Alterations of circulating endothelial cell and endothelial progenitor cell counts around the ovulation
Sunao Tanaka1, Takayuki Ueno, Fumiaki Sato
1Department of Surgery (Breast Surgery), Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Insights
Menstrual cycle variations significantly impact circulating endothelial progenitor cell (CEP) counts, peaking during specific phases. These CEP count changes correlate with key hormones like estradiol and luteinizing hormone, crucial for clinical applications.
Area of Science:
- Reproductive Biology
- Vascular Biology
- Cellular Biology
Background:
- Circulating endothelial cells (CECs) and progenitor cells (CEPs) are studied for therapeutic and monitoring applications.
- The influence of the menstrual cycle on CEC and CEP counts is not well understood.
Purpose of the Study:
- To determine how the menstrual cycle affects CEC and CEP counts.
- To investigate the relationship between CEC/CEP counts and hormones/angiogenesis factors.
Main Methods:
- CEP and CEC counts were measured using flow cytometry and CellSearch in 18 volunteers.
- Blood samples were collected eight times throughout the menstrual cycle.
- The menstrual cycle was divided into six phases based on hormone levels.
Main Results:
- CEP counts varied significantly across menstrual cycle phases, peaking in the periovulatory and mid-luteal phases.
- CEC counts did not show significant variation.
- CEP counts correlated with estradiol (E2), LH, and G-CSF levels.
Conclusions:
- CEP counts exhibit menstrual cycle-dependent fluctuations, notably peaking in the periovulatory and middle luteal phases.
- These variations are linked to serum concentrations of E2, LH, and G-CSF.
- Understanding CEP count variations is vital for their clinical use.
Context:
Circulating endothelial cells (CECs) and progenitor cells (CEPs) have been intensively studied as a promising tool for treating ischemic diseases and monitoring cancer treatments, but how the menstrual cycle affects the variation in their counts remains unclear.
Objective:
The aims of the study were to determine the influence of the menstrual cycle on the number of CECs and CEPs and to investigate the association of their counts with circulating hormones and angiogenesis-associated factors.
Design:
CEP and CEC counts by flow cytometry and the CellSearch system and circulating factor levels were measured eight times during the menstrual cycle in 18 volunteers. The menstrual cycle was divided into six phases based on hormone concentrations.
Results:
CEP counts peaked in the periovulatory and middle luteal phases with a drop in the early luteal phase. CEC counts showed no significant variation. There were significant correlations between the CEP counts and the serum concentrations of estradiol (E2), LH, and granulocyte colony-stimulating factor (G-CSF) (P < 0.0001, P < 0.0001, and P = 0.01, respectively). The difference in CEP counts between two adjacent phases was significantly correlated with that in E2, LH, G-CSF, and serum vascular endothelial growth factor (P < 0.0001, P < 0.0001, P = 0.02, and P = 0.006, respectively).
Conclusion:
CEP counts peaked in the periovulatory and middle luteal phases, with a drop in the early luteal phase, and were correlated with serum E2, LH, and G-CSF concentrations. Consideration of the variation in CEP counts would be important for the clinical application of CEPs.
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