European Heart Journal Advance Access published online on November 2, 2005
European Heart Journal, doi:10.1093/eurheartj/ehi628
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1 3rd Division of Cardiology, Silesian School of Medicine, 45-47 Zio
* To whom correspondence should be addressed. 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 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.
Received February 28, 2005
Revised October 6, 2005
Accepted October 13, 2005
Clinical research
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
Tendera 1,
owska 2,
lankiewicz 1,
Wyderka 1,
a 1,
owa Street, 40-635 Katowice, Poland
2 Department of Transplantology, Polish-American Children's Hospital, Medical College, Jagiellonian University, 265 Wielicka Street, 30-663 Kraków, Poland
3 Stem Cell Biology Program at James Graham Brown Cancer Center and Department of Medicine, University of Louisville, Louisville, KY 40202, USA
4 Department of Transplantology, Polish-American Children's Hospital, Medical College, Jagiellonian University, 265 Wielicka Street, 30-663 Kraków, Poland; Stem Cell Biology Program at James Graham Brown Cancer Center and Department of Medicine, University of Louisville, Louisville, KY 40202, USA
Wojciech Wojakowski, E-mail: wojwoj{at}mp.pl
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Abstract
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.![]()
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