TITLE

CD34+ Hematopoietic Stem Cells Mobilization, Paralleled with Multiple Cytokines Elevated in Patients with HBV-Related Acute-on-Chronic Liver Failure

AUTHOR(S)
Wan, Zhihong; You, Shaoli; Rong, Yihui; Zhu, Bing; Zhang, Aimin; Zang, Hong; Xiao, Long; Xie, Guoming; Xin, Shaojie
PUB. DATE
February 2013
SOURCE
Digestive Diseases & Sciences;Feb2013, Vol. 58 Issue 2, p448
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Recent studies indicate that bone marrow (BM)-derived stem cells contribute to liver regeneration. But limited information is available on the dynamic and mechanisms of mobilization of BM-derived hematopoietic stem cells (HSCs) after acute-on-chronic liver failure (ACLF). Aims: The purpose of this study was to assess the mobilization of BM-derived CD34+ HSCs in ACLF patients, and elucidate the association of stress-induced cytokines in HSCs mobilization and/or liver repair in ACLF patients. Methods: Thirty patients with HBV-related ACLF, 30 patients undergoing chronic hepatitis B, and 20 healthy controls were enrolled. The percentages of peripheral blood CD34+ cells were determined by two-color flow cytometry. The hepatic commitment of mobilized CD34+ cells was investigated by RT-PCR. The serum levels of stress-induced cytokines were determined by enzyme-linked immunosorbent assays. Results: A significant increase of circulating CD34+ cells was observed in ACLF patients. RT-PCR analyses showed that the mobilized CD34+ cells expressed both CD34 mRNA and liver-specific markers including cytokeratin 19 and α-fetoprotein. In parallel with mobilization of BM-derived CD34+ cells, elevated serum levels of hepatocyte growth factor, interleukin-6, stem cell factor, granulocyte colony-stimulating factor and matrix metalloproteinase 9 were observed in ACLF patients. Conclusion: We demonstrated that ACLF led to mobilization of CD34+ cells, which had a hepatic differentiation potential.
ACCESSION #
85631185

 

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