Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (34): 5129-5135.doi: 10.3969/j.issn.2095-4344.2016.34.018

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Platelet-fibrin scaffold for treatment of myocardial infarction

Zhang Yan, Chen Yan, Li Qing-min, Meng Hua   

  1. Department of Cardiology, Henan Provincial People’s Hospital, Zhengzhou University, Zhengzhou 450000, Henan Province, China
  • Received:2016-05-24 Online:2016-08-19 Published:2016-08-19
  • About author:Zhang Yan, Master, Associate chief physician, Department of Cardiology, Henan Provincial People’s Hospital, Zhengzhou University, Zhengzhou 450000, Henan Province, China

Abstract:

BACKGROUND: The development of biomaterials provides a new idea for myocardial infarction treatment, and so far there are numerous biomaterials, such as fibrin glue, matrigel, emulsion of extracellular matrix and alginate, for myocardial infarction. But there is a lack of studies about the platelet-fibrin scaffold for myocardial infarction.
OBJECTIVE: To explore the effect of the platelet-fibrin scaffold on rat myocardial infarction.
METHODS: Platelet-fibrin was used to prepare a platelet-fibrin scaffold, and 40 rat models of myocardial infarction were randomly divided into two groups: 200 μL platelet fibrins were injected into the tissues around the rat infarcted myocardium as platelet-fibrin scaffold group, and the same amount of DMEM was injected into the tissues around the rat infarcted myocardium as control group. Subsequently, expressions of vascular endothelial growth factor, hepatocyte growth factor and insulin-like growth factor 1 released from the scaffold were detected. Production of endothelial cells and cardiomyocytes, cardiomyocyte apoptosis, capillary density and cardiac function in rats after implantation were observed.
RESULTS AND CONCLUSION: The platelet-fibrin scaffold was successfully prepared. The expression of vascular endothelial growth factor, hepatocyte growth factor and insulin-like growth factor 1 in the scaffold group was (115.7±19.45), (23.98±12.32) and (288.4±16.74) ng/L, respectively. The number of von Willebrand factor-positive cells and a-SA-positive cells in the platelet-fibrin scaffold group was significantly higher than that in the control group (P < 0.05). The number of TUNEL-positive cells in the platelet-fibrin scaffold group was significantly lower than that in the control group (P < 0.05). The capillary density and capillaries with blood flow in the platelet-fibrin scaffold group were significantly higher than those in the control group (P < 0.05). Both the left ventricular end-diastolic volume and left ventricular end-systolic volume in the platelet-fibrin scaffold group were significantly lower than those in the control group (P < 0.05). In conclusion, the platelet-fibrin scaffold can promote the generation of endothelial cells, cardiomyocytes and capillaries, and further improve heart function. Besides, the platelet-fibrin scaffold exerts protective effect on the heart probably by secreting cytokines.

Key words: Capillaries, Endothelial Cells, Myocytes, Cardiac, Myocardial Infarction, Fibrin, Tissue Engineering

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