Bone marrow microvascular and neuropathic alterations in patients with critical limb ischemia.

Abstract:

RATIONALE:The impact of severe cardiovascular disease and critical limb ischemia (CLI) on the bone marrow (BM) is largely unknown. OBJECTIVE:To investigate microvascular and neuropathic changes in BM of patients with CLI. METHODS AND RESULTS:BM biopsies were obtained from patients with CLI (n=33) included in the Rejuvenating Endothelial Progenitor Cells via Transcutaneous Intra-arterial Supplementation (JUVENTAS) trial (NCT00371371) and controls (n=12). We performed immunohistochemistry and histomorphometry of the BM to assess microvascular density and to evaluate pan-neuronal and sympathetic innervation, which is involved in progenitor cell mobilization. Microvascular density was reduced significantly in CLI compared with controls (P=0.01), as was sympathetic (P=0.047) and pan-neuronal innervation (P=0.006). No differences in microvascular density and sympathetic or pan-neuronal innervation were observed between patients with CLI with and without diabetes mellitus. CONCLUSIONS:CLI is associated with BM microvascular and neuropathic changes, both in patients with and without diabetes mellitus.

journal_name

Circ Res

journal_title

Circulation research

authors

Teraa M,Fledderus JO,Rozbeh RI,Leguit RJ,Verhaar MC,Juventas Study Group{dagger}.

doi

10.1161/CIRCRESAHA.114.302791

subject

Has Abstract

pub_date

2014-01-17 00:00:00

pages

311-4

issue

2

eissn

0009-7330

issn

1524-4571

pii

CIRCRESAHA.114.302791

journal_volume

114

pub_type

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