Endothelial progenitor cells in cardiovascular disorders
Open accessAbstract
The important role of the vascular endothelium in cardiovascular health is increasingly recognized. However, mature endothelial cells possess limited regenerative capacity. There is therefore much interest in circulating endothelial progenitor cells (EPCs) among the scientific community, especially into their purported role in maintenance of endothelial integrity and function, as well as postnatal neovascularization. It has been suggested that these cells might not only be responsible for the continuous recovery of the endothelium after injury/damage, but also might take part in angiogenesis, giving the hope of new treatment opportunities. Indeed, there is accumulating evidence showing reduced availability and impaired EPC function in the presence of both cardiovascular disease and associated comorbid risk factors. Thus, many studies into the potential for use of EPCs in the clinical setting are being undertaken. The goal of this review article is to provide an overview of data relevant to the clinical role of EPCs and perspectives for treatment of cardiovascular disorders.
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The effect size for circulating angiogenic cell mobilization with flavanols is similar to that reported for statins, estrogen, and lifestyle changes such as exercise and smoking cessation.
“The effect size observed here for CAC mobilization lies in a range similar to that reported for treatments with statins, estrogen, and changes in lifestyle factors, such as exercise and smoking cessation (5).”
Lifestyle interventions and statin therapy can stimulate mobilization of circulating angiogenic cells and thereby enhance endogenous endothelial repair.
“Primary and secondary preventive life-style interventions and statin therapy can enhance endogenous endothelial repair mechanisms by stimulating CAC mobilization (5).”
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- Authors
- Shantsila, E., Watson, T., & Lip, G. Y. H.
- Affiliations
- Birmingham City Hospital (GB)
- Corresponding author
- Lip, Gregory Y.H.
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2007-02
- Volume
- 49
- Issue
- 7
- Pages
- 741-752
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2025299174
- Cited by
- 413
- References
- 127
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 10 · 2022: 8 · 2021: 9 · 2020: 18 · 2019: 15 · 2018: 14 · 2017: 22 · 2016: 19 · 2015: 25 · 2014: 36 · 2013: 21 · 2012: 41
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sandwell and West Birmingham Hospitals NHS Trust
- European Society of Cardiology
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Keywords
- endothelial progenitor cells, cardiovascular disease, vascular endothelium, re-endothelialization, angiogenesis, neovascularization, endothelial dysfunction, cardiovascular risk factors, cell therapy
- MeSH terms
- Aging, Animals, Cardiovascular Agents, Cardiovascular Diseases, Disease Models, Animal, Humans, Risk Factors, Stem Cells, Treatment Outcome, Neovascularization, Physiologic, Stem Cell Transplantation, Endothelial Cells
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