Cited 12 times since 2010 (0.8 per year) source: EuropePMC European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, Volume 41, Issue 3, 30 5 2011, Pages 418-428 T-cell-pre-stimulated monocytes promote neovascularisation in a murine hind limb ischaemia model. Hellingman AA, Zwaginga JJ, van Beem RT, TeRM/Smart Mix Consortium, Hamming JF, Fibbe WE, Quax PH, Geutskens SB

Aim

Monocytes play a significant role in neovascularisation. The stimuli that differentiate monocytes along a pro-angio-/arteriogenic-supporting pathway are currently unclear. We investigated whether pre-stimulation of human monocytes with soluble T-cell-derived factors improves revascularisation in murine hind limb ischaemia as a new option for therapeutic angio- and arteriogenesis.

Design

Human monocytes were cultured with or without soluble T-cell-derived factors. Unstimulated and pre-stimulated monocytes were transfused after induction of hind limb ischaemia in nude mice.

Methods

Blood flow was measured with laser Doppler perfusion imaging. Collaterals were visualised by immunohistochemistry and angiography. Monocytes were characterised by flowcytometry and Bio-Plex assays.

Results

Transfusion of T-cell-pre-stimulated monocytes significantly improved blood flow recovery after hind limb ischaemia and increased collateral size and collateral and capillary number in the post-ischaemic paw. Pre-stimulated monocytes produced a wide variety of factors that support neovascularisation such as platelet-derived growth factor-BB, vascular-endothelial growth factor, interleukin-4 and tumour necrosis factor-α. Few transfused human cells were detected in the muscle tissue, suggesting that paracrine rather than direct effects appear responsible for the enhanced recovery of blood flow observed.

Conclusion

These results show a beneficial role for T-cell-pre-stimulated monocytes in neovascularisation, rendering the monocyte a potential candidate for regenerative cell therapy that promotes revascularisation in peripheral arterial disease patients.

Eur J Vasc Endovasc Surg. 2011 12;41(3):418-428