Volume 16, Issue 4 pp. 657-671

Bone marrow mesenchymal stem cells for post-myocardial infarction cardiac repair: microRNAs as novel regulators

Zhuzhi Wen

Zhuzhi Wen

The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China

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Shaoxin Zheng

Shaoxin Zheng

The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China

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Changqing Zhou

Changqing Zhou

The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China

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Woliang Yuan

Woliang Yuan

The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China

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Jingfeng Wang

Corresponding Author

Jingfeng Wang

The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China

Tong WANG, M.D. and Jingfeng WANG, M.D., Cardiovascular Medicine, the Sun Yat-sen Memorial Hospital of Sun Yat-sen University, No. 107 West Yanjiang Road, Guangzhou 510120, China. Tel.: (8620)8133-2430 Fax: (8620)8133-2430. E-mail: [email protected]; [email protected]Search for more papers by this author
Tong Wang

Corresponding Author

Tong Wang

The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China

Tong WANG, M.D. and Jingfeng WANG, M.D., Cardiovascular Medicine, the Sun Yat-sen Memorial Hospital of Sun Yat-sen University, No. 107 West Yanjiang Road, Guangzhou 510120, China. Tel.: (8620)8133-2430 Fax: (8620)8133-2430. E-mail: [email protected]; [email protected]Search for more papers by this author
First published: 18 October 2011
Citations: 74

Abstract

  • Introduction

  • MiRNAs and MSC differentiation into cardiovascular cells

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      MiRNAs and MSC differentiation into CMCs

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      MiRNAs and MSC differentiation into vascular cells

  • MiRNAs and MSC-mediated paracrine effects

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      MiRNAs and MSC-mediated endogenous       cardiac regeneration

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      MiRNAs and MSC-mediated cardiac contractility

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      MiRNAs and MSC-mediated neovascularization

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      MiRNAs and MSC-mediated anti-inflammatory effect

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      MiRNAs and MSC-mediated anti-apoptotic effect

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      MiRNAs and MSC-mediated anti-remodelling effect

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      MiRNAs and MSC-mediated cardiac metabolic effect

  • MiRNAs and MSC-mediated other potential effects

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      MiRNAs and MSC-related cardiac neurogenesis

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      MiRNAs and MSC anti-arrhythmic potential

  • Preconditioning MSCs with MiRNAs as therapeutic perspectives

  • Future directions and concluding remarks

Transplantation of bone marrow-derived mesenchymal stem cells (MSCs) is safe and may improve cardiac function and structural remodelling in patients following myocardial infarction (MI). Cardiovascular cell differentiation and paracrine effects to promote endogenous cardiac regeneration, neovascularization, anti-inflammation, anti-apoptosis, anti-remodelling and cardiac contractility, may contribute to MSC-based cardiac repair following MI. However, current evidence indicates that the efficacy of MSC transplantation was unsatisfactory, due to the poor viability and massive death of the engrafted MSCs in the infarcted myocardium. MicroRNAs are short endogenous, conserved, non-coding RNAs and important regulators involved in numerous facets of cardiac pathophysiologic processes. There is an obvious involvement of microRNAs in almost every facet of putative repair mechanisms of MSC-based therapy in MI, such as stem cell differentiation, neovascularization, apoptosis, cardiac remodelling, cardiac contractility and arrhythmias, and others. It is proposed that therapeutic modulation of individual cardiovascular microRNA of MSCs, either mimicking or antagonizing microRNA actions, will hopefully enhance MSC therapeutic efficacy. In addition, MSCs may be manipulated to enhance functional microRNA expression or to inhibit aberrant microRNA levels in a paracrine manner. We hypothesize that microRNAs may be used as novel regulators in MSC-based therapy in MI and MSC transplantation by microRNA regulation may represent promising therapeutic strategy for MI patients in the future.

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