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March 3, 2026Journal of Diabetes and its Complications2 citationsOpen Access

Modulation of circulating extracellular vesicles by antihyperglycemic therapies: A pilot randomized controlled trial

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MBMaria Pompea Antonia BaldassarreFCFederica CarrieriSCSara Coluzzi

Key Points

  • Liraglutide significantly reduced circulating extracellular vesicle concentrations, indicating a potential vascular benefit.
  • Extracellular vesicles are elevated in individuals with type 2 diabetes, showing early endothelial activation even without vascular complications.

Structured PICO

Do antihyperglycemic therapies like liraglutide reduce circulating extracellular vesicle concentrations in individuals with T2D?

P
Population
Individuals with type 2 diabetes (T2D) without overt vascular complications
I
Intervention
Antihyperglycemic therapies (specifically including liraglutide)
C
Comparator
Other antihyperglycemic agents
O
Outcome
Circulating extracellular vesicle (EV) concentrationssurrogate

Liraglutide significantly reduces circulating extracellular vesicles in T2D patients, suggesting a potential direct vascular benefit and supporting the use of EVs as translational markers of vascular health.

Abstract

Circulating EVs are elevated in individuals with T2D even in the absence of overt vascular complications, suggesting early endothelial activation. Among antihyperglycemic agents, only liraglutide significantly reduced EV concentrations, pointing to potential direct vascular benefits. This study provides proof-of-concept data supporting EVs as translational markers of vascular health and treatment response in T2D.

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Cite This Study

Baldassarre et al. (2026) studied this question.

synapsesocial.com/papers/69a75ad3c6e9836116a212dchttps://doi.org/10.1016/j.jdiacomp.2026.109273
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