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Human circulating AC133+ stem cells restore dystrophin expression and ameliorate function in dystrophic skeletal muscle
Yvan Torrente, … , Giulio Cossu, Nereo Bresolin
Yvan Torrente, … , Giulio Cossu, Nereo Bresolin
Published July 15, 2004
Citation Information: J Clin Invest. 2004;114(2):182-195. https://doi.org/10.1172/JCI20325.
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Article

Human circulating AC133+ stem cells restore dystrophin expression and ameliorate function in dystrophic skeletal muscle

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Abstract

Duchenne muscular dystrophy (DMD) is a common X-linked disease characterized by widespread muscle damage that invariably leads to paralysis and death. There is currently no therapy for this disease. Here we report that a subpopulation of circulating cells expressing AC133, a well-characterized marker of hematopoietic stem cells, also expresses early myogenic markers. Freshly isolated, circulating AC133+ cells were induced to undergo myogenesis when cocultured with myogenic cells or exposed to Wnt-producing cells in vitro and when delivered in vivo through the arterial circulation or directly into the muscles of transgenic scid/mdx mice (which allow survival of human cells). Injected cells also localized under the basal lamina of host muscle fibers and expressed satellite cell markers such as M-cadherin and MYF5. Furthermore, functional tests of injected muscles revealed a substantial recovery of force after treatment. As these cells can be isolated from the blood, manipulated in vitro, and delivered through the circulation, they represent a possible tool for future cell therapy applications in DMD disease or other muscular dystrophies.

Authors

Yvan Torrente, Marzia Belicchi, Maurilio Sampaolesi, Federica Pisati, Mirella Meregalli, Giuseppe D’Antona, Rossana Tonlorenzi, Laura Porretti, Manuela Gavina, Kamel Mamchaoui, Maria Antonietta Pellegrino, Denis Furling, Vincent Mouly, Gillian S. Butler-Browne, Roberto Bottinelli, Giulio Cossu, Nereo Bresolin

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Figure 5

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Localization of human endothelial cells in the interstitial space betwee...
Localization of human endothelial cells in the interstitial space between muscle fibers and into vascular structures after intramuscular transplantation of circulating AC133+ cells. (A–C) Immunofluorescence analysis of dystrophic TA muscle injected with blood-derived AC133+ cells 21 days before revealed human nuclear lamin A/C–positive cells (arrows in A, B, and C) coexpressing CD31 (B) in the interstitial spaces between muscle fibers (C, merge of A and B with laminin in green). The location outside of the basal lamina of the human nuclear laminin A/C (D) and VE-cadherin (E) double-positive cells confirmed that several injected AC133+ cells expressed endothelial markers (F, merge of D and E with laminin in green). Examination of vascular structures of injected dystrophic muscles disclosed incorporation of human injected cells expressing endothelial markers. G shows the localization of human nuclear lamin A/C–positive (green) cells incorporated into vascular structures stained with antibodies to the CD31 (red) and VE-cadherin (magenta) markers.

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