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                  <mods:namePart>Royo, Maria</mods:namePart>
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                  <mods:namePart>Sandoval Moreno, Sebastian</mods:namePart>
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                  <mods:namePart>Cortes  Hernandez, Josefina</mods:namePart>
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                  <mods:namePart>Solé, Cristina</mods:namePart>
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                  <mods:namePart>Moline, Teresa</mods:namePart>
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                  <mods:dateIssued encoding="iso8601">2023-08-23T06:34:09Z2023-08-23T06:34:09Z2023-07-18</mods:dateIssued>
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               <mods:identifier type="uri">http://hdl.handle.net/11351/10123</mods:identifier>
               <mods:abstract>Antiphospholipid syndrome; Pathogenesis; Small extracellular vesicleSíndrome antifosfolípid; Patogènesi; Petita vesícula extracel·lularSíndrome antifosfolípido; Patogénesis; Pequeña vesícula extracelularPrimary antiphospholipid syndrome (PAPS) is a systemic autoimmune disease associated with recurrent thrombosis and/or obstetric morbidity with persistent antiphospholipid antibodies (aPL). Although these antibodies drive endothelial injury and thrombophilia, the underlying molecular mechanism is still unclear. Small extracellular vesicles (sEVs) contain miRNAs, key players in intercellular communication. To date, the effects of miRNA-derived sEVs in PAPS are not well understood. We characterised the quantity, cellular origin and miRNA profile of sEVs isolated from thrombotic APS patients (PAPS, n = 50), aPL-carrier patients (aPL, n = 30) and healthy donors (HD, n = 30). We found higher circulating sEVs mainly of activated platelet origin in PAPS and aPL patients compared to HD, that were highly engulfed by HUVECs and monocyte. Through miRNA-sequencing analysis, we identified miR-483-3p to be differentially upregulated in sEVs from patients with PAPS and aPL, and miR-326 to be downregulated only in PAPS sEVs. In vitro studies showed that miR-483-3p overexpression in endothelial cells induced an upregulation of the PI3K-AKT pathway that led to endothelial proliferation/dysfunction. MiR-326 downregulation induced NOTCH pathway activation in monocytes with the upregulation of NFKB1, tissue factor and cytokine production. These results provide evidence that miRNA-derived sEVs contribute to APS pathogenesis by producing endothelial cell proliferation, monocyte activation and adhesion/procoagulant factors.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Síndrome antifosfolipídica</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>MicroARN</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISEASES::Immune System Diseases::Autoimmune Diseases::Antiphospholipid Syndrome</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ANATOMY::Cells::Cellular Structures::Extracellular Space::Extracellular Vesicles</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>CHEMICALS AND DRUGS::Nucleic Acids, Nucleotides, and Nucleosides::Antisense Elements (Genetics)::RNA, Antisense::MicroRNAs</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ENFERMEDADES::enfermedades del sistema inmune::enfermedades autoinmunes::síndrome antifosfolípido</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ANATOMÍA::células::estructuras celulares::espacio extracelular::vesículas extracelulares</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>COMPUESTOS QUÍMICOS Y DROGAS::nucleótidos y nucleósidos de ácidos nucleicos::elementos antisentido (genética)::ARN antiparalelo::microARN</mods:topic>
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                  <mods:title>Small-Extracellular-Vesicle-Derived miRNA Profile Identifies miR-483-3p and miR-326 as Regulators in the Pathogenesis of Antiphospholipid Syndrome (APS)</mods:title>
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