PMID- 15249502 OWN - NLM STAT- MEDLINE DCOM- 20060407 LR - 20220316 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 110 IP - 10 DP - 2004 Sep 7 TI - CD34+ and endothelial progenitor cells in patients with various degrees of congestive heart failure. PG - 1209-12 AB - BACKGROUND: Peripheral blood CD34(+) cells and circulating endothelial progenitor cells (EPCs) increase in myocardial infarction and vascular injuries as a reflection of endothelial damage. Despite the occurrence of endothelial dysfunction in heart failure (HF), no data are available on EPC mobilization in this setting. We investigated the pattern of CD34(+) cells and EPC mobilization during HF and their correlation with the severity and origin of the disease. METHODS AND RESULTS: Peripheral blood CD34(+) cells (n=91) and EPCs (n=41), assessed both as CD34(+) cells coexpressing AC133 and vascular endothelial growth factor (VEGF) receptor-2 and as endothelial colony-forming units, were studied in HF patients (mean age 67+/-11 years) and 45 gender- and age-matched controls. Tumor necrosis factor-alpha (TNF-alpha) and its receptors (sTNFR-1 and sTNFR-2), VEGF, stromal derived factor-1 (SDF-1), granulocyte-colony stimulating factor (G-CSF), and B-type natriuretic peptide were also measured. CD34(+) cells, EPCs, TNF-alpha and receptors, VEGF, SDF-1, and B-type natriuretic peptide were increased in HF. CD34(+) cells and EPCs were inversely related to functional class and to TNF-alpha, being decreased in New York Heart Association class IV compared with class I and II and controls. No role was found for the origin of the disease. CONCLUSIONS: CD34(+) cells and EPC mobilization occurs in HF and shows a biphasic response, with elevation and depression in the early and advanced phases, respectively. This could be related to the myelosuppressive role of TNF-alpha. FAU - Valgimigli, Marco AU - Valgimigli M AD - University of Ferrara and Cardiovascular Research Center, Salvatore Maugeri Foundation, IRCCS, Gussago, Italy. vlgmrc@unife.it FAU - Rigolin, Gian Matteo AU - Rigolin GM FAU - Fucili, Alessandro AU - Fucili A FAU - Porta, Matteo Della AU - Porta MD FAU - Soukhomovskaia, Olga AU - Soukhomovskaia O FAU - Malagutti, Patrizia AU - Malagutti P FAU - Bugli, Anna Maria AU - Bugli AM FAU - Bragotti, Letizia Zenone AU - Bragotti LZ FAU - Francolini, Gloria AU - Francolini G FAU - Mauro, Endri AU - Mauro E FAU - Castoldi, Gianluigi AU - Castoldi G FAU - Ferrari, Roberto AU - Ferrari R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20040712 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Antigens, CD34) RN - 0 (Biomarkers) RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (Chemokines, CXC) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Vascular Endothelial Growth Factor A) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD34/*analysis MH - Biomarkers MH - Chemokine CXCL12 MH - Chemokines, CXC/blood MH - Colony-Forming Units Assay MH - Endothelium, Vascular/pathology MH - Female MH - Granulocyte Colony-Stimulating Factor/blood MH - Heart Failure/*blood MH - *Hematopoietic Stem Cells/chemistry MH - Humans MH - Male MH - *Mesenchymal Stem Cells/chemistry MH - Middle Aged MH - Natriuretic Peptide, Brain/blood MH - Receptors, Tumor Necrosis Factor, Type I/blood MH - Receptors, Tumor Necrosis Factor, Type II/blood MH - Tumor Necrosis Factor-alpha/analysis MH - Vascular Endothelial Growth Factor A/blood MH - Vascular Endothelial Growth Factor Receptor-2/analysis EDAT- 2004/07/14 05:00 MHDA- 2006/04/08 09:00 CRDT- 2004/07/14 05:00 PHST- 2004/07/14 05:00 [pubmed] PHST- 2006/04/08 09:00 [medline] PHST- 2004/07/14 05:00 [entrez] AID - 01.CIR.0000136813.89036.21 [pii] AID - 10.1161/01.CIR.0000136813.89036.21 [doi] PST - ppublish SO - Circulation. 2004 Sep 7;110(10):1209-12. doi: 10.1161/01.CIR.0000136813.89036.21. Epub 2004 Jul 12.