Mesenchymal Stromal Cell Delivery Via Cardiopulmonary Bypass Provides Neuroprotection in a Juvenile Porcine Model

Kamil Sarkislali, Kei Kobayashi, Nemanja Sarić, Takuya Maeda, Soichiro Henmi, Fahad A. Somaa, Ankush Bansal, Shao Ching Tu, Camille Leonetti, Chao Hsiung Hsu, Jingang Li, Pranav Vyas, Yuka Imamura Kawasawa, Tsang Wei Tu, Paul C. Wang, Patrick J. Hanley, Kazue Hashimoto-Torii, Joseph A. Frank, Richard A. Jonas, Nobuyuki Ishibashi

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Oxidative/inflammatory stresses due to cardiopulmonary bypass (CPB) cause prolonged microglia activation and cortical dysmaturation, thereby contributing to neurodevelopmental impairments in children with congenital heart disease (CHD). This study found that delivery of mesenchymal stromal cells (MSCs) via CPB minimizes microglial activation and neuronal apoptosis, with subsequent improvement of cortical dysmaturation and behavioral alteration after neonatal cardiac surgery. Furthermore, transcriptomic analyses suggest that exosome-derived miRNAs may be the key drivers of suppressed apoptosis and STAT3-mediated microglial activation. Our findings demonstrate that MSC treatment during cardiac surgery has significant translational potential for improving cortical dysmaturation and neurological impairment in children with CHD.

Original languageEnglish (US)
Pages (from-to)1521-1535
Number of pages15
JournalJACC: Basic to Translational Science
Volume8
Issue number12
DOIs
StatePublished - Dec 2023

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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