Abstract-Endothelial microparticles (EMP) are complex vesicular structures shed from activated or apoptotic endothelial cells. They play a remarkable role in coagulation, inflammation, endothelial function, and angiogenesis and thus disturb the vascular homeostasis, contributing to the progression of vascular diseases. As a cause or a consequence, elevated levels of EMP were found in plasma from patients with vascular diseases, where they serve as a surrogate marker of endothelial function. More recent data challenged the presumed deleterious role of EMP because they could promote cell survival, exert antiinflammatory effects, counteract coagulation processes, or induce endothelial regeneration. This review focuses on the ambivalent role of EMP in vascular homeostasis. (Arterioscler Thromb Vasc Biol. 2011;31:27-33.)Key Words: apoptosis Ⅲ atherosclerosis Ⅲ endothelial function Ⅲ endothelium Ⅲ thrombin Ⅲ thrombosis Ⅲ vascular biology Ⅲ microparticles V ascular endothelial cells, like most cells, release different types of membrane vesicles, including microparticles (MP) and exosomes, in response to cellular activation or apoptosis. In addition, apoptotic bodies might be generated during the final steps of programmed cell death. These different vesicles are distinguished from one another on the basis of their subcellular origin, their size, their content, the mechanisms leading to their formation, and, from a practical point of view, how they are obtained.
Endothelial Microparticle CharacteristicsEndothelial microparticles (EMP) (Ϸ100 nm to 1 m in diameter) result from endothelial plasma membrane blebbing and carry endothelial proteins such as vascular endothelial cadherin, platelet endothelial cell adhesion molecule-1, intercellular cell adhesion molecule (ICAM)-1, endoglin, E-selectin, S-endo or ␣v integrin (Figure 1). 1 Endothelial NO synthase and vascular endothelial growth factor receptor (VEGF-R2) have also been identified on EMP, 2 but there is so far no evidence on whether or not MP endothelial nitric oxide synthase is capable of generating nitric oxide; furthermore, endothelial nitric oxide synthase may also be present on platelet or red blood cell-derived MP. E-selectin (CD62E) is expressed by activated endothelial cells but can equally be found on EMP generated following either tumor necrosis factor-␣ (TNF-␣) activation or growth factor deprivationinduced apoptosis. 3 Identification of endothelial origin of circulating MP relies on the use of specific markers for flow cytometry analysis (see below); unfortunately, except E-selectin and vascular endothelial cadherin, most of them lack exclusive endothelial expression. Endoglin (CD105) is also expressed by activated monocytes/macrophages and bone marrow cell subsets; platelet endothelial cell adhesion molecule-1 (CD31) is present on activated platelets, platelet MP, and leukocyte subsets; S-endo (CD146) has been found on pericytes, tumor cells, and activated T-cells; ICAM-1 (CD54) is also expressed by leukocytes; and ␣v integrin (CD51) is present on monocy...