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Circulation Research. 2004;94:230-238
Published online before print December 4, 2003, doi: 10.1161/01.RES.0000110419.50982.1C
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(Circulation Research. 2004;94:230.)
© 2004 American Heart Association, Inc.


Cellular Biology

Bone Marrow-Derived Cells Do Not Incorporate Into the Adult Growing Vasculature

Tibor Ziegelhoeffer, Borja Fernandez, Sawa Kostin, Matthias Heil, Robert Voswinckel, Armin Helisch, Wolfgang Schaper

From Max-Planck-Institut for Clinical & Physiological Research (T.Z., B.F., S.K., M.H., A.H., W.S.), Bad Nauheim, Germany, and Department of Internal Medicine (R.V.), University Hospital Giessen, Giessen, Germany.

Correspondence to Tibor Ziegelhoeffer, MD, Max-Planck-Institute for Clinical & Physiological Research, Benekestrasse 2, 61231, Bad Nauheim, Germany. E-mail t.ziegelhoeffer{at}kerckhoff.mpg.de

Bone marrow-Derived cells have been proposed to form new vessels or at least incorporate into growing vessels in adult organisms under certain physiological and pathological conditions. We investigated whether bone marrow-Derived cells incorporate into vessels using mouse models of hindlimb ischemia (arteriogenesis and angiogenesis) and tumor growth. C57BL/6 wild-type mice were lethally irradiated and transplanted with bone marrow cells from littermates expressing enhanced green fluorescent protein (GFP). At least 6 weeks after bone marrow transplantation, the animals underwent unilateral femoral artery occlusions with or without pretreatment with vascular endothelial growth factor or were subcutaneously implanted with methylcholanthrene-induced fibrosarcoma (BFS-1) cells. Seven and 21 days after surgery, proximal hindlimb muscles with growing collateral arteries and ischemic gastrocnemius muscles as well as grown tumors and various organs were excised for histological analysis. We failed to colocalize GFP signals with endothelial or smooth muscle cell markers. Occasionally, the use of high-power laser scanning confocal microscopy uncovered false-positive results because of overlap of different fluorescent signals from adjacent cells. Nevertheless, we observed accumulations of GFP-positive cells around growing collateral arteries (3-fold increase versus nonoccluded side, P<0.001) and in ischemic distal hindlimbs. These cells were identified as fibroblasts, pericytes, and primarily leukocytes that stained positive for several growth factors and chemokines. Our findings suggest that in the adult organism, bone marrow-Derived cells do not promote vascular growth by incorporating into vessel walls but may function as supporting cells.


Key Words: arteriogenesis • angiogenesis • bone marrow-Derived cells




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Arterioscler Thromb Vasc Biol, December 1, 2005; 25(12): 2542 - 2547.
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CirculationHome page
E. D. de Muinck and M. Simons
Calling on Reserves: Granulocyte Colony Stimulating Growth Factor in Cardiac Repair
Circulation, November 15, 2005; 112(20): 3033 - 3035.
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Circ. Res.Home page
G. Garin, M. Mathews, and B. C. Berk
Tissue-Resident Bone Marrow-Derived Progenitor Cells: Key Players in Hypoxia-Induced Angiogenesis
Circ. Res., November 11, 2005; 97(10): 955 - 957.
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T. J. O'Neill IV, B. R. Wamhoff, G. K. Owens, and T. C. Skalak
Mobilization of Bone Marrow-Derived Cells Enhances the Angiogenic Response to Hypoxia Without Transdifferentiation Into Endothelial Cells
Circ. Res., November 11, 2005; 97(10): 1027 - 1035.
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Eur. J. Cardiothorac. Surg.Home page
I. Dimarakis, N. A. Habib, and M. Y.A. Gordon
Adult bone marrow-derived stem cells and the injured heart: just the beginning?
Eur. J. Cardiothorac. Surg., November 1, 2005; 28(5): 665 - 676.
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J Am Coll CardiolHome page
S. Zbinden, R. Zbinden, P. Meier, S. Windecker, and C. Seiler
Safety and Efficacy of Subcutaneous-Only Granulocyte-Macrophage Colony-Stimulating Factor for Collateral Growth Promotion in Patients With Coronary Artery Disease
J. Am. Coll. Cardiol., November 1, 2005; 46(9): 1636 - 1642.
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J. Thorac. Cardiovasc. Surg.Home page
S. Fazel, L. Chen, R. D. Weisel, D. Angoulvant, C. Seneviratne, A. Fazel, P. Cheung, J. Lam, P. W.M. Fedak, T. M. Yau, et al.
Cell transplantation preserves cardiac function after infarction by infarct stabilization: Augmentation by stem cell factor
J. Thorac. Cardiovasc. Surg., November 1, 2005; 130(5): 1310 - 1310.
[Abstract] [Full Text] [PDF]


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CirculationHome page
E. Toyota, D. C. Warltier, T. Brock, E. Ritman, C. Kolz, P. O'Malley, P. Rocic, M. Focardi, and W. M. Chilian
Vascular Endothelial Growth Factor Is Required for Coronary Collateral Growth in the Rat
Circulation, October 4, 2005; 112(14): 2108 - 2113.
[Abstract] [Full Text] [PDF]


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IOVSHome page
U. Ozerdem, K. Alitalo, P. Salven, and A. Li
Contribution of Bone Marrow-Derived Pericyte Precursor Cells to Corneal Vasculogenesis
Invest. Ophthalmol. Vis. Sci., October 1, 2005; 46(10): 3502 - 3506.
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Proc. Natl. Acad. Sci. USAHome page
L. C. Amado, A. P. Saliaris, K. H. Schuleri, M. St. John, J.-S. Xie, S. Cattaneo, D. J. Durand, T. Fitton, J. Q. Kuang, G. Stewart, et al.
Cardiac repair with intramyocardial injection of allogeneic mesenchymal stem cells after myocardial infarction
PNAS, August 9, 2005; 102(32): 11474 - 11479.
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Am. J. Physiol. Heart Circ. Physiol.Home page
D. Chalothorn, H. Zhang, J. A. Clayton, S. A. Thomas, and J. E. Faber
Catecholamines augment collateral vessel growth and angiogenesis in hindlimb ischemia
Am J Physiol Heart Circ Physiol, August 1, 2005; 289(2): H947 - H959.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. F.R. Dohmann, E. C. Perin, C. M. Takiya, G. V. Silva, S. A. Silva, A. L.S. Sousa, C. T. Mesquita, M.-I. D. Rossi, B. M.O. Pascarelli, I. M. Assis, et al.
Transendocardial Autologous Bone Marrow Mononuclear Cell Injection in Ischemic Heart Failure: Postmortem Anatomicopathologic and Immunohistochemical Findings
Circulation, July 26, 2005; 112(4): 521 - 526.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B. Modarai, K.G. Burnand, B. Sawyer, and A. Smith
Endothelial Progenitor Cells Are Recruited Into Resolving Venous Thrombi
Circulation, May 24, 2005; 111(20): 2645 - 2653.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
N. Ma, C. Stamm, A. Kaminski, W. Li, H.-D. Kleine, B. Muller-Hilke, L. Zhang, Y. Ladilov, D. Egger, and G. Steinhoff
Human cord blood cells induce angiogenesis following myocardial infarction in NOD/scid-mice
Cardiovasc Res, April 1, 2005; 66(1): 45 - 54.
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CirculationHome page
M. Simons
Angiogenesis: Where Do We Stand Now?
Circulation, March 29, 2005; 111(12): 1556 - 1566.
[Full Text] [PDF]


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CirculationHome page
D. Fukuda, M. Sata, K. Tanaka, and R. Nagai
Potent Inhibitory Effect of Sirolimus on Circulating Vascular Progenitor Cells
Circulation, February 22, 2005; 111(7): 926 - 931.
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Cardiovasc ResHome page
T. Tammela, B. Enholm, K. Alitalo, and K. Paavonen
The biology of vascular endothelial growth factors
Cardiovasc Res, February 15, 2005; 65(3): 550 - 563.
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Cardiovasc ResHome page
B. H. Annex and M. Simons
Growth factor-induced therapeutic angiogenesis in the heart: protein therapy
Cardiovasc Res, February 15, 2005; 65(3): 649 - 655.
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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.
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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.
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E. Khmelewski, A. Becker, T. Meinertz, and W. D. Ito
Tissue Resident Cells Play a Dominant Role in Arteriogenesis and Concomitant Macrophage Accumulation
Circ. Res., September 17, 2004; 95(6): e56 - e64.
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M. Heil and W. Schaper
Influence of Mechanical, Cellular, and Molecular Factors on Collateral Artery Growth (Arteriogenesis)
Circ. Res., September 3, 2004; 95(5): 449 - 458.
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C. Urbich and S. Dimmeler
Endothelial Progenitor Cells: Characterization and Role in Vascular Biology
Circ. Res., August 20, 2004; 95(4): 343 - 353.
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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.
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Am. J. Physiol. Heart Circ. Physiol.Home page
K. L. March and B. H. Johnstone
Cellular approaches to tissue repair in cardiovascular disease: the more we know, the more there is to learn
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H458 - H463.
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D. Skowasch, A. Jabs, B. Luderitz, and G. Bauriedel
Bone Marrow-Derived Cells and Vascular Growth
Circ. Res., April 30, 2004; 94(8): e71 - e71.
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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. Heil, T. Ziegelhoeffer, S. Wagner, B. Fernandez, A. Helisch, S. Martin, S. Tribulova, W. A. Kuziel, G. Bachmann, and W. Schaper
Collateral Artery Growth (Arteriogenesis) After Experimental Arterial Occlusion Is Impaired in Mice Lacking CC-Chemokine Receptor-2
Circ. Res., March 19, 2004; 94(5): 671 - 677.
[Abstract] [Full Text] [PDF]