C-Kit Positive Cells from Failing Human Hearts: Role of Culturing Media on Cardiomyogenic Potentials
Main Article Content
Abstract
Background: The possibility of culturing heart cells in order to regenerate damaged tissue is a challenging problem. Recent observations have demonstrated the possibility of isolating and expanding resident cardiac stem cells, which could favor regeneration and functional improvement of the myocardial tissue.
Aims: To investigate two different culturing media: one promoting c-kit cells' growth and the other promoting differentiation in cardiac muscle cells.
Methods: We obtained primary cultures from left ventricle myocardial tissues of 10 human hearts of patients with end-stage heart failure who received heart transplantation. Cells were first cultured in a medium containing high serum and low calcium/magnesium (Ca2+ /Mg2+) to promote cell growth (medium A). Than they were cultured in another medium that contained lower serum concentration and a variety of different factors in order to induce cell differentiation (medium B). The presence of c-kit, specific for stem cells, α-sarcomeric actin (SA), specific for skeletal and cardiac muscle cells, and α-smooth muscle actin (SMA), specific for smooth muscle cells was studied by immune-cytochemical analysis.
Results: A high percentage of c-kit+, SMA-, SA- cells was observed in medium A; in medium B with lower serum and higher Ca2+/Mg2+ concentrations cells became c-kit-, AML+, SA+.
In medium A, 78% of the cells were positive for c-kit. After culturing the same cell populations in medium B with lower serum and higher Ca2+ /Mg2+ concentrations, the percentage of c-kit positive cells decreased to 21% while the cells positive for SMA and for SA increased respectively from 28 to 82% and from 0 to 59%.
Conclusions: Our results confirm the presence of a high percentage of c-kit positive cells in failing human myocardium and, for the first time, suggest a key role of calcium/magnesium concentration in promoting both c-kit cells' growth and their differentiation in human cardiac muscle.
Downloads
Article Details
Copyright (c) 2015 Francesconi A, et al.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Germani A, Di RG, Limana F, Martelli F (2007) Capogrossi MC. Molecular mechanisms of cardiomyocyte regeneration and therapeutic outlook. Trends Mol Med 13: 125-133.
Tomita Y, Matsumura K, Wakamatsu Y (2005) Cardiac neural crest cells contribute to the dormant multipotent stem cell in the mammalian heart. J Cell Biol 170: 1135-1146.
Fukuda K (2005) Progress in myocardial regeneration and cell transplantation. Circ J 69: 1431-1446.
Ferrari G, Cusella-De AG, Coletta M (1998)Muscle regeneration by bone marrow-derived myogenic progenitors. Science 279: 1528-1530.
Orlic D, Kajstura J, Chimenti S (2001)Bone marrow cells regenerate infarcted myocardium. Nature 410: 701-705.
Asahara T, Murohara T, Sullivan A (1997)Isolation of putative progenitor endothelial cells for angiogenesis. Science 275: 964-967.
Menasche P (2008)Skeletal myoblasts and cardiac repair. J Mol Cell Cardiol45:545-553.
Wojakowski W, Kazmierski M, Korzeniowska B (2007) Link between erythropoietin release and mobilization of endothelial progenitor cells in acute myocardial infarction. Eur Heart J 28: 1785-1786.
Menasche P, Alfieri O, Janssens S (2008) Autologous Grafting in Ischemic Cardiomyopathy (MAGIC) trial: first randomized placebo-controlled study of myoblast transplantation. Circulation 117: 1189-1200.
Dawn B, Guo Y, Rezazadeh A (2006)Postinfarct cytokine therapy regenerates cardiac tissue and improves left ventricular function. Circ Res 98: 1098-1105.
Beltrami AP, Barlucchi L, Torella D (2003)Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell 114: 763-776.
Kajstura J, Urbanek K, Rota M (2008)Cardiac stem cells and myocardial disease. J Mol Cell Cardiol;45:505-513.
Bearzi C, Rota M, Hosoda T (2007)Human cardiac stem cells. ProcNatlAcadSci U S A104:14068-14073.
Messina E, De AL, Frati G (2004)Isolation and expansion of adult cardiac stem cells from human and murine heart. Circ Res 95: 911-921.
Smith RR, Barile L, Cho HC (2007) Regenerative potential of cardiosphere-derived cells expanded from percutaneous endomyocardial biopsy specimens. Circulation 115: 896-908.
Christensen JL, Weissman IL (2001) Flk-2 is a marker in hematopoietic stem cell differentiation: a simple method to isolate long-term stem cells. ProcNatlAcadSci U S A 98: 14541-14546.
Kablar B, Tajbakhsh S, Rudnicki MA (2000)Transdifferentiation of esophageal smooth to skeletal muscle is myogenic bHLH factor-dependent. Development 127: 1627-1639.
Beltrami AP, Urbanek K, Kajstura J (2001)Evidence that human cardiac myocytes divide after myocardial infarction. N Engl J Med 344: 1750-1757.
Khaitlina SY (2001) Functional specificity of actin isoforms. Int Rev Cytol 202: 35-98.
Curcio F, Ambesi-Impiombato FS, Perrella G (1994)Long-term culture and functional characterization of follicular cells from adult normal human thyroids. ProcNatlAcadSci U S A 91: 9004-9008.
Longin A, Souchier C, Ffrench M (1993) Comparison of anti-fading agents used in fluorescence microscopy: image analysis and laser confocal microscopy study. J HistochemCytochem 41: 1833-1840.
Donnini D, Perrella G, Stel G (2000) A new model of human aortic endothelial cells in vitro. Biochimie 82:1107-1114.
Kimes BW, Brandt BL (1976)Properties of a clonal muscle cell line from rat heart. ExpCellRes 98: 367-381.
Garlanda C, Parravicini C, Sironi M (1994)Progressive growth in immunodeficient mice and host cell recruitment by mouse endothelial cells transformed by polyoma middle-sized T antigen: implications for the pathogenesis of opportunistic vascular tumors. ProcNatlAcadSci U S A 91: 7291-7295.
Buzby JS, Knoppel EM, Cairo MS (1994) Coordinate regulation of Steel factor, its receptor (Kit), and cytoadhesion molecule (ICAM-1 and ELAM-1) mRNA expression in human vascular endothelial cells of differing origins. ExpHematol 22: 122-129.
Kubo H, Jaleel N, Kumarapeli A (2008)Increased cardiac myocyte progenitors in failing human hearts. Circulation 118: 649-657.
Matsuda R, Takahashi T, Nakamura S (1993)Expression of the c-kit protein in human solid tumors and in corresponding fetal and adult normal tissues. Am J Pathol 142: 339-346.
De AL, Berghella L, Coletta M (1999)Skeletal myogenic progenitors originating from embryonic dorsal aorta coexpress endothelial and myogenic markers and contribute to postnatal muscle growth and regeneration. J Cell Biol 147: 869-878.
Quaini F, Urbanek K, Beltrami AP (2002)Chimerism of the transplanted heart. N Engl J Med 346: 5-15.
Torella D, Rota M, Nurzynska D (2004)Cardiac stem cells and myocyte aging, heart failure and insuline-like growth factor-1overexpression. Circ Res; 94:514-524.
Barile L, Messina E, Giacomello A (2007) Endogenous cardiac stem cells. ProgCardiovasc Dis 50: 31-48.
Niu Z, Iyer D, Conway SJ (2008) Serum response factor orchestrates nascent sarcomerogenesis and silences the biomineralization gene program in the heart. ProcNatlAcadSci U S A 105: 17824-17829.
Tavi P, Pikkarainen S, Ronkainen J (2004)Pacing-induced calcineurin activation controls cardiac Ca2+ signalling and gene expression. J Physiol 554: 309-320.
Sontia B, Touyz RM (2007) Magnesium transport in hypertension. Pathophysiology 14: 205-211.
Simpson DG, Decker ML, Clark WA (1993)Contractile activity and cell-cell contact regulate myofibrillar organization in cultured cardiac myocytes. J Cell Biol 123: 323-336.
Eppenberger-Eberhardt M, Flamme I, Kurer V (1990)Reexpression of alpha-smooth muscle actin isoform in cultured adult rat cardiomyocytes. DevBiol 139: 269-278.
Kubo H, Berretta RM, Jaleel N (2009)c-Kit+ bone marrow stem cells differentiate into functional cardiac myocytes. Clin Trans Sci2:26-32.