Review Article

The Endothelium, A Protagonist in the Pathophysiology of Critical Illness: Focus on Cellular Markers

Table 1

Overview endothelial progenitor cells in sepsis.

Study groupStudy typePhenotype EPCMain findings

Becchi et al. [15]Case-control
sepsis ( )
CD34+ KDR+ in isolated PBMC
CD34+ KDR+ CD133+ in isolated CD34+ cells
(i) Increased % EPC the first 72 h after sepsis
(ii) EPC severe sepsis ≫ sepsis

Cribbs et al. [16]Case-control sepsis ( )CFU-EPC(i) Decreased CFU-EPC in sepsis
(ii) Inversely associated with SOFA

Luo et al. [17]MODS model in pigs ( )CD133+ CD34+ in WB
CFU-EPC
Migration to VEGF
Decreased EPC, CFU-EPC and migratory function in MODS

Mayr et al. [18]LPS in healthy volunteers ( )CD34+ KDR+ CD133+ EPC in WB
CFU-EPC
(i) Decrease in EPC number with nadir at 6 h post LPS
(ii) Decreased CFU-EPC nadir 4 h after LPS

Patschan et al. [19]Case-control sepsis ( )KDR+ CD133+ in isolated PBMC
CFU-EPC
(i) Increased % EPC in sepsis
(ii) Decreased CFU-EPC in sepsis

Rafat et al. [20]Case-control sepsis ( )CD34+ KDR+ CD133+ in isolated PBMC(i) Increased % EPC in sepsis
(ii) Lower % EPC in nonsurvivors

Schlichting et al. [21]Case-control severe sepsis ( )CFU-EPCNo difference

van Ierssel et al. [22]Case-control severe sepsis ( )CD34+ KDR+ in WB
Migration to SDF-1 and VEGF
(i) Decreased absolute number
(ii) Decreased migratory capacity
(iii) Impending organ dysfunction the first week was associated with lower EPC and a trend to impaired migration

CFU-EPC: EPC colony forming units; EPC: endothelial progenitor cells, LPS: lipopolysaccharides; MODS: multiorgan dysfunction syndrome; PBMC: peripheral blood mononuclear cells; SDF-1 : stromal derived factor 1 ; SOFA: sequential organ failure assessment; VEGF: vascular endothelial growth factor; WB: whole blood.