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Extracellular Vesicle Mitochondrial DNA Levels Are Associated With Chronic Kidney Disease and Mitochondrial Haplogroup in Obese Individuals 肥胖个体的细胞外囊泡线粒体DNA水平与慢性肾病和线粒体单倍群相关
Pub Date : 2025-07-22 DOI: 10.1002/jex2.70069
Jaida E. Morgan, Nicole Noren Hooten, Nicolle A. Mode, Ngozi Ezike, Alan B. Zonderman, Michele K. Evans

Chronic kidney disease (CKD) and obesity are major chronic diseases in the United States. Although obesity is a risk factor for CKD, little is known about how obesity contributes to CKD. Due to their role as intercellular communicators, extracellular vesicles (EVs) may be a factor connecting obesity and CKD. Circulating cell-free mitochondrial DNA (ccf-mtDNA), a damage-associated molecular pattern molecule associated with inflammation, is associated with renal disease and may be encapsulated within EVs. In this longitudinal study, we isolated plasma EVs and analysed EV mtDNA levels in a cohort of African American and White obese middle-aged individuals who at visit 1 did not have CKD but developed CKD by visit 2 (n = 19; CKD group) and matched this group to controls who did not develop CKD by visit 2 (n = 56; control group). In our cross-sectional analyses at visit 1, we found significant interactions for EV mtDNA levels between race and CKD status, poverty status and CKD status, and sex and CKD status. EV mtDNA levels were significantly lower in participants within the African haplogroup who developed CKD compared to participants within the European haplogroup who developed CKD and the African haplogroup control group. In our longitudinal analyses using data from both visit 1 and visit 2, individuals who developed CKD had lower EV mtDNA levels. Stratification by haplogroup showed that among participants within the African haplogroup, those who developed CKD had significantly lower EV mtDNA levels than those in the control group. In conclusion, EV mtDNA levels were lower in individuals who develop CKD. Our findings demonstrate that CKD status and mtDNA haplogroup influence EV cargo in obese individuals.

慢性肾脏疾病(CKD)和肥胖是美国主要的慢性疾病。虽然肥胖是CKD的一个危险因素,但人们对肥胖如何导致CKD知之甚少。由于细胞外囊泡(EVs)作为细胞间通讯媒介的作用,它们可能是肥胖和CKD之间的一个联系因素。循环无细胞线粒体DNA (ccf-mtDNA)是一种与炎症相关的损伤相关分子模式,与肾脏疾病相关,并可能被包裹在EVs内。在这项纵向研究中,我们分离了血浆EVs并分析了非裔美国人和白人肥胖中年个体的EVs mtDNA水平,这些个体在第一次就诊时没有CKD,但在第二次就诊时发展为CKD (n = 19;CKD组),并将该组与随访2时未发生CKD的对照组相匹配(n = 56;对照组)。在访问1时的横断面分析中,我们发现EV mtDNA水平在种族和CKD状况、贫困状况和CKD状况、性别和CKD状况之间存在显著的相互作用。与欧洲单倍群CKD患者和非洲单倍群对照组相比,非洲单倍群CKD患者的EV mtDNA水平明显较低。在我们使用访问1和访问2的数据进行的纵向分析中,CKD患者的EV mtDNA水平较低。单倍群分层显示,在非洲单倍群的参与者中,CKD患者的EV mtDNA水平明显低于对照组。总之,CKD患者的EV mtDNA水平较低。我们的研究结果表明,CKD状态和mtDNA单倍群影响肥胖个体的EV货量。
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引用次数: 0
Quantum Dot-Based Immunolabelling of Extracellular Vesicles and Detection Using Fluorescence-Based Nanoparticle Tracking Analysis 基于量子点的细胞外囊泡免疫标记和荧光纳米颗粒跟踪分析检测
Pub Date : 2025-07-22 DOI: 10.1002/jex2.70072
Eunyong Ha, Yewon Han, Minseop Kim, Zayakhuu Gerelkhuu, Sook Jin Kwon, Tae Hyun Yoon

Extracellular vesicles (EVs) contain a variety of biomolecules, including DNA, RNA, lipids and proteins. They can interact with target cells to perform various functions, offering potential for therapeutic applications like drug delivery and diagnosis. The growing interest in EVs drives the need for robust methods for EV characterisation. One of the prevalent EV characterisation methods is scatter-based nanoparticle tracking analysis (Sc-NTA). This method measures the size and concentration of particles by tracking the scattered light from individual particles. However, Sc-NTA has limitations in selectivity, as it detects all scattered light and fails to distinguish EVs from other nanoparticles, such as protein aggregates. To overcome this limitation, fluorescence-based NTA (Fl-NTA) is being utilised, where fluorescence tagging is used to selectively detect EVs. In previous studies, lipophilic dyes were employed for membrane labelling, but this resulted in false-positive signals due to the staining of even non-vesicular extracellular particles (NVEPs). Immunolabelling methods using antibodies that specifically bind to EV-specific protein were also introduced; yet challenges with sensitivity and photostability of the organic dyes remained. To address the challenges, we conjugated quantum dots (QDs) to antibodies that specifically bind to EV-specific markers, CD9, CD63 and then immunolabelled the EVs. Labelling conditions were optimised to develop a robust protocol for QD-based immunolabelling. Detection sensitivity was evaluated by comparing QD-based immunolabelling with Alexa dye-based methods. Furthermore, size distribution analysis demonstrated the ability of QDs to detect smaller EV populations. Finally, subpopulations of EVs from various cell lines were profiled. This approach enhances the accurate characterisation of EVs, providing a reliable and reproducible method for EV quality control and improved insights into their heterogeneity.

细胞外囊泡(EVs)含有多种生物分子,包括DNA、RNA、脂质和蛋白质。它们可以与靶细胞相互作用,执行各种功能,为药物输送和诊断等治疗应用提供了潜力。对电动汽车日益增长的兴趣推动了对电动汽车表征的强大方法的需求。目前流行的EV表征方法之一是基于散射的纳米颗粒跟踪分析(Sc-NTA)。该方法通过跟踪单个粒子的散射光来测量粒子的大小和浓度。然而,Sc-NTA在选择性上有局限性,因为它可以检测到所有散射光,并且无法将ev与其他纳米颗粒(如蛋白质聚集体)区分开来。为了克服这一限制,正在使用基于荧光的NTA (Fl-NTA),其中荧光标记用于选择性检测ev。在以前的研究中,亲脂性染料被用于膜标记,但这导致假阳性信号,因为即使是非囊泡细胞外颗粒(NVEPs)也被染色。还介绍了利用特异性结合ev特异性蛋白的抗体进行免疫标记的方法;然而,有机染料在灵敏度和光稳定性方面仍然存在挑战。为了解决这些挑战,我们将量子点(QDs)与特异性结合ev特异性标记CD9, CD63的抗体结合,然后对ev进行免疫标记。优化了标记条件,以开发基于量子点的免疫标记的稳健方案。通过比较基于量子点的免疫标记与基于Alexa染料的方法来评估检测灵敏度。此外,大小分布分析表明,量子点能够检测到较小的EV种群。最后,分析了来自不同细胞系的ev亚群。该方法提高了电动汽车的准确表征,为电动汽车的质量控制提供了可靠和可重复的方法,并提高了对其异质性的认识。
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引用次数: 0
Cargo Analysis and MRI-Based Therapeutic Assessment of Iron Oxide Labelled Extracellular Vesicles of Hypoxia Human Stem Cells in Ischemic Stroke 缺氧人干细胞细胞外小泡氧化铁标记的货物分析和mri治疗缺血性卒中的疗效评估
Pub Date : 2025-07-17 DOI: 10.1002/jex2.70063
Shannon Helsper, Li Sun, Richard Jeske, Chang Liu, Jacob Athey, Xuegang Yuan, Samuel C. Grant, Yan Li

Human mesenchymal stem cells (hMSCs) have been under investigation in preclinical and clinical settings for treating neurological disorders in recent years. Predominantly due to paracrine effects in vivo, hMSC-secreted extracellular vesicles (EVs) are at the forefront of these investigations. In this study, the therapeutic efficacy of hypoxia hMSCs and the secreted EVs labelled with iron oxides was evaluated in a preclinical model of ischemic stroke. Transcriptome and proteomics analysis of hMSCs under hypoxia indicated alterations in metabolic pathways and EV biogenesis. Hypoxia preconditioning increased EV yield by 57% with similar EV size and exosomal marker expression. EV cargo analysis using proteomics and microRNA-sequencing revealed that hypoxia preconditioning upregulated expression of metabolic proteins related to hypoxia-inducible factor signalling, neurogenesis and EV biogenesis. Magnetic resonance imaging following in vivo administration of iron oxide-labelled hMSCs and EVs provided assessment of biodistribution and therapeutic efficacy. The results indicated differential recovery in sodium levels in rats following hMSC and EV administration compared to the vehicle-only group, supported by lactate levels and functional assessment. hMSC-EVs localized to the ischemic lesion and evoked a therapeutic response after a single bolus injection. This study has significance in developing human stem cell-free therapeutics for treating ischemic stroke.

近年来,人间充质干细胞(hMSCs)在治疗神经系统疾病的临床前和临床环境中一直处于研究阶段。主要由于在体内的旁分泌作用,hmsc分泌的细胞外囊泡(EVs)处于这些研究的前沿。本研究在临床前缺血性脑卒中模型中评估了缺氧hMSCs和氧化铁标记的分泌ev的治疗效果。缺氧条件下hMSCs的转录组学和蛋白质组学分析表明代谢途径和EV生物发生发生了变化。在EV大小和外泌体标志物表达相似的情况下,缺氧预处理使EV产量增加57%。利用蛋白质组学和microrna测序进行的EV货物分析显示,缺氧预处理上调了与缺氧诱导因子信号、神经发生和EV生物发生相关的代谢蛋白的表达。在体内给药氧化铁标记的hMSCs和EVs后进行磁共振成像,评估生物分布和治疗效果。结果显示,在乳酸水平和功能评估的支持下,与仅给药组相比,hMSC和EV给药组大鼠的钠水平恢复有所不同。hmsc - ev定位于缺血性病变,单次注射后引起治疗反应。本研究对开发人类无干细胞治疗缺血性脑卒中具有重要意义。
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引用次数: 0
High-Sensitivity Detection of Urinary Extracellular Vesicles With Upconverting Nanoparticle-Based Lateral Flow Immunoassay 基于上转换纳米颗粒的侧流免疫分析法的高灵敏度检测尿细胞外囊泡
Pub Date : 2025-07-06 DOI: 10.1002/jex2.70053
Md. Khirul Islam, Imran Mahmud, Klinton Ali, Teppo Salminen, Pekka Taimen, Peter J. Boström, Janne Leivo, Urpo Lamminmäki, Iida Martiskainen

Urinary extracellular vesicles (uEVs) are well-known to express tetraspanin family membrane proteins abundantly on their surface. In this study, we aimed to develop an upconverting nanoparticle (UCNP)–based lateral flow immunoassay (UCNP-LFIA) designed for the rapid and high-sensitivity detection of CD63-positive uEVs for direct urinalysis. The assay utilizes UCNPs reporter to detect low concentrations of EVs. Minimally processed uEV samples from bladder cancer (BlCa) (n = 62), benign prostatic hyperplasia (BPH) (n = 50) and healthy (n = 30) individuals were tested in sandwich UCNP-LFIA format, capturing uEVs with the same anti-CD63 antibody conjugated to UCNP and immobilized on the test zone. After 80 min, the strips were read with an upconversion luminescence reader device. This UCNP-LFIA measured CD63-positive EVs with high sensitivity, exhibiting a limit of detection (LoD) of 4 × 107 EVs/mL. The concentration of CD63-positive EVs in BlCa patients showed a 2.3-fold increase compared to benign conditions (p = 0.007), and a 16-fold increase compared to healthy controls (p = 0.00001). The results demonstrate the potential of UCNP-LFIA platform for sensitive and quantitative detection of uEVs, highlighting its promise as a tool for EV detection at point-of-care diagnostics.

众所周知,尿细胞外囊泡(uEVs)在其表面大量表达四联蛋白家族膜蛋白。在这项研究中,我们旨在开发一种基于上转换纳米颗粒(UCNP)的侧流免疫分析法(UCNP- lfia),用于快速、高灵敏度地检测cd63阳性uev,用于直接尿液分析。该试验利用UCNPs报告基因检测低浓度的ev。从膀胱癌(BlCa) (n = 62)、良性前列腺增生(BPH) (n = 50)和健康个体(n = 30)中提取经过最低处理的uEV样本,采用夹夹式UCNP- lfia格式进行检测,捕获具有与UCNP结合的相同抗cd63抗体并固定在测试区域的uEV。80 min后,用上转换发光读取器读取条带。该UCNP-LFIA检测cd63阳性ev具有高灵敏度,检测限(LoD)为4 × 107 ev /mL。与良性患者相比,BlCa患者的cd63阳性EVs浓度增加了2.3倍(p = 0.007),与健康对照组相比增加了16倍(p = 0.00001)。结果表明,UCNP-LFIA平台具有灵敏和定量检测EV的潜力,突出了其作为即时诊断EV检测工具的前景。
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引用次数: 0
Systematic Evaluation of Isolation Techniques and Freeze-Thaw Effects on Plasma Extracellular Vesicle Heterogeneity and Subpopulation Profiling 分离技术和冻融对血浆细胞外囊泡异质性和亚群谱的影响的系统评价
Pub Date : 2025-06-26 DOI: 10.1002/jex2.70058
Xueqi Li, Xiangyu Li, Lingjun Tong, Liqiao Hu, Yanfen Hong, Ruoyu Zhou, Zonghong Li, Ming Dong, Junjie Hou, Tao Xu, Wen Zhong

Extracellular vesicles (EVs) are increasingly recognized as promising disease biomarkers and therapeutic carriers. However, standardizing blood-derived EV isolation remains challenging due to the heterogeneity of EV populations and variability among isolation techniques. In this study, we systematically evaluated three distinct EV isolation methods, including asymmetrical flow field-flow fractionation (AF4), size-exclusion chromatography (SEC) and automated centrifugal microfluidic disc system combined with functionalized membranes (Exo-CMDS), to compare their efficiency in isolating EVs from both freshly frozen and freeze-thawed plasma samples. We utilized an integrative approach combining Proximity-dependent Barcoding Assay (PBA) for single-EV surface protein profiling, Liquid Chromatography–Mass Spectrometry (LC-MS/MS) for bulk proteomic analysis, along with transmission electron microscopy (TEM) and nanoparticle tracking analysis (NTA) to assess EV yield, morphology, surface protein expression and subpopulation diversity. Our results revealed significant differences in three EV isolation methods. AF4 is particularly enriched for EV subpopulations expressing high levels of classical tetraspanins (e.g., CD81, CD9 and CD151), and single-pass membrane proteins (e.g., ITGA4 and ITAGB1). Exo-CMDS demonstrated the highest reproducibility across samples, isolating specific EV subpopulations enriched in markers like CD5. SEC provided the highest yield but co-isolated significant amounts of non-vesicular particles, including lipoproteins. The findings contribute valuable insights toward standardized and reliable EV isolation practices for research and clinical applications.

细胞外囊泡(EVs)越来越被认为是有前途的疾病生物标志物和治疗载体。然而,由于EV群体的异质性和分离技术的可变性,标准化血源性EV分离仍然具有挑战性。在这项研究中,我们系统地评估了三种不同的EV分离方法,包括不对称流场-流分离(AF4),尺寸排除色谱(SEC)和自动化离心微流控盘系统结合功能化膜(Exo-CMDS),比较了它们从新鲜冷冻和冻融血浆样品中分离EV的效率。我们采用了一种综合方法,结合邻近依赖条形码分析(PBA)进行单EV表面蛋白分析,液相色谱-质谱分析(LC-MS/MS)进行整体蛋白质组学分析,以及透射电子显微镜(TEM)和纳米颗粒跟踪分析(NTA)来评估EV产量、形态、表面蛋白表达和亚群多样性。结果表明,三种EV分离方法存在显著差异。AF4在表达高水平经典四跨蛋白(如CD81、CD9和CD151)和单代膜蛋白(如ITGA4和ITAGB1)的EV亚群中特别富集。Exo-CMDS在样品中表现出最高的重复性,分离出富含CD5等标记物的特定EV亚群。SEC提供了最高的产量,但共分离了大量的非囊泡颗粒,包括脂蛋白。这些发现为标准化和可靠的EV分离方法的研究和临床应用提供了有价值的见解。
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引用次数: 0
iMSC-Derived Extracellular Vesicles Improve Atopic Dermatitis by Augmenting Skin Barrier Integrity and Inhibiting Inflammation, Pruritus and Th2 Immune Responses imsc衍生的细胞外囊泡通过增强皮肤屏障完整性和抑制炎症、瘙痒和Th2免疫反应来改善特应性皮炎
Pub Date : 2025-06-23 DOI: 10.1002/jex2.70067
Soo Kim, Jimin Kim, Ran Kim, Hongduk Kim, Seul Ki Lee, Seon-Yeong Jeong, Haedeun You, Somi Park, Tae Min Kim

Atopic dermatitis (AD) is a chronic inflammatory disease characterized by severe itching and eczematous lesions. Despite various treatments, AD patients experience side effects and fail to achieve full remission. This study investigated the therapeutic potential of extracellular vesicles (EVs) derived from IFN-γ-primed induced mesenchymal stem cells (IFN-γ-iMSC-EVs) in a 2,4-dinitrochlorobenzene (DNCB)-induced AD mouse model. We also examined whether IFN-γ-iMSC-EVs could suppress IL-4/13-induced Th2 responses in keratinocytes. The therapeutic outcome of IFN-γ-iMSC-EVs was comparable to or more effective than baricitinib or clobetasol. While severe weight loss was observed in mice treated with clobetasol, no significant weight reduction occurred in those receiving IFN-γ-iMSC-EVs. Histological analysis demonstrated reduced skin thickness, decreased infiltration of mast cells and inflammatory cells, and suppression of the Th2 immune response, as evidenced by decreased signalling of IL-4, IL-13, and IL-31. IFN-γ-iMSC-EVs also led to a greater reduction in inflammation and pruritus compared to baricitinib and clobetasol. Additionally, skin barrier integrity and epidermal protein expression were improved in IFN-γ-iMSC-EVs. In IL-4/13-stimulated keratinocytes, the decrease in JAK1/2 gene expression and the increase in Keratin 1 gene expression were more prominent in IFN-γ-iMSC-EVs than in baricitinib. The results suggest that IFN-γ-iMSC-EVs have the potential to inhibit AD progression and represent a novel therapeutic option for AD.

特应性皮炎(AD)是一种慢性炎症性疾病,其特征是严重的瘙痒和湿疹病变。尽管有各种各样的治疗方法,阿尔茨海默病患者还是会出现副作用,而且不能完全缓解。本研究探讨了IFN-γ引发的间充质干细胞(IFN-γ-iMSC-EVs)在2,4-二硝基氯苯(DNCB)诱导的AD小鼠模型中的治疗潜力。我们还检测了IFN-γ- imsc - ev是否能抑制il -4/13诱导的角化细胞Th2反应。IFN-γ- imsc - ev的治疗效果与巴比替尼或氯倍他索相当或更有效。虽然氯倍他索治疗小鼠体重严重减轻,但接受IFN-γ- imsc - ev治疗的小鼠体重没有明显减轻。组织学分析显示皮肤厚度减少,肥大细胞和炎症细胞浸润减少,Th2免疫反应抑制,如IL-4、IL-13和IL-31信号传导减少。与巴比替尼和氯倍他索相比,IFN-γ- imsc - ev还能更大程度地减轻炎症和瘙痒。此外,IFN-γ- imsc - ev的皮肤屏障完整性和表皮蛋白表达均有所改善。在il -4/13刺激的角质形成细胞中,IFN-γ- imsc - ev中JAK1/2基因表达的下降和Keratin 1基因表达的增加比baricitinib中更明显。结果表明,IFN-γ- imsc - ev具有抑制AD进展的潜力,代表了AD的一种新的治疗选择。
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引用次数: 0
Serum Extracellular Vesicles Reveal Metabolic Responses to Time-Restricted Feeding in High-Fat Diet-Induced Obesity in Male Mice 血清细胞外囊泡揭示了高脂肪饮食诱导的雄性肥胖小鼠对限时喂养的代谢反应
Pub Date : 2025-06-23 DOI: 10.1002/jex2.70062
Theresa Bushman, Te-Yueh Lin, Xuenan Jin, Qin Fu, Sheng Zhang, Xiaoli Chen

Extracellular vesicle (EV) secretion and cargo composition are dysregulated in metabolic diseases. This study aimed to investigate how changes in serum EV concentration and protein composition reflect the metabolic effects of a high-fat diet (HFD) and time-restricted feeding (TRF), with a particular focus on adipocyte-derived EVs (Ad-EVs) in circulation. Mice were fed an HFD for 18 weeks prior to being placed either ad libitum or on a TRF for an additional 10 weeks. Mice on a normal chow ad libitum served as the control. The TRF group had food available for 10 h and fasted for 14 h per day. The serum EV size profile and amount displayed sex- and age-dependent changes in HFD-induced obesity, with age reducing EV amounts. HFD decreased small EV populations and increased larger EV populations, while TRF reversed these changes. Quantitative proteomic analysis showed that the abundance and composition of EV proteins changed in response to both acute stimulation with lipopolysaccharides (LPS) and HFD. Gene ontology analysis identified specific sets of EV proteins and their involved biological processes, reflecting the effect of LPS and HFD, as well as the reversal effect of TRF on metabolic and inflammatory pathways. EV proteins altered by HFD and those reversed by TRF had low protein overlap but significant functional overlap in biological processes. TRF activated the PPAR signalling pathway and the AKT-mTOR signalling pathway. The most significant impacts of HFD and TRF were observed on lipoprotein and carbohydrate metabolism, the complement system, and neutrophil degranulation. Additionally, we showed that serum Ad-EVs respond dynamically to HFD and TRF. Our findings suggest that EVs play a role in diet-induced metabolic and inflammatory responses, with changes in circulating EVs, particularly Ad-EVs, reflecting metabolic adaptations to dietary exposures and interventions.

细胞外囊泡(EV)分泌和货物组成在代谢性疾病中失调。本研究旨在探讨血清EV浓度和蛋白质组成的变化如何反映高脂肪饮食(HFD)和限时喂养(TRF)的代谢影响,特别关注循环中的脂肪细胞来源的EV (ad -EV)。小鼠被喂食HFD 18周,然后随意放置或TRF再放置10周。随意进食正常食物的小鼠作为对照组。TRF组每天供食10小时,禁食14小时。在hfd诱导的肥胖中,血清EV大小和数量显示出性别和年龄依赖性的变化,年龄会降低EV数量。高热量饮食减少了小型EV种群,增加了大型EV种群,而TRF则逆转了这些变化。定量蛋白质组学分析表明,在脂多糖(LPS)和HFD的急性刺激下,EV蛋白的丰度和组成都发生了变化。基因本体论分析鉴定出特定组EV蛋白及其参与的生物学过程,反映了LPS和HFD的作用,以及TRF对代谢和炎症途径的逆转作用。HFD改变的EV蛋白和TRF逆转的EV蛋白在生物学过程中具有低蛋白重叠,但显著的功能重叠。TRF激活PPAR信号通路和AKT-mTOR信号通路。HFD和TRF对脂蛋白和碳水化合物代谢、补体系统和中性粒细胞脱颗粒的影响最为显著。此外,我们还发现血清Ad-EVs对HFD和TRF有动态反应。我们的研究结果表明,EVs在饮食诱导的代谢和炎症反应中发挥作用,循环EVs,特别是Ad-EVs的变化反映了对饮食暴露和干预的代谢适应。
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引用次数: 0
Extracellular Vesicle Lipids and Their Role in Delivery 细胞外囊泡脂质及其在递送中的作用
Pub Date : 2025-06-23 DOI: 10.1002/jex2.70064
Austin Brent, Paniz Shirmast, Nigel A. J. McMillan

Small extracellular vesicles (sEVs) possess many advantageous characteristics which highlight their potential as nanocarriers for biomedical applications, including the ability to cross the blood brain barrier, improved biocompatibility and exhibit tissue tropism. Despite this potential, the clinical translation of sEVs has been hindered by a variety of factors and lipid nanoparticles (LNPs) remain as the gold standard for nanocarriers, indicating a knowledge gap which could unlock the potential of sEVs. A growing body of research suggests that the lipid profile, rather than the proteome, of sEVs may be contributing to these beneficial characteristics much more than previously thought. This review highlights and discusses the current state of the field in terms of lipid composition between sEVs originating from various cell sources and the roles which the different lipids play in the function of sEVs as natural nanocarriers within the body. We also discuss the potential of various EV-mimetics and synthetic EVs (synEVs) in terms of clinical translation which may provide a means to allow wider therapeutic adoption of EVs.

小细胞外囊泡(sev)具有许多有利的特性,这些特性突出了它们作为生物医学纳米载体的潜力,包括穿越血脑屏障的能力、改善的生物相容性和表现出的组织亲和性。尽管有这种潜力,但sev的临床翻译受到多种因素的阻碍,脂质纳米颗粒(LNPs)仍然是纳米载体的金标准,这表明知识差距可以释放sev的潜力。越来越多的研究表明,sev的脂质谱,而不是蛋白质组,可能比以前认为的更有助于这些有益的特征。这篇综述强调并讨论了该领域的现状,即来自不同细胞来源的sev之间的脂质组成以及不同的脂质在sev作为体内天然纳米载体的功能中所起的作用。我们还讨论了各种模拟ev和合成ev (synev)在临床翻译方面的潜力,这可能为ev的更广泛治疗应用提供了一种手段。
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引用次数: 0
Monitoring Pseudoprogression Using Circulating Small Extracellular Vesicles Expressing PD-L1 in a Melanoma Patient Treated With Immune Checkpoint Inhibitors 在接受免疫检查点抑制剂治疗的黑色素瘤患者中,使用表达PD-L1的循环细胞外小泡监测假性进展
Pub Date : 2025-06-22 DOI: 10.1002/jex2.70066
Charlée Nardin, Valentin Vautrot, Isen Naiken, Alexandre Doussot, Eve Puzenat, Célia De Girval, Carmen Garrido, François Aubin, Jessica Gobbo

Immune checkpoint inhibitors (ICI) have revolutionized the treatment of metastatic malignancy. However, unique immune response patterns can occur, such as pseudoprogression, which corresponds to new lesion development or temporary tumour growth followed by regression. Misidentifying pseudoprogression may halt ICI therapy, due to the absence of biomarkers to distinguish progression from pseudoprogression. In 2020, our team proposed small extracellular vesicles expressing PD-L1 (sEV-PD-L1) as a predictor of melanoma treatment response. We report a case of pseudoprogression in a patient treated with nivolumab and ipilimumab for metastatic melanoma, and showing reduced circulating sEV-PD-L1. To our knowledge, this is the first report of PD-L1 monitoring in circulating sEV during pseudoprogression under ICI. A decrease in PD-L1 in circulating sEV might be an early sign of disease response to ICI, and may help to diagnose pseudoprogression. This case supports further evaluation of sEV-PD-L1 to identify responder patients to ICI, especially in case of pseudoprogression.

Trial Registration: EXOMEL1 P/2018/40 1 AC-2015-2496/DC-2014-2086. NCT05744076.

免疫检查点抑制剂(ICI)已经彻底改变了转移性恶性肿瘤的治疗。然而,可能出现独特的免疫反应模式,例如假性进展,这对应于新的病变发展或暂时的肿瘤生长,随后消退。由于缺乏区分进展和假进展的生物标志物,错误地识别假性进展可能会停止ICI治疗。在2020年,我们的团队提出了表达PD-L1 (sEV-PD-L1)的细胞外小泡作为黑色素瘤治疗反应的预测因子。我们报告了一例用纳伏单抗和伊匹单抗治疗转移性黑色素瘤的患者的假进展,并显示循环sEV-PD-L1减少。据我们所知,这是首次报道在ICI假性进展期间PD-L1监测循环sEV。循环sEV中PD-L1的降低可能是疾病对ICI反应的早期征兆,并可能有助于诊断假性进展。该病例支持进一步评估sEV-PD-L1,以确定对ICI有反应的患者,特别是在假性进展的情况下。试验注册号:EXOMEL1 P/2018/40 1 AC-2015-2496/DC-2014-2086。NCT05744076。
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引用次数: 0
Detection and Isolation of Tissue-Specific Extracellular Vesicles From the Blood 血液中组织特异性细胞外囊泡的检测与分离
Pub Date : 2025-06-22 DOI: 10.1002/jex2.70059
Lauren Newman, Andrew Rowland

Extracellular vesicles (EVs) are nanosized, membrane-bound particles released by virtually all cell types, serving as messengers within tissues and across organs via the bloodstream. EVs encapsulate diverse molecular cargo that reflects the phenotypic state of their originating cells, making them promising candidates for liquid biopsy applications. However, the heterogeneity of circulating EVs, comprising particles from various cell types and non-vesicular entities like lipoproteins, poses significant challenges for isolating tissue-specific EV populations. This review examines current methodologies for detecting and isolating tissue-specific EVs from blood, focusing on immunoaffinity capture (IAC) strategies that leverage surface marker expression for specificity. Key considerations, including the selection and validation of markers, are discussed alongside advances in EV subtyping and isolation protocols. Challenges such as marker cross-reactivity, EV biogenesis and transport dynamics are highlighted to underscore the complexity of achieving clinical utility. By providing an overview of validated tissue-specific markers and isolation techniques, this review aims to facilitate the development of EV-based biomarkers with enhanced specificity and sensitivity, enabling minimally invasive monitoring of organ function and disease.

细胞外囊泡(EVs)是由几乎所有细胞类型释放的纳米级膜结合颗粒,作为组织内和通过血液跨器官的信使。电动汽车封装了多种分子货物,反映了其起源细胞的表型状态,使其成为液体活检应用的有希望的候选者。然而,循环EV的异质性,包括来自各种细胞类型和非囊泡实体(如脂蛋白)的颗粒,为分离组织特异性EV群体带来了重大挑战。本文综述了目前从血液中检测和分离组织特异性ev的方法,重点是利用表面标记物表达特异性的免疫亲和力捕获(IAC)策略。主要考虑因素,包括标记的选择和验证,以及EV亚型分型和分离协议的进展进行了讨论。强调了诸如标记物交叉反应性、EV生物发生和运输动力学等挑战,以强调实现临床应用的复杂性。通过对组织特异性标记物和分离技术的综述,本文旨在促进基于ev的生物标记物的开发,提高其特异性和敏感性,从而实现器官功能和疾病的微创监测。
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引用次数: 0
期刊
Journal of extracellular biology
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