Beneficial Effects of Angiotensin-(1-7) on CD34+ Cells From Patients With Heart Failure

J Cardiovasc Pharmacol. 2018 Mar;71(3):155-159. doi: 10.1097/FJC.0000000000000556.

Abstract

The dysfunctional nature of CD34 cells from patients with heart failure (HF) may make them unsuitable for autologous stem-cell therapy. In view of evidence that the vasoprotective axis of the renin-angiotensin system (RAS) improves CD34 cell functions, we hypothesized that CD34 cells from patients with HF will be dysfunctional and that angiotensin-(1-7) [Ang-(1-7)] would improve their function. Peripheral blood was collected from New York Heart Association class II-IV patients with HF (n = 31) and reference subjects (n = 16). CD34 cell numbers from patients with HF were reduced by 47% (P < 0.05) and also displayed 76% reduction in migratory capacity and 56% (P < 0.05) lower production of nitric oxide. These alterations were associated with increases in RAS genes angiotensin-converting enzyme and AT2R (595%, P < 0.05) mRNA levels and 80% and 85% decreases in angiotensin-converting enzyme 2 and Mas mRNA levels, respectively. Treatment with Ang-(1-7) enhanced CD34 cell function through increased migratory potential and nitric oxide production, and reduced reactive oxygen species generation. These data show that HF CD34 cells are dysfunctional, and Ang-(1-7) improves their functions. This suggests that activation of the vasoprotective axis of the RAS may hold therapeutic potential for autologous stem-cell therapy in patients with HF.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin I / pharmacology*
  • Antigens, CD34 / metabolism*
  • Case-Control Studies
  • Cell Movement / drug effects
  • Cells, Cultured
  • Female
  • Heart Failure / metabolism*
  • Heart Failure / pathology
  • Hematopoietic Stem Cells / drug effects*
  • Hematopoietic Stem Cells / metabolism
  • Hematopoietic Stem Cells / pathology
  • Humans
  • Male
  • Middle Aged
  • Nitric Oxide / metabolism
  • Peptide Fragments / pharmacology*
  • Phenotype
  • Reactive Oxygen Species / metabolism
  • Renin-Angiotensin System / drug effects
  • Renin-Angiotensin System / genetics

Substances

  • Antigens, CD34
  • Peptide Fragments
  • Reactive Oxygen Species
  • Nitric Oxide
  • Angiotensin I
  • angiotensin I (1-7)