Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease

Endothelial damage is central to the pathogenesis of many of the complications of sickle cell disease. Circulating extracellular vesicles (EVs) have been implicated in modulating endothelial behavior in a variety of different, diseases with vascular pathologies. As seen in other hemolytic diseases,...

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Main Authors: Gabrielle Lapping-Carr, Joanna Gemel, Yifan Mao, Eric C. Beyer
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2020.01063/full
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author Gabrielle Lapping-Carr
Joanna Gemel
Yifan Mao
Eric C. Beyer
author_facet Gabrielle Lapping-Carr
Joanna Gemel
Yifan Mao
Eric C. Beyer
author_sort Gabrielle Lapping-Carr
collection DOAJ
description Endothelial damage is central to the pathogenesis of many of the complications of sickle cell disease. Circulating extracellular vesicles (EVs) have been implicated in modulating endothelial behavior in a variety of different, diseases with vascular pathologies. As seen in other hemolytic diseases, the plasma of sickle cell patients contains EVs of different sizes and cellular sources. The medium-sized vesicles (microparticles) primarily derive from mature red blood cells and platelets; some of these EVs have procoagulant properties, while others stimulate inflammation or endothelial adhesiveness. Most of the small EVs (including exosomes) derive from erythrocytes and erythrocyte precursors, but some also originate from platelets, white blood cells, and endothelial cells. These small EVs may alter the behavior of target cells by delivering cargo including proteins and nucleic acids. Studies in model systems implicate small EVs in promoting vaso-occlusion and disruption of endothelial integrity. Thus, both medium and small EVs may contribute to the increased endothelial damage in sickle cell disease. Development of a detailed understanding of the composition and roles of circulating EVs represents a promising approach toward novel predictive diagnostics and therapeutic approaches in sickle cell disease.
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spelling doaj.art-0568afc5e87745379e073aaad6e75d262022-12-22T03:49:14ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-09-011110.3389/fphys.2020.01063549593Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell DiseaseGabrielle Lapping-CarrJoanna GemelYifan MaoEric C. BeyerEndothelial damage is central to the pathogenesis of many of the complications of sickle cell disease. Circulating extracellular vesicles (EVs) have been implicated in modulating endothelial behavior in a variety of different, diseases with vascular pathologies. As seen in other hemolytic diseases, the plasma of sickle cell patients contains EVs of different sizes and cellular sources. The medium-sized vesicles (microparticles) primarily derive from mature red blood cells and platelets; some of these EVs have procoagulant properties, while others stimulate inflammation or endothelial adhesiveness. Most of the small EVs (including exosomes) derive from erythrocytes and erythrocyte precursors, but some also originate from platelets, white blood cells, and endothelial cells. These small EVs may alter the behavior of target cells by delivering cargo including proteins and nucleic acids. Studies in model systems implicate small EVs in promoting vaso-occlusion and disruption of endothelial integrity. Thus, both medium and small EVs may contribute to the increased endothelial damage in sickle cell disease. Development of a detailed understanding of the composition and roles of circulating EVs represents a promising approach toward novel predictive diagnostics and therapeutic approaches in sickle cell disease.https://www.frontiersin.org/article/10.3389/fphys.2020.01063/fullsickle cell diseaseextracellular vesicleexosomesmicrovesicleendothelial damage
spellingShingle Gabrielle Lapping-Carr
Joanna Gemel
Yifan Mao
Eric C. Beyer
Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease
Frontiers in Physiology
sickle cell disease
extracellular vesicle
exosomes
microvesicle
endothelial damage
title Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease
title_full Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease
title_fullStr Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease
title_full_unstemmed Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease
title_short Circulating Extracellular Vesicles and Endothelial Damage in Sickle Cell Disease
title_sort circulating extracellular vesicles and endothelial damage in sickle cell disease
topic sickle cell disease
extracellular vesicle
exosomes
microvesicle
endothelial damage
url https://www.frontiersin.org/article/10.3389/fphys.2020.01063/full
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AT ericcbeyer circulatingextracellularvesiclesandendothelialdamageinsicklecelldisease