Long-term engraftment and maturation of autologous iPSC-derived cardiomyocytes in two rhesus macaques.
Cell Stem Cell
; 31(7): 974-988.e5, 2024 Jul 05.
Article
in En
| MEDLINE
| ID: mdl-38843830
ABSTRACT
Cellular therapies with cardiomyocytes produced from induced pluripotent stem cells (iPSC-CMs) offer a potential route to cardiac regeneration as a treatment for chronic ischemic heart disease. Here, we report successful long-term engraftment and in vivo maturation of autologous iPSC-CMs in two rhesus macaques with small, subclinical chronic myocardial infarctions, all without immunosuppression. Longitudinal positron emission tomography imaging using the sodium/iodide symporter (NIS) reporter gene revealed stable grafts for over 6 and 12 months, with no teratoma formation. Histological analyses suggested capability of the transplanted iPSC-CMs to mature and integrate with endogenous myocardium, with no sign of immune cell infiltration or rejection. By contrast, allogeneic iPSC-CMs were rejected within 8 weeks of transplantation. This study provides the longest-term safety and maturation data to date in any large animal model, addresses concerns regarding neoantigen immunoreactivity of autologous iPSC therapies, and suggests that autologous iPSC-CMs would similarly engraft and mature in human hearts.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Myocytes, Cardiac
/
Induced Pluripotent Stem Cells
/
Macaca mulatta
Limits:
Animals
/
Humans
Language:
En
Journal:
Cell Stem Cell
Year:
2024
Document type:
Article
Affiliation country:
United States