Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets

Endothelial microparticles (EMPs) are vesicles derived from cell membranes, which contain outsourced phosphatidylserine and express adhesion molecules, such as cadherin, intercellular cell adhesion molecule-1 (ICAM-1), E-selectin, and integrins. EMPs are expressed under physiological conditions and...

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Main Authors: Giane Favretto, Regiane Stafim da Cunha, Maria Aparecida Dalboni, Rodrigo Bueno de Oliveira, Fellype de Carvalho Barreto, Ziad A. Massy, Andréa Emilia Marques Stinghen
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/11/5/267
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author Giane Favretto
Regiane Stafim da Cunha
Maria Aparecida Dalboni
Rodrigo Bueno de Oliveira
Fellype de Carvalho Barreto
Ziad A. Massy
Andréa Emilia Marques Stinghen
author_facet Giane Favretto
Regiane Stafim da Cunha
Maria Aparecida Dalboni
Rodrigo Bueno de Oliveira
Fellype de Carvalho Barreto
Ziad A. Massy
Andréa Emilia Marques Stinghen
author_sort Giane Favretto
collection DOAJ
description Endothelial microparticles (EMPs) are vesicles derived from cell membranes, which contain outsourced phosphatidylserine and express adhesion molecules, such as cadherin, intercellular cell adhesion molecule-1 (ICAM-1), E-selectin, and integrins. EMPs are expressed under physiological conditions and continue circulating in the plasma. However, in pathologic conditions their levels increase, and they assume a pro-inflammatory and pro-coagulant role via interactions with monocytes; these effects are related to the development of atherosclerosis. Chronic kidney dysfunction (CKD) characterizes this dysfunctional scenario through the accumulation of uremic solutes in the circulating plasma, whose toxicity is related to the development of cardiovascular diseases. Therefore, this review aims to discuss the formation of EMPs and their biological effects in the uremic environment. Data from previous research demonstrate that uremic toxins are closely associated with the activation of inflammatory biomarkers, cardiovascular dysfunction processes, and the release of EMPs. The impact of a decrease in circulating EMPs in clinical studies has not yet been evaluated. Thus, whether MPs are biochemical markers and/or therapeutic targets has yet to be established.
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spelling doaj.art-1f59a22eb98b41699b8a268d98eb025c2022-12-22T03:09:54ZengMDPI AGToxins2072-66512019-05-0111526710.3390/toxins11050267toxins11050267Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic TargetsGiane Favretto0Regiane Stafim da Cunha1Maria Aparecida Dalboni2Rodrigo Bueno de Oliveira3Fellype de Carvalho Barreto4Ziad A. Massy5Andréa Emilia Marques Stinghen6Experimental Nephrology Laboratory, Basic Pathology Department, Universidade Federal do Paraná, Curitiba 81531-980, BrazilExperimental Nephrology Laboratory, Basic Pathology Department, Universidade Federal do Paraná, Curitiba 81531-980, BrazilPost-Graduation in Medicine Department, Universidade Nove de Julho, São Paulo 03155-000, SP, BrazilDivision of Nephrology, Department of Internal Medicine, School of Medical Sciences Universidade de Campinas (UNICAMP), Campinas 13083-887, BrazilExperimental Nephrology Laboratory, Basic Pathology Department, Universidade Federal do Paraná, Curitiba 81531-980, BrazilDivision of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt, 92100 Paris, FranceExperimental Nephrology Laboratory, Basic Pathology Department, Universidade Federal do Paraná, Curitiba 81531-980, BrazilEndothelial microparticles (EMPs) are vesicles derived from cell membranes, which contain outsourced phosphatidylserine and express adhesion molecules, such as cadherin, intercellular cell adhesion molecule-1 (ICAM-1), E-selectin, and integrins. EMPs are expressed under physiological conditions and continue circulating in the plasma. However, in pathologic conditions their levels increase, and they assume a pro-inflammatory and pro-coagulant role via interactions with monocytes; these effects are related to the development of atherosclerosis. Chronic kidney dysfunction (CKD) characterizes this dysfunctional scenario through the accumulation of uremic solutes in the circulating plasma, whose toxicity is related to the development of cardiovascular diseases. Therefore, this review aims to discuss the formation of EMPs and their biological effects in the uremic environment. Data from previous research demonstrate that uremic toxins are closely associated with the activation of inflammatory biomarkers, cardiovascular dysfunction processes, and the release of EMPs. The impact of a decrease in circulating EMPs in clinical studies has not yet been evaluated. Thus, whether MPs are biochemical markers and/or therapeutic targets has yet to be established.https://www.mdpi.com/2072-6651/11/5/267Endothelial microparticlescardiovascular diseaseuremia
spellingShingle Giane Favretto
Regiane Stafim da Cunha
Maria Aparecida Dalboni
Rodrigo Bueno de Oliveira
Fellype de Carvalho Barreto
Ziad A. Massy
Andréa Emilia Marques Stinghen
Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets
Toxins
Endothelial microparticles
cardiovascular disease
uremia
title Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets
title_full Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets
title_fullStr Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets
title_full_unstemmed Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets
title_short Endothelial Microparticles in Uremia: Biomarkers and Potential Therapeutic Targets
title_sort endothelial microparticles in uremia biomarkers and potential therapeutic targets
topic Endothelial microparticles
cardiovascular disease
uremia
url https://www.mdpi.com/2072-6651/11/5/267
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