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Blood, 15 February 2004, Vol. 103, No. 4, pp. 1373-1375.
Prepublished online as a Blood First Edition Paper on October 23, 2003; DOI 10.1182/blood-2003-08-2859.

Submitted August 20, 2003
Accepted October 18, 2003
Endothelial Progenitor Cells in Infantile Hemangioma
Ying Yu*, Alan F Flint, John B Mulliken, June K Wu, and Joyce Bischoff
Program in Vascular Biology, Harvard Medical School, Boston, MA, USA; Children's Hospital, Harvard Medical School, Boston, MA, USA
Division of Genetics, Harvard Medical School, Boston, MA, USA; Children's Hospital, Harvard Medical School, Boston, MA, USA
Division of Plastic Surgery, Harvard Medical School, Boston, MA, USA; Children's Hospital, Harvard Medical School, Boston, MA, USA
* Corresponding author; email: ying.yu{at}tch.harvard.edu.
Infantile hemangioma is an endothelial tumor that grows rapidly after birth but slowly regresses during early childhood. Initial proliferation of hemangioma is characterized by clonal expansion of endothelial cells (ECs) and neovascularization. Here, we demonstrated mRNA encoding CD133-2, an important marker for endothelial progenitor cells (EPCs), predominantly in proliferating but not involuting or involuted hemangioma. Progenitor cells co-expressing CD133 and CD34 were detected by flow cytometry in 11/12 proliferating hemangioma specimens from children 3 to 24 months of age. Furthermore, in 4 proliferating hemangiomas, we showed that 0.14 - 1.6% of CD45negative nucleated cells were EPCs that co-expressed CD133 and the endothelial cell marker KDR. This finding is consistent with the presence of KDR+ immature ECs in proliferating hemangioma. Our results suggest that EPCs contribute to the early growth of hemangioma. To our knowledge, this is the first study to show direct evidence of EPCs in a human vascular tumor.

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