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Updated: May 17, 2026

Routine Screening Method for Microparticles in Platelet Transfusions
Published on: January 31, 2018
Circulating and platelet-derived microparticles in human blood enhance thrombosis on atherosclerotic plaques
Rosa Suades1, Teresa Padró, Gemma Vilahur
1Cardiovascular Research Center, CSIC-ICCC, Barcelona, Spain.
Abstract:
Plaque rupture followed by thrombosis is the underlying cause of the majority of acute coronary syndromes. Circulating microparticles (cMPs), membrane blebs released into blood by activated cells, have been associated to vascular diseases. Specifically, high levels of platelet-derived microparticles (pMPs) have been found in patients with coronary disease. However, it is unknown whether microparticles have a contributing role to the development of damaged vessel wall-induced arterial thrombi. The aim of this proof of concept study was to investigate whether an increased number of cMPs and pMPs could functionally contribute to blood thrombogenicity on areas of arterial damage. Microparticles were isolated from blood of healthy volunteers and were characterised by flow cytometry. Effects of microparticles on platelet deposition were assessed under controlled flow conditions exposing damaged arterial wall in the Badimon perfusion chamber and collagen type-I in the flat perfusion chamber to human blood. Platelet deposition on damaged arteries was significantly increased in cMP- and pMP-enriched bloods (p<0.05). pMPs also induced increase in platelet (p<0.05) and fibrin (p<0.05) deposition on human atherosclerotic arteries and in platelet adhesion to purified collagen surfaces. pMP-enriched blood induced a dose-dependent shortening of epinephrine/collagen closure time evaluated by PFA-100 (p<0.001), increased low-dose ADP-induced platelet aggregation by LTA (p<0.05), and decreased clotting time by thromboelastography (p<0.01). In conclusion, an increased content of cMPs and pMPs, even in normal blood conditions, enhance platelet deposition and thrombus formation. This study shows for the first time that, beyond biomarkers of cell activation, blood microparticles have functional effects on cardiovascular atherothrombotic disease.
Insights
Circulating microparticles (cMPs), particularly platelet-derived microparticles (pMPs), significantly increase blood clot formation on damaged arteries. This study demonstrates their functional role in atherothrombosis beyond being mere biomarkers.
Area of Science:
- Cardiovascular Biology
- Hemostasis and Thrombosis
- Cellular Biology
Background:
- Acute coronary syndromes often result from plaque rupture and subsequent thrombosis.
- Circulating microparticles (cMPs), released from activated cells, are linked to vascular diseases, with elevated platelet-derived microparticles (pMPs) observed in coronary disease patients.
- The functional contribution of microparticles to arterial thrombus formation on damaged vessel walls remains unclear.
Purpose of the Study:
- To investigate the functional role of increased circulating microparticles (cMPs) and platelet-derived microparticles (pMPs) in blood thrombogenicity on arterial damage.
- To determine if microparticles actively contribute to thrombus development in atherothrombotic conditions.
Main Methods:
- Microparticles were isolated from healthy volunteers and characterized using flow cytometry.
- Platelet deposition was assessed under controlled flow using damaged arterial walls (Badimon chamber) and collagen type-I (flat chamber).
- Functional assays included PFA-100, light transmission aggregometry (LTA), and thromboelastography.
Main Results:
- Enriched cMP and pMP blood significantly increased platelet deposition on damaged arteries (p<0.05).
- pMPs enhanced platelet and fibrin deposition on atherosclerotic arteries and collagen surfaces (p<0.05).
- pMP-enriched blood showed dose-dependent shortening of closure time (PFA-100, p<0.001), increased ADP-induced aggregation (LTA, p<0.05), and reduced clotting time (p<0.01).
Conclusions:
- Elevated levels of circulating microparticles (cMPs) and platelet-derived microparticles (pMPs) enhance platelet deposition and thrombus formation, even under normal blood conditions.
- This study provides the first evidence that blood microparticles possess functional pro-thrombotic effects in cardiovascular atherothrombotic disease, extending their role beyond biomarkers.
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