Circulating Endothelial Progenitor Cells in Type 1 Diabetic Patients: Relation with Patients' Age and Disease

Adolfo Arcangeli1, Elena Lastraioli2, Barbara Piccini3

  • 1Diabetology Unit, Prato Hospital, Prato, Italy.

Insights

Childhood/young type 1 diabetes patients have higher circulating endothelial progenitor cells (cEPCs) than adults. These elevated cEPC levels may offer vascular protection in younger individuals with type 1 diabetes mellitus (T1DM).

Area of Science:

  • Cardiovascular Research
  • Endocrinology
  • Immunology

Background:

  • Diabetes mellitus (DM) is linked to endothelial dysfunction and increased cardiovascular disease (CVD) risk.
  • Circulating endothelial progenitor cells (cEPCs) play a role in vascular repair and are reportedly dysfunctional in DM patients.
  • Understanding cEPC levels in type 1 DM (T1DM) is crucial for assessing vascular health, especially in different age groups.

Purpose of the Study:

  • To evaluate the number of circulating cEPCs in type 1 DM patients across various ages and disease durations.
  • To investigate potential age-related differences in cEPC levels among T1DM patients without clinical vascular damage.

Main Methods:

  • An observational, prospective clinical study involving T1DM patients from two centers.
  • Quantification of cEPCs using flow cytometry, specifically identifying CD34/CD133/VEGFR2-positive cells within peripheral blood mononuclear cells (PBMCs).

Main Results:

  • cEPC counts were lower in adult T1DM patients but higher in childhood/young T1DM patients compared to age-matched controls.
  • Younger T1DM patients (<20 years) exhibited higher cEPC numbers than older patients, irrespective of disease duration.
  • A subset of young T1DM patients presented with notably elevated cEPC levels.

Conclusions:

  • A significant association exists between cEPC levels and age in T1DM patients, with younger individuals showing higher counts.
  • Elevated cEPCs in young T1DM patients may confer protection against endothelial dysfunction and vascular damage.
  • Lower cEPC levels in adult T1DM patients might correlate with a reduced capacity for vascular protection and a higher susceptibility to complications.
Abstract

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