Arterio-venous gradients of endothelial progenitor cells reveal a complex kinetics in human limb ischemia.

Abstract:

:Ischemic recruitment of endothelial progenitor cells (EPCs) in involved in compensatory angiogenic in animal models, but this still needs to be substantiated in humans. We enrolled 12 patients, who underwent surgical correction of abdominal aortic aneurysm without atherosclerosis of leg arteries (n = 4) or lower limb atherosclerosis obliterans (AO; n = 8). We measured VEGF, SDF-1, lactate and CD34+ KDR+ EPCs in the arterial and venous circulation of lower limbs. We found that, irrespectively of AO stage and lactate production, there was no consistent arterio-venous gradient of EPC, VEGF and SDF-1. Notably, in 4/8 patients, EPCs were more abundant in the vein than in the artery. EPC gradient was directly correlated with VEGF gradient and inversely correlated with SDF-1 gradient. In conclusion, we failed to show any consistent gradient of EPCs across ischemic limbs in relation to severity of atherosclerosis obliterans, but we speculatively suggest that a bidirectional traffic of EPCs in and out the ischemic tissue might be regulated by VEGF and SDF-1.

authors

Fadini GP,Grego F,Menegolo M,Agostini C,Avogaro A

doi

10.3233/CH-2011-1437

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

293-300

issue

4

eissn

1386-0291

issn

1875-8622

pii

6334Q611051N0818

journal_volume

50

pub_type

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