通过左心室辅助装置的血液动力学支持减少了失败的人类心脏中的心肌细胞DNA含量
Jeremias Wohlschlaeger1, Bodo Levkau, Gero Brockhoff
1Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr 55, 45147 Essen, Germany.
Circulation
|February 18, 2010
概括
左心室辅助装置减少心肌细胞中的多倍体性,增加双倍体和双核细胞. 这表明心力衰竭患者的潜在心脏再生和恢复.
科学领域:
- 心脏病学 心脏病学
- 细胞生物学 细胞生物学
- 再生医学是一种再生医学.
背景情况:
- 成年心肌细胞受伤后的再生能力受到争论.
- 人类心力衰竭涉及多体心肌细胞.
- 左心室辅助装置提供了对多化机制的见解.
研究的目的:
- 为了评估心肌细胞DNA含量,核形态和细胞核数量,在左心室前后进行辅助设备支持.
- 为了研究血液动力学支持对心肌细胞在心力衰竭中的影响.
主要方法:
- 对23个配对的心肌样本的分析.
- 用DNA图像细胞计量,流细胞计量,以及用于心肌细胞 ploidy 的 in situ 杂交.
- 核面积/周长的形态测量和双核心肌细胞的计数.
主要成果:
- 心肌细胞中位数DNA含量 (6.79c至4.7c) 和多体细胞 (40.2%至23%) 的显著下降.
- 卸载后二倍体心肌细胞 (33.4%至50.3%) 和双核心肌细胞 (4.5%至10%) 的显著增加.
- 在左心室辅助器件支持后,心肌细胞性和核特征的表现变化.
结论:
- 减少多倍体性和增加双倍体性表明双倍体性心肌细胞的数量增加,可能是通过细胞周期进展或干细胞活性.
- 心脏再生可能与机械卸载后观察到的患者恢复相关.
- 左心室辅助器件支影响心肌细胞,表明潜在的再生反应.
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