Cited by 38Extracellular vesicles in diseaseParkinson's Disease Mechanisms and TreatmentsNeuroinflammation and Neurodegeneration Mechanisms

Glia-derived extracellular vesicles in parkinson’s disease.

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Marchetti, Bianca, Leggio, Loredana, L’Episcopo, Francesca, Vivarelli, Silvia, Tirolo, Cataldo, Paternò, Greta, Giachino, Carmela, Caniglia, Salvatore +2 more·2020·Journal of Clinical Medicine

Abstract

Glial cells are fundamental players in the central nervous system (CNS) development and homeostasis, both in health and disease states. In Parkinson’s disease (PD), a dysfunctional glia-neuron crosstalk represents a common final pathway contributing to the chronic and progressive death of dopaminergic (DAergic) neurons of the substantia nigra pars compacta (SNpc). Notably, glial cells communicating with each other by an array of molecules, can acquire a “beneficial” or “destructive” phenotype, thereby enhancing neuronal death/vulnerability and/or exerting critical neuroprotective and neuroreparative functions, with mechanisms that are actively investigated. An important way of delivering messenger molecules within this glia-neuron cross-talk consists in the secretion of extracellular vesicles (EVs). EVs are nano-sized membranous particles able to convey a wide range of molecular cargoes in a controlled way, depending on the specific donor cell and the microenvironmental milieu. Given the dual role of glia in PD, glia-derived EVs may deliver molecules carrying various messages for the vulnerable/dysfunctional DAergic neurons. Here, we summarize the state-of-the-art of glial-neuron interactions and glia-derived EVs in PD. Also, EVs have the ability to cross the blood brain barrier (BBB), thus acting both within the CNS and outside, in the periphery. In these regards, this review discloses the emerging applications of EVs, with a special focus on glia-derived EVs as potential carriers of new biomarkers and nanotherapeutics for PD.

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  • In Alzheimer's and Parkinson's diseases, astrocytes increase release of AEVs containing molecules that inhibit neurotoxic effects of plaques but also induce apoptosis on neurons.

    “For instance, in AD and PD, astrocytes try to balance the excessive production of amyloids, by increasing the release of AEVs containing molecules that are supposed to inhibit the neurotoxic effects of the plaques, but also induce apoptosis on neurons (Leggio et al., 2021; Marchetti et al., 2020).”

    From Interlaminar and varicose-projection astrocytes: toward a new understanding of the primate brain (2024) · cites this paper as Marchetti et al., 2020

    Section 4.3 reports that astrocyte-derived EVs can carry molecules that protect neurons, while Section 3.2 describes astrocyte-derived EVs with potentially harmful cargo. The paper does not say that astrocytes increase AEV release to counter amyloid plaques in AD and PD, or that those protective AEVs also induce neuronal apoptosis; the apoptosis example in Section 3.2 concerns microglial EVs. (LLM, conf=0.84)

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  • The presence of EV markers, mitochondrial, Golgi, and ER components within varicosities indicates potential roles in cellular communication, metabolic stress management, and intercellular signaling under pathological or inflammatory conditions.

    “indicating potential roles in cellular communication, metabolic stress management, and intercellular signaling under pathological or inflammatory conditions, as previously reported for reactive astrocytes (26, 42, 43).”

    From Varicose projection astrocytes: Conserved reactive cells in brain pathology (2026) · cites this paper as [42]

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Authors
Marchetti, B., Leggio, L., L’Episcopo, F., Vivarelli, S., Tirolo, C., Paternò, G., Giachino, C., Caniglia, S., Serapide, M. F., & Iraci, N.
Affiliations
  • University of Catania (IT)
  • Oasi Maria SS (IT)
Corresponding author
  • Marchetti, Bianca
  • Iraci, Nunzio
Venue
Journal of Clinical Medicine
Publisher
MDPI AG
Published
2020-06-21
Volume
9
Issue
6
Pages
1941
ISSN
2077-0383 (ISSN-L)
OpenAlex
W3037735009
Cited by
38
References
205
Citations by year
2026: 9 · 2025: 6 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 3
FWCI
0.43
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Fondazione CON IL SUD (“Brains2South” grant)
  • Ministero della Salute (Cur. Res. and Finalized Res projects 2010-2020)
  • Università di Catania ("Bando-Chance”, PRIN-2015)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
Parkinson's disease, dopaminergic neuron death, substantia nigra pars compacta, blood-brain barrier penetration, extracellular vesicle biomarkers, nanotherapeutics, neuroprotection

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