Scientific Reports (Jul 2025)

AGGF1-primed endothelial progenitor cells alleviate ischaemia-reperfusion injury in diabetic hearts

  • Xia Li,
  • Suwan Mu,
  • Shuting Huang,
  • Congcong Dai,
  • Yumei Li,
  • Jianqiao Li,
  • Liang Zhong,
  • Miaoling Wei,
  • Liuqing Wei,
  • Yong Li

DOI
https://doi.org/10.1038/s41598-025-06190-8
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 12

Abstract

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Abstract A number of cardioprotective pharmacological agents are not effective in diabetic hearts. The role of AGGF1-EPCs therapy in diabetic ischaemia-reperfusion(I/R) injury and the underlying mechanism by which AGGF1 regulates EPCs under hyperglycemia (HG) + hypoxia/reoxygenation (H/R) stress are still unclear. We observed that the damaging effects of HG + H/R on EPCs were abolished by AGGF1. The EPCs implantation therapy successfully restores cardiac functions, inhibits ROS production and fibrosis in diabetic I/R mice. Mechanistically, AGGF1 activates the Nrf2 and induces the activation of downstream antioxidative proteins (HO1, NQO1, and CAT). These data suggest that AGGF1 protein reverses the damaging effects of HG + H/R on EPCs via the antioxidative Nrf2. AGGF1-EPCs therapy is a novel strategy for treating diabetic I/R injury.

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