Pluripotent stem cell that induces repair and regeneration after myocardial infarction
View Patent ↗An object of the present invention is to provide a novel medical application for use in regenerative medicine that uses pluripotent stem cells (Muse cells). The present invention provides a cell preparation for treating myocardial infarction, and particularly serious massive myocardial infarction and heart failure associated therewith, that contains pluripotent stem cells positive for SSEA-3 isolated from biological mesenchymal tissue or cultured mesenchymal cells. The cell preparation of the present invention is based on a cardiac tissue regeneration mechanism by which Muse cells are made to selectively accumulate in damaged myocardial tissue and differentiate into cardiac muscle in that tissue as a result of intravenous administration of Muse cells to a subject presenting with the aforementioned disorders.
1. A method of treating myocardial infarction in a subject in need thereof, the method comprising: administering to said subject a cell preparation comprising isolated pluripotent stem cells positive for SSEA-3, wherein the pluripotent stem cells are isolated from a mesenchymal cell population obtained from mesenchymal tissue or cultured mesenchymal cells, wherein said pluripotent stem cells are isolated by subjecting said mesenchymal cell population to external stress stimulation or cell sorting, to thereby treat the myocardial infarction, and wherein the pluripotent stem cells have a plurality of properties comprising: (i) CD105-positivity; (ii) low or absent telomerase activity; (iii) ability to differentiated into embryonic endoderm, ectoderm, and mesoderm germ layers; (iv) absence of neoplastic proliferation; and (v) ability to self-renew.
2. The method according to claim 1 , wherein the cell preparation contains a cell fraction wherein the pluripotent stem cells positive for SSEA-3 have been concentrated by external stress stimulation.
3. The method according to claim 1 for treatment of heart failure following serious massive myocardial infarction in a human.
4. The method according to claim 1 , wherein the pluripotent stem cells are CD117-negative and CD146-negative.
5. The method according to claim 1 , wherein the pluripotent stem cells are CD117-negative, CD146-negative, NG2-negative, CD34-negative, vWF-negative and CD271-negative.
6. The method according to claim 1 , wherein the pluripotent stem cells are CD34-negative, CD117-negative, CD146-negative, CD271-negative, NG2-negative, vWF-negative, Sox10-negative, Snail-negative, Slug-negative, Tyrp1-negative and Dct-negative.
7. The method according to claim 1 , wherein the pluripotent stem cells have the ability to integrate into the site of myocardial infarction.
8. The method according to claim 1 , wherein the pluripotent stem cells have the ability to differentiate into myocardial cells.
9. The method according to claim 1 , wherein the pluripotent stem cells have the ability to differentiate into vascular endothelial cells.
10. The method according to claim 1 , wherein the pluripotent stem cells are administered into a vein or coronary artery of a subject within 1 month after ischemia one to ten times in a therapeutically effective amount of 1×10 3 cells/individual to 1×10 6 cells/individual.
11. The method according to claim 1 , wherein at least one cardiac function indicator, selected from the group consisting of change in left ventricular pressure over time, left ventricular end-diastolic dimension (LVDd), ejection fraction (EF), left ventricular fractional shortening (FS) and left ventricular end-systolic dimension (LVDs), is restored to the normal values.
12. The method according to claim 2 , wherein the external stress stimulation is a member selected from a group consisting of protease treatment, culturing under oxygen-deficient conditions, culturing under phosphate-deficient conditions, culturing under serum-deficient conditions, culturing under poor nutritional conditions, culturing under exposure to heat shock, culturing under mechanical stimulation, culturing under shaking treatment, culturing under pressure treatment and physical shock, and a combination of a plurality thereof.
13. The method according to claim 1 , wherein the cell preparation is administered into a vein or coronary artery of said subject within 1 month after ischemia in a therapeutically effective amount of 1.7×10 5 cells/kg to 2.5×10 5 cells/kg per individual mammal based on body weight.
14. The method according to claim 1 , wherein the route of administration is intravenous.