Are Endothelial Progenitor Cells the Real Solution for Cardiovascular Diseases? Focus on Controversies and Perspectives
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Advanced knowledge in the field of stem cell biology and their ability to provide a cue for counteracting several diseases are leading numerous researchers to focus their attention on “regenerative medicine” as possible solutions for cardiovascular diseases (CVDs). However, the lack of consistent evidence in this arena has hampered the clinical application. The same condition affects the research on endothelial progenitor cells (EPCs), creating more confusion than comprehension. In this review, this aspect is discussed with particular emphasis. In particular, we describe biology and physiology of EPCs, outline their clinical relevance as both new predictive, diagnostic, and prognostic CVD biomarkers and therapeutic agents, discuss advantages, disadvantages, and conflicting data about their use as possible solutions for vascular impairment and clinical applications, and finally underline a very crucial aspect of EPCs “characterization and definition,” which seems to be the real cause of large heterogeneity existing in literature data on this topic.
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Lack of standardized criteria for characterizing and identifying EPCs, age of donors and their clinical conditions, and ethnicity of populations may negatively affect the viability and function of EPCs.
“Lack of standardized criteria for characterizing and identifying EPCs, age of donors and their clinical conditions, and ethnicity of populations may negatively affect the viability and function of EPCs [241].”
From Liver tissue engineering using decellularized scaffolds: Current progress, challenges, and opportunities (2024) · cites this paper as [241]
Section 5.1 says that detection methods, patients’ age and clinical conditions, and population ethnicity may influence EPC levels and viability. Section 3.3.1 links ageing to altered EPC function and viability, while Sections 5.4 and 6 call for standardized identification criteria. The paper does not say that every listed factor negatively affects EPC viability and function; methodological differences are discussed chiefly as affecting EPC evaluation. (LLM, conf=0.83)
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Circulating endothelial progenitor cells, vascular function, and cardiovascular risk
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“…unseeded scaffold, as indicated by arrows, while platelet attachment (arrowheads) was significantly reduced in the reendothelized scaffolds conjugated with CD31 antibodies [Adapted from Ko et al. [11], with a permission from Elsevier]. may negatively affect the viability and function of EPCs [241].”
Background
- Authors
- Balistreri, C. R., Buffa, S., Pisano, C., Lio, D., Ruvolo, G., & Mazzesi, G.
- Affiliations
- University of Palermo (IT)
- Sapienza University of Rome (IT)
- Corresponding author
- Balistreri, Carmela R.
- Venue
- BioMed Research International
- Publisher
- Hindawi Limited
- Published
- 2015
- Volume
- 2015
- Pages
- 1-17
- ISSN
- 1110-7243 (ISSN-L)
- 2314-6133
- 2314-6141
- PMC
- PMC4609774
- OpenAlex
- W2145444355
- Cited by
- 76
- References
- 4
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 6 · 2021: 12 · 2020: 6 · 2019: 7 · 2018: 11 · 2017: 6 · 2016: 12
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- BioMed Research International (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion, other-oa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Keywords
- endothelial progenitor cells, cardiovascular disease, regenerative medicine, stem cell therapy, cardiovascular biomarkers, vascular dysfunction, clinical translation
- MeSH terms
- Bone Marrow Cells, Cardiovascular Diseases, Endothelium, Vascular, Humans, Neovascularization, Physiologic, Stem Cell Transplantation, Regenerative Medicine, Endothelial Progenitor Cells
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