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2016 ; 2016
(ä): 3639868
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English Wikipedia
Cilostazol Improves Proangiogenesis Functions in Human Early Endothelial
Progenitor Cells through the Stromal Cell-Derived Factor System and Hybrid
Therapy Provides a Synergistic Effect In Vivo
#MMPMID27595100
Tseng SY
; Chao TH
; Li YH
; Cho CL
Biomed Res Int
2016[]; 2016
(ä): 3639868
PMID27595100
show ga
This study investigated the effect of cilostazol on proangiogenesis functions in
human early endothelial progenitor cells (EPCs) in vitro and the therapeutic
implication of hybrid therapy with cilostazol and human early EPCs in vivo.
Cilostazol significantly increased colony-forming units and enhanced
differentiation of EPCs toward endothelial lineage. Treatments resulted in
antiapoptotic effects and stimulated proliferation and migration and in vitro
vascular tube formation through activation of stromal cell-derived factor-1
(SDF-1)/C-X-C chemokine receptor type 4 (CXCR4)/phosphatidylinositol-3 kinase
(PI3K)/Akt signaling pathway. Blood flow recovery and capillary density in murine
ischemic hindlimbs were significantly improved in cilostazol-treated, human early
EPCs-treated, and cotreatment groups. The effects were attenuated with SDF-1?
inhibition. Plasma SDF-1? levels were significantly higher in 3 active treatment
groups after surgery, with greatest effects observed in hybrid therapy. The
angiogenic effects of transplanted EPCs pretreated with cilostazol ex vivo were
superior to untreated EPCs using in vivo Matrigel assay. Implanted EPCs were
incorporated into the capillary, with pretreatment or cotreatment with cilostazol
resulting in enhanced effects. Taken together, cilostazol promotes a large number
of proangiogenic functions in human early EPCs through activation of
SDF-1/CXCR4/PI3K/Akt signaling, and hybrid therapy provides a synergistic effect
in vivo. Cotreatment may be beneficial in ischemic disease.