Blood flow and stem cells in vascular disease

Cheng Zhang, Lingfang Zeng, Costanza Emanueli, Qingbo Xu*

*Corresponding author for this work

Research output: Contribution to journalLiterature reviewpeer-review

38 Citations (Scopus)

Abstract

It is well known that the altered blood flow is related to vascular diseases, including atherosclerosis, restenosis, and arteriosclerosis, which preferentially located at areas with the disturbed blood flow, suggesting that altered biomechanical stress may exert their effect on the vascular disease. Recent evidence indicated the presence of abundant stem/progenitor cells in the vessel wall, in which laminar shear stress can stimulate these cells to differentiate towards endothelial lineage, while cyclic strain results in smooth muscle differentiation. In line with this, it was evidenced that altered biomechanical stress in stented vessels may lead to 'wrong' direction of vascular stem cell differentiation resulting in restenosis. However, the underlying mechanisms are not well understood. In this article, we will give an overview of the effect of the local flow pattern on stem/progenitor cell differentiation and the possible mechanism on how the blood flow influences stem cell behaviours in the development of vascular diseases.

Original languageEnglish
Pages (from-to)251-259
Number of pages9
JournalCardiovascular Research
Volume99
Issue number2
DOIs
Publication statusPublished - 15 Jul 2013

Keywords

  • Shear stress
  • Stem cells
  • Vascular progenitors
  • Vascular tissue engineering
  • Restenosis
  • ENDOTHELIAL PROGENITOR CELLS
  • SMOOTH-MUSCLE-CELLS
  • FLUID SHEAR-STRESS
  • IN-VITRO
  • CYCLIC STRAIN
  • POSTNATAL VASCULOGENESIS
  • ATHEROSCLEROTIC LESIONS
  • SIGNAL-TRANSDUCTION
  • PERIPHERAL-BLOOD
  • DISTURBED FLOW

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