ANGIOGENESIS USING STIMULATED PLACENTAL STEM CELLS
Provided herein are stimulated placental stem cells and methods of treating individuals having diseases or disorders of the circulatory system using stimulated placental cells. The invention also provides methods of inducing angiogenesis using such stimulated cells or populations of cells comprising such stimulated cells.
1 . An isolated stimulated placental derived adherent cell, wherein said cell is adherent to tissue culture plastic, and wherein said cell is CD10 + , CD34 − , CD105 + and CD200 + , wherein said cell has been contacted with one or more pro-inflammatory cytokines in vitro, and wherein said cell (1) promotes the proliferation of endothelial cells; (2) promotes the formation of sprouts or tube-like structures in a population of endothelial cells; or (3) promotes the migration of endothelial cells.
2 . (canceled)
3 . The isolated cell of claim 1 , wherein said pro-inflammatory cytokine is one or more of IL-1α, IL-1β, IL-6, IL-8, IL-18, TNF-α, or INF-γ.
4 . (canceled)
5 . The isolated cell of claim 1 , wherein said cell secretes trophic factors at a higher level than an isolated placental derived adherent cell that has not been contacted with said one or more pro-inflammatory cytokines.
6 . The isolated cell of claim 5 , wherein said trophic factors comprise at least one of GM-CSF, G-CSF, IL-6, GRO, MCP-1, Follistatin, or IL-8.
7 . (canceled)
8 . An isolated population of cells comprising a cell of claim 1 .
9 . The isolated population of cells of claim 8 , wherein at least 50% of the cells in said population are the cells of claim 1 .
10 . (canceled)
11 . A method of treating an individual having a disease or disorder of the circulatory system, comprising administering a population of the cells of claim 1 to said individual.
12 . (canceled)
13 . The method of claim 11 , wherein said disease or disorder is diabetic foot ulcer (DFU).
14 . The method of claim 13 , wherein said DFU is caused by and/or associated with peripheral arterial disease (PAD).
15 . The method of claim 11 , wherein said disease or disorder of the circulatory system is a heart disease or injury.
16 . The method of claim 11 , wherein said disease or disorder is a disruption of blood flow in or around a limb.
17 . (canceled)
18 . (canceled)
19 . (canceled)
20 . (canceled)
21 . (canceled)
22 . The method of claim 11 , wherein one or more indicia of cardiac function is detectibly improved, wherein said indicia of cardiac function are chest cardiac output (CO), cardiac index (CI), pulmonary artery wedge pressure (PAWP), cardiac index (CI), % fractional shortening (% FS), ejection fraction (EF), left ventricular ejection fraction (LVEF); left ventricular end diastolic diameter (LVEDD), left ventricular end systolic diameter (LVESD), contractility (dP/dt), a decrease in atrial or ventricular functioning, an increase in pumping efficiency, a decrease in the rate of loss of pumping efficiency, a decrease in loss of hemodynamic functioning, or decrease in complications associated with cardiomyopathy, as compared to the individual prior to administration of placental derived adherent cells.
23 . (canceled)
24 . The method of claim 23 , wherein the population of cells is administered to said individual in an amount and for a time sufficient for detectable improvement of one or more said indicia of cardiac function.
25 . The method of claim 23 , wherein said disease or disorder of the circulatory system is a heart disease or injury.
26 . A method of treating an individual having a disruption of blood flow in or around a limb, comprising administering a therapeutically effective amount of a population of the cells of claim 1 .
27 . The method of claim 26 , wherein said disruption of blood flow in or around the limb is a peripheral arterial disease (PAD) or a peripheral vascular disease (PVD).
28 . The method of claim 11 , wherein the method further comprises administering a further therapeutic agent.
29 . The method of claim 11 , wherein said administration is by transplantation, implantation, injection, infusion, or delivery via catheter.
30 . A method of producing a stimulated placental derived adherent cell, wherein said cell is CD10 + , CD34 − , CD105 + and CD200 + , the method comprising contacting a placental derived adherent cell with one or more pro-inflammatory cytokines in vitro.
31 . The method of claim 30 , wherein the pro-inflammatory cytokine is one or more of IL-1α, IL-1β, IL-6, IL-8, IL-18, TNF-α, or INF-γ.
32 . (canceled)
33 . (canceled)
34 . (canceled)