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Circulation Research. 1999;85:221-228

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(Circulation Research. 1999;85:221-228.)
© 1999 American Heart Association, Inc.


Original Contribution

Bone Marrow Origin of Endothelial Progenitor Cells Responsible for Postnatal Vasculogenesis in Physiological and Pathological Neovascularization

Takayuki Asahara, Haruchika Masuda, Tomono Takahashi, Christoph Kalka, Christopher Pastore, Marcy Silver, Marianne Kearne, Meredith Magner, Jeffrey M. Isner

From the Departments of Medicine (Cardiology) and Biomedical Research, St Elizabeth's Medical Center, Tufts University School of Medicine, Boston, Mass.

Correspondence to Jeffrey M. Isner, MD, or Takayuki Asahara, MD, St Elizabeth's Medical Center, 736 Cambridge St, Boston, MA 02135. E-mail jisner@opal.tufts.edu or asa777{at}aol.com

Abstract—Circulating endothelial progenitor cells (EPCs) have been isolated in peripheral blood of adult species. To determine the origin and role of EPCs contributing to postnatal vasculogenesis, transgenic mice constitutively expressing ß-galactosidase under the transcriptional regulation of an endothelial cell–specific promoter (Flk-1/LZ or Tie-2/LZ) were used as transplant donors. Localization of EPCs, indicated by flk-1 or tie-2/lacZ fusion transcripts, were identified in corpus luteal and endometrial neovasculature after inductive ovulation. Mouse syngeneic colon cancer cells (MCA38) were implanted subcutaneously into Flk-1/LZ/BMT (bone marrow transplantation) and Tie-2/LZ/BMT mice; tumor samples harvested at 1 week disclosed abundant flk-1/lacZ and tie-2/lacZ fusion transcripts, and sections stained with X-gal demonstrated that the neovasculature of the developing tumor frequently comprised Flk-1– or Tie-2–expressing EPCs. Cutaneous wounds examined at 4 days and 7 days after skin removal by punch biopsy disclosed EPCs incorporated into foci of neovascularization at high frequency. One week after the onset of hindlimb ischemia, lacZ-positive EPCs were identified incorporated into capillaries among skeletal myocytes. After permanent ligation of the left anterior descending coronary artery, histological samples from sites of myocardial infarction demonstrated incorporation of EPCs into foci of neovascularization at the border of the infarct. These findings indicate that postnatal neovascularization does not rely exclusively on sprouting from preexisting blood vessels (angiogenesis); instead, EPCs circulate from bone marrow to incorporate into and thus contribute to postnatal physiological and pathological neovascularization, which is consistent with postnatal vasculogenesis.


Key Words: vasculogenesis • endothelial progenitor cell • bone marrow transplantation • Flk-1 • Tie-2




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Vasc MedHome page
C Kalka and I. Baumgartner
Gene and stem cell therapy in peripheral arterial occlusive disease
Vascular Medicine, May 1, 2008; 13(2): 157 - 172.
[Abstract] [PDF]


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ANGIOLOGYHome page
Y. Tayyareci, M. Sezer, B. Umman, S. Besisik, A. Mudun, Y. Sanli, A. Oncul, N. Gurses, D. Sargin, M. Meric, et al.
Intracoronary Autologous Bone Marrow-Derived Mononuclear Cell Transplantation Improves Coronary Collateral Vessel Formation and Recruitment Capacity in Patients With Ischemic Cardiomyopathy: A Combined Hemodynamic and Scintigraphic Approach
Angiology, May 1, 2008; 59(2): 145 - 155.
[Abstract] [PDF]


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StrokeHome page
K. Chu, K.-H. Jung, S.-T. Lee, H.-K. Park, D.-I. Sinn, J.-M. Kim, D.-H. Kim, J.-H. Kim, S.-J. Kim, E.-C. Song, et al.
Circulating Endothelial Progenitor Cells as a New Marker of Endothelial Dysfunction or Repair in Acute Stroke * Supplemental Methods
Stroke, May 1, 2008; 39(5): 1441 - 1447.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. Tongers, J.-M. Knapp, M. Korf, T. Kempf, A. Limbourg, F. P. Limbourg, Z. Li, D. Fraccarollo, J. Bauersachs, X. Han, et al.
Haeme oxygenase promotes progenitor cell mobilization, neovascularization, and functional recovery after critical hindlimb ischaemia in mice
Cardiovasc Res, May 1, 2008; 78(2): 294 - 300.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
E. Chavakis, G. Carmona, C. Urbich, S. Gottig, R. Henschler, J. M. Penninger, A. M. Zeiher, T. Chavakis, and S. Dimmeler
Phosphatidylinositol-3-Kinase-{gamma} Is Integral to Homing Functions of Progenitor Cells
Circ. Res., April 25, 2008; 102(8): 942 - 949.
[Abstract] [Full Text] [PDF]


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CirculationHome page
G. Foteinos, Y. Hu, Q. Xiao, B. Metzler, and Q. Xu
Rapid Endothelial Turnover in Atherosclerosis-Prone Areas Coincides With Stem Cell Repair in Apolipoprotein E-Deficient Mice
Circulation, April 8, 2008; 117(14): 1856 - 1863.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
S. S. Fazel, L. Chen, D. Angoulvant, S.-H. Li, R. D. Weisel, A. Keating, and R.-K. Li
Activation of c-kit is necessary for mobilization of reparative bone marrow progenitor cells in response to cardiac injury
FASEB J, March 1, 2008; 22(3): 930 - 940.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
D. F. Alvarez, L. Huang, J. A. King, M. K. ElZarrad, M. C. Yoder, and T. Stevens
Lung microvascular endothelium is enriched with progenitor cells that exhibit vasculogenic capacity
Am J Physiol Lung Cell Mol Physiol, March 1, 2008; 294(3): L419 - L430.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Carmona, E. Chavakis, U. Koehl, A. M. Zeiher, and S. Dimmeler
Activation of Epac stimulates integrin-dependent homing of progenitor cells
Blood, March 1, 2008; 111(5): 2640 - 2646.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
C. L. Duvall, D. Weiss, S. T. Robinson, F. M.F. Alameddine, R. E. Guldberg, and W. R. Taylor
The Role of Osteopontin in Recovery from Hind Limb Ischemia
Arterioscler Thromb Vasc Biol, February 1, 2008; 28(2): 290 - 295.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
D. C. Rafii, B. Psaila, J. Butler, D. K. Jin, and D. Lyden
Regulation of Vasculogenesis by Platelet-Mediated Recruitment of Bone Marrow-Derived Cells
Arterioscler Thromb Vasc Biol, February 1, 2008; 28(2): 217 - 222.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
D. Tang, J. Lu, J. P. Walterscheid, H.-H. Chen, D. A. Engler, T. Sawamura, P.-Y. Chang, H. J. Safi, C.-Y. Yang, and C.-H. Chen
Electronegative LDL circulating in smokers impairs endothelial progenitor cell differentiation by inhibiting Akt phosphorylation via LOX-1
J. Lipid Res., January 1, 2008; 49(1): 33 - 47.
[Abstract] [Full Text] [PDF]


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StrokeHome page
H.-K. Yip, L.-T. Chang, W.-N. Chang, C.-H. Lu, C.-W. Liou, M.-Y. Lan, J. S. Liu, A. A. Youssef, and H.-W. Chang
Level and Value of Circulating Endothelial Progenitor Cells in Patients After Acute Ischemic Stroke
Stroke, January 1, 2008; 39(1): 69 - 74.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
J. Lefevre, S.-E. Michaud, P. Haddad, S. Dussault, C. Menard, J. Groleau, J. Turgeon, and A. Rivard
Moderate consumption of red wine (cabernet sauvignon) improves ischemia-induced neovascularization in ApoE-deficient mice: effect on endothelial progenitor cells and nitric oxide
FASEB J, December 1, 2007; 21(14): 3845 - 3852.
[Abstract] [Full Text] [PDF]


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JCBHome page
A. Kumin, M. Schafer, N. Epp, P. Bugnon, C. Born-Berclaz, A. Oxenius, A. Klippel, W. Bloch, and S. Werner
Peroxiredoxin 6 is required for blood vessel integrity in wounded skin
J. Cell Biol., November 19, 2007; 179(4): 747 - 760.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
T. Kanayasu-Toyoda, A. Ishii-Watabe, T. Suzuki, T. Oshizawa, and T. Yamaguchi
A New Role of Thrombopoietin Enhancing ex Vivo Expansion of Endothelial Precursor Cells Derived from AC133-positive Cells
J. Biol. Chem., November 16, 2007; 282(46): 33507 - 33514.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
S. Farha, K. Asosingh, D. Laskowski, L. Licina, H. Sekigushi, D. W. Losordo, R. A. Dweik, H. P. Wiedemann, and S. C. Erzurum
Pulmonary gas transfer related to markers of angiogenesis during the menstrual cycle
J Appl Physiol, November 1, 2007; 103(5): 1789 - 1795.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
J. Tongers and D. W. Losordo
Frontiers in Nephrology: The Evolving Therapeutic Applications of Endothelial Progenitor Cells
J. Am. Soc. Nephrol., November 1, 2007; 18(11): 2843 - 2852.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
M. Jost, C. Maillard, J. Lecomte, V. Lambert, M. Tjwa, P. Blaise, M.-L. Alvarez Gonzalez, K. Bajou, S. Blacher, P. Motte, et al.
Tumoral and Choroidal Vascularization: Differential Cellular Mechanisms Involving Plasminogen Activator Inhibitor Type I
Am. J. Pathol., October 1, 2007; 171(4): 1369 - 1380.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
H. Masuda, C. Kalka, T. Takahashi, M. Yoshida, M. Wada, M. Kobori, R. Itoh, H. Iwaguro, M. Eguchi, Y. Iwami, et al.
Estrogen-Mediated Endothelial Progenitor Cell Biology and Kinetics For Physiological Postnatal Vasculogenesis
Circ. Res., September 14, 2007; 101(6): 598 - 606.
[Abstract] [Full Text] [PDF]


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HeartHome page
H. Shmilovich, V. Deutsch, A. Roth, H. Miller, G. Keren, and J. George
Circulating endothelial progenitor cells in patients with cardiac syndrome X
Heart, September 1, 2007; 93(9): 1071 - 1076.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
H. Morimoto, M. Takahashi, Y. Shiba, A. Izawa, H. Ise, M. Hongo, K. Hatake, K. Motoyoshi, and U. Ikeda
Bone Marrow-Derived CXCR4+ Cells Mobilized by Macrophage Colony-Stimulating Factor Participate in the Reduction of Infarct Area and Improvement of Cardiac Remodeling after Myocardial Infarction in Mice
Am. J. Pathol., September 1, 2007; 171(3): 755 - 766.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
V. Zaca, S. Rastogi, M. Imai, M. Wang, V. G. Sharov, A. Jiang, S. Goldstein, and H. N. Sabbah
Chronic Monotherapy With Rosuvastatin Prevents Progressive Left Ventricular Dysfunction and Remodeling in Dogs With Heart Failure
J. Am. Coll. Cardiol., August 7, 2007; 50(6): 551 - 557.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
J. M. Rademaker-Lakhai, L. V. Beerepoot, N. Mehra, S. A. Radema, R. van Maanen, J. S. Vermaat, E. O. Witteveen, C. M. Visseren-Grul, L. Musib, N. Enas, et al.
Phase I Pharmacokinetic and Pharmacodynamic Study of the Oral Protein Kinase C {beta}-Inhibitor Enzastaurin in Combination with Gemcitabine and Cisplatin in Patients with Advanced Cancer
Clin. Cancer Res., August 1, 2007; 13(15): 4474 - 4481.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
A. Schmidt, K. Brixius, and W. Bloch
Endothelial Precursor Cell Migration During Vasculogenesis
Circ. Res., July 20, 2007; 101(2): 125 - 136.
[Abstract] [Full Text] [PDF]


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VASC ENDOVASCULAR SURGHome page
S. M. Vartanian and R. Sarkar
Therapeutic Angiogenesis
Vascular and Endovascular Surgery, July 1, 2007; 41(3): 173 - 185.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
H. Iwasaki, K. Fukushima, A. Kawamoto, K. Umetani, A. Oyamada, S. Hayashi, T. Matsumoto, M. Ishikawa, T. Shibata, H. Nishimura, et al.
Synchrotron Radiation Coronary Microangiography for Morphometric and Physiological Evaluation of Myocardial Neovascularization Induced by Endothelial Progenitor Cell Transplantation
Arterioscler Thromb Vasc Biol, June 1, 2007; 27(6): 1326 - 1333.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
G. Invernici, C. Emanueli, P. Madeddu, S. Cristini, S. Gadau, A. Benetti, E. Ciusani, G. Stassi, M. Siragusa, R. Nicosia, et al.
Human Fetal Aorta Contains Vascular Progenitor Cells Capable of Inducing Vasculogenesis, Angiogenesis, and Myogenesis in Vitro and in a Murine Model of Peripheral Ischemia
Am. J. Pathol., June 1, 2007; 170(6): 1879 - 1892.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
H.-K. Oh, J.-M. Ha, E. O, B. H. Lee, S. K. Lee, B.-S. Shim, Y.-K. Hong, and Y. A. Joe
Tumor Angiogenesis Promoted by Ex vivo Differentiated Endothelial Progenitor Cells Is Effectively Inhibited by an Angiogenesis Inhibitor, TK1-2
Cancer Res., May 15, 2007; 67(10): 4851 - 4859.
[Abstract] [Full Text] [PDF]