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The Journal of Heart and Lung Transplantation
International Society for Heart and Lung Transplantation.
Original Pre-Clinical Science|Articles in Press

ONO-1301 enhances post-transplantation survival of human induced pluripotent stem cell-derived cardiac tissue sheet by promoting angiogenesis

Published:February 09, 2023DOI:https://doi.org/10.1016/j.healun.2023.01.018

      Background

      Transplanting human induced pluripotent stem cell-derived cardiomyocyte (hiPSC-CM) tissue sheets effectively treat ischemic cardiomyopathy. Cardiac functional recovery relies on graft survival in which angiogenesis played an important part. ONO-1301 is a synthetic prostacyclin analog with proangiogenic effects. We hypothesized that transplantation of hiPSC-CM tissue sheets with slow-release ONO-1301 scaffold could promote hostgraft angiogenesis, enhance tissue survival and therapeutic effect.

      Methods

      We developed hiPSC-CM tissue sheets with ONO-1301 slow-release scaffold and evaluated their morphology, gene expression, and effects on angiogenesis. Three tissue sheet layers were transplanted into a rat myocardial infarction (MI) model. Left ventricular ejection fraction, gene expression in the MI border zone, and angiogenesis effects were investigated 4 weeks after transplantation.

      Results

      In vitro assessment confirmed the slow-release of ONO-1301, and its pro-angiogenesis effects. In addition, in vivo data demonstrated that ONO-1301 administration positively correlated with graft survival. Cardiac tissue as thick as ∼900 μm was retained in the ONO (+) treated group. Additionally, left ventricular ejection fraction of the ONO (+) group was significantly enhanced, compared to ONO (−) group. The ONO (+) group also showed significantly improved interstitial fibrosis, higher capillary density, increased number of mature blood vessels, along with an enhanced supply of oxygen, and nutrients.

      Conclusions

      Slow-release ONO-1301 scaffold provided an efficient delivery method for thick hiPSC-CM tissue. ONO-1301 promotes angiogenesis between the host and graft and improves nutritional and oxygen supply, thereby enhancing the survival of transplanted cells, effectively improving ejection fraction, and therapeutic effects.

      Keywords

      Abbreviations:

      cTnT (cardiac muscle troponin T), FS (fractional shortening), FPKM (fragments per kilobase of exon per million mapped fragments), hiPSCs (human induced pluripotent stem cells), hiPSC-CMs (human induced pluripotent stem cell-derived cardiomyocytes), HCF (human cardiac fibroblasts), HE staining (hematoxylin and eosin staining), HGF (hepatocyte growth factor), HIF-1α (hypoxia-induced factor-1 alpha (HIF1A)), HUVECs (human umbilical vein endothelial cells), HNA (human nuclear antigen), IL-6 (interleukin 6), LVEF (left ventricular ejection fraction), MI (myocardial infarction), ONO-1301SR (slow-release ONO-1301), PLGA (poly(lactic-co-glycolic acid)), PGI2 (prostacyclin or prostaglandin I2), RT-PCR (reverse transcriptase-polymerase chain reaction), SDF-1 (stromal cell-derived factor-1), TGF-β1 (transforming growth factor beta 1), TXA2 (thromboxane A2), VEGF (vascular endothelial growth factor)
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      References

        • Miyagawa S
        • Kainuma S
        • Kawamura T
        • et al.
        Transplantation of IPSC-derived cardiomyocyte patches for ischemic cardiomyopathy.
        Cardiovasc Med. 2022; 9https://doi.org/10.1101/2021.12.27.21268295
        • Ishida M
        • Miyagawa S
        • Saito A
        • et al.
        Transplantation of human-induced pluripotent stem cell-derived cardiomyocytes is superior to somatic stem cell therapy for restoring cardiac function and oxygen consumption in a porcine model of myocardial infarction.
        Transplantation. 2019; 103: 291-298https://doi.org/10.1097/TP.0000000000002384
        • Gao L
        • Gregorich ZR
        • Zhu W
        • et al.
        Large cardiac muscle patches engineered from human induced-pluripotent stem cell–derived cardiac cells improve recovery from myocardial infarction in swine.
        Circulation. 2018; 137: 1712-1730https://doi.org/10.1161/CIRCULATIONAHA.117.030785
        • Querdel E
        • Reinsch M
        • Castro L
        • et al.
        Human engineered heart tissue patches remuscularize the injured heart in a dose-dependent manner.
        Circulation. 2021; 143: 1991-2006https://doi.org/10.1161/CIRCULATIONAHA.120.047904
        • Matsuo T
        • Masumoto H
        • Tajima S
        • et al.
        Efficient long-term survival of cell grafts after myocardial infarction with thick viable cardiac tissue entirely from pluripotent stem cells.
        Sci Rep. 2015; 5: 16842https://doi.org/10.1038/srep16842
        • Suzuki K
        • Miyagawa S
        • Liu L
        • et al.
        Therapeutic efficacy of large aligned cardiac tissue derived from induced pluripotent stem cell in a porcine ischemic cardiomyopathy model.
        J Heart Lung Transplant. 2021; 40: 767-777https://doi.org/10.1016/j.healun.2021.04.010
        • Li J
        • Minami I
        • Yu L
        • et al.
        Extracellular recordings of patterned human pluripotent stem cell-derived cardiomyocytes on aligned fibers.
        Stem Cells Int. 2016; 2016: 1-9https://doi.org/10.1155/2016/2634013
        • Li J
        • Minami I
        • Shiozaki M
        • et al.
        Human pluripotent stem cell-derived cardiac tissue-like constructs for repairing the infarcted myocardium.
        Stem Cell Rep. 2017; 9: 1546-1559https://doi.org/10.1016/j.stemcr.2017.09.007
        • Radisic M
        • Malda J
        • Epping E
        • Geng W
        • Langer R
        • Vunjak-Novakovic G
        Oxygen gradients correlate with cell density and cell viability in engineered cardiac tissue.
        Biotechnol Bioeng. 2006; 93: 332-343https://doi.org/10.1002/bit.20722
        • Shimizu T
        • Sekine H
        • Yang J
        • et al.
        Polysurgery of cell sheet grafts overcomes diffusion limits to produce thick, vascularized myocardial tissues.
        FASEB J. 2006; 20: 708-710https://doi.org/10.1096/fj.05-4715fje
        • Yang Y
        • Min JY
        • Rana JS
        • et al.
        VEGF enhances functional improvement of postinfarcted hearts by transplantation of ESC-differentiated cells.
        J Appl Physiol. 2002; 93: 1140-1151https://doi.org/10.1152/japplphysiol.00307.2002
        • Nagase K
        • Nagumo Y
        • Kim M
        • et al.
        Local release of vegf using fiber mats enables effective transplantation of layered cardiomyocyte sheets.
        Macromol Biosci. 2017; 171700073https://doi.org/10.1002/mabi.201700073
        • Ai X
        • Yan B
        • Witman N
        • et al.
        Transient secretion of VEGF protein from transplanted hiPSC-CMs enhances engraftment and improves rat heart function post MI.
        Mol Ther. 2022; 31: 211-229https://doi.org/10.1016/j.ymthe.2022.08.012
        • Kashiwagi H
        • ichi Yuhki K
        • Kojima F
        • et al.
        The novel prostaglandin I mimetic ONO-1301 escapes desensitization in an antiplatelet effect due to its inhibitory action on thromboxane a synthesis in mice.
        J Pharmacol Exp Ther. 2015; 353: 269-278https://doi.org/10.1124/jpet.115.222612
        • Nakamura K
        • Sata M
        • Iwata H
        • et al.
        A synthetic small molecule, ONO-1301, enhances endogenous growth factor expression and augments angiogenesis in the ischaemic heart.
        Clin Sci (Colch). 2007; 112: 607-616https://doi.org/10.1042/CS20060301
        • Yajima S
        • Miyagawa S
        • Fukushima S
        • et al.
        Prostacyclin analogue–loaded nanoparticles attenuate myocardial ischemia/reperfusion injury in rats.
        JACC Basic Transl Sci. 2019; 4: 318-331https://doi.org/10.1016/j.jacbts.2018.12.006
        • Miyagawa S
        • Mizoguchi H
        • Fukushima S
        • et al.
        New regional drug delivery system by direct epicardial placement of slow-release prostacyclin agonist promise therapeutic angiogenesis in a porcine chronic myocardial infarction.
        J Artif Organs. 2021; 24: 465-472https://doi.org/10.1007/s10047-021-01259-3
        • Matsuura K
        • Wada M
        • Shimizu T
        • et al.
        Creation of human cardiac cell sheets using pluripotent stem cells.
        Biochem Biophys Res Commun. 2012; 425: 321-327https://doi.org/10.1016/j.bbrc.2012.07.089
        • Arnaoutova I
        • Kleinman HK
        In vitro angiogenesis: endothelial cell tube formation on gelled basement membrane extract.
        Nat Protoc. 2010; 5: 628-635https://doi.org/10.1038/nprot.2010.6
        • Yokoyama J
        • Miyagawa S
        • Akagi T
        • Akashi M
        • Sawa Y
        Human induced pluripotent stem cell-derived three-dimensional cardiomyocyte tissues ameliorate the rat ischemic myocardium by remodeling the extracellular matrix and cardiac protein phenotype.
        PLoS One. 2021; 16e0245571https://doi.org/10.1371/journal.pone.0245571
        • Ge SX
        • Son EW
        • Yao R
        iDEP: an integrated web application for differential expression and pathway analysis of RNA-Seq data.
        BMC Bioinf. 2018; 19: 534https://doi.org/10.1186/s12859-018-2486-6
        • Schindelin J
        • Arganda-Carreras I
        • Frise E
        • et al.
        Fiji: an open-source platform for biological-image analysis.
        Nat Methods. 2012; 9: 676-682https://doi.org/10.1038/nmeth.2019
        • Ingason AB
        • Goldstone AB
        • Paulsen MJ
        • et al.
        Angiogenesis precedes cardiomyocyte migration in regenerating mammalian hearts.
        J Thorac Cardiovasc Surg. 2018; 155: 1118-1127https://doi.org/10.1016/j.jtcvs.2017.08.127
        • Piret JP
        • Mottet D
        • Raes M
        • Michiels C
        Is HIF-1α a pro- or an anti-apoptotic protein?.
        Biochem Pharmacol. 2002; 64: 889-892https://doi.org/10.1016/S0006-2952(02)01155-3
        • Tada S
        • Okuno T
        • Shimizu M
        • et al.
        Single injection of sustained-release prostacyclin analog ONO-1301-MS ameliorates hypoxic toxicity in the murine model of amyotrophic lateral sclerosis.
        Sci Rep. 2019; 9: 5252https://doi.org/10.1038/s41598-019-41771-4
        • Shiba Y
        • Gomibuchi T
        • Seto T
        • et al.
        Allogeneic transplantation of iPS cell-derived cardiomyocytes regenerates primate hearts.
        Nature. 2016; 538: 388-391https://doi.org/10.1038/nature19815
        • Watson LE
        • Sheth M
        • Denyer RF
        • Dostal DE
        Baseline echocardiographic values for adult male rats.
        J Am Soc Echocardiogr. 2004; 17: 161-167https://doi.org/10.1016/j.echo.2003.10.010
        • Kawel N
        • Turkbey EB
        • Carr JJ
        • et al.
        Normal left ventricular myocardial thickness for middle-aged and older subjects with steady-state free precession cardiac magnetic resonance: the multi-ethnic study of atherosclerosis.
        Circ Cardiovasc Imaging. 2012; 5: 500-508https://doi.org/10.1161/CIRCIMAGING.112.973560
        • Masumoto H
        • Matsuo T
        • Yamamizu K
        • et al.
        Pluripotent stem cell-engineered cell sheets reassembled with defined cardiovascular populations ameliorate reduction in infarct heart function through cardiomyocyte-mediated neovascularization.
        Stem Cells. 2012; 30: 1196-1205https://doi.org/10.1002/stem.1089
        • Wu Q
        • Wang J
        • Tan WLW
        • et al.
        Extracellular vesicles from human embryonic stem cell-derived cardiovascular progenitor cells promote cardiac infarct healing through reducing cardiomyocyte death and promoting angiogenesis.
        Cell Death Dis. 2020; 11: 354https://doi.org/10.1038/s41419-020-2508-y
        • Shaik-Dasthagirisaheb YB
        • Varvara G
        • Murmura G
        • et al.
        Vascular endothelial growth factor (VEGF), mast cells and inflammation.
        Int J Immunopathol Pharmacol. 2013; 26: 327-335https://doi.org/10.1177/039463201302600206
        • Han C
        • Nie Y
        • Lian H
        • et al.
        Acute inflammation stimulates a regenerative response in the neonatal mouse heart.
        Cell Res. 2015; 25: 1137-1151https://doi.org/10.1038/cr.2015.110
        • Vagnozzi RJ
        • Maillet M
        • Sargent MA
        • et al.
        An acute immune response underlies the benefit of cardiac stem cell therapy.
        Nature. 2020; 577: 405-409https://doi.org/10.1038/s41586-019-1802-2
        • Carceles MD
        • Aleixandre F
        • Fuente T
        • López-Vidal J
        • Laorden ML
        Effects of rolipram, pimobendan and zaprinast on ischaemia-induced dysrhythmias and on ventricular cyclic nucleotide content in the anaesthetized rat.
        Eur J Anaesthesiol. 2005; 20: 205-211https://doi.org/10.1017/S0265021503000358
        • Kuttappan S
        • ichiro Jo J
        • Menon D
        • et al.
        ONO-1301 loaded nanocomposite scaffolds modulate cAMP mediated signaling and induce new bone formation in critical sized bone defect.
        Biomater Sci. 2020; 8: 884-896https://doi.org/10.1039/C9BM01352K
        • Pugh CW
        • Ratcliffe PJ
        Regulation of angiogenesis by hypoxia: role of the HIF system.
        Nat Med. 2003; 9: 677-684https://doi.org/10.1038/nm0603-677
        • Bansal SS
        • Ismahil MA
        • Goel M
        • et al.
        Dysfunctional and proinflammatory regulatory T-lymphocytes are essential for adverse cardiac remodeling in ischemic cardiomyopathy.
        Circulation. 2019; 139: 206-221https://doi.org/10.1161/CIRCULATIONAHA.118.036065
        • Lužnik Z
        • Anchouche S
        • Dana R
        • Yin J
        Regulatory T cells in angiogenesis.
        J Immunol. 2020; 205: 2557-2565https://doi.org/10.4049/jimmunol.2000574