RT Journal Article T1 Massive Release of CD9+ Microvesicles in Human Immunodeficiency Virus Infection, Regardless of Virologic Control. A1 Poveda, Eva A1 Tabernilla, Andrés A1 Fitzgerald, Wendy A1 Salgado-Barreira, Ángel A1 Grandal, Marta A1 Pérez, Alexandre A1 Mariño, Ana A1 Álvarez, Hortensia A1 Valcarce, Nieves A1 González-García, Juan A1 Bernardino, José Ignacio A1 Gutierrez, Félix A1 Fujioka, Hisashi A1 Crespo, Manuel A1 Ruiz-Mateos, Ezequiel A1 Margolis, Leonid A1 Lederman, Michael M A1 Freeman, Michael L K1 HIV K1 elite controllers K1 extracellular vesicles K1 microvesicles K1 mitochondria AB The role of extracellular vesicles (EVs) in human immunodeficiency virus (HIV) pathogenesis is unknown. We examine the cellular origin of plasma microvesicles (MVs), a type of ectocytosis-derived EV, the presence of mitochondria in MVs, and their relationship to circulating cell-free mitochondrial deoxyribonucleic acid (ccf-mtDNA) in HIV-infected patients and controls. Five participant groups were defined: 30 antiretroviral therapy (ART)-naive; 30 ART-treated with nondetectable viremia; 30 elite controllers; 30 viremic controllers; and 30 HIV-uninfected controls. Microvesicles were quantified and characterized from plasma samples by flow cytometry. MitoTrackerDeepRed identified MVs containing mitochondria and ccf-mtDNA was quantified by real-time polymerase chain reaction. Microvesicle numbers were expanded at least 10-fold in all HIV-infected groups compared with controls. More than 79% were platelet-derived MVs. Proportions of MVs containing mitochondria (22.3% vs 41.6%) and MV mitochondrial density (706 vs 1346) were significantly lower among HIV-infected subjects than controls, lowest levels for those on ART. Microvesicle numbers correlated with ccf-mtDNA levels that were higher among HIV-infected patients. A massive release of platelet-derived MVs occurs during HIV infection. Some MVs contain mitochondria, but their proportion and mitochondrial densities were lower in HIV infection than in controls. Platelet-derived MVs may be biomarkers of platelet activation, possibly reflecting pathogenesis even in absence of HIV replication. YR 2022 FD 2022 LK http://hdl.handle.net/10668/19805 UL http://hdl.handle.net/10668/19805 LA en DS RISalud RD Apr 7, 2025