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Circulation. 2003;108:457-463
Published online before print July 14, 2003, doi: 10.1161/01.CIR.0000082924.75945.48
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(Circulation. 2003;108:457.)
© 2003 American Heart Association, Inc.


Basic Science Reports

Aging, Progenitor Cell Exhaustion, and Atherosclerosis

Frederick M. Rauscher, MD; Pascal J. Goldschmidt-Clermont, MD; Bryce H. Davis, BSE*; Tao Wang, MD, PhD*; David Gregg, MD; Priya Ramaswami, BE; Anne M. Pippen, BS; Brian H. Annex, MD; Chunming Dong, MD; Doris A. Taylor, PhD

From the Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC.

Correspondence to Pascal J. Goldschmidt-Clermont, MD, and Doris A. Taylor, PhD, Department of Medicine, Duke University Medical Center, Box 3845, Durham, NC 27710. E-mail pascal.goldschmidt{at}duke.edu or dataylor@duke.edu

Received April 22, 2003; de novo received May 30, 2003; accepted June 11, 2003.

Background— Atherosclerosis is largely attributed to chronic vascular injury, as occurs with excess cholesterol; however, the effect of concomitant vascular aging remains unexplained. We hypothesize that the effect of time in atherosclerosis progression is related to obsolescence of endogenous progenitor cells that normally repair and rejuvenate the arteries.

Methods and Results— Here we show that chronic treatment with bone marrow–derived progenitor cells from young nonatherosclerotic ApoE-/- mice prevents atherosclerosis progression in ApoE-/- recipients despite persistent hypercholesterolemia. In contrast, treatment with bone marrow cells from older ApoE-/- mice with atherosclerosis is much less effective. Cells with vascular progenitor potential are decreased in the bone marrow of aging ApoE-/- mice, but cells injected from donor mice engraft on recipient arteries in areas at risk for atherosclerotic injury.

Conclusions— Our data indicate that progressive progenitor cell deficits may contribute to the development of atherosclerosis.


Key Words: aging • atherosclerosis • stem cells


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Circulation 2003 108: 378-379. [Extract] [Full Text]



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J. Am. Coll. Cardiol., May 3, 2005; 45(9): 1458 - 1460.
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Am. J. Physiol. Heart Circ. Physiol.Home page
J. O. d. Buijs, M. Musters, T. Verrips, J. A. Post, B. Braam, and N. van Riel
Mathematical modeling of vascular endothelial layer maintenance: the role of endothelial cell division, progenitor cell homing, and telomere shortening
Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2651 - H2658.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. M. Califf, T. Ryan, P. Douglas, and P. J. Goldschmidt-Clermont
A time of accelerated change in academic cardiovascular medicine: Implications for academic divisions of cardiology and their training programs
J. Am. Coll. Cardiol., November 16, 2004; 44(10): 1957 - 1965.
[Abstract] [Full Text] [PDF]


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Am J Crit CareHome page
L. G. Futterman and L. Lemberg
Cardiac Repair With Autologous Bone Marrow Stem Cells
Am. J. Crit. Care., November 1, 2004; 13(6): 512 - 518.
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Arterioscler. Thromb. Vasc. Bio.Home page
L. Rossig, C. Urbich, and S. Dimmeler
Endothelial Progenitor Cells at Work: Not Mature Yet, but Already Stress-Resistant
Arterioscler Thromb Vasc Biol, November 1, 2004; 24(11): 1977 - 1979.
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Arterioscler. Thromb. Vasc. Bio.Home page
C. Weber, A. Schober, and A. Zernecke
Chemokines: Key Regulators of Mononuclear Cell Recruitment in Atherosclerotic Vascular Disease
Arterioscler Thromb Vasc Biol, November 1, 2004; 24(11): 1997 - 2008.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. Abedin, Y. Tintut, and L. L. Demer
Mesenchymal Stem Cells and the Artery Wall
Circ. Res., October 1, 2004; 95(7): 671 - 676.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
C. Urbich and S. Dimmeler
Endothelial Progenitor Cells: Characterization and Role in Vascular Biology
Circ. Res., August 20, 2004; 95(4): 343 - 353.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
T. Kinnaird, E. Stabile, M. S. Burnett, and S. E. Epstein
Bone Marrow-Derived Cells for Enhancing Collateral Development: Mechanisms, Animal Data, and Initial Clinical Experiences
Circ. Res., August 20, 2004; 95(4): 354 - 363.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
B. Hibbert, Y.-X. Chen, and E. R. O'Brien
c-kit-Immunopositive vascular progenitor cells populate human coronary in-stent restenosis but not primary atherosclerotic lesions
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H518 - H524.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
E. G. Lakatta and S. Schulman
Age-associated cardiovascular changes are the substrate for poor prognosis with myocardial infarction
J. Am. Coll. Cardiol., July 7, 2004; 44(1): 35 - 37.
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Arterioscler. Thromb. Vasc. Bio.Home page
J.-H. Choi, K. L. Kim, W. Huh, B. Kim, J. Byun, W. Suh, J. Sung, E.-S. Jeon, H.-Y. Oh, and D.-K. Kim
Decreased Number and Impaired Angiogenic Function of Endothelial Progenitor Cells in Patients With Chronic Renal Failure
Arterioscler Thromb Vasc Biol, July 1, 2004; 24(7): 1246 - 1252.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. Rehman, J. Li, L. Parvathaneni, G. Karlsson, V. R. Panchal, C. J. Temm, J. Mahenthiran, and K. L. March
Exercise acutely increases circulating endothelial progenitor cells and monocyte-/macrophage-derived angiogenic cells
J. Am. Coll. Cardiol., June 16, 2004; 43(12): 2314 - 2318.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. E. Epstein, E. Stabile, T. Kinnaird, C. W. Lee, L. Clavijo, and M. S. Burnett
Janus Phenomenon: The Interrelated Tradeoffs Inherent in Therapies Designed to Enhance Collateral Formation and Those Designed to Inhibit Atherogenesis
Circulation, June 15, 2004; 109(23): 2826 - 2831.
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Eur Heart JHome page
J. George, E. Goldstein, S. Abashidze, V. Deutsch, H. Shmilovich, A. Finkelstein, I. Herz, H. Miller, and G. Keren
Circulating endothelial progenitor cells in patients with unstable angina: association with systemic inflammation
Eur. Heart J., June 2, 2004; 25(12): 1003 - 1008.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. Heeschen, R. Lehmann, J. Honold, B. Assmus, A. Aicher, D. H. Walter, H. Martin, A. M. Zeiher, and S. Dimmeler
Profoundly Reduced Neovascularization Capacity of Bone Marrow Mononuclear Cells Derived From Patients With Chronic Ischemic Heart Disease
Circulation, April 6, 2004; 109(13): 1615 - 1622.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. Heil, T. Ziegelhoeffer, B. Mees, and W. Schaper
A Different Outlook on the Role of Bone Marrow Stem Cells in Vascular Growth: Bone Marrow Delivers Software not Hardware
Circ. Res., March 19, 2004; 94(5): 573 - 574.
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Circ. Res.Home page
M. C. Capogrossi
Cardiac Stem Cells Fail With Aging: A New Mechanism for the Age-Dependent Decline in Cardiac Function
Circ. Res., March 5, 2004; 94(4): 411 - 413.
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Arterioscler. Thromb. Vasc. Bio.Home page
J. George, I. Herz, E. Goldstein, S. Abashidze, V. Deutch, A. Finkelstein, Y. Michowitz, H. Miller, and G. Keren
Number and Adhesive Properties of Circulating Endothelial Progenitor Cells in Patients With In-Stent Restenosis
Arterioscler Thromb Vasc Biol, December 1, 2003; 23(12): e57 - e60.
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Sci Aging Knowl EnvironHome page
P. J. Goldschmidt-Clermont and E. D. Peterson
On the Memory of a Chronic Illness
Sci. Aging Knowl. Environ., November 12, 2003; 2003(45): re8 - 8.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Q. Xu, Z. Zhang, F. Davison, and Y. Hu
Circulating Progenitor Cells Regenerate Endothelium of Vein Graft Atherosclerosis, Which Is Diminished in ApoE-Deficient Mice
Circ. Res., October 17, 2003; 93 (8): e76 - e86.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. Libby
Bone Marrow: A Fountain of Vascular Youth?
Circulation, July 29, 2003; 108(4): 378 - 379.
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