Circulating Hematopoietic Stem/Progenitor Cells are Associated with Coronary Stenoses in Patients with Coronary Heart

Fu-Li Zhu1, Ning Zhang2, Xiao-Juan Ma2

  • 1Department of Cardiology, Beijing LuHe Hospital, Capital Medical University, Beijing, China.

Scientific Reports
|February 10, 2019
PubMed

Insights

The frequency of circulating hematopoietic stem/progenitor cells (HSPCs) is higher in patients with coronary heart disease (CHD). Increased HSPC levels correlate with coronary stenosis severity in CHD patients.

Area of Science:

  • Cardiovascular Medicine
  • Hematology
  • Immunology

Background:

  • Atherosclerotic plaque inflammation originates from hematopoietic stem/progenitor cells (HSPCs).
  • The relationship between circulating HSPCs and coronary stenosis in coronary heart disease (CHD) remains unclear.

Purpose of the Study:

  • To investigate the association between circulating HSPCs frequency and coronary stenosis in patients with CHD.

Main Methods:

  • Coronary angiography and echocardiography were performed on 468 participants.
  • Flow cytometry quantified Lineage-CD38-CD45RA(dim)CD34+ HSPCs in peripheral blood.
  • CHD was defined as coronary stenosis ≥50%, with severity categorized by ≥70% stenosis.

Main Results:

  • Circulating HSPCs frequency was 1.8-fold higher in CHD patients compared to non-CHD participants (p=0.047).
  • HSPCs were the sole marker associated with mild versus severe coronary stenosis (OR 2.08, p=0.0009).
  • Left ventricular ejection fraction inversely correlated with HSPCs frequency and CRP in CHD patients.

Conclusions:

  • Circulating HSPCs frequency is closely related to coronary stenosis in CHD patients.
  • HSPCs may serve as a potential biomarker for assessing coronary stenosis severity.

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