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Submitted on January 13, 2006
Accepted on May 10, 2006
From the Departments of Immunology (C.J.M.L., H.W., P.J.M.L., H.A.D., F.J.T.S.), Cell Biology and Genetics (R.d., R.v.), and Vascular Surgery (R.d.), Erasmus Medical Center, Rotterdam, the Netherlands; and Department of Nephrology (C.J.M.L., H.C.d., T.J.R., A.J.v.), University Medical Center, Leiden, the Netherlands.
* To whom correspondence should be addressed. E-mail: f.staal{at}erasmusmc.nl.
Objective--Endothelial progenitor cells (EPCs) contribute to postnatal neovascularization and are therefore of great interest for autologous cell therapies to treat ischemic vascular disease. However, the origin and functional properties of these EPCs are still in debate.
Methods and Results--Here, ex vivo expanded murine EPCs were characterized in terms of phenotype, lineage potential, differentiation from bone marrow (BM) precursors, and their functional properties using endothelial NO synthase (eNOS)-green fluorescent protein transgenic mice. Despite high phenotypic overlap with macrophages and dendritic cells, EPCs displayed unique eNOS expression, endothelial lineage potential in colony assays, and angiogenic characteristics, but also immunologic properties such as interleukin-12p70 production and low levels of T-cell stimulation. The majority of EPCs developed from an immature, CD31+Ly6C+ myeloid progenitor fraction in the BM. Addition of myeloid growth factors such as M-colony-stimulating factor (CSF) and GM-CSF stimulated the expansion of spleen-derived EPCs but not BM-derived EPCs.
Conclusion--The close relationship between EPCs and other myeloid lineages may add to the complexity of using them in cell therapy. Our mouse model could be a highly useful tool to characterize EPCs functionally and phenotypically, to explore the origin and optimize the isolation of EPC fractions for therapeutic neovascularization.
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