Bobi, JoaquimSolanes, NúriaFernández Jiménez, RodrigoGalán Arriola, CarlosDantas, Ana PaulaFernández Friera, LeticiaGálvez Montón, CarolinaRigol Monzó, ElisabetAgüero, JaumeRamírez Ruz, J. (José)Roqué i Moreno, MercèBayés Genís, AntoniSánchez González, JavierGarcía Álvarez, AnaSabaté Tenas, ManuelRoura, SantiagoIbáñez Cabeza, BorjaRigol Muxart, Montserrat2018-09-052018-09-052017-05-032047-9980https://hdl.handle.net/2445/124319Background-¿Autologous adipose tissue-derived mesenchymal stem cells (ATMSCs) therapy is a promising strategy to improve post-myocardial infarction outcomes. In a porcine model of acute myocardial infarction, we studied the long-term effects and the mechanisms involved in allogeneic ATMSCs administration on myocardial performance. Methods and Results-¿Thirty-eight pigs underwent 50 minutes of coronary occlusion; the study was completed in 33 pigs. After reperfusion, allogeneic ATMSCs or culture medium (vehicle) were intracoronarily administered. Follow-ups were performed at short (2 days after acute myocardial infarction vehicle-treated, n=10; ATMSCs-treated, n=9) or long term (60 days after acute myocardial infarction vehicle-treated, n=7; ATMSCs-treated, n=7). At short term, infarcted myocardium analysis showed reduced apoptosis in the ATMSCs-treated animals (48.6 6% versus 55.9 5.7% in vehicle; P=0.017); enhancement of the reparative process with up-regulated vascular endothelial growth factor, granulocyte macrophage colony-stimulating factor, and stromal-derived factor-1a gene expression; and increased M2 macrophages (67.2 10% versus 54.7 10.2% in vehicle; P=0.016). In long-term groups, increase in myocardial perfusion at the anterior infarct border was observed both on day-7 and day-60 cardiac magnetic resonance studies in ATMSCs-treated animals, compared to vehicle (87.9 28.7 versus 57.4 17.7 mL/min per gram at 7 days; P=0.034 and 99 22.6 versus 43.3 14.7 22.6 mL/min per gram at 60 days; P=0.0001, respectively). At day 60, higher vascular density was detected at the border zone in the ATMSCs-treated animals (118 18 versus 92.4 24.3 vessels/mm2 in vehicle; P=0.045). Cardiac magnetic resonance-measured left ventricular ejection fraction of left ventricular volumes was not different between groups at any time point. Conclusions-¿In this porcine acute myocardial infarction model, allogeneic ATMSCs-based therapy was associated with increased cardioprotective and reparative mechanisms and with better cardiac magnetic resonance-measured perfusion. No effect on left ventricular volumes or ejection fraction was observed.17 p.application/pdfengcc-by-nc (c) Bobi, Joaquim et al., 2017http://creativecommons.org/licenses/by-nc/3.0/esTeixit adipósInfart de miocardiModels animals en la investigacióAdipose tissuesMyocardial infarctionAnimal models in researchinfo:eu-repo/semantics/article6815182018-09-05info:eu-repo/semantics/openAccess28468789