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Updated: Jun 5, 2026

Isolation of Perivascular Multipotent Precursor Cell Populations from Human Cardiac Tissue
Published on: October 8, 2016
Circulating very small embryonic-like stem cells in cardiovascular disease
Wojciech Wojakowski1, Magda Kucia, Rui Liu
1Third Division of Cardiology, Medical University of Silesia, 45-47 Ziołowa Street, Katowice, Poland. wojtek.wojakowski@gmail.com
Insights
Very small embryonic-like cells (VSELs) mobilize to peripheral blood after heart attack or stroke. These stem cells can differentiate into vital cell types, showing promise for cardiac repair after myocardial infarction.
Area of Science:
- Stem cell biology
- Regenerative medicine
- Cardiovascular research
Background:
- Very small embryonic-like cells (VSELs) are found in bone marrow and organs.
- VSELs mobilize to peripheral blood after myocardial infarction (MI) and stroke.
- These cells express markers of pluripotent stem cells (PSCs) and early developmental lineages.
Purpose of the Study:
- To investigate the potential of VSELs in cardiac repair.
- To characterize VSELs' differentiation capacity and mobilization patterns.
- To evaluate VSELs' therapeutic efficacy in a mouse model of MI.
Main Methods:
- Isolation and expansion of VSELs from bone marrow and peripheral blood.
- Flow cytometry for VSEL identification based on size and marker expression.
- Co-culture with C2C12 myoblasts for differentiation studies.
- Assessment of VSEL differentiation into cardiomyocytes and endothelial cells.
- In vivo studies in mice post-MI to evaluate VSEL treatment efficacy.
Main Results:
- VSELs were successfully isolated and expanded.
- BM-derived VSELs differentiated into cardiomyocytes and vascular endothelial cells.
- VSELs express cardiac and endothelial lineage markers (GATA-4, Nkx2.5, VE-cadherin).
- Mobilized VSELs showed improved left ventricular ejection fraction in mice after MI.
- VSELs express CXCR4, a receptor involved in mobilization.
Conclusions:
- VSELs represent a promising stem cell population for regenerative medicine.
- VSELs can be effectively isolated, expanded, and differentiated into relevant cell types.
- VSEL therapy holds potential for improving cardiac function post-myocardial infarction.
Abstract:
Very small embryonic-like cells (VSELs) are a population of stem cells residing in the bone marrow (BM) and several organs, which undergo mobilization into peripheral blood (PB) following acute myocardial infarction and stroke. These cells express markers of pluripotent stem cells (PSCs), such as Oct-4, Nanog, and SSEA-1, as well as early cardiac, endothelial, and neural tissue developmental markers. VSELs can be effectively isolated from the BM, umbilical cord blood, and PB. Peripheral blood and BM-derived VSELs can be expanded in co-culture with C2C12 myoblast feeder layer and undergo differentiation into cells from all three germ layers, including cardiomyocytes and vascular endothelial cells. Isolation of VSLEs using fluorescence-activated cell sorting multiparameter live cell sorting system is dependent on gating strategy based on their small size and expression of PSC and absence of hematopoietic lineage markers. VSELs express early cardiac and endothelial lineages markers (GATA-4, Nkx2.5/Csx, VE-cadherin, and von Willebrand factor), SDF-1 chemokine receptor CXCR4, and undergo rapid mobilization in acute MI and ischemic stroke. Experiments in mice showed differentiation of BM-derived VSELs into cardiac myocytes and effectiveness of expanded and pre-differentiated VSLEs in improvement of left ventricular ejection fraction after myocardial infarction.
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