The aim of this study was to explore the effect of bone morphogenetic protein-2 (BMP-2) and
fibroblast growth factor-2 (FGF-2)- paracrine factors implicated in both cardiac embryogenesis and cardiac repair following
myocardial infarction (MI)-on murine bone marrow stem cell (mBMSC) differentiation in an ex vivo cardiac microenvironment. For this purpose,
green fluorescent protein (GFP) expressing hematopoietic lineage negative (lin-)
c-kit ligand (c-kit) and stem cell antigen-1 (Sca-1) positive (GFP-lin-/c-kit+/sca+) mBMSC were co-cultured with neonatal rat ventricular cardiomyocytes (NVCMs). GFP+ mBMSC significantly induced the expression of BMP-2 and
FGF-2 in NVCMs, and approximately 4% GFP+ mBMSCs could be recovered from the co-culture at day 10. The addition of BMP-2 in concert with
FGF-2 significantly enhanced the amount of integrated GFP+ mBMSCs by 5-fold ( approximately 20%), whereas the addition of anti-BMP-2 and/or anti-FGF-2
antibodies completely abolished this effect. An analysis of
calcium cycling revealed robust
calcium transients in GFP+ mBMSCs treated with BMP-2/
FGF-2 compared to untreated co-cultures. BMP-2 and
FGF-2 addition led to a significant induction of early (NK2
transcription factor related, locus 5; Nkx2.5, GATA
binding protein 4; GATA-4) and late (
myosin light chain kinase [MLC-2v],
connexin 43 [
Cx43]) cardiac marker
mRNA expression in mBMSCs following co-culture. In addition, re-cultured fluorescence-activated cell sorting (FACS)-purified BMP-2/
FGF-2-treated mBMSCs revealed robust
calcium transients in response to electrical field stimulation which were inhibited by the
L-type calcium channel (LTCC) inhibitor,
nifedipine, and displayed
caffeine-sensitive intracellular
calcium stores. In summary, our results show that mBMSCs can adopt a functional cardiac phenotype through treatment with factors essential to embryonic cardiogenesis that are induced after cardiac
ischemia. This study provides the first evidence that mBMSCs with long-term self-renewal potential possess the capability to serve as a functional cardiomyocyte precursor through the appropriate paracrine input and cross-talk within an appropriate cardiac microenvironment.