Key result
Glycosylated G-CSF significantly increased the proportion of CD34+ cells, cardiac function, and myocardial capillary density, while reducing myocardial fibrosis compared to controls.
Why the study?
Does glycosylated G-CSF improve cell regeneration and repair injured myocardium compared to non-glycosylated G-CSF in a rat model of acute myocardial ischemia?
RCT (n=40)
randomly and evenly divided
No
Does glycosylated G-CSF improve cell regeneration and repair injured myocardium compared to non-glycosylated G-CSF in a rat model of acute myocardial ischemia?
Glycosylated G-CSF demonstrates superior efficacy in mobilizing bone marrow stem cells and repairing injured myocardium compared to non-glycosylated G-CSF in a rat model of myocardial ischemia.
Should not change clinical practice; leaves open translation of glycosylated G-CSF to human myocardial repair.
OBJECTIVE: To compare the differences between glycosylated and non-glycosylated granulocyte colony-stimulating factor (G-CSF) on mobilizing cell regeneration of bone marrow stem cells and repairing injured myocardium. METHODS: In the acute myocardial ischemia model, 40 Sprague-Dawley rats (8 weeks old, weight 200-250 g) were successfully established with isoproteronol (ISO) and randomly and evenly divided into 4 groups: Group G (injected with glycosylated G-CSF), Group N (non-glycosylated G-CSF), Group C ([control] normal saline for 7 days), and Group M (model). At day 5, all rats were labeled with bromodeoxyuridine (BrdU). At day 28, the proportion of CD34+ cells, myocardial BrdU immunohistochemical stain, myocardial capillary density, myocardial fibrosis and cardiac function was detected among the 3 groups. The study was carried out at the Central Laboratory, Tongji Hospital of Tongji University, Shanghai, China between 1 July 2009 and 31 July 2009. RESULTS: In Group G, the proportion of CD34+ cells and cardiac function was significantly higher than groups N and C, and BrdU positive cells in myocardium were higher than those other groups. Diaminobenzidine stained positive cells in striated muscle tissue possessed more cardiocyte-like structure, higher myocardial capillary density, and less myocardial fibrosis in group G compared with other 2 groups. CONCLUSION: Glycosytated G-CSF might possess stronger capability to mobilize cell regeneration of bone marrow stem cells and repair injured myocardium.
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Ma et al. (2010) conducted an RCT in acute myocardial ischemia (n=40). Glycosylated granulocyte colony-stimulating factor (G-CSF) vs. Non-glycosylated G-CSF, normal saline, and model group was evaluated on Proportion of CD34+ cells, myocardial BrdU immunohistochemical stain, myocardial capillary density, myocardial fibrosis and cardiac function. Glycosylated G-CSF significantly increased the proportion of CD34+ cells, cardiac function, and myocardial capillary density, while reducing myocardial fibrosis compared to controls.
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