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Biochemical characterization of exosome preparations: exosome preparations were obtained from 1 mL MM pool with four different protocols. Samples were electrophoresed and analyzed by Western Blot (WB) for the presence of typical vesicular markers. (A) Exosome preparation obtained with differential centrifugation steps (P3). (B) Exosome preparation purified with a precipitation kit (Exo PK). (C) Exosome preparation obtained with discontinuous iodixanol gradient. Top numbers refer to the corresponding gradient fraction. (D) Exosome preparation obtained with discontinuous sucrose gradient. Top numbers refer to the corresponding gradient fraction.  

Biochemical characterization of exosome preparations: exosome preparations were obtained from 1 mL MM pool with four different protocols. Samples were electrophoresed and analyzed by Western Blot (WB) for the presence of typical vesicular markers. (A) Exosome preparation obtained with differential centrifugation steps (P3). (B) Exosome preparation purified with a precipitation kit (Exo PK). (C) Exosome preparation obtained with discontinuous iodixanol gradient. Top numbers refer to the corresponding gradient fraction. (D) Exosome preparation obtained with discontinuous sucrose gradient. Top numbers refer to the corresponding gradient fraction.  

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Article
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Exosomes are gaining a prominent role in research due to their intriguing biology and several therapeutic opportunities. However, their accurate purification from body fluids and detailed physicochemical characterization remain open issues. We isolated exosomes from serum of patients with Multiple Myeloma by four of the most popular purification me...

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... serial centrifugation (P3) and the precipitation kit (Exo PK) were characterized by Western Blot (WB) for the presence of typical exosomal markers: the membrane fusion protein Annexin V, the tetraspannin CD63, the heat shock protein Hsp70 and TSG101, a protein which is involved in multivesicular body biogenesis 1,2,26 . Results are displayed ( Fig. 2A,B). P3 protein concentration was (6 ± 1) μg/μL as quantified by Bradford ...
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... was subsequently loaded on top of two different discontinuous density gradients: iodixanol and sucrose. Twelve fractions were collected from each gradient and exosomal proteins were visualized by WB in fractions from 6 to 9 in both gradients. The biomarkers were detected in the range of 1.077-1.17 g/mL, as expected 27 ( Fig. 2C,D). Overall, these data indicate that, according to biochemical parameters conventionally adopted to verify the presence of exosomes in preparations, we obtained comparable and consistent exosomes populations with all the four different isolation ...

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... Some commercial kits that are described as 'exosome isolation' kits in fact rely on such polymer precipitation and do not strictly 'isolate' EVs, much less subtypes of EVs. Precipitation methods may not achieve any appreciable separation of EPs (Gámez-Valero et al., 2016;Karttunen et al., 2019;Lobb et al., 2015;Paolini et al., 2016). ...
... Precipitation-based kits in particular will concentrate all EPs in a mixture, even many free proteins, resulting in a highly impure preparation, especially from complex, NVEP-rich sources such as blood plasma and serum. Use of such kits is strongly discouraged unless for volume reduction alone (Gámez-Valero et al., 2016;Karttunen et al., 2019;Lobb et al., 2015;Paolini et al., 2016). In contrast, affinity-based methods may isolate only subtypes of EVs, and the specificity of the affinity reagents may be difficult to assess if the exact reagents are not disclosed. ...
... Measurements can then be performed after either drying the sample or keeping it submerged in liquid, such as saline or cell culture media. AFM morphometry can be used to obtain EV size distribution and ultrastructural details and to check for the presence and relative amounts of contaminants (Cavallaro, Pevere, et al., 2021;Paolini et al., 2016Parisse et al., 2017). In addition, AFM is one of the very few techniques capable of measuring single-vesicle nanomechanical properties (Gautron et al., 2021;Piontek et al., 2021), which were found to correlate with EV identity and function (Bortot et al., 2021;LeClaire et al., 2021;Romanò et al., 2022;Sorkin et al., 2018;Vorselen et al., 2018;Whitehead et al., 2015;Ye et al., 2021). ...
... Density gradient ultracentrifugation enhances EV purity by layering the sample onto a density gradient medium by adding sucrose or iodixanol. 28,29 However, its thin loading layer make it unsuitable for large-scale applications. 30 Polymer-based precipitation method utilizes polymers (e.g. ...
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... Some commercial kits that are described as 'exosome isolation' kits in fact rely on such polymer precipitation and do not strictly 'isolate' EVs, much less subtypes of EVs. Precipitation methods may not achieve any appreciable separation of EPs (Gámez-Valero et al., 2016;Karttunen et al., 2019;Lobb et al., 2015;Paolini et al., 2016). ...
... Precipitation-based kits in particular will concentrate all EPs in a mixture, even many free proteins, resulting in a highly impure preparation, especially from complex, NVEP-rich sources such as blood plasma and serum. Use of such kits is strongly discouraged unless for volume reduction alone (Gámez-Valero et al., 2016;Karttunen et al., 2019;Lobb et al., 2015;Paolini et al., 2016). In contrast, affinity-based methods may isolate only subtypes of EVs, and the specificity of the affinity reagents may be difficult to assess if the exact reagents are not disclosed. ...
... Measurements can then be performed after either drying the sample or keeping it submerged in liquid, such as saline or cell culture media. AFM morphometry can be used to obtain EV size distribution and ultrastructural details and to check for the presence and relative amounts of contaminants (Cavallaro, Pevere, et al., 2021;Paolini et al., 2016Parisse et al., 2017). In addition, AFM is one of the very few techniques capable of measuring single-vesicle nanomechanical properties (Gautron et al., 2021;Piontek et al., 2021), which were found to correlate with EV identity and function (Bortot et al., 2021;LeClaire et al., 2021;Romanò et al., 2022;Sorkin et al., 2018;Vorselen et al., 2018;Whitehead et al., 2015;Ye et al., 2021). ...
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... Precipitation-based kits in particular will concentrate all EPs in a mixture, even many free proteins, resulting in a highly impure preparation, especially from complex, NVEP-rich sources such as blood plasma and serum. Use of such kits is strongly discouraged unless for volume reduction alone (Gámez-Valero et al., 2016;Karttunen et al., 2019;Lobb et al., 2015;Paolini et al., 2016). In contrast, affinity-based methods may isolate only subtypes of EVs, and the specificity of the affinity reagents may be difficult to assess if the exact reagents are not disclosed. ...
... Measurements can then be performed after either drying the sample or keeping it submerged in liquid, such as saline or cell culture media. AFM morphometry can be used to obtain EV size distribution and ultrastructural details and to check for the presence and relative amounts of contaminants (Cavallaro, Pevere, et al., 2021;Paolini et al., 2016Parisse et al., 2017). In addition, AFM is one of the very few techniques capable of measuring single-vesicle nanomechanical properties (Gautron et al., 2021;Piontek et al., 2021), which were found to correlate with EV identity and function (Bortot et al., 2021;LeClaire et al., 2021;Romanò et al., 2022;Vorselen et al., 2018;Whitehead et al., 2015;Ye et al., 2021). ...
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... Measurements can then be performed after either drying the sample or keeping it submerged in liquid, such as saline or cell culture media. AFM morphometry can be used to obtain EV size distribution and ultrastructural details and to check for the presence and relative amounts of contaminants (Cavallaro, Pevere, et al., 2021;Paolini et al., 2016Parisse et al., 2017). In addition, AFM is one of the very few techniques capable of measuring single-vesicle nanomechanical properties (Gautron et al., 2021;Piontek et al., 2021), which were found to correlate with EV identity and function (Bortot et al., 2021;LeClaire et al., 2021;Romanò et al., 2022;Vorselen et al., 2018;Whitehead et al., 2015;Ye et al., 2021). ...
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Full-text available
Extracellular vesicles (EVs), through their complex cargo, can reflect the state of their cell of origin and change the functions and phenotypes of other cells. These features indicate strong biomarker and therapeutic potential and have generated broad interest, as evidenced by the steady year-on-year increase in the numbers of scientific publications about EVs. Important advances have been made in EV metrology and in understanding and applying EV biology. However, hurdles remain to realising the potential of EVs in domains ranging frombasic biology to clinical applications due to challenges in EVnomenclature, separation fromnon-vesicular extracellular particles, characterisation and functional studies. To address the challenges and opportunities in this rapidly evolving field, the International Society for Extracellular Vesicles (ISEV) updates its ‘Minimal Information for Studies of Extracellular Vesicles’, which was first published in 2014 and then in 2018 as MISEV2014 and MISEV2018, respectively. The goal of the current document, MISEV2023, is to provide researchers with an updated snapshot of available approaches and their advantages and limitations for production, separation and characterisation of EVs from multiple sources, including cell culture, body fluids and solid tissues. In addition to presenting the latest state of the art in basic principles of EV research, this document also covers advanced techniques and approaches that are currently expanding the boundaries of the field. MISEV2023 also includes new sections on EV release and uptake and a brief discussion of in vivo approaches to study EVs. Compiling feedback from ISEV expert task forces and more than 1000 researchers, this document conveys the current state of EV research to facilitate robust scientific discoveries and move the field forward even more rapidly.
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