Sustained release of endothelial progenitor cell-derived extracellular vesicles from shear-thinning hydrogels improves angiogenesis and promotes function after myocardial infarction

被引:181
作者
Chen, Carol W. [1 ]
Wang, Leo L. [2 ]
Zaman, Samir [1 ]
Gordon, Jon [1 ]
Arisi, Maria F. [1 ]
Venkataraman, Chantel M. [1 ]
Chung, Jennifer J. [1 ]
Hung, George [1 ]
Gaffey, Ann C. [1 ]
Spruce, Lynn A. [3 ]
Fazelinia, Hossein [3 ]
Gorman, Robert C. [1 ]
Seeholzer, Steven H. [3 ]
Burdick, Jason A. [2 ]
Atluri, Pavan [1 ]
机构
[1] Univ Penn, Dept Surg, Div Cardiovasc Surg, Silverstein 6,3400 Spruce St, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Bioengn, 240 Skirkanich,210 S 33rd St, Philadelphia, PA 19104 USA
[3] Childrens Hosp Philadelphia, Prot & Prote Core Facil, Res Inst, 3615 Civ Ctr Blvd, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
Endothelial progenitor cells; Extracellular vesicles; Exosomes; Hydrogel; Angiogenesis; MESENCHYMAL STEM-CELLS; ISCHEMIC-MYOCARDIUM; IN-VIVO; TUMOR MICROENVIRONMENT; IMPAIRED ANGIOGENESIS; EXOSOMES; MICE; THERAPY; NEOVASCULARIZATION; DYSFUNCTION;
D O I
10.1093/cvr/cvy067
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Aims Previous studies have demonstrated improved cardiac function following myocardial infarction (MI) after administration of endothelial progenitor cells (EPCs) into ischaemic myocardium. A growing body of literature supports paracrine effectors, including extracellular vesicles (EVs), as the main mediators of the therapeutic benefits of EPCs. The direct use of paracrine factors is an attractive strategy that harnesses the effects of cell therapy without concerns of cell engraftment or viability. We aim to reproduce the beneficial effects of EPC treatment through delivery of EPC-derived EVs within a shear-thinning gel (STG) for precise localization and sustained delivery. Methods and results EVs were harvested from EPCs isolated from adult male Rattus norvegicus (Wistar) rats and characterized by electron microscopy, nanoparticle tracking analysis (NTA), and mass spectrometry. EVs were incorporated into the STG and injected at the border zone in rat models of MI. Haemodynamic function, angiogenesis, and myocardial remodelling were analyzed in five groups: phosphate buffered saline (PBS) control, STG control, EVs in PBS, EVs in STG, and EPCs in STG. Electron microscopy and NTA of EVs showed uniform particles of 50-200 nm. EV content analysis revealed several key angiogenic mediators. EV uptake by endothelial cells was confirmed and followed by robust therapeutic angiogenesis. In vivo animal experiments demonstrated that delivery of EVs within the STG resulted in increased peri-infarct vascular proliferation, preservation of ventricular geometry, and improved haemodynamic function post-MI. Conclusions EPC-derived EVs delivered into ischaemic myocardium via an injectable hydrogel enhanced peri-infarct angiogenesis and myocardial haemodynamics in a rat model of MI. The STG greatly increased therapeutic efficiency and efficacy of EV-mediated myocardial preservation.
引用
收藏
页码:1029 / 1040
页数:12
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