Evaluation of Left Ventricular Regional Systolic Function Using Tissue Doppler Echocardiography After Mesenchymal Stem Cell Transplantation in Rabbits With Myocardial Infarction

J Ultrasound Med. 2015 Jul;34(7):1217-25. doi: 10.7863/ultra.34.7.1217.

Abstract

Objectives: The aim of this work was to assess left ventricular (LV) regional systolic function in rabbits with myocardial infarction after allogeneic mesenchymal stem cell (MSC) transplantation using quantitative tissue velocity imaging.

Methods: Thirty New Zealand White rabbits were assigned into 3 groups randomly: a sham-operated group (n = 10), a myocardial infarction (MI) group (n = 10), and a MSC transplantation group (n = 10). Mesenchymal stem cells (1 × 10(7) in total) were delivered into 5 spots around the left anterior descending artery (LAD) blood supply area via direct intramyocardial injections 1 hour after LAD ligation in the MSC group, whereas the MI group received the same amount of phosphate-buffered saline injections. Echocardiography was performed before LAD ligation and 1 day and 2 weeks after MSC transplantation, respectively. The peak systolic velocity (Vs) of each LV wall segment was measured. The myocardial slices were harvested for histologic staining after the last echocardiographic examination.

Results: The velocity curves for the LV myocardium before LAD ligation had a trend showing that the Vs value decreased gradually from basal to apical segments. The Vs values for the LV segments around the infarcted area in the MSC group decreased significantly compared with the sham group (P < .05) 1 day after MSC transplantation, whereas they increased significantly 2 weeks after MSC transplantation compared with 1 day after LAD ligation (P < .05).

Conclusions: This study demonstrates that quantitative tissue velocity imaging may provide a promising approach to quantitatively assessing LV regional systolic function before and after MSC transplantation.

Keywords: echocardiography; mesenchymal stem cells; myocardial infarction; quantitative tissue velocity imaging; tissue Doppler echocardiography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Echocardiography, Doppler*
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / physiopathology
  • Mesenchymal Stem Cell Transplantation*
  • Myocardial Infarction / diagnostic imaging*
  • Myocardial Infarction / physiopathology
  • Rabbits
  • Ventricular Dysfunction, Left / diagnostic imaging*
  • Ventricular Dysfunction, Left / physiopathology