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Updated: Jun 22, 2026

Generation and Culture of Blood Outgrowth Endothelial Cells from Human Peripheral Blood
Published on: December 23, 2015
From bone marrow to the arterial wall: the ongoing tale of endothelial progenitor cells
Antonio Maria Leone1, Marco Valgimigli, Maria Benedetta Giannico
1Institute of Cardiology, Catholic University of the Sacred Heart, Largo A. Gemelli 8, 00168 Rome, Italy. antoniomarialeone@yahoo.it
Insights
Endothelial progenitor cells (EPCs) are crucial for cardiovascular health, but their unclear definition hinders clinical use. This review clarifies EPC characterization and mobilization for better cardiovascular disease management.
Area of Science:
- Cardiovascular Research
- Cell Biology
- Regenerative Medicine
Background:
- Endothelial progenitor cells (EPCs) play a role in vascular repair and are linked to cardiovascular risk.
- Mobilization of EPCs can be influenced by various physiological and pathological factors.
- Circulating EPC levels serve as predictors for cardiovascular events and cardiac remodeling post-myocardial infarction.
Purpose of the Study:
- To review current knowledge on endothelial progenitor cell (EPC) characterization and mobilization.
- To address the uncertainties and lack of a definitive EPC definition.
- To explore the potential role of EPCs in managing cardiovascular diseases.
Main Methods:
- Literature review of current research on EPCs.
- Analysis of studies on EPC mobilization and characterization.
- Synthesis of information regarding EPCs in cardiovascular pathophysiology.
Main Results:
- The definition and identification of EPCs remain inconsistent, complicating research and clinical application.
- Factors influencing EPC mobilization are diverse, including drugs and disease states.
- Despite definition challenges, EPCs show prognostic value in cardiovascular conditions.
Conclusions:
- Clarifying EPC definition and standardization is essential for clinical translation.
- Understanding EPC mobilization mechanisms is key to harnessing their therapeutic potential.
- Further research is needed to establish EPCs as reliable biomarkers and therapeutic targets in cardiovascular medicine.
Abstract:
Several physiological and pathophysiological stimuli or drugs modulate endothelial progenitor cell (EPC) mobilization. Moreover, levels of circulating EPCs predict cardiovascular risk and left ventricular remodelling after myocardial infarction. Nevertheless, our understanding in this field is complicated by lack of an unequivocal definition of EPCs, thus limiting their clinical applications. This review summarizes current knowledge and uncertainties on EPC characterization and mobilization in the attempt to define their role in the management of cardiovascular diseases.
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