Bone marrow mesenchymal stem cells (MSCs)
transplantation improved cardiac function and reduced myocardial
fibrosis in both ischemic and non-ischemic
cardiomyopathies. We evaluated the effects of repeated peripheral vein injection of MSCs on
collagen network remodeling and myocardial TGF-β1, AT1,
CYP11B2 (
aldosterone synthase) gene expressions in a rat model of
doxorubicin (DOX)-induced
dilated cardiomyopathy (DCM). Thirty-eight out of 53 SD rats survived
at 10 weeks post-DOX injection (2.5 mg/kg/week for 6 weeks, i.p.) were divided into DCM blank (without treatment, n = 12), DCM placebo (intravenous tail injection of 0.5 mL serum-free culture medium every other day for ten times, n = 13), and DCM plus MSCs group (intravenous tail injection of 5 × 10(6) MSCs dissolved in 0.5 mL serum-free culture medium every other day for 10 times, n = 13). Ten untreated rats served as normal controls. At 20 weeks after DOX injection, echocardiography, myocardial
collagen content, myocardial expressions of types I and III
collagen, TGF-β1, AT1, and
CYP11B2 were compared among groups. At 20 weeks post-DOX injection, 8 rats (67%) survived in DCM blank group, 9 rats (69%) survived in DCM placebo group while 13 rats (100 %) survived in DCM plus MSCs group. Left ventricular end-diastolic diameter was significantly higher and ejection fraction was significantly lower in DCM blank and DCM placebo groups compared to normal control rats, which were significantly improved in DCM plus MSCs group (all p < 0.05 vs. DCM blank and DCM placebo groups). Moreover, myocardial
collagen volume fraction, types I and III
collagen, myocardial
mRNA expressions of TGF-β1, AT1,
CYP11B2, and
collagen I/III ratio were all significantly lower in DCM plus MSCs group compared to DCM blank and DCM placebo groups (all p < 0.05). Repeated intravenous MSCs
transplantation could improve cardiac function by attenuating myocardial
collagen network remodeling possibly through downregulating renin-angiotensin-aldosterone system in DOX-induced DCM rats.