Semin Thromb Hemost 2025; 51(08): 908-916
DOI: 10.1055/s-0044-1789023
Review Article

Platelets in Vascular Calcification: A Comprehensive Review of Platelet-Derived Extracellular Vesicles, Protein Interactions, Platelet Function Indices, and their Impact on Cellular Crosstalk

Autoren

  • Yi He*

    1   Department of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
  • Qiongyue Zhang*

    2   Department of Nephrology, Daping Hospital, Army Medical Center, Third Military Medical University (Army Medical University), Chongqing, China
  • Lina Pan

    1   Department of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
  • Hao Yang

    1   Department of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
  • Tao Liu

    1   Department of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
  • Junjie Bei

    3   Department of Cardiology, Guangxi Zhuang Autonomous Region Corps Hospital of People's Armed Police, Nanning, China
  • Karlheinz Peter

    4   Department of Cardiometabolic Health, University of Melbourne, Victoria, Australia
    5   Atherothrombosis and Vascular Biology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia
  • Houyuan Hu

    1   Department of Cardiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China

Funding This work was funded by the National Natural Science Foundation of China (number: 82070467) and the National Key Research and Development Program of China (number: 2022YFA1104204) and an L3 Investigator Grant to K.P. from the National Health and Research Council of Australia.

Abstract

Vascular calcification (VC) commonly accompanies the development of atherosclerosis, defined by the accumulation of calcium in the arterial wall, potentially leading to stroke and myocardial infarction. Severe and unevenly distributed calcification poses challenges for interventional procedures, elevating the risks of vascular dissection, acute vascular occlusion, restenosis, and other major adverse cardiovascular events. Platelets promote the development of atherosclerosis by secreting various inflammatory mediators, regulating cell migration, aggregation, adhesion, and initiating and expanding inflammatory responses. There is emerging evidence that platelets play a direct role in VC; however, this novel concept has not yet been critically assessed. This review describes the intricate mechanisms by which platelets promote VC, focusing on three key aspects and the potential opportunities for their therapeutic targeting: extracellular vesicles, platelet-regulatory proteins, and indices related to platelet function.

* These authors contributed equally to this article.




Publikationsverlauf

Artikel online veröffentlicht:
27. August 2024

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