Why the study?
Many cardioprotective drugs are ineffective in diabetic hearts, and the role and mechanism of AGGF1-primed endothelial progenitor cell therapy in diabetic ischaemia-reperfusion injury remain unclear.
Does AGGF1-EPCs therapy restore cardiac function and inhibit ROS production and fibrosis in diabetic I/R mice?
Does AGGF1-EPCs therapy restore cardiac function and inhibit ROS production and fibrosis in diabetic I/R mice?
AGGF1-primed endothelial progenitor cells alleviate ischemia-reperfusion injury in diabetic hearts by activating the antioxidative Nrf2 pathway.
Hypothesis-generating for AGGF1-EPC therapy in diabetic I/R injury; prospective trials needed before clinical adoption.
A number of cardioprotective pharmacological agents are not effective in diabetic hearts. The role of AGGF1-EPCs therapy in diabetic ischaemia-reperfusion(I/R) injury and the underlying mechanism by which AGGF1 regulates EPCs under hyperglycemia (HG) + hypoxia/reoxygenation (H/R) stress are still unclear. We observed that the damaging effects of HG + H/R on EPCs were abolished by AGGF1. The EPCs implantation therapy successfully restores cardiac functions, inhibits ROS production and fibrosis in diabetic I/R mice. Mechanistically, AGGF1 activates the Nrf2 and induces the activation of downstream antioxidative proteins (HO1, NQO1, and CAT). These data suggest that AGGF1 protein reverses the damaging effects of HG + H/R on EPCs via the antioxidative Nrf2. AGGF1-EPCs therapy is a novel strategy for treating diabetic I/R injury.
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Li et al. (2025) studied this question.
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