Schematic illustration of primary rat cardiomyocyte isolation. Healthy male Sprague Dawley rats (n = 14) were anaesthetised and had their hearts excised. The heart was attached to a Langendorff column and different solutions were perfused across various time points to arrest and digest the heart. Ventricles were extracted and bubbled to obtain a pellet of live ventricular cardiomyocytes. Pelleted cardiomyocytes were resuspended in medium 199 and distributed onto sterile culture wells that have been pre-coated with laminin.  

Schematic illustration of primary rat cardiomyocyte isolation. Healthy male Sprague Dawley rats (n = 14) were anaesthetised and had their hearts excised. The heart was attached to a Langendorff column and different solutions were perfused across various time points to arrest and digest the heart. Ventricles were extracted and bubbled to obtain a pellet of live ventricular cardiomyocytes. Pelleted cardiomyocytes were resuspended in medium 199 and distributed onto sterile culture wells that have been pre-coated with laminin.  

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Reductions in cardiac infarct size can be achieved in ischaemic preconditioning, a procedure which subjects the heart to intermittent, non-lethal cycles of ischaemia and reperfusion. Similar cardioprotection can be induced upon preconditioning distal tissues such as the upper limb, and this procedure is called remote ischaemic preconditioning. Nano...

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... It is already well established that exosomes function across species, with human-derived exosomes protective in mice. 48,49 This indicates that they act either via a specific mechanism that is highly conserved F I G U R E 3 Representative images from the mPTP assay in HL-1 cells. HL-1 cardiomyocytes were pre-loaded with a quenching concentration of TMRM, then subject to repeated confocal scanning with a HeNe laser. ...
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Myocardial infarction requires urgent reperfusion to salvage viable heart tissue. However, reperfusion increases infarct size further by promoting mitochondrial damage in cardiomyocytes. Exosomes from a wide range of different cell sources have been shown to activate cardioprotective pathways in cardiomyocytes, thereby reducing infarct size. Yet, it is currently challenging to obtain highly pure exosomes in quantities enough for clinical studies. To overcome this problem, we used exosomes isolated from CTX0E03 neuronal stem cells, which are genetically stable, conditionally inducible and can be produced on an industrial scale. However, it is unknown whether exosomes from neuronal stem cells may reduce cardiac ischaemia/reperfusion injury. In this study, we demonstrate that exosomes from differentiating CTX0E03 cells can reduce infarct size in mice. In an in vitro assay, these exosomes delayed cardiomyocyte mitochondrial permeability transition pore opening, which is responsible for cardiomyocyte death after reperfusion. The mechanism of MPTP inhibition was via gp130 signalling and the downstream JAK/STAT pathway. Our results support previous findings that exosomes from non‐cardiomyocyte‐related cells produce exosomes capable of protecting cardiomyocytes from myocardial infarction. We anticipate our findings may encourage scientists to use exosomes obtained from reproducible clinical‐grade stocks of cells for their ischaemia/reperfusion studies.