furthermore, after EPC transplantation, BM-derived stem or progenitor cells were increased in the peripheral circulation and incorporated into the site of neovascularization and myocardial repair. These data indicate that myocardial EPC transplantation induces humoral effects, which are sustained by host tissues and play a crucial role in repairing myocardial injury.


Abbreviations used: Ang, angiopoietin; BM-MNC, BM-derived mononuclear cell; BMT, BM transplantation; EC, endothelial cell; eGFP, enhanced GFP; EPC, endothelial progenitor cell; FGF, fibroblast growth factor; FISH, fluorescent in situ hybridization; HGF, hepatocyte growth factor; HSC, hematopoietic stem cell; IGF, insulin-like growth factor; IHC, immunohistochemistry; LDL, low density lipoprotein; LV, left ventricle; MI, myocardial infarction; PDGF, platelet-derived growth factor; PlGF, placenta growth factor; qRT-PCR, quantitative real-time RT-PCR; SDF, stromal cell–derived factor; TUNEL, Tdt-mediated dUTP-biotin nick-end labeling; VEGF, vascular endothelial growth factor.

H.-J. Cho and N. Lee contributed equally to this work.

H.-J. Cho's present address is Dept. of Internal Medicine, Seoul National University Hospital, Yongon-Dong, Seoul 110-744, South Korea.

N. Lee's present address is Div. of Cardiology, Kangnam Sacred Heart Hospital/Hallym University School of Medicine, Seoul 150-950, South Korea.


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