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One of the major issues in myocardial gene therapy is poor transfection efficiency. The herpes simplex virus protein VP22 is known to facilitate intercellular protein transport. Not only VP22 but also VP22-linked protein are exported from the cytoplasm of cells, in which it is synthesised endogenously, and transferred to surrounding cells, where it is translocated into the nuclei. However, the feasibility and efficiency of the intercellular trafficking properties of VP22-linked protein in the myocardium has not been clarified. Rat hearts were transfected by direct intramyocardial injection of naked plasmid vectors encoding either lacZ or VP22-linked lacZ. At day 5 following transfection, similar numbers of cardiomyocytes surrounding the injection sites showed β-galactosidase (β -gal) expression in the cytoplasm in both groups. In addition to this, following transfection of VP22-linked lacZ, most of the cardiomyocytes adjacent to the cytoplasmic-positive cells demonstrated nuclear-localised β-gal expression. The number of these nuclear-positive cardiomyocytes, which are thought to be secondary protein-transported cells, was 4.3-fold greater than that of primary transfected, cytoplasmic-positive cells. Western blot analysis demonstrated that the amount of targeted protein expression is 2.9-fold greater following VP22-lacZ transfection (VP22-linked β-gal; approximately 40 kDa bigger than wild-type β-gal) compared with lacZ transfection (wild-type β-gal). This data highlights the efficiency of the VP22-mediated intercellular protein delivery in the myocardium following in vivo gene transfection and suggests that the VP22-mediated effect is useful in enhancing the efficacy of myocardial gene therapy. [Copyright &y& Elsevier]

Abstract: Cell transplantation is an emerging therapy for treating post-infarction heart failure. Although the paracrine effect has been proposed to be an important mechanism for the therapeutic benefits, details remain largely unknown. This study compared various aspects of the paracrine effect after transplantation of either bone marrow mononuclear cells (BMC) or skeletal myoblasts (SMB) into the post-infarction chronically failing heart. Three weeks after left coronary artery ligation, adult rats received intramyocardial injection of either BMC, SMB or PBS only. Echocardiography demonstrated that injection of either cell type improved cardiac function compared to PBS injection. Interestingly, BMC injection markedly improved neovascularization in the border areas surrounding infarcts, while SMB injection decreased fibrosis in both the border and remote areas. Injection of either cell type similarly reduced hypertrophy of cardiomyocytes as assessed by cell-size planimetry using isolated cardiomyocytes. Quantitative RT-PCR revealed that, among 15 candidate mediators of paracrine effects studied, Fgf2 and Hgf were upregulated only after BMC injection, while Mmp2 and Timp4 were modulated after SMB injection. Additional investigations of signalling pathways relevant to heart failure by western blotting showed that p38 and STAT3 were temporarily activated after BMC injection, in contrast, ERK1/2 and JNK were activated after SMB injection. There was no difference in activation of Akt, PKD or Smad3 among groups. These data suggest that paracrine effects observed after cell transplantation in post-infarction heart failure were noticeably different between cell types in terms of mediators, signal transductions and consequent effects. [Copyright &y& Elsevier]