Preview

"Arterial’naya Gipertenziya" ("Arterial Hypertension")

Advanced search

Microvesicles in ischemic stroke

https://doi.org/10.18705/1607-419X-2025-2515

EDN: BIGWIE

Abstract

Peripheral blood microvesicles in patients with ischemic stroke are being profoundly investigated. Most works indicate an increase in the level of circulating microvesicles during different periods of stroke. The available data suggest that the level of microvesicles is a potential biomarker of the atherothrombotic subtype of ischemic stroke. Stroke severity, brain lesion volume, and outcome correlate with the level of microvesicles in peripheral blood. In the long term, the detection of microvesicles will help identify patients at high risk of stroke. Further work should determine the diagnostic and prognostic role of different microvesicle phenotypes in relation to stroke outcomes. Microvesicles should be also evaluated as targets for the treatment and prevention of stroke.

About the Authors

M. V. Brazhnikov
Republican Clinical Hospital named after G. G. Kuvatov
Russian Federation

Maksim V. Brazhnikov, MD, Neurologist, 

Ufa.



M. A. Kutlubaev
Bashkir State Medical University
Russian Federation

Mansur A. Kutlubaev, MD, PhD, DSc, Associate Professor, Head, Department of Neurology,

3 Lenin str., Ufa, 450008.



I. G. Mustafin
Kazan State Medical University
Russian Federation

Ilshat G. Mustafin, MD, PhD, DSc, Professor, Head, Department of Biochemistry, 

Kazan.



T. R. Galiullin
Republican Clinical Hospital named after G. G. Kuvatov; Bashkir State Medical University
Russian Federation

Timur R. Galiullin, MD, PhD, Head, Division of Neurology with the function of RVC, 

Ufa.



A. V. Samorodov
Bashkir State Medical University
Russian Federation

Alexander V. Samorodov, MD, PhD, DSc, Professor, Head, Department of Pharmacology, 

Ufa.



References

1. Mead GE, Sposato LA, Sampaio Silva G, Yperzeele L, Wu S, Kutlubaev M, et al. A systematic review and synthe- sis of global stroke guidelines on behalf of the World Stroke Organization. Int J Stroke. 2023;18(5):499–531. https://doi.org/10.1177/17474930231156753

2. van der Pol E, Böing AN, Gool EL, Nieuwland R. Recent developments in the nomenclature, presence, isolation, detection and clinical impact of extracellular vesicles. J Thromb Haemost. 2016;14(1):48–56. https://doi.org/10.1111/jth.13190

3. Wolf P. The nature and significance of platelet products in human plasma. Br J Haematol. 1967;13(3):269–288. https://doi.org/10.1111/j.1365-2141.1967.tb08741.x

4. Barteneva NS, Fasler-Kan E, Bernimoulin M, Stern JN, Ponomarev ED, Duckett L, et al. Circulating microparticles: square the circle. BMC Cell Biol. 2013;22(14):23. https://doi.org/10.1186/1471-2121-14-23

5. Gomzikova MO, Gaifullina RF, Mustafin G, Chernov VM, Miftahova ZR, Galyavich AS. Membrane microvesicles: biological properties and involvement in pathogenesis of diseases. Genes & Cells. 2013;8(1):6–11. (In Russ.) https://doi.org/10.23868/gc121588

6. Markova KL, Kogan IU, Sheveleva AR, Mikhailova VA, Sel- kov SA, Sokolov DI. Microvesicles of leukocyte origin. Annals of the Russian Academy of Medical Sciences. 2018;73(6):378–387. (In Russ.) https://doi.org/10.15690/vramn1031

7. Chabin IA, Podoplelova NA, Panteleev MA. Red blood cells contribution in blood coagulation. Pediatric Hematology/Oncology and Immunopathology. 2022;21(3):136–141. (In Russ.) https://doi.org/10.24287/1726-1708-2022-21-3-136-141

8. Kapustin AN, Shanahan CM. Emerging roles for vascular smooth muscle cell exosomes in calcification and coagulation. J Physiol. 20161;594(11):2905–14. https://doi.org/10.1113/ JP271340

9. Radyukhin VA, Baratova LA. Molecular mechanisms of raft organization in biological membranes. Russ J Bioorg Chem. 2020;46:269–279. (In Russ.) doi.org/10.1134/S1068162020030164

10. Antwi-Baffour S, Adjei J, Aryeh C, Kyeremeh R, Kyei F, Seidu MA. Understanding the biosynthesis of platelets-derived extracellular vesicles. Immun Inflamm Dis. 2015;3(3):133–140. https://doi.org/10.1002/iid3.66

11. Manno S, Takakuwa Y, Mohandas N. Identification of a functional role for lipid asymmetry in biological membranes: phosphatidylserine-skeletal protein interactions modulate membrane stability. Proc Natl Acad Sci USA. 2002;99(4):1943–1948. https://doi.org/10.1073/pnas.042688399

12. Bernal-Mizrachi L, Jy W, Jimenez JJ, Pastor J, Mauro LM, Horstman LL, et al. High levels of circulating endothelial microparticles in patients with acute coronary syndromes. Am Heart J. 2003;145(6):962–970. https://doi.org/10.1016/S0002-8703(03)00103-0

13. Schrick D, Molnár T, Tőkés-Füzesi M, Molnár A, Ezer E. Circulating microvesicles in convalescent ischemic stroke patients: a contributor to high-on-treatment residual platelet reactivity? Front Biosci (Landmark Ed). 2022;27(5):158. https://doi.org/10.31083/j.fbl2705158

14. Boulanger CM, Amabile N, Guérin AP, Pannier B, Leroyer AS, Mallat CN, et al. In vivo shear stress determines circulating levels of endothelial microparticles in end-stage renal disease. Hypertension. 2007;49(4):902–908. https://doi.org/10.1161/01.HYP.0000259667.22309.df

15. Lundström A, Mobarrez F, Rooth E, Thålin C, von Arbin M, Henriksson P, et al. Prognostic value of circulating microves- icle subpopulations in ischemic stroke and TIA. Transl Stroke Res. 2020;11(4):708–719. https://doi.org/10.1007/s12975-019-00777-w

16. Amabile N, Guérin AP, Leroyer A, Mallat Z, Nguyen C, Boddaert J, et al. Circulating endothelial microparticles are associated with vascular dysfunction in patients with end-stage renal failure. J Am Soc Nephrol. 2005;16(11):3381–3388. https://doi.org/10.1681/ASN.2005050535

17. Momot AP, Tsarigorodtseva NO, Fedorov DV, Bishevski KM, Vostrikova NV, Klimova EE. Platelet microvesicles and their role in providing hemostatic capacity (literature review). Siberian Sci- entific Medical Journal. 2020;40(2):4–14. (In Russ.) https://doi.org/10.15372/SSMJ20200201

18. Rosińska J, Maciejewska J, Narożny R, Kozubski W, Łukasik M. Association of platelet-derived microvesicles with high on-treatment platelet reactivity in convalescent ischemic stroke patients treated with acetylsalicylic acid. Wiad Lek. 2019;72(8):1426– 1436. PMID: 31999906

19. Jung KH, Chu K, Lee ST, Park HK, Bahn JJ, Kim DH, et al. Circulating endothelial microparticles as a marker of cerebrovascular disease. Ann Neurol. 2009;66(2):191–199. https://doi.org/10.1002/ana.21681

20. Simak J, Gelderman MP, Yu H, Wright V, Baird AE. Circulating endothelial microparticles in acute ischemic stroke: a link to severity, lesion volume and outcome. J ThrombHaemost. 2006;4(6):1296–1302. https://doi.org/10.1111/j.1538-7836.2006.01911.x

21. Wang JM, Su C, Wang Y, Huang YJ, Yang Z, Chen L, et al. Elevated circulating endothelial microparticles and brachial- ankle pulse wave velocity in well-controlled hypertensive patients. J Hum Hypertens. 2009;23(5):307–315. https://doi.org/10.1038/jhh.2008.137

22. He Z, Tang Y, Qin C. Increased circulating leukocyte-derived microparticles in ischemic cerebrovascular disease. Thromb Res. 2017;154:19–25. https://doi.org/10.1016/j.thromres.2017.03.025

23. Sushkov SA, Lebedeva EI, Myadelets OD. Pericytes as a potential source of neoangiogenesis. News of surgery. 2019;27(2):212–221. (In Russ.) https://doi.org/10.18484/2305-0047.2019.2.212

24. Mikhailov PV, Muravev AV, Tikhomirova IA, Osetrov IA. Modern view on the role of pericytes in the microcirculation. Regional blood circulation and microcirculation. 2024;23(2):4–14. (In Russ.) https://doi.org/10.24884/1682-6655-2024-23-2-4-14

25. Gaceb A, Roupé L, Enström A, Almasoudi W, Carlsson R, Lindgren AG, et al. Pericyte microvesicles as plasma biomarkers reflecting brain microvascular signaling in patients with acute ischemic stroke. Stroke. 2024;55(3):558–568. https://doi.org/10.1161/STROKEAHA.123.045720

26. Chen Y, Xiao Y, Lin Z, Xiao X, He C, Bihl JC, et al. The role of circulating platelets microparticles and platelet para- meters in acute ischemic stroke patients. J Stroke Cerebrovasc Dis. 2015;24(10):2313–2320. https://doi.org/10.1016/j.jstrokecerebro-vasdis.2015.06.018

27. Chiva-Blanch G, Suades R, Crespo J, Peña E, Padró T, Jiménez-Xarrié E, et al. Microparticle shedding from neural pro- genitor cells and vascular compartment cells is increased in ischemic stroke. PLoS ONE. 2016;11(1):e0148176. https://doi.org/10.1371/journal.pone.0148176

28. Świtońska M, Słomka A, Sinkiewicz W, Żekanowska E. Tissue-factor-bearing microparticles (MPs-TF) in patients with acute ischaemic stroke: the influence of stroke treatment on MPs- TF generation. Eur J Neurol. 2015;22(2):395–401, e28-9. https://doi.org/10.1111/ene.12591

29. Cherian P, Hankey GJ, Eikelboom JW, Thom J, Baker RI, McQuillan A, et al. Endothelial and platelet activation in acute ischemic stroke and its etiological subtypes. Stroke. 2003;34(9):2132– 2137. https://doi.org/10.1161/01.STR.0000086466.32421.F4

30. Rosińska J, Ambrosius W, Maciejewska J, Narożny R, Kozubski W, Łukasik M. Association of platelet-derived microve-sicles and their phenotypes with carotid atherosclerosis and recurrent vascular events in patients after ischemic stroke. Thromb Res. 2019;176:18–26. https://doi.org/10.1016/j.thromres.2019.01.014

31. Zhou P, Li T, Jin J, Liu Y, Li B, Sun Q, et al. Interactions between neutrophil extracellular traps and activated platelets en- hance procoagulant activity in acute stroke patients with ICA occlusion. EBioMedicine. 2020;53:102671. https://doi.org/10.1016/j.ebiom.2020.102671

32. Kuriyama N, Nagakane Y, Hosomi A, Ohara T, Kasai T, Harada S, et al. Evaluation of factors associated with elevated levels of platelet-derived microparticles in the acute phase of cerebral infarction. Clin Appl Thromb Hemost. 2010;16(1):26–32. https://doi.org/10.1177/1076029609338047/

33. Huo S, Kränkel N, Nave AH, Sperber PS, Rohmann JL, Piper SK, et al. Endothelial and leukocyte-derived micro-vesicles and cardiovascular risk after stroke: PROSCIS-B. Neurology. 2021;96(6):e937–e946. https://doi.org/10.1212/WNL.0000000000011223

34. Zhang H, Chen G, Qiu W, Pan Q, Chen Y, Chen Y, et al. Plasma endothelial micro-vesicles and their carrying miRNA-155 serve as biomarkers for ischemic stroke. J Neurosci Res. 2020;98(11):2290–2301. https://doi.org/10.1002/jnr.24696

35. Agouni A, Parray AS, Akhtar N, Mir FA, Bourke PJ, Joseph S, et al. There is selective increase in pro-thrombotic circulating extracellular vesicles in acute ischemic stroke and transient ischemic attack: a study of patients from the Middle East and South-East Asia. Front. Neurol. 2019;19:10:251. https://doi.org/10.3389/fneur.2019.00251

36. Bang OY, Kim EH, Oh MJ, Yoo J, Oh GS, Chung JW, et al. Investigators of the OASIS-CANCER Study. Circulating extra-cellular-vesicle-incorporated microRNAs as potential biomarkers for ischemic stroke in patients with cancer. J Stroke. 2023;25(2):251–265. https://doi.org/10.5853/jos.2022.02327

37. Stolyar MA, Gorbenko AS, Bakhtina VI, Martynova EV, Moskov VI, Mikhalev MA, et al. Study of the level of microR-NA miR-155 in the blood of patients with chronic lymphocytic leukemia and Ph-negative myeloproliferative neoplasms. Kliniches- kaya laboratornaya diagnostika = Clinical laboratory diagnostics. 2020;65(4):258–264. (In Russ.) doi.org/10.18821/0869-2084-2020-65-4-258-264

38. Makatsariya AD, Slukhanchuk EV, Bitsadze VO, Khizro- eva JKh, Tretyakova MV, Makatsariya NA, et al. Neutrophil extra-cellular traps: a role in inflammation and dysregulated hemostasis as well as in patients with COVID-19 and severe obstetric pathology. Obstetrics, Gynecology and Reproduction. 2021;15(4):335–350. doi.org/10.17749/2313-7347/ob.gyn.rep.2021.238

39. Adan A, Alizada G, Kiraz Y, Baran Y, Nalbant A. Flow cytometry: basic principles and applications. Crit Rev Biotechnol. 2017;37(2):163–176. https://doi.org/10.3109/07388551.2015.1128876

40. Filipe V, Hawe A, Jiskoot W. Critical evaluation of Nanoparticle Tracking Analysis (NTA) by NanoSight for the measurement of nanoparticles and protein aggregates. Pharm Res. 2010;27(5):796–810. https://doi.org/10.1007/s11095-010-0073-2


Review

For citations:


Brazhnikov M.V., Kutlubaev M.A., Mustafin I.G., Galiullin T.R., Samorodov A.V. Microvesicles in ischemic stroke. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2025;31(5):393-402. (In Russ.) https://doi.org/10.18705/1607-419X-2025-2515. EDN: BIGWIE

Views: 146

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)