Intracoronary allogeneic cardiosphere-derived stem cells are safe for use in dogs with dilated cardiomyopathy

Michael Taylor Hensley1, Junnan Tang1,2, Kathleen Woodruff3

  • 1Department of Molecular Biomedical Sciences and Comparative Medicine Institute, North Carolina State University, Raleigh, NC, USA.

Insights

Allogeneic cardiosphere-derived cells (CDCs) show promise for treating dilated cardiomyopathy (DCM). This study found canine CDCs (cCDCs) to be safe and well-tolerated in a large animal model, with no adverse events or immune rejection observed.

Area of Science:

  • Cardiovascular Research
  • Regenerative Medicine
  • Cell Therapy

Background:

  • Cardiosphere-derived cells (CDCs) have demonstrated efficacy in reducing myocardial scar size and increasing viable heart muscle in human myocardial infarction patients.
  • Preclinical rodent studies suggest potential therapeutic benefits of CDC therapy for non-ischaemic dilated cardiomyopathy (DCM).

Purpose of the Study:

  • To evaluate the safety and efficacy of allogeneic CDCs in a large animal model of spontaneous DCM.
  • To assess potential adverse events and immune responses following allogeneic CDC transplantation in dogs with DCM.

Main Methods:

  • Canine CDCs (cCDCs) were cultured from donor dog hearts, characterized by cell surface markers (CD105, c-kit, CD90).
  • Thirty million allogeneic cCDCs were infused into the coronary vessels of Doberman pinschers diagnosed with spontaneous DCM.
  • Safety was monitored through adverse event tracking, and cardiac function was assessed via echocardiography.

Main Results:

  • No adverse events were observed during or after the infusion of cCDCs.
  • Post-mortem histological examination of transplanted hearts showed no signs of immune rejection.
  • Cardiac function measurements indicated the safety profile of the intervention.

Conclusions:

  • Allogeneic cCDC therapy is safe and well-tolerated in a canine model of spontaneous DCM.
  • The absence of adverse events and immune rejection supports further investigation of CDC therapy for DCM.
  • This large animal model provides a valuable platform for advancing CDC-based regenerative strategies for heart failure.