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Circulation Research. 2001;88:167-174

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(Circulation Research. 2001;88:167.)
© 2001 American Heart Association, Inc.


Integrative Physiology

Vascular Trauma Induces Rapid but Transient Mobilization of VEGFR2+AC133+ Endothelial Precursor Cells

Muhammad Gill, Sergio Dias, Koichi Hattori, Mary Lee Rivera, Daniel Hicklin, Larry Witte, Leonard Girardi, Roger Yurt, Harvey Himel, Shahin Rafii

From the Division of Hematology and Oncology (M.G., S.D., K.H., M.L.R., S.R.), Cornell University Medical College; W Randolph Burn Center (R.Y., H.H.) and Division of Cardiothoracic Surgery (L.G.), New York Presbyterian Hospital; and Imclone Systems Incorporated (D.H., L.W.), New York, NY.

Correspondence to Shahin Rafii, MD, Division of Hematology/Oncology, Cornell University Medical College, 1300 York Ave, Room C-606, New York, NY 10021. E-mail srafii{at}mail.med.cornell.edu

Abstract—Bone marrow (BM)–derived circulating endothelial precursor cells (CEPs) are thought to play a role in postnatal angiogenesis. Emerging evidence suggests that angiogenic stress of vascular trauma may induce mobilization of CEPs to the peripheral circulation. In this regard, we studied the kinetics of CEP mobilization in two groups of patients who experienced acute vascular insult secondary to burns or coronary artery bypass grafting (CABG). In both burn and CABG patients, there was a consistent, rapid increase in the number of CEPs, determined by their surface expression pattern of vascular endothelial growth factor receptor 2 (VEGFR2), vascular endothelial cadherin (VE-cadherin), and AC133. Within the first 6 to 12 hours after injury, the percentage of CEPs in the peripheral blood of burn or CABG patients increased almost 50-fold, returning to basal levels within 48 to 72 hours. Mobilized cells also formed late-outgrowth endothelial colonies (CFU-ECs) in culture, indicating that a small, but significant, number of circulating endothelial cells were BM-derived CEPs. In parallel to the mobilization of CEPs, there was also a rapid elevation of VEGF plasma levels. Maximum VEGF levels were detected within 6 to 12 hours of vascular trauma and decreased to baseline levels after 48 to 72 hours. Acute elevation of VEGF in the mice plasma resulted in a similar kinetics of mobilization of VEGFR2+ cells. On the basis of these results, we propose that vascular trauma may induce release of chemokines, such as VEGF, that promotes rapid mobilization of CEPs to the peripheral circulation. Strategies to improve the mobilization and incorporation of CEPs may contribute to the acceleration of vascularization of the injured vascular tissue.


Key Words: circulating endothelial precursor cells\b • mobilization • vascular endothelial growth factor \b • vascular endothelial growth factor receptor 2 • AC133




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N. Sengupta, S. Caballero, R. N. Mames, A. M. Timmers, D. Saban, and M. B. Grant
Preventing Stem Cell Incorporation into Choroidal Neovascularization by Targeting Homing and Attachment Factors
Invest. Ophthalmol. Vis. Sci., January 1, 2005; 46(1): 343 - 348.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Massa, V. Rosti, M. Ferrario, R. Campanelli, I. Ramajoli, R. Rosso, G. M. De Ferrari, M. Ferlini, L. Goffredo, A. Bertoletti, et al.
Increased circulating hematopoietic and endothelial progenitor cells in the early phase of acute myocardial infarction
Blood, January 1, 2005; 105(1): 199 - 206.
[Abstract] [Full Text] [PDF]


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Br. J. Radiol.Home page
M-H Gaugler
A unifying system: does the vascular endothelium have a role to play in multi-organ failure following radiation exposure?
Br. J. Radiol., January 1, 2005; Supplement 27(1): 100 - 105.
[Abstract] [Full Text] [PDF]


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BloodHome page
E. De Falco, D. Porcelli, A. R. Torella, S. Straino, M. G. Iachininoto, A. Orlandi, S. Truffa, P. Biglioli, M. Napolitano, M. C. Capogrossi, et al.
SDF-1 involvement in endothelial phenotype and ischemia-induced recruitment of bone marrow progenitor cells
Blood, December 1, 2004; 104(12): 3472 - 3482.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. D. Abbott, Y. Huang, D. Liu, R. Hickey, D. S. Krause, and F. J. Giordano
Stromal Cell-Derived Factor-1{alpha} Plays a Critical Role in Stem Cell Recruitment to the Heart After Myocardial Infarction but Is Not Sufficient to Induce Homing in the Absence of Injury
Circulation, November 23, 2004; 110(21): 3300 - 3305.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Hristov, W. Erl, S. Linder, and P. C. Weber
Apoptotic bodies from endothelial cells enhance the number and initiate the differentiation of human endothelial progenitor cells in vitro
Blood, November 1, 2004; 104(9): 2761 - 2766.
[Abstract] [Full Text] [PDF]


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BloodHome page
I. Rajantie, M. Ilmonen, A. Alminaite, U. Ozerdem, K. Alitalo, and P. Salven
Adult bone marrow-derived cells recruited during angiogenesis comprise precursors for periendothelial vascular mural cells
Blood, October 1, 2004; 104(7): 2084 - 2086.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Valgimigli, G. M. Rigolin, A. Fucili, M. D. Porta, O. Soukhomovskaia, P. Malagutti, A. M. Bugli, L. Z. Bragotti, G. Francolini, E. Mauro, et al.
CD34+ and Endothelial Progenitor Cells in Patients With Various Degrees of Congestive Heart Failure
Circulation, September 7, 2004; 110(10): 1209 - 1212.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
T. Asahara and A. Kawamoto
Endothelial progenitor cells for postnatal vasculogenesis
Am J Physiol Cell Physiol, September 1, 2004; 287(3): C572 - C579.
[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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Arterioscler. Thromb. Vasc. Bio.Home page
T. Kondo, M. Hayashi, K. Takeshita, Y. Numaguchi, K. Kobayashi, S. Iino, Y. Inden, and T. Murohara
Smoking Cessation Rapidly Increases Circulating Progenitor Cells in Peripheral Blood in Chronic Smokers
Arterioscler. Thromb. Vasc. Biol., August 1, 2004; 24(8): 1442 - 1447.
[Abstract] [Full Text] [PDF]


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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
D. W. Losordo and S. Dimmeler
Therapeutic Angiogenesis and Vasculogenesis for Ischemic Disease: Part II: Cell-Based Therapies
Circulation, June 8, 2004; 109(22): 2692 - 2697.
[Full Text] [PDF]


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HeartHome page
S Francis
Endothelial progenitor cells and coronary artery disease
Heart, June 1, 2004; 90(6): 591 - 592.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
R. D. Galiano, O. M. Tepper, C. R. Pelo, K. A. Bhatt, M. Callaghan, N. Bastidas, S. Bunting, H. G. Steinmetz, and G. C. Gurtner
Topical Vascular Endothelial Growth Factor Accelerates Diabetic Wound Healing through Increased Angiogenesis and by Mobilizing and Recruiting Bone Marrow-Derived Cells
Am. J. Pathol., June 1, 2004; 164(6): 1935 - 1947.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
T. J. Rabelink, H. C. de Boer, E. J.P. de Koning, and A.-J. van Zonneveld
Endothelial Progenitor Cells: More Than an Inflammatory Response?
Arterioscler. Thromb. Vasc. Biol., May 1, 2004; 24(5): 834 - 838.
[Abstract] [Full Text]


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J. Biol. Chem.Home page
J. Matsui, T. Wakabayashi, M. Asada, K. Yoshimatsu, and M. Okada
Stem Cell Factor/c-kit Signaling Promotes the Survival, Migration, and Capillary Tube Formation of Human Umbilical Vein Endothelial Cells
J. Biol. Chem., April 30, 2004; 279(18): 18600 - 18607.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
V. Adams, K. Lenk, A. Linke, D. Lenz, S. Erbs, M. Sandri, A. Tarnok, S. Gielen, F. Emmrich, G. Schuler, et al.
Increase of Circulating Endothelial Progenitor Cells in Patients with Coronary Artery Disease After Exercise-Induced Ischemia
Arterioscler. Thromb. Vasc. Biol., April 1, 2004; 24(4): 684 - 690.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C.-H. Wang, N. Ciliberti, S.-H. Li, P. E. Szmitko, R. D. Weisel, P. W.M. Fedak, M. Al-Omran, W.-J. Cherng, R.-K. Li, W. L. Stanford, et al.
Rosiglitazone Facilitates Angiogenic Progenitor Cell Differentiation Toward Endothelial Lineage: A New Paradigm in Glitazone Pleiotropy
Circulation, March 23, 2004; 109(11): 1392 - 1400.
[Abstract] [Full Text] [PDF]


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Ann OncolHome page
L. V. Beerepoot, N. Mehra, J. S. P. Vermaat, B. A. Zonnenberg, M. F. G. B. Gebbink, and E. E. Voest
Increased levels of viable circulating endothelial cells are an indicator of progressive disease in cancer patients
Ann. Onc., January 1, 2004; 15(1): 139 - 145.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. J. Scheubel, H. Zorn, R.-E. Silber, O. Kuss, H. Morawietz, J. Holtz, and A. Simm
Age-dependent depression in circulating endothelial progenitor cells inpatients undergoing coronary artery bypass grafting
J. Am. Coll. Cardiol., December 17, 2003; 42(12): 2073 - 2080.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. Dimmeler and M. Vasa-Nicotera
Aging of progenitor cells: limitation for regenerative capacity?
J. Am. Coll. Cardiol., December 17, 2003; 42(12): 2081 - 2082.
[Full Text] [PDF]


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Cancer Res.Home page
G. Schuch, J. V. Heymach, M. Nomi, M. Machluf, J. Force, A. Atala, J. P. Eder Jr., J. Folkman, and S. Soker
Endostatin Inhibits the Vascular Endothelial Growth Factor-Induced Mobilization of Endothelial Progenitor Cells
Cancer Res., December 1, 2003; 63(23): 8345 - 8350.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
D. Skowasch, A. Jabs, R. Andrie, S. Dinkelbach, B. Luderitz, and G. Bauriedel
Presence of bone-marrow- and neural-crest-derived cells in intimal hyperplasia at the time of clinical in-stent restenosis
Cardiovasc Res, December 1, 2003; 60(3): 684 - 691.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. Goette, K. Jentsch-Ullrich, U. Lendeckel, C. Rocken, M. Agbaria, A. Auricchio, M. Mohren, A. Franke, and H. U. Klein
Effect of Atrial Fibrillation on Hematopoietic Progenitor Cells: A Novel Pathophysiological Role of the Atrial Natriuretic Peptide?
Circulation, November 18, 2003; 108(20): 2446 - 2449.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
R. G. Bagley, J. Walter-Yohrling, X. Cao, W. Weber, B. Simons, B. P. Cook, S. D. Chartrand, C. Wang, S. L. Madden, and B. A. Teicher
Endothelial Precursor Cells As a Model of Tumor Endothelium: Characterization and Comparison with Mature Endothelial Cells
Cancer Res., September 15, 2003; 63(18): 5866 - 5873.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. Pesce, A. Orlandi, M. G. Iachininoto, S. Straino, A. R. Torella, V. Rizzuti, G. Pompilio, G. Bonanno, G. Scambia, and M. C. Capogrossi
Myoendothelial Differentiation of Human Umbilical Cord Blood-Derived Stem Cells in Ischemic Limb Tissues
Circ. Res., September 5, 2003; 93 (5): e51 - e62.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
G. Bauriedel, A. Jabs, D. Skowasch, R. Hutter, J. J. Badimon, V. Fuster, U. Welsch, and B. Luderitz
Dendritic cells in neointima formation after rat carotid balloon injury: coordinated expression withanti-apoptotic Bcl-2 and HSP47 in arterial repair
J. Am. Coll. Cardiol., September 3, 2003; 42(5): 930 - 938.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. S. Forrester, M. J. Price, and R. R. Makkar
Stem Cell Repair of Infarcted Myocardium: An Overview for Clinicians
Circulation, September 2, 2003; 108(9): 1139 - 1145.
[Full Text] [PDF]


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CirculationHome page
N. Nagaya, K. Kangawa, M. Kanda, M. Uematsu, T. Horio, N. Fukuyama, J. Hino, M. Harada-Shiba, H. Okumura, Y. Tabata, et al.
Hybrid Cell-Gene Therapy for Pulmonary Hypertension Based on Phagocytosing Action of Endothelial Progenitor Cells
Circulation, August 19, 2003; 108(7): 889 - 895.
[Abstract] [Full Text] [PDF]