One of the major issues in cell therapy of myocardial infarction (MI) is early death of engrafted cells in a harsh oxidative stress environment, which limits the potential therapeutic utility of this strategy in the clinical setting. Increasing evidence implicates beneficial effects of omega-3 fatty acids including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) Abbreviations: AA, ascorbic acid; ANOVA, analysis of variance; ARE, antioxidant response element; bFGF, basic fibroblast growth factor; BSA, bovine serum albumin; Col1, Collagen type 1; CX43, connexin 43; DAPI, 4 0 ,6-diamidino-2-phenylindole; DCF, 2 0 ,7 0 -dichlorofluorescein diacetate; DHA, docosahexaenoic acid; ECL, enhanced chemiluminescence; EF, ejection fraction; EPA, eicosapentaenoic acid; ESC, embryonic stem cell; FS, fractional shortening; GAPDH, glyceraldehyde 3-phosphate dehydrogenase; HCl, hydrochloric acid; HO-1, heme oxygenase-1; HRP, horseradish peroxidase; IgG, immunoglobulin G; LAD, left anterior descending artery; LDL, low-density lipoprotein; LV, left ventricle; LVD d , LV end-diastolic dimension; LVD s , LV end-systolic dimension; MI, myocardial infarction; mtDNA, mitochondrial DNA; MTS, 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazoliuminner salt; MYH6, myosin heavy chain, α isoform; PAGE, polyacrylamide gel electrophoresis; PBS, phosphate buffered saline; PCR, polymerase chain reaction; PVDF, polyvinylidene difluoride; ROS, reactive oxygen species; SDS, sodium dodecyl sulfate; SEM, standard error of the mean; TBST, tris buffered saline with tween; TNNT2, cardiac troponin † Nasser Aghdami and Hossein Baharvand contributed equally to this work.
BioFactors
427Research Communication and ascorbic acid (AA) in cardiovascular diseases, in particular their role in ameliorating fibrosis. In the current study, we aim to assess the cytoprotective role of EPA + DHA and AA in protecting embryonic stem cell (ESC)-derived cardiac lineage cells and amelioration of fibrosis. Herein, we have shown that preincubation of the cells with EPA + DHA + AA prior to H 2 O 2 treatment attenuated generation of reactive oxygen species (ROS) and enhanced cell viability. Gene expression analysis revealed that preincubation with EPA + DHA + AA followed by H 2 O 2 treatment, upregulated heme oxygenase-1 (HO-1) along with cardiac markers (GATA4, myosin heavy chain, α isoform [MYH6]), connexin 43 [CX43]) and attenuated oxidative stressinduced upregulation of fibroblast markers (vimentin and collagen type 1 [Col1]). Alterations in gene expression patterns were followed by marked elevation of cardiac troponin (TNNT2) positive cells and reduced numbers of vimentin positive cells. An injection of EPA + DHA + AA-pretreated ESC-derived cardiac lineage cells into the ischemic myocardium of a rat model of MI significantly reduced fibrosis compared to the vehicle group. This study provided evidence that EPA + DHA + AA may be an appropriate preincubation regimen for regenerative purposes.