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Circulation. 2002;106:2781-2786
Published online before print November 4, 2002, doi: 10.1161/01.CIR.0000039526.42991.93
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(Circulation. 2002;106:2781.)
© 2002 American Heart Association, Inc.


Clinical Investigation and Reports

Human Endothelial Progenitor Cells From Type II Diabetics Exhibit Impaired Proliferation, Adhesion, and Incorporation Into Vascular Structures

Oren M. Tepper, BA; Robert D. Galiano, MD; Jennifer M. Capla, BA; Christoph Kalka, MD; Paul J. Gagne, MD; Glen R. Jacobowitz, MD; Jamie P. Levine, MD; Geoffrey C. Gurtner, MD

From the Laboratory of Microvascular Research and Vascular Tissue Engineering, Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York, NY (O.M.T., R.D.G., J.M.C., J.P.L., G.C.G.); the Department of Cardiology, Pneumology, and Vascular Medicine, Heinrich-Heine University, Duesseldorf, Germany (C.K.); and the Department of Surgery, New York University Medical Center, New York, NY (P.J.G., G.R.J.).

Correspondence to Geoffrey C. Gurtner, MD, New York University Medical Center, TH-169, 550 First Ave, New York, NY 10016. E-mail geoffrey.gurtner{at}med.nyu.edu

Background— The recent discovery of circulating endothelial progenitor cells (EPCs) has altered our understanding of new blood vessel growth such as occurs during collateral formation. Because diabetic complications occur in conditions in which EPC contributions have been demonstrated, EPC dysfunction may be important in their pathophysiology.

Methods and Results— EPCs were isolated from human type II diabetics (n=20) and age-matched control subjects (n=20). Proliferation of diabetic EPCs relative to control subjects was decreased by 48% (P<0.01) and inversely correlated with patient levels of hemoglobin A1C (P<0.05). Diabetic EPCs had normal adhesion to fibronectin, collagen, and quiescent endothelial cells but a decreased adherence to human umbilical vein endothelial cells activated by tumor necrosis factor-{alpha} (TNF-{alpha}) (P<0.05). In a Matrigel assay, diabetic EPCs were 2.5 times less likely to participate in tubule formation compared with controls (P<0.05).

Conclusions— These findings suggest that type II diabetes may alter EPC biology in processes critical for new blood vessel growth and may identify a population at high risk for morbidity and mortality after vascular occlusive events.


Key Words: collateral circulation • diabetes mellitus • angiogenesis




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DiabetesHome page
V. Marchetti, R. Menghini, S. Rizza, A. Vivanti, T. Feccia, D. Lauro, A. Fukamizu, R. Lauro, and M. Federici
Benfotiamine Counteracts Glucose Toxicity Effects on Endothelial Progenitor Cell Differentiation via Akt/FoxO Signaling.
Diabetes, August 1, 2006; 55(8): 2231 - 2237.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
T. G Ebrahimian, C. Heymes, D. You, O. Blanc-Brude, B. Mees, L. Waeckel, M. Duriez, J. Vilar, R. P. Brandes, B. I. Levy, et al.
NADPH Oxidase-Derived Overproduction of Reactive Oxygen Species Impairs Postischemic Neovascularization in Mice with Type 1 Diabetes
Am. J. Pathol., August 1, 2006; 169(2): 719 - 728.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
C.J.M. Loomans, H. Wan, R. de Crom, R. van Haperen, H.C. de Boer, P.J.M. Leenen, H.A. Drexhage, T.J. Rabelink, A.J. van Zonneveld, and F.J.T. Staal
Angiogenic Murine Endothelial Progenitor Cells Are Derived From a Myeloid Bone Marrow Fraction and Can Be Identified by Endothelial NO Synthase Expression
Arterioscler. Thromb. Vasc. Biol., August 1, 2006; 26(8): 1760 - 1767.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. You, L. Waeckel, T. G. Ebrahimian, O. Blanc-Brude, P. Foubert, V. Barateau, M. Duriez, S. LeRicousse-Roussanne, J. Vilar, E. Dejana, et al.
Increase in Vascular Permeability and Vasodilation Are Critical for Proangiogenic Effects of Stem Cell Therapy
Circulation, July 25, 2006; 114(4): 328 - 338.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
T.-S. Li, M. Takahashi, R. Suzuki, T. Kobayashi, H. Ito, A. Mikamo, and K. Hamano
Pravastatin Improves Remodeling and Cardiac Function After Myocardial Infarction by an Antiinflammatory Mechanism Rather than by the Induction of Angiogenesis
Ann. Thorac. Surg., June 1, 2006; 81(6): 2217 - 2225.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
F. X. Ma, B. Zhou, Z. Chen, Q. Ren, S. H. Lu, T. Sawamura, and Z. C. Han
Oxidized low density lipoprotein impairs endothelial progenitor cells by regulation of endothelial nitric oxide synthase
J. Lipid Res., June 1, 2006; 47(6): 1227 - 1237.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Chen and M. S. Goligorsky
Premature senescence of endothelial cells: Methusaleh's dilemma
Am J Physiol Heart Circ Physiol, May 1, 2006; 290(5): H1729 - H1739.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. Sata
Role of Circulating Vascular Progenitors in Angiogenesis, Vascular Healing, and Pulmonary Hypertension: Lessons From Animal Models
Arterioscler. Thromb. Vasc. Biol., May 1, 2006; 26(5): 1008 - 1014.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
H. Chon, M. C. Verhaar, H. A. Koomans, J. A. Joles, and B. Braam
Role of Circulating Karyocytes in the Initiation and Progression of Atherosclerosis
Hypertension, May 1, 2006; 47(5): 803 - 810.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
O. Awad, E. I. Dedkov, C. Jiao, S. Bloomer, R. J. Tomanek, and G. C. Schatteman
Differential Healing Activities of CD34+ and CD14+ Endothelial Cell Progenitors
Arterioscler. Thromb. Vasc. Biol., April 1, 2006; 26(4): 758 - 764.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. A. Klibansky, A. Chin, I. J. Duignan, and J. M. Edelberg
Synergistic targeting with bone marrow-derived cells and PDGF improves diabetic vascular function
Am J Physiol Heart Circ Physiol, April 1, 2006; 290(4): H1387 - H1392.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T.-S. Li, A. Furutani, M. Takahashi, M. Ohshima, S.-L. Qin, T. Kobayashi, H. Ito, and K. Hamano
Impaired potency of bone marrow mononuclear cells for inducing therapeutic angiogenesis in obese diabetic rats
Am J Physiol Heart Circ Physiol, April 1, 2006; 290(4): H1362 - H1369.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
T. Thum, D. Fraccarollo, P. Galuppo, D. Tsikas, S. Frantz, G. Ertl, and J. Bauersachs
Bone marrow molecular alterations after myocardial infarction: Impact on endothelial progenitor cells
Cardiovasc Res, April 1, 2006; 70(1): 50 - 60.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. Ii, H. Takenaka, J. Asai, K. Ibusuki, Y. Mizukami, K. Maruyama, Y.-s. Yoon, A. Wecker, C. Luedemann, E. Eaton, et al.
Endothelial Progenitor Thrombospondin-1 Mediates Diabetes-Induced Delay in Reendothelialization Following Arterial Injury
Circ. Res., March 17, 2006; 98(5): 697 - 704.
[Abstract] [Full Text] [PDF]


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Stem CellsHome page
J. Leor, E. Guetta, M. S. Feinberg, H. Galski, I. Bar, R. Holbova, L. Miller, P. Zarin, D. Castel, I. M. Barbash, et al.
Human Umbilical Cord Blood-Derived CD133+ Cells Enhance Function and Repair of the Infarcted Myocardium
Stem Cells, March 1, 2006; 24(3): 772 - 780.
[Abstract] [Full Text] [PDF]


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Stem CellsHome page
G. C. Schatteman and N. Ma
Old Bone Marrow Cells Inhibit Skin Wound Vascularization
Stem Cells, March 1, 2006; 24(3): 717 - 721.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
A. A. Quyyumi
Women and Ischemic Heart Disease: Pathophysiologic Implications From the Women's Ischemia Syndrome Evaluation (WISE) Study and Future Research Steps
J. Am. Coll. Cardiol., February 7, 2006; 47(3_Suppl_S): S66 - S71.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
H. Langer, A. E. May, K. Daub, U. Heinzmann, P. Lang, M. Schumm, D. Vestweber, S. Massberg, T. Schonberger, I. Pfisterer, et al.
Adherent Platelets Recruit and Induce Differentiation of Murine Embryonic Endothelial Progenitor Cells to Mature Endothelial Cells In Vitro
Circ. Res., February 3, 2006; 98(2): e2 - e10.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
G. Galasso, S. Schiekofer, K. Sato, R. Shibata, D. E. Handy, N. Ouchi, J. A. Leopold, J. Loscalzo, and K. Walsh
Impaired Angiogenesis in Glutathione Peroxidase-1-Deficient Mice Is Associated With Endothelial Progenitor Cell Dysfunction
Circ. Res., February 3, 2006; 98(2): 254 - 261.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
T. Raupach, K. Schafer, S. Konstantinides, and S. Andreas
Secondhand smoke as an acute threat for the cardiovascular system: a change in paradigm
Eur. Heart J., February 2, 2006; 27(4): 386 - 392.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
N. Werner and G. Nickenig
Influence of Cardiovascular Risk Factors on Endothelial Progenitor Cells: Limitations for Therapy?
Arterioscler. Thromb. Vasc. Biol., February 1, 2006; 26(2): 257 - 266.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
J.-S. Silvestre and B. I. Levy
Molecular Basis of Angiopathy in Diabetes Mellitus
Circ. Res., January 6, 2006; 98(1): 4 - 6.
[Full Text] [PDF]


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Circ. Res.Home page
D. H. Walter, J. Haendeler, J. Reinhold, U. Rochwalsky, F. Seeger, J. Honold, J. Hoffmann, C. Urbich, R. Lehmann, F. Arenzana-Seisdesdos, et al.
Impaired CXCR4 Signaling Contributes to the Reduced Neovascularization Capacity of Endothelial Progenitor Cells From Patients With Coronary Artery Disease
Circ. Res., November 25, 2005; 97(11): 1142 - 1151.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
T. Thum, D. Tsikas, S. Stein, M. Schultheiss, M. Eigenthaler, S. D. Anker, P. A. Poole-Wilson, G. Ertl, and J. Bauersachs
Suppression of Endothelial Progenitor Cells in Human Coronary Artery Disease by the Endogenous Nitric Oxide Synthase Inhibitor Asymmetric Dimethylarginine
J. Am. Coll. Cardiol., November 1, 2005; 46(9): 1693 - 1701.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. George, E. Goldstein, A. Abashidze, D. Wexler, S. Hamed, H. Shmilovich, V. Deutsch, H. Miller, G. Keren, and A. Roth
Erythropoietin promotes endothelial progenitor cell proliferative and adhesive properties in a PI 3-kinase-dependent manner
Cardiovasc Res, November 1, 2005; 68(2): 299 - 306.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
M. Simons
Angiogenesis, Arteriogenesis, and Diabetes: Paradigm Reassessed?
J. Am. Coll. Cardiol., September 6, 2005; 46(5): 835 - 837.
[Full Text] [PDF]


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Diabetes CareHome page
P. Huang, S. Li, M. Han, Z. Xiao, R. Yang, and Z. C. Han
Autologous Transplantation of Granulocyte Colony-Stimulating Factor-Mobilized Peripheral Blood Mononuclear Cells Improves Critical Limb Ischemia in Diabetes
Diabetes Care, September 1, 2005; 28(9): 2155 - 2160.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
V. J. Dzau, M. Gnecchi, A. S. Pachori, F. Morello, and L. G. Melo
Therapeutic Potential of Endothelial Progenitor Cells in Cardiovascular Diseases
Hypertension, July 1, 2005; 46(1): 7 - 18.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
K. Naruse, Y. Hamada, E. Nakashima, K. Kato, R. Mizubayashi, H. Kamiya, Y. Yuzawa, S. Matsuo, T. Murohara, T. Matsubara, et al.
Therapeutic Neovascularization Using Cord Blood-Derived Endothelial Progenitor Cells for Diabetic Neuropathy
Diabetes, June 1, 2005; 54(6): 1823 - 1828.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
C. Heiss, S. Keymel, U. Niesler, J. Ziemann, M. Kelm, and C. Kalka
Impaired Progenitor Cell Activity in Age-Related Endothelial Dysfunction
J. Am. Coll. Cardiol., May 3, 2005; 45(9): 1441 - 1448.
[Abstract] [Full Text] [PDF]