Strontium ions protect hearts against myocardial ischemia/reperfusion injury

Min Xing1,2, Yun Jiang3,4, Wei Bi3,4

  • 1State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences (CAS), Shanghai 200050, P. R. China.

Science Advances
|February 1, 2021
PubMed

Insights

Strontium ions delivered via hydrogels protect heart muscle from damage after heart attack (myocardial infarction) and reperfusion injury. This novel therapy reduces scarring and promotes blood vessel growth, offering a potentially safer and more affordable treatment for ischemic heart disease.

Area of Science:

  • Cardiovascular Science
  • Regenerative Medicine
  • Biomaterials

Background:

  • Myocardial infarction (MI) requires timely reperfusion, but this can cause further damage (ischemia/reperfusion injury).
  • Strontium ions are known to promote angiogenesis, but their cardioprotective effects against MI-induced injury are unexplored.
  • Developing effective and safe therapies for ischemic heart disease remains a critical challenge.

Purpose of the Study:

  • To investigate the potential cardioprotective effects of strontium ions delivered via composite hydrogels against myocardial ischemia/reperfusion (I/R) injury.
  • To evaluate the impact of strontium on cardiomyocyte apoptosis, angiogenesis, and cardiac function post-I/R.
  • To explore a novel therapeutic strategy for mitigating damage following heart attacks.

Main Methods:

  • Murine model of myocardial infarction subjected to 60 minutes of ischemia followed by 20 minutes of reperfusion.
  • Injection of strontium ion-containing composite hydrogels into the infarcted myocardium.
  • Assessment of cardiac function, infarct size, cardiomyocyte apoptosis, and angiogenesis.
  • In vitro studies to confirm strontium's effects on cardiomyocyte viability and angiogenesis.

Main Results:

  • Strontium ion-containing hydrogels significantly attenuated functional deterioration and scar formation in the infarcted myocardium.
  • Treatment led to reduced cardiomyocyte apoptosis and increased angiogenesis in the injured heart tissue.
  • In vitro experiments confirmed enhanced cardiomyocyte viability and stimulated angiogenesis by strontium ions.
  • These findings demonstrate the first evidence of strontium ions' cardioprotective capabilities against I/R injury.

Conclusions:

  • Strontium ions exhibit significant cardioprotective effects against myocardial ischemia/reperfusion injury.
  • Strontium-eluting hydrogels represent a promising, potentially low-cost, stable, and safe therapeutic approach for ischemic heart disease.
  • This study opens new avenues for developing strontium-based treatments to improve outcomes after heart attacks.

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