Why the study?
Endothelial progenitor cells play a crucial role in vascular repair and their depletion is involved in CAD severity, prompting evaluation of their relationship with CAD complexity quantified by the Syntax Score I.
Are decreased circulating endothelial progenitor cell (EPC) levels associated with increased coronary artery disease severity and acute coronary syndrome in patients undergoing coronary angiography?
Are decreased circulating endothelial progenitor cell (EPC) levels associated with increased coronary artery disease severity and acute coronary syndrome in patients undergoing coronary angiography?
Decreased circulating endothelial progenitor cells are significantly associated with higher CAD complexity and acute coronary syndrome, suggesting their potential utility as a biomarker for cardiovascular risk stratification.
Endothelial progenitor cells (EPCs) play a crucial role in vascular repair, and their depletion has been involved in coronary artery disease (CAD) severity. This study examines the relationship between circulating EPC levels and CAD complexity, as quantified by the Syntax Score I. A total of 85 patients undergoing coronary angiography were enrolled, with EPCs quantified using flow cytometry. EPC proportion showed a significant inverse relationship with CAD severity, measured by Syntax Score I. Additionally, we investigated EPC levels in patients presenting with acute coronary syndrome (ACS) and found that EPC depletion was more pronounced in this group compared to non-ACS patients (median EPC count: 0.35 vs. 0.61, p = 0.027). These findings suggest that lower EPC levels are indicative of more severe CAD and ACS, reinforcing their potential as biomarkers for cardiovascular risk stratification, monitoring disease advancement, and identifying patients at risk of adverse events.
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Tomić et al. (2025) studied this question.
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