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Blood, 1 December 2007, Vol. 110, No. 12, pp. 3891-3899.
Prepublished online as a Blood First Edition Paper on August 15, 2007; DOI 10.1182/blood-2006-10-048991.


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Submitted October 6, 2006
Accepted July 25, 2007

Involvement of E-selectin in recruitment of endothelial progenitor cells and angiogenesis in ischemic muscle

Il-Young Oh, Chang-Hwan Yoon, Jin Hur, Ji-Hyun Kim, Tae-Youn Kim, Choon-Soo Lee, Kyung-Woo Park, In-Ho Chae, Byung-Hee Oh, Young-Bae Park, and Hyo-Soo Kim*

Department of Internal Medicine, Innovative Research Institute for Cell Therapy (IRICT), Seoul National University Hospital, Seoul, Korea, Republic of

* Corresponding author; email: hyosoo{at}snu.ac.kr.

E-selectin plays critical roles in tethering leukocytes to endothelial cells (ECs). We studied the role of E-selectin in endothelial progenitor cell (EPC) homing and vasculogenesis. After ischemia, the expression of E-selectin on ECs peaked 6-12 h and returned to baseline at 24 h whereas the level of soluble E-selectin (sE-selectin) in serum increased over 24 h and remained high at day 7. Mouse bone marrow-derived EPCs expressed not only E-selectin but also its ligand. Homing of circulating EPCs to ischemic limb was significantly impaired in E-selectin knock-out mice, as well as wild type mice pretreated with blocking antibody against E-selectin, which was rescued by local sE-selectin injection. Mechanism for this is that sE-selectin stimulated not only ECs to express ICAM-1, but also EPCs to secrete IL-8, leading to enhanced migration and incorporation to EC's capillary formation. In therapeutic aspect, local treatment with sE-selectin enhanced efficacy of EPC transplantation for vasculogenesis and salvage of ischemic limb. Conversely, when E-selectin was knocked-down by E-selectin small interfering RNA, blood flow recovery after EPC transplantation was significantly impaired. But this impaired vasculogenesis was rescued by sE-selectin. In conclusion, these data demonstrate E-selectin is a pivotal molecule for EPCs' homing to ischemic limb and vasculogenesis.


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