Enhanced cell therapy strategy to treat chronic limb-threatening ischemia

被引:9
作者
Eton, Darwin [1 ,2 ,3 ]
Yu, Hong [2 ,3 ]
机构
[1] Baptist Cardiac & Vasc Inst, Miami, FL USA
[2] Univ Miami, Miller Sch Med, Dept Surg, Miami, FL 33136 USA
[3] Miami Vet Adm, Miami, FL USA
关键词
COLONY-STIMULATING FACTOR; ENDOTHELIAL PROGENITOR CELLS; AUTOLOGOUS TRANSPLANTATION; COMPRESSION; MOBILIZATION; DEVICE;
D O I
10.1016/j.jvs.2009.12.048
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
Intermittent programmed compression of the chronically ischemic limb is associated with arteriogenesis. However, progenitor cell elements contributing to this neovascularization are typically diminished in number and function in the elderly dysvascular patient, particularly in the presence of diabetes, renal insufficiency, and cardiac disease. Granulocyte-colony stimulation factor (G-CSF) dramatically boosts the circulating progenitor cell count. G-CSF was administered in 2 patients being treated for ischemic wounds with an intermittent programmed pneumatic compression device (PPCD). Both had comorbidities associated with diminished circulating progenitor cell counts. Remarkable clinical, hemodynamic, and angiographic improvement was observed. Further study of this synergistic strategy is warranted. (J Vasc Surg 2010;52:199-204.)
引用
收藏
页码:199 / 204
页数:6
相关论文
共 24 条
[1]
Alexander JJ, 1997, SURGERY, V122, P279
[2]
G-CSF post-autologous progenitor cell transplantation: A randomized study of 5, 10, and 16 mu g/kg/day [J].
Bolwell, B ;
Goormastic, M ;
Dannley, R ;
Andresen, S ;
Overmoyer, B ;
Mendez, Z ;
Kalaycioglu, M ;
DeMars, D ;
Wise, K ;
Pohlman, B .
BONE MARROW TRANSPLANTATION, 1997, 19 (03) :215-219
[3]
RECENT DEVELOPMENTS IN THE CELL BIOLOGY OF GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR AND GRANULOCYTE COLONY-STIMULATING FACTOR - ACTIVITIES ON ENDOTHELIAL-CELLS [J].
BUSSOLINO, F ;
COLOTTA, F ;
BOCCHIETTO, E ;
GUGLIELMETTI, A ;
MANTOVANI, A .
INTERNATIONAL JOURNAL OF CLINICAL & LABORATORY RESEARCH, 1993, 23 (01) :8-12
[4]
INVITRO AND INVIVO ACTIVATION OF ENDOTHELIAL-CELLS BY COLONY-STIMULATING FACTORS [J].
BUSSOLINO, F ;
ZICHE, M ;
WANG, JM ;
ALESSI, D ;
MORBIDELLI, L ;
CREMONA, O ;
BOSIA, A ;
MARCHISIO, PC ;
MANTOVANI, A .
JOURNAL OF CLINICAL INVESTIGATION, 1991, 87 (03) :986-995
[5]
Intermittent calf and foot compression increases lower extremity blood flow [J].
Eze, AR ;
Comerota, AJ ;
Cisek, PL ;
Holland, BS ;
Kerr, RP ;
Veeramasuneni, R ;
Comerota, AJ .
AMERICAN JOURNAL OF SURGERY, 1996, 172 (02) :130-134
[6]
Comparison between granulocyte colony-stimulating factor and granulocyte-macrophage colony-stimulating factor in the mobilization of peripheral blood stem cells [J].
Gazitt, Y .
CURRENT OPINION IN HEMATOLOGY, 2002, 9 (03) :190-198
[7]
Flow-induced arterial enlargement is inhibited by suppression of nitric oxide synthase activity in vivo [J].
Guzman, RJ ;
Abe, K ;
Zarins, CK .
SURGERY, 1997, 122 (02) :273-279
[8]
Haas R, 1995, CYTOKINES MOL THER, V1, P249
[9]
Impaired progenitor cell activity in age-related endothelial dysfunction [J].
Heiss, C ;
Keymel, S ;
Niesler, U ;
Ziemann, J ;
Kelm, M ;
Kalka, C .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 45 (09) :1441-1448
[10]
Circulating endothelial progenitor cells, vascular function, and cardiovascular risk [J].
Hill, JM ;
Zalos, G ;
Halcox, JPJ ;
Schenke, WH ;
Waclawiw, MA ;
Quyyumi, AA ;
Finkel, T .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (07) :593-600