Impaired Mobilization of CD133<sup>+</sup> Bone Marrow-Derived Circulating Progenitor Cells With an Increased Number of Diseased Coronary Arteries in Ischemic Heart Disease Patients With Diabetes

  • Turan R. Goekmen
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Turan C. Hakan
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Bozdag-Turan Ilkay
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Ortak Jasmin
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Akin Ibrahim
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Kische Stephan
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Schneider Henrik
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Kleinfeldt Tilo
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Rehders Tim C.
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Rauchhaus Mathias
    Applied Cachexia Research, Department of Cardiology Campus Virchow-Klinikum, Charité-Universitätsmedizin
  • Adolph Esther
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Amen Shwan
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Hermann Tina
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Yokus Sedat
    Laboratory of Stem Cell Transplantation and Molecular Cardiology, Department of Internal Medicine, Division of Cardiology, Pneumology and Angiology, Heinrich-Heine-University
  • Brehm Micheal
    Laboratory of Stem Cell Transplantation and Molecular Cardiology, Department of Internal Medicine, Division of Cardiology, Pneumology and Angiology, Heinrich-Heine-University
  • Steiner Stephan
    Laboratory of Stem Cell Transplantation and Molecular Cardiology, Department of Internal Medicine, Division of Cardiology, Pneumology and Angiology, Heinrich-Heine-University
  • Sahin Kurtulus
    Institute for Clinical Research and Statistics
  • Nienaber Christoph A.
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock
  • Ince Hueseyin
    Department of Internal Medicine, Division of Cardiology, University Hospital Rostock

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Background: The influence of the number of diseased coronary arteries on the mobilization of CD133/45+ bone marrow-derived circulating progenitor cells (BM-CPCs) in peripheral blood (PB) in patients with ischemic heart disease (IHD) was analyzed. Methods and Results: Mobilization of CD133/45+ BM-CPCs by flow cytometry was measured in 120 patients with coronary 1 vessel (IHD1, n=40), coronary 2 vessel (IHD2, n=40), and coronary 3 vessel disease (IHD3, n=40), and in a control group (n=40). The mobilization of CD133/45+ BM-CPCs was significantly reduced in patients with IHD compared to the control group (P<0.001). The mobilization of CD133/45+ BM-CPCs was impaired in patients with IHD3 compared to IHD1 (P<0.001) and to IHD2 (P<0.001). But there was no significant difference in mobilization of CD133/45+ BM-CPCs between the patients with IHD2 and IHD1 (P=0.35). Moreover, we found significantly reduced CD133/45+ cell mobilization in patients with a high SYNTAX-Score (SS) compared to a low SS (P<0.001) and an intermediate SS (P<0.001). In subgroup analyzes, we observed a significantly negative correlation between levels of hemoglobin A1c and the mobilization of CD133/45+ BM-CPCs (P=0.001, r=-0.6). Conclusions: The mobilization of CD133/45+ BM-CPCs in PB is impaired in patients with IHD. This impairment might augment with increased number of diseased coronary arteries. Moreover, mobilization of CD133/45+ BM-CPCs in ischemic tissue is further impaired by diabetes in patients with IHD. (Circ J 2011; 75: 2635-2641)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 75 (11), 2635-2641, 2011

    一般社団法人 日本循環器学会

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