Erythrocytes as a Source of Exerkines
Francesco Misiti1,2, Lavinia Falese1,2, Alice Iannaccone1,2
1Human, Social and Health Department, University of Cassino and Lazio Meridionale, V. S. Angelo, Loc. Folcara, 03043 Cassino, Italy.
International Journal of Molecular Sciences
|October 16, 2025
Summary
Erythrocytes, or red blood cells, actively contribute to exercise benefits by releasing signaling molecules. These molecules help regulate blood flow and oxygen delivery, enhancing the body's response to physical activity.
Area of Science:
- Physiology
- Cell Biology
- Exercise Science
Background:
- Erythrocytes (red blood cells) are traditionally known for oxygen transport.
- Emerging research reveals their role in vascular homeostasis and metabolic regulation.
- Exercise triggers systemic beneficial metabolic effects mediated by various tissues and cells.
Purpose of the Study:
- To review the role of erythrocytes in exercise-induced adaptations.
- To highlight erythrocyte exocrine signaling in tissue-erythrocyte crosstalk.
- To discuss the vasodilatory mechanisms involving adenosine triphosphate (ATP) and nitric oxide (NO).
Main Methods:
- Literature review of studies on erythrocyte function during exercise.
- Analysis of signaling pathways involving erythrocyte-released molecules.
- Examination of mechanisms regulating vascular tone and oxygen supply.
Main Results:
- Erythrocytes actively modulate vascular tone, especially during hypoxia and exercise.
- Controlled release of adenosine triphosphate (ATP) and nitric oxide (NO) contributes to matching oxygen supply with demand.
- Other erythrocyte-derived molecules may also play roles in tissue-erythrocyte communication.
Conclusions:
- Erythrocytes are dynamic regulators of vascular homeostasis beyond oxygen transport.
- Erythrocyte exocrine signaling is a significant factor in exercise-induced adaptations.
- Further research into erythrocyte-released molecules can uncover novel therapeutic targets for metabolic and vascular health.
Keywords:
ATPROSerythrocyteexerkinesextracellular vesicleslactatemicroRNAnitric oxidesphingosine-1-phosphateMore Related Videos
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