2012
DOI: 10.1097/hjh.0b013e32835639bb
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Elevated circulating fibrocyte levels in patients with hypertensive heart disease

Abstract: Objective Autopsy and biopsy studies have shown that there is significantly more fibrosis in hearts of patients with hypertensive heart disease compared to normal hearts. Fibrocytes, a population of circulating bone marrow-derived cells, have been shown to home to tissues and promote scar formation in several diseases, but their role in human hypertensive heart disease has not been investigated to date. Our objective was to determine whether fibrocyte levels are elevated in individuals with hypertensive heart … Show more

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Cited by 44 publications
(35 citation statements)
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References 37 publications
(53 reference statements)
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“…These mesenchymal cells produce large amounts of IL-6 in response to TLR2, TLR4, and TLR7 activation (Balmelli et al, 2007) and have the ability to enter sites of injury, where they mediate wound healing. Patients with hypertensive heart disease had increased circulating levels of fibrocytes and there was a strong correlation between left ventricular mass index and fibrocyte number (Keeley et al, 2012). Fibrocytes have also been implicated in the development of atherosclerosis and in myocardial fibrosis (Reilkoff et al, 2011); however, the exact mechanisms by which TLRs affect the function of these cells in the adventitial microenvironment are unclear.…”
Section: Discussionmentioning
confidence: 99%
“…These mesenchymal cells produce large amounts of IL-6 in response to TLR2, TLR4, and TLR7 activation (Balmelli et al, 2007) and have the ability to enter sites of injury, where they mediate wound healing. Patients with hypertensive heart disease had increased circulating levels of fibrocytes and there was a strong correlation between left ventricular mass index and fibrocyte number (Keeley et al, 2012). Fibrocytes have also been implicated in the development of atherosclerosis and in myocardial fibrosis (Reilkoff et al, 2011); however, the exact mechanisms by which TLRs affect the function of these cells in the adventitial microenvironment are unclear.…”
Section: Discussionmentioning
confidence: 99%
“…Fibrocytes are known to express several chemokine receptors and to display chemotaxis in response to the ligands of these receptors. CXCR4 is the most commonly expressed chemokine receptor on peripheral blood fibrocytes in both humans and mice and is involved in fibrocyte traffic in mouse models of lung fibrosis and in vitro chemotaxis with human cells (6,8,23,30). Smaller and overlapping subsets of fibrocytes express CCR2 and CCR7, and the ligands for these receptors have also been implicated in fibrocyte traffic in several animal models of fibrotic diseases (7,18,31,32).…”
Section: Discussionmentioning
confidence: 99%
“…The CCR2 receptor is involved in the process of angiotensin-induced cardiac fibrosis, but does not protect against complications in the form of dilatation and systolic dysfunction [23]. Greater expression of the genes for the CCR2 receptor, CXCR4 and CCR7 has been noted in patients with hypertensive heart disease as compared to normotensive controls [24]. MCP-1 is involved not only in the migration of leukocytes to the vascular wall, but also participates in the pathogenesis of hypertensive heart disease.…”
Section: The Role Of Mcp-1 In the Pathogenesis Of Hypertensionmentioning
confidence: 99%