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In adults, the beating heart cells (cardiomyocytes) cannot divide to
regenerate the injured or diseased heart; instead they are replaced by a
non-beating scar. In several clinical studies, injected cells from the
bone marrow or skeletal muscle into the heart have resulted in, at best,
modest functional improvement. In all cases, transplanted cell survival
has been poor indicating that any beneficial effect is likely to be
transient and mediated via mechanisms associated with secreted factors.
A major limitation in the development of cellular therapies to the heart
is cell survival and integration post transplantation. Therefore, we have
developed a model system capable of screening for cell survival and
integration into engineered heart tissue (EHT). Our in vitro model system
will enable the rapid and efficient screening of candidate cell types and
survival / integration factors for pre-clinical studies. Currently,
initial studies focus on the survival and integration of embryonic stem
cell (ESC)-derived cardiac cells and progenitors into EHT. Our ESC-derived
cardiac cells are fluorescently labeled in order to quantitatively track
the injected cells into EHT. Once the system is developed, we are planning
to pursue screening for factors (small molecules, cytokines) that increase
cell survival and integration into cardiac tissue in a high through-put manner.
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