JACC: Basic to Translational Science (Feb 2019)

Circulating Pro-Vascular Progenitor Cell Depletion During Type 2 Diabetes

  • Daniella C. Terenzi, BHSc,
  • Mohammed Al-Omran, MD, MSc,
  • Adrian Quan, MPhil,
  • Hwee Teoh, PhD,
  • Subodh Verma, MD, PhD,
  • David A. Hess, PhD

Journal volume & issue
Vol. 4, no. 1
pp. 98 – 112

Abstract

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Summary: Detection of vascular regenerative cell exhaustion is required to combat ischemic complications during type 2 diabetes mellitus (T2D). We used high aldehyde dehydrogenase (ALDH) activity and surface marker co-expression to develop a high-throughput flow cytometry–based assay to quantify circulating proangiogenic and proinflammatory cell content in the peripheral blood of individuals with T2D. Circulating proangiogenic monocytes expressing anti-inflammatory M2 markers were decreased in patients with T2D. Individuals with longer duration of T2D exhibited reduced frequencies of circulating proangiogenic ALDHhiCD34+ progenitor cells with primitive (CD133) and migratory (CXCR4) phenotypes. This approach consistently detected increased inflammatory cell burden and decreased provascular progenitor content in individuals with T2D. Key Words: aldehyde dehydrogenase, angiogenesis, ischemia, progenitor cells, type 2 diabetes