Human CD133+ Progenitor Cells Promote the Healing of Diabetic Ischemic Ulcers by Paracrine Stimulation of Angiogenesis and Activation of Wnt Signaling

    April 2009 in “ Circulation Research
    Lucíola S. Barcelos, Cécile Duplàa, Nicolle Kränkel, Gallia Graiani, Gloria Invernici, Rajesh Katare, Mauro Siragusa, Marco Meloni, Ilaria Campesi, Manuela Monica, Andreas Simm, Paola Campagnolo, Giuseppe Mangialardi, Lara Stevanato, Giulio Alessandri, Costanza Emanueli, Paolo Madeddu
    Studysummary This study found that human fetal CD133+ progenitor cells and their conditioned medium accelerated wound healing and promoted angiogenesis in a mouse model of ischemic diabetic ulcers through paracrine mechanisms involving Wnt signaling.
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    The study demonstrated that human fetal aorta-derived CD133+ progenitor cells and their conditioned medium (CD133+ CCM) promoted the healing of diabetic ischemic ulcers in a mouse model by stimulating angiogenesis and activating the Wnt signaling pathway. The cells and their medium enhanced wound closure and angiogenesis through paracrine effects, primarily involving VEGF-A and IL-8. The beneficial effects were reduced by Wnt antagonists or neutralizing antibodies, highlighting the role of Wnt signaling. Despite challenges with fetal-derived cells, the study suggested that CD133+ CCM could be a promising therapeutic approach for diabetic ulcer treatment, potentially leading to synthetic alternatives.
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