Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (6): 820-826.doi: 10.3969/j.issn.2095-4344.2016.06.009

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Transplantation of human telomerase reverse transcriptase-transfected human amniotic mesenchymal stem cells in the treatment of pulmonary hypertension

Zhang Chao1, Cao Jie2, Zhang Su-fang3   

  1. 1Department of Internal Medicine, Xianshuigu Hospital of Jinnan District, Graduate School of Tianjin Medical University, Tianjin 300350, China; 2Department of Respiratory Medicine, General Hospital of Tianjin Medical University, Tianjin 300052, China; 3Health Center of Balitai Town, Tianjin 300350, China
  • Received:2016-01-09 Online:2016-02-05 Published:2016-02-05
  • Contact: Cao Jie, Master, Chief physician, Department of Respiratory Medicine, General Hospital of Tianjin Medical University, Tianjin 300052, China
  • About author:Zhang Chao, Master, Attending physician, Department of Internal Medicine, Xianshuigu Hospital of Jinnan District, Graduate School of Tianjin Medical University, Tianjin 300350, China

Abstract:

BACKGROUND: The development of stem cell transplantation and genetic modification technology provides new ideas and methods for the treatment of pulmonary hypertension.
OBJECTIVE: To investigate the therapeutic effects of transplantation of human telomerase reverse transcriptase (hTERT)-transfected human amniotic mesenchymal stem cells in pulmonary hypertension rats.
METHODS: Human amniotic mesenchymal stem cells were cultured and purified in vitro, and then transfected with adenovirus-medicated hTERT. Sixty-six adult Wistar rats were enrolled to prepare pulmonary hypertension models through intraperitoneal injection of 60 mg/kg monocrotaline and then 63 model rats were randomly assigned into three groups: model group treated with transplantation of 1 mL of L-DMEM via the jugular vein, cell transplantation group treated with transplantation of 1 mL of untransfected human amniotic mesenchymal stem cell suspension, and transfection group treated with transplantation of 1 mL of human amniotic mesenchymal stem cell suspension transfected with hTERT. Hemodynamic changes, plasma endothelin-1 level, hypertrophy index of the right ventricle and myocardial cell apoptosis were compared among different groups at 3 weeks after transplantation.
RESULTS AND CONCLUSION: After 3 weeks of treatment, there were no differences in the arterial blood pressure of the three groups (P > 0.05); however, the systolic pressure of the pulmonary artery and mean pulmonary arterial pressure were significantly lower in the transfection group than the model group and cell transplantation group (P < 0.05). Hypertrophy index of the right ventricle had no difference among the three groups (P > 0.05). The level of plasma endothelin-1 was significantly lower in the transfection group than the model group and cell transplantation group (P < 0.05). Apoptosis in myocardial cells was significantly reduced in the transfection group compared with the model group and cell transplantation group (P < 0.05). Experimental findings suggest that the transplantation of hTERT-transfected human amniotic mesenchymal stem cells can improve the hemodynamic levels in pulmonary blood vessels of pulmonary hypertension rats to protect vascular endothelial cells and reduce myocardial cell apoptosis.