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Published on: August 4, 2023
Microparticles as a circulating source of procoagulant and fibrinolytic activities in the circulation
Romaric Lacroix1, Françoise Dignat-George
1UMR 1076 Endothelium, vascular disorders and therapeutic targets, INSERM/Université Aix-Marseille, Marseille, France.
Abstract:
Circulating microparticles (MP) are small membrane vesicles derived from a variety of cell types including platelets, erythrocytes, leukocytes, and endothelial cells. They harbor a large repertoire of cell surface receptors, mRNA and biological activities that are related to their involvement in many biological functions. MP subpopulations are well known for their procoagulant activity that relies mainly on the expression of phosphatidylserine and of tissue factor, the major cellular activator of the clotting system. In this review, we will discuss a new vision of MP as complex and ambivalent structures, expressing both activators and inhibitors of coagulation, but also conveying fibrinolytic properties, counteracting their procoagulant activities and identifying MP as integrative systems tuning the hemostatic balance.
Insights
Circulating microparticles (MPs) are vesicles with dual roles in blood clotting. This review explores their complex procoagulant and fibrinolytic activities, highlighting their function in maintaining hemostatic balance.
Area of Science:
- Biochemistry
- Hematology
- Cell Biology
Background:
- Circulating microparticles (MPs) are small membrane vesicles released from various cell types.
- MPs carry receptors, mRNA, and biological activities influencing physiological functions.
- MPs are recognized for procoagulant activity, driven by phosphatidylserine and tissue factor expression.
Purpose of the Study:
- To present a novel perspective on microparticles as complex regulators of hemostasis.
- To explore the ambivalent nature of MPs, encompassing both procoagulant and anticoagulant properties.
- To highlight the role of MPs in modulating the overall hemostatic balance.
Main Methods:
- Literature review focusing on the dual roles of circulating microparticles.
- Analysis of studies investigating MP expression of coagulation factors and inhibitors.
- Synthesis of current knowledge on MP contributions to fibrinolysis and hemostasis.
Main Results:
- Microparticles exhibit both procoagulant and anticoagulant activities.
- MPs express activators and inhibitors of the coagulation cascade.
- MPs possess fibrinolytic properties that counteract procoagulant effects.
Conclusions:
- Microparticles are complex structures with ambivalent roles in hemostasis.
- MPs integrate diverse biological activities to fine-tune hemostatic balance.
- A comprehensive understanding of MPs is crucial for comprehending hemostasis regulation.
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