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Updated: May 25, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
[Elevated level of circulating endothelial cells as an exponent of chronic vascular dysfunction in the course of AMD]
Anna Machalińska1, Krzysztof Safranow, Zofia Sylwestrzak
1Z Katedry i Zakładu Histologii i Embriologii Pomorskiego Uniwersytetu Medycznego w Szczecinie. annam@sci.pam.szczecin.pl
Insights
Patients with age-related macular degeneration (AMD) have higher levels of circulating endothelial cells (CECs), indicating endothelial dysfunction. This suggests vascular disturbances play a role in AMD pathogenesis and may inform future treatments.
Area of Science:
- Ophthalmology
- Vascular Biology
- Cell Biology
Background:
- Age-related macular degeneration (AMD) is increasingly linked to endothelial dysfunction.
- Circulating endothelial cells (CECs) are markers of endothelial injury and detachment.
Purpose of the Study:
- To investigate the role of endothelial dysfunction in AMD pathogenesis.
- To measure CEC concentrations in the peripheral blood of AMD patients.
Main Methods:
- Collected peripheral blood samples from 31 dry AMD patients, 46 neovascular AMD patients, and 46 controls.
- Quantified and analyzed CECs using flow cytometry.
Main Results:
- Both dry and neovascular AMD were independently associated with significantly higher CEC counts.
- Adjusted analyses controlled for age, sex, ischemic heart disease, hypertension, and smoking.
Conclusions:
- Elevated CEC levels in AMD patients suggest accompanying endothelial alterations.
- These findings highlight significant vascular disturbances in AMD pathogenesis.
- Increased CECs may contribute to AMD progression and offer therapeutic targets.
Purpose:
In recent years, emerging data support the concept of endothelial dysfunction in the course of age-related macular degeneration (AMD). Circulating endothelial cells (CECs) are desquamated mature cells that have detached from the intimal monolayer in response to endothelial injury. In this study we sought to explore the potential role of endothelial dysfunction in pathogenesis of AMD by measuring the concentration of CECs in peripheral blood of AMD patients.
Material And Methods:
Peripheral blood samples from 31 patients with diagnosed dry AMD and 46 patients with neovascular AMD were collected. Forty six, age- and sex-matched volunteers without AMD were enrolled as a control group. CECs were counted and analyzed by flow cytometry.
Results:
Multivariate analyses of patients and controls adjusted for age, gender, presence of ischemic heart disease, hypertension and smoking (current or past) revealed that both wet (beta = +0.45, p = 0.0003) and dry (beta = +0.28, p = 0.027) forms of AMD are independent factors associated with higher number of CECs.
Conclusions:
Our results suggest that there is an endothelial alteration accompanying AMD. Increased numbers of CECs AMD patients reflect a severe vascular disturbance and may contribute to the disease process. These findings can help expand our knowledge of the pathogenic mechanisms of AMD and may be relevant to the potential treatment of this disease.
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