title: Humanized large-scale expanded endothelial colony-forming cells function in vitro and in vivo.
abstract: Endothelial progenitor cells are critically involved in essential biologic processes, such as vascular homeostasis, regeneration, and tumor angiogenesis. Endothelial colony-forming cells (ECFCs) are endothelial progenitor cells with robust proliferative potential. Their profound vessel-forming capacity makes them a promising tool for innovative experimental, diagnostic, and therapeutic strategies. Efficient and safe methods for their isolation and expansion are presently lacking. Based on the previously established efficacy of animal serum-free large-scale clinical-grade propagation of mesenchymal stromal cells, we hypothesized that endothelial lineage cells may also be propagated efficiently following a comparable strategy. Here we demonstrate that human ECFCs can be recovered directly from unmanipulated whole blood. A novel large-scale animal protein-free humanized expansion strategy preserves the progenitor hierarchy with sustained proliferation potential of more than 30 population doublings. By applying large-scale propagated ECFCs in various test systems, we observed vascular networks in vitro and perfused vessels in vivo. After large-scale expansion and cryopreservation phenotype, function, proliferation, and genomic stability were maintained. For the first time, proliferative, functional, and storable ECFCs propagated under humanized conditions can be explored in terms of their therapeutic applicability and risk profile.
authors.affiliation: Stem Cell Research Unit, and Department of Hematology and Stem Cell Transplantation, University Clinic of Internal Medicine, Medical University of Graz, Auenbrugger Pl 38, Graz, Austria.
authors.forename: Andreas
authors.initials: A
authors.lastname: Reinisch
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Hofmann
authors.forename: Anna C
authors.initials: AC
authors.lastname: Obenauf
authors.forename: Karl
authors.initials: K
authors.lastname: Kashofer
authors.forename: Eva
authors.initials: E
authors.lastname: Rohde
authors.forename: Katharina
authors.initials: K
authors.lastname: Schallmoser
authors.forename: Karin
authors.initials: K
authors.lastname: Flicker
authors.forename: Gerhard
authors.initials: G
authors.lastname: Lanzer
authors.forename: Werner
authors.initials: W
authors.lastname: Linkesch
authors.forename: Michael R
authors.initials: MR
authors.lastname: Speicher
authors.forename: Dirk
authors.initials: D
authors.lastname: Strunk