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 for treating a myocardial infarction in a subject in need thereof, the method comprising:
administering to said subject a cell preparation containing a cell fraction comprising a population of pluripotent stem cells positive for SSEA-3, wherein the population of pluripotent stem cells is isolated from mesenchymal tissue or cultured mesenchymal cells by selecting for SSEA-3 positive cells, wherein the population of pluripotent stem cell is concentrated, wherein the pluripotent stem cells have a plurality of properties comprising:
(i) CD105-positivity;
(ii) low or absent telomerase activity;
(iii) ability to differentiate into embryonic endoderm, ectoderm, and mesoderm germ layers; (iv) absence of neoplastic proliferation; and
(v) ability to self-renew, and wherein the size of the myocardial infarction in the subject is reduced in comparison to a control subject that did not receive said cell preparation, thereby treating a myocardial infarction in a subject in need thereof.
2. The method according to claim 1 , wherein the pluripotent stem cells positive for SSEA-3 have been concentrated by external stress stimulation.
3. The method according to claim 1 , wherein the subject has heart failure following serious massive myocardial infarction and wherein the subject is 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 cell preparation is administered into a vein or coronary artery of said subject within 1 month after said myocardial infarction one to ten times in a therapeutically effective amount of 1×10 3 cell to 1×10 6 cells.
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 value prior to myocardial infarction.
12. 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 said myocardial infarction in a therapeutically effective amount of 1.7×10 5 cells/kg body weight to 2.5×10 5 cells/kg body weight of the subject.
13. The method according to claim 2 , wherein the external stress stimulation is a member selected from the group consisting of: protease treatment, culturing under phosphate-deficient conditions, culturing under serum-deficient conditions, culturing under nutrient-deficient 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.