ArticleCell communication and signaling : CCS2025
NLRP3, conveyed via extracellular vesicles from metabolic syndrome patients, is involved in atherosclerosis development.
Article in Cell communication and signaling : CCS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Macrophage PSRC1 attenuates atherosclerosis via extracellular vesicle-mediated MBD2 delivery to induce PCSK9 promoter methylation in hepatocytes.Cell & bioscience · 2026Article
- Exploring the impact of childhood obesity on sarcopenia-related traits: A 2-way Mendelian randomization analysis.Medicine · 2026Article
- NLR inflammasome pathways: key targets for pathogenesis and therapy of metabolic diseases.Frontiers in immunology · 2026Review
- Colchicine and Atherosclerotic Coronary Artery Disease: An Updated Review.Journal of clinical medicine · 2025Review
- Harnessing the therapeutic value of Tanshinone IIA: a breakthrough therapy in cardiovascular diseases.Frontiers in pharmacology · 2025Review
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Authors and funding
12 authors.
Funding
Abstract
backgroundInappropriate activation of the Nod-like receptor protein 3 (NLRP3)-inflammasome contributes to atherosclerosis progression and plaque instability in patients with cardiovascular events. However, its role in the atherosclerosis is not fully understood. We sought to uncover actionable targets that could help to refine the diagnostic values of metabolic syndrome (MetS) patients by taking advantage of extracellular vesicles (EVs) to support the inflammatory hypothesis of atherosclerosis.
methodsCirculating large (lEVs) and small (sEVs) EVs from non-MetS subjects and MetS patients were isolated and characterized. The involvement of NLRP3 in the effects of EVs on human aortic endothelial and smooth muscle cells (SMC) and macrophages were analyzed. The pathological relevance in human atherosclerotic lesions was investigated.
resultsCirculating levels of lEVs carrying NLRP3 correlated with metabolic risk factors associated with obesity and insulin resistance. Both types of EVs from MetS patients increased endothelial permeability, monocyte transmigration, SMC migration and secretion of pro-inflammatory molecules by monocyte/macrophages. Interestingly, MetS-lEVs, but not MetS-sEVs, increased SMC proliferation and IL-1ß production. EVs isolated from advanced human plaques demonstrated an accumulation of EVs carrying NLRP3 and their implication in endothelial permeability increase. Pharmacological inhibition of NLRP3-inflammasome carried by MetS-EVs prevented all the effects leading to vascular inflammation and remodeling.
conclusionsOur data demonstrate that NLRP3-inflammasome, carried by EVs, is actively involved in vascular inflammation and atherosclerosis development in MetS. We highlight NLRP3 carried by EVs as potential biomarker and target for potential therapeutic strategies of atherosclerosis-related diseases leading to major adverse cardiovascular events.
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