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 Southeast Asia

<p dir="ltr">Stroke attacks were found to be present at a younger age in patients from Southeast Asia (SE) and the Middle East (ME) resident in the state of Qatar. Extracellular vesicles (EVs), which are small membrane vesicles with pro-thrombotic properties, may contribute to the hi...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Abdelali Agouni (181926) (author)
مؤلفون آخرون: Aijaz S. Parray (15010161) (author), Naveed Akhtar (4919398) (author), Fayaz A. Mir (18174949) (author), Paula J. Bourke (18174952) (author), Sujata Joseph (18174955) (author), Deborah M. Morgan (18174958) (author), Mark D. Santos (18174961) (author), Muhammad F. Wadiwala (18174964) (author), Saadat Kamran (4919416) (author), Siveen K. Sivaraman (17280685) (author), Ashfaq Shuaib (4919407) (author)
منشور في: 2019
الموضوعات:
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author Abdelali Agouni (181926)
author2 Aijaz S. Parray (15010161)
Naveed Akhtar (4919398)
Fayaz A. Mir (18174949)
Paula J. Bourke (18174952)
Sujata Joseph (18174955)
Deborah M. Morgan (18174958)
Mark D. Santos (18174961)
Muhammad F. Wadiwala (18174964)
Saadat Kamran (4919416)
Siveen K. Sivaraman (17280685)
Ashfaq Shuaib (4919407)
author2_role author
author
author
author
author
author
author
author
author
author
author
author_facet Abdelali Agouni (181926)
Aijaz S. Parray (15010161)
Naveed Akhtar (4919398)
Fayaz A. Mir (18174949)
Paula J. Bourke (18174952)
Sujata Joseph (18174955)
Deborah M. Morgan (18174958)
Mark D. Santos (18174961)
Muhammad F. Wadiwala (18174964)
Saadat Kamran (4919416)
Siveen K. Sivaraman (17280685)
Ashfaq Shuaib (4919407)
author_role author
dc.creator.none.fl_str_mv Abdelali Agouni (181926)
Aijaz S. Parray (15010161)
Naveed Akhtar (4919398)
Fayaz A. Mir (18174949)
Paula J. Bourke (18174952)
Sujata Joseph (18174955)
Deborah M. Morgan (18174958)
Mark D. Santos (18174961)
Muhammad F. Wadiwala (18174964)
Saadat Kamran (4919416)
Siveen K. Sivaraman (17280685)
Ashfaq Shuaib (4919407)
dc.date.none.fl_str_mv 2019-03-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.3389/fneur.2019.00251
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/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_Southeast_Asia/25428319
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Neurosciences
extracellular vesicles (EVs)
acute ischemic stroke (AIS)
transient ischemic attacks (TIA)
thrombosis
biomarkers
dc.title.none.fl_str_mv 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 Southeast Asia
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Stroke attacks were found to be present at a younger age in patients from Southeast Asia (SE) and the Middle East (ME) resident in the state of Qatar. Extracellular vesicles (EVs), which are small membrane vesicles with pro-thrombotic properties, may contribute to the high risk of stroke in this population. Thus, total and cell-specific medium size EVs were counted by flow cytometry in platelet-free plasma from healthy volunteers and patients with transient ischemic attacks (TIA) and acute ischemic stroke (AIS) from SE and ME. Acutely, within 48 h of attacks, there was an increase in total endothelial EVs in TIA (6.73 ± 1.77; <i>P</i> = 0.0156; <i>n</i> = 21) and AIS (11.23 ± 1.95; <i>P</i> = 0.0007; <i>n</i> = 66) patients compared to controls (2.04 ± 0.78; <i>n</i> = 24). Similar increases were also evident in EVs originating from platelets, erythrocytes, granulocytes, and leukocytes. Compared to controls, there was also an increase in EVs derived from activated endothelial cells, platelets, granulocytes, leukocytes, and pro-coagulant EVs (Annexin V<sup>+</sup>) at 5 and 30-days following the acute events, while a decrease was observed in erythrocyte-derived EVs. This is the first study characterizing EVs in TIA and AIS patients from ME and SE showing an increase in EVs associated with endothelial and platelet cell activation, which may contribute to the elevated risk of stroke at a younger age in this population.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Neurology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fneur.2019.00251" target="_blank">https://dx.doi.org/10.3389/fneur.2019.00251</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.3389/fneur.2019.00251
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25428319
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spelling 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 Southeast AsiaAbdelali Agouni (181926)Aijaz S. Parray (15010161)Naveed Akhtar (4919398)Fayaz A. Mir (18174949)Paula J. Bourke (18174952)Sujata Joseph (18174955)Deborah M. Morgan (18174958)Mark D. Santos (18174961)Muhammad F. Wadiwala (18174964)Saadat Kamran (4919416)Siveen K. Sivaraman (17280685)Ashfaq Shuaib (4919407)Biomedical and clinical sciencesNeurosciencesextracellular vesicles (EVs)acute ischemic stroke (AIS)transient ischemic attacks (TIA)thrombosisbiomarkers<p dir="ltr">Stroke attacks were found to be present at a younger age in patients from Southeast Asia (SE) and the Middle East (ME) resident in the state of Qatar. Extracellular vesicles (EVs), which are small membrane vesicles with pro-thrombotic properties, may contribute to the high risk of stroke in this population. Thus, total and cell-specific medium size EVs were counted by flow cytometry in platelet-free plasma from healthy volunteers and patients with transient ischemic attacks (TIA) and acute ischemic stroke (AIS) from SE and ME. Acutely, within 48 h of attacks, there was an increase in total endothelial EVs in TIA (6.73 ± 1.77; <i>P</i> = 0.0156; <i>n</i> = 21) and AIS (11.23 ± 1.95; <i>P</i> = 0.0007; <i>n</i> = 66) patients compared to controls (2.04 ± 0.78; <i>n</i> = 24). Similar increases were also evident in EVs originating from platelets, erythrocytes, granulocytes, and leukocytes. Compared to controls, there was also an increase in EVs derived from activated endothelial cells, platelets, granulocytes, leukocytes, and pro-coagulant EVs (Annexin V<sup>+</sup>) at 5 and 30-days following the acute events, while a decrease was observed in erythrocyte-derived EVs. This is the first study characterizing EVs in TIA and AIS patients from ME and SE showing an increase in EVs associated with endothelial and platelet cell activation, which may contribute to the elevated risk of stroke at a younger age in this population.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Neurology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fneur.2019.00251" target="_blank">https://dx.doi.org/10.3389/fneur.2019.00251</a></p>2019-03-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fneur.2019.00251https://figshare.com/articles/journal_contribution/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_Southeast_Asia/25428319CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/254283192019-03-01T00:00:00Z
spellingShingle 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 Southeast Asia
Abdelali Agouni (181926)
Biomedical and clinical sciences
Neurosciences
extracellular vesicles (EVs)
acute ischemic stroke (AIS)
transient ischemic attacks (TIA)
thrombosis
biomarkers
status_str publishedVersion
title 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 Southeast Asia
title_full 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 Southeast Asia
title_fullStr 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 Southeast Asia
title_full_unstemmed 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 Southeast Asia
title_short 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 Southeast Asia
title_sort 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 Southeast Asia
topic Biomedical and clinical sciences
Neurosciences
extracellular vesicles (EVs)
acute ischemic stroke (AIS)
transient ischemic attacks (TIA)
thrombosis
biomarkers