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Updated: Apr 5, 2026

Extraction of Extracellular Vesicles from Whole Tissue
Published on: February 7, 2019
Exosomes: emerging roles in communication between blood cells and vascular tissues during atherosclerosis
Heinrich J Huber1, Paul Holvoet
1aDepartment of Cardiovascular Sciences, Atherosclerosis and Metabolism Unit bCardiovascular Systems Biology, KU Leuven, Leuven, Belgium.
Purpose Of Review:
Microvesicles, in general, and exosomes together with their delivered content in particular, are now being widely recognized as key players in atherosclerosis. We have previously reviewed the role of microvesicles in atherosclerosis pathogenesis, diagnosis and therapy. Here, we focus on the roles of exosomes and discuss their emergent role in mediating activation and response to inflammation, vessel infiltration and induction of coagulation. We will finally give an outlook to discuss novel detection techniques and systems biology based data analyses to investigate exosome-mediated cell-to-cell communication.
Recent Findings:
Recent research points to a role of exosomes in delivering apoptotic and inflammatory content between blood cells and vascular cells, with a potential contribution of exosomes secreted by adipose tissue. An atheroprotective role of exosomes in response to coagulation that may contrast with the procoagulatory role of platelet-derived larger microvesicles is envisaged. New detection and separation methods and systems biology techniques are emerging.
Conclusion:
We project that the development of novel detection, separation and analysis mechanism and systems-based analysis methods will further unravel the paracrine and endocrine 'communication protocol' between cellular players in atherosclerosis, mediating inflammation, oxidative stress and apoptosis.
Insights
Exosomes play a crucial role in atherosclerosis by mediating inflammation and coagulation. Emerging technologies will further elucidate their communication pathways in disease.
Area of Science:
- Cardiovascular Biology
- Cellular Communication
- Biomedical Research
Background:
- Microvesicles, including exosomes, are increasingly recognized for their roles in atherosclerosis.
- Previous reviews covered microvesicles in pathogenesis, diagnosis, and therapy.
- This review focuses specifically on the functions of exosomes.
Purpose of the Study:
- To discuss the role of exosomes in inflammation, vessel infiltration, and coagulation in atherosclerosis.
- To explore the potential atheroprotective functions of exosomes.
- To provide an outlook on novel detection and analysis techniques for exosome research.
Main Methods:
- Literature review focusing on recent research regarding exosomes in atherosclerosis.
- Analysis of exosome-mediated cell-to-cell communication.
- Discussion of emerging detection and systems biology techniques.
Main Results:
- Exosomes deliver apoptotic and inflammatory content between blood and vascular cells.
- Adipose tissue-secreted exosomes may contribute to atherosclerosis.
- Exosomes may have an atheroprotective role in coagulation, contrasting with platelet-derived microvesicles.
Conclusions:
- Novel detection, separation, and analysis methods are crucial for understanding exosome function.
- Systems-based analysis will unravel exosome-mediated communication in atherosclerosis.
- Exosomes mediate key processes like inflammation, oxidative stress, and apoptosis in atherosclerosis.
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