There is a great need for therapeutic strategies that aid in the repair or regeneration of ischemic tissue following myocardial infarction, especially therapies that can improve the engraftment of therapeutic cells (i.e. stem cells). Myocardial infarction typically leads to death of cardiomyocytes in the infarct zone that culminates in pathological remodeling of the heart. This can cause severe consequences such as cardiac dilation, wall thinning and deterioration of contractile function leading to congestive heart failure. Therapeutic strategies that aim to harness or enhance (with an exogenous cell source) natural stem cell homing mechanisms show promise to preserve and restore cardiac output following myocardial infarction. Although results in human trials are mixed, certain negative results may be explained by inefficient homing mechanisms. We have recently developed a simple platform strategy that can be used to effectively incorporate potentially any homing receptor onto a cell surface for systemic cell targeting. We have shown that incorporation of homing receptors onto the surface of mesenchymal stem cells (MSCs) can lead to a robust homing response which we have characterized via in vitro cell rolling experiments under physiologically simulated conditions. We have also shown that our approach can be used to significantly enhance the homing of systemically infused MSCs within a murine model of inflammation. Importantly, we have determined modification conditions that maintain MSC viability, cell adhesion, proliferation, and multi-differentiation capacities. The goal of this work is to engineer the surface of MSCs to enhance their trafficking efficiency to site of cardiovascular disease, and improve the homogeneity of the homing response without affecting their native properties, including their ability to transmigrate through vascular endothelium. Our initial efforts will focus on attaching biotinylated ligands to induce a robust cell rolling response. To emigrate to extravascular spaces, circulating cells must rapidly develop strong adhesion to, and arrest on specific sites of vascular endothelium while resisting continuous shear forces at the vessel walls. Since selecting-dependent adhesion of leukocytes does not lead to firm adhesion and transmigration unless another set of adhesion molecules, the integrins, are engaged, we plan to co-immobilize rolling ligands with antibodies that target integrins that are expressed on endothelium at sites of inflammation or within ischemic tissue.

Public Health Relevance

The aim of this proposal is to engineer the surface of mesenchymal stem cells to enhance their trafficking efficiency to sites of cardiovascular disease, and improve the homogeneity of the homing response without affecting their native properties, including their ability to transmigrate through vascular endothelium and capacity for multi-lineage differentiation. The development of this novel approach will have broad implications for wound repair and treatment of many tissues where cell based therapies is appropriate. Potential benefits for treatment of ischemic tissue following myocardial infarction include increased cardiac output leading to increased survival and improved quality of life.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Research Project (R01)
Project #
Application #
Study Section
Intercellular Interactions (ICI)
Program Officer
Thomas, John
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Brigham and Women's Hospital
United States
Zip Code
Ankrum, James A; Miranda, Oscar R; Ng, Kelvin S et al. (2014) Engineering cells with intracellular agent-loaded microparticles to control cell phenotype. Nat Protoc 9:233-45
Ankrum, James A; Ong, Joon Faii; Karp, Jeffrey M (2014) Mesenchymal stem cells: immune evasive, not immune privileged. Nat Biotechnol 32:252-60
Choi, Sungyoung; Levy, Oren; Coelho, Monica B et al. (2014) A cell rolling cytometer reveals the correlation between mesenchymal stem cell dynamic adhesion and differentiation state. Lab Chip 14:161-6
Sridharan, Rukmani; Karp, Jeffrey M; Zhao, Weian (2014) Bioengineering tools to elucidate and control the fate of transplanted stem cells. Biochem Soc Trans 42:679-87
Ankrum, James A; Dastidar, Riddhi G; Ong, Joon Faii et al. (2014) Performance-enhanced mesenchymal stem cells via intracellular delivery of steroids. Sci Rep 4:4645
O'Cearbhaill, Eoin D; Ng, Kelvin S; Karp, Jeffrey M (2014) Emerging medical devices for minimally invasive cell therapy. Mayo Clin Proc 89:259-73
Levy, Oren; Zhao, Weian; Mortensen, Luke J et al. (2013) mRNA-engineered mesenchymal stem cells for targeted delivery of interleukin-10 to sites of inflammation. Blood 122:e23-32
Mortensen, Luke J; Levy, Oren; Phillips, Joseph P et al. (2013) Quantification of Mesenchymal Stem Cell (MSC) delivery to a target site using in vivo confocal microscopy. PLoS One 8:e78145
Bose, Suman; Singh, Rishi; Hanewich-Hollatz, Mikhail et al. (2013) Affinity flow fractionation of cells via transient interactions with asymmetric molecular patterns. Sci Rep 3:2329
Levy, Oren; Anandakumaran, Priya; Ngai, Jessica et al. (2013) Systematic analysis of in vitro cell rolling using a multi-well plate microfluidic system. J Vis Exp :e50866

Showing the most recent 10 out of 22 publications