Myocardial Telocyte-Like Cells: A Review Including New Evidence

Cells Tissues Organs. 2018;206(1-2):16-25. doi: 10.1159/000497194. Epub 2019 Mar 15.

Abstract

Telocytes (TCs) are a controversial cell type characterized by the presence of a particular kind of prolongations, known as telopodes, which are long, thin, and moniliform. A number of attempts has been made to establish the molecular phenotype of cardiac TCs (i.e., expression of c-kit, CD34, vimentin, PDGRFα, PDGRFβ, etc.). We designed an immunohistochemical study involving cardiac tissue samples obtained from 10 cadavers with the aim of determining whether there are TC-like interstitial cells that populate the interstitial space other than the mural microvascular cells. We applied the markers for CD31, CD34, PDGRFα, CD117/c-kit, and α-smooth muscle actin (α-SMA). We found that, in relation to two-dimensional cuts, the endothelial tubes could be misidentified as TC-like cells, the difference being the positive identification of endothelial lumina. Moreover, we found that cardiac pericytes express PDGRFα, CD117/c-kit, and α-SMA, and that they could also be misidentified as TCs when using light microscopy. We reviewed the respective values of the previously identified markers for achieving a clear-cut identification of cardiac TCs, highlighting the critical lack of specificity.

Keywords: Cardiac stem cells; Immunohistochemistry; Myocardium; Pericytes; Stem niches.

Publication types

  • Review

MeSH terms

  • Actins / analysis
  • Animals
  • Antigens, CD34 / analysis
  • Humans
  • Immunohistochemistry
  • Myocardium / cytology*
  • Myocardium / ultrastructure
  • Pericytes / cytology
  • Pericytes / ultrastructure
  • Platelet Endothelial Cell Adhesion Molecule-1 / analysis
  • Proto-Oncogene Proteins c-kit / analysis
  • Receptor, Platelet-Derived Growth Factor alpha / analysis
  • Stem Cells / cytology
  • Telocytes / cytology*
  • Telocytes / ultrastructure

Substances

  • ACTA2 protein, human
  • Actins
  • Antigens, CD34
  • Platelet Endothelial Cell Adhesion Molecule-1
  • Proto-Oncogene Proteins c-kit
  • Receptor, Platelet-Derived Growth Factor alpha