RT Journal Article T1 Exchange of cellular components between platelets and tumor cells: impact on tumor cells behavior. A1 Rodriguez-Martinez, Alba A1 Simon-Saez, Iris A1 Perales, Sonia A1 Garrido-Navas, Carmen A1 Russo, Alessandro A1 de Miguel-Perez, Diego A1 Puche-Sanz, Ignacio A1 Alaminos, Clara A1 Ceron, Jorge A1 Lorente, Jose A A1 Molina, Maria Pilar A1 Gonzalez, Coral A1 Cristofanilli, Massimo A1 Ortigosa-Palomo, Alba A1 Real, Pedro J A1 Rolfo, Christian A1 Serrano, MarĂ­a J K1 CD61 K1 Platelets K1 circulating tumor cells (CTCs) K1 epithelial-to-mesenchymal transition (EMT) K1 platelet-educated tumors (PETs) AB Background: Platelets are active players in tumorigenesis, although the exact interactive mechanisms and their direct impact on tumor cells remain largely unknown. Methods: Bidirectional transference of lipids, proteins and RNA between platelets and tumor cells and its impact on tumor cell behavior and tumor process are analyzed in this work. Phenotypic, genetic and functional modifications induced by platelets were analyzed both in tumor cell lines and in circulating tumor cells (CTCs). Results: Data from these assays showed that platelets transferred structural components to tumor cells with higher efficiency than tumor cells to platelets (p = 0.001). This biological interplay occurred by direct contact, internalization or via extracellular vesicles. As a result, tumor cells acquired platelet markers (CD61 and CD42), showed decreased EpCAM, expressed epithelial-to-mesenchymal transition markers, and increased proliferation rates. Moreover, we were able to detect CD61 in CTCs from early and advanced prostate cancer. Conclusions: Our results demonstrated, for the first time, that platelets educate tumor cells by highly efficient transference of lipids, proteins and RNA through different mechanisms. These results suggest that tumor cells and CTCs might acquire highly dynamic and aggressive phenotypes due to platelets interaction including EMT, stem-like phenotype and high proliferative rates. PB Ivyspring International Publisher YR 2022 FD 2022-12-21 LK http://hdl.handle.net/10668/21671 UL http://hdl.handle.net/10668/21671 LA en NO Rodriguez-Martinez A, Simon-Saez I, Perales S, Garrido-Navas C, Russo A, et al. Exchange of cellular components between platelets and tumor cells: impact on tumor cells behavior. Theranostics. 2022 Feb 7;12(5):2150-2161. NO The authors thank all patients and donors who contributed to the study. This work was supported by ISCIII Health Research Institute (P17/00989), 'La Caixa' Foundation, AR-M was supported by PhD program from Ministry of Education Spanish Government (FPU14/05461), IS-S was supported by European Youth Guarantee. DS RISalud RD Apr 10, 2025