Circulating CD34-Positive Cells Have Prognostic Value for Neurologic Function in Patients with past Cerebral Infarction

Author:

Taguchi Akihiko1,Nakagomi Nami1,Matsuyama Tomohiro2,Kikuchi-Taura Akie3,Yoshikawa Hiroo4,Kasahara Yukiko1,Hirose Haruka1,Moriwaki Hiroshi1,Nakagomi Takayuki2,Soma Toshihiro3,Stern David M5,Naritomi Hiroaki1

Affiliation:

1. Department of Cerebrovascular Disease, National Cardiovascular Center, Osaka, Japan

2. Institute for Advanced Medical Sciences, Hyogo College of Medicine, Hyogo, Japan

3. Department of Hematology, Osaka Minami National Medical Center, Osaka, Japan

4. Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan

5. VPHA/Dean's Office, College of Medicine, Cincinnati University, Cincinnati, Ohio, USA

Abstract

Increasing evidence points to a role for circulating endothelial progenitors, including populations of CD34-positive (CD34+) cells present in peripheral blood, in vascular homeostasis and neovascularization. In this report, circulating CD34+ cells in individuals with a history of cerebral infarction were correlated with changes in neurologic function over a period of 1 year. Patients with decreased levels of CD34+ cells displayed significant worsening in neurologic function, evaluated by the Barthel Index and Clinical Dementia Rating. These results support the hypothesis that levels of circulating CD34+ cells have prognostic value for neural function, consistent with their potential role in maintaining cerebral circulation.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Clinical Neurology,Neurology

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