Rajesh Dash1,
Paul Kim1, Yuka Matsuura1, Fumiaki Ikeno1,
Jennifer Lyons1, Xiaohu Ge1, Scott Metzler2,
Ngan Huang1, Patricia Nguyen3, Joseph Wu1,
4, John Cooke1, Pilar Ruiz-Lozano2, Robert C.
Robbins5, Michael V. McConnell1, Alan C. Yeung1,
Phillip Harnish6, Phillip C. Yang1
1Medicine
/ Cardiovascular Medicine, Stanford University Medical Center, Stanford, CA,
United States; 2Pediatrics, Lucille Packard Childrens Hospital,
Stanford, CA, United States; 3Medicine / Cardiovascular Medicine,
Palo Alto VA Medical Center, Stanford, CA, United States; 4Radiology,
Stanford University Medical Center, Stanford, CA, United States; 5Cardiac
Surgery, Stanford University Medical Center, Stanford, CA, United States; 6Eagle
Vision Pharmaceutical Corporation, Downington, PA, United States
We delivered human amnion-derived mesenchymal stem cells (hAMSCs) intramyocardially and tracked in vivo survival using manganese-enhanced MRI (MEMRI). hAMSC therapy led to durable improvements cardiac function due to prolonged survival in vivo, which was confirmed by both MEMRI and co-localized signal from a HSV-tk PET reporter gene. Significant, persistent increases in ejection fraction, as well as reduced LV dilatation and scar volume were observed for up to 6 weeks after hAMSC therapy. Notably, MEMRI CNR increased over time in hAMSC-treated hearts, and immunohistochemistry confirmed the presence of hAMSCs with both human anti-mitochondrial and anti-nuclear antigen antibody staining.