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Published Online
on January 26, 2006

Arteriosclerosis, Thrombosis, and Vascular Biology. 2006
Published online before print January 26, 2006, doi: 10.1161/01.ATV.0000205607.98538.9a
A more recent version of this article appeared on April 1, 2006
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*Substance via MeSH

Submitted on June 6, 2005
Accepted on December 15, 2005

Granulocyte Colony-Stimulating Factor-Mobilized Circulating c-Kit+/Flk-1+ Progenitor Cells Regenerate Endothelium and Inhibit Neointimal Hyperplasia After Vascular Injury

Michitaka Takamiya ; Mitsuhiko Okigaki *; Denan Jin ; Shinji Takai ; Yoshihisa Nozawa ; Yasushi Adachi ; Norifumi Urao ; Kento Tateishi ; Tetsuya Nomura ; Kan Zen ; Eishi Ashihara ; Mizuo Miyazaki ; Tetsuya Tatsumi ; Tomosaburo Takahashi ; and Hiroaki Matsubara

From the Department of Cardiovascular Medicine (M.T., M.O., N.U., K.T., T.N., K.Z., E.A., T. Tatsumi, T. Takahashi, H.M.), Kyoto Prefectural University School of Medicine, Japan; Department of Pharmacology (D.J., S.T., M.M.), Osaka Medical College, Takatsuki, Japan; Pharmacobioregulation Research Laboratory (Y.N.), Taiho Pharmaceutical Co. Ltd, Saitama, Japan; and Department of Pathology II (Y.A.), Kansai Medical University, Moriguchi, Japan.

* To whom correspondence should be addressed. E-mail: okigakim{at}koto.kpu-m.ac.jp.

Background--Granulocyte colony-stimulating factor (G-CSF) treatment was shown to inhibit neointimal formation of balloon-injured vessels, whereas neither the identification of progenitor cells involved in G-CSF-mediated endothelial regeneration with a bone marrow (BM) transplant experiment nor the functional properties of regenerated endothelium have been studied.

Methods and Results--Recombinant human G-CSF (100 µg/kg per day) was injected daily for 14 days starting 3 days before balloon injury in the rat carotid artery. Neointimal formation of denuded vessels on day 14 was markedly attenuated by G-CSF (39% versus the control; P<0.05). Endothelial cell-specific immunostaining revealed an enhancement of re-endothelialization (1.8-fold increase versus the control; P<0.05) and inhibition of extravasation of Evans Blue dye (47%; P=0.02). The regenerated endothelium exhibited acetylcholine-mediated vasodilatation in NO-dependent manner. G-CSF increased the circulating c-Kit+/Flk-1+ cells (9.1-fold; P<0.02), which showed endothelial properties in vitro (AcLDL uptake and lectin binding) and incorporated into the regenerated endothelium in vivo. A BM replacement experiment with green fluorescence protein (GFP)-overexpressing cells showed that BM-derived GFP+/CD31+ endothelial cells occupied 39% of the total luminal length in the G-CSF-mediated neo-endothelium (2% in the control).

Conclusion--The G-CSF-induced mobilization of BM-derived c-Kit+/Flk-1+ cells contributes to endothelial regeneration, and this cytokine therapy may be a feasible strategy for the promotion of re-endothelialization after angioplasty.


Key words: restenosis • endothelium • carotid artery • cytokines • vascular biology




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