Recent studies have demonstrated the feasibility of transplanting feta
l mouse cardiomyocytes into the hearts of adult syngeneic mice. Howeve
r, the function of the transplanted cardiomyocytes and their capacity
to survive in fibrous connective tissue were not assessed. In the pres
ent study, we evaluated the viability and contractility of transplante
d fetal and neonatal rat cardiomyocytes in the connective tissue of th
e adult rat hindlimb. Purified fetal or neonatal rat cardiomyocytes we
re cultured. These cells contained sarcomeres, formed junctions compos
ed of desmosomes and fascia adherens, and contracted regularly and spo
ntaneously. A fetal or neonatal cardiomyocyte suspension was injected
into the subcutaneous tissue of adult rat hindlimbs. Cyclosporin A (5
mg/kg) was administered subcutaneously daily for the 3-month duration
of the study, at which rime the animals were killed. The transplanted
cardiomyocytes formed 'tissue' in vivo that increased in size for the
first 2 weeks and remained the same size at the third week. The tissue
derived from the transplanted fetal cardiomyocytes contracted spontan
eously at a rate of 73+/-12 bpm, and that from the neonatal cardiomyoc
ytes contracted at a rate of 43+/-21 bpm. The electrocardiogram was si
milar to that seen in myocardium with an idioventricular rhythm. Histo
logically, the tissue appeared to be cardiac muscle with sarcomeres. A
ngiogenesis occurred in the cardiomyocyte graft. In summary, a cell su
spension of cultured fetal and neonatal rat cardiomyocytes transplante
d into the adult rat hindlimb formed contractile cardiac tissue in the
subcutaneous connective tissue.