Endothelial Progenitor Cells, Cardiovascular Risk Factors, Cytokine Levels and Atherosclerosis – Results from a Large Population-Based Study
2007

Endothelial Progenitor Cells and Cardiovascular Risk Factors

Sample size: 571 publication 10 minutes Evidence: moderate

Author Information

Author(s): Xiao Qingzhong, Kiechl Stefan, Patel Seema, Oberhollenzer Friedrich, Weger Siegfried, Mayr Agnes, Metzler Bernhard, Reindl Markus, Hu Yanhua, Willeit Johann, Xu Qingbo

Primary Institution: King's College London, University of London

Hypothesis

How do endothelial progenitor cell (EPC) numbers relate to cardiovascular risk factors in a general population?

Conclusion

The study confirms that EPC numbers decline with age and are influenced by various cardiovascular risk factors, contradicting the belief that they are negatively affected by these factors.

Supporting Evidence

  • EPC number declined with age (p=0.013).
  • EPC number was significantly lower in women (p=0.006).
  • EPC number positively correlated with moderate alcohol consumption.
  • EPC number showed a significant positive association with the Framingham risk score (p=0.001).
  • There was an inverse association between EPC number and common carotid artery intima-media thickness (p=0.02).
  • EPC number was independently related to SDF1α, MMP-9, triglycerides, alcohol consumption, and Hba1c.

Takeaway

As people get older, they have fewer endothelial progenitor cells, which help repair blood vessels, but some risk factors actually seem to increase these cells.

Methodology

EPC number and EPC-CFU were assessed in a population-based study with 571 participants, using blood samples and various assays.

Potential Biases

Potential biases may arise from the observational nature of the study and the reliance on self-reported data for lifestyle factors.

Limitations

The study may not extend to extreme expressions of risk factors which rarely occur in the general population.

Participant Demographics

Participants were from the general population in Bruneck, Italy, with a mix of ages and both genders.

Statistical Information

P-Value

p=0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0000975

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