Differences in Circulating Endothelial Progenitor Cells ...
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Differences in Circulating Endothelial Progenitor Cells among Childhood Cancer Survivors Treated with and without Radiation Keywords:
Pediatric cancers; Endothelial cell functions; Long-term toxicities; Radiation induced late effects; Childhood cancer survivors
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
