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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Relationship between perioperative cardiovascular risk factors and bone marrow cells from patients undergoing
1Department of Cardiovascular Surgery, PLA General Hospital Beijing, Beijing, China.
Insights
Aging and diabetes significantly reduce bone marrow progenitor cells in patients with coronary heart disease. These factors may impact the success of cell therapy for ischemic heart disease, necessitating further investigation.
Area of Science:
- Cardiovascular Medicine
- Regenerative Medicine
- Hematology
Background:
- Autologous bone marrow cell therapy is explored for ischemic heart disease.
- Patient outcomes vary, highlighting the need to identify predictive risk factors.
- Understanding bone marrow progenitor cell levels and function is crucial for patient selection.
Purpose of the Study:
- To identify risk factors influencing bone marrow progenitor cell levels and function in patients undergoing coronary artery bypass grafting (CABG).
- To assess the impact of age, diabetes, and gender on bone marrow mononuclear cells (BMMNCs) and their progenitor cell populations (CD34+, CD133+).
Main Methods:
- Collected clinical and laboratory data from 44 patients undergoing CABG.
- Isolated BMMNCs from sternal bone marrow aspirates.
- Analyzed BMMNC counts, CD34+, CD133+, and CD34+CD133+ cell levels.
- Assessed progenitor cell clonogenic function and BMMNC migration ability.
Main Results:
- A significant negative correlation was found between BMMNC count and patient age (r = -0.788, P = 0.001).
- Diabetic patients exhibited significantly lower levels of CD34+ and CD133+ cells compared to non-diabetic patients.
- Female gender, advanced age, and poor heart function were associated with reduced progenitor cell clonogenic function.
- Higher CD34+ cell levels correlated positively with BMMNC migration ability.
Conclusions:
- Aging and diabetes are identified as major risk factors affecting the level and function of bone marrow progenitor cells in coronary heart disease patients.
- These findings suggest that age and diabetes may influence the efficacy of bone marrow cell therapy for ischemic heart disease.
- Further research is warranted to confirm the impact of these risk factors on therapeutic outcomes.
Abstract:
Cell therapy through the implantation of autologous bone marrow cells has long been used in clinical trials for the treatment of ischemic heart diseases. However, as the outcomes of cell implantation vary among patients, risk factors that might influence the level and function of bone marrow progenitor cells should be determined, to identify patients who would benefit the most from this treatment. We collected clinical and laboratory data from 44 patients scheduled to undergo sternotomy for coronary artery bypass grafting (CABG). Bone marrow was aspirated from the sternum during the operation, and bone marrow mononuclear cells (BMMNCs) were isolated through density centrifugation. A negative correlation was observed between the number of BMMNCs and age (N = 44, r = -0.788, P = 0.001). The level of CD34+ cells in BMMNCs was 0.94 ± 0.39%, CD133+ cells 0.46 ± 0.28%, and CD34+CD133+ cells 0.53 ± 0.26%. The levels of CD34+ and CD133+ cells in diabetic patients were significantly lower than those in nondiabetic patients. Female gender, advanced age, and poor heart function were related with reduced progenitor cell clonogenic function. A positive correlation was observed between the level of CD34+ cells and BMMNC migration ability. Aging and diabetes were the major risk factors that influence the level and function of bone marrow resident progenitor cells in patients with coronary heart disease undergoing CABG. Further study is needed to determine whether these two factors can influence the outcome of bone marrow cell therapy for ischemic heart disease.
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