Abstract

Over the past decade, we have witnessed an exponential growth of interest into the role of endothelial progenitor cells (EPCs) in cardiovascular disease. While the major thinking revolves around EPC angiogenic repair properties, we have used a hypothesis-driven approach to discover disease-related defects in their characteristics and based on these findings, have identified opportunities for functional enhancement, which offer an exciting avenue for translation into clinical intervention. In this review, we focus on two groups; circulating myeloid angiogenic cells (MACs) and late outgrowth endothelial colony forming cells (ECFCs), and will discuss the unique properties and defects of each population, as new insights have been gained into the potential function of each sub-type using current techniques and multiomic technology. We will discuss their role in inflammatory disorders and alterations in mitochondrial function. In addition, we share key insights into the glycocalyx, and propose this network of membrane-bound proteoglycans and glycoproteins, covering the endothelium warrants further investigation in order to clarify its significance in ECFC regulation of vascularization and angiogenesis and ultimately for potential translational therapeutic aspects.

Highlights

  • Endothelial Progenitor Cells: New Targets for Therapeutics for Inflammatory Conditions With High Cardiovascular Risk

  • We focus on two groups; circulating myeloid angiogenic cells (MACs) and late outgrowth endothelial colony forming cells (ECFCs), and will discuss the unique properties and defects of each population, as new insights have been gained into the potential function of each sub-type using current techniques and multiomic technology

  • These patients experience endothelial dysfunction prior to accelerated subclinical atherosclerosis, possibly due to the sustained activation of the immune response, including production of pro-atherogenic hormones and immune complexes [9], and research has shown that endothelial progenitor cells (EPCs) are likely to play a role in this process [10]

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Summary

Frontiers in Medicine

Endothelial Progenitor Cells: New Targets for Therapeutics for Inflammatory Conditions With High Cardiovascular Risk. We have witnessed an exponential growth of interest into the role of endothelial progenitor cells (EPCs) in cardiovascular disease. We focus on two groups; circulating myeloid angiogenic cells (MACs) and late outgrowth endothelial colony forming cells (ECFCs), and will discuss the unique properties and defects of each population, as new insights have been gained into the potential function of each sub-type using current techniques and multiomic technology. We will discuss their role in inflammatory disorders and alterations in mitochondrial function.

Endothelial Damage
Endothelial Homeostasis and Repair
DEFECTIVE EPCS IN AGING AND DIABETES
EPCs and the Glycocalyx
EPCs and Mitochondria
EPCs and Shear Stress
Rheumatoid Arthritis
Systemic Lupus Erythematosus
INFLAMMATORY SIGNALING AND RESTORATION OF ECFC FUNCTION
Epigenetic Influences on EPC Behavior
Future Mechanistic Clinical Consideration
THERAPEUTIC STRATEGIES FOR IMPROVED ECFC FUNCTION
Glycomimetics as Novel Small Molecule Drugs
CONCLUSION AND FUTURE APPROACHES
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