Abstract
Objective. Circulating endothelial progenitor cells (EPCs) counts were determined in patients with sickle cell disease (SCD) to elucidate their role in SCD-related ischemia-induced angiogenesis and reendothelialization.
Materials and Methods. Circulating EPC counts (KDR(+)/CD34(+)/Cd45(dim) cells) and their relation to serum levels of EPC mobilizing growth factors erythropoietin, vascular endothelial growth factor, and interieukin-8 were investigated in SCD patients during asymptomatic state (n = 66) and painful crisis (n = 36) and compared to healthy controls (n = 13).
Results. EPC counts were comparable between controls (0; range, 0-1.1 cells/mL) and patients (0; range, 0-0 cells/mL) in asymptomatic state, but were significantly higher during painful crisis (41.7; range, 0-186 cells/mL; p <0.05). Also in a paired analysis of 12 patients who were included both during asymptomatic state and painful crisis, EPC counts increased significantly during painful crisis (from 0 [range, 0-0] to 26 [range, 0-149 cell/mL; p <0.05). EPC counts were not related to any of the measured growth factors.
Conclusion. The higher EPC counts during painful crisis might indicate a role for EPC mobilization in reendothelialization. As a relationship of EPCs with the established mobilizing growth factors, measured in this study was not observed, the mechanism of EPC mobilization in SCD remains to be elucidated. (C) 2009 ISEH - Society for Hematology and Stem Cells. Published by Elsevier Inc.
Original language | English |
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Pages (from-to) | 1054-1059 |
Number of pages | 6 |
Journal | Experimental Hematology |
Volume | 37 |
Issue number | 9 |
DOIs | |
Publication status | Published - Sept 2009 |
Keywords
- NITRIC-OXIDE
- CEREBROVASCULAR-DISEASE
- ANGIOGENIC FACTORS
- ERYTHROPOIETIN
- MOBILIZATION
- CONTRIBUTES
- RETINOPATHY
- HYPEROXIA
- ADULTS
- STATE