Why the study?
It was unclear whether age impairs circulating endothelial progenitor cell function in HFmrEF and how this relates to systemic inflammation.
Is aging associated with decreased circulating endothelial progenitor cell function and increased systemic inflammation in patients with HFmrEF?
Is aging associated with decreased circulating endothelial progenitor cell function and increased systemic inflammation in patients with HFmrEF?
Aging is associated with attenuated endothelial progenitor cell function and increased systemic inflammation in patients with HFmrEF, providing insight into potential mechanisms of disease severity.
Age-related EPC impairment may link to inflammation in HFmrEF; leaves open whether targeting EPCs alters outcomes.
Background: Aging is an independent risk factor for heart failure (HF), and endothelial progenitor cell (EPC) function decreases with aging. Here, we further investigated whether age has a detrimental effect on circulating EPC function in HF with mildly reduced ejection fraction (HFmrEF) and its relationship with systemic inflammation. Methods: 58 HFmrEF patients were recruited. The adhesive, migrative, and proliferative activities of circulating EPCs, MAGGIC scores, and plasma interleukin (IL)-17 and IL-23 levels of these patients were assessed. Results: Older patients with HFmrEF had higher MAGGIC scores and lower circulating EPC adhesion, migration, and proliferation than younger patients. The similar tendency was observed in plasma IL-17 and IL-23 levels. The EPC functions were negatively associated with MAGGIC scores and plasma IL-17 or IL-23 levels. Conclusions: In patients with HFmrEF, aging leads to attenuated circulating EPC function, which is correlated with disease severity and systemic inflammation. The present investigation provides some novel insights into the mechanism and intervention targets of HFmrEF.
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Zeng et al. (2022) studied this question.
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