缺血性脑血管病患者颈动脉粥样硬化程度与循环内皮祖细胞的相关性分析Correlation analysis of carotid atherosclerosis degree and the number of circulation endothelial progenitor cells in ischemic cerebrovascular disease patients
屈新辉,王卫真,蒋婷,何丹,谢旭芳,吴晓牧,张昆南
摘要(Abstract):
目的探讨缺血性脑血管病患者颈动脉粥样硬化程度与循环内皮祖细胞(EPCs)的相关性。方法根据CD133和KDR标记,采用流式细胞仪检测缺血性脑血管病患者(包括TIA、急性脑梗死、颈动脉粥样硬化)和健康体检者外周血内皮祖细胞(EPCs)数量变化。结果缺血性脑血管病患者EPCs数量较对照组明显减少(P<0.01);随着颈动脉粥样硬化程度加重,EPCs数量呈降低趋势,颈动脉重度狭窄与轻度和中度狭窄相比有差异(P<0.05);急性脑梗死和TIA患者较单纯颈动脉粥样硬化患者EPCs数量明显增加(P<0.01)。结论缺血性脑血管病患者EPCs与颈动脉粥样硬化程度呈负相关,可反映颈动脉粥样硬化的程度;急性缺血可能会增加EPCs的动员。
关键词(KeyWords): 缺血性脑血管病;脑梗死;TIA;颈动脉粥样硬化;颈动脉狭窄;内皮祖细胞(EPCs)
基金项目(Foundation): 十一五国家科技支撑计划资助项目(2008BAI68B03)
作者(Author): 屈新辉,王卫真,蒋婷,何丹,谢旭芳,吴晓牧,张昆南
参考文献(References):
- [1]Hill JM,ZalosG,Halcox JP,et al.Circulating endothelial pro-genitor cells,vascular function,and cardiovascular risk[J].NEngl J Med,2003,348(7):593-600.
- [2]Linfante I,Andreone V,Akkawi N,et al.Internal carotid ar-tery stenting in patients over 80years of age:singlecenter expe-rience and review of the literature[J].J Neuroimaging,2009,19:158-163.
- [3]Hunt KJ,Evans GW,Folsom AR,et al.Acoustic shadowingon B-mode ultrasond of the carotid artery predicts ischemicstroke:the Atherosclerosis Risk in Communities(ARIC)stud-y[J].Stroke,2001,32:1 120-1 126.
- [4]Taguchi A,Matsuyama T,Moriwaki H,et al.CirculatingCD34-positive cells provide an index of cerebrovascular function[J].Circulation,2004,109:2 972-2 975.
- [5]Ghani U,Shuaib A,Salam A,et al.Endothelial progenitorcells during cerebrovascular disease[J].Stroke,2005,36:151-153.
- [6]Sobrino T,Hurtado O,Moro MA,et al.The Increase of circu-lating endothelial progenitor cells after acute Ischemic stroke Isassociated with good outcome[J].stroke,2007,38(10):2 759-2764.
- [7]Hristov M,Erl R,Weber PC.Endothelial progenitor cells mo-bilization,differentiation,and homing[J].ArteriosclerThrombVasc Biol,2003,23(7):1 185-1 189.
- [8]Park S,Tepper OM,Galiano RD,et al.Selective recruitmentof endothelial progenitor cells to ischemic tissues with increasedneovascularization[J].Plast Reconstr Surg,2004,113:284-293.
- [9]Lee SH,Wolf PL,Escudero R,et al.Early expression of an-giogenesis factors in acute myocardial ischemia and infarction[J].N Engl J Med,2000,342:626-633.
- [10]Pillarisetti K,Gupta SK.Cloning and relative expression anal-ysis of rat stromal cell derived factor-1(SDF-1):SDF-1alphamRNA is selectively induced in rat model of myocardial infarc-tion[J].Inflammation,2001,25:293-300.
- [11]Heissig B,Hattori K,Dias S,et al.Recruitment of stem andprogenitor cells from the bone marrow niche requires MMP-9mediated release of kit-ligand[J].Cell,2002,109:625-637.
- [12]Wijelath ES,Rahman S,Murray J,et al.Fibronectin pro-motes VEGF-induced CD34cell differentiation into endotheli-al cells[J].Vasc Surg,2004,39(3):655-660.
- [13]Shintani S,Murohara T,Ikeda H,et al.Mobilization of en-dothelial progenitor cells in patients with acute myocardial in-farction[J].Circulation,2001,103:2 776-2 779.
- [14]Adams V,Lenk K,Linke A,et al.Increase of circulating en-dothelial progenitor cells in patients with coronary artery dis-ease after exercise-induced ischemia[J].Arterioscler ThrombVasc Biol,2004,24:684-690.
- [15]Zhou WJ,Zhu DL,Yang GY,et al.Circulating endothelialprogenitor cells in Chinese patients with acute stroke[J].Hy-pertens Res,2009,32:306-310.