Medical Journals

Circulating Endothelial Progenitor Cells Correlate with Erectile Function in Patients with Coronary Heart Disease.

Authors:
  • Baumhäkel Magnus
  • Werner Nikos
  • Böhm Michael
  • Nickenig Georg

From: Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, D-66421 Homburg/Saar, Germany. magnus@baumhaekel.de

European heart journal

  • Publish Date: Sep 2006
  • ISSN: 0195-668X
  • Volume: 27
  • Issue: 18
  • Pages: 2184-8
  • Medium: Print
  • Language: English
  • Citation (JAMA): Baumhäkel Magnus, Werner Nikos, Böhm Michael, et al. Circulating Endothelial Progenitor Cells Correlate with Erectile Function in Patients with Coronary Heart Disease.. Eur. Heart J. Sep 2006;27:2184-8

Abstract

AIMS: The aim of the study was to determine the influence of endothelial progenitor cells (EPC) on erectile dysfunction (ED). EPC play a major role in repair mechanisms of the endothelial monolayer, but the role of EPC in ED is unclear. METHODS AND RESULTS: Circulating levels of CD34(+)/KDR(+) and CD133(+) EPC were determined in 119 patients with known coronary artery disease. ED was evaluated with an ED-score generated from the KEED questionnaire. Prevalence of ED was 59.7%. In univariate analysis, age, hypertension, reduced left ventricular ejection fraction (LVEF), diabetes, and circulating levels of CD133(+) EPC, but not cardiovascular drug treatment were associated with ED. Body mass index (BMI) was positively (r = 0.319, P=0.003) and high-density lipoprotein was negatively (r=-0.246, P=0.034) correlated with ED. Adjustment for age, diabetes, hypertension, BMI, smoking, LVEF, use of statins and lower urinary tract symptoms, and prior coronary intervention revealed low levels of circulating immature CD133(+) EPC as independent risk factor for ED (95% CI -11.183 to -1.7371, P=0.008). CONCLUSION: Reduced levels of circulating CD133(+) EPC are an independent risk factor for ED. Thus, EPC may be a link between cardiovascular risk factors, endothelial dysfunction, and ED.

Mesh Headings (Keywords): Adult, Aged, Aged, 80 and over, Cell Count, Coronary Disease, Endothelial Cells, Endothelium, Vascular, Humans, Impotence, Vasculogenic, Male, Middle Aged, Risk Factors, Stem Cells


Check for Full Text / PubMed Unique Identifier (PMID): 16926179


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