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Evidence for Circulating Bone Marrow-Derived Endothelial Cells
Qun Shi,
Shahin Rafii,
Moses Hong-De Wu,
Errol S. Wijelath,
Cong Yu,
Atsushi Ishida,
Yuji Fujita,
Sudesh Kothari,
Robert Mohle,
Lester R. Sauvage,
Malcom A.S. Moore,
Rainer F. Storb, and
William
P. Hammond
From the Departments of Surgery and Molecular Biology, The Hope Heart
Institute and Providence Medical Center, Seattle, WA; the
Hematology-Oncology Division, Cornell Medical College, New York, NY;
the Fred Hutchinson Cancer Research Center, Seattle, WA; the
Sloan-Kettering Cancer Research Center, New York, NY; and the
Departments of Surgery and Medicine, University of Washington School of
Medicine, Seattle, WA.
It has been proposed that hematopoietic and endothelial cells are
derived from a common cell, the hemangioblast. In this study, we
demonstrate that a subset of CD34+ cells have the
capacity to differentiate into endothelial cells in vitro in the
presence of basic fibroblast growth factor, insulin-like growth
factor-1, and vascular endothelial growth factor. These differentiated
endothelial cells are CD34+, stain for von Willebrand
factor (vWF), and incorporate acetylated low-density lipoprotein
(LDL). This suggests the possible existence of a bone
marrow-derived precursor endothelial cell. To demonstrate this
phenomenon in vivo, we used a canine bone marrow transplantation model,
in which the marrow cells from the donor and recipient are genetically
distinct. Between 6 to 8 months after transplantation, a Dacron graft,
made impervious to prevent capillary ingrowth from the surrounding
perigraft tissue, was implanted in the descending thoracic aorta. After
12 weeks, the graft was retrieved, and cells with endothelial
morphology were identified by silver nitrate staining. Using the
di(CA)n and tetranucleotide (GAAA)n repeat polymorphisms to distinguish between the donor and recipient DNA, we
observed that only donor alleles were detected in DNA from positively
stained cells on the impervious Dacron graft. These results strongly
suggest that a subset of CD34+ cells localized in the
bone marrow can be mobilized to the peripheral circulation and can
colonize endothelial flow surfaces of vascular prostheses.
Blood, Vol. 92 No. 2 (July 15), 1998:
pp. 362-367
© 1998 by the American Society of Hematology.

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