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WO2017018629A1 - Myocyte-mixed sheet using stem cell support, and manufacturing method therefor - Google Patents

Myocyte-mixed sheet using stem cell support, and manufacturing method therefor Download PDF

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Publication number
WO2017018629A1
WO2017018629A1 PCT/KR2016/002428 KR2016002428W WO2017018629A1 WO 2017018629 A1 WO2017018629 A1 WO 2017018629A1 KR 2016002428 W KR2016002428 W KR 2016002428W WO 2017018629 A1 WO2017018629 A1 WO 2017018629A1
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cells
stem cells
sheet
adipose
mixed
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French (fr)
Korean (ko)
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임도선
주형준
김종호
서하림
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Korea University Research and Business Foundation
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/38Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells

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  • the present invention relates to a myocyte mixed sheet using a stem cell support and a method for producing the same, and more particularly, to a method for producing a mixed sheet with a myocyte transplantable in vivo using adipose stem cells as a support.
  • Stem cells are undifferentiated cells with self-replicating capacity and the ability to differentiate into any tissue. Undifferentiated stem cells can be differentiated into various cells and tissues by providing appropriate conditions. The regenerative treatment of damaged tissues using the stem cell differentiation ability has been actively studied.
  • multipotency stem cells such as adipose-derived stem cells (ADSCs) are stem cells that can only differentiate into specific cells of tissues or organs. It has the function of inducing the maintenance and regeneration of. These tissue specific multipotent cells are collectively referred to as adult stem cells (A. Miranville et al., Circulation , 110: 349, 2004). Unlike embryonic stem cells extracted from human embryos, adult stem cells have fewer ethical problems because they are extracted from adult tissues, and have excellent self-renewal ability and have differentiation ability to differentiate into fat, bone, cartilage, vascular endothelium and cardiomyocytes. Have. In addition, it is possible to obtain a larger amount of stem cells than in other tissues, and the extraction process is safe and easy (PA Zuk et al., Tissue Eng. , 7: 211, 2001).
  • transplant stem cells for regeneration of damaged organs and tissues
  • various cell transplantation methods to damaged organs and tissues have been attempted, such as a method of directly injecting a damaged organ or tissue, and a method of injecting into a vein vessel or systemic administration.
  • transplanted stem cells have low engraftment and most have been reported to be wash-out.
  • following observation of the transplanted cells shows that most of them are damaged in the lung or kidney. I have difficulty identifying direct effects or transplanted cells in tissues.
  • transplantation is being carried out by increasing the quantity and frequency of stem cells, but there is a problem of continuously transplanting a high concentration of cells, and even if the transplantation is successful, the treatment effect is higher than expected due to poor cell environment. There is a limit to the example.
  • a culture dish method is proposed in which a surface is smeared with a temperature-responsive polymer.
  • culturing the culture plate plated with a temperature-responsive polymer can produce a cell sheet using a large amount of cells, but there is a disadvantage that the sheet can not be recovered depending on the state of the various types of cells and culture.
  • attempts using polymeric materials, mixed scaffolds, and biodegradable scaffolds do not guarantee cell viability during the period in which transplanted cells are engrafted, despite the use of biomaterials. There are limitations in terms of side effects.
  • the present inventors have made diligent efforts to overcome the disadvantages of the existing cell sheet by applying the multi-differentiation advantage of stem cells to the treatment of damaged organs or tissues, to produce a mixed sheet of cardiomyocytes using adipose stem cells as a support It was confirmed that the function of maximizing the proliferation, survival and stable engraftment of the mixed cells and the like, and completed the present invention.
  • An object of the present invention is to provide a method for preparing a myocyte mix sheet using a stem cell support and a myocyte mix sheet using a stem cell support prepared by the above method.
  • the present invention comprises the steps of (a) culturing the adipose stem cells, and further seeding (seeding) the myocytes for transplantation into adipose stem cells to culture together; And (b) provides a method for producing a mixed sheet of fat stem cell support and transplanted muscle cells comprising the step of peeling and recovering the mixed sheet of fat stem cells and transplanted muscle cells cultured in step (a).
  • the present invention also provides a mixed sheet of adipose stem cell support prepared by the above method and a myocyte for transplantation.
  • 1 is a graph showing the density of fat stem cells per unit area.
  • Figure 2 is a graph showing a comparison of cytokines secreted by culturing fat and stem cells at low density and high density.
  • 3 is a photograph obtained by seeding 5 ⁇ 10 6 fat stem cells, using an optical microscope (scale bar is 100 ⁇ m).
  • Figure 4 is a photograph of the sheet formation results using adipose stem cells.
  • 5 is a multi-layered photograph confirmed by hematoxylin-eosin staining after adipocyte stem cell formation (scale bar is 100 ⁇ m).
  • Figure 6 is a photograph of the mouse embryonic stem cells and bone marrow stem cells after CFDA (Carboxyfluorescein diacetate succinimidyl ester) staining, confirming the sheet formation.
  • CFDA Carboxyfluorescein diacetate succinimidyl ester
  • Figure 9 is a result of photographs and engraftment rate confirming the presence of the inside of the heart confirmed over time after transplantation of adipose stem cell sheet and adipose stem cells in the heart induced myocardial infarction.
  • FIG. 10 is a multi-layered photograph confirming the presence or absence of the adipose stem cell sheet and the adipose stem cell in the heart induced myocardial infarction by the Masson's trichrome staining technique.
  • FIG. 11 is a result of the ratio of pulsatile cardiomyocytes (green) induced from adipose stem cells and mouse embryonic stem cells in the process of making a beating heart muscle cell mixture sheet derived from mouse embryonic stem cells using adipose stem cell support (Scale bar is 100 ⁇ m).
  • FIG. 12 is a photograph obtained by using an optical microscope after the formation of a beating heart muscle cell mixed sheet derived from mouse embryonic stem cells using adipose stem cell support. Inside the dashed line is the region where the pulsating cardiomyocytes are present (scale bar is 100 ⁇ m).
  • Figure 13 is a photograph of the results of the beating heart muscle cell mixture sheet induced in mouse embryonic stem cells using adipose stem cell support.
  • Figure 14 is a photograph obtained by using an optical microscope after the cardiomyocyte mixed sheet formation of the mouse neonatal using adipose stem cell support.
  • FIG. 15 is a photograph of cardiomyocyte cells mixed with a mouse neonatal using adipose stem cell support, followed by cardiomyocytes (red) and surrounding adipose stem cells (nucleus; blue) using immunofluorescence staining (scale bar is 100 ⁇ m) ).
  • Figure 16 shows the results of confirming the formation of a variety of myocytes mixed sheet using adipose stem cell support (a: cardiac myoblasts, b: coronary smooth muscle cells, c: myoblasts).
  • Figure 17 is a photograph of the observation of the nucleus (blue) of the mixed sheet by immunofluorescence staining after the formation of various myocytes (red) mixed sheet using adipose stem cell (green) support (a: cardiac myoblast, b: coronary artery Smooth muscle cells, c: myoblasts).
  • the present invention after culturing the adipose stem cells as a support in a general culture plate, and further seeding myocytes to prepare a mixed sheet, it is possible to produce a mixed sheet of pulsating muscle cells and stem cells difficult to produce a multi-layer sheet there was.
  • the present invention in one aspect (a) culturing the adipose stem cells, and further seeding (seeding) the myocytes for transplantation into adipose stem cells to culture together; And (b) peeling and recovering the mixed sheet of the adipose stem cells and the transplanted muscle cells cultured in the step (a).
  • the present invention relates to a mixed sheet of adipose stem cell support prepared by the above method and a myocyte for transplantation.
  • the support is preferably adipose tissue-derived stem cells, but is not limited thereto.
  • the adipose stem cells used as a support is used for adipose stem cells for maximizing the synergistic effect with the mixed cells as much as differentiation into various cells and recovery effects on damaged organs or tissues are reported. It is desirable to.
  • the present invention uses mouse adipose stem cells, but is not limited thereto. It is possible to use adipose stem cells isolated from all mammals including humans, white papers, pigs and monkeys.
  • Adipose stem cells as the support have proliferation and differentiation originating in vivo, and the function of the differentiated cells has been verified so that they can engraft and proliferate in damaged organs or tissues after transplantation in the body. In addition, it is characterized by being compatible with the surrounding tissues to minimize the inflammatory response.
  • the origin of the adipose stem cells is not particularly limited in the present invention, but the adipose tissue is composed of a combination of various surrounding tissues surrounding the adipose tissue, including the mature adipose cells, and refers to all adipose tissue regardless of the position in the body.
  • the use of pericardial fat, subcutaneous fat, mesenteric fat, gastrointestinal fat and posterior peritoneal adipose tissue is preferred, and in the present invention, the normal adipose tissue is isolated and washed in male mice to clean pure fat using collagenase. Stem cells were recovered and used.
  • the separated and recovered adipose stem cells may be cultured up to 2 passages in a culture medium, and then their properties may be confirmed using conventional cell phenotypic markers. These markers are preferably, but not limited to, CD13, CD29, CD34, CD44, CD49a, CD90 and Sca-1. In addition, it is possible to assess the titer of stem cells through various cell differentiation. Differentiation induction includes, but is not limited to, fat, bone, cartilage, nerves, vascular endothelium, cardiomyocytes and the like.
  • adipose stem cells in forming adipose stem cells as the support, it is preferable to incubate in 37%, 5% CO 2 incubator for 36 hours. If the incubation time is less than the above time, there is a problem that the adipose stem cells are not enough to be formed as a support, and are torn, and if the time is longer than this time, the stem cell titer of the adipose stem cells decreases due to the long incubation time, and hypoxia The time is most appropriate because there is a problem that can lead to apoptosis.
  • the stem cells are preferably cultured by seeding (seeding) at a density of 0.5 ⁇ 1.0 ⁇ 10 6 cells / cm 2 , but is not limited thereto.
  • the number of adipose stem cells is less than the number of cells shown above, there is a problem in that a dense sheet that cannot serve as a support is not formed. On the contrary, if the number of cells in the range is more than two times, the cells are killed relatively. Since the number of cells increases, the possibility of contamination such as turbidity of the culture solution increases, so the density per area is most suitable.
  • the optimum amount of cells per area for seeding for preparing adipose stem cell sheet as a support was derived (FIG. 1).
  • the growth factors Adiponectin, MCP-1, SDF-1, VEGFc, HGF, IGF
  • TGF ⁇ 1 is secreted more from high-density fat stem cells than low-density fat stem cells.
  • TGF ⁇ 1 is secreted more from high-density fat stem cells than low-density fat stem cells.
  • Collagen I, Laminin- ⁇ 4, Fibronectin and Vitronectin was confirmed, but their secretion is not necessarily limited thereto.
  • These factors help to form a solid sheet between the adipose stem cells, and act as a paracrine effect (transcrine effect) after transplantation can represent a better effect of transplantation (Fig. 2).
  • stem cells transplantation using stem cells has been tried in various ways for a long time, and one of the stem cell transplantation methods has recently emerged a method using a cell sheet.
  • limitations on sheet formation have been reported depending on the characteristics of the cells to be transplanted. For example, there are no limitations in the production of stem cells or cells forming a multi-layer, but pulsating cardiomyocytes or cells that do not form a multilayer have limitations in current sheet making methods. Therefore, the present invention proposes a new mixed sheet manufacturing method that can overcome the limitations of these cell types.
  • the type and origin of the additional seeding cells are not particularly limited, and include both cells that can be produced in the form of existing sheets and impossible cells.
  • rat-derived cardiomyocytes, human-derived coronary artery smooth muscle cells, and mouse-derived myoblasts are preferred, and beating heart muscle cells are most preferred, but are not limited thereto.
  • the additional seeding cells are preferably transplanted myocytes which do not form a multilayer or pulsate, and specifically, but not limited to cardiomyocytes, cardiomyocytes, smooth muscle cells or myoblasts, but is not limited thereto. .
  • the myocytes may be characterized in that seeding 2 ⁇ 10 6 beating cardiomyocytes on a 6 wells plate seeded with adipose stem cells used as a support. If the number of additional mixed cells is less than the number of the above-mentioned cells, the engraftment rate of the mixed cells and the proliferation area are narrowed, and the effect is insignificant. On the contrary, if the number of the above-mentioned cells is exceeded, the hypoxic state of the adipose stem cells used as a support is used. And since it is possible to reduce the strength of the support, it is preferable to adjust and use within the above range.
  • the optimal ratio of forming a beating cardiomyocyte mixed sheet derived from mouse embryonic stem cells into additional mixed cells was derived (FIG. 11).
  • the stem cells and cardiomyocytes are preferably seeded at a ratio of 2: 3, but are not limited thereto.
  • the incubation time is less than this time, there is a problem that the mixing sheet is not made because the time for engraftment and stabilization of additional mixed cells is not sufficient, and if the time is longer than this time, due to excessive proliferation of fat stem cells as a support with a long incubation time.
  • the time is most appropriate because there is a problem that can lead to a decrease in stem cell titer, apoptosis due to hypoxia.
  • the same ratio of the cells and the culture time conditions were prepared to prepare a myocyte mixed sheet derived from various species and derived using adipose stem cells as a support, and confirmed the successful formation of the mixed sheet (FIGS. 16 and 17).
  • the peeling of the mixed cell sheet is most preferably one using a scraper, but is not necessarily limited thereto.
  • a scraper due to the nature of the general dish, there is a problem of dissociation of all the cells using proteolytic enzymes.
  • the recovered mixed cell sheet is preferably at least 60% of the total culture dish area, but is not limited thereto.
  • the sheet of the present invention is due to the seeding of appropriate cells, and can be configured in a free size to replenish the area of damaged organs or tissues. There is no restriction
  • a cardiac specific marker (FIGS. 14 and 15).
  • pulsating cardiomyocytes can be identified, which can be evaluated using cardiac specific markers. These markers include, but are not limited to, cardiac troponin T (cTnT), cardiac troponin I (cTnI), ⁇ -cardiac actin, ⁇ -actinin and myosin heavy chain (MHC). The phenotype of these cells can be assessed as cardiac specific cells.
  • the myocardial infarction animal model was used in the implantation of the cardiomyocyte cell mixture sheet using the adipose stem cell support of the present invention, but is not limited thereto.
  • a sheet using adipose stem cells as a support rather than suspended fat stem cells was obtained for a long time (Fig. 9).
  • the engraftment rate is significantly lowered after about 28 days compared to the 3-4 days after transplantation, and most of the cell mixing sheets are only the extent of confirming the presence of cells after transplantation, and the cell mixing with excellent transplant efficiency is achieved. There is no sheet.
  • the cardiomyocyte mixed sheet using the adipose stem cell support of the present invention as shown in Figure 6, even after 28 days after transplantation can be confirmed an excellent engraftment rate of about 30% compared to the fourth day. It can be seen that it shows a very good engraftment rate compared to known cell mixing sheets or topical injection therapy.
  • a sheet using adipose stem cells according to the present invention as a support can be engrafted in vivo in addition to adhesion. It is an excellent sheet that may require a paracrine effect, as it shows a reduced recovery of fibrinated sites in damaged tissue (FIG. 10).
  • a culture dish coated with a temperature-responsive polymer is used in the conventional method of culturing specific cells in a culture dish coated with a temperature-responsive polymer and producing a sheet using a biomaterial such as fibrinogen.
  • a culture dish coated with a temperature-responsive polymer is used. There is a problem that it is impossible to incubate for a long time.
  • the new mixed sheet manufacturing method of the present invention can overcome these limitations.
  • the method for preparing a cardiomyocyte cell mixture sheet using the adipose stem cell support for producing an implantable sheet according to the present invention is easier to handle than a method for preparing a sheet using a temperature-responsive polymer culture dish, a living body, and a chemical material. Do. In addition, it is a method that minimizes the economic burden and minimizes the time to prepare for cell transplantation by using existing built equipment.Excellent cell survival even after transplantation, and uses stem cells, resulting in fewer side effects. Alternatively, the enhanced effect of cell therapy with sheet in tissue can be expected.
  • the various growth factors of the adipose stem cells present in the living body can remove the immune rejection reaction.
  • pulsating cardiomyocytes it is not only difficult to produce a sheet using alone, but also has a disadvantage in that long-term culture is difficult and recovery is not high.
  • the fat stem cell sheet which is conventionally used according to the present invention, is used as a support, a problem of recovery rate can be solved by mixing cells (pulsating cells such as cardiomyocytes) that are difficult to produce alone as cell sheets. I can solve it.
  • the admixture sheet with the adipose stem cells has the advantage of being a cell sheet capable of transplanting for a specific tissue by purely mixing the adipose stem cells and various cells without using other chemical treatment or non-biomaterials.
  • the cell delivery success rate and function recovery were increased as compared with the transplantation of the previously reported single stem cells.
  • angiogenesis was increased in the infarct area in the transplantation into the infarcted myocardium, which has a beneficial effect of shortening the treatment time.
  • the present invention not only consumes less time and money, but also mixes adipose stem cells with a variety of cells in a general culture dish to produce a mixed sheet composed of a dense, solid multilayer instead of a single layer.
  • adipose stem cells with a variety of cells in a general culture dish to produce a mixed sheet composed of a dense, solid multilayer instead of a single layer.
  • it is a method of manufacturing a mixed sheet of cells that is expected to be developed into a clinical application such as safe and stable local regeneration treatment, which has no side effects and exhibits a stable effect after transplantation.
  • the present invention is a very useful invention in the fields of medicine and biology such as regenerative engineering, cell engineering, tissue engineering and medical engineering.
  • adipose stem cells were recovered from the peri testicular adipose tissue.
  • the recovered stem cells were cultured in two passages in a baseal mesdium containing FBS and various growth factors using MesenCult TM Proloferation kit (Stem Cell Technology), and positive expression of Sca-1, known as stem cell marker, was confirmed.
  • Induction of differentiation into bone, vascular endothelial and cardiomyocytes into four cells was verified as stem cells.
  • the cells were seeded on 6 wells plates at various cell densities.
  • stem cells were incubated for 48 hours at 37 ° C., 5% CO 2 incubator to check the morphology of the cells through an optical microscope (FIG. 3), and then peeled off with a scraper to recover the sheets (FIGS. 4 and 5). .
  • mice stem cell sheet formation using mouse stem cells derived from mice and bone marrow stem cells, which are adult stem cells derived from mice, were confirmed.
  • Each stem cell was labeled with CFDA (Carboxyfluorescein diacetate succinimidyl ester) staining, and then seeded under the cell density conditions established in Example 1 (approximately 5 x 10 6 cells) at 37 ° C., 5% CO 2 incubator for 48 hours. Incubated at.
  • Mouse embryonic stem cells were cultured by adding FBS and growth factors using GMEM as the baseal mesdium, and mouse bone marrow stem cells were cultured using a culture medium added with FBS to DMEM containing a large amount of glucose.
  • embryonic stem cells and bone marrow stem cells were disintegrated by low density prior to sheet formation, and thus could not form a sheet to the support, or tearing easily occurred even when forming a sheet. 6).
  • the density and the sheet formation of the stained cells were again confirmed.
  • the nuclei of stem cells stained with green by CFDA were stained with DAPI (blue), and then observed by light microscopy at 100, 200 and 400 times.
  • mouse-derived embryonic stem cells are divided into fragments without forming a sheet as a support (FIG. 7).
  • mouse-derived bone marrow stem cells intermittent formation of a multi-layered cell layer was observed. Existed in several fragments (FIG. 8).
  • adipose stem cells can form a sheet as a support by secretion of various growth factors and extracellular matrix.
  • adipose stem cell sheets were prepared to induce myocardial infarction by ligation of the coronary artery, and then successfully induced the infarction of the induced myocardial infarction.
  • the recovered adipose stem cell sheets and suspended adipose stem cells were transplanted. After transplantation, the presence of adipocytes and the effects of cardiac function over time were checked for 28 days.
  • the results of echocardiography measuring cardiac function increased the cardiac function compared to the control group, and the fat in the infarcted heart due to differentiation into neovascularization and increased growth factor secretion through stem cell transplantation.
  • the positive effect of the stem cell sheet was confirmed.
  • induced cardiac myocytes beating in a 5% CO 2 incubator at 37 ° C. for 4.5 days using an inducer, and then in an alpha-MEM medium containing FBS, 2-mercaptoenthanol, and L-glutamine. Incubated.
  • eGFP enhanced green fluorescent protein
  • mice fat stem cells were seeded in 6 wells plates and FBS and various growth factors were obtained using a MesenCult TM Proloferation kit (Stem Cell Technology) in a 37 ° C., 5% CO 2 incubator for 36 hours.
  • MesenCult TM Proloferation kit Stem Cell Technology
  • 2 ⁇ 10 6 seeded pulsating cardiomyocytes derived from mouse embryonic stem cells were additionally seeded and cultured for 12 hours at 37 ° C., 5%, using the same culture medium. Incubated in a CO 2 incubator.
  • pulsatile cardiomyocytes derived from adipocytes and mouse embryonic stem cells were compared.
  • the ratio of pulsating cardiomyocytes derived from adipose stem cells and mouse embryonic stem cells as a support was found to be an optimal ratio of 2: 3 to form a mixed sheet (FIG. 11).
  • a mixed sheet of pulsating cardiomyocytes derived from mouse embryonic stem cells using adipose stem cell support was peeled off with a scraper to obtain a mixed sheet of pulsating cardiomyocytes derived from mouse embryonic stem cells using adipose stem cell support.
  • the pulsating cardiomyocytes could be identified even after peeling of the mixed sheet, and no separation was observed between the pulsating cardiomyocytes and adipose stem cells.
  • mice Cardiac tissues of mice were recovered immediately after delivery (within 48 hours of delivery), and the recovered cardiac tissues were finely pulverized and treated with collagenase for 30 minutes to obtain mouse neonatal cardiomyocytes.
  • Mouse neonatal cardiomyocytes were cultured in two passages, and then stained using antibodies such as cTnT, cTnI, ⁇ -cardiac actin, MHC, etc. to confirm the behaviour.
  • mice fat stem cells were seeded on 6 wells plates, and then FBS and various growth factors were obtained using MesenCultTM Proloferation kit (Stem Cell Technology) in 37 ° C., 5% CO 2 incubator for 36 hours. After culturing in a baseal mesdium containing, and further 2 ⁇ 10 6 obtained cardiac muscle cells of the newborn cells were cultured in 37 °C, 5% CO 2 incubator for 48 hours using the same culture medium cultured adipose stem cells It was.
  • the mixed cells of neonatal cardiomyocytes using adipose stem cell scaffolds were peeled off with a scraper to obtain a neonatal cardiomyocytes mixed sheet using adipose stem cell scaffolds.
  • a culture of adipose stem cells with a baseal mesdium containing FBS and various growth factors using a MesenCult TM Proloferation kit (Stem Cell Technology) and seeding additional cardiomyocytes The culture was incubated for 2 days.
  • both cardiomyocytes derived from mouse embryonic stem cells and cardiac muscle cells of mouse newborns were cultured using the existing mouse adipocyte culture medium, no changes in cardiomyocytes were observed.
  • a myocyte mixture sheet derived from various species and derivatives was prepared using adipose stem cells as a support.
  • Adipose stem cells were used as supporters to form the respective mixed sheets using rat-derived BDIX cardiomyocytes, human-derived coronary smooth muscle cells, or mouse-derived C3H myoblasts.
  • the rat-derived BDIX cardiomyocytes, the human-derived coronary smooth muscle cells, and the mouse-derived C3H myoblasts formed a mixed sheet with the adipocytes.
  • Mouse adipose stem cells were then subjected to CFDA (Carboxyfluorescein diacetate succinimidyl ester; green) staining to differentiate cells, seeded 5 ⁇ 10 6 in 6 wells plates, and then 37 ° C., 5% CO for 36 hours. Incubated in 2 incubators.
  • CFDA Carboxyfluorescein diacetate succinimidyl ester
  • rat-derived BDIX cardiomyocytes human-derived coronary smooth muscle cells and mouse derived stained with DiI (1,1'-Dioctadecyl-3,3,3 ', 3'-Tetramethylindocarbocyanine Perchlorate; red)
  • Each of the C3H myoblasts was seeded by 2 ⁇ 10 6 cells to the cultured adipose stem cells, and cultured in a 5% CO 2 incubator at 37 ° C. for 48 hours using the same culture medium in which the adipose stem cells were cultured. Then, each obtained mixed sheet was subjected to freezing sections to stain the nucleus with DAPI (blue).
  • adipose stem cells In the preparation of a mixed sheet of adipose stem cells and various myocytes, cultivation of adipose stem cells with a baseal mesdium containing FBS and various growth factors using the MesenCult TM Proloferation kit (Stem Cell Technology), followed by additional BDIX-derived BDIX Cardiac myoblasts, human-derived coronary artery smooth muscle cells or mouse-derived C3H myoblasts were seeded and cultured in the same culture for 2 days. When rat-derived BDIX cardiomyocytes, human-derived coronary smooth muscle cells, and mouse-derived C3H myoblasts were all cultured using conventional mouse adipose stem cell culture, no change of cells was observed.
  • the stem cells as a support was unable to confirm the sheet formation using mouse-derived embryos or bone marrow stem cells, but when mixed sheets prepared with adipose stem cells using various muscle cells regardless of species, all the sheets were firmly mixed without separation. It could be confirmed that is formed.
  • the mixed sheets of myocytes using the adipose stem cell support according to the present invention can be easily manufactured at low cost in a short time, and can be transplanted into the living body in a stable and safe manner, which makes it difficult to produce a sheet alone, and thus, clinical application such as local regenerative therapy. In addition, it is industrially useful.

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Abstract

The present invention relates to a myocyte-mixed sheet using a stem cell support, and a manufacturing method therefor and, more specifically, to a method for manufacturing an in vivo-implantable, myocyte-mixed sheet by using adipose-derived stem cells as a support. According to the present invention, the myocyte-mixed sheet using an adipose-derived stem cell support, can be easily manufactured in a short period of time at low cost and enables stable and safe in vivo implantation of cells, which are difficult to be manufactured in sheets individually, thereby being useful for industrial purposes in addition to clinical application such as local regenerative therapy.

Description

줄기세포 지지체를 이용한 근세포 혼합시트 및 그의 제조방법Myocyte mixed sheet using the stem cell support and a manufacturing method thereof

본 발명은 줄기세포 지지체를 이용한 근세포 혼합시트 및 그의 제조방법에 관한 것으로, 더욱 상세하게는 지방줄기세포를 지지체로 사용하여 생체 내로 이식 가능한 근세포와의 혼합시트를 제조하는 방법에 관한 것이다.The present invention relates to a myocyte mixed sheet using a stem cell support and a method for producing the same, and more particularly, to a method for producing a mixed sheet with a myocyte transplantable in vivo using adipose stem cells as a support.

줄기세포 (stem cell)는 자기 복제 능력 및 어떤 조직으로든 분화할 수 있는 능력을 가진 미분화 세포이다. 미분화 상태의 줄기세포를 각각의 적절한 조건을 제공해주면, 다양한 세포와 조직으로 분화할 수 있다. 이러한 줄기세포의 분화 능력을 이용한 손상된 조직의 재생 치료가 활발히 연구되고 있다.Stem cells are undifferentiated cells with self-replicating capacity and the ability to differentiate into any tissue. Undifferentiated stem cells can be differentiated into various cells and tissues by providing appropriate conditions. The regenerative treatment of damaged tissues using the stem cell differentiation ability has been actively studied.

대표적으로 지방줄기세포 (adipose-derived stem cell; ADSC)와 같은 다분화능 (multipotency)을 가지는 줄기세포는 조직이나 기관의 특이적인 세포로만 분화할 수 있는 줄기세포로서, 조직의 성장과 발달 및 성체 조직의 유지와 재생을 유도하는 기능을 가지고 있다. 이러한 조직 특이적 다분화능 세포들을 총칭하여 성체 줄기세포라 한다 (A. Miranville et al., Circulation, 110:349, 2004). 성체줄기세포는 인간 배아에서 추출한 배아 줄기세포와 달리, 성체의 조직에서 추출하기 때문에 윤리적인 문제가 적으며 자가 재생 능력이 뛰어나고 지방, 골, 연골, 혈관내피, 심장근세포 등으로 분화하는 다분화능을 가지고 있다. 또한, 다른 조직에서보다 많은 양의 줄기세포를 얻을 수 있으며, 추출과정이 안전하고 용이하다는 장점이 있다 (P.A. Zuk et al., Tissue Eng., 7:211, 2001). Representatively, multipotency stem cells, such as adipose-derived stem cells (ADSCs), are stem cells that can only differentiate into specific cells of tissues or organs. It has the function of inducing the maintenance and regeneration of. These tissue specific multipotent cells are collectively referred to as adult stem cells (A. Miranville et al., Circulation , 110: 349, 2004). Unlike embryonic stem cells extracted from human embryos, adult stem cells have fewer ethical problems because they are extracted from adult tissues, and have excellent self-renewal ability and have differentiation ability to differentiate into fat, bone, cartilage, vascular endothelium and cardiomyocytes. Have. In addition, it is possible to obtain a larger amount of stem cells than in other tissues, and the extraction process is safe and easy (PA Zuk et al., Tissue Eng. , 7: 211, 2001).

최근 손상된 장기와 조직의 재생을 위하여 줄기세포를 이식한 후, 손상의 회복이 보고되었다 (Strauer et al., Circulation 106:1913, 2002). 이에, 줄기세포를 이식하기 위해 손상된 장기나 조직에 직접 주사하는 방법 및 정맥혈관 등으로 주사하여 전신 투여하는 방법 등의 손상된 장기와 조직으로의 다양한 세포이식 방법이 시도되고 있다. 하지만, 이식된 줄기세포는 생착률 (engraftment)이 낮으며, 대부분이 씻겨나가는 (wash-out) 것으로 보고되고 있으며, 특히, 이식된 세포를 추적 관찰한 결과, 대부분이 폐나 신장에 존재함으로써 손상 입은 장기나 조직에서 직접적인 효과 또는 이식된 세포를 확인하는데 어려움이 있다. 이를 극복하기 위하여, 줄기세포의 양과 빈도를 높여 이식을 시행하고 있지만, 고농도의 세포 수를 지속적으로 반복 이식해야 하는 문제점이 있으며, 이식을 성공적으로 할지라도 열악한 세포환경의 등으로 기대 이상의 치료 효과를 보기에 한계가 있다. Recently, after the transplantation of stem cells for regeneration of damaged organs and tissues, recovery of damage has been reported (Strauer et al., Circulation 106: 1913, 2002). In order to transplant stem cells, various cell transplantation methods to damaged organs and tissues have been attempted, such as a method of directly injecting a damaged organ or tissue, and a method of injecting into a vein vessel or systemic administration. However, transplanted stem cells have low engraftment and most have been reported to be wash-out. In particular, following observation of the transplanted cells shows that most of them are damaged in the lung or kidney. I have difficulty identifying direct effects or transplanted cells in tissues. In order to overcome this, transplantation is being carried out by increasing the quantity and frequency of stem cells, but there is a problem of continuously transplanting a high concentration of cells, and even if the transplantation is successful, the treatment effect is higher than expected due to poor cell environment. There is a limit to the example.

따라서, 최근 들어 세포 배양 시트를 이용한 치료법이 활발히 연구되고 있다. 세포 시트를 이용한 대표적인 방법으로, 표면이 온도 응답성 폴리머로 도말되어 있는 배양접시 방법이 제시되었다. 그러나 온도 응답성 폴리머로 도말되어 있는 배양접시의 배양은 많은 양의 세포를 이용한 세포 시트는 제작할 수 있으나, 다양한 종류의 세포와 배양의 상태에 따라 시트를 회수할 수 없는 단점이 있었다. 또한 이식될 부위의 크기에 따른 상이한 시트의 제조의 어려움과 그에 따른 경제적이 부담이 가중되는 실정이다. 따라서, 시트로 만들기 쉽지 않은 고동 (beating)하는 심장근세포를 포함한 다양한 세포를 안정적으로 이식하기 위해, 지지체를 이용한 세포이식 기술이 보고되었다. 대표적으로 고분자 물질과 혼합 지지체 및 생분해성 지지체 등을 이용한 시도들은 모두 생체재료를 사용함에도 불구하고, 이식된 세포가 생착될 기간 동안에 세포 생존을 보장하지 못하며, 이식의 저효율 및 시간적, 경제적, 이식 후의 부작용 측면에서 한계를 가진다. Therefore, in recent years, the therapy using the cell culture sheet is actively researched. As a representative method using a cell sheet, a culture dish method is proposed in which a surface is smeared with a temperature-responsive polymer. However, culturing the culture plate plated with a temperature-responsive polymer can produce a cell sheet using a large amount of cells, but there is a disadvantage that the sheet can not be recovered depending on the state of the various types of cells and culture. In addition, it is difficult to manufacture different sheets according to the size of the implanted site, and thus the economic burden is increased. Therefore, a cell transplantation technique using a scaffold has been reported to stably transplant various cells including beating cardiomyocytes which are not easy to form into sheets. Typically, attempts using polymeric materials, mixed scaffolds, and biodegradable scaffolds do not guarantee cell viability during the period in which transplanted cells are engrafted, despite the use of biomaterials. There are limitations in terms of side effects.

이에, 본 발명자들은 손상된 장기나 조직의 치료에 줄기세포의 다분화성 이점을 적용하여 기존의 세포 시트의 단점을 극복하기 위해 예의 노력한 결과, 지방줄기세포를 지지체로 사용한 심장근 세포의 혼합시트를 제작하여 혼합된 세포의 증식, 생존 및 안정적인 생착률 증가 등의 기능을 극대화 시킬 수 있는 것을 확인하고, 본 발명을 완성하였다.Accordingly, the present inventors have made diligent efforts to overcome the disadvantages of the existing cell sheet by applying the multi-differentiation advantage of stem cells to the treatment of damaged organs or tissues, to produce a mixed sheet of cardiomyocytes using adipose stem cells as a support It was confirmed that the function of maximizing the proliferation, survival and stable engraftment of the mixed cells and the like, and completed the present invention.

발명의 요약Summary of the Invention

본 발명의 목적은 줄기세포 지지체를 이용한 근세포 혼합시트의 제조방법 및 상기 방법으로 제조된 줄기세포 지지체를 이용한 근세포 혼합시트를 제공하는데 있다.SUMMARY OF THE INVENTION An object of the present invention is to provide a method for preparing a myocyte mix sheet using a stem cell support and a myocyte mix sheet using a stem cell support prepared by the above method.

상기 목적을 달성하기 위하여, 본 발명은 (a) 지방줄기세포를 배양한 다음, 지방줄기세포에 이식용 근세포를 추가 시딩 (seeding)하여 함께 배양하는 단계; 및 (b) 상기 (a) 단계에서 배양된 지방줄기세포와 이식용 근세포의 혼합시트를 박리하여 회수하는 단계를 포함하는 지방줄기세포 지지체와 이식용 근세포의 혼합시트의 제조방법을 제공한다.In order to achieve the above object, the present invention comprises the steps of (a) culturing the adipose stem cells, and further seeding (seeding) the myocytes for transplantation into adipose stem cells to culture together; And (b) provides a method for producing a mixed sheet of fat stem cell support and transplanted muscle cells comprising the step of peeling and recovering the mixed sheet of fat stem cells and transplanted muscle cells cultured in step (a).

본 발명은 또한, 상기 방법에 의해 제조된 지방줄기세포 지지체와 이식용 근세포의 혼합시트를 제공한다.The present invention also provides a mixed sheet of adipose stem cell support prepared by the above method and a myocyte for transplantation.

도 1은 단위 면적당 지방줄기세포의 밀도를 나타낸 그래프이다.1 is a graph showing the density of fat stem cells per unit area.

도 2는 지방줄기세포를 낮은 밀도와 높은 밀도로 배양하여 분비하는 사이토카인을 비교한 나타낸 그래프이다. Figure 2 is a graph showing a comparison of cytokines secreted by culturing fat and stem cells at low density and high density.

도 3은 지방줄기세포를 5 × 106개를 시딩한 후, 광학현미경을 이용하여 획득한 사진이다 (스케일 바는 100 ㎛).3 is a photograph obtained by seeding 5 × 10 6 fat stem cells, using an optical microscope (scale bar is 100 ㎛).

도 4는 지방줄기세포를 이용한 시트형성 결과사진이다.Figure 4 is a photograph of the sheet formation results using adipose stem cells.

도 5는 지방줄기세포 시트형성 후, 헤마톡실린-에오신 염색 (hematoxylin & eosin stain)으로 확인한 다층구조 사진이다 (스케일 바는 100 ㎛).5 is a multi-layered photograph confirmed by hematoxylin-eosin staining after adipocyte stem cell formation (scale bar is 100 μm).

도 6은 마우스 배아줄기세포 및 골수줄기세포를 CFDA (Carboxyfluorescein diacetate succinimidyl ester) 염색 후, 시트형성을 확인한 사진이다.Figure 6 is a photograph of the mouse embryonic stem cells and bone marrow stem cells after CFDA (Carboxyfluorescein diacetate succinimidyl ester) staining, confirming the sheet formation.

도 7은 마우스 배아줄기세포의 시트형성에 대한 핵 염색 사진이다.7 is a nuclear staining picture of the sheet formation of mouse embryonic stem cells.

도 8은 마우스 골수줄기세포의 시트형성에 대한 핵 염색 사진이다.8 is a nuclear staining picture of the sheet formation of mouse bone marrow stem cells.

도 9는 심근경색이 유도된 심장에서의 지방줄기세포 시트와 지방줄기세포를 이식한 후 경시적으로 확인한 심장 내 존재 유무를 확인한 사진 및 생착율에 대한 결과이다.Figure 9 is a result of photographs and engraftment rate confirming the presence of the inside of the heart confirmed over time after transplantation of adipose stem cell sheet and adipose stem cells in the heart induced myocardial infarction.

도 10은 심근경색이 유도된 심장에서의 지방줄기세포 시트와 지방줄기세포를 이식한 28일 후, 심장에서 존재 유무를 섬유화세포 (Masson’s trichrome) 염색기법으로 확인한 다층구조 사진이다.FIG. 10 is a multi-layered photograph confirming the presence or absence of the adipose stem cell sheet and the adipose stem cell in the heart induced myocardial infarction by the Masson's trichrome staining technique.

도 11은 지방줄기세포 지지체를 이용한 마우스 배아줄기세포에서 유도된 고동하는 심장근세포 혼합시트를 만드는 과정에서 실시한 지방줄기세포와 마우스 배아줄기세포에서 유도된 고동하는 심장근세포 (그린)의 비율에 따른 결과이다 (스케일 바는 100 ㎛).11 is a result of the ratio of pulsatile cardiomyocytes (green) induced from adipose stem cells and mouse embryonic stem cells in the process of making a beating heart muscle cell mixture sheet derived from mouse embryonic stem cells using adipose stem cell support (Scale bar is 100 μm).

도 12는 지방줄기세포 지지체를 이용한 마우스 배아줄기세포에서 유도된 고동하는 심장근세포 혼합시트 형성 후, 광학현미경을 이용하여 획득한 사진이다. 점선 내부가 고동하는 심장근세포가 존재하는 영역이다 (스케일 바는 100 ㎛).12 is a photograph obtained by using an optical microscope after the formation of a beating heart muscle cell mixed sheet derived from mouse embryonic stem cells using adipose stem cell support. Inside the dashed line is the region where the pulsating cardiomyocytes are present (scale bar is 100 μm).

도 13은 지방줄기세포 지지체를 이용한 마우스 배아줄기세포에서 유도된 고동하는 심장근세포 혼합시트 형성 결과 사진이다.Figure 13 is a photograph of the results of the beating heart muscle cell mixture sheet induced in mouse embryonic stem cells using adipose stem cell support.

도 14는 지방줄기세포 지지체를 이용한 마우스 신생아의 심장근세포 혼합시트 형성 후, 광학현미경을 이용하여 획득한 사진이다.Figure 14 is a photograph obtained by using an optical microscope after the cardiomyocyte mixed sheet formation of the mouse neonatal using adipose stem cell support.

도 15는 지방줄기세포 지지체를 이용한 마우스 신생아의 심장근세포 혼합시트 형성 후, 면역형광염색법을 이용하여 심장근세포(레드)와 주변의 지방줄기세포 (핵; 블루)의 사진이다 (스케일 바는 100 ㎛).FIG. 15 is a photograph of cardiomyocyte cells mixed with a mouse neonatal using adipose stem cell support, followed by cardiomyocytes (red) and surrounding adipose stem cells (nucleus; blue) using immunofluorescence staining (scale bar is 100 μm) ).

도 16은 지방줄기세포 지지체를 이용한 다양한 근세포 혼합시트 형성을 확인한 결과이다 (a: 심장근아세포, b: 관상동맥 평활근세포, c: 근육아세포).Figure 16 shows the results of confirming the formation of a variety of myocytes mixed sheet using adipose stem cell support (a: cardiac myoblasts, b: coronary smooth muscle cells, c: myoblasts).

도 17은 지방줄기세포 (그린) 지지체를 이용한 다양한 근세포 (레드) 혼합시트 형성 후, 면역형광염색법을 이용하여 혼합시트의 핵 (블루)을 관찰한 사진이다 (a: 심장근아세포, b: 관상동맥 평활근세포, c: 근육아세포).Figure 17 is a photograph of the observation of the nucleus (blue) of the mixed sheet by immunofluorescence staining after the formation of various myocytes (red) mixed sheet using adipose stem cell (green) support (a: cardiac myoblast, b: coronary artery Smooth muscle cells, c: myoblasts).

발명의 상세한 설명 및 바람직한 Detailed description of the invention and preferred 구현예Embodiment

다른 식으로 정의되지 않는 한, 본 명세서에서 사용된 모든 기술적 및 과학적 용어들은 본 발명이 속하는 기술 분야에서 숙련된 전문가에 의해서 통상적으로 이해되는 것과 동일한 의미를 갖는다. 일반적으로, 본 명세서에서 사용된 명명법은 본 기술 분야에서 잘 알려져 있고 통상적으로 사용되는 것이다.Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. In general, the nomenclature used herein is well known and commonly used in the art.

본 발명에서는 지지체로서의 지방줄기세포를 일반 배양접시에서 배양한 후, 근세포를 추가 시딩하여 혼합시트를 제조한 결과, 다층을 형성하지 못하여 시트 제작이 어려운 고동하는 근세포와 줄기세포의 혼합시트를 제작할 수 있었다. In the present invention, after culturing the adipose stem cells as a support in a general culture plate, and further seeding myocytes to prepare a mixed sheet, it is possible to produce a mixed sheet of pulsating muscle cells and stem cells difficult to produce a multi-layer sheet there was.

따라서, 본 발명은 일 관점에서 (a) 지방줄기세포를 배양한 다음, 지방줄기세포에 이식용 근세포를 추가 시딩 (seeding)하여 함께 배양하는 단계; 및 (b) 상기 (a) 단계에서 배양된 지방줄기세포와 이식용 근세포의 혼합시트를 박리하여 회수하는 단계를 포함하는 지방줄기세포 지지체와 이식용 근세포의 혼합시트의 제조방법에 관한 것이다.Therefore, the present invention in one aspect (a) culturing the adipose stem cells, and further seeding (seeding) the myocytes for transplantation into adipose stem cells to culture together; And (b) peeling and recovering the mixed sheet of the adipose stem cells and the transplanted muscle cells cultured in the step (a).

본 발명은 다른 관점에서, 상기 방법에 의해 제조된 지방줄기세포 지지체와 이식용 근세포의 혼합시트에 관한 것이다.In another aspect, the present invention relates to a mixed sheet of adipose stem cell support prepared by the above method and a myocyte for transplantation.

본 발명에 있어서, 상기 상기 지지체는 지방조직 유래 줄기세포인 것이 바람직하나, 이에 한정되는 것은 아니다.In the present invention, the support is preferably adipose tissue-derived stem cells, but is not limited thereto.

본 발명에서, 지지체로 사용된 지방줄기세포는 다양한 세포로의 분화 및 손상된 장기 또는 조직에서의 회복효과가 보고된 만큼 혼합하는 세포와의 협력효과 (synergistic effect)를 극대화를 위해 지방줄기세포를 사용하는 것이 바람직하다. 또한, 본 발명에서는 마우스 지방줄기세포를 사용하고 있으나, 이에 한정하지 않고, 인간, 백서, 돼지 그리고 원숭이들을 포함하는 모든 포유류에서 분리한 지방줄기세포의 사용이 가능하다.In the present invention, the adipose stem cells used as a support is used for adipose stem cells for maximizing the synergistic effect with the mixed cells as much as differentiation into various cells and recovery effects on damaged organs or tissues are reported. It is desirable to. In addition, the present invention uses mouse adipose stem cells, but is not limited thereto. It is possible to use adipose stem cells isolated from all mammals including humans, white papers, pigs and monkeys.

상기 지지체로서의 지방줄기세포는 생체 내에서 유래하여 증식과 분화능을 가지며, 분화된 세포의 기능이 검증되어 있어 체내 이식 후, 손상된 장기 또는 조직에서 생착과 증식이 가능하다. 또한, 주위조직과 융화되어 염증 반응을 최소화 할 수 있는 특징이 있다.Adipose stem cells as the support have proliferation and differentiation originating in vivo, and the function of the differentiated cells has been verified so that they can engraft and proliferate in damaged organs or tissues after transplantation in the body. In addition, it is characterized by being compatible with the surrounding tissues to minimize the inflammatory response.

지방줄기세포의 유래는 본 발명에서 특별히 그 종류를 한정하지 않으나, 지방조직은 성숙한 지방세포를 포함한 이를 둘러싸고 있는 다양한 주변 조직과의 결체되어 구성된 것으로 체내 위치에 상관없이 모든 지방조직을 총칭한다. 대표적으로 정소주위지방, 피하지방, 장간막지방, 위장지방 그리고 후복막지방조직들의 사용이 바람직하며, 본 발명에서는 대표적으로 남성 마우스에서 정소주위 지방조직을 분리, 세척하여 콜라게나제를 이용하여 순수한 지방줄기세포를 회수하여 사용하였다.The origin of the adipose stem cells is not particularly limited in the present invention, but the adipose tissue is composed of a combination of various surrounding tissues surrounding the adipose tissue, including the mature adipose cells, and refers to all adipose tissue regardless of the position in the body. Typically, the use of pericardial fat, subcutaneous fat, mesenteric fat, gastrointestinal fat and posterior peritoneal adipose tissue is preferred, and in the present invention, the normal adipose tissue is isolated and washed in male mice to clean pure fat using collagenase. Stem cells were recovered and used.

상기 분리 회수된 지방줄기세포는 배양 배지에서 2계대 까지 배양 후, 통상적 세포 표현형 마커를 이용하여 속성을 확인할 수 있다. 이 마커들은 CD13, CD29, CD34, CD44, CD49a, CD90 그리고 Sca-1 등이 바람직하나, 이들만으로 제한되지는 않는다. 또한, 다양한 세포 분화를 통하여 줄기세포의 역가를 평가할 수 있다. 분화유도는 지방, 골, 연골, 신경, 혈관내피, 심장근세포 등을 포함하며, 이들만으로 제한되지는 않는다.The separated and recovered adipose stem cells may be cultured up to 2 passages in a culture medium, and then their properties may be confirmed using conventional cell phenotypic markers. These markers are preferably, but not limited to, CD13, CD29, CD34, CD44, CD49a, CD90 and Sca-1. In addition, it is possible to assess the titer of stem cells through various cell differentiation. Differentiation induction includes, but is not limited to, fat, bone, cartilage, nerves, vascular endothelium, cardiomyocytes and the like.

본 발명에 있어서, 상기 지지체로서의 지방줄기세포 형성에 있어서, 36시간 동안 37℃, 5% CO2 인큐베이터 (incubator)에서 배양하는 것이 바람직하다. 만약 배양 시간이 상기 시간 미만이면 지방줄기세포가 지지체로 형성되기까지 충분하지 않아 찢어지는 문제점이 있으며, 상기 시간 이상이면 오랜 배양 시간으로 인해 지방줄기세포의 줄기세포 역가의 저하, 저산소 (hypoxia)에 의한 세포사멸로 이어질 수 있는 문제점이 있으므로 상기 시간이 가장 적절하다. In the present invention, in forming adipose stem cells as the support, it is preferable to incubate in 37%, 5% CO 2 incubator for 36 hours. If the incubation time is less than the above time, there is a problem that the adipose stem cells are not enough to be formed as a support, and are torn, and if the time is longer than this time, the stem cell titer of the adipose stem cells decreases due to the long incubation time, and hypoxia The time is most appropriate because there is a problem that can lead to apoptosis.

본 발명에 있어서, 상기 줄기세포는 0.5 ~ 1.0 × 106 cells/cm2 밀도로 시딩 (seeding)하여 배양하는 것이 바람직하나, 이에 한정되는 것은 아니다.In the present invention, the stem cells are preferably cultured by seeding (seeding) at a density of 0.5 ~ 1.0 × 10 6 cells / cm 2 , but is not limited thereto.

일반적으로 일반 6 wells 플레이트에 시트제작이 가능한 밀도인 5 × 106개 이상을 시딩하는 하는 것이 바람직하다. 만약 상기 지방줄기세포의 개수가 상기 제시된 세포 수 미만이면 지지체의 역할을 수행할 수 없는 조밀한 시트가 형성되지 않는 문제점이 있고, 이와 반대로 상기 제시된 범위에서 세포 수가 2배 이상 초과되면 상대적으로 사멸한 세포가 많아져, 배양액의 혼탁 등 오염의 가능성이 높아지는 문제점이 있으므로 상기 면적당 밀도가 가장 적합하다. 본 발명에서는 지지체로서의 지방줄기세포 시트를 제작을 위한 시딩하는 최적의 면적 당 세포 양을 도출하였다 (도 1).In general, it is preferable to seed 5 × 10 6 sheets or more of sheet density on a general 6 wells plate. If the number of adipose stem cells is less than the number of cells shown above, there is a problem in that a dense sheet that cannot serve as a support is not formed. On the contrary, if the number of cells in the range is more than two times, the cells are killed relatively. Since the number of cells increases, the possibility of contamination such as turbidity of the culture solution increases, so the density per area is most suitable. In the present invention, the optimum amount of cells per area for seeding for preparing adipose stem cell sheet as a support was derived (FIG. 1).

본 발명에 있어서, 지지체로서의 지방줄기세포 시트 제조에서 세포 밀도에 따른 성장인자, 사이토카인 (cytokine) 및 호르몬들의 분비를 확인한 결과 성장인자인 Adiponectin, MCP-1, SDF-1, VEGFc, HGF, IGF 및 TGFβ1이 저밀도의 지방줄기세포보다 고밀도의 지방줄기세포에서 많이 분비되는 것을 확인하였다. 또한, 세포외기질에서는 Collagen I, Laminin-α4, Fibronectin 그리고 Vitronectin의 통계적 유의성 있는 분비를 확인할 수 있었는데, 이들의 분비는 반드시 이에 한정되는 것은 아니다. 상기 인자들은 지방줄기세포간의 견고한 시트 형성을 도와주며, 이식 후 파라크린 효과 (paracrine effect)로 작용하여 보다 우수한 이식의 효과를 나타낼 수 있다 (도 2).In the present invention, as a result of confirming the secretion of growth factors, cytokines and hormones according to the cell density in the production of adipose stem cell sheet as a support, the growth factors Adiponectin, MCP-1, SDF-1, VEGFc, HGF, IGF And it was confirmed that TGFβ1 is secreted more from high-density fat stem cells than low-density fat stem cells. In addition, in the extracellular matrix, statistically significant secretion of Collagen I, Laminin-α4, Fibronectin and Vitronectin was confirmed, but their secretion is not necessarily limited thereto. These factors help to form a solid sheet between the adipose stem cells, and act as a paracrine effect (transcrine effect) after transplantation can represent a better effect of transplantation (Fig. 2).

줄기세포를 이용한 세포이식이 오랜 기간 동안 다양한 방법으로 시도되고 있으며, 최근 줄기세포 이식방법 중 하나로 세포시트를 이용하는 방법이 대두되고 있다. 그러나, 이식하는 세포의 특성에 따라 시트형성의 제약이 보고되고 있다. 예를 들어, 줄기세포나 다층 (multi-layer)을 형성하는 세포의 경우에는 제작에 제약이 없으나, 고동하는 심장근세포나 다층을 형성하지 못하는 세포는 현재의 시트제작 방법으로는 한계가 있다. 따라서, 본 발명은 이러한 세포 종류의 한계점을 극복할 수 있는 새로운 혼합시트 제작법을 제시한다.Cell transplantation using stem cells has been tried in various ways for a long time, and one of the stem cell transplantation methods has recently emerged a method using a cell sheet. However, limitations on sheet formation have been reported depending on the characteristics of the cells to be transplanted. For example, there are no limitations in the production of stem cells or cells forming a multi-layer, but pulsating cardiomyocytes or cells that do not form a multilayer have limitations in current sheet making methods. Therefore, the present invention proposes a new mixed sheet manufacturing method that can overcome the limitations of these cell types.

본 발명에 있어서, 추가 시딩하는 세포의 종류와 유래는 특별히 한정되지 않으며, 기존의 시트형태로 제작이 가능한 세포 및 불가능한 세포 모두가 포함된다. 본 발명에서는 백서 (rat) 유래 심장근아세포, 인간 유래 관상동맥 평활근세포, 마우스 유래 근육아세포인 것이 바람직하며, 고동하는 심장근세포인 것이 가장 바람직하나, 이에 한정되는 것은 아니다.In the present invention, the type and origin of the additional seeding cells are not particularly limited, and include both cells that can be produced in the form of existing sheets and impossible cells. In the present invention, rat-derived cardiomyocytes, human-derived coronary artery smooth muscle cells, and mouse-derived myoblasts are preferred, and beating heart muscle cells are most preferred, but are not limited thereto.

본 발명에 있어서, 추가 시딩하는 세포는 다층을 형성하지 못하거나 고동하는 이식용 근세포인 것이 바람직하며, 구체적으로 심장근세포, 심장근아세포, 평활근세포 또는 근육아세포인 것이 더욱 바람직하나, 이에 한정되는 것은 아니다.In the present invention, the additional seeding cells are preferably transplanted myocytes which do not form a multilayer or pulsate, and specifically, but not limited to cardiomyocytes, cardiomyocytes, smooth muscle cells or myoblasts, but is not limited thereto. .

본 발명에 있어서, 상기 근세포는 지지체로 사용된 지방줄기세포가 시딩된 6 wells plate 위에 2 × 106개의 고동하는 심장근세포를 추가로 시딩하는 것을 특징으로 할 수 있다. 만약 상기의 추가 혼합세포의 개수가 상기 제시된 세포 수 미만이면 혼합세포의 생착율의 저하 및 증식면적이 좁아져 효과가 미미해지며, 반대로 상기 제시된 세포 수를 초과하면 지지체로 사용된 지방줄기세포의 저산소 상태 및 지지체의 강도를 감소할 수 있으므로 상기 범위 내에서 적절히 조절하여 사용하는 것이 바람직하다.In the present invention, the myocytes may be characterized in that seeding 2 × 10 6 beating cardiomyocytes on a 6 wells plate seeded with adipose stem cells used as a support. If the number of additional mixed cells is less than the number of the above-mentioned cells, the engraftment rate of the mixed cells and the proliferation area are narrowed, and the effect is insignificant. On the contrary, if the number of the above-mentioned cells is exceeded, the hypoxic state of the adipose stem cells used as a support is used. And since it is possible to reduce the strength of the support, it is preferable to adjust and use within the above range.

본 발명에서는 추가 혼합세포로의 마우스 배아줄기세포에서 유도된 고동하는 심장근세포 혼합시트를 형성하는 최적의 비율을 도출하였다 (도 11).In the present invention, the optimal ratio of forming a beating cardiomyocyte mixed sheet derived from mouse embryonic stem cells into additional mixed cells was derived (FIG. 11).

따라서, 본 발명에 있어서, 상기 줄기세포와 심장근세포는 2:3의 비율로 시딩 (seeding)하는 것이 바람직하나, 이에 한정되는 것은 아니다.Therefore, in the present invention, the stem cells and cardiomyocytes are preferably seeded at a ratio of 2: 3, but are not limited thereto.

본 발명에 있어서, 고동하는 심장근세포 혼합시트 형성에 있어서, 48시간 동안 37℃, 5% CO2 인큐베이터에서 배양하는 것이 바람직하다. 만약 배양 시간이 상기 시간 미만이면 추가 혼합세포의 생착 및 안정화까지의 시간이 충분하지 않아 혼합시트가 만들어지지 않는 문제점이 있으며, 상기 시간 이상이면 오랜 배양 시간으로 지지체로서의 지방줄기세포의 과다한 증식으로 인한 줄기세포 역가의 저하, 저산소에 의한 세포사멸로 이어질 수 있는 문제점이 있으므로 상기 시간이 가장 적절하다.In the present invention, in the formation of a beating heart muscle cell mixed sheet, it is preferable to incubate in 37%, 5% CO 2 incubator for 48 hours. If the incubation time is less than this time, there is a problem that the mixing sheet is not made because the time for engraftment and stabilization of additional mixed cells is not sufficient, and if the time is longer than this time, due to excessive proliferation of fat stem cells as a support with a long incubation time. The time is most appropriate because there is a problem that can lead to a decrease in stem cell titer, apoptosis due to hypoxia.

본 발명에서는 상기 세포 비율과 배양시간 조건을 동일하게 하여 지지체로 지방줄기세포를 이용한 다양한 종 및 유래의 근세포 혼합시트를 제작하고, 성공적인 혼합시트 형성을 확인하였다 (도 16 및 도 17). In the present invention, the same ratio of the cells and the culture time conditions were prepared to prepare a myocyte mixed sheet derived from various species and derived using adipose stem cells as a support, and confirmed the successful formation of the mixed sheet (FIGS. 16 and 17).

본 발명에 있어서, 상기 혼합세포 시트의 박리는 스크레이퍼를 사용하는 것것이 가장 바람직하나, 반드시 이에 한정되는 것은 아니다. 그러나 일반 배양접시의 특성상, 단백질 분해효소를 사용하면 모든 세포의 해리시키는 문제점이 있다.In the present invention, the peeling of the mixed cell sheet is most preferably one using a scraper, but is not necessarily limited thereto. However, due to the nature of the general dish, there is a problem of dissociation of all the cells using proteolytic enzymes.

본 발명에 있어서, 상기 회수된 혼합세포 시트는 전체 배양접시 면적의 60% 이상인 것이 바람직하나, 이에 한정되는 것은 아니다. 본 발명의 시트는 적절한 세포의 시딩에 기인하고, 손상된 장기나 조직의 면적을 보충하기 위해 자유로운 사이즈로 구성할 수 있다. 상기 지지체의 형상 및 면적에 대해서는 특별히 한정은 없다. In the present invention, the recovered mixed cell sheet is preferably at least 60% of the total culture dish area, but is not limited thereto. The sheet of the present invention is due to the seeding of appropriate cells, and can be configured in a free size to replenish the area of damaged organs or tissues. There is no restriction | limiting in particular about the shape and area of the said support body.

또한, 회수한 혼합시트가 심장근세포와 혼합되어 있는지 검증하기 위하여 심장 특이적 마커를 이용하여 면역염색법으로 확인이 가능하다 (도 14 및 도 15 ). 마우스 배아줄기세포에서 심장근세포로 유도하게 되면 고동하는 심장근세포를 확인할 수 있으며, 이는 심장 특이적 마커를 이용하여 평가가 가능하다. 이 마커들은 cTnT (cardiac troponin T), cTnI (cardiac troponin I), α-cardiac actin, α-actinin 및 MHC (myosin heavy chain) 등이 바람직하며, 이들만으로 제한되지는 않는다. 이런 세포의 표현형으로 심장 특이적 세포로 평가될 수 있다.In addition, in order to verify whether the recovered mixed sheet is mixed with cardiomyocytes, it can be confirmed by immunostaining using a cardiac specific marker (FIGS. 14 and 15). When induced from mouse embryonic stem cells to cardiomyocytes, pulsating cardiomyocytes can be identified, which can be evaluated using cardiac specific markers. These markers include, but are not limited to, cardiac troponin T (cTnT), cardiac troponin I (cTnI), α-cardiac actin, α-actinin and myosin heavy chain (MHC). The phenotype of these cells can be assessed as cardiac specific cells.

본 발명의 지방줄기세포 지지체를 이용한 심장근세포 혼합시트의 이식에 있어서 심근경색 동물모델을 사용하였으나, 이에 한정되는 것은 아니다. 본 발명에서는 부유된 지방줄기세포보다 지방줄기세포를 지지체로 이용한 시트가 오랜 기간 동안 생착한 결과를 얻었다 (도 9). 기존의 세포 혼합시트의 경우, 이식 후 3~4일째에 비해 28일 정도 경과한 후에는 생착율이 현저히 떨어지는 문제가 있어, 대부분 이식 후 세포의 존재를 확인한 정도에 그칠 뿐, 이식 효율이 우수한 세포 혼합시트가 없는 실정이다. 그러나, 본 발명의 지방줄기세포 지지체를 이용한 심장근세포 혼합시트는 도 6에 나타난 바와 같이, 이식 후 28일이 경과한 후에도 4일째와 비교하여 30% 정도의 우수한 생착율을 확인할 수 있다. 이는 공지의 세포 혼합시트 또는 국소주사요법에 비해 매우 우수한 생착율을 나타내는 것을 알 수 있다.The myocardial infarction animal model was used in the implantation of the cardiomyocyte cell mixture sheet using the adipose stem cell support of the present invention, but is not limited thereto. In the present invention, a sheet using adipose stem cells as a support rather than suspended fat stem cells was obtained for a long time (Fig. 9). In the case of the conventional cell mixing sheet, the engraftment rate is significantly lowered after about 28 days compared to the 3-4 days after transplantation, and most of the cell mixing sheets are only the extent of confirming the presence of cells after transplantation, and the cell mixing with excellent transplant efficiency is achieved. There is no sheet. However, the cardiomyocyte mixed sheet using the adipose stem cell support of the present invention, as shown in Figure 6, even after 28 days after transplantation can be confirmed an excellent engraftment rate of about 30% compared to the fourth day. It can be seen that it shows a very good engraftment rate compared to known cell mixing sheets or topical injection therapy.

나아가, 기존의 지지체의 소스로 제공되었던 다양한 물질 및 생체 재료는 부착성 및 이식에 중점을 둔 기술이나, 본 발명에 따른 지방줄기세포를 지지체로 이용한 시트는 부착성 이외에도 생체 내에서 오랫동안 생착 가능하고, 손상된 조직에서의 섬유화된 부위가 감소되는 회복효과를 나타내므로, 파라크린 효과 (paracrine effect)를 요구할 수 있는 우수한 시트이다 (도 10). 뿐만 아니라, 특정 세포를 표면이 온도 응답성 폴리머로 도말되어 있는 배양 접시에 배양하고, 피브리노겐 등의 생체물질을 이용하여 시트를 제작하는 기존의 방법의 경우 온도 응답성 폴리머로 도말되어 있는 배양 접시로 인해 장시간 배양이 불가능하다는 문제점이 있다. 이 밖에 시간과 비용이 많이 들고 생체 이외의 재료 사용으로 그에 따른 부작용이 보고되고 있어, 본 발명의 새로운 혼합시트 제작 방법은 이러한 한계점을 극복할 수 있다.Furthermore, various materials and biomaterials provided as a source of a conventional support are techniques focused on adhesion and transplantation, but a sheet using adipose stem cells according to the present invention as a support can be engrafted in vivo in addition to adhesion. It is an excellent sheet that may require a paracrine effect, as it shows a reduced recovery of fibrinated sites in damaged tissue (FIG. 10). In addition, in the conventional method of culturing specific cells in a culture dish coated with a temperature-responsive polymer and producing a sheet using a biomaterial such as fibrinogen, a culture dish coated with a temperature-responsive polymer is used. There is a problem that it is impossible to incubate for a long time. In addition, since the time and cost and the side effects of the use of non-biological materials have been reported, the new mixed sheet manufacturing method of the present invention can overcome these limitations.

본 발명의 이식 가능한 시트 제작용 지방줄기세포 지지체를 이용한 심장근세포 혼합시트의 제조방법은 기존의 온도 응답성 폴리머 배양접시, 생체, 화학재료를 사용하는 시트의 제조방법에 비하여 조작 (handling)이 용이하다. 또한, 기존의 구축된 장비를 이용하므로 경제적 부담이 적고, 세포 이식을 준비하는 시간을 최소화 할 수 있는 방법으로서, 이식 후에도 세포생존이 탁월하고 지방줄기세포를 이용하므로 부작용이 적어 세포이식이 필요한 장기 또는 조직에서 시트를 통한 세포치료의 향상된 효과를 기대할 수 있다.The method for preparing a cardiomyocyte cell mixture sheet using the adipose stem cell support for producing an implantable sheet according to the present invention is easier to handle than a method for preparing a sheet using a temperature-responsive polymer culture dish, a living body, and a chemical material. Do. In addition, it is a method that minimizes the economic burden and minimizes the time to prepare for cell transplantation by using existing built equipment.Excellent cell survival even after transplantation, and uses stem cells, resulting in fewer side effects. Alternatively, the enhanced effect of cell therapy with sheet in tissue can be expected.

보다 구체적으로, 본 발명에서는 생체 내에 존재하는 지방줄기세포의 다양한 성장인자의 배출을 확인하였으며, 이러한 줄기세포를 사용함으로써 면역거부반응을 제거할 수 있다. 또한, 고동하는 심장근세포의 경우 단독으로 사용하여 시트를 제작하는 것이 어려울 뿐만 아니라 장기간 배양이 어려우며, 회수율이 높지 않다는 단점이 있다. 그러나, 본 발명에 따라 기존에 유용하게 사용되고 있는 지방줄기세포 시트를 지지체로 이용하면, 단독으로 세포시트로 제작하기 어려운 세포 (심장근세포와 같은 고동하는 세포)를 혼합하여 제조하여 회수율에 대한 문제를 해결할 수 있다. 또한, 지방줄기세포와의 혼합시트는 기타 화학적 처리나 생체 이외 재료를 사용하지 않고 순수하게 지방줄기세포와 다양한 세포를 혼합하여 특정 조직을 목적으로 한 이식이 가능한 세포시트라는 장점이 있다.More specifically, in the present invention, it was confirmed that the various growth factors of the adipose stem cells present in the living body, by using such stem cells can remove the immune rejection reaction. In addition, in the case of pulsating cardiomyocytes, it is not only difficult to produce a sheet using alone, but also has a disadvantage in that long-term culture is difficult and recovery is not high. However, when the fat stem cell sheet, which is conventionally used according to the present invention, is used as a support, a problem of recovery rate can be solved by mixing cells (pulsating cells such as cardiomyocytes) that are difficult to produce alone as cell sheets. I can solve it. In addition, the admixture sheet with the adipose stem cells has the advantage of being a cell sheet capable of transplanting for a specific tissue by purely mixing the adipose stem cells and various cells without using other chemical treatment or non-biomaterials.

이렇게 만들어진 지방줄기세포 지지체를 이용한 심장근세포 혼합시트를 손상된 조직의 치료를 위하여 이식한 결과, 종래 보고된 단독 줄기세포의 이식에 비하여 세포 전달 성공률 및 기능회복이 증대되었다. 특히, 경색된 심근 내로의 이식에 있어서 경색부위에서 신생혈관생성의 증가를 확인하였으며, 이에 치료 시간을 단축시킬 수 있는 유리한 효과를 나타내었다. As a result of transplanting the cardiomyocyte mixed sheet using the adipose stem cell support thus prepared for the treatment of damaged tissues, the cell delivery success rate and function recovery were increased as compared with the transplantation of the previously reported single stem cells. In particular, it was confirmed that angiogenesis was increased in the infarct area in the transplantation into the infarcted myocardium, which has a beneficial effect of shortening the treatment time.

따라서, 본 발명은 시간과 비용이 적게 소모될 뿐만 아니라, 일반 배양접시에 지방줄기세포를 다양한 세포와 혼합하여 단층이 아닌 밀도 높은 견고한 다층으로 구성된 혼합시트를 제작할 수 있다. 즉, 기존의 화학 및 생체 이외의 성분을 이용한 이식 방법과 달리 부작용이 없고 이식 후의 안정적인 효과를 나타내는, 안전하고 안정적인 국소 재생 치료 등의 임상 응용으로의 발전 가능성이 기대되는 세포의 혼합시트 제작법이다. 이에, 본 발명은 재생공학, 세포공학, 조직공학 그리고 의용공학 등의 의학 및 생물학 분야에 매우 유용한 발명이다.Therefore, the present invention not only consumes less time and money, but also mixes adipose stem cells with a variety of cells in a general culture dish to produce a mixed sheet composed of a dense, solid multilayer instead of a single layer. In other words, unlike conventional transplantation methods using chemical and non-biological components, it is a method of manufacturing a mixed sheet of cells that is expected to be developed into a clinical application such as safe and stable local regeneration treatment, which has no side effects and exhibits a stable effect after transplantation. Accordingly, the present invention is a very useful invention in the fields of medicine and biology such as regenerative engineering, cell engineering, tissue engineering and medical engineering.

실시예Example

이하, 실시예를 통하여 본 발명을 더욱 상세히 설명하고자 한다. 이들 실시예는 오로지 본 발명을 보다 구체적으로 설명하기 위한 것으로, 본 발명의 요지에 따라 본 발명의 범위가 이들 실시예에 의해 제한되지 않는다는 것은 당업계에서 통상의 지식을 가진 자에 있어서 자명할 것이다.Hereinafter, the present invention will be described in more detail with reference to Examples. These examples are only for illustrating the present invention in more detail, it will be apparent to those skilled in the art that the scope of the present invention is not limited by these examples in accordance with the gist of the present invention. .

실시예 1: 지지체로서의 지방줄기세포 시트제작 Example 1 Preparation of Adipose Stem Cell Sheet as Support

마우스의 정소주위 지방조직으로부터 순수한 지방줄기세포를 회수하였다. 회수한 줄기세포를 MesenCult™ Proloferation kit (스템셀 테크놀로지)를 이용하여 FBS와 다양한 성장인자를 포함하는 Baseal mesdium에서 2계대 배양 후, 줄기세포마커로 알려진 Sca-1의 양성 발현을 확인하였으며, 지방, 골, 혈관내피 및 심장근세포의 4가지 세포로의 분화유도를 통해 줄기세포임을 검증하였다.Pure adipose stem cells were recovered from the peri testicular adipose tissue. The recovered stem cells were cultured in two passages in a baseal mesdium containing FBS and various growth factors using MesenCult ™ Proloferation kit (Stem Cell Technology), and positive expression of Sca-1, known as stem cell marker, was confirmed. Induction of differentiation into bone, vascular endothelial and cardiomyocytes into four cells was verified as stem cells.

먼저, 면적당 세포의 밀도에 따른 시트형성의 유무를 알아보기 위하여, 다양한 세포밀도로 6 wells 플레이트에 시딩하였다. First, in order to determine the presence or absence of sheet formation according to the density of cells per area, the cells were seeded on 6 wells plates at various cell densities.

그 결과, 5 × 106개 이하의 세포밀도에서 최적의 밀도 조건을 도출하였다 (도 1). 또한, 높은 밀도의 지방줄기세포가 낮은 밀도보다 다양한 성장인자와 세포외기질의 분비가 더욱 증가함을 확인하였다 (도 2).As a result, an optimum density condition was derived at a cell density of 5 × 10 6 or less (FIG. 1). In addition, it was confirmed that the secretion of a variety of growth factors and extracellular matrix is more increased than the low density of the fat stem cells of high density (Fig. 2).

그 다음, 줄기세포를 48시간 동안 37℃, 5% CO2 인큐베이터에서 배양하여 광학현미경을 통해 세포의 형태를 확인한 후 (도 3), 스크레이퍼로 박리하여 시트를 회수하였다 (도 4 및 도 5).Then, stem cells were incubated for 48 hours at 37 ° C., 5% CO 2 incubator to check the morphology of the cells through an optical microscope (FIG. 3), and then peeled off with a scraper to recover the sheets (FIGS. 4 and 5). .

실시예 2: 다양한 줄기세포를 이용한 시트제작 Example 2 Sheet Preparation Using Various Stem Cells

본 실시예에서는 마우스 유래의 배아줄기세포 및 마우스 유래의 성체줄기세포인 골수줄기세포를 이용한 줄기세포 시트 형성을 확인하였다.In this example, stem cell sheet formation using mouse stem cells derived from mice and bone marrow stem cells, which are adult stem cells derived from mice, were confirmed.

각각의 줄기세포를 CFDA (Carboxyfluorescein diacetate succinimidyl ester) 염색으로 라벨링 한 후, 실시예 1에서 확립한 세포밀도 조건(약 5 × 106개 세포)으로 시딩하여 48시간 동안 37℃, 5% CO2 인큐베이터에서 배양하였다. 마우스 배아줄기세포는 GMEM을 Baseal mesdium으로 하여 FBS 및 성장인자를 추가한 배양액을 사용하였으며, 마우스 골수 줄기세포는 고량의 글루코스가 포함된 DMEM에 FBS를 추가한 배양액을 사용하여 배양하였다.Each stem cell was labeled with CFDA (Carboxyfluorescein diacetate succinimidyl ester) staining, and then seeded under the cell density conditions established in Example 1 (approximately 5 x 10 6 cells) at 37 ° C., 5% CO 2 incubator for 48 hours. Incubated at. Mouse embryonic stem cells were cultured by adding FBS and growth factors using GMEM as the baseal mesdium, and mouse bone marrow stem cells were cultured using a culture medium added with FBS to DMEM containing a large amount of glucose.

그 결과, 배아줄기세포와 골수줄기세포는 시트 형성 전에 낮은 밀도에 의해 와해되어 지지체로의 시트를 형성하지 못하거나, 시트를 형성하더라도 쉽게 찢어지는 문제가 발생하여 이식이 불가능한 결과를 확인할 수 있었다 (도 6).As a result, embryonic stem cells and bone marrow stem cells were disintegrated by low density prior to sheet formation, and thus could not form a sheet to the support, or tearing easily occurred even when forming a sheet. 6).

이에, 상기 CFDA 라벨링 된 배아줄기세포와 골수줄기세포의 동결절편을 이용하여 염색된 세포의 조밀도 및 시트 형성 여부를 다시 확인하였다. CFDA에 의해 그린으로 염색된 줄기세포의 핵을 DAPI (블루)로 염색한 후, 100, 200 및 400배의 광학현미경으로 관찰하였다.Thus, using the CFDA-labeled embryonic stem cells and frozen sections of bone marrow stem cells, the density and the sheet formation of the stained cells were again confirmed. The nuclei of stem cells stained with green by CFDA were stained with DAPI (blue), and then observed by light microscopy at 100, 200 and 400 times.

그 결과, 마우스 유래의 배아줄기세포는 지지체로서 시트를 형성하지 못하고 단편으로 나뉘어져 있음을 알 수 있었으며 (도 7), 마우스 유래의 골수줄기세포는 다층의 세포층이 형성되는 것이 간헐적으로 관찰되었지만, 이들이 여러 단편으로 존재하였다 (도 8).As a result, it can be seen that mouse-derived embryonic stem cells are divided into fragments without forming a sheet as a support (FIG. 7). In the case of mouse-derived bone marrow stem cells, intermittent formation of a multi-layered cell layer was observed. Existed in several fragments (FIG. 8).

따라서, 배아줄기세포 및 골수줄기세포는 지지체로서의 줄기세포시트 형성을 할 수 없음을 확인하였다. 도 2의 결과를 보면, 지방줄기세포는 다양한 성장인자 및 세포외기질의 분비에 의해 지지체로서의 시트 형성이 가능한 것으로 보인다. Thus, it was confirmed that embryonic stem cells and bone marrow stem cells cannot form stem cell sheets as a support. Referring to the results of Figure 2, it appears that adipose stem cells can form a sheet as a support by secretion of various growth factors and extracellular matrix.

실시예 3: 지방줄기세포 시트의 이식효과Example 3: Transplantation Effect of Adipose Stem Cell Sheet

지방줄기세포 시트의 장기나 조직 내로의 이식여부 및 이식 효과를 확인하기 위해, 6-7주령 쥐를 준비하여 관상동맥의 결찰로 심근경색을 유도한 후, 유도된 심근경색의 경색부위에 성공적으로 회수된 지방줄기세포 시트 및 부유된 지방줄기세포를 이식하였다. 이식 후, 28일 동안 경시적 지방줄기세포의 존재 여부 및 심장 기능의 효과를 확인하였다.To confirm the transplantation of grafts into the organs and tissues of the adipose stem cell sheets, 6-7 week old rats were prepared to induce myocardial infarction by ligation of the coronary artery, and then successfully induced the infarction of the induced myocardial infarction. The recovered adipose stem cell sheets and suspended adipose stem cells were transplanted. After transplantation, the presence of adipocytes and the effects of cardiac function over time were checked for 28 days.

그 결과, 경시적으로 이식된 지방줄기세포 시트가 부유된 지방줄기세포보다 오랜 기간 동안 경색부위 내에 존재함을 확인할 수 있었으며, 희생 후 경색된 부위를 평가하는 섬유화 정도도 대조군에 비해 감소하는 것을 확인할 수 있었다 (도 9 및 도 10). 또한, 시트 이식 후 생착 (engraftment/graft)율을 보면, 28일째와 4일째를 비교하여 약 30% 정도가 남아 있는 것을 알 수 있다 (도 9). As a result, it was confirmed that the transplanted fat stem cell sheet was present in the infarct region for a longer time than the floating fat stem cells, and the degree of fibrosis for assessing the infarcted region after sacrifice was also reduced compared to the control group. Could be (FIGS. 9 and 10). In addition, looking at the engraftment (graft) rate after sheet transplantation, it can be seen that about 30% remained compared to the 28th and 4th day (Fig. 9).

또한, 심장기능을 측정하는 심초음파의 결과에서도 대조군에 비하여 증가된 심장기능의 증진을 관찰하였으며, 줄기세포 이식을 통한 신생혈관으로의 분화 및 증가된 성장인자의 분비로 인해 경색된 심장에서의 지방줄기세포 시트의 긍정적인 효과를 확인할 수 있었다.In addition, the results of echocardiography measuring cardiac function increased the cardiac function compared to the control group, and the fat in the infarcted heart due to differentiation into neovascularization and increased growth factor secretion through stem cell transplantation. The positive effect of the stem cell sheet was confirmed.

실시예 4: 지방줄기세포 지지체를 이용한 마우스 배아줄기세포에서 유도된 심장근세포 혼합시트Example 4 Cardiomyocyte Mixture Sheet Induced from Mouse Embryonic Stem Cells Using Adipose Stem Cell Support

마우스 배아줄기세포를 회수한 후, 유도물질을 이용하여 4.5일 동안 37℃, 5% CO2 인큐베이터에서 고동하는 심장근세포로 유도하여 FBS, 2-mercaptoenthanol, L-glutamine이 포함된 알파-MEM 배지에서 배양하였다. 본 유도시스템은 고동하는 심장근세포로 유도가 이루어지면, eGFP (enhanced green fluorescent protein)의 발현이 나타나므로, eGFP 발현이 나타난 마우스 배아줄기세포에서 유도된 고동하는 심장근세포를 성공적으로 획득하였다. After recovering the mouse embryonic stem cells, induced cardiac myocytes beating in a 5% CO 2 incubator at 37 ° C. for 4.5 days using an inducer, and then in an alpha-MEM medium containing FBS, 2-mercaptoenthanol, and L-glutamine. Incubated. When the induction system is induced with pulsating cardiomyocytes, the expression of enhanced green fluorescent protein (eGFP) appears, and thus successfully obtained pulsating cardiomyocytes derived from mouse embryonic stem cells showing eGFP expression.

그 다음, 마우스 지방줄기세포를 6 wells 플레이트에 5 × 106개를 시딩하여 36시간 동안 37℃, 5% CO2 인큐베이터에서 MesenCult™ Proloferation kit (스템셀 테크놀로지)를 이용하여 FBS와 다양한 성장인자를 포함하는 Baseal mesdium에서 배양한 후, 마우스 배아줄기세포에서 유도된 고동하는 심장근세포를 2 × 106개를 추가로 시딩하여 지방줄기세포를 배양한 동일한 배양액을 이용하여 48시간 동안 37℃, 5% CO2 인큐베이터에서 배양하였다.Next, 5 × 10 6 mouse fat stem cells were seeded in 6 wells plates and FBS and various growth factors were obtained using a MesenCult ™ Proloferation kit (Stem Cell Technology) in a 37 ° C., 5% CO 2 incubator for 36 hours. After culturing in a baseal mesdium containing, 2 × 10 6 seeded pulsating cardiomyocytes derived from mouse embryonic stem cells were additionally seeded and cultured for 12 hours at 37 ° C., 5%, using the same culture medium. Incubated in a CO 2 incubator.

지지체로서의 지방줄기세포와 마우스 배아줄기세포에서 유도된 고동하는 심장근세포의 최적 비율을 조사하기 위하여, 다양한 비율에서 혼합세포 시트 형성의 유무와 혼합된 세포인 마우스 배아줄기세포에서 유도된 고동하는 심장근세포의 eGFP 발현 및 군집의 크기를 비교하였다. To investigate the optimal ratio of pulsatile cardiomyocytes derived from adipocytes and mouse embryonic stem cells as scaffolds, pulsatile cardiomyocytes derived from mouse embryonic stem cells, cells mixed with or without mixed cell sheet formation at various ratios EGFP expression and population size were compared.

그 결과, 지지체로서의 지방줄기세포와 마우스 배아줄기세포에서 유도된 고동하는 심장근세포의 비율은 2:3이 혼합시트 형성하는 최적 비율임을 도출할 수 있었다 (도 11).As a result, the ratio of pulsating cardiomyocytes derived from adipose stem cells and mouse embryonic stem cells as a support was found to be an optimal ratio of 2: 3 to form a mixed sheet (FIG. 11).

또한, 지방줄기세포를 지지체로 이용한 고동하는 심장근세포의 혼합세포를 광학현미경으로 관찰한 결과, 지지체로서의 지방줄기세포와 마우스 배아줄기세포에서 유도된 심장근세포 (점선 내)가 공존하며 고동하는 것을 확인하였다 (도 12).In addition, as a result of observing mixed cells of pulsating cardiomyocytes using adipose stem cells as a support by optical microscope, it was confirmed that adipose stem cells as a support and cardiomyocytes derived from mouse embryonic stem cells (in dashed lines) coexist and behave. (FIG. 12).

이후, 지방줄기세포 지지체를 이용한 마우스 배아줄기세포에서 유도된 고동하는 심장근세포의 혼합세포를 스크레이퍼로 박리하여 지방줄기세포 지지체를 이용한 마우스 배아줄기세포에서 유도된 고동하는 심장근세포의 혼합시트를 획득하였다 (도 13). 혼합시트의 박리 후에도 고동하는 심장근세포를 확인할 수 있었으며, 고동하는 심장근세포와 지방줄기세포 사이에서의 분리는 관찰되지 않았다.Subsequently, a mixed sheet of pulsating cardiomyocytes derived from mouse embryonic stem cells using adipose stem cell support was peeled off with a scraper to obtain a mixed sheet of pulsating cardiomyocytes derived from mouse embryonic stem cells using adipose stem cell support. (FIG. 13). The pulsating cardiomyocytes could be identified even after peeling of the mixed sheet, and no separation was observed between the pulsating cardiomyocytes and adipose stem cells.

실시예 5: 지방줄기세포 지지체를 이용한 마우스 신생아의 심장근세포 혼합시트Example 5 Cardiomyocyte Mixture Sheet of Mouse Neonate Using Adipose Stem Cell Support

출산 직후 (출산 후 48시간 내) 마우스의 심장조직을 회수하여, 회수 심장조직을 잘게 갈아 콜라게나제를 30분 처리 후, 마우스 신생아 심장근세포를 획득하였다. 마우스 신생아 심장근세포를 2계대 배양한 후, 신생아 심장근세포의 특징 중 하나인 고동의 여부를 확인하기 위해 cTnT, cTnI, α-cardiac actin, MHC 등의 항체를 이용하여 염색하였다.Cardiac tissues of mice were recovered immediately after delivery (within 48 hours of delivery), and the recovered cardiac tissues were finely pulverized and treated with collagenase for 30 minutes to obtain mouse neonatal cardiomyocytes. Mouse neonatal cardiomyocytes were cultured in two passages, and then stained using antibodies such as cTnT, cTnI, α-cardiac actin, MHC, etc. to confirm the behaviour.

그 결과, 획득한 마우스 신생아 심장근세포의 고동 속성을 파악하였다. As a result, the beating properties of the acquired mouse neonatal cardiomyocytes were identified.

다음으로, 마우스 지방줄기세포를 6 wells 플레이트에 5 × 106개를 시딩한 후, 36시간 동안 37℃, 5% CO2 인큐베이터에서 MesenCultTM Proloferation kit (스템셀 테크놀로지)를 이용하여 FBS와 다양한 성장인자를 포함하는 Baseal mesdium에서 배양한 후, 획득한 신생아의 심장근세포 2 × 106개를 추가로 시딩하여 지방줄기세포를 배양한 동일한 배양액을 이용하여 48시간 동안 37℃, 5% CO2 인큐베이터에서 배양하였다. Next, 5 × 10 6 mouse fat stem cells were seeded on 6 wells plates, and then FBS and various growth factors were obtained using MesenCultTM Proloferation kit (Stem Cell Technology) in 37 ° C., 5% CO 2 incubator for 36 hours. After culturing in a baseal mesdium containing, and further 2 × 10 6 obtained cardiac muscle cells of the newborn cells were cultured in 37 ℃, 5% CO 2 incubator for 48 hours using the same culture medium cultured adipose stem cells It was.

그 결과, 지방줄기세포 지지체를 이용한 신생아의 심장근세포의 혼합세포를 스크레이퍼로 박리하여 지방줄기세포 지지체를 이용한 신생아의 심장근세포 혼합시트를 얻을 수 있었다. As a result, the mixed cells of neonatal cardiomyocytes using adipose stem cell scaffolds were peeled off with a scraper to obtain a neonatal cardiomyocytes mixed sheet using adipose stem cell scaffolds.

또한, 지방줄기세포 지지체를 이용한 신생아의 심장근세포 혼합시트를 현미경 상으로 관찰한 결과, 지지체로 사용된 지방줄기세포 사이에서 신생아의 심장근세포의 특징인 고동함을 확인할 수 있었으며, cTnT 항체를 이용한 면역형광염색법으로 지방줄기세포 지지체를 이용한 신생아의 심장근세포 혼합시트를 검증하였다 (도 14 및 도 15).In addition, as a result of microscopic observation of the neonatal cardiomyocyte mixed sheet using adipose stem cell support, it was confirmed that the neonatal cardiac myocytes were beating among adipose stem cells used as a support, and immunization using cTnT antibody was performed. The myocardial cell mixed sheets of neonates using adipose stem cell scaffolds were verified by fluorescence staining (FIGS. 14 and 15).

지방줄기세포와 심장근세포의 혼합시트 제조에서, MesenCult™ Proloferation kit (스템셀 테크놀로지)를 이용하여 FBS와 다양한 성장인자를 포함하는 Baseal mesdium으로 지방줄기세포를 배양한 후 추가로 심장근세포를 시딩하여 동일한 배양액으로 2일간 배양하였다. 마우스 배아줄기세포에서 유도된 심장근 세포 및 마우스 신생아의 심장근 세포 모두 기존의 마우스 지방줄기세포 배양액을 사용하여 배양한 경우, 심장근세포의 변화는 관찰되지 않았다.In the preparation of a mixture sheet of adipose stem cells and cardiomyocytes, a culture of adipose stem cells with a baseal mesdium containing FBS and various growth factors using a MesenCult ™ Proloferation kit (Stem Cell Technology) and seeding additional cardiomyocytes The culture was incubated for 2 days. When both cardiomyocytes derived from mouse embryonic stem cells and cardiac muscle cells of mouse newborns were cultured using the existing mouse adipocyte culture medium, no changes in cardiomyocytes were observed.

실시예 6: 지방줄기세포 지지체를 이용한 다양한 근세포 혼합시트Example 6 Various Myocyte Mixture Sheet Using Adipose Stem Cell Support

본 실시예에서는 지지체로 지방줄기세포를 이용하여 다양한 종 및 유래의 근세포 혼합시트를 제조하였다. 지방줄기세포를 지지체로 하여 백서 (rat) 유래 BDIX 심장근아세포, 인간 유래 관상동맥 평활근세포 또는 마우스 유래 C3H 근육아세포를 이용하여 각각의 혼합시트 형성을 시도하였다. In this embodiment, a myocyte mixture sheet derived from various species and derivatives was prepared using adipose stem cells as a support. Adipose stem cells were used as supporters to form the respective mixed sheets using rat-derived BDIX cardiomyocytes, human-derived coronary smooth muscle cells, or mouse-derived C3H myoblasts.

그 결과, 도 16에 나타난 바와 같이 백서 (rat) 유래 BDIX 심장근아세포, 인간 유래 관상동맥 평활근세포 및 마우스 유래 C3H 근육아세포는 지방줄기세포와 상공적인 혼합시트를 형성하였다.As a result, as shown in FIG. 16, the rat-derived BDIX cardiomyocytes, the human-derived coronary smooth muscle cells, and the mouse-derived C3H myoblasts formed a mixed sheet with the adipocytes.

그 다음, 마우스 지방줄기세포는 세포를 구별하기 위해 CFDA (Carboxyfluorescein diacetate succinimidyl ester; 그린) 염색을 실시하고, 6 wells plate에 5 × 106개를 시딩한 후, 36시간 동안 37℃, 5% CO2 인큐베이터에서 배양하였다. 그 다음, DiI (1,1'-Dioctadecyl-3,3,3',3'-Tetramethylindocarbocyanine Perchlorate; 레드)를 이용하여 염색한 백서 (rat) 유래 BDIX 심장근아세포, 인간 유래 관상동맥 평활근세포 및 마우스 유래 C3H 근육아세포 각각을 배양한 지방줄기세포에 2 × 106개씩 추가 시딩하고, 지방줄기세포를 배양한 동일한 배양액을 이용하여 48시간 동안 37℃, 5% CO2 인큐베이터에서 배양하였다. 이후, 획득한 각각의 혼합시트는 동결절편을 시행하여 DAPI(블루)로 핵을 염색하였다.Mouse adipose stem cells were then subjected to CFDA (Carboxyfluorescein diacetate succinimidyl ester; green) staining to differentiate cells, seeded 5 × 10 6 in 6 wells plates, and then 37 ° C., 5% CO for 36 hours. Incubated in 2 incubators. Next, rat-derived BDIX cardiomyocytes, human-derived coronary smooth muscle cells and mouse derived stained with DiI (1,1'-Dioctadecyl-3,3,3 ', 3'-Tetramethylindocarbocyanine Perchlorate; red) Each of the C3H myoblasts was seeded by 2 × 10 6 cells to the cultured adipose stem cells, and cultured in a 5% CO 2 incubator at 37 ° C. for 48 hours using the same culture medium in which the adipose stem cells were cultured. Then, each obtained mixed sheet was subjected to freezing sections to stain the nucleus with DAPI (blue).

지지체로 지방줄기세포와 백서 (rat) 유래 BDIX 심장근아세포 혼합시트 형성을 100 및 400배 형광현미경으로 관찰한 결과, 지지체로서의 지방줄기세포 (그린)와 백서 (rat) 유래 BDIX 심장근아세포 (레드)가 공존하는 것을 확인할 수 있었으며, 다층으로 구성된 혼합시트임을 확인할 수 있었다 (도 17A. 지지체로서의 지방줄기세포와 백서(랫) 유래 BDIX 심장근아세포를 이용한 혼합시트는 서로 상이한 세포 사이에 분리 없이 견고하였다. The formation of a mixture of fat stem cells and BDIX cardiomyocytes derived from rats as a support was observed by 100 and 400-fold fluorescence microscopy.As a result, fat stem cells (green) and rat-derived BDIX cardiomyocytes (red) as support were observed. Coexistence was confirmed, and it was confirmed that it was a mixed sheet composed of multiple layers (FIG. 17A. The mixed sheet using fat stem cells as a support and BDIX cardiomyocytes derived from rats (rats) was firm without separation between different cells.

또한, 지지체로 지방줄기세포와 인간 유래 관상동맥 평활근세포 혼합시트 형성을 200 및 400배 형광현미경으로 관찰한 결과, 지지체로서의 지방줄기세포 (그린)와 인간 유래 관상동맥 평활근세포 (레드)가 공존하는 것을 확인할 수 있었다 (도 17B). 그리고, 지지체로 지방줄기세포와 마우스 유래 C3H 근육아세포 혼합시트 형성을 200 및 400배 형광현미경으로 관찰한 결과 또한 지지체로서의 지방줄기세포 (그린)와 마우스 유래 C3H 근육아세포 (레드)가 공존하는 것을 확인할 수 있었다 (도 17C).In addition, the formation of a mixture sheet of adipose stem cells and human-derived coronary smooth muscle cells using a 200 and 400-fold fluorescence microscope showed that adipose stem cells (green) and human-derived coronary smooth muscle cells (red) coexist as a support. It could be confirmed (Fig. 17B). In addition, the formation of a mixture of fat stem cells and mouse-derived C3H myoblasts as a support was observed by 200 and 400-fold fluorescence microscopy, and it was also confirmed that adipose stem cells (green) and mouse-derived C3H myoblasts (red) coexist as a support. Could be (FIG. 17C).

지방줄기세포와 여러가지 근세포의 혼합시트 제조에서는, MesenCult™ Proloferation kit (스템셀 테크놀로지)를 이용하여 FBS와 다양한 성장인자를 포함하는 Baseal mesdium으로 지방줄기세포를 배양한 후 추가로 백서 (rat) 유래 BDIX 심장근아세포, 인간 유래 관상동맥 평활근세포 또는 마우스 유래 C3H 근육아세포를를 시딩하여 동일한 배양액으로 2일간 배양하였다. 백서 (rat) 유래 BDIX 심장근아세포, 인간 유래 관상동맥 평활근세포 및 마우스 유래 C3H 근육아세포 모두 기존의 마우스 지방줄기세포 배양액을 사용하여 배양한 경우, 세포의 변화는 관찰되지 않았다.In the preparation of a mixed sheet of adipose stem cells and various myocytes, cultivation of adipose stem cells with a baseal mesdium containing FBS and various growth factors using the MesenCult ™ Proloferation kit (Stem Cell Technology), followed by additional BDIX-derived BDIX Cardiac myoblasts, human-derived coronary artery smooth muscle cells or mouse-derived C3H myoblasts were seeded and cultured in the same culture for 2 days. When rat-derived BDIX cardiomyocytes, human-derived coronary smooth muscle cells, and mouse-derived C3H myoblasts were all cultured using conventional mouse adipose stem cell culture, no change of cells was observed.

따라서, 지지체로서 줄기세포는 마우스 유래 배아 또는 골수 줄기세포를 이용한 시트형성은 확인할 수 없었으나, 종의 구별 없이 다양한 근세포를 이용하여 지방줄기세포와의 혼합시트를 제조한 경우 모두 분리 없이 견고히 혼합시트가 형성됨을 확인할 수 있었다.Therefore, the stem cells as a support was unable to confirm the sheet formation using mouse-derived embryos or bone marrow stem cells, but when mixed sheets prepared with adipose stem cells using various muscle cells regardless of species, all the sheets were firmly mixed without separation. It could be confirmed that is formed.

본 발명에 따른 지방줄기세포 지지체를 이용한 근세포의 혼합시트는 단시간에 저비용으로 제조가 용이하고, 단독으로 시트제작이 어려운 세포를 안정적이고 안전하게 생체 내로 이식할 수 있으므로, 국소재생 치료 등의 임상적 응용 외에도 산업적으로 유용하다.The mixed sheets of myocytes using the adipose stem cell support according to the present invention can be easily manufactured at low cost in a short time, and can be transplanted into the living body in a stable and safe manner, which makes it difficult to produce a sheet alone, and thus, clinical application such as local regenerative therapy. In addition, it is industrially useful.

이상으로 본 발명 내용의 특정한 부분을 상세히 기술하였는 바, 당업계의 통상의 지식을 가진 자에게 있어서, 이러한 구체적 기술은 단지 바람직한 실시양태일 뿐이며, 이에 의해 본 발명의 범위가 제한되는 것이 아닌 점은 명백할 것이다. 따라서 본 발명의 실질적인 범위는 첨부된 청구항들과 그것들의 등가물에 의하여 정의된다고 할 것이다.Having described the specific part of the present invention in detail, it is obvious to those skilled in the art that such a specific description is only a preferred embodiment, thereby not limiting the scope of the present invention. something to do. Thus, the substantial scope of the present invention will be defined by the appended claims and their equivalents.

Claims (8)

다음 단계를 포함하는 지방줄기세포 지지체와 이식용 근세포의 혼합시트의 제조방법:Method for producing a mixed sheet of fat stem cell support and graft myocytes comprising the following steps: (a) 지방줄기세포를 배양한 다음, 지방줄기세포에 이식용 근세포를 추가 시딩 (seeding)하여 함께 배양하는 단계; 및(a) culturing the adipose stem cells, and further seeding the seed muscle cells for transplantation into the adipose stem cells and culturing them together; And (b) 상기 (a) 단계에서 배양된 지방줄기세포와 이식용 근세포의 혼합시트를 박리하여 회수하는 단계.(b) peeling and recovering the mixed sheet of the fat stem cells cultured in step (a) and the myocytes for transplantation. 제1항에 있어서, 상기 이식용 근세포는 심장근세포, 심장근아세포, 평활근세포 또는 근육아세포인 것을 특징으로 하는 방법.The method of claim 1, wherein the transplanted myocytes are cardiomyocytes, cardiomyocytes, smooth muscle cells or myoblasts. 제2항에 있어서, 상기 심장근세포는 고동하는 세포인 것을 특징으로 하는 방법.The method of claim 2, wherein the cardiomyocytes are pulsating cells. 제1항에 있어서, 상기 (a) 단계의 지방줄기세포는 0.5~1.0 × 106 cells/cm2 밀도로 시딩 (seeding)하여 배양하는 것을 특징으로 하는 방법.The method of claim 1, wherein the fat stem cells of step (a) are cultured by seeding (seeding) at a density of 0.5 ~ 1.0 × 10 6 cells / cm 2 . 제1항에 있어서, 상기 (a) 단계의 추가 시딩 (seeding)은 지방줄기세포와 이식용 근세포 각각의 시딩 (seeding)시 세포수 비율을 1:1~2로 하는 것을 특징으로 하는 방법.The method of claim 1, wherein the additional seeding of the step (a) is characterized in that the ratio of the number of cells in the seeding of the adipose stem cells and the transplanted myocytes is 1: 1-2. 제1항에 있어서, 상기 (b) 단계의 혼합세포 시트의 박리는 스크레이퍼를 사용하는 것을 특징으로 하는 방법.The method of claim 1, wherein the peeling of the mixed cell sheet of step (b) is characterized in that using a scraper. 제1항에 있어서, 상기 (b) 단계의 회수된 혼합세포 시트는 전체 배양접시 면적의 60% 이상인 것을 특징으로 하는 방법.The method of claim 1, wherein the recovered mixed cell sheet of step (b) is 60% or more of the total culture dish area. 제1항 내지 제7항 중 어느 한 항의 방법에 의해 제조된 지방줄기세포 지지체와 이식용 근세포의 혼합시트.A mixed sheet of adipose stem cell support prepared by the method of any one of claims 1 to 7 and a myocyte for transplantation.
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