Differences in Circulating Endothelial Progenitor Cells among Childhood Cancer Survivors Treated with and without Radiation
Journal Title: Journal of Hematology & Thrombosis - Year 2015, Vol 1, Issue 1
Abstract
Radiation during childhood cancer treatment increases the propensity to atherosclerotic cardiovascular disease among adult survivors of childhood cancer. This is thought to be mediated through the damage to the underlying vascular endothelium. Endothelial progenitor cells (EPCs) involved in vascular endothelial repair after its damage may be affected by radiation therapy but have never been investigated in adult survivors of childhood cancer. In this pilot study, utilizing multi-parametric flow cytometry, endothelial colony forming cells (ECFCs), which are the bonafide EPCs, and circulating endothelial cells (CECs), which are not EPCs, were compared between adult survivors of childhood cancer with or without radiation exposure. In addition, their associations with blood-pressure, physical activity and diet were examined. Survivors who received radiotherapy had lower ECFCs and CECs (p < 0.05) compared to those without it. Significant positive correlations included physical activity with ECFCs and diet with CECs, while blood-pressure negatively correlated with ECFCs. Further evaluation is needed to examine the effect of radiation and modifiable risk factors on ECFCs and CECs. The preliminary findings from this study suggest evidence of the role of ECFCs as biomarkers of vascular injury following treatment for childhood cancer that may help in early identification of survivors at risk for cardiovascular disease.
Authors and Affiliations
Kamnesh Pradhan
Provisional Kuwaiti Children Hematology Reference Range
Introduction: Hematology reference ranges (HRR) in the third world countries usually based on results of measurements in advanced countries. Our HRR based on UK HRR since more than 5 decades. However, these parameters ar...
Effects of Heparin Therapy on Hexagonal Lipid Neutralization Test
In this retrospective study; we evaluate the effects of heparin therapy on hexagonal lipid neutralization test. We identified 8000 patients in our hospital system that had been evaluated for lupus anticoagulants. Among t...
Provisional Study of Kuwait Adult Hematology Reference Range
Introduction: Hematology reference range provides valuable information for the correct interpretation of results for proper diagnosis and treatment. Previous studies have shown that hematology reference range may vary in...
Hypoplasia of Infrarenal Inferior Vena Cava: An Infrequent Cause of Repetitive Deep Vein Thrombosis and its Effects
Congenital anomalies such as the defects of inferior vena cava (IVC) are not common, however these alterations obtained from a poor embryo development benefit venous stasis which, inconsequence, will trigger a deep vein...
The Promise and Challenges of Personalized Medicine in Hematologic Malignancies
Personalized medicine is a rapidly emerging medical model that proposes individually customized healthcare to potentially increase the quality of clinical care and reduce health care costs. The key to the success of pers...