Circulating progenitor and mature endothelial cells in deep vein thrombosis

Aline M Alessio1, Miriam P Beltrame, Mariane C Flores Nascimento

  • 11. Hematology and Hemotherapy Center, University of Campinas, Campinas-SP, Brazil.

Insights

Circulating endothelial cells (CEC) and progenitor cells (EPC) increase after deep vein thrombosis (DVT). These cells may play a role in DVT repair, with distinct release patterns observed in experimental and human studies.

Area of Science:

  • Vascular Biology
  • Hematology
  • Cellular Biology

Background:

  • Mature circulating endothelial cells (CEC) and circulating endothelial progenitor cells (EPC) are linked to endothelial injury.
  • The involvement of CEC and EPC in deep vein thrombosis (DVT) remains unevaluated.

Purpose of the Study:

  • To investigate the time course of CEC and EPC release following experimental DVT in mice.
  • To assess the presence of CEC and EPC in patients with DVT during acute and chronic phases.

Main Methods:

  • Utilized the FeCl3 model for experimental DVT induction in mice.
  • Employed Flow Cytometry to quantify CEC and EPC levels in both murine models and human DVT patients.
  • Analyzed cell counts in acute and chronic DVT patient phases, as well as serial samples over time.

Main Results:

  • In mice, CEC and EPC levels elevated 24 hours post-DVT induction, peaking at 48 hours.
  • CEC counts declined sharply after 72 hours, while EPC counts showed a less substantial decrease.
  • DVT patients exhibited significantly increased CEC counts during both acute and chronic phases compared to healthy controls.

Conclusions:

  • Findings suggest CEC and EPC participate in DVT repair processes at both early and late stages.
  • Differential kinetics of CEC and EPC release indicate distinct roles in post-DVT reparative events.
  • Elevated CEC levels in chronic DVT patients warrant further investigation into their long-term implications.
Abstract

Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
834
Production of Formed Elements01:34

Production of Formed Elements

Hemangioblasts are multipotent stem cells originating from the mesoderm. They give rise to hematopoietic stem cells (HSCs), which undergo hematopoiesis to produce all the formed elements of blood. This process is regulated by a complex network of hematopoietic growth factors, including transcription factors, growth factors, and cytokines. These factors stimulate the HSCs to divide and differentiate, though some HSCs remain undifferentiated to maintain a self-renewing pool.
Most HSCs commit to...
7.6K
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
482
Clot Retraction and Fibrinolysis01:16

Clot Retraction and Fibrinolysis

After a fibrin clot is formed, the next step is clot retraction, a vital process facilitated by platelet contractile proteins, such as actin and myosin. These proteins pull the fibrin strands closer together and condense the clot. This action reduces the size of the clot, creating a smaller, denser structure that effectively seals off the damaged vessel. Clot retraction consolidates the clot and helps with wound healing by bringing the edges of the damaged blood vessel closer together.
6.1K
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
470
Overview of the Vascular System01:20

Overview of the Vascular System

The vascular system comprises an extensive network of arteries, capillaries, and veins. The vascular system can be broadly divided into the blood and lymphatic systems. Typically, blood vessels can be categorized into three histological regions: tunica intima, tunica media, and tunica adventitia. The tunica intima consists of a single layer of endothelial cells attached to the basal lamina. Underlying the basal lamina is a connective tissue layer and an elastic lamina that gives stability and...
2.8K