- About this Journal ·
- Abstracting and Indexing ·
- Advance Access ·
- Aims and Scope ·
- Annual Issues ·
- Article Processing Charges ·
- Articles in Press ·
- Author Guidelines ·
- Bibliographic Information ·
- Citations to this Journal ·
- Contact Information ·
- Editorial Board ·
- Editorial Workflow ·
- Free eTOC Alerts ·
- Publication Ethics ·
- Reviewers Acknowledgment ·
- Submit a Manuscript ·
- Subscription Information ·
- Table of Contents
BioMed Research International
Volume 2013 (2013), Article ID 845037, 10 pages
Endothelial Progenitor Cell Dysfunction in Cardiovascular Diseases: Role of Reactive Oxygen Species and Inflammation
1Department of Biotechnology and Laboratory Science in Medicine and Institute of Biotechnology in Medicine, National Yang-Ming University, Taipei 112, Taiwan
2Department of Pathology and Laboratory Medicine, Department of Internal Medicine and Divisions of Biochemistry and Cardiology, Taipei Veterans General Hospital, Taipei 112, Taiwan
3School of Medicine and Cardiovascular Research Center, National Yang-Ming University, Taipei 112, Taiwan
4Department of Internal Medicine, School of Medicine, Taipei Medical University and Cardiovascular Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan
5Faculty of Medicine and Institute of Clinical Medicine, National Yang-Ming University, Taipei 112, Taiwan
6Department of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
7Graduate Institute of Integrated Medicine, School of Chinese Medicine, College of Chinese Medicine and Department of Medical Laboratory Science and Biotechnology, College of Health Care, China Medical University, Taichung 404, Taiwan
8Departments of Urology, Obstetrics and Gynecology and Medical Research, Genetics Centre and Center for Personalized Medicine, China Medical University Hospital, Taichung 404, Taiwan
9Department of Respiratory Therapy, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan
Received 25 May 2012; Accepted 13 November 2012
Academic Editor: Paul Higgins
Copyright © 2013 Chih-Pei Lin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Endothelial progenitor cells (EPCs) move towards injured endothelium or inflamed tissues and incorporate into foci of neovascularisation, thereby improving blood flow and tissue repair. Patients with cardiovascular diseases have been shown to exhibit reduced EPC number and function. It has become increasingly apparent that these changes may be effected in response to enhanced oxidative stress, possibly as a result of systemic and localised inflammatory responses. The interplay between inflammation and oxidative stress affects the initiation, progression, and complications of cardiovascular diseases. Recent studies suggest that inflammation and oxidative stress modulate EPC bioactivity. Clinical medications with anti-inflammatory and antioxidant properties, such as statins, thiazolidinediones, angiotensin II receptor 1 blockers, and angiotensin-converting enzyme inhibitors, are currently administered to patients with cardiovascular diseases. These medications appear to exert beneficial effects on EPC biology. This review focuses on EPC biology and explores the links between oxidative stress, inflammation, and development of cardiovascular diseases.
The vascular endothelium is a key feature in vascular homeostasis. Endothelial dysfunction and injury are considered to be the first steps in atherogenesis [1–4]. Recent studies indicate that endothelial dysfunction and injury in the vascular wall are repaired by bone-marrow- (BM-) derived endothelial progenitor cells (EPCs) . Evidence suggests that CD133+CD34+KDR (vascular endothelial growth factor receptor 2, VEGFR2)+-EPCs are mobilised from the BM into the peripheral blood in response to tissue ischemia or injury ; these cells migrate to sites of damaged endothelium and differentiate into endothelial cells (ECs) , thereby improving blood flow and tissue repair [8, 9]. EPCs contribute to reendothelialisation and neovascularisation. Their beneficial effects may be mediated through paracrine secretion of angiogenic factors and cytokines. Several lines of evidence indicate that EPCs constitute an important endogenous system that maintains endothelial integrity and vascular homeostasis . Patients with cardiovascular diseases, such as coronary artery disease (CAD), hypertension, heart failure, and diabetes , exhibit reduced EPC number and function . Therefore, reduced EPC levels may reflect a mechanistic link that confers increased risk of adverse cardiovascular outcome. Reversal of EPC dysfunction could therefore potentially prevent the progression of cardiovascular and vascular disease .
In various forms of cardiovascular disease, inflammation mediates oxidative stress , dysfunction, injury, and senescence (cellular aging) of ECs [14, 15]. Inefficient recruitment of EPCs results in vascular dysfunction and accelerates the progression of cardiovascular diseases . Augmentation of vascular repair by the provision of growth factors such as vascular endothelial growth factor (VEGF) or by direct migration of EPCs into the endothelium can be protective and prevent ongoing vascular damage. Because reendothelialisation or neovascularisation is a pro-inflammatory response, this process becomes self-sustaining . Recently, it has become increasingly apparent that these changes occur in response to oxidative stress , possibly as a result of systemic and localised inflammatory responses . The interplay between inflammation and oxidative stress is involved in the initiation, progression, and complications of cardiovascular diseases . Evidence from recent studies suggests that inflammation and oxidative stress modulate EPC bioactivity .
A clear understanding of EPC biology is of particular relevance to cardiovascular diseases, as it may provide additional insight into the pathogenesis of these diseases, as well as novel targets for therapeutic agents [15, 21]. Recent studies propose the existence of a dynamic association between inflammation , oxygen-free radicals (reactive oxygen species (ROS)), and EPC biology, implying that EPCs may play a key role in vascular repair under pro-atherogenic conditions . Clinical medications with anti-inflammatory and antioxidant properties, such as statins, thiazolidinediones, angiotensin II receptor 1 blockers (ARBs), and angiotensin-converting enzyme inhibitors (ACEIs), are currently administered to patients with cardiovascular diseases. These medications exert beneficial effects on EPC biology . This paper focuses on EPC biology and explores the links between oxidative stress, inflammation, and development of cardiovascular diseases. A better understanding of the inflammatory and oxidative mechanisms leading to decreases in the numbers of EPCs and functional impairment of EPCs may provide additional insight into the pathogenesis of cardiovascular disease and lead to the development of novel therapeutic strategies.
2. EPC Biology
The local BM microenvironment, the stem cell niche , plays a pivotal role in the mobilisation of BM-derived stem/progenitor cells . Growth factors and cytokines induce mobilisation of stem/progenitor cells with various proteinases . After mobilisation, homing is the first process stem/progenitor cells undergo. This process is fairly rapid . Adhesion molecules mediate rolling and adhesion of homing cells to the blood vessel wall . EPCs find their way to the injured endothelium via a complex signalling network for reendothelialisation (Figure 1) .
The other EPC function is neovascularisation. Angiogenesis and vasculogenesis are the major forms of postnatal neovascularisation. Angiogenesis is the process of formation of new vessels from preexisting blood vessels. Vasculogenesis is the process of blood vessel formation via de novo production of EPC-derived ECs, which in turn form blood capillaries . Neovascularisation is an important process in functional recovery from pathological conditions, such as wound healing and ischemic diseases. Hypoxia is an important driving force for neovascularisation under various ischemic conditions . Hypoxia stimulates expression of many cytokines and growth factors such as VEGF, platelet-derived growth factor, insulin-like growth factor, and fibroblast growth factor (FGF), which play critical roles in induction of neovascularisation . Other cellular components, including monocytes, T cells, neutrophils, and platelets, also play significant roles in induction and modulation of neovascularisation. Preclinical studies have showed that EPCs with or without combination of growth factors induce neovascularisation in ischemic tissues [32, 33].
In the context of EPC biology, vasculogenesis enables de novo formation of vessels via in situ migration, proliferation, differentiation, and/or incorporation of BM-derived EPCs into the regenerating vasculature . BM-derived EPCs can localise to vascular structures during skeletal and cardiac ischemia [34, 35], wound healing , tumor growth , and corneal neovascularization . EPCs also produce various proangiogenic cytokines and growth factors, promoting proliferation and migration of preexisting ECs, activating angiogenesis, and contributing to vascular regeneration and reestablishment of tissue homeostasis . Thus, EPCs may work not only through the activation and support of vasculogenesis but also through the activation and mediation of angiogenesis (the process of new vessel formation)[40, 41]. The paracrine aspect of EPC activity, which reflects an indirect contribution to neovascularisation, was confirmed by several reports that demonstrated the presence of various cytokines and other secreted proangiogenic factors in EPCs (Figure 2) [42, 43].
The close relationship between inflammation and oxidative stress is now well defined [44, 45]. Therefore, it is important to distinguish whether the observed effect of oxidative stress on EPC mobilisation and functional status is independent of inflammatory status. Several clinical conditions, characterised by both increased inflammation and oxidative stress, are associated with reduced numbers and impaired function of EPCs . Moreover, the availability and function of EPCs are also adversely affected by risk factors for cardiovascular diseases, including hypertension, diabetes, cigarette smoking, physical inactivity, homocysteine levels (HCY), and aging . For example, the hypertension pathophysiology involves a complex interaction of multiple vascular effectors including the sympathetic nervous and renin-angiotensin-aldosterone systems and the inflammatory mediator activations. Oxidative stress and endothelial dysfunction are consistently observed in hypertensive subjects, but emerging evidence suggests that they also have a causal role in the molecular processes leading to hypertension. Current understanding of the molecular mechanisms in the development of hypertension with an emphasis on oxidative stress and endothelial dysfunction is important . Thus, indirect evidence suggests that inflammatory status and oxidative stress, which are related to the pathophysiology of the above-mentioned conditions and diseases, can adversely influence the number and functional capacity of EPCs .
3. EPC Dysfunction and Inflammation
Inflammation is implicated in the pathophysiology of various cardiovascular diseases . Proinflammatory cytokines stimulate the expression of adhesion molecules on endothelial surfaces, promoting initiation of atherogenesis . In parallel, these inflammatory factors stimulate the production of growth factors such as VEGF and mediate tissue repair . EPCs are released into the peripheral circulation after stimulation by an inflammatory response and participate in tissue repair . Animal studies show that EPCs are rapidly mobilised after vascular injury, in response to increased circulating VEGF levels, and contribute to neovascularisation of injured tissues . Several inflammatory factors , such as tumour necrosis factor-α (TNF-α) , interleukin-1β , granulocyte macrophage-colony stimulating factor, and stromal-derived factor-1, modulate EPC mobilisation, recruitment, and homing [52–54]. Increasing evidence indicates that a transient restricted inflammatory response may stimulate EPC mobilisation, while persistent or excessive inflammatory stimuli may have deleterious effects, resulting in decreased numbers of EPCs in the circulation . In addition, inflammatory factors and numbers of EPCs may increase in response to deficient endothelial regeneration, leading to vascular repair. Initial observations from animal studies suggest that inflammation induces mobilisation of EPCs. A positive association between C-reactive protein (CRP; an acute-phase inflammatory protein produced by the liver) levels and circulating EPCs has been documented in patients with stable CAD, suggesting that a systemic inflammatory state stimulates EPC mobilisation in these patients . Although these observations indicate that EPC mobilisation is closely correlated with variations in the levels of some inflammatory factors in humans, there is no clinical evidence suggesting a causal relationship between inflammation and EPC mobilisation .
On the other hand, considerable evidence suggests that high-grade, extensive inflammatory stimulation may have the opposite effect on circulating levels of EPCs. Evidence also suggests that systemic inflammation induces EPC dysfunction in humans. Clinical studies have demonstrated that CRP is associated with senescence of EPCs in preeclampsia patients . In addition, CRP exerts direct inhibitory effects on EPC differentiation and survival , whereas EPCs exposed to CRP exhibit decreased angiogenic activity . High levels of TNF-α and glucose contribute to a reduction in EPC number [59, 60]. EPCs that are mobilised in response to inflammatory stimulation may be functionally impaired . Indeed, ample evidence suggests that functional activity of EPCs is significantly impaired in the presence of high inflammatory stimulation, as in cases of heart failure. This leads to reduced migratory capacity and impaired clonogenic potential in EPCs .
The basic and clinical evidence supports the hypothesis that inflammation leads to functional impairment of EPCs, but inflammation seems to play a dual role in EPC mobilisation. Low-grade inflammation induces EPC mobilisation, whereas high-grade and prolonged inflammatory stimulation has the opposite effect . Although the mechanisms regulating this effect are still unclear, prolonged exposure of BM to increased proinflammatory stimulation may lead to exhaustion of the EPC pool. This would eventually lead to release of fewer functional EPCs and the release of immature or dysfunctional EPCs. The existing clinical evidence supporting the association between inflammation and EPCs is largely circumstantial and observational . Further clinical studies are required to elucidate the exact mechanisms by which inflammation affects EPC mobilisation and functional activity in humans.
4. EPC Dysfunction and Oxidative Stress
The effects of oxidative stress on EPCs in cardiovascular disease are now well documented. Oxidative stress occurs when generation of ROS (or oxygen free radicals) is increased, and ROS cause oxidative damage to biological structures; this suggests that ROS play a key role in atherogenesis . Oxidative stress may also play a crucial role in EPC mobilisation and functional bioactivity . ROS exert a direct cytotoxic effect on the vascular endothelium . Increased superoxide generation reduces EPC levels and impairs EPC function .
In addition to the indirect effects of ROS on EPCs, considerable evidence suggests that ROS exert direct effects on EPCs. Incubation of EPCs with high levels of hydrogen peroxide (H2O2) induces apoptosis [67, 68], profoundly reducing the numbers of EPCs . In a rat model of myocardial infarction (MI), increased production of ROS is associated with reduced EPC levels . Conditions associated with increased oxidative stress lead to the mobilisation of functionally defective EPCs, which have a lesser capability of mobilising, migrating, and incorporating into existing vasculature [71, 72]. However, EPCs produce superoxide dismutase (SOD), which enhances their ability to offer vascular protection . Therefore, it is clear that conditions associated with increased oxidative stress not only decrease the absolute numbers of circulating EPCs but also impair EPC function, with deleterious effects on vascular homeostasis . At a clinical level, increased oxidative stress status has been associated with decreased EPC mobilisation. Indeed, studies have shown that the number of circulating EPCs is associated with systemic markers of oxidative stress. Conditions associated with increased systemic oxidative stress have been associated with decreased EPC numbers in the peripheral circulation . In this context, high HCY, which has also been associated with enhanced production of ROS, decreases the numbers of EPCs and impairs their function, partly through induction of EPC senescence .
Cellular oxidative stress, mediated by oxidised low-density lipoprotein (oxLDL), plays a key role in the pathogenesis of atherosclerosis . oxLDL accelerates the onset of EPC senescence . By contrast, high-density lipoprotein (HDL), which is considered to be atheroprotective partly because of its antioxidant and anti-inflammatory properties, has a positive impact on EPC physiology [77, 78]. In vascular biology, protection against oxidative stress is accomplished by a network of endogenous antioxidant defences, which exert cellular protective effects by directly scavenging ROS and reducing their damaging action. Compared with differentiated, mature ECs, EPCs from healthy volunteers express higher levels of the antioxidant enzymes catalase, glutathione peroxidase, and manganese SOD. The level of antioxidant enzyme expression in EPCs may make them relatively resistant to oxidative stress [79, 80]. However, there is insufficient clinical data to document the effects of classic risk factors on endogenous antioxidant defence systems in EPCs .
These studies directly implicate oxidative stress for the functional impairment and reduction in number of circulating EPCs in vascular dysfunction. Oxidative inactivation seems to play a key role in this regard. Although EPCs from healthy donors are relatively resistant to oxidative stress , the presence of cardiovascular risk factors may alter the redox state of these cells. The oxidative mechanisms leading to EPC dysfunction remain unclear. It is still unclear whether a direct association exists between ROS and functional bioactivity of EPCs. It is also unknown whether therapeutic strategies targeting intracellular redox states have the ability to modify the functional status and mobilisation abilities of EPCs. A definite conclusion regarding the association between ROS and EPCs can only be drawn after antioxidant therapies are shown to improve these parameters of EPC biology [82–85].
5. Therapeutic Strategies
A crucial goal in the treatment and prevention of cardiovascular diseases is promotion of reendothelialisation [86, 87]. Since EPCs play a critical role in maintaining an intact and functional endothelium , decreased numbers of EPCs and dysfunctional EPCs may contribute to endothelial dysfunction and susceptibility to cardiovascular diseases. Improvement in the number and function of EPCs could be beneficial for patients with impaired vascular function. Ex vivo expansion of EPCs for therapeutic use is a promising strategy . Therefore, a better understanding of the molecular mechanisms underlying the reduced number and impaired functional activity of EPCs is of potentially major significance, as it could create novel therapeutic targets in vascular disease.
As mentioned previously, EPC function is altered in the presence of excessive oxidative stress and inflammatory stimuli. Several studies have reported the beneficial effects of several medications with anti-inflammatory or antioxidant properties on EPCs, most of which are currently administered to patients for the management of cardiovascular pathologies . HMG-CoA reductase inhibitors (statins) are effective lipid-lowering agents and are able to significantly reduce cardiovascular mortality and morbidity in patients at risk for cardiovascular disease . Recent clinical and experimental data suggest that the benefits of statins may extend beyond their effects on serum cholesterol levels . Statins increase EPC number and functional activity , thereby contributing to reendothelialisation of injured vessels . Statins enhance nitric oxide (NO) bioavailability and exert potent anti-inflammatory and antioxidant effects beyond cholesterol reduction ; these properties may contribute to the favourable impact of statins on EPCs . Statins stimulate EPC differentiation and survival  and significantly reduce H2O2-induced apoptosis of EPCs . Statins have emerged as novel and powerful tools to study cardiovascular biology. The seemingly off-target properties of statins may have important clinical implications in addition to lowering serum cholesterol .
Angiotensin II regulates blood pressure and contributes to endothelial dysfunction and atherosclerosis progression . Impaired EPC function in patients with hypertension inhibits the endogenous repair of vascular lesions and leads to the atherosclerosis progression. The number of EPCs in peripheral blood is inversely correlated with mortality and the occurrence of cardiovascular events. Angiotensin II-mediated signalling is implicated in oxidative stress, inflammation, and insulin resistance, factors that cause EPC dysfunction. Angiotensin II-mediated signalling is implicated in oxidative stress and inflammation; it accelerates the onset of EPC senescence via increased oxidative stress . Blockade of the angiotensin II type 1 receptor may therefore present a new therapeutic target for enhancing EPC bioactivity .
Recent studies on animal models have demonstrated that ACEIs mobilise EPCs through an anti-inflammatory effect . ACEIs also produce a significant increase in EPC levels in a rat model of MI . At a clinical level, ACEIs enhance the functional activity of EPCs in patients with CAD, providing an additional mechanism by which ACEIs exert clinical benefits in CAD patients . Similarly, treatment with ARBs also increased the number of regenerative EPCs in diabetic patients . Therefore, both ACEIs and ARBs may have beneficial effects on EPCs mobilisation and functional activity, thereby contributing to the repair of injured vascular endothelium [95, 99].
Peroxisome proliferator-activated receptor (PPAR) agonists reduce vascular inflammation and oxidative stress and improve NO bioavailability . PPAR-γ agonists promote the differentiation of angiogenic progenitor cells toward the endothelial lineage  and increase EPC number and migratory activity . Of note, the negative effects of CRP on EPC survival, differentiation, and angiogenic function are abrogated by pretreatment of EPCs with a PPAR-γ agonist; this provides direct evidence of the salutary impact of anti-inflammatory agents on EPC biology . More recently, PPAR-α was found to be essential for microparticle-induced differentiation of BM-derived EPCs and angiogenesis . The precise mechanisms involved in EPC stimulation by PPAR agonists have yet to be investigated, and no data are available on humans.
In addition to clinical drugs, several antioxidative agents with anti-inflammatory properties, such as puerarin [104, 105], resveratrol/red wine [106–113], Ginkgo biloba , berberine , salvianolic acids , and ginsenoside , also have been found to enhance EPC bioactivity (Figure 3). In theory, decrease in oxidative stress would induce mobilisation of EPCs and improve their functionality . However, there are no clinical data to support this theory in humans, and large clinical trials testing the effect of antioxidants on cardiovascular risk resulted in dramatic failures [65, 118, 119]. This therapeutic approach is hampered by the lack of effective antioxidant strategies for modification of intracellular redox states in the vascular endothelium. Therefore, when EPC mobilisation and functional status are shown to be improved after antioxidant treatment, a causal association between ROS and EPC biology will be considered significant in humans. Antioxidant strategies targeting EPC mobilisation and function may seem tempting, but it is premature to state that long-term antioxidant treatment would have any real biological value .
Therapeutic strategies with specific modulators of inflammatory pathways may represent more promising and effective approaches in the future. Therefore, the ability to enhance EPC number and functional capacity is a common property of otherwise diverse interventions. As these interventions act through different mechanisms and affect EPCs at different regulatory levels, they may act synergistically in optimising EPC function.
EPC bioactivity is affected by inflammatory and redox statuses. However, little is known about the effects of anti-inflammatory and antioxidant strategies under clinical conditions. This is a limitation of the existing literature. Most clinical studies demonstrate only associations between EPCs and vascular events. Therefore, more clinical studies are required for the establishment of EPC measurements as prognostic markers in cardiovascular disease. Nevertheless, cardiovascular diseases with increased inflammatory and oxidative stress are associated with EPC dysfunction, which is reversed upon treatment with anti-inflammatory or antioxidant drugs. Therefore, inflammatory and redox signalling pathways that interfere with EPC bioactivity should be further investigated. Additionally, clinical studies are required to determine whether these pathways are active in vivo. Future basic and clinical research may provide the basis for the development of novel targeted interventions to improve endothelial function and prevent cardiovascular diseases.
Conflict of Interests
The authors declare that there is no conflict of interests.
This study is supported in part by Taiwan Department of Health Clinical Trial and Research Center of Excellence (DOH101-TD-B-111-004), National Science Council (NSC 100-2320-B-039-008-MY2 and NSC 100-2320-B-037-009), and China Medical University (CMU101-NSC-02). The authors thank Miss Jin-Mei Wang and Chi-Hsiang Wei for the paper preparation.
- J. T. Liu, Y. L. Chen, W. C. Chen, et al., “Role of pigment epithelium-derived factor in stem/progenitor cell-associated neovascularization,” Journal of Biomedicine and Biotechnology, vol. 2012, Article ID 871272, 10 pages, 2012.
- C. Zaragoza, C. Gomez-Guerrero, J. L. Martin-Ventura, et al., “Animal models of cardiovascular diseases,” Journal of Biomedicine and Biotechnology, vol. 2011, Article ID 497841, 13 pages, 2011.
- C. P. Lin, Y. H. Chen, H. B. Leu et al., “Anti-inflammatory strategies for homocysteine-related cardiovascular disease,” Frontiers in Bioscience, vol. 14, no. 10, pp. 3836–3845, 2009.
- Y. H. Chen, S. J. Lin, Y. L. Chen, P. L. Liu, and J. W. Chen, “Anti-inflammatory effects of different drugs/agents with antioxidant property on endothelial expression of adhesion molecules,” Cardiovascular and Hematological Disorders-Drug Targets, vol. 6, no. 4, pp. 279–304, 2006.
- I. Andreou, D. Tousoulis, C. Tentolouris, C. Antoniades, and C. Stefanadis, “Potential role of endothelial progenitor cells in the pathophysiology of heart failure: clinical implications and perspectives,” Atherosclerosis, vol. 189, no. 2, pp. 247–254, 2006.
- A. Aicher, A. M. Zeiher, and S. Dimmeler, “Mobilizing endothelial progenitor cells,” Hypertension, vol. 45, no. 3, pp. 321–325, 2005.
- J. P. Kirton and Q. Xu, “Endothelial precursors in vascular repair,” Microvascular Research, vol. 79, no. 3, pp. 193–199, 2010.
- C. Urbich and S. Dimmeler, “Endothelial progenitor cells: characterization and role in vascular biology,” Circulation Research, vol. 95, no. 4, pp. 343–353, 2004.
- M. E. J. Reinders, T. J. Rabelink, and D. M. Briscoe, “Angiogenesis and endothelial cell repair in renal disease and allograft rejection,” Journal of the American Society of Nephrology, vol. 17, no. 4, pp. 932–942, 2006.
- R. M. Cubbon, M. B. Kahn, and S. B. Wheatcroft, “Effects of insulin resistance on endothelial progenitor cells and vascular repair,” Clinical Science, vol. 117, no. 5, pp. 173–190, 2009.
- S. Simsek, I. A. M. Van Den Oever, H. G. Raterman, and M. T. Nurmohamed, “Endothelial dysfunction, inflammation, and apoptosis in diabetes mellitus,” Mediators of Inflammation, vol. 2010, Article ID 792393, 15 pages, 2010.
- F. Du, J. Zhou, R. Gong, et al., “Endothelial progenitor cells in atherosclerosis,” Frontiers in Bioscience, vol. 17, pp. 2327–2349, 2012.
- F. Ribeiro, A. J. Alves, J. A. Duarte, and J. Oliveira, “Is exercise training an effective therapy targeting endothelial dysfunction and vascular wall inflammation?” International Journal of Cardiology, vol. 141, no. 3, pp. 214–221, 2010.
- N. A. Mikirova, J. A. Jackson, R. Hunninghake et al., “Circulating endothelial progenitor cells: a new approach to anti-aging medicine?” Journal of Translational Medicine, vol. 7, p. 106, 2009.
- Z. Ungvari, G. Kaley, R. De Cabo, W. E. Sonntag, and A. Csiszar, “Mechanisms of vascular aging: new perspectives,” Journals of Gerontology A, vol. 65, no. 10, pp. 1028–1041, 2010.
- T. Imanishi, T. Hano, and I. Nishio, “Angiotensin II accelarates endothelial progenitor cell senescence through induction of oxidative stress,” Journal of Hypertension, vol. 23, no. 1, pp. 97–104, 2005.
- J. Case, D. A. Ingram, and L. S. Haneline, “Oxidative stress impairs endothelial progenitor cell function,” Antioxidants and Redox Signaling, vol. 10, no. 11, pp. 1895–1907, 2008.
- T. Watson, P. K. Y. Goon, and G. Y. H. Lip, “Endothelial progenitor cells, endothelial dysfunction, inflammation, and oxidative stress in hypertension,” Antioxidants and Redox Signaling, vol. 10, no. 6, pp. 1079–1088, 2008.
- M. Haubitz and A. Woywodt, “Circulating endothelial cells and vasculitis,” Internal Medicine, vol. 43, no. 8, pp. 660–667, 2004.
- P. Stenvinkel, R. Pecoits-Filho, and B. Lindholm, “Coronary artery disease in end-stage renal disease: no longer a simple plumbing problem,” Journal of the American Society of Nephrology, vol. 14, no. 7, pp. 1927–1939, 2003.
- D. Tousoulis, I. Andreou, C. Antoniades, C. Tentolouris, and C. Stefanadis, “Role of inflammation and oxidative stress in endothelial progenitor cell function and mobilization: therapeutic implications for cardiovascular diseases,” Atherosclerosis, vol. 201, no. 2, pp. 236–247, 2008.
- L. Badimon, R. F. Storey, and G. Vilahur, “Update on lipids, inflammation and atherothrombosis,” Thrombosis and Haemostasis, vol. 105, supplement 1, pp. S34–S42, 2011.
- T. J. Rabelink, H. C. De Boer, E. J. P. De Koning, and A. J. Van Zonneveld, “Endothelial progenitor cells: more than an inflammatory response?” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 24, no. 5, pp. 834–838, 2004.
- S. Levenberg, “Engineering blood vessels from stem cells: recent advances and applications,” Current Opinion in Biotechnology, vol. 16, no. 5, pp. 516–523, 2005.
- M. Abedin, Y. Tintut, and L. L. Demer, “Mesenchymal stem cells and the artery wall,” Circulation Research, vol. 95, no. 7, pp. 671–676, 2004.
- N. Takakura, “Role of hematopoietic lineage cells as accessory components in blood vessel formation,” Cancer Science, vol. 97, no. 7, pp. 568–574, 2006.
- H. C. Huang, G. Y. Shi, S. J. Jiang et al., “Thrombomodulin-mediated cell adhesion: involvement of its lectin-like domain,” Journal of Biological Chemistry, vol. 278, no. 47, pp. 46750–46759, 2003.
- T. Lapidot, A. Dar, and O. Kollet, “How do stem cells find their way home?” Blood, vol. 106, no. 6, pp. 1901–1910, 2005.
- J. M. Isner and T. Asahara, “Angiogenesis and vasculogenesis as therapeutic strategies for postnatal neovascularization,” Journal of Clinical Investigation, vol. 103, no. 9, pp. 1231–1236, 1999.
- P. J. Goldschmidt-Clermont, D. M. Seo, L. Wang, et al., “Inflammation, stem cells and atherosclerosis genetics,” Current Opinion in Molecular Therapeutics, vol. 12, no. 6, pp. 712–723, 2010.
- S. Patel-Hett and P. A. D'Amore, “Signal transduction in vasculogenesis and developmental angiogenesis,” International Journal of Developmental Biology, vol. 55, no. 4-5, pp. 353–369, 2011.
- J. Lu, V. J. Pompili, and H. Das, “Neovascularization and hematopoietic stem cells,” Cell Biochemistry and Biophysics. In press.
- M. B. Grant, W. S. May, S. Caballero et al., “Adult hematopoietic stem cells provide functional hemangioblast activity during retinal neovascularization,” Nature Medicine, vol. 8, no. 6, pp. 607–612, 2002.
- T. Asahara, H. Masuda, T. Takahashi et al., “Bone marrow origin of endothelial progenitor cells responsible for postnatal vasculogenesis in physiological and pathological neovascularization,” Circulation Research, vol. 85, no. 3, pp. 221–228, 1999.
- M. Ii, H. Nishimura, A. Iwakura et al., “Endothelial progenitor cells are rapidly recruited to myocardium and mediate protective effect of ischemic preconditioning via "imported" nitric oxide synthase activity,” Circulation, vol. 111, no. 9, pp. 1114–1120, 2005.
- S. M. Bauer, L. J. Goldstein, R. J. Bauer, H. Chen, M. Putt, and O. C. Velazquez, “The bone marrow-derived endothelial progenitor cell response is impaired in delayed wound healing from ischemia,” Journal of Vascular Surgery, vol. 43, no. 1, pp. 134–141, 2006.
- H. Masuda, C. Kalka, T. Takahashi et al., “Estrogen-mediated endothelial progenitor cell biology and kinetics for physiological postnatal vasculogenesis,” Circulation Research, vol. 101, no. 6, pp. 598–606, 2007.
- T. Murayama, O. M. Tepper, M. Silver et al., “Determination of bone marrow-derived endothelial progenitor cell significance in angiogenic growth factor-induced neovascularization in vivo,” Experimental Hematology, vol. 30, no. 8, pp. 967–972, 2002.
- N. I. Moldovan and T. Asahara, “Role of blood mononuclear cells in recanalization and vascularization of thrombi: past, present, and future,” Trends in Cardiovascular Medicine, vol. 13, no. 7, pp. 265–269, 2003.
- A. L. George, P. Bangalore-Prakash, S. Rajoria et al., “Endothelial progenitor cell biology in disease and tissue regeneration,” Journal of Hematology and Oncology, vol. 4, p. 24, 2011.
- J. Folkman and Y. Shing, “Angiogenesis,” Journal of Biological Chemistry, vol. 267, no. 16, pp. 10931–10934, 1992.
- K. Jujo, M. Ii, and D. W. Losordo, “Endothelial progenitor cells in neovascularization of infarcted myocardium,” Journal of Molecular and Cellular Cardiology, vol. 45, no. 4, pp. 530–544, 2008.
- T. Asahara, A. Kawamoto, and H. Masuda, “Concise review: circulating endothelial progenitor cells for vascular medicine,” Stem Cells, vol. 29, no. 11, pp. 1650–1655, 2011.
- T. J. Guzik, R. Korbut, and T. Adamek-Guzik, “Nitric oxide and superoxide in inflammation and immune regulation,” Journal of Physiology and Pharmacology, vol. 54, no. 4, pp. 469–487, 2003.
- M. Hulsmans, D. De Keyzer, and P. Holvoet, “MicroRNAs regulating oxidative stress and inflammation in relation to obesity and atherosclerosis,” The FASEB Journal, vol. 25, no. 8, pp. 2515–2527, 2011.
- E. Schulz, T. Gori, and T. Münzel, “Oxidative stress and endothelial dysfunction in hypertension,” Hypertension Research, vol. 34, no. 6, pp. 665–673, 2011.
- D. Tousoulis, C. Antoniades, N. Koumallos, and C. Stefanadis, “Pro-inflammatory cytokines in acute coronary syndromes: from bench to bedside,” Cytokine and Growth Factor Reviews, vol. 17, no. 4, pp. 225–233, 2006.
- M. Gill, S. Dias, K. Hattori et al., “Vascular trauma induces rapid but transient mobilization of VEGFR2+ AC133+ endothelial precursor cells,” Circulation Research, vol. 88, no. 2, pp. 167–174, 2001.
- A. Zernecke and C. Weber, “Inflammatory mediators in atherosclerotic vascular disease,” Basic Research in Cardiology, vol. 100, no. 2, pp. 93–101, 2005.
- H. Zhang, Y. Park, J. Wu, et al., “Role of TNF-alpha in vascular dysfunction,” Clinical Science, vol. 116, no. 3, pp. 219–230, 2009.
- A. Rosell, K. Arai, J. Lok et al., “Interleukin-1β augments angiogenic responses of murine endothelial progenitor cells in vitro,” Journal of Cerebral Blood Flow and Metabolism, vol. 29, no. 5, pp. 933–943, 2009.
- T. Takahashi, C. Kalka, H. Masuda et al., “Ischemia- and cytokine-induced mobilization of bone marrow-derived endothelial progenitor cells for neovascularization,” Nature Medicine, vol. 5, no. 4, pp. 434–438, 1999.
- K. Amano, M. Okigaki, Y. Adachi et al., “Mechanism for IL-1β-mediated neovascularization unmasked by IL-1β knock-out mice,” Journal of Molecular and Cellular Cardiology, vol. 36, no. 4, pp. 469–480, 2004.
- T. G. Chen, Z. Y. Zhong, G. F. Sun, Y. X. Zhou, and Y. Zhao, “Effects of tumour necrosis factor-alpha on activity and nitric oxide synthase of endothelial progenitor cells from peripheral blood,” Cell Proliferation, vol. 44, no. 4, pp. 352–359, 2011.
- J. George, E. Goldstein, S. Abashidze et al., “Circulating endothelial progenitor cells in patients with unstable angina: association with systemic inflammation,” European Heart Journal, vol. 25, no. 12, pp. 1003–1008, 2004.
- J. Sugawara, M. Mitsui-Saito, C. Hayashi et al., “Decrease and senescence of endothelial progenitor cells in patients with preeclampsia,” Journal of Clinical Endocrinology and Metabolism, vol. 90, no. 9, pp. 5329–5332, 2005.
- S. Verma, M. A. Kuliszewski, S. H. Li et al., “C-reactive protein attenuates endothelial progenitor cell survival, differentiation, and function: further evidence of a mechanistic link between C-reactive protein and cardiovascular disease,” Circulation, vol. 109, no. 17, pp. 2058–2067, 2004.
- W. Suh, K. L. Kim, J. H. Choi et al., “C-reactive protein impairs angiogenic functions and decreases the secretion of arteriogenic chemo-cytokines in human endothelial progenitor cells,” Biochemical and Biophysical Research Communications, vol. 321, no. 1, pp. 65–71, 2004.
- F. H. Seeger, J. Haendeler, D. H. Walter et al., “p38 mitogen-activated protein kinase downregulates endothelial progenitor cells,” Circulation, vol. 111, no. 9, pp. 1184–1191, 2005.
- Y. H. Chen, S. J. Lin, F. Y. Lin et al., “High glucose impairs early and late endothelial progenitor cells by modifying nitric oxide-related but not oxidative stress-mediated mechanisms,” Diabetes, vol. 56, no. 6, pp. 1559–1568, 2007.
- N. Werner and G. Nickenig, “Influence of cardiovascular risk factors on endothelial progenitor cells: limitations for therapy?” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 26, no. 2, pp. 257–266, 2006.
- C. Heeschen, R. Lehmann, J. Honold et al., “Profoundly reduced neovascularization capacity of bone marrow mononuclear cells derived from patients with chronic ischemic heart disease,” Circulation, vol. 109, no. 13, pp. 1615–1622, 2004.
- E. Torsney, Y. Hu, and Q. Xu, “Adventitial progenitor cells contribute to arteriosclerosis,” Trends in Cardiovascular Medicine, vol. 15, no. 2, pp. 64–68, 2005.
- E. H. Yao, Y. Yu, and N. Fukuda, “Oxidative stress on progenitor and stem cells in cardiovascular diseases,” Current Pharmaceutical Biotechnology, vol. 7, no. 2, pp. 101–108, 2006.
- K. K. Griendling and G. A. FitzGerald, “Oxidative stress and cardiovascular injury: part II: animal and human studies,” Circulation, vol. 108, no. 17, pp. 2034–2040, 2003.
- T. Thum, D. Fraccarollo, M. Schultheiss et al., “Endothelial nitric oxide synthase uncoupling impairs endothelial progenitor cell mobilization and function in diabetes,” Diabetes, vol. 56, no. 3, pp. 666–674, 2007.
- S. T. Kao, C. C. Yeh, C. C. Hsieh et al., “The Chinese medicine Bu-Zhong-Yi-Qi-Tang inhibited proliferation of hepatoma cell lines by inducing apoptosis via G0/G1 arrest,” Life Sciences, vol. 69, no. 13, pp. 1485–1496, 2001.
- Y. C. Hung, V. M. Sava, V. A. Blagodarsky, M. Y. Hong, and G. S. Huang, “Protection of tea melanin on hydrazine-induced liver injury,” Life Sciences, vol. 72, no. 9, pp. 1061–1071, 2003.
- C. Urbich, A. Knau, S. Fichtischerer et al., “FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells,” FASEB Journal, vol. 19, no. 8, pp. 974–976, 2005.
- T. Thum, D. Fraccarollo, P. Galuppo et al., “Bone marrow molecular alterations after myocardial infarction: impact on endothelial progenitor cells,” Cardiovascular Research, vol. 70, no. 1, pp. 50–60, 2006.
- G. C. Schatteman, H. D. Hanlon, C. Jiao, S. G. Dodds, and B. A. Christy, “Blood-derived angioblasts accelerate blood-flow restoration in diabetic mice,” Journal of Clinical Investigation, vol. 106, no. 4, pp. 571–578, 2000.
- O. M. Tepper, R. D. Galiano, J. M. Capla et al., “Human endothelial progenitor cells from type II diabetics exhibit impaired proliferation, adhesion, and incorporation into vascular structures,” Circulation, vol. 106, no. 22, pp. 2781–2786, 2002.
- J. Tao, Z. Yang, J. M. Wang et al., “Shear stress increases Cu/Zn SOD activity and mRNA expression in human endothelial progenitor cells,” Journal of Human Hypertension, vol. 21, no. 5, pp. 353–358, 2007.
- J. H. Zhu, J. Z. Chen, X. X. Wang, X. D. Xie, J. Sun, and F. R. Zhang, “Homocysteine accelerates senescence andreduces proliferation ofendothelial progenitor cells,” Journal of Molecular and Cellular Cardiology, vol. 40, no. 5, pp. 648–652, 2006.
- J. W. Chen, Y. H. Chen, and S. J. Lin, “Long-term exposure to oxidized low-density lipoprotein enhances tumor necrosis factor-α-stimulated endothelial adhesiveness of monocytes by activating superoxide generation and redox-sensitive pathways,” Free Radical Biology and Medicine, vol. 40, no. 5, pp. 817–826, 2006.
- J. Carracedo, A. Merino, C. Briceño et al., “Carbamylated low-density lipoprotein induces oxidative stress and accelerated senescence in human endothelial progenitor cells,” FASEB Journal, vol. 25, no. 4, pp. 1314–1322, 2011.
- C. Tso, G. Martinic, W. H. Fan, C. Rogers, K. A. Rye, and P. J. Barter, “High-density lipoproteins enhance progenitor-mediated endothelium repair in mice,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 26, no. 5, pp. 1144–1149, 2006.
- Q. Zhang, H. Yin, P. Liu, H. Zhang, and M. She, “Essential role of HDL on endothelial progenitor cell proliferation with PI3K/Akt/cyclin D1 as the signal pathway,” Experimental Biology and Medicine, vol. 235, no. 9, pp. 1082–1092, 2010.
- T. He, T. E. Peterson, E. L. Holmuhamedov et al., “Human endothelial progenitor cells tolerate oxidative stress due to intrinsically high expression of manganese superoxide dismutase,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 24, no. 11, pp. 2021–2027, 2004.
- E. Dernbach, C. Urbich, R. P. Brandes, W. K. Hofmann, A. M. Zeiher, and S. Dimmeler, “Antioxidative stress-associated genes in circulating progenitor cells: evidence for enhanced resistance against oxidative stress,” Blood, vol. 104, no. 12, pp. 3591–3597, 2004.
- E. Shantsila, T. Watson, and G. Y. H. Lip, “Antioxidant protection: yet another function of endothelial progenitor cells?” Journal of Human Hypertension, vol. 21, no. 5, pp. 343–346, 2007.
- G. Bjelakovic, D. Nikolova, L. L. Gluud, R. G. Simonetti, and C. Gluud, “Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: systematic review and meta-analysis,” Journal of the American Medical Association, vol. 297, no. 8, pp. 842–857, 2007.
- R. F. Redberg, “Vitamin supplements: more cost than value,” Archives of Internal Medicine, vol. 171, no. 18, pp. 1634–1635, 2011.
- G. Bjelakovic and C. Gluud, “Vitamin and mineral supplement use in relation to all-cause mortality in the Iowa Women's Health Study,” Archives of Internal Medicine, vol. 171, no. 18, pp. 1633–1634, 2011.
- J. Mursu, K. Robien, L. J. Harnack, et al., “Dietary supplements and mortality rate in older women: the Iowa Women's Health Study,” Archives of Internal Medicine, vol. 171, no. 18, pp. 1625–1633, 2011.
- D. E. Drachman and D. I. Simon, “Inflammation as a mechanism and therapeutic target for in-stent restenosis,” Current Atherosclerosis Reports, vol. 7, no. 1, pp. 44–49, 2005.
- M. Di Napoli and F. Papa, “Inflammation, blood pressure, and stroke: an opportunity to target primary prevention?” Current Hypertension Reports, vol. 7, no. 1, pp. 44–51, 2005.
- P. E. Szmitko, P. W. M. Fedak, R. D. Weisel, D. J. Stewart, M. J. B. Kutryk, and S. Verma, “Endothelial progenitor cells: new hope for a broken heart,” Circulation, vol. 107, no. 24, pp. 3093–3100, 2003.
- U. Laufs, F. Custodis, and M. Böhm, “HMG-CoA reductase inhibitors in chronic heart failure: potential mechanisms of benefit and risk,” Drugs, vol. 66, no. 2, pp. 145–154, 2006.
- M. Endres, “Statins: potential new indications in inflammatory conditions,” Atherosclerosis Supplements, vol. 7, no. 1, pp. 31–35, 2006.
- J. Llevadot, S. Murasawa, Y. Kureishi et al., “HMG-CoA reductase inhibitor mobilizes bone marrow-derived endothelial progenitor cells,” Journal of Clinical Investigation, vol. 108, no. 3, pp. 399–405, 2001.
- D. H. Walter, K. Rittig, F. H. Bahlmann et al., “Statin therapy accelerates reendothelialization: a novel effect involving mobilization and incorporation of bone marrow-derived endothelial progenitor cells,” Circulation, vol. 105, no. 25, pp. 3017–3024, 2002.
- F. Fleissner and T. Thum, “Critical role of the nitric oxide/reactive oxygen species balance in endothelial progenitor dysfunction,” Antioxidants and Redox Signaling, vol. 15, no. 4, pp. 933–948, 2011.
- N. Werner, G. Nickenig, and U. Laufs, “Pleiotropic effects of HMG-CoA reductase inhibitors,” Basic Research in Cardiology, vol. 97, no. 2, pp. 105–116, 2002.
- K. Matsuura and N. Hagiwara, “The pleiotropic effects of ARB in vascular endothelial progenitor cells,” Current Vascular Pharmacology, vol. 9, no. 2, pp. 153–157, 2011.
- C. H. Wang, S. Verma, I. C. Hsieh et al., “Enalapril increases ischemia-induced endothelial progenitor cell mobilization through manipulation of the CD26 system,” Journal of Molecular and Cellular Cardiology, vol. 41, no. 1, pp. 34–43, 2006.
- T. Q. Min, C. J. Zhu, W. X. Xiang, Z. J. Hui, and S. Y. Peng, “Improvement in endothelial progenitor cells from peripheral blood by ramipril therapy in patients with stable coronary artery disease,” Cardiovascular Drugs and Therapy, vol. 18, no. 3, pp. 203–209, 2004.
- F. H. Bahlmann, K. De Groot, O. Mueller, B. Hertel, H. Haller, and D. Fliser, “Stimulation of endothelial progenitor cells: a new putative therapeutic effect of angiotensin II receptor antagonists,” Hypertension, vol. 45, no. 4, pp. 526–529, 2005.
- D. Skultetyova, S. Filipova, I. Riecansky, and J. Skultety, “The role of angiotensin type 1 receptor in inflammation and endothelial dysfunction,” Recent Patents on Cardiovascular Drug Discovery, vol. 2, no. 1, pp. 23–27, 2007.
- L. Michalik and W. Wahli, “Involvement of PPAR nuclear receptors in tissue injury and wound repair,” Journal of Clinical Investigation, vol. 116, no. 3, pp. 598–606, 2006.
- C. H. Wang, N. Ciliberti, S. H. Li et al., “Rosiglitazone facilitates angiogenic progenitor cell differentiation toward endothelial lineage: a new paradigm in glitazone pleiotropy,” Circulation, vol. 109, no. 11, pp. 1392–1400, 2004.
- C. Gensch, Y. P. Clever, C. Werner, M. Hanhoun, M. Böhm, and U. Laufs, “The PPAR-γ agonist pioglitazone increases neoangiogenesis and prevents apoptosis of endothelial progenitor cells,” Atherosclerosis, vol. 192, no. 1, pp. 67–74, 2007.
- T. Benameur, S. Tual-Chalot, R. Andriantsitohaina, and M. C. Martínez, “PPARα is essential for microparticle-induced differentiation of mouse bone marrow-derived endothelial progenitor cells and angiogenesis,” PLoS ONE, vol. 5, no. 8, Article ID e12392, 2010.
- J. H. Zhu, X. X. Wang, J. Z. Chen et al., “Effects of puerarin on number and activity of endothelial progenitor cells from peripheral blood,” Acta Pharmacologica Sinica, vol. 25, no. 8, pp. 1045–1051, 2004.
- J. Zhu, X. Wang, Y. Shang et al., “Puerarin reduces endothelial progenitor cells senescence through augmentation of telomerase activity,” Vascular Pharmacology, vol. 49, no. 2-3, pp. 106–110, 2008.
- J. Gu, C. Q. Wang, H. H. Fan et al., “Effects of resveratrol on endothelial progenitor cells and their contributions to reendothelialization in intima-injured rats,” Journal of Cardiovascular Pharmacology, vol. 47, no. 5, pp. 711–721, 2006.
- J. Lefèvre, S. É. Michaud, P. Haddad et al., “Moderate consumption of red wine (cabernet sauvignon) improves ischemia-induced neovascularization in ApoE-deficient mice: effect on endothelial progenitor cells and nitric oxide,” FASEB Journal, vol. 21, no. 14, pp. 3845–3852, 2007.
- X. B. Wang, J. Huang, J. G. Zou et al., “Effects of resveratrol on number and activity of endothelial progenitor cells from human peripheral blood,” Clinical and Experimental Pharmacology and Physiology, vol. 34, no. 11, pp. 1109–1115, 2007.
- M. L. Balestrieri, C. Schiano, F. Felice et al., “Effect of low doses of red wine and pure resveratrol on circulating endothelial progenitor cells,” Journal of Biochemistry, vol. 143, no. 2, pp. 179–186, 2008.
- L. Xia, X. X. Wang, X. S. Hu et al., “Resveratrol reduces endothelial progenitor cells senescence through augmentation of telomerase activity by Akt-dependent mechanisms,” British Journal of Pharmacology, vol. 155, no. 3, pp. 387–394, 2008.
- P. H. Huang, Y. H. Chen, H. Y. Tsai et al., “Intake of red wine increases the number and functional capacity of circulating endothelial progenitor cells by enhancing nitric oxide bioavailability,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 30, no. 4, pp. 869–877, 2010.
- P. H. Huang, H. Y. Tsai, C. H. Wang et al., “Moderate intake of red wine improves ischemia-induced neovascularization in diabetic mice-Roles of endothelial progenitor cells and nitric oxide,” Atherosclerosis, vol. 212, no. 2, pp. 426–435, 2010.
- S. Hamed, J. Alshiek, A. Aharon, B. Brenner, and A. Roguin, “Red wine consumption improves in vitro migration of endothelial progenitor cells in young, healthy individuals,” American Journal of Clinical Nutrition, vol. 92, no. 1, pp. 161–169, 2010.
- X. X. Dong, Z. J. Hui, W. X. Xiang, Z. F. Rong, S. Jian, and C. J. Zhu, “Ginkgo biloba extract reduces endothelial progenitor-cell senescence through augmentation of telomerase activity,” Journal of Cardiovascular Pharmacology, vol. 49, no. 2, pp. 111–115, 2007.
- M. G. Xu, J. M. Wang, L. Chen, Y. Wang, Z. Yang, and J. Tao, “Berberine-induced upregulation of circulating endothelial progenitor cells is related to nitric oxide production in healthy subjects,” Cardiology, vol. 112, no. 4, pp. 279–286, 2009.
- Y. J. Li, C. L. Duan, J. X. Liu, and Y. G. Xu, “Pro-angiogenic actions of Salvianolic acids on in vitro cultured endothelial progenitor cells and chick embryo chorioallantoic membrane model,” Journal of Ethnopharmacology, vol. 131, no. 3, pp. 562–566, 2010.
- W. He, W. K. Wu, Y. L. Wu, X. H. Yang, Q. X. Lin, and W. H. Yu, “Ginsenoside-Rg1 mediates microenvironment-dependent endothelial differentiation of human mesenchymal stem cells in vitro,” Journal of Asian Natural Products Research, vol. 13, no. 1, pp. 1–11, 2011.
- N. F. Wiernsperger, “Oxidative stress as a therapeutic target in diabetes: revisiting the controversy,” Diabetes and Metabolism, vol. 29, no. 6, pp. 579–585, 2003.
- K. J. Williams and E. A. Fisher, “Oxidation, lipoproteins, and atherosclerosis: which is wrong, the antioxidants or the theory?” Current Opinion in Clinical Nutrition and Metabolic Care, vol. 8, no. 2, pp. 139–146, 2005.