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15 October 2025 : Review article  

Extracellular Vesicles as Emerging Regulators in Ischemic and Hypertrophic Cardiovascular Diseases: A Review of Pathogenesis and Therapeutics

Min Chen E 1, Yanming Wu E 1, Cheng Chen E 1*

DOI: 10.12659/MSM.948948

Med Sci Monit 2025; 31:e948948

Table 1 Summary of the 3 main types of extracellular vesicles.

Extracellular vesicleSizeBiogenesisSurface markersCargoPrimary role
Microvesicles50–1000 nmDirect budding of the plasma membraneOrigin cell specific markersProteins, lipids, mRNA, miRNA and lncRNAs cytokinesIntracellular communication, immune modulation
Apoptotic bodies50–5000 nmFragmentation of apoptotic cellsPS, TSP, CRT, LCA, PTPRA, LFA1, complement proteins C3b and C1q and histone H2AX []16 Nuclear fragment, organelle, proteins, lipidsCell signalling, inflammation
Exosomes30–100 nmEndosomal pathwayTetraspanins, Alix, TSG101, HSP70 and ActinProteins, lipids, mRNA, miRNA and lncRNAs5Intracellular communication
PS – phosphatidylserine; TPS – thrombospondin; CRT – calreticulin; LCA – leukocyte common antigen; PTPRC – leukocyte common antigen protein tyrosine phosphatase receptor C; LFA-1 – integrin lymphocyte function-associated antigen 1.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750