Levels and values of circulating endothelial progenitor cells;soluble angiogenic factors;and mononuclear cell apoptosis in liver cirrhosis patients.

MUIR > Graduate Institute of Health Care > Department of Nursing > Papers > Item 987654321/1706

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Title:	Levels and values of circulating endothelial progenitor cells;soluble angiogenic factors;and mononuclear cell apoptosis in liver cirrhosis patients.
Authors:	Chen CH;Chang LT;Tung WC;Chen YL;Chang CL;Leu S;Sun CK;Tsai TH;Tsai IT;Chang HW;Yip HK
Date:	2012-07
Issue Date:	2012-09-05T07:04:23Z (UTC)
Abstract:	BACKGROUND: The roles of circulating endothelial progenitor cell (EPC) and mononuclear cell apoptosis (MCA) in liver cirrhosis (LC) patients are unknown. Moreover, vascular endothelial growth factor (VEGF) and stromal cell-derived factor (SDF)-1α are powerful endogenous substances enhancing EPC migration into circulation. We assessed the level and function of EPCs [CD31/CD34 (E1), KDR/CD34 (E2), CXCR4/CD34 (E3)], levels of MCA, VEGF and SDF-1α in circulation of LC patients. METHODS: Blood sample was prospectively collected once for assessing EPC level and function, MCA, and plasma levels of VEGF and SDF-1α using flow cytometry and enzyme-linked immunosorbent assay (ELISA), respectively, in 78 LC patients and 25 age- and gender-matched healthy controls. RESULTS: Number of EPCs (E1, E2, E3) was lower (all p < 0.0001), whereas SDF-1α level and MCA were higher (p < 0.001) in study patients compared with healthy controls. Number of EPCs (E2, E3) was higher but MCA was lower (all p < 0.05) in Child's class A compared with Child's class B and C patients, although no difference in VEGF and SDF-1α levels were noted among these patients. Chronic hepatitis B and esophageal varices bleeding were independently, whereas chronic hepatitis C, elevated aspartate aminotransferase (AST), and decompensated LC were inversely and independently correlated with circulating EPC level (all p < 0.03). Additionally, angiogenesis and transwell migratory ability of EPCs were reduced in LC patients than in controls (all p < 0.001). CONCLUSION: The results of this study demonstrated that level, angiogenic capacity, and function of circulating EPCs were significantly reduced, whereas plasma levels of SDF-1α and circulating MCA were substantially enhanced in cirrhotic patients.
Relation:	J Biomed Sci. 2012 Jul 18;19:66.
Appears in Collections:	[Department of Nursing] Papers

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