Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers

BackgroundExtracellular vesicles (EVs) are submicron membrane-bound vesicles released from various cells, which are emerging as a potential novel biomarker in cardiovascular diseases (CVDs) due to their procoagulatory and prothrombotic properties. However, there is little information about the relat...

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Main Authors: Ruihan Zhou, Esra Bozbas, Keith Allen-Redpath, Parveen Yaqoob
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.907457/full
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author Ruihan Zhou
Esra Bozbas
Keith Allen-Redpath
Parveen Yaqoob
author_facet Ruihan Zhou
Esra Bozbas
Keith Allen-Redpath
Parveen Yaqoob
author_sort Ruihan Zhou
collection DOAJ
description BackgroundExtracellular vesicles (EVs) are submicron membrane-bound vesicles released from various cells, which are emerging as a potential novel biomarker in cardiovascular diseases (CVDs) due to their procoagulatory and prothrombotic properties. However, there is little information about the relationships between circulating EVs and conventional and thrombogenic risk markers of CVDs.ObjectiveTo investigate the relationships between circulating EVs, conventional cardiovascular risk markers and thrombogenic markers in subjects with moderate risk of CVDs.DesignSubjects (n = 40) aged 40-70 years with moderate risk of CVDs were recruited and assessed for body mass index, blood pressure and plasma lipid profile, as well as platelet aggregation, clot formation, thrombin generation and fibrinolysis. Numbers of circulating EVs were assessed by Nanoparticle Tracking Analysis and flow cytometry. A range of assays were used to assess the procoagulatory activity of plasma and circulating EVs.ResultsCirculating EV numbers were positively associated with body mass index, blood pressure, plasma triacylglycerol concentration and overall CVD risk. Higher circulating EV numbers were also associated with increased thrombin generation and enhanced clot formation, and EVs isolated from subjects with moderate CVD risk promoted thrombin generation ex vivo. Higher numbers of endothelial-derived EVs were associated with a greater tendency for clot lysis. Plasma triacylglycerol concentration and diastolic blood pressure independently predicted circulating EV numbers, and EV numbers independently predicted aspects of thrombin generation and clot formation and 10-year CVD risk.ConclusionCirculating EVs were strongly associated with both conventional and thrombogenic risk markers of CVDs, and also with overall CVD risk, highlighting a potentially important role for EVs in CVDs.
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spelling doaj.art-2bfa52b02e7e4e9493ae6a69626d5e762022-12-22T00:29:54ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-05-01910.3389/fcvm.2022.907457907457Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk MarkersRuihan ZhouEsra BozbasKeith Allen-RedpathParveen YaqoobBackgroundExtracellular vesicles (EVs) are submicron membrane-bound vesicles released from various cells, which are emerging as a potential novel biomarker in cardiovascular diseases (CVDs) due to their procoagulatory and prothrombotic properties. However, there is little information about the relationships between circulating EVs and conventional and thrombogenic risk markers of CVDs.ObjectiveTo investigate the relationships between circulating EVs, conventional cardiovascular risk markers and thrombogenic markers in subjects with moderate risk of CVDs.DesignSubjects (n = 40) aged 40-70 years with moderate risk of CVDs were recruited and assessed for body mass index, blood pressure and plasma lipid profile, as well as platelet aggregation, clot formation, thrombin generation and fibrinolysis. Numbers of circulating EVs were assessed by Nanoparticle Tracking Analysis and flow cytometry. A range of assays were used to assess the procoagulatory activity of plasma and circulating EVs.ResultsCirculating EV numbers were positively associated with body mass index, blood pressure, plasma triacylglycerol concentration and overall CVD risk. Higher circulating EV numbers were also associated with increased thrombin generation and enhanced clot formation, and EVs isolated from subjects with moderate CVD risk promoted thrombin generation ex vivo. Higher numbers of endothelial-derived EVs were associated with a greater tendency for clot lysis. Plasma triacylglycerol concentration and diastolic blood pressure independently predicted circulating EV numbers, and EV numbers independently predicted aspects of thrombin generation and clot formation and 10-year CVD risk.ConclusionCirculating EVs were strongly associated with both conventional and thrombogenic risk markers of CVDs, and also with overall CVD risk, highlighting a potentially important role for EVs in CVDs.https://www.frontiersin.org/articles/10.3389/fcvm.2022.907457/fullblood lipidsblood pressurecardiovascular risk markersextracellular vesiclesthrombin
spellingShingle Ruihan Zhou
Esra Bozbas
Keith Allen-Redpath
Parveen Yaqoob
Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers
Frontiers in Cardiovascular Medicine
blood lipids
blood pressure
cardiovascular risk markers
extracellular vesicles
thrombin
title Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers
title_full Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers
title_fullStr Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers
title_full_unstemmed Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers
title_short Circulating Extracellular Vesicles Are Strongly Associated With Cardiovascular Risk Markers
title_sort circulating extracellular vesicles are strongly associated with cardiovascular risk markers
topic blood lipids
blood pressure
cardiovascular risk markers
extracellular vesicles
thrombin
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.907457/full
work_keys_str_mv AT ruihanzhou circulatingextracellularvesiclesarestronglyassociatedwithcardiovascularriskmarkers
AT esrabozbas circulatingextracellularvesiclesarestronglyassociatedwithcardiovascularriskmarkers
AT keithallenredpath circulatingextracellularvesiclesarestronglyassociatedwithcardiovascularriskmarkers
AT parveenyaqoob circulatingextracellularvesiclesarestronglyassociatedwithcardiovascularriskmarkers