Platelets sequester extracellular DNA, capturing tumor-derived and free fetal DNA.

Murphy, Lauren; Inchauspé, Jeanne; Valenzano, Giampiero; Holland, Pamela; Sousos, Nikolaos; Belnoue-Davis, Hayley L; Li, Rong; Jooss, Natalie J et al. · Science · 2025

basic_science · Level V

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Abstract

Platelets are anucleate blood cells vital for hemostasis and immunity. During cell death and aberrant mitosis, nucleated cells release DNA, resulting in "cell-free" DNA in plasma (cfDNA). An excess of cfDNA is deleterious. Given their ability to internalize pathogen-derived nucleic acids, we hypothesized that platelets may also clear endogenous cfDNA. We found that, despite lacking a nucleus, platelets contained a repertoire of DNA fragments mapping across the nuclear genome. We detected fetal DNA in maternal platelets and cancer-derived DNA in platelets from patients with premalignant and cancerous lesions. As current liquid biopsy approaches utilize platelet-depleted plasma, important genetic information contained within platelets is being missed. This study establishes a physiological role for platelets that has not previously been highlighted, with broad translational relevance.

Medical subject headings