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Microvesicles (MVs), also termed microparticles or ectosomes, are plasma membrane fragments with a diameter of 0.1-1.0 µm released in body fluids and the extracellular space in response to various cell stimuli. First identified as platelet dust exposing procoagulant phospholipids, mostly phosphatidylserine (PSer), MVs constitute an additional surface for the assembly of the blood coagulation complexes1,2. The key role of circulating MVs as procoagulant effectors has been demonstrated in patients with Scott syndrome2, a rare genetic disease that leads to dysfunctional PSer exposure and bleeding (Supplementary Figure 1). MVs have been extensively studied as circulating biomarkers of thrombotic risk in chronic diseases associated with cardiovascular disorders such as diabetes, chronic kidney disease, preeclampsia, and hypertension3,4. They are currently recognized as true cellular effectors in fluids or organ tissues like the myocardium1. Because they convey active proteins, lipids, and miRNA, they remotely modulate vascular responses such as hemostasis, inflammation, vascular angiogenesis, and vascular growth or tissue remodeling5.
While clinical studies examine the prognosis value of MVs concerning risk factors, MVs isolated from the patient's fluids or tissue enable the ex vivo assessment of their effector properties6. The deciphering of the mechanisms governing MV biogenesis and cross-talk abilities is generally achieved in cell culture models to identify active molecules exposed by or encapsulated within the MVs and their downstream signaling. The MV interactions with target cells will depend on membrane protein/protein binding, when appropriate counter-ligands are available, and/or lipid fusion7.
Under physiological conditions, MVs circulating in the plasma mostly originate from vascular cells, as identified by the lineage cluster differentiation markers (CD)8,9. However, in pathology, notably in cancer10 and graft rejection11,12, MVs are shed from the damaged tissue and bear noxious procoagulant and proinflammatory features. These are detected in the systemic circulation, making them useful probes for monitoring protective or rejuvenation therapies, and possible pharmacological targets13. Because MVs circulate as a dynamic storage pool reflecting vascular and tissue cell homeostasis in health and disease, a better understanding of their remote action also needs to be investigated in vivo, after IV injection or nasal instillation in small animals14,15. Indeed, MVs have been considered major contributors to the intricate pathways coupling exaggerated inflammation and thrombosis16.
Periodontitis is an inflammatory disease of infectious origin affecting tooth-supporting tissues17,18 and is associated with thrombotic risk. It is characterized by gingival bleeding, alveolar bone destruction, tooth mobility and can ultimately lead to tooth loss. Periodontitis is highly prevalent worldwide and affects more than 50% of the population, with 11% presenting a severe form19. Periodontitis is induced by bacterial dysbiosis of the subgingival biofilms, which sustain an exacerbated inflammatory response that triggers tissue destruction20. Over the last decade, periodontitis has been linked to systemic diseases such as cardiovascular disorders, diabetes, and rheumatoid arthritis. The possible explanations are the action of the periodontal pathogens at a distance and/or the increased systemic inflammation mediated by proinflammatory cytokines such as interleukin (IL-1, IL-6) and TNF-α21,22.
Among pathogens associated with the periodontitis onset and development, Porphyromonas gingivalis (P. gingivalis)23 is found in most severe lesions that harvest several virulence factors, including lipopolysaccharide (LPS)24 inducing Toll-like-receptor (TLR)-mediated inflammatory responses25 and the recruitment of neutrophils and polymorphonuclear leukocytes (PMNs) at the site of the initial infection26. The LPS from P. gingivalis activates TLR-4 or TLR-2, facilitating immune detection and bacterial survival evasion27. At the vascular level, activation of TLR2 by LPS is associated with immunothrombosis. The unique ability of P. gingivalis to prompt TLR-2 signaling while TLR-4-dependent recognition is significantly impaired favors persistent low-grade infection28,29.
In vivo procedures to study the MV responses to low-grade pathogen chronic and sustained infection are scarce. Methodological approaches for tissular MVs extraction are poorly described in the literature and generally concern the harvest of MVs from pathological tissues like solid tumors, liver steatosis, atherothrombotic plaques, or grafts11,29,30, while the spleen senses bacteria and viruses in the bloodstream. It also stores erythrocytes, platelets, lymphocytes, monocytes, basophils, and eosinophils involved in the immune response. Granulocytes like neutrophils from the red pulp also generate reactive oxygen species (ROS) and proteases that destroy pathogens and prevent infection from spreading31,32. Amazingly, and to the best of our knowledge, spleen MVs are not investigated in the context of pathogen-induced tissue insults. There is a global unmet need to study the variations of tissular MVs in physiopathology.
In vitro data from our laboratory showed that LPS induces the shedding of procoagulant MVs from rat splenocytes, which in turn prompt the senescence of cultured coronary endothelial cells and a consecutive proinflammatory and proinflammatory procoagulant endothelial phenotype11. The feasibility of the pharmacological control of the spleen MVs was further demonstrated after treating the animal with an optimized omega-3 formula. The oral gavage of middle-aged and aged rats was found to be protective against both the shedding of procoagulant MVs from splenocytes and their prosenescent noxious properties towards the coronary endothelium33.
Compared to blood, the spleen offers the advantage of being an important source of leukocytes in one individual. In addition, a splenic-cardiac axis has recently been proposed3,34, making the spleen a possible contributor to the infection-related cardiovascular risk of beneficial interest for pharmacological control. The assessment of the SMVs properties or release is key in understanding pathogen-induced or inflammatory responses. Interestingly, it can be achieved in treated animals and in different physiopathological models (age, hypertension, diabetes). Indeed, by comparing middle-aged and aged rats33, the differences in spleen MVs properties and release can be evidenced following a simple 24 h splenocyte culture.
Given the above evidences of the alteration of the effector properties of spleen MVs with the physiopathological condition and the feasibility of their pharmacological control in rats, a standardized protocol is described herein for the isolation of murine spleen MVs. The procedure would better fit in-depth investigations of the in vivo mechanisms supporting SMVs-mediated effects, eventually in engineered mice. The procedure was established in C57BL/6 mice using a local intraperitoneal infection by P. gingivalis, to establish proof of a remote action of the pathogen on spleen MV (SMV) effector properties.