心力衰竭会影响骨髓的造血干细胞功能和对损伤的反应
Tina B Marvasti1, Faisal J Alibhai1, Grace J Yang1
1Toronto General Hospital Research Institute University Health Network Toronto Canada.
Journal of the American Heart Association
|June 1, 2023
概括
心力衰竭 (HF) 损害骨髓 (BM) 干细胞功能,并改变细胞对损伤的反应. 这项研究表明,高频率会对造血干细胞潜力和组织修复机制产生负面影响.
科学领域:
- 血液学 血液学 血液学
- 心脏病学 心脏病学
- 干细胞生物学 干细胞生物学
背景情况:
- 心力衰竭 (HF) 的特点是心肌功能障碍和全身炎症.
- 与HF相关的慢性炎症可能会影响骨髓 (BM) 干细胞的更新和分化.
- 肝炎对BM干细胞/原始细胞的影响尚不清楚.
研究的目的:
- 为了研究心力衰竭对骨髓干细胞和原始细胞功能的影响.
- 评估HF患者的BM细胞组合和复合潜力的变化.
- 评估高频变化的BM对组织修复反应的影响.
主要方法:
- 用EGFP+小鼠评估BM复制潜力的心肌梗塞 (MI) 的小鼠模型.
- 分析了71名人类受试者 (20 HF,51对照) 的BM,包括细胞组成和殖民地形成.
- 人类CD34+细胞从HF患者移植到NOD-SCID-IL2rγnull小鼠体内.
- 在MI后的复制小鼠中评估组织修复反应.
主要成果:
- 来自MI小鼠的BM显示,与假小鼠相比,复制潜力降低.
- 肝炎患者表现出循环髓状细胞增加和改变的BM细胞组成和殖民地形成.
- 接种HF-BM的小鼠显著减少了人类的CD34+细胞,并减少了淋巴细胞的产生.
- 复制HF-BM的小鼠在心脏病发作后的生存率降低,细胞反应发生改变.
结论:
- 心力衰竭显著改变骨髓的组成和功能.
- 高血压对造血干细胞重建潜力产生不利影响.
- 高血压影响细胞对损伤的反应,这表明BM功能障碍在疾病进展中的作用.
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