Evidence map›Paper›PMID 39946441›Full record

ReviewCirculation research2025

Deciphering Platelets: Are They Cells or an Evolved Form of Extracellular Vesicles?

Eric Boilard, Dylan Burger, Edit Buzas, Paolo Gresele, Kellie R Machlus, Nigel Mackman, Pia Siljander, Rienk Nieuwland

Abstract readReview
In one paragraph

Review in Circulation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eric BoilardCentre de Recherche du Centre Hospitalier Universitaire de Québec, Université Laval, Centre Arthrite-Université Laval, Québec, Canada (E. Boilard).ORCID 0000-0001-6319-6432
Dylan BurgerKidney Research Centre, Inflammation and Chronic Disease Program, Ottawa Hospital Research Institute, Ontario, Canada (D.B.).ORCID 0000-0003-3951-2911
Edit BuzasDepartment of Genetics, Cell and Immunobiology, Semmelweis University, Budapest, Hungary (E. Buzas).ORCID 0000-0002-3744-206X
Paolo GreseleSection of Internal and Cardiovascular Medicine, Department of Medicine and Surgery, University of Perugia, Italy (P.G.).ORCID 0000-0001-5365-8445
Kellie R MachlusVascular Biology Program, Boston Children's Hospital and Department of Surgery, Harvard Medical School, Boston, MA (K.R.M.).ORCID 0000-0002-2155-1050
Nigel MackmanDepartment of Medicine, UNC Blood Research Center, University of North Carolina at Chapel Hill (N.M.).ORCID 0000-0002-9170-7700
Pia Siljander *Molecular and Integrative Biosciences, Faculty of Biological and Environmental Sciences, University of Helsinki, Finland (P.S.).ORCID 0000-0003-2326-582
Rienk Nieuwland *Amsterdam University Medical Centers, University of Amsterdam, Laboratory of Experimental Clinical Chemistry, Laboratory Specialized Diagnostics and Research, Department of Laboratory Medicine, and Vesicle Observation Centre, The Netherlands (R.N.).ORCID 0000-0002-5671-3400

Funding

Tissue factor-dependent coagulation in thrombosis and immune responsesR35HL155657 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Nigel Mackman · 2021 to 2026
$5.5M
Elucidation of the mechanisms by which fatty acids drive megakaryopoiesisR01DK139341 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI Kellie Rae Machlus · 2024 to 2026
$1.1M
The Role of CCL5 in Hematopoietic Stem Cell Activation and SkewingR03DK124746 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI MACHLUS, KELLIE RAE · 2021 to 2022
$266k
NHLBI NIH HHS R35 HL155657NIDDK NIH HHS R01 DK139341NIDDK NIH HHS R03 DK124746
6 · The paper itself

Abstract

Platelets are abundant in blood, where they maintain the integrity of the vasculature. Megakaryocytes, the cells responsible for platelet genesis, produce membrane protrusions from which as many as 5000 anucleate platelets can be released into the bloodstream. Platelets lack genomic DNA but contain different molecules, such as RNA, as well as organelles transmitted from the parent megakaryocyte. There is no consensus in the scientific community on whether platelets are cells or not: for example, they are sometimes called cells, small cells, anucleated cells, cell fragments, or megakaryocyte fragments. Extracellular vesicles are particles delimited by a lipid bilayer that are released from cells but cannot replicate on their own. Like platelets, extracellular vesicles lack a nucleus and carry components from their donor cell. Herein, we will explore various viewpoints suggesting that platelets may be cells, albeit not conventional cells, or may be a previously unrecognized type of extracellular vesicle. Beyond a mere debate over terminology, this perspective seeks to help properly define and classify platelets, aiming for better integration into the concept of either cells or extracellular vesicles. This will foster a clearer understanding and drive advances in platelet research.

Indexed as

Blood PlateletsExtracellular VesiclesAnimalsHumansMegakaryocytesblood plateletsextracellular vesiclesmegakaryocytesorganelles

Identifiers

PMID39946441
PMCPMC11839173

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.