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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Inverse correlation between circulating endothelial progenitor cells with CD34+CD133+ and the severity of coronary
Jing Chi1, Xiaojian Hong, Yuehong Wang
1Department of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.
Insights
Endothelial progenitor cell (EPC) levels decrease with increasing atherosclerosis severity. Lower EPC counts, specifically CD34(+)CD133(+) cells, correlate with more extensive coronary artery disease, suggesting EPCs may predict disease progression.
Area of Science:
- Cardiovascular Research
- Cell Biology
- Medical Diagnostics
Background:
- Endothelial progenitor cells (EPCs) are crucial for vascular health.
- A decrease in EPC numbers is observed as atherosclerosis develops.
- CD34(+)CD133(+) cells represent a key population of EPCs.
Purpose of the Study:
- To compare the number of CD34(+)CD133(+) EPCs with atherosclerosis severity.
- To evaluate the relationship between EPC levels and the Syntax score in patients with stable angina.
Main Methods:
- Study included 80 patients with stable angina undergoing coronary angiography.
- Patients were grouped based on angiography results (normal, single-vessel, multiple-vessel disease).
- Flow cytometry quantified CD34(+)CD133(+) EPCs in peripheral blood; Syntax score assessed coronary artery disease extent.
Main Results:
- Log-transformed EPC levels (lgEPC) were significantly lower in single-vessel and multiple-vessel groups compared to the normal group.
- Multiple-vessel disease showed lower lgEPC levels than single-vessel disease.
- Linear regression revealed an inverse correlation between lgEPC and Syntax score.
Conclusions:
- EPC levels may predict the development and severity of atherosclerosis at a cellular level.
- Reduced EPCs are associated with more advanced coronary artery disease.
- EPCs might play a protective role against coronary artery disease, acting as a significant risk factor.
Background:
The number of endothelial progenitor cells (EPCs) descends when atherosclerosis developed. The objective was to compare the number of CD34(+)CD133(+) cells with the severity of atherosclerosis assessed by Syntax score.
Methods:
The study included 80 patients with stable angina undergoing coronary angiography. Patients were classified into single-vessel group, multiple-vessel group and normal group according to angiography. The percentage of CD34(+)CD133(+) cells in the mononuclear cells isolated from peripheral blood of different groups by flow cytometric analysis was compared. The quantity of CD34(+)CD133(+) EPCs was log transformed to improve normality (lgEPC). Syntax score was used in this study to assess the extent of coronary artery disease.
Results:
The level of lgEPC was lower in the single-vessel group than that in the normal group (-3.42 ± 0.44 versus -3.17 ± 0.39, P < 0.05), and the level of lgEPC was lower in the multiple-vessel group than that in the single vessel group (-3.63 ± 0.31 versus -3.42 ± 0.44, P < 0.05). An inverse correlation between lgEPC and Syntax score analyzed by linear regression.
Conclusions:
EPC level probably serves as a predictor of the development and severity of atherosclerosis on a cellular level. EPC, a relatively more important risk factor, perhaps protects against coronary artery disease.
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