Directional migration of endothelial progenitor cells (EPCs) is critical in vasculogenesis, angiogenesis, and vasculature repair. In embryos, EPCs migrate, differentiate, and coalesce into clusters of hemangioblasts to form new blood vessels (vasculogenesis). In adults, EPCs may move to sites of injury or a site of neovascularization and then differentiate into mature endothelial cells, thus contributing to re-endothelialization and neo-vascularization (angiogenesis) [
1–
4]. Injury to vascular endothelium leads to the loss of the anti-thrombotic properties of the vessel wall, which could result in thrombosis, intimal hyperplasia and stenosis [
1,
5]. Small damages may be repaired by migration and proliferation of surrounding mature endothelial cells. Larger damages require migration and differentiation of EPCs that are marked in general by CD133
+/CD34
+/ vascular endothelial growth factor receptor 2
+ (VEGFR-2)/VE-cadherin
− [
2,
6–
10].
Directional migration of EPCs is meditated by varied chemokines, extracellular matrix, growth factors and membrane receptors [
7,
10]. Vascular endothelial growth factor (VEGF) is the most important growth factor in angiogenesis, controlling and increasing blood vessel formation [
6,
11].
Endogenous electric fields (EFs) occur naturally at wounds and around vasculature, which may be an important signal in guiding cell migration [
12–
15]. Applied EFs induced important pre-angiogenic responses in mature endothelial cells in culture. Human umbilical vein endothelial cells, bovine aortic endothelia cells, human dermal microvascular endothelial cells respond to applied EFs by directional migration, elongation and alignment [
16–
18].
Importantly, electrical stimulation has been demonstrated as an effective approach to induce angiogenesis in ischemia and wound healing [
18–
24]. Electrical stimulation significantly enhances angiogenesis in ischemic and non-ischemic rat limbs, possibly mediated by VEGF and hepatocyte growth factor (HGF) expressed in muscle cells [
20,
22,
24,
25]. Small EFs directly stimulate VEGF production by endothelial cells and direct reorientation, elongation and migration of endothelial cells in culture, through phosphatidylinositol 3-kinase (PI3K)-protein kinase B (PKB or Akt), Rho-ROCK signalling pathways [
17,
18].
It has not been reported whether behaviours of EPCs can be regulated by applied EFs. To be able to manipulate cellular behaviours of EPCs, and to direct EPCs to sites where angiogenesis is required, may have significant clinical implication in tissue engineering, and in controlling angiogenesis and many angiogenesis-related diseases. Directed migration of endothelial cells in an EF appears to be cell-type and origin specific. The endothelial cells from human microvasculature (HMEC-1 cells) or cultured bovine aortic migrated toward the cathode, whilst the endothelial cells derived from human umbilical vein migrated toward the anode [
16,
17]. It is therefore necessary to determine the responses of EPCs. We report here that DC EFs are a very powerful signal to direct migration, orientation, and elongation of three different types of EPCs. The EF-guided cell migration appears to be mediated by VEGF receptors.