Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?

Despite being featured as metabolic disorder, diabetic patients are largely affected by hyperglycemia-induced vascular abnormality. Accumulated evidence has confirmed the beneficial effect of endothelial progenitor cells (EPCs) in coronary heart disease. However, antivascular endothelial growth fact...

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Main Authors: Cai-Guo Yu, Ning Zhang, Sha-Sha Yuan, Yan Ma, Long-Yan Yang, Ying-Mei Feng, Dong Zhao
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2016/1803989
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author Cai-Guo Yu
Ning Zhang
Sha-Sha Yuan
Yan Ma
Long-Yan Yang
Ying-Mei Feng
Dong Zhao
author_facet Cai-Guo Yu
Ning Zhang
Sha-Sha Yuan
Yan Ma
Long-Yan Yang
Ying-Mei Feng
Dong Zhao
author_sort Cai-Guo Yu
collection DOAJ
description Despite being featured as metabolic disorder, diabetic patients are largely affected by hyperglycemia-induced vascular abnormality. Accumulated evidence has confirmed the beneficial effect of endothelial progenitor cells (EPCs) in coronary heart disease. However, antivascular endothelial growth factor (anti-VEGF) treatment is the main therapy for diabetic retinopathy and nephropathy, indicating the uncertain role of EPCs in the pathogenesis of diabetic microvascular disease. In this review, we first illustrate how hyperglycemia induces metabolic and epigenetic changes in EPCs, which exerts deleterious impact on their number and function. We then discuss how abnormal angiogenesis develops in eyes and kidneys under diabetes condition, focusing on “VEGF uncoupling with nitric oxide” and “competitive angiopoietin 1/angiopoietin 2” mechanisms that are shared in both organs. Next, we dissect the nature of EPCs in diabetic microvascular complications. After we overview the current EPCs-related strategies, we point out new EPCs-associated options for future exploration. Ultimately, we hope that this review would uncover the mysterious nature of EPCs in diabetic microvascular disease for therapeutics.
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Stem Cells International
spelling doaj-art-437d64960c1445dba6c336ac680845212025-02-03T05:49:37ZengWileyStem Cells International1687-966X1687-96782016-01-01201610.1155/2016/18039891803989Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?Cai-Guo Yu0Ning Zhang1Sha-Sha Yuan2Yan Ma3Long-Yan Yang4Ying-Mei Feng5Dong Zhao6Beijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaBeijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaBeijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaBeijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaBeijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaBeijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaBeijing Key Laboratory of Diabetes Prevention and Research, Luhe Hospital, Capital Medical University, Beijing 101149, ChinaDespite being featured as metabolic disorder, diabetic patients are largely affected by hyperglycemia-induced vascular abnormality. Accumulated evidence has confirmed the beneficial effect of endothelial progenitor cells (EPCs) in coronary heart disease. However, antivascular endothelial growth factor (anti-VEGF) treatment is the main therapy for diabetic retinopathy and nephropathy, indicating the uncertain role of EPCs in the pathogenesis of diabetic microvascular disease. In this review, we first illustrate how hyperglycemia induces metabolic and epigenetic changes in EPCs, which exerts deleterious impact on their number and function. We then discuss how abnormal angiogenesis develops in eyes and kidneys under diabetes condition, focusing on “VEGF uncoupling with nitric oxide” and “competitive angiopoietin 1/angiopoietin 2” mechanisms that are shared in both organs. Next, we dissect the nature of EPCs in diabetic microvascular complications. After we overview the current EPCs-related strategies, we point out new EPCs-associated options for future exploration. Ultimately, we hope that this review would uncover the mysterious nature of EPCs in diabetic microvascular disease for therapeutics.http://dx.doi.org/10.1155/2016/1803989
spellingShingle Cai-Guo Yu
Ning Zhang
Sha-Sha Yuan
Yan Ma
Long-Yan Yang
Ying-Mei Feng
Dong Zhao
Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?
Stem Cells International
title Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?
title_full Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?
title_fullStr Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?
title_full_unstemmed Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?
title_short Endothelial Progenitor Cells in Diabetic Microvascular Complications: Friends or Foes?
title_sort endothelial progenitor cells in diabetic microvascular complications friends or foes
url http://dx.doi.org/10.1155/2016/1803989
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AT longyanyang endothelialprogenitorcellsindiabeticmicrovascularcomplicationsfriendsorfoes
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