Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17

This study investigates the alteration in function and number of circulating endothelial progenitor cells (EPCs) in patients with aortic dissection (AD), compared with hypertensive patients, and its possible mechanism. Thirty-four patients with acute aortic dissection (AAD) and 20 patients with prim...

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Main Authors: Zhenhua Huang, Zhihao Liu, Keke Wang, Zi Ye, Yan Xiong, Bin Zhang, Jinli Liao, Lijing Zeng, Haitao Zeng, Gexiu Liu, Hong Zhan, Zhen Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2021.628462/full
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author Zhenhua Huang
Zhihao Liu
Keke Wang
Zi Ye
Yan Xiong
Bin Zhang
Bin Zhang
Jinli Liao
Lijing Zeng
Haitao Zeng
Gexiu Liu
Hong Zhan
Zhen Yang
author_facet Zhenhua Huang
Zhihao Liu
Keke Wang
Zi Ye
Yan Xiong
Bin Zhang
Bin Zhang
Jinli Liao
Lijing Zeng
Haitao Zeng
Gexiu Liu
Hong Zhan
Zhen Yang
author_sort Zhenhua Huang
collection DOAJ
description This study investigates the alteration in function and number of circulating endothelial progenitor cells (EPCs) in patients with aortic dissection (AD), compared with hypertensive patients, and its possible mechanism. Thirty-four patients with acute aortic dissection (AAD) and 20 patients with primary hypertension were involved. Flow cytometry analysis was performed to detect the number of CD34+/KDR+ cells, and acetylated low density lipoprotein (ac-LDL) and lectin fluorescent staining method was applied to test the number of cultured EPCs. In addition, EPC migration and proliferation were measured, and plasma interleukin 6 (IL-6) and interleukin 17 (IL-17) levels were investigated. The number of circulating EPCs in the AAD group was lower than that in the non-AD group, and the proliferation and migration of circulating EPCs in the AAD group were lower than that in the non-AD group. In addition, the number, proliferation, and migration of circulating EPCs were significantly inversely correlated with the aortic dissection detection risk score (ADD-RS). More importantly, increased plasma IL-6 and IL-17 level was found in the AAD group, and the two inflammatory factors were inversely associated with the function and number of circulating EPCs in the AAD group. We first demonstrated that the number and function of circulating EPCs are reduced in the AAD group, which may be partly related to upregulated plasma IL-6 and IL-17. Our study provides novel insight on the underlying mechanism and potential therapeutic target of AAD.
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spelling doaj.art-19bcc797db2a4317a2588234f844cf142022-12-21T19:39:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-03-01810.3389/fcvm.2021.628462628462Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17Zhenhua Huang0Zhihao Liu1Keke Wang2Zi Ye3Yan Xiong4Bin Zhang5Bin Zhang6Jinli Liao7Lijing Zeng8Haitao Zeng9Gexiu Liu10Hong Zhan11Zhen Yang12Division of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDepartment of Cardiovascular Disease, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen, ChinaClinical Experimental Center, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDepartment of Reproductive Medicine, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaSchool of Basic Medicine and Public Health Medicine, Institute for Hematology, Jinan University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaDivision of Emergency Medicine, Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaThis study investigates the alteration in function and number of circulating endothelial progenitor cells (EPCs) in patients with aortic dissection (AD), compared with hypertensive patients, and its possible mechanism. Thirty-four patients with acute aortic dissection (AAD) and 20 patients with primary hypertension were involved. Flow cytometry analysis was performed to detect the number of CD34+/KDR+ cells, and acetylated low density lipoprotein (ac-LDL) and lectin fluorescent staining method was applied to test the number of cultured EPCs. In addition, EPC migration and proliferation were measured, and plasma interleukin 6 (IL-6) and interleukin 17 (IL-17) levels were investigated. The number of circulating EPCs in the AAD group was lower than that in the non-AD group, and the proliferation and migration of circulating EPCs in the AAD group were lower than that in the non-AD group. In addition, the number, proliferation, and migration of circulating EPCs were significantly inversely correlated with the aortic dissection detection risk score (ADD-RS). More importantly, increased plasma IL-6 and IL-17 level was found in the AAD group, and the two inflammatory factors were inversely associated with the function and number of circulating EPCs in the AAD group. We first demonstrated that the number and function of circulating EPCs are reduced in the AAD group, which may be partly related to upregulated plasma IL-6 and IL-17. Our study provides novel insight on the underlying mechanism and potential therapeutic target of AAD.https://www.frontiersin.org/articles/10.3389/fcvm.2021.628462/fullacute aortic dissectionendothelial progenitor cellsendothelial injuryIL-6IL-17
spellingShingle Zhenhua Huang
Zhihao Liu
Keke Wang
Zi Ye
Yan Xiong
Bin Zhang
Bin Zhang
Jinli Liao
Lijing Zeng
Haitao Zeng
Gexiu Liu
Hong Zhan
Zhen Yang
Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17
Frontiers in Cardiovascular Medicine
acute aortic dissection
endothelial progenitor cells
endothelial injury
IL-6
IL-17
title Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17
title_full Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17
title_fullStr Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17
title_full_unstemmed Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17
title_short Reduced Number and Activity of Circulating Endothelial Progenitor Cells in Acute Aortic Dissection and Its Relationship With IL-6 and IL-17
title_sort reduced number and activity of circulating endothelial progenitor cells in acute aortic dissection and its relationship with il 6 and il 17
topic acute aortic dissection
endothelial progenitor cells
endothelial injury
IL-6
IL-17
url https://www.frontiersin.org/articles/10.3389/fcvm.2021.628462/full
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