Why the study?
A first-in-man clinical study suggested efficacy of a myocardial-derived decellularized extracellular matrix hydrogel in chronic MI patients, but its mechanism of action remained poorly understood.
Does injectable myocardial matrix hydrogel mitigate negative left ventricular remodeling in a rat chronic myocardial infarction model?
Does injectable myocardial matrix hydrogel mitigate negative left ventricular remodeling in a rat chronic myocardial infarction model?
Injectable myocardial matrix hydrogel mitigates adverse LV remodeling in a chronic MI rat model by modulating immune responses and gene expression.
Hypothesis-generating for myocardial matrix hydrogel in chronic MI; leaves open clinical translation pending prospective trials.
A first-in-man clinical study on a myocardial-derived decellularized extracellular matrix hydrogel suggested the potential for efficacy in chronic myocardial infarction (MI) patients. However, little is understood about the mechanism of action in chronic MI. In this study, the authors investigated the efficacy and mechanism by which the myocardial matrix hydrogel can mitigate negative left ventricular (LV) remodeling in a rat chronic MI model. Assessment of cardiac function via magnetic resonance imaging demonstrated preservation of LV volumes and apical wall thickening. Differential gene expression analyses showed the matrix is able to prevent further negative LV remodeling in the chronic MI model through modulation of the immune response, down-regulation of pathways involved in heart failure progression and fibrosis, and up-regulation of genes important for cardiac muscle contraction.
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Diaz et al. (2021) studied this question.
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