European Heart Journal Advance Access originally published online on November 2, 2005
European Heart Journal 2006 27(3):283-289; doi:10.1093/eurheartj/ehi628
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Mobilization of CD34+, CD117+, CXCR4+, c-met+ stem cells is correlated with left ventricular ejection fraction and plasma NT-proBNP levels in patients with acute myocardial infarction
Tendera1
owska2
lankiewicz1
Wyderka1
a1
13rd Division of Cardiology, Silesian School of Medicine, 45-47 Zio
owa Street, 40-635 Katowice, Poland
2Department of Transplantology, Polish-American Children's Hospital, Medical College, Jagiellonian University, 265 Wielicka Street, 30-663 Kraków, Poland
3Stem Cell Biology Program at James Graham Brown Cancer Center and Department of Medicine, University of Louisville, Louisville, KY 40202, USA
Received 28 February 2005; revised 6 October 2005; accepted 13 October 2005; online publish-ahead-of-print 2 November 2005.
* Corresponding author. Tel: +48 50 419 7669; fax: +48 32 252 3930. E-mail address: wojwoj{at}mp.pl
Aims The aim of the study was to assess the correlation between the number of CD34+, CD117+, c-met+, CXCR4+ stem cells mobilized into peripheral blood, left ventricular ejection fraction (LVEF), NT-proBNP levels, and myocardial necrosis markers in patients with acute myocardial infarction (AMI).
Methods and results 43 patients with STEMI were enrolled. Stem cells number was measured using flow-cytometer and concentrations of NT-proBNP, SDF-1, G-CSF, VEGF, IL-6, and HGF were measured using ELISA kits. The number of stem cells mobilized early (<12 h) in AMI was significantly, positively correlated with LVEF: r=0.49 (P=0.0012) for CD34+ cells, r=0.48 (P=0.0018) for CXCR4+ cells, r=0.45 (P=0.0043) for CD117+ cells, and r=0.41 (P=0.01) for c-met+ cells and negatively correlated with NT-proBNP levels on admission r=0.35 (P=0.024) for CD34+ cells, r=0.42 (P=0.007) for CXCR4+ cells, r=0.33 (P=0.04). In patients with LVEF
40%, the peak number of CD34+, CXCR4+, CD117+, and c-met+ stem cells was significantly lower when compared patients with LVEF >40%. The number of CXCR4+ cells on admission and after 24 h was negatively correlated with respective cardiac Troponin I levels (r=0.37; P=0.029 and r=0.45, P=0.02) and maximum activity of CK-MB (r=0.37; P=0.021). No significant correlations between levels of haematopoietic cytokines and LVEF were found.
Conclusion The mobilization of CD34+, CD117+, CXCR4+, c-met+ stem cells into peripheral blood early in STEMI is positively correlated with LVEF and negatively correlated with NT-proBNP levels and myocardial necrosis markers.
Key Words: Blood cells Myocardial infarction Inflammation Left ventricular ejection fraction Natriuretic peptides
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