Review Article

Endothelial Microparticles Act as Novel Diagnostic and Therapeutic Biomarkers of Diabetes and Its Complications: A Literature Review

Table 3

Significance of different antigenic epitope of EMPs in diabetic patients.

Antigen epitopeDiseaseReferences

CD31+/41aDMCD31+/41a EMPs: 22238 to 157 × 104/μL [DM versus control], = 0.0006[20]

CD31+/CD42DM(1) CD31+/CD42 EMPs in DM patients were significantly higher than those in healthy controls ( < 0.001) [29]
(2) Age was positively correlated with CD31+/CD42 EMPs (rs = 0.322, = 0.010) [29]
(3) The systolic blood pressure was positively correlated with CD31+/CD42 EMPs (rs = 0.329, = 0.008) [29]
(4) HbA1c level was positively correlated with CD31+/CD42 EMPs (rs = 0.337, = 0.008) [29]
(5) Fasting blood glucose level was positively correlated with CD31+/CD42 EMPs (rs = 0.275, = 0.029)[29]
(6) CD31+/CD42 EMPs were independently correlated with FMD and baPWV; FMD was negatively correlated with CD31+/CD42 EMPs (rs = −0.441, = 0.008); the level of baPWV was correlated with CD31+/CD42 EMPs (rs = 0.497, < 0.001)[29]
DM macrovascular complications(7) The CD31+/CD42b EMPs levels were higher in DM patients with macroangiopathy than in DM patients with microangiopathy and no complications[40]

CD31+T2DM(1) Compared with metformin, pioglitazone treatment improved the imbalance between endothelial damage and repair capacity and led to more favourable changes in coronary risk factors in patients with newly diagnosed T2DM[34]
(2) The univariate analysis showed that the decrease in circulating EMPs was significantly correlated with increase in adiponectin (rs = −0.391, = 0.01) and with decrease in CRP concentrations (rs = 0.416, = 0.01), which remained significant in multivariate analysis (rs = −0.321, 95% CI 0.245 to 0.402, for adiponectin, and rs = 0.265, 95% CI 0.299 to 0.406, for CRP) [34]
(3) Levels of EMPs expressing CD31 were significantly different among study groups ( < 0.01). DM patients were found to have the highest levels of CD31+ EMPs, while non-DM men without ED were those with the lowest levels; non-DM men with ED had CD31+ EMPs levels that were intermediate (< 0.05 for both comparisons, DM versus non-DM men with ED, and non-DM men with ED versus non-DM men without ED) [46]
(4) Among T2DM patients, an increased level of CD31+/annexin V+ MPs was significantly associated with asymptomatic atherosclerosis [56]

CD51+DM(1) CD51+ EMPs in DM patients were significantly higher than those in healthy controls ( < 0.001) [29]
(2) Age was positively correlated with CD51+ EMPs (rs = 0.367, = 0.003) [29]
(3) The systolic blood pressure was positively correlated with CD51+ EMPs (rs = 0.311, = 0.013) [29]
(4) HbA1c level was positively correlated with CD51+ EMPs (rs = 0.266, = 0.038) [29]
(5) CD51+ EMPs were independently correlated with FMD and baPWV; FMD was negatively correlated with CD51+ EMPs (rs = −0.405, = 0.016); the level of baPWV was correlated with CD51+ EMPs (rs = 0.428, = 0.001)[29]

CD51+/CD41DMCD51+/CD41 EMPs levels correlated with albuminuria and microvascular complications (e.g., diabetic nephropathy)[16]

CD62EDM(1) Plasma CD62E+ EMPs levels were significantly higher when the patient is suffering from erectile dysfunction with or without DM[46]
T2DM(2) Among T2DM patients, decreased CD62E+ EMPs were significantly associated with asymptomatic atherosclerosis [26]

CD105+DM(1) CD105+ EMPs: 2200 to 390 × 103/μL [DM versus control], = 0.002[20]
DM(2) CD105+ EMPs may play a critical role in the development and progression of diabetic retinopathy[57]

CD106+DMCD106+ EMPs: 4939 to 740 × 103/μL [DM versus control], = 0.001[20]

CD144+DM(1) CD144+ EMPs: 0.541 (0.423–0.652) × 106/mL [6]
DM with CAD(2) Identified a subpopulation of T2DM patients at risk of developing CAD; CD144+ EMPs: 0.706 (0.577–1.067) × 106/mL
DM without MetS(3) CD144+ EMPs: 139.07 (81.6–271.5) × 103/mL[17, 58]
DM with MetS(4) CD144+ EMPs: 251.80 (121.2–499.3) × 103/mL; associated with oxidative stress and MetS and negatively correlated with HDLC levels
DM with ACS(5) CD144+ EMPs: 442.27 (154.2–826.9) × 103/mL[6]

CD146DM with MetSAssociated with the development of MetS[59]