Open Access

An update on recent studies of extracellular vesicles and their role in hypercoagulability in thalassemia (Review)

  • Authors:
    • Phatchanat Klaihmon
    • Kovit Pattanapanyasat
    • Phatchariya Phannasil
  • View Affiliations

  • Published online on: December 28, 2023     https://doi.org/10.3892/br.2023.1719
  • Article Number: 31
  • Copyright: © Klaihmon et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Thromboembolic events are a significant clinical concern in thalassemia and hemoglobinopathies, highlighting the need for new strategies to treat and detect these specific hematologic complications. In recent years, extracellular vesicles (EVs) have garnered interest due to their role in cell‑to‑cell communication, including angiogenesis, immune responses and coagulation activation. Their multifaceted role depends on the cellular origin and cargo, making them potential diagnostic biomarkers and therapeutic agents. The present review highlights recent advances in understanding the involvement of EVs in hypercoagulability in thalassemia, the characterization of circulating EVs and the potential for using EVs as predictive biomarkers. β‑Thalassemia intermedia exhibits a high incidence of thromboembolic events, contributing to significant morbidity and mortality. Advanced technologies have enabled the profiling and characterization of circulating EVs in patients with β‑thalassemia through various techniques, including flow cytometry, proteomic studies, reverse transcription‑quantitative PCR, transmission electron microscopy, nanoparticle tracking analysis and western blot analysis. Microparticles from splenectomized β‑thalassemia/hemoglobin E patients induce platelet activation and aggregation, potentially contributing to thrombus formation. The abundance of these microparticles, primarily released from platelets and damaged red cells, may have a role in thromboembolic events and other clinical complications in thalassemia. This suggests a promising future for EVs as diagnostic and predictive biomarkers in thalassemia management.
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February-2024
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Spandidos Publications style
Klaihmon P, Pattanapanyasat K and Phannasil P: An update on recent studies of extracellular vesicles and their role in hypercoagulability in thalassemia (Review). Biomed Rep 20: 31, 2024
APA
Klaihmon, P., Pattanapanyasat, K., & Phannasil, P. (2024). An update on recent studies of extracellular vesicles and their role in hypercoagulability in thalassemia (Review). Biomedical Reports, 20, 31. https://doi.org/10.3892/br.2023.1719
MLA
Klaihmon, P., Pattanapanyasat, K., Phannasil, P."An update on recent studies of extracellular vesicles and their role in hypercoagulability in thalassemia (Review)". Biomedical Reports 20.2 (2024): 31.
Chicago
Klaihmon, P., Pattanapanyasat, K., Phannasil, P."An update on recent studies of extracellular vesicles and their role in hypercoagulability in thalassemia (Review)". Biomedical Reports 20, no. 2 (2024): 31. https://doi.org/10.3892/br.2023.1719