Published ahead of print on May 29, 2009, doi:10.1164/rccm.200901-0115OC Am. J. Respir. Crit. Care Med., Volume 180, Number 5, September 2009, 454-461 A more recent version of this article appeared on September 1, 2009
Submitted on January 21, 2009 Endothelial Colony Forming Cells from Preterm Infants are Increased and More Susceptible to HyperoxiaChristopher D. Baker1*,1 Pediatric Heart Lung Center, University of Colorado Denver School of Medicine, Aurora, Colorado, United States; The Children's Hospital, Aurora, Colorado, United States, 2 Pediatric Heart Lung Center, University of Colorado Denver School of Medicine, Aurora, Colorado, United States, 3 Indiana University School of Medicine, Indianapolis, Indiana, United States * To whom correspondence should be addressed. E-mail: christopher.baker{at}uchsc.edu.
Rationale: Preterm birth and hyperoxic exposure increase the risk for bronchopulmonary dysplasia (BPD), a chronic lung disease characterized by impaired vascular and alveolar growth. Endothelial progenitor cells, such as self-renewing highly-proliferative endothelial colony-forming cells (ECFCs), may participate in vascular repair. The effect of hyperoxia on ECFC growth is unknown. Objectives: We hypothesize that umbilical cord blood (CB) from premature infants contains more ECFCs with greater growth potential than term CB. However, preterm ECFCs may be more susceptible to hyperoxia. Methods: ECFC colonies were quantified by established methods and characterized by immunohistochemistry and flow cytometry. Growth kinetics were assessed in room air and hyperoxia (FiO2=0.4). Measurements and Main Results: Preterm CB (28-35 weeks gestation) yielded significantly more ECFC colonies than term CB. Importantly, we found that CD45-/CD34+/CD133+/VEGFR-2+ cell number did not correlate with ECFC colony count. Preterm ECFCs demonstrated increased growth as compared to term ECFCs. Hyperoxia impaired growth of preterm but not term ECFCs. Treatment with superoxide dismutase and catalase enhanced preterm ECFC growth during hyperoxia. Conclusions: Preterm ECFCs appear in increased number and proliferate more rapidly, but have an increased susceptibility to hyperoxia as compared to term ECFCs. Antioxidants protect preterm ECFCs from hyperoxia. Key words: Endothelial Progenitor Cells Bronchopulmonary Dysplasia Umbilical Cord Blood Reactive Oxygen Species Antioxidants
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