About ISEV
The International Society for Extracellular Vesicles is the leading professional society
for extracellular vesicle research. ISEV's mission is advancing extracellular vesicle
research globally. Our vision is to be the leading advocate and guide of extracellular
vesicle research and to advance the understanding of extracellular vesicle biology.
ISEV2022 Annual Meeting
The ISEV annual meeting is the premier international conference of extracellular vesicle
research, covering the latest in exosomes, microvesicles and more. With an anticipated
1,000+ attendees, ISEV2022 will feature presentations from the top researchers in
the field, as well as providing opportunities for talks from students and early career
researchers.
ISEV2022 International Organizing Committee
IOC Chairs: Lorraine O'Driscoll (Ireland), Sophie Rome (France)
IOC Members: Yu Fujita (Japan), Bernd Giebel (Germany), David Greening (Australia),
Soazig Le Lay (France), Metka Lenassi (Slovenia), and Ken Witwer (USA)
Journal of Extracellular Vesicles: Editor in Chief
Jan Lötvall (Sweden)
Note from the International Organizing Committee
Names and affiliations of authors are as entered by the submitters. Some names of
session chairs may be missing or incorrect because of last‐minute declines, acceptances,
or other changes.
ACKNOWLEDGMENTS
ISEV gratefully acknowledges the support of the 2022 Annual Conference from our sponsors:
FA1: Thursday Featured Abstracts
Chair: Clotilde Théry – Institut Curie, PSL Research University, INSERM U932
Chair: Uta Erdbrügger – University of Virginia
FA1.2
Human liver stem cell‐derived extracellular vesicles interfere with the development
of chronic kidney disease in an in vivo experimental model of renal ischemia and reperfusion
injury
Elena Ceccotti
1; Stefania Bruno2; Giulia Chiabotto2; Massimo Cedrino3; Chiara Pasquino4; Cristina
Grange5; Giovanni Camussi6
1Department of medical science, University of Turin, Torino, Italy; 2Department of
medical science, University of Turin, Turin, Italy; 3Unicyte, Torino, Italy; 4Molecular
Biotechnology Center, Turin, Turin, Italy; 5Department of Medical Sciences, University
of Turin, Turin, Italy; 6Department of Medical Sciences, Torino, Italy
Introduction: Renal ischemia reperfusion injury (IRI) is the major cause of acute
kidney injury (AKI) which can progress to chronic kidney disease (CKD).
In this study, we investigated the potential therapeutic effect of extracellular vesicles
(EVs) derived from human liver stem cells (HLSCs) in an in vivo model of IRI‐AKI,
which subsequently develops into CKD
Methods: EVs were purified by ultracentrifugation and characterized in accordance
with ISEV‐guidelines, by transmission electron microscopy, flow cytometry and Western
Blot.
BALB‐c mice were subjected to 30 minutes IRI and EVs (1x109) were i.v. administered
immediately after the surgery and three days after. To evaluate AKI, mice were sacrificed
two and three days after the surgery, while to assess the development of CKD, mice
were sacrificed two months after.
Renal function and histological analyses were performed using specific kits and microscopic
evaluation. By real time PCR analysis, we monitored the gene expression of markers
of AKI, vascular damage, cell proliferation, fibrosis development, inflammation, and
epithelial to mesenchymal transition (EMT)
Results: In AKI mice, EVs attenuated kidney damage by reducing tubular necrosis, increasing
tubular cell proliferation and reducing damage‐related gene expression. EV‐treatment
down‐regulated the expression levels of vimentin, TWIST, and fibrosis‐related genes,
while up‐regulated ZO1 expression.
In CKD mice, EVs effectively reduced the development of interstitial fibrosis at the
histological level, confirmed at gene expression level by reduced levels of pro‐fibrotic
and pro‐inflammatory genes. Molecular analysis of EMT markers showed increased ZO1
expression and decreased levels of mesenchymal genes in IRI mice treated with EVs
Summary/Conclusion: The administration of HLSC‐derived EVs immediately after renal
IRI protects the kidney from AKI development and interferes with the development of
subsequent interstitial fibrosis
Funding: Unicyte AG (Switzerland)
FA1.5
Extracellular vesicles: a window into the etiology of Major Depressive Disorder
Pascal Ibrahim
1; Prakroothi Danthi2; Jennie Yang3; Corina Nagy1; Gustavo Turecki1
1McGill University, Montreal, Canada; 2The Hospital for Sick Children, Toronto, Canada;
3Douglas Hospital Research Institute, Montreal, Canada
Introduction: Major Depressive Disorder (MDD) is a leading cause of disability worldwide.
MicroRNA's (miRNA) are disrupted in MDD and can be packaged into extracellular vesicles
(EVs), along with other bioactive molecules, such as proteins. Different cell types
in the brain have been shown to release EVs, with previous implications in other brain
disorders. Therefore, we hypothesize that EV cargo from the anterior cingulate cortex,
a brain region highly implicated in MDD, will have a disease specific profile that
could mediate disease development.
Methods: EVs were isolated from post‐mortem human brain tissue of 43 MDD subjects
and 43 healthy controls. Briefly, tissue was mildly dissociated in the presence of
collagenase type III. Tissue debris, large cells, and large vesicles were eliminated
by centrifugation. The supernatant was then overlaid on a size exclusion column to
separate small EVs according to the manufacturer's protocol. The quality was assessed
by western blots, transmission electron microscopy (TEM), and microfluidic resistive
pulse sensing. RNA was extracted, and a small‐RNA library was constructed and sequenced
using the Illumina Platform. Proteins were extracted and profiled using LC‐MS/MS.
Differential expression analysis was then performed and validated.
Results: Western blots showed no contamination with cellular debris and enrichment
of CD9. TEM images showed cup‐shaped vesicles with sizes mostly between 30 and 200
nm and labelled with CD81. Preliminary differential analyses revealed sex‐specific
dysregulation in miR‐4485‐3p, miR‐142‐5p, miR‐33a‐5p, miR‐132‐5p, and miR‐92a‐3p,
as well as in proteomic profiles of the EVs in MDD.
Summary/Conclusion: This will be the first study to profile brain‐derived EV miRNA
and protein in the context of depression. This could provide novel mechanistic insights
into the pathophysiology of MDD, which could serve as a starting point for the development
of targeted therapeutic strategies as well as prevention measures.
Funding: Fonds de Recherche du Québec – Santé
FA2: Friday Featured Abstracts
Chair: Edit I. Buzás – Semmelweis University, Department of Genetics, Cell‐ and Immunobiology
Chair: Sophie Rome, Lyon University, Lyon, France
FA2.2
Extracellular vesicles as efficient RIG‐I agonist delivery system for anti‐cancer
immunotherapy
Boya Peng
1; Trinh Mai Nguyen2; Migara Kavishka K. Jayasinghe1; Chang Gao1; Thach Tuan Pham1;
Luyen Tien Vu1; Eric Yew Meng Yeo1; Gracemary Yap1; Lingzhi Wang3; Boon Cher Goh3;
Wai Leong Tam4; Dahai Luo2; Minh T.N Le1
1Department of Pharmacology, Yong Loo Lin School of Medicine, National University
of Singapore, Singapore, Singapore, Singapore; 2Lee Kong Chian School of Medicine,
Nanyang Technological University, Singapore, Singapore, Singapore; 3Cancer Science
Institute of Singapore, National University of Singapore, Singapore, Singapore, Singapore;
4Genome Institute of Singapore, A*STAR, Singapore, Singapore, Singapore
Introduction: With emerging supremacy, immunotherapy has evolved as an exciting modality
of anti‐cancer treatments. RNA containing 5’ triphosphate can trigger cytosolic RIG‐I
pathway to enhance immune responses. Cancer immunotherapy composes of RIG‐I agonists
induces vigorous immune responses against cancer. Yet, delivery of 5’ triphosphorylated
RNA molecules as RIG‐I agonists to tumor cells in vivo remains a challenge due to
the susceptibility of these molecules to degradation. Here we describe the use of
extracellular vesicles (EVs) released from red blood cells (RBCs), which are highly
biocompatible and amenable to manipulations such as RNA loading and surface modification,
for RIG‐I agonist delivery.
Methods: RBCEVs were purified from RBCs of healthy donors by ultracentrifugation and
characterized by western blot, nanoparticle tracking analysis, transmission electron
microscopy and single‐EV flow cytometry. We evaluated the prominent anti‐tumor effect
of two novel RIG‐I agonists, the immunomodulatory RNA (immRNA) with a unique secondary
structure for efficient RIG‐I activation, and a 5’ triphosphorylated antisense oligonucleotide
with dual function of RIG‐I activation and miR‐125b inhibition (3p‐125b‐ASO), when
delivered using RBCEVs.
Results: Delivery of immRNA and 3p‐125b‐ASO using RBCEVs potently activates the RIG‐I
pathway, and induces cell death in murine and human breast cancer cells. In the immunogenic
breast cancer models, we observe significant tumor suppression upon the treatment
of RBCEV‐delivered RIG‐I agonists. Multiple genes associated with RIG‐I activation
are significantly up‐regulated after treatment, accompanied by increase in the abundance
of tumor‐infiltrating immune cells. Strikingly, the advantageous anti‐tumor efficacy
of immRNA is greatly enhanced upon intrapulmonary delivery using RBCEVs functionalized
with EGFR‐targeting nanobody that resulted in suppression of tumor metastasis and
reinvigoration of tumor‐specific CD8+ T cell responses in breast cancer metastasis
models.
Summary/Conclusion: This study has characterized the immune‐potentiating properties
of immRNA and 3p‐125b‐ASO, and provides a new strategy of robust RIG‐I agonist delivery
using RBCEVs for immunotherapy against cancer and cancer metastasis.
Funding: This project is funded by the National University of Singapore (grant number
NUHSRO/2019/076/STARTUP/02), and the Singapore Ministry of Education (NUHSRO/2020/108/T1/Seed‐Mar/04).
This research is also supported by the Singapore Ministry of Health's National Medical
Research Council under its Open Fund – Individual Research Grant (NMRC/OFIRG/0075/2018
and OFIRG20nov‐0049).
FA2.5
Cardiac progenitor cell‐derived extracellular vesicles promote endothelial cell activation
through both associated‐ and co‐isolated proteins
Marieke T. Roefs
1; Jiabin Qin2; Julia Bauzá‐Martinez3; Simonides I. van de Wakker2; Pieter Vader4;
Joost P.G. Sluijter2
1Department of Experimental Cardiology, University Medical Center Utrecht, The Netherlands,
Utrecht, Netherlands; 2Department of Experimental Cardiology, University Medical Center
Utrecht, Utrecht University, The Netherlands, Utrecht, Netherlands; 3Biomolecular
Mass Spectrometry and Proteomics, Bijvoet Center for Biomolecular Research and Utrecht
Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands,
Utrecht, Netherlands; 4CDL Research, University Medical Center Utrecht, The Netherlands,
Utrecht, Netherlands
Introduction: Cardiac progenitor cell (CPC)‐derived EVs have been shown to protect
the myocardium against ischemia/reperfusion injury via proangiogenic effects. However,
the underlying mechanisms for CPC‐EV‐mediated angiogenesis remain elusive. Here, we
investigated protein‐mediated effects of CPC‐EVs on the endothelium and explored EV‐dependent
and –independent recipient cell activation.
Methods: CPCs were stimulated with calcium ionophore (Ca ion‐EVs), previously shown
to influence EV release, or vehicle (control‐EVs) for 24 hours and crude EVs were
isolated from serum‐free conditioned medium using size exclusion chromatography (SEC).
EV concentration and size was assessed using nanoparticle tracking analysis and proteomic
composition was profiled using mass spectrometry. Following SEC, iodixanol gradient
ultracentrifugation was used to separate EVs from free proteins. CPC‐EVs deficient
in individual proteins were generated using CRISPR/Cas9 machinery. EV‐ and protein
fractions were functionally characterized based on their potency to activate human
microvascular endothelial cells (HMEC‐1) and induce wound closure. HMEC‐1 activation
upon EV‐delivery was determined by phosphoproteomics.
Results: HMEC‐1 displayed increased wound closure and activation of PI3K‐AKT‐mTOR
and (Insulin/IGF‐) MAPK signaling pathways upon stimulation with control‐EVs but not
with Ca ion‐EVs. MS‐proteomic analysis identified multiple proteins strongly enriched
in control‐EVs compared with Ca ion‐EVs. GO analysis of these candidate proteins revealed
their involvement cell migration and –adhesion. This raised the question whether these
identified proteins were truly associated to CPC‐EVs, or merely co‐isolated. Pure
EVs isolated using iodixanol gradients lost part of their ability to activate HMEC‐1
compared to crude SEC EV preparations, suggesting a co‐stimulatory role of co‐isolated
proteins in recipient cell activation. When investigating the contribution of individual
candidate proteins to CPC‐EV functionality, knock‐out of NID1 did not affect EV function,
while knock‐out of PAPP‐A yielded in CPC‐EVs with reduced functionality. The IGF‐receptor
inhibitor PPP abrogated CPC‐EV‐induced HMEC‐1 activation, supporting the association
of EV‐associated PAPP‐A with the activation of IGF‐MAPK signaling.
Summary/Conclusion: A specific set of EV proteins including PAPP‐A is identified that
may be functionally responsible for the activation of endothelial cells upon exposure
to CPC‐EVs. It is important to identify if these proteins are EV‐associated or represent
co‐isolated factors that contribute to endothelial cell activation. This may lead
to a better mechanistic understanding of CPC‐EV‐mediated cell activation and translation
of EV‐based therapeutics.
Funding: ERC‐2016‐COG‐725229 EVICARE grant
FA3: Saturday Featured Abstracts
Chair: Lorraine O'Driscoll – School of Pharmacy and Pharmaceutical Sciences, Trinity
Biomedical Sciences Institute, and Trinity St. James's Cancer Institute, Trinity College
Dublin, Dublin 2, Ireland
Chair: Bernd Giebel – Institute for Transfusion Medicine, University Hospital Essen,
University of Duisburg‐Essen, Essen, Germany
FA3.2
EV‐Tag: A novel synthetic reporter system to understand in vivo extracellular vesicle‐mediated
intercellular communication in health and disease
Marta Garcia‐Contreras
1; Kenneth W. Witwer2
1Johns Hopkins University, Baltimore, USA; 2Department of Molecular and Comparative
Pathobiology, Department of Neurology, Johns Hopkins University School of Medicine,
Baltimore, MD, USA. Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore,
MD, USA. The Richman Family Precision Medicine Center of Excellence in Alzheimer's
Disease, Johns Hopkins University School of Medicine, Baltimore, MD, US, Baltimore,
USA
Introduction: Extracellular vesicles (EVs) are recognized as new contributors to intercellular
communication. Despite significant progress, understanding cell‐specific EV distribution
and function, especially in vivo, is challenging for reasons including limited abundant,
reliable cell‐specific markers, engineered tags that hinder interaction or change
biogenesis and function, and nonspecific labeling strategies. We developed an “EV‐Tag
IP” method for rapid (30 min) high‐purity/high‐yield EV separation.
Methods: We engineered a minimal protein tag “EV‐Tag” into multiple locations in surface
epitopes of three EV‐associated integral membrane proteins. Subcellular localization
of EV‐Tag was compared with classical EV markers such as Alix. EVs were characterized
per MISEV2018 to confirm unperturbed release and EV localization. Single‐particle
interferometric reflectance imaging sensing (SP‐IRIS) queried single‐EV localization
of key protein markers, and proteomics studies were also done. To determine whether
EV‐Tag would be feasible for labeling endogenous EVs in mice, we cloned the constructs
into adeno‐associated virus (AAV) FLEX plasmids.
Results: Based on subcellular localization (e.g., endosomal vs plasma membrane distribution)
and release on EVs, we chose an optimal protein tag location for each of three EV
surface proteins. Using immunoblotting, we confirmed enrichment for EV markers and
depletion of contaminants. Single‐particle analysis revealed that EV‐Tag did not affect
co‐release of other EV proteins. We also used mass spectrometry to profile the proteome
of isolated EV subpopulations; ∼900 proteins were identified.
Summary/Conclusion: Here, we propose an innovative technology that enables exploration
of cell type‐specific in vitro and in vivo EV circuits in health and disease. Our
tag allows: 1) rapid immunoaffinity purification to maintain small molecule content
for profiling; 2) cell type‐specific expression and tagging; and 3) defining recipient
tissues and EV presence in complex biological fluids such as plasma. We are currently
further exploring EV‐tag IP for cell‐type specific expression and EV content mapping
in vivo.
Funding: This work was supported by Stanford Bio‐X and NIH R33 MH118164.
FA3.5
Extravesicular TIMP‐1 is a non‐invasive independent prognostic marker and potential
therapeutic target in colorectal liver metastases
Venkatesh Sadananda Rao
1; Christoph Kahlert2; Qianyu Gu2
1Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav
Carus, Technische Universität Dresden., Dresden, Germany; 2Department of Visceral,
Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität
Dresden, Dresden, Germany, Dresden, Germany
Introduction: The molecular reprogramming of stromal microarchitecture by tumour‐derived
extracellular vesicles (EVs) is proposed to favour pre‐metastatic niche formation.
TIMP1 overexpression has been implicated in invasion and metastasis, although its
role in the remodelling of the liver metastatic milieu remains undefined. Our study
aimed to elucidate the role of extravesicular tissue inhibitor of matrix metalloproteinase‐1
(TIMP1EV) in pro‐invasive extracellular matrix (ECM) remodelling of the liver microenvironment
to aid tumour progression in colorectal cancer.
Methods: TIMP1 expression was examined using immunohistochemistry (IHC) on a panel
of 81 primary tumours (colorectal cancer; CRC) and 80 colorectal liver metastases
resections (CRC liver MET). Using primary fibroblast cultures, we investigated whether
CRC‐derived extracellular vesicles (CRC‐EVs) induced TIMP1 upregulation in the recipient
cells. Using our 3D ECM remodelling assay, we evaluated whether TIMP1 upregulation
in the recipient fibroblasts promotes ECM remodelling. Inhibition of TIMP1 and its
effect on ECM was evaluated by western blotting and 3D ECM‐remodelling assays.
Results: Immunohistochemistry revealed a high expression of stromal TIMP1 in the invasion
front that was associated with poor progression‐free survival in patients with colorectal
liver metastases. Molecular analysis identified TIMP1EV enrichment in CRC‐EVs as a
major factor in the induction of TIMP1 upregulation in recipient fibroblasts. Mechanistically,
we proved that EV‐mediated TIMP1 upregulation in recipient fibroblasts induced ECM
remodelling. This effect was recapitulated by human serum‐derived EVs providing strong
evidence that CRC release active EVs into the blood circulation of patients for the
horizontal transfer of malignant traits to recipient cells. Moreover, EV‐associated
TIMP1 binds to HSP90AA, a heat‐shock protein, and the inhibition of HSP90AA on human‐derived
serum EVs attenuates TIMP1EV‐mediated ECM remodelling, rendering EV‐associated TIMP1
a potential therapeutic target. Eventually, in accordance with REMARK guidelines,
we demonstrated in three independent cohorts that EV‐bound TIMP1 is a robust circulating
biomarker for non‐invasive, preoperative risk stratification in patients with colorectal
liver metastases.
Summary/Conclusion: These results demonstrate the role of CRC‐derived TIMP1EV as ECM
modulators, hence suggesting the targeting of TIMP1 as a potential avenue for the
prevention of liver metastasis in the future.
Funding: This work was funded by the Roland‐Ernst‐Foundation, Dresden (project no.
5/15) and Deutsche Forschungsgemeinschaft (DFG) (KA 3511/3‐1).
Oral Presentations
OT01: EV Biogenesis
Chair: Guillaume van Niel – Institute of Psychiatry and Neurosciences of Paris, INSERM
U1266, France
Chair: Rania Ghossoub – Cancer Research of Marseille ‐ Aix‐Marseille University
OT01.01
Selective mechanisms controlling the biogenesis and loading of Rab11a‐exosomes and
other stress‐induced vesicles
Deborah C. Goberdhan
1; Shih‐Jung Fan1; John Mason1; Adam Wells1; Pauline Marie1; Claudia Mendes1; Chris
Cunningham2; Adrian Harris3; Clive Wilson1
1Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United
Kingdom; 2Nuffield Department of Surgical Sciences, University of Oxford, Oxford,
United Kingdom; 3Department of Oncology, University of Oxford, Oxford, United Kingdom
Introduction: We have shown that recycling endosomes marked by Rab11a generate exosome
subtypes, which we collectively term Rab11a‐exosomes, distinct in cargos and functions
from those generated in late endosomes. These exosomes are preferentially released
from cancer cells in response to metabolic stress and promote adaptive changes in
a xenograft model. Here we investigate mechanisms regulating their selective biogenesis
and loading.
Methods: Comparative mass spectrometry and miRNA array analysis of small extracellular
vesicle (sEV) preparations from HCT116 colorectal cancer cells, with and without Rab11a‐exosome
enrichment, were used to identify changes in sEV cargoes. Follow‐up studies included
knockdowns of candidate regulators in HCT116 cells and also in Drosophila secondary
cells, which permit in vivo visualisation of Rab11a‐exosome biogenesis using fluorescence
microscopy.
Results: Our data in both cancer and fly cell models highlights the selective and
conserved role of the accessory ESCRT‐III proteins, in generating Rab11a‐exosomes,
but not in the trafficking of ubiquitinated cargos into late endosomes and lysosomes.
Furthermore, our studies suggest that the post‐translational modification, SUMOylation,
is specifically involved in loading Rab11a‐exosome cargoes, like the RNA‐binding protein,
hnRNPA2B1, which is enriched in Rab11a‐exosomes, together with miRNAs that it binds.
Summary/Conclusion: We conclude that stress‐regulated, pro‐tumorigenic Rab11a‐exosome
subtypes are formed and loaded via different mechanisms to late endosomal exosomes.
Rab11a‐exosome cargos, therefore, warrant further investigation in clinical samples
as tumour biomarkers. They might also be selectively targeted, for example by anti‐SUMOylation
therapies, which are currently used in ongoing cancer clinical trials.
Funding: Cancer Research UK (CRUK) Programme Award (C19591/A19076), the CRUK Oxford
Centre Development Fund (C38302/A12278), CRUK grant (C2195/A25190) through a CRUK
Oxford Centre Clinical Research Fellowship, BBSRC (BB/R004862/1), John Fell Fund,
Oxford and the Wellcome Trust (MICRON; #091911, #107457).
OT01.02
The closed interplay between lysosomes, MVBs and autophagosomes regulate CDDP‐chemoresistance
through a balance between lysosomal degradation and exosome secretion in ovarian cancer
cells
Cristóbal Cerda‐Troncoso
1; Eloisa Arias‐Muñoz1; Belen Gaete‐Ramirez2; Viviana A. Cavieres1; Francisca Álvarez‐Astudillo2;
Matías Ostrowski3; Manuel Varas‐Godoy4; Patricia V. Burgos5
1Organelle Phagy Lab, Centro de Biología Celular y Biomedicina (CEBICEM), Facultad
de Medicina y Ciencia, Universidad San Sebastián, Lota 2465, Providencia, Santiago,
Chile., Santiago, Chile; 2Cancer Cell Biology Laboratory, Centro de Biología Celular
y Biomedicina (CEBICEM), Facultad de Medicina y Ciencia, Universidad San Sebastián,
Lota 2465, Providencia, Santiago, Chile., Santiago, Chile; 3INBIRS, Facultad de Medicina,
Universidad de Buenos Aires, Paraguay 2155, C1121 ABG, Buenos Aires, Argentina., Buenos
Aires, Argentina; 4Cancer Cell Biology Laboratory, Centro de Biología Celular y Biomedicina
(CEBICEM), Facultad de Medicina y Ciencia, Universidad San Sebastián, Santiago, Chile.,
Las Condes, Santiago, Chile; 5Organelle Phagy Lab, Centro de Biología Celular y Biomedicina
(CEBICEM), Facultad de Medicina y Ciencia, Universidad San Sebastián, Lota 2465, Providencia,Santiago,
Chile, Santiago, Chile
Introduction: Ovarian cancer (OvCa) is an aggressive disease treated usually with
cisplatin (CDDP) which developed chemoresistance, where exosomes play a central role.
Exosomes are formed as intraluminal vesicles (ILVs) inside of multivesicular bodies
(MVBs), organelles that fused with the plasma membrane to release exosomes or with
lysosomes for degradation, processes regulated by RAB27A or RAB7A respectively. It
is known that lysosomal dysfunction and amphisomes formation (MVB/autophagosome hybrid
organelle) facilitate exosome secretion. However, the contribution of these organelles
to a balance between lysosome degradation and exosome secretion that regulate OvCa
CDDP‐chemoresistance is unknown.
Methods: We study lysosomes, MVBs, and amphisomes in CDDP‐sensitive (A2780) and CDDP‐resistant
(A2780cis) OvCa cells by several molecular cell biology, and biochemical strategies.
Results: Our data show that A2780cis have a reduced number and activity of lysosomes
and a reduction in RAB7A levels. Contrary, we found that A2780cis have an increased
number of ILVs/MVBs and amphisomes‐like structures. Additionally, A2780cis show high
RAB27A and ESCRTs levels, compared to A2780. Together, these findings suggest exosome
secretion could be involved in CDDP‐resistance. The interruption of exosomes secretion
in A2780cis cells with RAB27A silencing rescues lysosomal function and CDDP‐sensibility.
Moreover, due to the increase in amphisomes‐like structures, we performed FIP200 silencing
in A2780cis cells to impair its formation. We found that the reduction of amphisomes
decreased RAB27A and increased RAB7A levels, promoting a rescue in the lysosomal function.
Summary/Conclusion: We uncovered a relationship between lysosomes, MVBs, and autophagosomes
that would stabilize a balance between lysosomal degradation and exosome secretion
through RAB7/RAB27A levels and then could be new alternatives to revert CDDP‐chemoresistance
in OvCa.
Funding: FONDECYT No.1171649/No.1190928, ANID‐BASAL No.FB210008/No.ACE210009.
OT01.03
Role of flotillins in exosome/extracellular vesicle production and perturbation of
cellular functions
Cécile GAUTHIER‐ROUVIERE1; Stéphane BODIN2; Franck COMUNALE3; Mélanie BURETTE3; Himanshu
MALHOTRA4; Lisa FONTAINE‐BODIN5; Damien PLANCHON2; Sylia CHEHADE
3
1INSERM, MONTPELLIER, France; 2Montpellier University, MONTPELLIER, France; 3CNRS,
MONTPELLIER, France; 4Upstate medical university, Syracuse, USA; 5French government,
MONTPELLIER, France
Introduction: Flotillins 1 and 2 are two ubiquitous, highly conserved homologous proteins
that assemble to form heterotetramers at the cytoplasmic face of the plasma membrane
(PM) in microdomains enriched in cholesterol and sphingolipids. They scaffold membrane
microdomains ‐ where different proteins concentrate ‐ thanks to their oligomerization
property.
Flotillin 1 and 2 are upregulated in a large number of cancers, which is associated
with a poor prognosis (Doi:10.1007/s10555‐020‐09873‐y). Flotillin upregulation is
necessary and sufficient for the acquisition of invasive cell properties. The upregulation
of flotillins induces the Upregulated Flotillin‐Induced Trafficking (UFIT) pathway,
an endocytosis pathway that targets cargo proteins in late endosomes (LE) positive
for CD63 and LAMP‐1, where flotillins accumulate. These flotillin‐enriched LE are
not degradative and contain numerous intraluminal vesicles, their fusion with the
PM allows the recycling of the proteins present in their outer membrane and the release
of the exosomes/extracellular vesicles (EVs) they contain in the extracellular medium.
Methods: Two EV purification methods (sequential centrifugation followed by sucrose
gradient and SEC), NTA, EM.
Generation and caracterization of Nluc‐CD9, ‐CD63 and ‐Hsp70‐expressing non‐tumoral
MCF10A cell lines (with endogenous or upregulated flotillin levels)
Functional assays (extracellular matrix degradation, inter‐cellular adhesion) with
purifed EV
Results: We showed that flotillin upregulation in epithelial mammary (MCF10A) and
mesenchymal myoblastic (C2C12) cells increases the number of secreted EVs. To identify
the mechanisms, we performed a siRNA‐based screen with the Nluc‐reporter cell lines
descrbed.
These EVs contain cargos of this UFIT pathway such as MT1‐MMP and their addition to
cells potentiate their degradation activity. They also contain adhesion molecules
and they could disrupt intercellular adhesion when added to cells.
Summary/Conclusion: Upregulated‐flotillins are involved in the deregulation of endocytosis
and vesicular trafficking that impacts on the level of secreted EVs involved in tumoral
invasive progression.
Funding: INCa PLBio 2020‐101
OT01.04
The adaptor protein CD2AP controls the biogenesis of endosomal‐derived small extracellular
vesicles
Kerstin Menck
1; Barnabas Irmer2; Naga Sailaja Imjeti3; Guido David3; Pascale Zimmermann4
1Dept. of Medicine A, Haematology, Oncology, and Pneumology, University Hospital Münster,
Münster, Germany; 2Dept. of Medicine A, Haematology, Oncology, and Pneumology, University
Hospital Münster, Muenster, Germany; 3Centre de Recherche en Cancérologie de Marseille,
Marseille, France; 4K. U. Leuven, Leuven, Belgium
Introduction: Extracellular vesicles (EVs) can be divided into several subpopulations
that differ in size, cargo, biogenesis, and function. The main EV populations recognized
at present are large EVs (diameter 150‐1000 nm) and small EVs (sEVs) (diameter 50‐150
nm). While large EVs are directly secreted from the plasma membrane, sEVs bud into
the lumen of late endosomal compartments and are released into the extracellular space
upon fusion of the endosomes with the cell membrane. Recently, the intracellular adaptor
protein CD2AP was found to be involved in the early steps of sEV biogenesis by regulating
the endocytosis of the exosomal cargo protein GPRC5B. However, whether CD2AP also
influences other steps of the sEV biogenesis pathway is currently unknown.
Methods: We modulated CD2AP levels in human MCF‐7 breast cancer cells by knockdown/overexpression
and analysed the different steps of the endosomal pathway by confocal microscopy.
Corresponding sEVs were isolated by differential ultracentrifugation and characterized
by nanoparticle tracking analysis and immunoblot.
Results: CD2AP knockdown reduced the expression of two well‐known marker proteins,
Syntenin and CD63, on sEVs. Consistently, overexpression of CD2AP increased exosomal
Syntenin and CD63 levels. In order to understand the molecular mechanism underlying
these observations, we analysed the endosomal trafficking of CD63. Confocal microscopy
revealed that upon CD2AP knockdown, CD63 showed an increased co‐localisation with
the late endosomal marker LAMP2 indicating that CD2AP is important for CD63 trafficking
through this compartment. Using overexpression of mutant Rab5Q79L, which induces the
formation of enlarged endosomes, we showed that CD2AP regulates the budding of CD63
and Syntenin at endosomal membranes. Using RNAi and different inhibitors, we placed
the function of CD2AP downstream of SRC, and upstream of ARF6 and its effector PLD2.
CD2AP has been described as a direct interactor of ALIX, which could link CD2AP to
the Syntenin pathway that is crucial for the biogenesis of sEVs. Indeed, the knockdown
of ALIX antagonized the effects of CD2AP on endosomal budding and sEV cargo.
Summary/Conclusion: Taken together, our results identified CD2AP as a novel regulator
of trafficking and budding processes at late endosomal compartments and shed further
light on the process of sEV biogenesis.
OT01.05
ER Membrane Contact Sites support endosomal small GTPase conversion required for exosome
secretion
Frederik J. Verweij
1; Maarten Bebelman2; Mickael Couty3; Anaïs Bécot4; Roberta Palmulli5; Xavier Heiligenstein6;
Julia Sires‐Campos6; Graça Raposo6; Dirk M. Pegtel2; Guillaume Van Niel4
1Utrecht University, Utrecht, Netherlands; 2Amsterdam University Medical Centers,
Amsterdam, Netherlands; 3Université de Paris, Institute of Psychiatry and Neuroscience
of Paris (IPNP), INSERM U1266, F‐75014 Paris, France, paris, France; 4Université de
Paris, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, F‐75014
Paris, France, Paris, France; 5Department of Pathology, University of Cambridge, Cambridge.
CB2 1QP. United Kingdom, Cambridge, United Kingdom; 6Institut Curie UMR144, PSL Research
University, Paris, France
Introduction: Exosomes correspond to Extracellular Vesicles (EV) that are secreted
from intracellular compartments. They are generated as intraluminal vesicles within
endosomes of multivesicular appearance (so‐called Multivesicular Bodies or MVBs) of
still elusive identity. Exosomes are then secreted when MVBs fuse with the plasma
membrane in a process orchestrated by small GTPases. However, the molecular events
regulating the acquisition of fusogenic capacity of these compartments are poorly
known.
Methods: We combined various live‐imaging approaches including a recently developed
CD63‐based quantitative dual‐color TIRF single cell assay with small molecule inhibitors
and biochemical analysis to establish the profile/identity of MVBs fusing with the
plasma membrane and interrogate modulators of MVB motility and maturation. In particular,
we investigated the role of Membrane Contact Sites between Late Endosomes and the
Endoplasmic Reticulum using mutant versions of ORP1L, a key regulator of these contacts.
Results: We identified the compartment of origin of CD63 positive exosomes as a subclass
of late endosomes at pre‐lysosomal stage that do not display proteolytic activity.
These compartments undergo a Rab7a/Arl8b/Rab27a GTPase cascade that allows them to
fuse with the plasma membrane. Dynamic Membrane Contact Sites between Late Endosomes
and the Endoplasmic Reticulum via ORP1L have the distinct capacity to modulate this
process by affecting Late Endosomes motility but also their maturation state by regulating
small GTPase association.
Summary/Conclusion: Thus, CD63 positive exosomes originate from late endosomes that
have not yet fused with lysosomes and acquire fusogenic capacity through a multi‐step
process of GTPase switching regulated by Membrane Contact Sites. All in all, our work
highlights the Endoplasmic Reticulum and Membrane Contact Sites as new regulators
of exosome‐mediated intercellular communication.
Funding: EMBO ALTF 1383‐2014 and PJA 20161204808) to F.J.V.
Systems STAR Graduate Program grant 022.005.031 and a Cancer Center Amsterdam travel
grant to M.P.B
KWF‐5510 and a Cancer Center Amsterdam–VU University Medical Center grant to D.M.P
AJE20160635884 to G.V.N
INCA N°2019‐125 PLBIO19‐059 to F.J.V. and G.V.N.
OT01.06
Luminescence‐based quantification of CD63‐containing extracellular vesicle release
reveals a role for PI4KIIIβ in bafilomycin‐induced exosome secretion
Maarten P. Bebelman
1; Caitrin Crudden2; Katinka Langedijk2; Steven Eleonora2; Leontien Bosch2; Frederik
J. Verweij3; Margarida Viola4; Jan Paul Bebelman5; Guillaume van Niel6; Martine J.
Smit7; Dirk M. Pegtel8
1Amsterdam UMC, Dresden, Germany; 2Amsterdam UMC, Amsterdam, Netherlands; 3Utrecht
University, Utrecht, Netherlands; 4University Medical Center Utrecht, Utrecht, Netherlands;
5VU University Amsterdam, Uithoorn, Netherlands; 6Institute of Psychiatry and Neuroscience
of Paris (IPNP), INSERM U1266 Université de Paris Paris France, Paris, France; 7VU
University Amsterdam, Amsterdam, Netherlands; 8Amsterdam University Medical Centers,
Amsterdam, Netherlands
Introduction: Dysregulated extracellular vesicle (EV)‐mediated signaling is implicated
in various pathological conditions. Despite the therapeutic potential of inhibiting
EV secretion, little is known about the mechanisms that drive EV biogenesis. Technical
difficulties associated with studying EV secretion have precluded large‐scale screening
for modulators of EV secretion in general and exosome secretion from internal compartments
in particular. While CD63‐based bioluminescent reporters enable scalable quantification
of EV secretion, their forced overexpression influences EV biogenesis and cargo sorting.
Methods: We used CRISPR‐Cas9 technology to generate HEK293 cell lines that express
the bioluminescent reporter HA‐Nanoluc‐CD63 at endogenous levels, circumventing disadvantages
associated with CD63 overexpression.
Results: Under basal culture conditions, HEK293 cells secrete CD63+ EVs through a
mechanism that is independent of the exocytic SNARE protein SNAP23, suggestive of
direct budding from the plasma membrane. To induce exosome secretion, we stimulated
cells with the vATPase inhibitor bafilomycin and performed a broad‐spectrum kinase
inhibitor screen. Inhibitors of the lipid kinase PI4KIIIβ were identified as hits
and validated by western blot and nanoparticle tracking analysis. siRNA‐mediated knockdown
and CRISPR knock‐out of PI4KIIIβ confirmed its role as a major mediator of bafilomycin‐induced
exosome secretion. Ongoing studies into the mechanism of PI4KIIIβ‐mediated exosome
secretion hint at the involvement of non‐canonical autophagy.
Summary/Conclusion: This study demonstrates a role for the lipid kinase PI4KIIIβ in
exosome secretion and highlights the potential of HA‐NanoLuc‐CD63 as a versatile screening
tool to study exosome biogenesis under basal and pathological conditions.
Funding: This work was supported by grants to D.M. Pegtel by the Dutch Cancer Society
(KWF Unique High Risk Project 2017‐2; 11308) and an NWO (AIMMS STAR Graduate Program
grant 022.005.031) to M.P. Bebelman.
OT02: EV Engineering For Use as Delivery Tools
Chair: Samir El Andaloussi – Department of Laboratory Medicine, Karolinska Institutet,
Stockholm, Sweden
Chair: Paolo Arosio – Institute for Chemical and Bioengineering, ETH Zurich, Zurich,
Switzerland
OT02.01
Extracellular vesicle delivered RNA directed transcriptional gene silencing
Surya Shrivastava
CITY OF HOPE National Medical Center, Duarte, USA
Introduction: Extracellular vesicles (EV) are excellent delivery vehicle for various
genetic therapeutics as they are relatively inert, non‐immunogenic, biodegradable,
biocompatible and can transit across the blood brain barrier. However, packaging therapeutic
modalities into EV has proven challenging. While small interfering RNAs and mRNAs
have been shown to be packaged into EV and delivered to target cells, the ability
of EV to package and deliver nuclear functional non‐coding RNAs that can modulate
epigenetic and transcriptional states to target cells has remained unknown.
Methods: HEK293T cells were transfected and EVs were enriched from supernatant of
transfected cells using Izon qEV size exclusion columns. Presence of EVs were confirmed
using transmission electron microscope and quantitated using Nanosight Tracking Analysis.
Real time quantitative PCR was used to confirm the loading of RNA into EV and analyze
their functional effect on recipient cells. Acute toxicity and inflammatory response
after non‐targeting RNA loaded EV were read from C57BL/6 mice using multiplex cytokine
panel. We have submitted all relevant data of our experiments to the EV‐TRACK knowledgebase
(EV‐TRACK ID: EV210296)
Results: Efficient packaging and delivery of reporter nano‐Luciferase (nLuc) mRNA,
reporter EGFP targeting antisense EGFP (asEGFP) non‐coding RNA and the promoter targeting
PTENpg1 asRNA α (Pg1asα) which is a known epigenetic regulator of PTEN expression
was achieved. Toxicity and inflammatory response of these engineered EVs were also
evaluated in vivo and were found to be insignificant. We report here that nuclear
functional lncRNAs can be engineered and re‐routed to EVs, delivered to recipient
cells, and functionally modulate gene transcription in the recipient cells.
Summary/Conclusion: Here, we generated a method for packaging nuclear functional long
non‐coding RNAs into extracellular vesicles and show that this system can deliver
epigenetic regulatory non‐coding RNAs to target cells and transcriptionally control
the targeted gene expression. The novel approach presented here represents an effective
way to deliver therapeutic long non‐coding RNAs to epigenetically modulate gene transcription.
Funding: This work was supported by NIMH R01 113407‐01 to Dr Kevin Morris
OT02.02
Loading proteins into microalgal extracellular vesicles to camouflage allergens for
specific immunotherapy
Estella Rao1; Angela Paterna1; Valeria Longo2; Noemi Aloi2; Giorgia Adamo3; Alessandra
Longo2; Vincenzo Martorana4; Rosina Noto1; Sabrina Picciotto5; Samuele Raccosta1;
Daniele Romancino6; Valeria Vetri7; Paolo Colombo2; Antonella Bongiovanni6; Mauro
Manno
1
1Cell‐Tech HUB at Institute of Biophysics (IBF), National Research Council of Italy
(CNR), Palermo, Italy, Palermo, Italy; 2Institute for Research and Biomedical Innovation
(IRIB), National Research Council of Italy (CNR), Palermo, Italy, Palermo, Italy;
3Cell‐Tech HUB at Institute for Research and Biomedical Innovation (IRIB), National
Research Council of Italy (CNR), Palermo 90146, Italy, Palermo, Italy; 4Institute
of Biophysics (IBF), National Research Council of Italy (CNR), Palermo, Italy, Palermo,
Italy; 5Cell‐Tech HUB at Institute for Research and Biomedical Innovation (IRIB),
National Research Council of Italy (CNR), Palermo, Italy; Department of Biological,
Chemical and Pharmaceutical Sciences and Technologies, University of Palermo, Palermo,
Italy, Palermo, Italy; 6Cell‐Tech HUB at Institute for Research and Biomedical Innovation
(IRIB), National Research Council of Italy (CNR), Palermo, Italy, Palermo, Italy;
7Department of Physics and Chemistry, University of Palermo, Palermo, Italy, Palermo,
Italy
Introduction: Extracellular vesicles (EVs) have a high potential as drug delivery
systems due to their intrinsic capability to vehicle biological materials and information.
Beyond the transport of small drugs and therapeutics, a specific need consists to
load nanoparticles and macromolecules with large size, including antibodies and other
proteins. Here, we address this still challenging perspective and we set up a procedure
to load proteins into EVs. In particular, we use nanoalgosomes, that are biocompatible,
sustainable and green EVs derived from microalgae and thoroughly characterized in
our previous work, and a recombinant calcium‐binding protein (CBP), a minor allergen
from Parietaria Judaica (Pj).
Methods: Nanoalgosomes are isolated from the marine microalgae Tetraselmis chuii by
tangential flow filtration and characterised in accord to MISEV2018 guidelines by
different physicochemical techniques. Proteins are loaded by extrusion and loaded
EVs are then purified by affinity and size exclusion chromatography. Loaded proteins
are detected by fluorescent labeling and immunoblotting.
Results: We implement an efficient method to load CBP into nanoalgosomes and to purify
loaded EVs. Fluorescence microscopy shows proteins and EVs colocalisation; specific
immunoblotting demonstrates that loaded proteins are detectable only after EVs lysis
but are masked by intact nanoalgosomes.
Summary/Conclusion: We developed a biotechnological approach to load proteins into
EVs, which is a not trivial outcome due to protein large size. Further, we showed
that nanoalgosomes may be efficiently exploited also to carry large macromolecules.
The camouflage of an allergen demonstrated in the present study addresses an unmet
need in the treatment of allergies, that is the possibility to present allergens in
a controlled manner and without side effects.
Funding: VES4US and BOW projects funded from the H2020‐EU programmes under grant agreements
N 801338 and N 952183.
OT02.03
Extracellular‐vesicle mediated delivery of CRISPR/Cas9 by targeted modular aptamer‐based
loading and UV‐activated cargo release
Omnia M. Elsharkasy1; Olaf L. Cotugno1; Ingmar Y. de Groot1; Willemijn S. De Voogt1;
Jerney J. J.J.M. Gitz‐François1; Raymond M. Schiffelers2; Pieter Vader3; Olivier G.
de Jong
4
1CDL Research, University Medical Center Utrecht, The Netherlands, Utrecht, Netherlands;
2University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands;
3CDL research, University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht,
Netherlands; 4Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences
(UIPS), Utrecht University, The Netherlands., Utrecht, Netherlands
Introduction: CRISPR/Cas9 is a prokaryotic endonuclease capable of targeting and editing
genomic sequences with high specificity and efficiency. As such, CRISPR/Cas9 holds
tremendous therapeutic potential for the treatment of genetic pathologies. One of
the major hurdles for the development of CRISPR/Cas9‐based therapeutics is the intracellular
delivery of the Cas9‐sgRNA ribonucleoprotein (RNP) complex because of its large size,
negative charge, and immunogenicity. Extracellular vesicles (EVs) hold the potential
to overcome this hurdle due to their biocompatibility and intrinsic capability of
highly efficient intercellular transfer of RNA molecules and proteins.
Methods: To facilitate targeted loading of the RNP complex, sgRNAs with high‐affinity
MS2 coat protein‐interacting aptamers were generated and expressed alongside Cas9
and EV‐enriched proteins fused to the MS2 coat protein. The MS2 coat protein, lacking
the Fg loop to prevent capsid formation, was cloned in tandem on the N‐terminus of
CD9, CD63, CD81 and ARRDC1 or the C‐terminus of Δ687‐PTGFRN or a myristoylation sequence,
linked by a UV‐sensitive photocleavable protein (PhoCl). Cas9 loading and UV‐mediated
PhoCl cleavage were measured by Western Blot analysis. To study Cas9 delivery, we
used a previously published fluorescent stoplight reporter system which is activated
by Cas9 activity (De Jong et al, Nat Commun. 2020).
Results: EV loading of Cas9, as well as UV‐mediated cleavage of the PhoCl fusion proteins,
was confirmed by Western Blot analysis. Using EVs with MS2‐PhoCl‐CD63 fusion proteins
we observed efficient Cas9 delivery (14.5%), but only after UV‐treatment of EVs and
co‐expression of the VSV‐G glycoprotein. Comparing RNP delivery efficiency using various
EV‐targeted fusion proteins revealed that CD9 and the myristoylation sequence showed
notably high delivery of Cas9, followed by CD63, Δ687‐PTGFRN, CD81, and lastly ARRDC1.
Western Blot analysis revealed that these results strongly correlated to Cas9 loading
in EVs.
Summary/Conclusion: Here, we describe a novel modular platform for EV‐mediated loading
and delivery of Cas9 RNPs. Our results demonstrate that EVs are indeed capable of
functional Cas9‐RNP delivery and that Cas9 loading and delivery was strongly dependent
on the targeted loading protein that was employed. Moreover, these data indicate that
additional modifications for regulated cargo release and endosomal escape strongly
increase Cas9‐RNP delivery.
Funding: This work was supported by the Dutch Research Council (NWO) VI.Veni.192.174.
OT02.04
EV‐encapsulation of CRISPR‐Cas9 modulated by N‐myristoylation
Joseph Whitley; Houjian Cai
University of Georgia, Athens, USA
Introduction: Extracellular vesicles (EVs) have recently been co‐opted as vehicles
for the delivery of therapeutics, including the gene editing tool CRISPR‐Cas9 (Cas9),
and are now being modified for greater efficacy. Efficacy of EV‐based delivery is
determined, in part, by the loading of cargo into EVs, an area of particular concern
for the 160 kD protein Cas9. N‐myristoylation is a co‐ and post‐translational modification
known to translocate Src kinase to cell membranes. We reasoned that fusion of the
N‐terminus of Src to Cas9 may increase membrane localization where endogenous EV‐loading
occurs, subsequently enriching Cas9 in EVs and increasing gene editing in EV‐treated
recipient cells.
Methods: An octapeptide derived from the N‐terminus of Src was fused to spCas9, creating
modified spCas9 (mCas9). mCas9/sgRNA DNA constructs with EGFP‐targeting sgRNA (mCas9/sgRNA‐EGFP)
were transfected into 293T cells to produce EVs encapsulating mCas9/sgRNA‐EGFP. EVs
were concentrated from conditioned media via differential centrifugation and filtration.
Various characteristics of our EVs were described in accordance with the MISEV2018
guidelines, including density, size distribution, morphology, and protein/RNA content.
We used flow cytometry analysis and T7 endonuclease I assay to evaluate gene editing.
We determined off target effects with RNA sequencing.
Results: Fusion of the Src octapeptide to Cas9 induced N‐myristoylation, which did
not significantly alter Cas9 function. Encapsulation of mCas9 and sgRNA‐EGFP into
EVs (small EVs according to fractions obtained by iodixanol gradient) was confirmed
with proteinase K and RNase A protection assays, respectively. We estimated that mCas9
accounted for 0.7% of total EV protein. Levels of Cas9 protein in recipient cells
increased up to 8 hours post‐EV‐treatment. Up to 45% EGFP knockout occurred, based
on fluorescent microscopy, flow cytometry, and T7 endonuclease I assay. RNA sequencing
suggested minimal off target effects.
Summary/Conclusion: Our modified Cas9 is enriched in EVs and functional in recipient
cells while causing no significant changes in off target RNA expression. These results
provide a proof of concept for the utilization of endogenous N‐myristoylation as a
process to increase the efficacy of EV‐delivered therapeutics.
OT02.05
Fluorescent‐labelled EVs to ease their quantification and tracking as a tool for manufacturing
bioprocess development
Maria José Sánchez1; Pau Leivar2; Salvador Borrós1; Cristina Fornaguera3; Martí Lecina
i Veciana
4
1GEMAT‐ Grup Enginyeria de Materials. Institut Químic de Sarrià. Universitat Ramon
Llull, Barcelona, Spain; 2GQBB‐ Grup de Química Biològica i Biotecnològica. Institut
Químic de Sarrià, Universitat Ramon Llull, Barcelona, Spain; 3GEMAT‐ Grup Enginyeria
de Materials. Institut Químic de Sarrià. Universitat Ramon Llull; Cancer Drug Resistance
Group, IPATIMUP—Institute of Molecular Pathology and Immunology and i3S—Instituto
de Investigação e Inovação em Saúde, Universidade do Porto, Barcelona, Spain; 4GEMAT‐
Grup d'Enginyeria de Materials, Institut Químic de Sarrià, Universitat Ramon Llull,
Barcelona, Spain
Introduction: EVs have recently emerged as promising therapeutic delivery systems
due to their cellular origin, nanoscale size and their intrinsic function in intercellular
communication. However, challenges like EVs detection and quantification, with minimal
disturbance of their properties remains as a key issue. Thus, EVs bioprocessing development
and tracking are costly and time consuming.
Methods: A549 and HEK293 cells were modified to express fused CD63‐eGFP and CD9‐mCherry.
Bicistronic and tricistronic vectors were constructed to generate a library of plasmids
to stably express one/both fluorescent transpanins. Fused proteins expression was
analysed by flow cytometry (FC), and fluorescent and confocal microscopy. Labelled
EVs were isolated by sequential centrifugation, quantified, and analysed by western
blot, nanoparticle tracking analysis (NTA), FC and fluorometry.
Results: Fluorescent EVs expressing cells were analyzed under fluorescent and confocal
microscopy, showing a dot pattern into the cytoplasm and in the cellular membrane.
After cells selection, almost 100% of cells were positive by FC. Labelled‐EVs were
measured after isolation and directly form supernatant from high cell density cultures,
by NTA, FC and fluorometry. Linear correlation was observed when plotting NTA fluorescent
analysis versus fluorometry measurements, allowing a straight quantification method.
Additionally, labelled‐EVs uptake by recipient cells was measurable by FC, reaching
over 80% of fluorescent wild type cells after 4h of incubation with 9·108 labelled‐EVs/ml.
Summary/Conclusion: Easy and cheap quantification methods can be used for labelled
EVs quantification. EVs in vitro tracking and uptake is possible without the need
of additional reagents and EVs treatment. Fluorescently labelled EVs are useful for
accelerating manufacturing bioprocess development.
Funding: Secretaria de Recerca i Universitats de la Generalitat de Catalunya and Universitat
Ramon Llull, ref. 2021‐URL‐Proj‐21
OT02.06
Targeting of Extracellular Vesicles via de novo Antigen Binding CD81
Madhusudhan Bobbili
1; Stefan Vogt2; Gerhard Stadlmayr3; Katharina Stadlbauer3; Jørgen Kjems4; Florian
Rüker5; Gordana Wozniak‐Knopp5; Johannes Grillari6
1Ludwig Boltzmann Institute for Traumatology, Vienna, Austria; 2acib GmbH (Austrian
Centre of Industrial Biotechnology), Petersgasse 14, A‐8010 Graz, Austria, Vienna,
Austria; 3Christian Doppler Laboratory for Innovative Immunotherapeutics, Department
of Biotechnology, University of Natural Resources and Life Sciences (BOKU), Vienna,
Muthgasse 18, A‐1190 Vienna, Austria, Vienna, Austria; 4Interdisciplinary Nanoscience
Center, Aarhus University, Aarhus, Denmark; 5Institute of Molecular Biotechnology,
Department of Biotechnology, University of Natural Resources and Life Sciences (BOKU),
Vienna, Muthgasse 18, A‐1190 Vienna, Austria, Vienna, Austria; 6Ludwig Boltzmann Institute
of Traumatology in Cooperation With AUVA, Vienna, Austria., Vienna, Austria
Introduction: The research of extracellular vesicles (EVs) has boomed in the last
decade, with the promise of them functioning as target‐directed drug delivery vehicles,
able to modulate proliferation, migration, differentiation, and other properties of
the recipient cell that are vital for health of the host organism. To enhance the
ability of their targeted delivery, we employed an intrinsically overrepresented protein,
CD81, to serve for recognition of the desired target antigen.
Methods: Yeast libraries displaying mutant variants of the large extracellular loop
of CD81 have been selected for binders to human placental laminin, EGFR and Her2 as
an example target. Their specific interaction with laminin, EGFR and HER2 was confirmed
in a mammalian display system. Derived sequences were reformatted to full‐length CD81
and expressed in EVs produced by HeLa cells for laminin binders; by HEK293 cells for
EGFR and HER2.
Results: To assess the novel functionality of antigen‐binding CD81 LEL variants, internalization
of such EVs into laminin‐secreting cell lines Huh‐7 and NCI‐N87 was compared with
EVs derived from wild‐type CD81‐transfected production cell line, and further, their
reactivity with several recombinant laminin isoforms was examined. The specificity
of binding of laminin targeting EVs to their cognate antigen was tested under competitive
conditions. Finally, the ability of laminin‐targeting EVs to transfer cel‐miR‐39 to
Huh‐7 cell line was examined.
CD81 LEL variants for EGFR and HER2 were accessed in respective cancer cells with
high expression levels for EGFR and HER2. Additionally, EGFR and HER2 targeting EVs
loaded with doxorubicin induce apoptosis in recipient cells more effectively compared
to wild‐type CD81 EVs.
Summary/Conclusion: To our knowledge, this is the first example of harnessing an EV
membrane protein as mediator of de novo target antigen recognition via in vitro molecular
evolution, opening horizons to a broad range of applications in various therapeutic
settings. The advantage of the method presented here is that it can rapidly deliver
binders to any antigen of choice, which can simply be ‘clicked’ into the full‐length
CD81, recombinantly expressed on the EV surface, enabling specific EV‐mediated delivery
to a large variety of cells and tissues.
Funding: This project has been supported by the Austrian FFG‐COMET‐ Funding Program
(grant to S.V.) and Evercyte GmbH. S.V. is a fellow of the international PhD programme
“BioToP‐Biomolecular Technology of Proteins”, funded by the Austrian Science Fund
(FWF) (W1224)
OT03: Cardiac Repair and Cardiac Protection
Chair: Susmita Sahoo – Cardiovascular Research Center Icahn School of Medicine at
Mount Sinai
Chair: Hargita Hegyesi – Semmelweis University Department of Genetics, Cell‐ and Immunobiology
OT03.02
Adult cardiomyocytes‐derived EVs for the treatment of cardiac fibrosis
Marta Prieto‐Vila
1; Yusuke Yoshioka2; Asao Muranaka1; Takahiro Ochiya3
1Tokyo Medical University, Tokyo, Japan; 2Department of Molecular and Cellular Medicine,
Institute of Medical science, Tokyo Medical University, Shinjuku‐ku, Japan; 3Department
of Molecular and Cellular Medicine, Institute of Medical science, Tokyo Medical University,
Shimjuku‐ku, Japan
Introduction: Cardiac fibrosis, provoked by many diseases, results from an erroneous
hyperactivation of fibroblasts. This dysfunction evokes an excessive accumulation
of extracellular matrix (ECM), decreasing cardiac function and eventually leading
to death. It is known that extracellular vesicles (EVs) are deeply involved in the
communication of cardiomyocytes (CM) with surrounding cells, including fibroblasts.
Therefore, CM‐derived EVs may be a promising cell‐free system for fibrosis treatment.
Methods: We used a defined conjunct of chemicals by which mature CM culture was highly
improved to ensure a high collection of EVs. Terminal differentiation, as well as
senesce markers apparition, were delayed in comparison to the predetermined culture
medium without apparent malignant alteration. EVs were isolated by ultracentrifugation,
and their characteristics (particle number, membrane markers, and internalization)
were analyzed. Finally, their effect on fibrosis was tested.
Results: Chemically‐treated CM secreted a relatively large amount of EVs, which expressed
the common EV membrane markers. Interestingly, CM‐derived EVs were significantly more
internalized by cardiac fibroblasts in comparison to other corporal fibroblasts. Treatment
of EVs on TGF‐β‐activated cardiac fibroblasts showed a decrease of fibroblast activation
markers both at mRNA and protein levels. Furthermore, ECM secretion was also reduced.
Next‐generation sequencing (NGS) also showed a rescued phenotype by EV treatment at
the signaling pathway level. In accordance, the EV content was comprised of multiple
myocyte‐specific and antifibrotic‐related microRNAs, although their effect individually
was not as effective as the EV treatment. In addition, intracardiac injection of EVs
improved the cardiac function in an animal model of cardiac fibrosis.
Summary/Conclusion: Our findings indicate that, due to the antifibrotic effects and
the specificity of the EV cargo, the use of EVs derived from adult‐CM is a promising
treatment for cardiac fibrosis.
OT03.03
Size matters: functional differences of progenitor cell‐derived small extracellular
vesicle subpopulations
Simonides I. van de Wakker
1; Julia Bauzá‐Martinez2; Carla Rios Arceo3; Eduard F Willms4; Olivier G de Jong5;
Wei Wu6; Joost P.G. Sluijter1; Pieter Vader7
1Department of Experimental Cardiology, University Medical Center Utrecht, Utrecht
University, The Netherlands, Utrecht, Netherlands; 2Biomolecular Mass Spectrometry
and Proteomics, Bijvoet Center for Biomolecular Research and Utrecht Institute for
Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands, Utrecht, Netherlands;
3UMC Utrecht, Utrecht, Netherlands; 4La Trobe University, Melbourne, Australia; 5Utrecht
University, Utrecht, The Netherlands, Utrecht, Netherlands; 6Utrecht University, Utrecht,
Netherlands; 7CDL research, University Medical Center Utrecht, Utrecht, The Netherlands,
Utrecht, Netherlands
Introduction: The use of cardiac progenitor cell (CPC)‐derived small Extracellular
Vesicles (sEVs) has shown great potential to stimulate cardiac repair. Increasing
evidence indicates that sEVs present a heterogeneous population with distinct functions
and this represents a major challenge in the field. Studying sEV heterogeneity could
provide new insights into contributing therapeutic mechanisms underlying sEV‐mediated
cardiac repair.
Methods: CPC‐derived sEVs were purified by flow through chromatography followed by
size‐exclusion chromatography (SEC) or asymmetric flow field flow fractionation (A4F)
for fractionation of different sEV‐subfractions. sEVs were characterized using western
blot, nanoparticle tracking analysis, bicinchoninic acid protein assay, transmission
electron microscopy and mass spectrometry (MS). Functional differences were studied
using different cellular assays to determine AKT phosphorylation, wound healing, angiogenesis
and proteasome activity.
Results: SEC or A4F were used to separate distinct subpopulations of CPC‐derived sEVs
which were identified based on differential expression of common sEV markers. These
sEV subpopulations differed in size, appearance, proteomic composition and function.
MS analysis confirmed the differences in expression levels of classical sEV marker
proteins, as well as annexins, rab proteins, integrins, histones and proteasomal proteins.
Furthermore, differences in cellular components linked to their cellular origin were
found, as larger sEVs were linked to lysosomes and the plasma membrane and smaller
sEVs had more markers linked to the centrosome and cytosol. Exposure of recipient
endothelial cells to sEV subpopulations demonstrated clear functional differences.
Additionally, differences in proteolytic activity of the sEV subpopulations were identified.
Summary/Conclusion: SEC and AF4 allow for isolation and in‐depth study of the functional
heterogeneity of sEVs. In our study, we observed the existence of different subpopulations
based on size, with a different composition and biological function. Increased knowledge
of sEV heterogeneity will contribute to a better understanding of the mechanisms of
action of sEVs and will improve translation to the clinic and potentially an off‐the‐shelf
approach to stimulate cardiac repair.
Funding: This work is financially supported by the Van Herk Foundation and the ERC
EVICARE (725229)
OT03.04
Cardiomyocytes (CM) derived small Extracellular Vesicles (sEV) plays an important
role in heart development
Carolina Balbi
1; Davide Ceresa2; Concetta Schiano1; Paolo Malatesta2; Lucio Barile1; Giuseppe Vassalli1
1ICCT‐Ente Ospedaliero Cantonale, Bellinzona, Switzerland; 2IRCCS Ospedale Policlinico
San Martino., Genova, Italy
Introduction: Neonatal rats have the capacity to regenerate their hearts in response
to injury, but this potential is lost after the first week of life. Cardiac maturation
lays the foundation for postnatal heart development and disease, yet little is known
about the contributions of the microenvironment to cardiomyocyte maturation.
Extracellular vesicles (EV) are bilayer‐membrane nanoparticles released by all cell
types, carrying proteins, lipids, and nucleic acids, which reflect the activation
state of parental cells. Secreted small extracellular vesicles (sEV), prominently
figure among extracellular signals that regulate cell function.
Purpose: We aim to determine whether cardiomyocyte (CM) derived sEV carried miRNA
that has a role in heart development with specific regards to cardiomyocyte maturation.
Methods: sEV were isolated from rat cardiomyocyte at day 0 and 7 after birth by Size
Exclusion Chromatography and serial ultracentrifugation. sEV were characterized by
NTA and analyzed by Western blot for the presence of classical EV markers (TSG101,
Syntenin‐1). The role of sEV in cardiomyocyte proliferation was assesed by analysis
of EdU incorporation on neoantal rat CM treated with sEV_p0 or sEV_p7. miRNA content
on sEV was assesed using a rat‐miRNome MicroRNA Profiling Kit and the identified miRNA's
targets confirmed by RealTime‐PCR and Western Blot.
Results: NTA and Western Blot analysis confirmed the presence of sEV in both the extracellular
vesicles preparation. sEV_p0 showed to be able to sligtly increase EdU incorporation
in treated cardiomyocyte (1.15‐Fold) while sEV_p7 significantly inihibit CM proliferation
(0.78‐Fold) toghether with a change in cardiomyocyte citoscheletal architecture. Data
from miRNome analysis showed in sEV_p7 a significan increase in miRNA with cyclines
as tagets. Downregulation of Cdk1 ; Cdk4 ; Cdk2 ; CcnB1 and CcnD1 was confirmed on
CM trated with sEV_p7 compared to Ctrl. Downregulation of CCND1 was aslo confrmed
at the protein level by Western Blot analysis.
Summary/Conclusion: These preliminary resultes showed an important role in heart develompent
of cardiomyocyte derived‐sEV. A deeper investigation of the pathaway activated by
sEV may have a potential interest for the identification of possible regulators for
stimulating heart regeneration.
Funding: Schweizersche Herzstiftung ‐ FF21017
Fondazione Leonardo Lugano
OT03.05
Cardiac progenitor cell‐derived EVs skew human macrophages towards a pro‐inflammatory
phenotype
Margarida Viola
1; Pieter Vader2; Saskia C.A. de Jager3; Joost P.G. Sluijter4
1University Medical Center Utrecht, Utrecht, Netherlands; 2CDL research, University
Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands; 3Laboratory
of Experimental Cardiology, University Medical Center Utrecht, The Netherlands, Utrecht,
Netherlands; 4Department of Experimental Cardiology, University Medical Center Utrecht,
Utrecht University, The Netherlands, Utrecht, Netherlands
Introduction: Repair of damaged heart tissue upon myocardial infarction remains a
major challenge. Transplantation of cardiac progenitor cells (CPCs) has been studied
as a potential regenerative therapy, but recent studies have shown that the cardioprotective
effect of CPCs is mediated by the release of extracellular vesicles (EVs). The benefits
of CPC‐derived EVs have mostly been associated with stimulation of angiogenesis and
inhibition of cell death. Although macrophages have been suggested to be key for cardiac
repair, the effect of CPC‐EVs on macrophage polarization is poorly explored. Here,
we hypothesized that CPC‐derived EVs can modulate the inflammatory response after
myocardial infarction by interacting with macrophages.
Methods: EVs were isolated from serum‐starved CPCs by ultrafiltration followed by
size exclusion chromatography. Macrophages were stimulated with LPS + IFNy or with
IL4 in order to induce an inflammatory M1 and reparative M2 phenotype, respectively.
A third group of macrophages were cultured in media without LPS, IFNy or IL4 to resemble
naive M0 macrophages. The obtained macrophages were exposed to CPC‐EVs and analyzed
by flow cytometry, bulk RNA sequencing and confocal microscopy to assess macrophage
phenotype changes. Gene candidates were selected based on the p‐value and fold‐change,
and validated by RT‐PCR. Small molecule inhibitors were used to further investigate
the mechanism by which CPC‐EVs are taken up by macrophages and the pathways involved
in macrophage response.
Results: Stimulation of macrophages with CPC‐EVs enhanced the expression of the pro‐inflammatory
marker CD80, while slightly decreasing the anti‐inflammatory marker CD206, in M0 and
M2 macrophages. CPC‐EV‐stimulated macrophages also adopted a morphology that reflects
the inflammatory macrophage. In line with these findings, bulk RNA sequencing on M0
and M2 polarized macrophages revealed upregulation of genes involved in inflammatory
response, including cytokine and both type I and II interferon signaling. EV exposure
did not significantly affect gene expression in M1 polarized macrophages. Ongoing
investigations will provide in‐depth insight into the mechanism by which CPC‐EVs induce
this response in macrophages.
Summary/Conclusion: Our data suggests that CPC‐EVs are able to induce macrophage polarization
towards an inflammatory phenotype, which might have implications for CPC‐EV treatment
after myocardial infarction. This underlines an urgent need to understand the molecular
mechanisms underlying the immunomodulatory effect of CPC‐derived EVs before moving
into a clinical setting.
Funding: This research is supported by the European Research Council (ERC) consolidator
grant EVICARE (ERC‐2016‐COG‐725229).
OT03.06
Integrated omics for plasma extracellular vesicle diagnostics is influenced by the
isolation method in healthy volunteers and myocardial infarction patients
Daan Paget
1; Antonio Checa2; Raphael Heilig3; Mayooran Shanmuganathan4; Raman Dhaliwal5; Errin
Johnson5; Maléne Møller Jørgensen6; Oxford Acute Myocardial Infarction Study4; Rikke
Baek7; Craig E. Wheelock2; Keith M. Channon4; Roman Fischer3; Daniel C. Anthony8;
Robin P. Choudhury4; Naveed Akbar4
1University of Oxford, Oxford, United Kingdom; 2Department of Medical Biochemistry
and Biophysics, Karolinska Institutet, Stockholm, Sweden, Stockholm, Sweden; 3Target
Discovery Institute, Centre for Medicines Discovery, Nuffield Department of Medicine,
University of Oxford, Oxford, United Kingdom, Oxford, United Kingdom; 4Division of
Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford,
United Kingdom, Oxford, United Kingdom; 5Sir William Dunn School of Pathology, University
of Oxford, Oxford, United Kingdom, Oxford, United Kingdom; 6Department of Clinical
Immunology/Department of Clinical Medicine, Aalborg University Hospital, Aalborg,
Denmark, Aalborg, Denmark; 7Department of Clinical Immunology, Aalborg University
Hospital, Aalborg, Denmark, Aalborg, Denmark; 8Department of Pharmacology, University
of Oxford, Oxford, United Kingdom, Oxford, United Kingdom
Introduction: Plasma extracellular vesicle (EV) number and composition are altered
following myocardial infarction (MI) and offer potential as biomarkers. However, there
remains limited information on how plasma EV isolation methods influence plasma EV‐acquired
omics in patients. Here, we compared five different plasma EV isolation methods using
single and multi‐integrated omics.
Methods: Platelet‐poor plasma EV were isolated from healthy donors (N=4) and MI patients
(N=6) at presentation to hospital and 1‐month post‐AMI using: ultracentrifugation
(UC), precipitation, acoustic trapping, size‐exclusion chromatography (SEC) and immunoaffinity
capture using EV markers CD9, CD63, CD81 versus an IgG control. Isolated EV were characterised
by Nanoparticle Tracking Analysis, transmission electron microscopy, an EV‐protein
array, proteomics and sphingolipidomics (LC‐MS/MS).
Results: The isolation method influenced plasma EV number, size, protein concentration,
EV‐subpopulations, and proteomic and sphingolipid profiles. An integrated analysis
using hierarchical clustering showed that plasma EV isolated by UC, precipitation,
and SEC form distinct clusters, whereas acoustic trapping and immunoaffinity capture
cluster together. IgG beads were indistinguishable from CD9, CD63, and CD81 immunoaffinity
capture beads. MI patient plasma derived EV were significantly higher at time of presentation
versus 1‐month post‐MI when isolated with UC, precipitation and acoustic trapping
(1.4‐fold p=0.04, 2.1‐fold p=0.04 and 2.7‐fold p=0.02, respectively) but not with
SEC and immunoaffinity capture. The plasma EV concentration at time of presentation
was significantly associated with infarct size determined by MRI obtained at 6 months
post‐MI when isolated with UC (R2 = 0.89, p=0.02) but not with the other techniques.
Summary/Conclusion: Our data show that the choice of plasma EV isolation method influences
the omics‐acquired signature of plasma EV and impacts the ability to distinguish clinical
changes.
Funding: NA acknowledge support by research grants from the British Heart Foundation
(BHF) Centre of Research Excellence, Oxford (NA: RE/13/1/30181 and RE/18/3/34214)
and British Heart Foundation Project Grant (NA: PG/18/53/33895). DP is funded by the
Department of Pharmacology, the Alison Brading Memorial Fund Lady Margaret Hall, the
Clarendon Fund provided by the University of Oxford and the Medical Research Council
(MR/N013468/1).
All human investigations were conducted in accordance with the Declaration of Helsinki.
The Oxfordshire Research Ethics Committee (Ref: 08/H0603/41 and 11/SC/0397) approved
human clinical protocols. All healthy volunteers and AMI patients provided informed
written consent.
OT04: Optimization and Standardization of EV Analysis
Chair: Kenneth W. Witwer – Johns Hopkins University School of Medicine, Department
of Molecular and Comparative Pathobiology
Chair: Edwin van der Pol, Jr. – Department of Clinical Chemistry, Vesicle Observation
Center, Department of Biomedical Engineering and Physics, Amsterdam UMC, University
of Amsterdam, Amsterdam, the Netherlands
OT04.01
Efficient quantification of human cytomegalovirus and extracellular vesicles in cell
culture samples using flow nanoanalysis
Vladimir Bokun
1; Blair Strang2; Yan Liu1; Beth Holder1
1Imperial College London, London, United Kingdom; 2University of London, London, United
Kingdom
Introduction: Human cytomegalovirus (HCMV) is a ubiquitous herpesvirus with ability
to cause congenital infection and disease in the immunocompromised. HCMV infection
is accompanied by production of virally induced extracellular vesicles (EVs). These
particles are challenging to separate and quantify in cell supernatants. Therefore,
we designed a novel, flow nano‐analysis (FNA)‐based protocol for quantification of
HCMV virions and other non‐virion particles in cell culture media.
Methods: We utilized uninfected or HCMV‐infected human foreskin fibroblast cells to
generate conditioned culture media. Media samples were either clarified by a 10‐min
1,000xG centrifugation; concentrated by ultracentrifugation at 150,000xG onto 50%
iodixanol; or purified by size exclusion chromatography. We used fluorogenic nucleic
acid dyes SYTO13 or DRAQ5 to label nucleic acid in particles and examined them using
nanoFCM, a specialized nanoscale flow instrument designed for nanoparticle research.
Gating on populations of interest allowed determination of the particle concentration.
FNA data was compared to transmission electron microscopy (TEM) analysis of virion
size and viral copy number qPCR.
Results: Labelling particles with SYTO13 and DRAQ5 (separately) yielded a distinct
viral population which was gated for enumeration and sizing using concentration and
size standards. The highest reported virion concentration was 1.56x10^9 particles/ml,
while the highest reported non‐virion particle concentration was 1.88x10^10 particles/ml.
Enumeration of virions and non‐virion particles by FNA was consistent with qPCR analysis
of viral genome number. FNA enabled sizing with a higher throughput than TEM; however,
virion sizes were smaller compared to TEM (168.04nm vs 179.74nm).
Summary/Conclusion: Our results highlight FNA as a rapid and accurate tool for enumeration
and sizing of HCMV and EVs. This technique has potential to be used in analysis of
other viruses and their relationships with EVs.
Funding: This project is supported by Imperial College President's PhD scholarship
awarded to Vladimir Bokun; acquisition of nanoFCM instrument was supported by a Wellcome
Trust multi‐user equipment grant awarded to Dr Beth Holder and Dr Richard Kelwick.
OT04.02
Adapter dimers contamination in extracellular vesicles sRNA‐sequencing datasets result
in sequencing failure and batch effects
Joaquín J. Maqueda
1; Alberta Giovanazzi2; Mafalda Rocha3; Sara Rocha3; Joana Carvalho3; Marca H.M Wauben4;
Carla Oliveira5
1Bioinf2Bio, i3S, Sevilla, Spain; 2Department of Biomolecular Health Sciences, Faculty
of Veterinary Medicine, Utrecht University, Utrecht, Netherlands; 3i3S; IPATIMUP,
Porto, Portugal; 4Division of Cell Biology, Metabolism & Cancer, Department of Biomolecular
Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The
Netherlands, Utrecht, Netherlands; 5i3S; IPATIMUP; Department of Pathology, Faculty
of Medicine, University of Porto., Porto, Portugal
Introduction: Small RNAs (sRNA) carried by extracellular vesicles (EVs) modulate function
of recipient cells and are promising biomarkers in several contexts. EV‐sRNA profiling
with Next‐Generation Sequencing (NGS) often fails or delivers poor sequencing outcomes,
independently of reagents, platforms or pipelines used. Besides the financial loss,
this may be a major source of lack of reproducibility across similar studies. Herein,
we explored the output of pre‐sequencing quality control steps, in order to unveil
key points for quality control assessment that may predict poor sequencing outcomes
and batch effects, thus biasing biological results.
Methods: RNA isolation, library preparation and sequencing protocols used in three
independent EV‐sRNA experiments from human and mouse body fluids, respective generated
sequencing datasets and quality control outputs were analysed and compared. The level
of adapter dimer contamination and batch effects were analysed. Manatee algorithm,
Linux software, Bioanalyzer graphs, FastQC and in‐house R scripts were used for data
analysis. Peer‐reviewed EV‐sRNA published articles available in Gene Expression Omnibus
(GEO) were mined to identify successful EV‐sRNA sequencing workflows.
Results: In three independent sRNA‐seq experiments, the presence and height of a constant
peak in cDNA electropherograms from library preparation was correlated with the level
of adapter dimer contamination after sequencing (as high as 90% of the sequenced reads
in some instances), and confirmed by NGS FastQC analysis. The sRNA expression quantification
pipeline further exposed a tight correlation between adapter dimers contamination
and batch effects, which strongly biased sequencing results. A literature review confirmed
that there are EV transcriptomics experiments available which by preventing adapter
dimers contamination ensure the delivery of a large number of useful reads, with clear
benefit for sequencing data interpretation and reproducibility.
Summary/Conclusion: The current analysis identified the quality control steps that
are mandatory to improve EV‐sRNA sequencing experiments performance. Further, this
workflow allows monitoring quality parameters in a step‐by‐step manner, correct for
deviations in library preparations, and proceed to sequencing with a greater likelihood
of success. Additionally we provide compelling evidence that a major source of batch
effects in EV‐sRNA sequencing is adapter dimers contamination.
Funding: Funding: European Union's Horizon 2020 research and innovation programme
under the Marie Skłodowska‐Curie grant agreement No. 722148 and GenomePT (POCI‐01‐0145‐FEDER‐022184),
supported by COMPETE 2020/Portugal2020/ERDF/FCT
OT04.03
Adherence to minimal experimental requirements for defining extracellular vesicles
and their functions: what's new in 2022?
Rodolphe W. Poupardin
1; Liliia Paniushkina2; Martin Wolf1; Kenneth W. Witwer2; Dirk Strunk1
1Cell Therapy Institute, Spinal Cord Injury and Tissue Regeneration Center Salzburg
(SCI ‐ TReCS), Paracelsus Medical University (PMU), Salzburg, Austria, Salzburg, Austria;
2Johns Hopkins University School of Medicine, Department of Molecular and Comparative
Pathobiology, Baltimore, USA
Introduction: The fast growing extracellular vesicle (EV) research field was accompanied
by the evolution of guidelines regarding 'Minimal Information for Studies of Extracellular
Vesicles' (MISEV) in 2014, which were revised in 2018. Efforts to enhance interpretability
and comparability of results are of increasing importance for assuring and improving
EV research quality.
Methods: In this context, we conducted a systematic review using a text mining approach
to assess adherence to MISEV criteria by analyzing the methodology used for EV isolation
and characterization in 5,093 open‐access publications during 2012‐2020. This review
was now updated covering the latest 2021 manuscripts and non‐open access papers.
Results: Our analysis showed that the EV characterization improved significantly using
a higher number of methods and EV markers to assess both, quantity and quality of
EVs, in more recent years. Papers mentioning the MISEV criteria applied a higher number
of characterization methods. Interestingly, increased adherence to MISEV requirements
led to more frequent citations. These results will be compared with the latest 2021
data including current insights into most recent EV isolation and characterization
trends.
Summary/Conclusion: The analysis confirmed the positive impact of MISEV guidelines
on the EV research quality. Additional efforts will be required to improve proper
reporting of the methods used based on the new discoveries made in the field.
Funding: This work was supported in part by funding from the European Union's Horizon
2020 research and innovation program (grant agreement no. 733006 to Dirk Strunk),
by Land Salzburg IWB/EFRE 2014 ‐ 2020 P1812596 and WISS 2025 20102‐F1900731‐KZP EV‐TT
(to Dirk Strunk).
OT04.04
A new strategy to count and sort neutrophil‐derived extracellular vesicles: validation
in infectious disorders
Amandine Bonifay
1; Stéphane Robert1; Bélinda Champagne1; Paul‐Rémi Petit2; Aude Eugène2; Corinne Chareyre1;
Anne‐Claire Duchez1; Mélanie Vélier1; Shirley Fritz2; Loris Vallier1; Romaric Lacroix1;
Françoise Dignat‐George1
1Aix‐Marseille University, C2VN, INSERM 1263, INRA 1260, Marseille, France, Marseille,
France; 2Department of Hematology and Vascular Biology, CHU La Conception, APHM, Marseille,
France, Marseille, France
Introduction: Newly recognized polymorphonuclear neutrophil (PMNs) functions include
the ability to release subcellular mediators such as neutrophil‐derived extracellular
vesicles (NDEVs) involved in immune and thrombo‐inflammatory responses. Elevation
of their plasmatic level has been reported in a variety of infectious and cardiovascular
disorders, but the clinical use of this potential biomarker is hampered by methodological
issues. Although flow cytometry (FCM) is currently used to detect NDEVs in the plasma
of patients, an extensive characterization of NDEVs has never been done. Moreover,
their detection remains challenging because of their small size and low antigen density.
Therefore, the objective of the present study was first to establish a surface antigenic
signature of NDEVs detectable by FCM and therefore to improve their detection in biological
fluids by developing a strategy allowing to overcome their low fluorescent signal
and reduce the background noise.
Methods: A large panel of monoclonal antibodies (54 specificities) was tested on purified
NDEVs generated from human circulating PMNs by reference to monocyte and lymphocyte
EV. Size exclusion chromatography (SEC), antibody combination and fluo‐sensitive FCM
were used to increase separation index (SI) in FCM between background noise and specific
labeling. The new combined strategy was used for Jet‐in‐Air NDEV selective sorting
from plasma of sepsis patients.
Results: Among the 54 antibody specificities already reported to be positive on PMNs,
we identified a profile of 15 membrane protein markers, including 4 (CD157, CD24,
CD65 and CD66c) never described on NDEVs. Among them, CD15, CD66b and CD66c were identified
as the most sensitive and specific markers to detect NDEVs by FCM. Using this antigenic
signature, we developed a new strategy combining the three best antibodies in a cocktail
and reducing the background noise by size exclusion chromatography. This strategy
allowed a significant improvement in NDEVs enumeration in plasma from sepsis patients
and made it feasible to efficiently sort NDEVs from COVID‐19 patients.
Summary/Conclusion: Altogether, this work opens the door to a more valuable measurement
of NDEVs as a potential biomarker in clinical practice. A similar strategy could also
be applied to improve detection by FCM of other rare subpopulations of EVs generated
by tissues with limited access, such as vascular endothelium, cancer cells or placenta.
OT04.05
Off‐the‐shelf, stable biological test samples to validate calibration procedures for
extracellular vesicle measurements
Britta A. Bettin
1; Chi Hau2; Edwin van der Pol1; Rienk Nieuwland3
1Department of Clinical Chemistry, Vesicle Observation Center, Department of Biomedical
Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands,
Amsterdam, Netherlands; 2Department of Clinical Chemistry; Vesicle Observation Center,
Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands;
3Department of Clinical Chemistry; Vesicle Observation Center; Amsterdam University
Medical Center, University of Amsterdam, Amsterdam, Netherlands
Introduction: Concentrations of extracellular vesicles (EVs) in body fluids are being
explored as disease biomarkers. To measure EV concentrations, most laboratories use
flow cytometers (FCMs), but concentrations are incomparable between FCMs. To improve
comparability, the METVES II consortium develops reference materials and methods to
calibrate FCMs, which require validation by test samples containing EVs. To minimize
variation introduced by the test samples itself, we developed off‐the‐shelf, stable
and flow cytometry compatible plasma‐derived EV test samples (PEVTES).
Methods: Plasma was collected and prepared from healthy donors and pooled. EVs were
double‐labeled with CD61‐APC and CD235a‐PE or lactadherin‐FITC, isolated by size‐exclusion
chromatography to reduce swarm detection, diluted in cryopreservation agent (trehalose),
frozen in liquid nitrogen, and stored at 80°C. After thawing the EV concentrations
were measured directly, and after 1, 3, 6, and 12 months, on a calibrated FCM (Apogee
A60‐Micro).
Results: Compared to the fresh starting material, the concentration of CD61+ (platelet)
and CD235a+ (erythrocyte) EVs decreased 10% (p=0.74, p=0.34), and 30% for lactadherin+
EVs (p=0.01) after 1 month. After 12 months of storage, the concentration of CD61+
EVs decreased 36% (p=0.07) compared to 1 month of storage, but the concentration of
CD235a+ and lactadherin+ EVs were stable (p=0.76, p=0.95).
Summary/Conclusion: PEVTES can be stably stored in trehalose for up to 12 months at
‐80°C. The PEVTES will be key to validate newly developed reference materials and
methods in a global comparison study involving 25 laboratories. Furthermore, the PEVTES
can be used as a quality control sample for EV flow cytometry measurements.
OT04.06
Presence and removal of platelets from human blood plasma to improve the quality of
extracellular vesicle research
Britta A. Bettin
1; Aleksandra Gasecka2; Bo Li3; Bert Dhondt4; An Hendrix5; Edwin van der Pol1; Rienk
Nieuwland6
1Department of Clinical Chemistry, Vesicle Observation Center, Department of Biomedical
Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands,
Amsterdam, Netherlands; 2Department of Clinical Chemistry, Vesicle Observation Center,
Department of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam,
Amsterdam, the Netherlands; 1st Chair and Department of Cardiology, Medical University
of Warsaw, Warsaw, Poland, Warsaw, Poland; 3Department of Clinical Chemistry, Vesicle
Observation Center, Department of Biomedical Engineering and Physics, Amsterdam UMC,
University of Amsterdam, Amsterdam, the Netherlands; Nanfang Hospital, Southern Medical
University, Guangzhou, Guangdong, China, Guangzhou, China (People's Republic); 4Department
of Urology, Ghent University Hospital, Ghent, Belgium; Laboratory of Experimental
Cancer Research, Department of Human Structure and Repair, Ghent University, Ghent,
Belgium; Cancer Research Institute, Ghent, Belgium, Ghent, Belgium; 5Department of
Urology, Ghent University Hospital, Ghent, Belgium; Laboratory of Experimental Cancer
Research, Department of Human Structure and Repair, Ghent University, Ghent, Belgium;
Cancer Research Institute, Ghent, Belgium, Ghent, Belgium; 6Department of Clinical
Chemistry; Vesicle Observation Center; Amsterdam University Medical Center, University
of Amsterdam, Amsterdam, Netherlands
Introduction: Human blood plasma is the most widely studied body fluid for extracellular
vesicle (EV) research. To prepare plasma as a starting material for EV research, blood
is centrifuged to remove cells, including platelets. Removing all platelets by centrifugation
is impossible, and because platelets cannot be separated from EVs during isolation,
platelets are a confounder of plasma EV analysis. Our goal was to investigate how
effectively platelets are removed by centrifugation, and whether truly platelet‐free
plasma can be prepared.
Methods: Plasma was prepared in three laboratories according to the International
Society on Thrombosis and Haemostasis protocol (2x 15 minutes, 2,500 g, 20°C). Platelets
and platelet‐derived EVs were stained with CD61 and measured with a calibrated flow
cytometer (Apogee A60‐Micro / BD FACS Canto II) directly (one study) or after freeze‐thawing
(two studies). A polycarbonate filter with a pore size of 0.8 μm was tested to remove
platelets.
Results: The mean platelet concentration differed over 60‐fold between laboratories.
The concentration of platelets and platelet‐derived EVs showed a linear correlation
(R2=0.56). Moreover, filtration reduced the platelet concentration 146‐fold compared
to double centrifugation (p=0.0006), without affecting platelet‐derived EVs.
Summary/Conclusion: All plasma samples contained platelets, but the platelet concentration
differed strongly between laboratories. The correlation between concentration of platelets
and platelet‐derived EVs suggests platelet fragmentation during a freeze‐thaw cycle,
thus producing fragments likely to be indistinguishable from real platelet‐derived
EVs. To improve the reproducibility of plasma EV research, we recommend to remove
platelets by centrifugation and filtration, and/or to report the concentration of
platelets in plasma samples.
OT05: EVs in Immunity and Inflammation
Chair: Steffi Bosch – IECM, Oniris, INRAE, USC1383, Nantes, France
OT05.01
Acute joint inflammation induces a sharp increase in EV release and modifies the phospholipid
profile of synovial fluid‐derived EVs
Laura Varela
1; Marca H.M Wauben2; Chris van de Lest1; René van Weeren1; Ger Arkesteijn3; Janneke
Boere4
1Division of Equine Sciences, Department of Clinical Sciences, Faculty of Veterinary
Medicine, Utrecht University, Utrecht, The Netherlands, Utrecht, Netherlands; 2Division
of Cell Biology, Metabolism & Cancer, Department of Biomolecular Health Sciences,
Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands, Utrecht,
Netherlands; 3Division of Infectious Diseases and Immunology, Department of Biomolecular
Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The
Netherlands, Utrecht, Netherlands; 4Lygature, Utrecht, Netherlands, Utrecht, Netherlands
Introduction: Inflammation is the trademark of most joint disorders. How the induction,
perpetuation, and resolution of joint inflammation is regulated is not fully clear.
Since extracellular vesicles (EVs) are critical for intercellular communication, we
aim to unveil their role in these processes. Here, we investigated EVs' kinetics and
phospholipidome profile from synovial fluid (SF) of healthy equine joints and horses
with lipopolysaccharide (LPS) induced synovitis. This disease model has an acute inflammation
phase at 5‐8h post‐induction followed by a resolution stage starting at approximately
24h. We analyzed the amount of EVs and the biomembrane‐derived non‐neutral lipids
(glycerophospholipids and sphingolipids).
Methods: SF was collected at 0h, followed by synovitis induction with an injection
of LPS. Subsequently, SF was harvested at 5, 24, and 48h. EVs were isolated by differential
ultracentrifugation followed by density gradient‐ultracentrifugation. Single EV analysis
was performed with flow cytometry. Lipids were analyzed by high‐resolution mass spectrometry.
Data were processed using R packages and GraphPad.
Results: LPS exposure triggers a rapid increase of SF‐EVs at 5‐8h, which starts to
return to healthy baseline levels at 24h. We reproducibly detected over 150 lipid
species within 9 lipid classes in purified SF‐EVs. Importantly, we identified major
changes in the lipid profile of EVs during the inflammatory stage (5 and 24h). Compared
to healthy SF‐EVs (0h), SF‐EVs collected at 5, 24, and 48h showed an increase in hexosylceramides
(HexCer), which are associated with inflammation in rheumatoid arthritis. In contrast,
the lipid composition of 5h and 24h SF‐EVs was depleted in phosphatidylserine, phosphatidylcholine,
and sphingomyelin. Based on identified specific lipid markers, we composed lipid profiles
associated with healthy and inflammatory state‐derived SF‐EVs.
Summary/Conclusion: An inflammatory stimulus leading to acute synovitis results in
a sharp increase in SF‐EVs with an altered phospholipid bilayer composition compared
to steady‐state SF‐EVs. The correlation of specific lipids with either healthy or
inflammatory state‐derived SF‐EVs is of potential interest for biomarker profiling
and unveiling the role of lipids in EV function.
Funding: EU's H2020 research and innovation program, Marie S. Curie COFUND RESCUE
grant agreement № 801540.
OT05.03
Serial immunocapture of P2Y12+/TMEM119+ microglia derived extracellular vesicles reveals
distinct activation states in normal and inflamed neonatal mouse brain
George Biouss; Lina Antounians; Agostino Pierro; Augusto Zani
The Hospital for Sick Children, Toronto, Canada
Introduction: Microglia are brain resident macrophages that once activated by neuroinflammatory
signals undergo changes in morphology and surface marker expression. Little is known
about microglia‐derived extracellular vesicles (M‐EVs) in the neonatal brain during
sepsis. Herein, we separated and characterized M‐EVs in a neonatal sepsis model and
evaluated their neuroinflammatory cargo.
Methods: Animals: Brains of 9‐day‐old C57BL/6 mice were harvested from normal pups
or pups with sepsis and brain neuroinflammation confirmed by high expression of inflammatory
markers IL1β and NLRP3 (WB), and high density of ameboid IBA1+ microglia (immunofluorescence).
M‐EVs: Brains were minced, digested with dispase, differentially centrifuged, and
filtered (300g/1200g/100,000g). M‐EVs were enriched by serial immunocapture of canonical
microglia receptors with a biotin‐streptavidin platform:
‐ EVs were incubated with P2Y12 antibody and biotin‐tagged secondary antibody
‐ Streptavidin coated agarose beads were added
‐ After washes, P2Y12+EVs were released by acid catalysis
‐ Incubation steps were repeated using TMEM119 antibody, and P2Y12+/TMEM119+ EVs were
separated.
M‐EVs were assessed for size (NTA), morphology (TEM), and CD63, TSG101, Histone‐H3,
IL1β and NLRP3 protein expression (WB). Immunogold labelling was performed to confirm
capture of P2Y12+/ TMEM119+ M‐EVs (TEM).
Results: M‐EVs from control and inflamed brains had similar size distribution and
were CD63+/TSG101+ and Histone‐H3‐. Immunogold labeling showed P2Y12 and TMEM119 localization
on the M‐EV extracellular domain. M‐EVs from inflamed brains had higher P2Y12 (p=0.03),
NLRP3 (p=0.002) and IL1β (p=0.03), and lower TMEM119 (p=0.03) protein levels compared
to control M‐EVs.
Summary/Conclusion: Our method was effective in separating M‐EVs from normal and inflamed
neonatal brains. In an experimental model of neonatal sepsis, M‐EVs have a different
signature during neuroinflammation.
Funding: SickKids Foundation
OT05.04
Extracellular vesicles from antigen‐presenting cells stimulate activated T cells in
an antigen‐dependent manner in vivo
Jan Kranich
1; Lisa Rausch1; Ashretha Latha1; Christine Ried1; Anne Trefzer2; Veit Buchholz3;
Reinhard Obst1; Tobias Straub4; Thomas Brocker1
1Institute for Immunology, LMU Munich, Planegg‐Martinsried, Germany; 2Roche, Zurich,
Zurich, Switzerland; 3TU Munich, München, Germany; 4BioMedical Center, LMU Munich,
Planegg‐Martinsried, Germany
Introduction: To facilitate the analysis of naturally occurring extracellular vesicles
(EVs) and their interactions partners, we have developed Ca2+‐independent phosphatidylserine
binding reagents based on MFG‐E8. These reagents allow us to analyze PS+ EVs and their
target cells in vitro and in vivo using imaging flow cytometry and deep learning‐assisted
image interpretation. Using this method, we showed that APC‐derived exosomes interact
with activated cytotoxic T cells during acute LCMV infections of mice (Kranich, JEV,
2020). Furthermore, the binding of PS+ platelet‐derived microparticles to activated
T cells strongly correlates with disease severity in COVID‐19 patients (Rausch JEV,
2021). Next, we wanted to investigate if and how EVs influence T cells.
Methods: To investigate the influence of PS+ EVs on T cell activation and differentiation,
we stained T cells carrying PS+ EVs in vivo by injecting MFG‐E8‐eGFP into LCMV‐infected
mice. We then FACS‐sorted activated EV‐ and EV+ CD8 T cells and performed RNAseq analysis.
Furthermore, we transferred EVs purified by gradient ultracentrifugation produced
by ovalbumin‐pulsed activated bone‐marrow‐derived dendritic cells (BMDCs) into mice
that had received T cell receptor (TCR)‐transgenic ovalbumin‐specific and control
T cells. To exclude the possibility that dendritic cells take up EVs and present their
peptides to cognate T cells, we used H2‐Kbm1mice as hosts that cannot present the
specific ovalbumin peptide. We then monitored translocation of nuclear factor of activated
T cells (NFATc1) to the nucleus as a readout for TCR stimulation.
Results: EV‐binding of T cells in LCMV‐infected mice was highest during the effector
phase of the T cell response and then rapidly declined. RNAseq analysis of EV+ T cells
from LCMV‐infected mice revealed increased expression of effector cell associated
genes.
After transfer of BMDC‐derived EVs, we found that transferred ovalbumin‐specific but
not unspecific EV+ T cells showed significantly increased nuclear factor of activated
T cells (NFATc1) translocation to the nucleus.
Summary/Conclusion: NFAT‐translocation to the nucleus is downstream of the T cell
receptor–calcium‐calcineurin signaling pathway and a prerequisite for expressing a
panel of genes required for T cell activation. Therefore, our results demonstrate
that activated T cells receive antigen‐specific stimulatory signals from EVs, which
play an essential role during viral T cell responses by increasing T cell effector
function.
Funding: Deutsche Forschungsgemeinschaft CRC 1054 (TP B03, grant no. 210592381)
OT05.05
Extracellular environment determines the effect of the neutrophil granulocytes derived
extracellular vesicles
Viktória Szeifert
1; Ferenc Kolonics2; Delaram Khamari3; Pál Vági4; László Barna4; Erzsébet Ligeti2;
Ákos M. Lőrincz5
1Semmelweis University, Department of Physiology, Budapest, Hungary; 2Department of
Physiology, Semmelweis University, Budapest, Hungary; 3Department of Genetics, Cell‐
and Immunbiology, Semmelweis University, Budapest, Hungary; 4Nikon Center of Excellence,
Institute of Experimental Medicine, Hungarian Academy of Sciences, Budapest, Hungary;
5Department of Physiology, Semmelweis University; Second Department of Internal Medicine,
Szent György Hospital, Budapest, Hungary
Introduction: Previously, our group characterized different type of extracellular
vesicle (EV) released from neutrophilic granulocytes (PMN). The three characterized
populations are the EVs formed spontaneously (spEV), during apoptosis (apoEV) and
upon activation with opsonized particles (aEV). The aEVs show rather pro‐inflammatory
effect on resting neutrophils and antibacterial effect on bacteria and fungi, while
the sEVs tend to mediate anti‐infammatory effects. We also found that the Mac‐1 integrin
receptor is crucial for the aEV formation. We aimed to examine how the selective activation
of the Mac‐1 and the calcium signal affect the production of neutrophils EV.
Methods: We isolated medium sized PMN EVs from peripheral human blood neutrophils
by two‐step centrifugation and gravitational filtration validated by size exclusion
chromatography. We characterized the EVs by flow cytometry, Bradford protein assay,
NTA and TEM. We tested the effect of Ca‐ionophore and examined the EV production on
C3bi and fibrinogen surface and in soluble form. We examined their effect on bacterial
survival, and we measured the ROS and cytokine production of PMNs and monocytes after
3 hours co‐incubation with the EVs. We also followed the cluster formation of Mac‐1
by TIRF microscopy.
Results: EV yield was higher with differential centrifugation than with SEC. On C3bi
coated surface, we observed an increased EV production, these EVs possessed antibacterial
capacity. However, in soluble condition C3bi did not induce EV production. We found
that Ca‐ionophore initiated EV formation, but these EVs were ineffective in functional
tests. We observed EV production increase after Ca‐ionofore treatment both in the
presence and in the absence of extracellular Ca. SpEV and apoEV treatment inhibited
the ROS and IL‐8 production of phagocytes, however aEVs increased the ROS and IL‐8
production.
Summary/Conclusion: The Ca‐signal is crucial, but not sufficient alone in the generation
of aEVs. The selective Mac‐1 activation and receptor clustering is not just crucial,
but sufficient in initiation of the aEV biogenesis that show a completely different
biological activity on other cells than spEV or apoEV. This observation suggests that
neutrophils are able to change their EV production according to the environmental
conditions detected by their receptors.
Funding: EFOP‐3.6.3‐VEKOP‐16‐2017‐00009, NKFIH FK 137770, MOLORKIV TKP2021‐EGA‐24,
János Bolyai Research Scholarship of the Hungarian Academy of Sciences, and the ÚNKP‐21‐3
New National Excellence Program of the Ministry for Innovation and Technology from
the source of the National Research, Development and Innovation Fund.
OT05.06
Extracellular vesicles from M1 and M2 primary macrophages have distinct non‐coding
RNA cargo; functional implications
Paschalia Pantazi
1; Toby Clements1; Morten Venø2; Vikki Abrahams3; Beth Holder1
1Imperial College London, London, United Kingdom; 2Omiics, Aarhus, Denmark; 3Yale
University School of Medicine, New Heaven, USA
Introduction: Macrophages are professional antigen‐presenting cells involved in defence
against pathogens, wound healing, and regulation of other immune cells. They are often
classified into M1 ‘classical’ and M2 ‘alternatively‐activated’ macrophages. M1 macrophages
have been linked with inflammation‐associated pathologies, whereas a switch towards
an M2 phenotype indicates resolution of inflammation and tissue regeneration. Given
the limited number and inaccessibility of extracellular vesicles (EVs) from healthy
tissues, and the requirement for large numbers of cells to generate sufficient EVs
in vitro, comprehensive unbiased information on primary macrophage EV cargo is lacking.
Here, we provide a first insight into the complete small RNA cargo of human macrophage
M1/M2 EVs.
Methods: Monocyte‐derived macrophages were polarised into M1 (GM‐CSF+LPS+IFNγ) or
M2 (M‐CSF+IL‐4+IL‐13) and EVs isolated by size exclusion chromatography. EVs were
characterised by nanoparticle tracking analysis, electron microscopy, and ELISA. EV
RNA samples were prepared for small RNA sequencing using Qiagen's GIAseq small RNA
Library Prep kit and sequenced on an Illumina NextSeq500. Functional enrichment analysis
was performed using MIENTURNET, based on validated miR‐target interactions from miRTarBase.
Results: Many types of small non‐coding RNAs were found in EVs from M1/M2 macrophages
including miRNAs, isomiRs, tRNA fragments, piRNA, snRNA, snoRNA and yRNA fragments.
Distinct differences were observed between M1 and M2 EVs, with higher relative abundance
of miRNAs, and lower abundance of tRNA fragments in M1 EVs compared to M2 EVs. 66
tRNAs were significantly different between M1 and M2 EVs. 72 miRNAs were significantly
different between EVs from M1 and M2 cells, including the miR‐99b/let‐7e/mir‐125a
cluster in M1 EVs, which is involved in regulating cellular proliferation, invasion,
and migration. miRNA‐target enrichment analysis identified several gene targets involved
in gene expression and metabolic processes.
Summary/Conclusion: M1 and M2 cells release EVs with distinct tRNA and miRNA cargo,
which have the potential to contribute to the unique effect of these cell subsets
on their microenvironment.
Funding: Research reported in this publication was supported by the National Institute
for Child Health (NICHD) of the National Institutes of Health under award number R01HD093801.
OT06: Mitochondrial Dysfunction or EV Transportation Mitochondria Components
Chair: Juan M. Falcon‐Perez – Center for Cooperative Research in Biosciences (CIC
bioGUNE), Basque Research and Technology Alliance (BRTA), Exosomes Laboratory, 48160
Derio, Spain
Chair: Efrat Levy – Nathan S. Kline Institute for Psychiatric Research
OT06.01
Cocaine stimulates brain mitovesicle secretion and alters mitovesicle cargo in a sex‐dependent
fashion
Efrat Levy; Pasquale D'Acunzo
Nathan S. Kline Institute for Psychiatric Research, New York, USA
Introduction: Cocaine effects on the brain are complex and include alterations of
mitochondrial activity and buildup of reactive oxygen species (ROS). We previously
demonstrated that mitochondrial ROS enhance the release of a newly identified type
of extracellular vesicles (EVs) of mitochondrial origin that we named mitovesicles.
Thus, we hypothesized that cocaine addiction perturbs mitovesicle homeostasis, including
in the brain of chronically cocaine‐administered mice.
Methods: 2.5‐month‐old C57BL/6J mice were injected daily for two weeks with either
cocaine or saline. EVs were isolated from the right hemibrains using a high‐resolution
iodixanol gradient. Mitovesicles, enriched in the densest fraction of the gradient,
were analyzed by electron microscopy, NTA, total protein content, and western blotting.
Protein expression was studied in the left hemibrains by western blotting. Male and
female mice were included in the study as separated cohorts.
Results: The number of mitovesicles, demonstrated by NTA and protein content, was
higher in the brain of cocaine treated mice when compared to saline‐injected controls,
regardless of the sex. Consistently, mitochondrial fragmentation was higher in cocaine‐injected
mice compared to controls in both sexes, as revealed by Western blot analysis of Drp1,
master regulator of mitochondrial fission, in brain homogenates. However, while the
amount of COX‐IV was also higher in mitovesicle of cocaine‐treated mice of both sexes,
the level of the dopamine‐degrading enzyme MAO was lower in mitovesicles from male
but not female brains.
Summary/Conclusion: Mitovesicles are a previously unidentified player altered by cocaine
in the brain. Sex‐specific perturbations in mitovesicle cargo may be responsible,
at least in part, for the sex‐specific behavioral differences described in addicted
human subjects.
Funding: Supported by NIH (DA044489).
OT06.02
High mitochondrial DNA (mtDNA) diversity in plasma extracellular vesicles from colorectal
cancer patients
Tonje Bjørnetrø
1; Paula A Bousquet1; Kathrine Røe Redalen2; Anne‐Marie Siebke Trøseid3; Torben Lüders4;
Christin Johansen1; Espen Stang5; Anniken Jørlo Fuglestad6; Christian Kersten1; Sebastian
Meltzer1; Anne Hansen Ree1
1Department of Oncology, Akershus University Hospital, Lørenskog, Norway, Lørenskog,
Norway; 2Department of Physics, Norwegian University of Science and Technology, Trondheim,
Norway, Trondheim, Norway; 3The Blood Cell Research Group, Department of Biochemistry,
Oslo University Hospital Ullevaal, Oslo, Norway, Oslo, Norway; 4Department of Clinical
Molecular Biology, Akershus University Hospital, Lørenskog, Norway, Lørenskog, Norway;
5Department of Pathology, Oslo University Hospital Rikshospitalet, Oslo, Norway, Oslo,
Norway; 6Department of Research, Southern Hospital Trust, Kristiansand, Norway, Kristiansand,
Norway
Introduction: Extracellular vesicles (EVs) serve as a communication system between
various cell types but also expel cellular waste. Recent reports have demonstrated
that the entire mitochondrial genome can be encapsulated and secreted in EVs. The
biological attributes of secreted cell‐free mtDNA still remain insufficiently understood.
We compared mtDNA from various blood compartments, including EVs, and tumor tissue
from colorectal cancer (CRC) patients by next‐generation sequencing.
Methods: Plasma EVs were isolated by size exclusion chromatography and characterized
with transmission electron microcopy, nanoparticle‐tracking analysis, and western
blot (expression of CD9, CD63, ALIX, GM130, and APOA1). We compared the mtDNA in EVs
with that in whole blood (WB), peripheral blood mononuclear cells (PBMCs), and formalin‐fixed
paraffin‐embedded (FFPE) tumor tissue from eight rectal cancer patients. mtDNA was
enriched by applying two different PCR approaches with either multiple (for FFPE tumor)
or only two (for EVs, WB, and PBMCs) primer sets prior to sequencing. WB‐ and fresh‐frozen
(FF) tumor mtDNA from eight colon cancer patients was sequenced as controls for the
two PCR primer approaches. mtDNA sequence mapping and variant analyses were done using
the revised Cambridge Reference Sequence and the HaploGrep2‐ and Variant Effect Predictor
softwares.
Results: EV mtDNA presented twice as many variants with significantly more heteroplasmy
(mutant mtDNA copies mixed with wild‐type copies) than mtDNA from WB and PBMCs. The
proportion of EV mtDNA variants that were non‐synonymous (i.e., estimated to affect
the mitochondrial function) was significantly higher than in WB. FFPE tumors showed
a manyfold increase in detected mtDNA variants, which was not observed for FF tumors.
Summary/Conclusion: The EV mtDNA exhibited higher diversity than in the other blood
compartments, with a higher degree of heteroplasmy and more variants with impact on
the mitochondrial function.
OT06.03
Can extracellular vesicles detect oxidative stress and mitochondrial dysfunction in
Parkinson's disease?
Adityas Purnianto
1; Leah C. Beauchamp1; Eleanor C. Saunders2; David P. De Souza3; Catriona A. McLean4;
Ashley I. Bush5; David I. Finkelstein6; Kevin J. Barnham6; Laura J. Vella6
1The Florey Institute of Neuroscience and Mental Health, The University of Melbourne,
Parkville, VIC, Australia, Parkville, Australia; 2The Department of Biochemistry and
Molecular Biology, The University of Melbourne, Parkville, VIC, Australia, Parkville,
Australia; 3Metabolomics Australia, Parkville, VIC, Australia, Parkville, Australia;
4Department of Anatomical Pathology, Alfred Hospital, Melbourne, VIC, Australia, Melbourne,
Australia; 5The Florey Institute of Neuroscience and Mental Health, The University
of Melbourne, Parkville, Australia, Parkville, Australia; 6The Florey Institute of
Neuroscience and Mental Health, The University of Melbourne, Parkville, Australia,
Melbourne, Australia
Introduction: Oxidative stress and mitochondrial dysfunction occur in the prodromal
stage of Parkinson's disease (PD) which precedes motor symptoms manifestation by 10‐20
years. Evidence in other diseases, such as inflammation and cancer, suggests that
oxidative stress alters the composition and function of EVs. Hence, we investigated
EVs as potential source of biomarkers of oxidative stress and mitochondrial dysfunction
in PD.
Methods: SH‐SY5Y cells were treated with low dose rotenone (mitochondrial complex
I inhibitor) to induce oxidative stress and mitochondrial dysfunction while maintaining
cell viability, then small EVs (sEVs) were isolated using size exclusion chromatography.
Density gradient ultracentrifugation was used to isolate sEVs from human frontal cortex.
Immunoblot and electron micrograph were used for validation. Oxidative stress‐related
contents were measured with immunoblot, proteomics and untargeted metabolomics.
Results: Subtle mitochondrial dysfunction and oxidative stress caused by low dose
rotenone treatment significantly increased the level of a mitochondrial outer membrane
protein and protein post‐translational modifications in sEVs. These changes were more
pronounced in sEVs than in the parental cells and were not observed in non‐mitochondrial‐related
oxidative stress inducers, implying a phenomenon that is highly sensitive and specific
to oxidative stress with a mitochondrial origin. Similar trends were observed in the
sEVs from frontal cortex of human subjects with PD. To verify these changes, we are
examining these components in sEVs from murine models of PD and human caudate and
putamen brain tissue.
Summary/Conclusion: This study shows that sEVs are a sensitive reporter of oxidative
stress and mitochondrial dysfunction in PD. Hence, sEVs, which are present in plasma,
are candidate biomarkers of PD, particularly for early stage disease where biomarkers
are currently lacking and can be used as a tool to study the early neuropathological
changes that occur in the prodromal stages of the disease.
OT06.04
Extracellular vesicles express unique characteristics in sickle cell disease, according
to the mode of vesiculation : A phenotypical and functional analysis
Salwa Abid1; Dominique Charue1; Marie Lê Hoang1; Jean‐Michel Guigner2; Florent Dingli3;
Damarys Loew3; Dominique Helley4; Jean‐Benoît Arlet5; Francois Lionnet6; Sylvain Le
Jeune7; Olivier P. BLANC‐BRUDE
8
1Paris Center for Cardiovascular Research, Institut National de la Santé et de la
Recherche Médicale U970, Université de Paris, France, Paris, France; 2Institut de
Minéralogie, de Physique des Matériaux et de Cosmochimie, IRD ‐ CNRS UMR 7590 ‐ MNHN,
Sorbonne Université, Paris, France, P, France; 3Institut Curie, PSL Research University,
LSMP ‐ Curie CoreTech Mass Spectrometry Proteomics, Paris, France; 4Service d'Hématologie
Biologique, AP‐HP, Hôpital Européen Georges Pompidou, Paris, France, Paris, France;
5Service de Médecine Interne, AP‐HP, Hôpital Européen Georges Pompidou, Paris, France,
Paris, France; 6Service de Médecine Interne, AP‐HP, Hôpital Tenon, Paris, France,
Paris, France; 7Service de Médecine Interne et d'Hypertension Artérielle, AP‐HP, Hôpital
Avicenne, Bobigny, France, Paris, France; 8Paris Center for Cardiovascular Research,
Institut National de la Santé et de la Recherche Médicale U970, Université de Paris
Cité, France, Paris, France
Introduction: Chronic hemolytic anemia like Sickle cell disease (SCD) is associated
to extracellular vesicle (EV) shedding into the circulation. EV from red blood cells
(RBC) can interact with the endothelium and alter vascular function, or activate inflammatory
cells, fostering vaso‐occlusions. Vesiculation occurs during intravascular hemolysis,
with RBC remodeling and phospholipid shuffling. EV express phosphatidylserine (PS)
at their surface and carry hemoglobin and heme, which are toxic for blood vessels.
However, we ignore whether EV differ only in quantity in SCD, or if EV display specificities.
We compared EV shed by healthy and SCD RBC in vitro, to plasma EV.
Methods: We collected blood from SCD patients (stables) and controls. We purified
RBC and saved plasmas. We stimulated RBC vesiculation in vitro by Ca2+ influx (EV‐Ca2+),
or shear stress (EV‐shear). We characterized the phenotypes and functions of the EV
produced, by cryogenic transmission electron microscopy, nanoparticle tracking (NTA),
proteomic mass spectrometry, FACS, absorbance spectra, or with cardiolipin probes.
We measured their activity in a test based on charged phospholipid availability (PS,
cardiolipin): Thrombin activation in a modified CAT assay.
Results: In SCD, circulating EV displayed a reduced size, submembrane deposits and
secondary membrane inclusions like organelle fragments. We noted the presence of cardiolipin,
a charged phospholipid of mitochondriae. In vitro, SCD RBC stressed by shear or Ca2+
influx shed more EV than control RBC SCD RBC EV were similar to circulating EV : Reduced
size. EV‐Ca2+ were rich in submembrane deposits, and EV‐shear had more secondary inclusions.
Hence, the EV phenotype depended on stimulus as much as parent RBC. Hb leaked out
of stressed RBC, but mainly out of EV, with either type of stimulus. Only a fraction
remained bound to EV, as shown by absorbance spectra. SCD EV carried PS and cardiolipin,
with an increased ability to activate thrombin, versus control EV. Recombinant Annexine‐A5,
a charged PL inhibitor, could abrogate the effects of all EV.
Summary/Conclusion: SCD was associated to the shedding of RBC EV with unique phenotypes
into the circulation, even during steady state. SCD EV had smaller diameters, increased
surface/volume ratios and expressed charged PL. They also carried deposits, probably
degraded Hb, and mitochondria fragments rich in cardiolipin. Each stimulus favored
EV loading with one of these features. Massive EV shedding, higher surface/volume
ratio and cardiolipine suggest that circulating EV could be a major target in SCD.
Cardiolipin‐targeting therapeutics may thus represent a novel approach to protect
hemorheology and tissue perfusion.
Funding: Inserm transfert, Fondation pour la Recherche Médicale, AddMedica.
OT06.05
Exosome‐like vesicles from Virus Mimetic‐primed Human Airway Epithelium Carry Viral
Material and Induce Inflammatory Response in Microglia
Aiste Jekabsone; Deimante Narauskaite; Dovydas Gecys; Aiste Masaityte; Juozas Bute;
Zbigniev Balion
Lithuanian University of Health Sciences, Kaunas, Lithuania
Introduction: Viral respiratory infections induce airway cell exosomes containing
viral genetic material and inflammation‐related inflammatory factors. Exosomes easily
cross the blood‐brain barrier and can transmit the inflammatory signal to the brain.
Our previous study demonstrated that rodent poly I:C‐primed airway ELV enter microglial
cells in the brain within an hour after intranasal delivery and induce inflammatory
changes. This study aimed to investigate the effect of poly I:C‐primed human bronchial
epithelial cell (HBEC) exosomes on human microglial cells.
Methods: Exosome‐like vesicles (ELV) were isolated from poly I:C‐primed HBEC culture
medium by polymer precipitation and characterized by particle number/size (Zetasizer),
structure (TEM) and specific markers (ELISA). Poly I:C in ELV was monitored by DHR‐poly
I:C. The internalization of fluorescently‐labelled ELV by human microglia (HM) was
identified by fluorescent microscopy. Mitochondria and glycolysis of HM were assessed
by Seahorse XFp analyzer. Intracellular ROS were determined by DCFDH, mitochondrial
superoxide – by MitoSOX™ Red. Inflammasome activation was detected by caspase‐1 luminescent
assay. Inflammatory gene expression was assessed by RT‐PCR, protein expression ‐ by
Western Blot. Statistical analysis was performed by SigmaPlot 13.0.
Results: Over 95% of the EVs produced by poly I:C‐primed HBEC were 40 ‐ 140 nm in
diameter, surrounded by a lipid bilayer and contained CD9, CD63, CD81, syntenin‐1,
Tsg101, but not calnexin and Hsp70. ELV carried poly I:C molecules and were internalized
by HM cells within 2 hours of the treatment. Poly I:C‐primed HBEC ELV induced suppression
of mitochondrial respiration and activation of glycolysis, generation of intracellular
and mitochondrial ROS and activation of NLRP3 inflammasome‐related caspase‐1 followed
by IL‐1beta and IL‐18 secretion, and a significant increase in expression of IL‐6,
TNF‐alfa and PTGS2 genes and proteins. None of the effects was observed after treating
HM with not poly I:C‐primed HBEC exosomes. Moreover, untreated HBEC exosomes significantly
reduced the expression of the inflammatory genes.
Summary/Conclusion: In HM, poly I:C‐primed HBEC exosomes induce the transition of
energy production phenotype from mitochondrial to glycolytic and stimulate inflammatory
activation manifested as ROS generation, inflammasome activation and production of
pro‐inflammatory cytokines. On the contrary, exosomes from the untreated HBEC have
an anti‐inflammatory effect on HM.
Funding: The study is a part of the EXOTARGET project funded by grant No. 01.2.2‐LMT‐K‐718‐01‐0036
from the Research Council of Lithuania.
OT07: EV Production and Separation
Chair: Amanda Brun‐Silva – Université Sorbonne Paris Cité, Laboratoire Matière et
Systèmes Complexes, CNRS UMR 7047 Université Paris Diderot, France
Chair: Lorena Martin‐Jaular – Institut Curie, PSL Research University, INSERM U932
OT07.01
Gentle method for the purification of extracellular vesicles using liquid polymer
droplets
Carolina Paganini
1; Umberto Capasso Palmiero1; Mauro Manno2; Antonella Bongiovanni3; Paolo Arosio
1
1Institute for Chemical and Bioengineering, ETH Zurich, Zurich, Switzerland, Zurich,
Switzerland; 2Cell‐Tech HUB at Institute of Biophysics (IBF), National Research Council
of Italy (CNR), Palermo, Italy, Palermo, Italy; 3Cell‐Tech HUB at Institute for Research
and Biomedical Innovation (IRIB), National Research Council of Italy (CNR), Palermo,
Italy, Palermo, Italy
Introduction: Successful application of extracellular vesicles (EVs) as biotherapeutics
relies on the ability to produce large amounts of EVs (Paganini et al, Biotech. J.,
1800528, 2019). Current techniques are either not scalable, or yield EVs with low
purity, or require multiple concentration and diafiltration steps that lower the final
EV yield. There is a need for scalable high‐throughput purification techniques that
yield high quantities of pure EVs in short time. Here, we present a novel method to
purify EVs based on polymers that undergo liquid‐liquid phase separation and form
liquid droplets which can be designed to selectively recruit the species of interest
and exclude impurities.
Methods: Liquid droplets of responsive polymers recruit 293F‐EVs at low salt concentrations
and release them at high salt concentrations. The process steps, the polymer composition
and the salt concentration are adjusted to separate the EVs from DNA and protein impurities.
Results: The polymer droplets allow to uptake and concentrate EVs from a solution
after only one minute of incubation. We demonstrate that EVs are released intact from
the droplets which prevent the formation of solid EV precipitates and make this a
gentle purification method. The separation of EVs by ion exchange with the droplets
allows to simplify the setup with respect to current technique while guaranteeing
comparable purity.
Summary/Conclusion: We present a novel method to purify EVs which exhibits a series
of advantages with respect to conventional approached in terms of scalability, purity
and simplicity of operation. This method is a promising addition to the existing tools
for EV isolation, in particular for high‐throughput purification of EVs.
Funding: H2020‐EU.1.2.1‐FET Open programme via the VES4US Grant agreement 801338
H2020‐EU.1.2.2‐FET Proactive programme via the BOW Grant agreement 952183
OT07.02
Pre‐processing of bovine milk prior to EV isolation is essential for purity, but various
protocols affect colloidal and functional properties of milk EVs
Martijn van van Herwijnen
1; Marije Kleinjan1; Francesca Loria2; Andres Lõhmes3; Natasa Zarovni3; Anna Carnerup4;
Tommy Nylander4; Andrea Ridolfi5; Marco Brucale5; Francesco Valle5; Lucrezia Caselli6;
Lucia Paolini7; Paolo Bergese7; Marca H.M Wauben8
1Utrecht University, Utrecht, Netherlands; 2HansaBioMed Life Sciences Ltd, Tallinn,
Estonia; 3HansaBioMed Life Sciences Ltd,, Tallinn, Estonia; 4Lund University, Lund,
Sweden; 5Italian National Research Council (CNR), Institute for the Study of Nanostructured
Materials (ISMN), Bologna, Italy, Bologna, Italy; 6Università degli Studi di Firenze,
Firenze, Italy; 7Università degli studi di Brescia, Brescia, Italy; 8Division of Cell
Biology, Metabolism & Cancer, Department of Biomolecular Health Sciences, Faculty
of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands, Utrecht, Netherlands
Introduction: Although bovine milk is rich in extracellular vesicles (EVs), other
abundant components like casein micelles hamper the isolation of pure EVs. Pre‐clearing
milk by precipitation or disruption of caseins overcomes this issue. However, the
impact of pre‐clearing on EV integrity and function has not been investigated. We
compared three different protocols used to reduce casein micelles to untouched milk
and analyzed the effects of pre‐processing on subsequently isolated EVs.
Methods: Raw bovine milk was subjected to differential centrifugation after which
milk remained untouched, or caseins were cleared by precipitation due to acidification
with hydrochloric acid (HCl), or caseins were disruption by addition of EDTA or sodium
citrate. EVs were further purified using density gradient floatation and Size Exclusion
Chromatography (SEC). EV purity was assessed by Augmented COlorimetric NANoplasmonic
(CONAN), total protein, total RNA, phospholipid and cholesterol; presence of EV markers
by Western blotting (WB); morphology and size by Cryo‐Electron Microscopy, Atomic
Force Microscopy (AFM), Nano Tracking Analysis (NTA) and Dynamic Light Scattering
(DLS). Additionally, colloidal properties including Zeta potential, membrane stiffness
and adhesion to lipid surfaces were determined. Functionality of EVs was analyzed
in a Xanthine Oxidase activity assay and an in vitro T cell modulation assay.
Results: Clearing casein micelles from bovine milk prior to density gradient separation
and SEC greatly enhanced the purity of the milk EV samples in all tested methods,
with acidification giving the purest samples. However, precipitation of caseins by
acidification influenced size, lipid surface interactions and gave a loss in vitro
functionality. EDTA treatment also affected EVs in their size, but also membrane stiffness
and T cell modulation. Only sodium citrate treatment did not influence most of the
evaluated EV properties.
Summary/Conclusion: Using a comprehensive analysis, we were able to show that pre‐processing
of bovine milk is needed and greatly enhances purity of milk EV samples, but can also
influence the functionality and colloidal properties of milk EVs. For instance, acidification
has detrimental effects on milk EVs. Therefore, for isolation of bovine milk EVs,
we advise to carefully consider which pre‐processing to apply. Based on our results
we recommend the use of sodium citrate for the clearance of caseins in bovine milk.
Funding: This work was supported by the European Union's Horizon 2020 Framework Programme
under the grant FETOPEN‐801367 evFOUNDRY
OT07.03
Isolation of plasma EVs by dual‐mode chromatography: a head‐to‐head comparison between
Sepharose CL‐2B and Sepharose CL‐4B
Jillian Bracht
1; Mandy Los1; Edwin van der Pol2; Rienk Nieuwland3
1Department of Clinical Chemistry, Vesicle Observation Center, Amsterdam UMC, University
of Amsterdam, Amsterdam, the Netherlands, Amsterdam, Netherlands; 2Department of Clinical
Chemistry, Vesicle Observation Center, Department of Biomedical Engineering and Physics,
Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands, Amsterdam, Netherlands;
3Department of Clinical Chemistry; Vesicle Observation Center; Amsterdam University
Medical Center, University of Amsterdam, Amsterdam, Netherlands
Introduction: Plasma contains extracellular vesicles (EVs) and non‐EV particles, platelets,
lipoproteins and chylomicrons, that overlap in size and density with EVs, and which
hamper isolation of EVs. Recently, dual‐mode chromatography (DMC) was introduced,
in which Sepharose CL‐4B was combined with Fractogel. We investigated the effect of
each resin separately on plasma fractionation by measuring the presence of platelet
(CD61+), leukocyte (CD45+) and erythrocyte (CD235a+) EVs, (very) low density lipoproteins
((V)LDL), and proteins.
Methods: Human platelet‐free plasma was fractionated by size exclusion chromatography
(SEC) using sepharose CL‐4B and SEC CL‐2B. EV‐containing fractions were collected,
pooled, and run over Fractogel (type EMD SO3‐ (M)) columns. The EV concentrations
were measured by Apogee A‐60 flow cytometry (150‐1,000 nm), and (V)LDL and protein
concentrations were determined using a human Apolipoprotein B ELISA and Bradford protein
assay, respectively.
Results: Compared to SEC CL‐2B, EV isolation by SEC CL‐4B resulted in a 2‐fold higher
EV yield, also in a 28‐fold higher (V)LDL concentration, and a 14‐fold higher protein
concentration. Fractogel efficiently removed >90% of the (V)LDL, but also reduced
the EV yield about 2‐fold.
Summary/Conclusion: Although the EV yield is higher when using SEC CL‐4B, the purity
of EVs is better when using SEC CL‐2B. Fractogel efficiently removes (V)LDL, but in
our experiments the highest purify of EVs was obtained by combining SEC CL‐2B followed
by Fractogel.
Funding: This study is funded by Health Holland (AQrate project)
OT07.04
Plant suspension culture derived extracellular vesicles
Batuhan T. Bozkurt; Oğuz K. Kırbaş; Pakize N. Taşlı; Bahar Soğutmaz Özdemir; Fikrettin
Şahin
Yeditepe University, Istanbul, Turkey
Introduction: Despite their ubiquitous presence across life, studies on extracellular
vesicles (EVs) remain mostly limited to the study of mammalian EVs. Plant derived
EVs appear to be a particularly promising area for further research ‐ both as therapeutic
agents against human diseases, and as an undiscovered element of plant physiology.
However, the lack of standardized isolation and characterization methods is a major
obstacle for the study of plant EVs. Some of the earlier studies that form the majority
of plant EV research isolate vesicles from whole‐plant tissues using harsh isolation
procedures and do not provide adequate characterization of the vesicles used in their
studies. A method similar to the in vitro production of mammalian vesicles using cell
cultures is necessary for further developments in plant EV research.
Methods: We developed a workflow that uses plant cell suspension cultures as the source
of plant EVs. Using these cultures, we isolated large and small EVs of Nicotiana tabacum,
Stevia rebaudiana, and Vitis vinifera using density cushion ultracentrifugation. Isolated
vesicles were physically characterized using electron microscopy and nanoparticle
tracking analysis. Proteomic analysis of cells and sEVs of the model plant N. tabacum
were performed to determine potential plant EV biomarkers.
Results: A total of 135 proteins were identified in N. tabacum sEVs, which exhibited
similar gene ontology enrichment profiles to human EVs. Comparative proteomic analyses
were made between N. tabacum sEVs with N. tabacum cell proteome, as well as with six
previously published plant proteomes. By comparing the protein sequences of each proteome
with top 300 human EV proteins, we identified 24 potential plant EV biomarkers that
were present in at least five of the plants, revealing a degree of homology in the
EV secretion mechanisms between plant species.
Summary/Conclusion: Here, we demonstrated the potential of plant cell suspension cultures
as a promising alternative to plant lysates for the isolation of plant EVs. Our proteomics
studies suggests a number of potential plant EV biomarkers, which show a degree of
conservation between different plant species. Finally, the high degree of homology
observed between human and plant EV proteins suggests that they may take part in cross‐kingdom
interactions, with potential therapeutic effects.
OT07.05
Biocompatible photonic hydrogels for the isolation and detection of extracellular
vesicles
Raquel S. Vaz; Nayara Freitas; M. Goreti G. F. Sales; Manuela F. Frasco
BioMark@UC, Faculty of Sciences and Technology, University of Coimbra, Coimbra, Portugal,
Coimbra, Portugal
Introduction: Extracellular vesicles (EVs) are crucial in intercellular communication
at physiological and pathological processes, but their complexity and heterogeneity
have delayed clinical translation. Biosensors try to overcome current limitations
in the isolation and detection of EVs, enabling sensitive, simple, and low‐cost technologies.
Molecularly imprinted polymers (MIPs) are highly selective for a given analyte, thus
being able to mimic natural recognition molecules. MIPs have physical and chemical
stability and the polymeric matrix can be developed with biocompatible materials.
Furthermore, colorimetric photonic‐based assays are promising label‐free detection
methods in biosensing.
Methods: Herein, the biosensor composed of biocompatible materials is constructed
by infiltration of a pre‐polymer mixture within the photonic crystal (PC). The PC
is first developed by dip‐coating deposition of colloidal spheres of silica. Also,
liposomes as mimics of EVs are used as templates to generate the imprinted polymer.
After removal of the liposomes, specific recognition cavities assure the selective
recognition of the biomarker.
Results: The combination of biocompatible materials and PCs conducted to an easy‐to‐use
biosensor with high intensity colours. The MIP hydrogel could be differentiated from
the control at naked eye, due to colour differences. The biosensor performance when
the target is present is followed by changes in the reflectance spectra.
Summary/Conclusion: The alliance of highly selective MIPs with the label‐free PC‐based
detection is expected to offer great EVs recognition ability. The aim is to obtain
a biosensor with a low detection limit, fast response, high selectivity, repeatability
and reproducibility.
Funding: The authors acknowledge the financial support from the European Commission/H2020,
through MindGAP/FET‐Open/GA829040 project. The author RV also acknowledges Fundação
para a Ciência e a Tecnologia for the PhD grant (2020.09673.BD).
OT07.06
ExoArc: A scalable microfluidic technology for label‐free EVs isolation from whole
blood
Hui Min Tay
1; Hong Boon Ong2; Sheng Yuan Leong3; Wan Wei Lok2; Rinkoo Dalan4; Han Wei Hou
5
1School of Mechanical and Aerospace Engineering, Nanyang Technological University,
singapore, Singapore; 2School of Mechanical and Aerospace Engineering, Nanyang Technological
University, Singapore, Singapore; 3School of Mechanical and Aerospace Engineering,
Nanyang technological University, Singapore, Singapore; 4Endocrine and Diabetes, Tan
Tock Seng Hospital, Singapore, Singapore; 5School of Mechanical and Aerospace Engineering,
Nanyang Technological University, Singapore 639798, Singapore, Singapore, Singapore
Introduction: Circulating extracellular vesicles (EVs) in blood may contain disease‐specific
biomolecular cargo, making them ideal disease diagnostics biomarkers. Current gold‐standard
for EVs isolation is differential ultracentrifugation (UC), which is labour intensive,
time‐consuming, and prone to losses. Herein, we report a novel microfluidic technology
(ExoArc) for high‐throughput EVs separation from blood and culture media directly.
ExoArc is label‐free, scalable, and offers significantly higher EVs yield and reproducibility
with its single‐step operation.
Methods: The ExoArc chip has a 2‐inlet, 2‐outlet half‐loop channel design. Blood,
plasma or culture media sample is introduced at channel outer wall and pinched by
a sheath flow. Small EVs (50‐200nm) migrate faster laterally toward the channel inner
wall under the influence of Dean vortices and are sorted into EV outlet, while medium‐sized
EVs (200‐1000nm), cell debris (>1μm), and blood cells (∼2 to 20mm) experience stronger
Stoke's Drag and are removed via the waste outlet.
Results: We performed EVs isolation from culture media using ExoArc in a single step
(no centrifugation) to achieve superior EV yield and ∼8x shorter processing time than
UC (∼1hr for 10mL media). Particle count by nanoparticle tracking analysis was less
heterogenous as compared to UC, suggesting better reproducibility with the single‐step
operation. For blood EVs isolation, ExoArc‐isolated particle yield was ∼10x higher
than UC, and western blot showed thicker bands for EV markers (TSG101, CD9, CD81)
per unit volume, implying higher EV concentration. To demonstrate scalability, a dual
ExoArc device (2 ExoArc subunits) was developed to achieve a throughput of 0.2 mL/min
of blood processing (fastest to‐date for microfluidics EV processing).
Summary/Conclusion: We have developed a rapid, scalable and microfluidic‐based approach
for direct isolation of small EVs from blood and culture media. With future automation,
ExoArc can further advance exosome biology research and development of exosome diagnostic
tools.
Funding: SMART Innovation Centre (ING‐001058 BIO IGN) and NTU Startup grant
OT08: Cell to Neuron Communication
Chair: Ursula S. Sandau – Oregon Health & Science University
OT08.01
Extracellular vesicle‐mediated crosstalk between pancreatic cancer and Schwann cells
Fang Cheng Wong
1; Christoph Kahlert2
1University Hospital Dresden, Dresden, Germany; 2Department of Visceral, Thoracic
and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität
Dresden, Dresden, Germany, Dresden, Germany
Introduction: Neural invasion (NI) involves the growth and invasion of cancer cells
around and into nerves, a process that has been known as a hallmark of pancreatic
adenocarcinoma (PDAC) due to its extremely high incidence rate (>90%). NI has been
reported to occur at the early stage of PDAC development and glial cells of peripheral
nerves, i.e. Schwann cells (SCs) have been shown to be attracted to cancer cells before
the onset of cancer invasion. However, the mechanisms leading to NI have not been
completely understood. We hypothesized that PDAC‐derived extracellular vesicles (EVs)
mediate the migration of SCs towards the cancer site and the reciprocal interactions
between cancer and SCs eventually lead to neural invasion.
Methods: A 3D coculture assay with primary SCs confronted to cancer/normal epithelial
cells was first conducted to evaluate the chemoattraction affinity of SCs towards
cancer cells. To investigate the role of EVs in mediating migration of SCs, EVs were
isolated from cancer cell lines and tissues by differential ultracentrifugation and
characterised according to the MISEV2018 guidelines. A novel 3D migration assay incorporating
SCs and EVs in a single Matrigel drop was employed to evaluate the migratory ability
of SCs in response to EVs, which was further confirmed using EV uptake inhibitors.
Protein alterations in SCs treated with tissue‐derived EVs was examined by mass spectrometry.
Results: The 3D coculture assay revealed that human SCs (hSCs) migrated towards PDAC
cell lines, but not to the normal cells. It was further confirmed that murine SCs
(mSCs) exhibited higher migratory ability when confronted to murine neuroinvasive
PDAC cells than to non‐neuroinvasive PDAC cells, which could be reversed by heparin.
The 3D migration assay demonstrated significantly stronger migratory ability of hSCs/mSCs
after EV treatment from human PDAC/murine neuroinvasive cancer cells than that of
the human normal cell‐/murine non‐neuroinvasive cancer cells, which could be reversed
by heparin. At a translational aspect, the increased migration of hSCs could also
be observed after treatment of tumor tissue‐derived EVs from PDAC patients with neural
invasion (Pn1) compared to those diagnosed with no neural invasion (Pn0) pathologically,
indicating the relevance of neuroinvasive cancer derived‐EVs in mediating SC migration.
Proteomic analyses indicated that hSCs treated with tumor‐derived EVs displayed significant
changes in the expression levels of cytoskeleton and phosphoproteins.
Summary/Conclusion: PDAC‐derived EVs may be responsible for the migration of SCs towards
cancer cells, underscoring the mechanisms underlying the SC carcinotropism in PDAC‐associated
NI.
Funding: Deutsche Forschungsgemeinschaft (DFG, German Research Foundation), Grant
Numbers: DE 2428/10‐1, KA 3511/5‐1.
OT08.02
“Changes in human astrocyte‐enriched extracellular vesicle miRNAs after an in vivo
lipopolysaccharide challenge”
Leandra K. Figueroa‐Hall
1; Kaiping Burrows1; Ahlam M. Alarbi2; Chibing Tan2; T. Kent Teague2; Brett A. McKinney3;
Rajagopal Ramesh4; Yoon‐Hee Cha5; Salvador Guinjoan6; Sahib S. Khalsa1; Victoria B.
Risbrough7; Martin P. Paulus1; Jonathan B. Savitz1
1Laureate Institute for Brain Research, TULSA, USA; 2University of Oklahoma, TULSA,
USA; 3University of Tulsa, TULSA, USA; 4University of Oklahoma, Oklahoma City, USA;
5University of Minnesota, Minneapolis, USA; 6Laureate Institute for Brain Research,
Tulsa, USA; 7University of California, San Diego, La Jolla, USA
Introduction: A subset of individuals with major depressive disorder (MDD) show altered
inflammatory responses but the precise mechanisms are not understood. Low‐dose lipopolysaccharide
(LPS) is a useful experimental model of several inflammatory diseases, including MDD.
Identifying the pattern of microRNAs (miR) produced in the brain in response to an
inflammatory challenge may help elucidate mechanistic pathways that are putatively
dysregulated in inflammation‐associated depression. In this pilot study, we leveraged
a low‐dose lipopolysaccharide (LPS) challenge (0.8 ng/kg) in adults with MDD and healthy
comparisons (HC) to investigate the temporal changes in inflammatory‐responsive miR
in astrocyte‐enriched (AE) extracellular vesicles (EV) at baseline (T0), 2 (T2), and
24 (T24)‐hours post LPS infusion.
Methods: This study was approved by the Western Institutional Review Board, participants'
written informed consent obtained, and carried out in accordance with the principles
expressed in the Declaration of Helsinki. Combined results from MDD (n=8) and HC (n=5)
receiving low‐dose LPS are presented here. Human serum was used to isolate EV with
a polymer‐based kit and for enrichment of AEEV by a streptavidin magnetic bead immunocapture
kit with a (GLAST)‐biotinylated antibody. Characterization included western blot and
flow cytometry to confirm AEEV populations, and nanoparticle tracking analysis for
size estimation and concentrations. For sequencing, miRNA was extracted from AEEV
and sample concentration and small RNA quantification were determined. Raw sequencing
data files were analyzed with Bowtie Alignment and miRNAs normalized to counts per
million and log(e) transformed. EV‐Track # EV220001
Results: Relative to T0, lower levels of miR‐let‐7f‐5p (Cohen's d= 0.78) and miR‐374a‐5p
(d= 0.80) were observed at T2. Higher concentrations of miR‐let‐7f‐5p (d= 1.29), miR‐122b‐3p
(d= 1.13), and miR‐374a‐5p (d= 1.00), and lower concentrations of miR‐101‐3p (d= 0.83),
miR‐15b‐5p (d= 1.22), miR‐29c‐3p (d= 0.55), miR‐451a (d= 0.98), and miR‐486‐5p (d=
0.86) were observed at T24 vs. T2. There were no changes in miRNA expression at T0
versus T24.
Summary/Conclusion: Our initial findings suggest that peripheral LPS administration
is associated with altered regulation of astrocyte‐associated pathways. Next steps
include investigating a larger sample to determine whether these miRNAs are differentially
expressed in MDD relative to HC.
Funding: This work has been supported in part by The William K. Warren Foundation,
the National Institute of Mental Health (R21MH11387; R01MH123652), and the National
Institute of General Medical Sciences (P20GM121312).
OT08.03
Addressing the role of extracellular vesicles and nanotube processes in neuronal communication;
lessons from photoreceptor transplantations
Aikaterini A. Kalargyrou; Mark Basche; Emma West; Alexander Smith; Robin Ali; Rachael
Pearson
Kings College London, London, United Kingdom
Introduction: Neuronal cells typically communicate via synapses and gap junctions.
Recently, we and others have shown that transplantation of donor photoreceptors into
partially dystrophic retinae can restore aspects of visual function, but that this
occurs via a mechanism of molecular exchange, so‐called “material transfer”, with
remaining host photoreceptors. Here, we examined the potential role of extracellular
vesicles (EVs) and nanotube (NTs) processes in vivo during host‐graft interactions
in the retina.
Methods: Cre recombination, Electron Microscopy, Confocal live imaging, Fluorescence
recovery after photobleaching, Photoreceptor transplantations, Ocular administration
of extracellular vesicles, Chimeric retinae, Genetic manipulation of actin dynamics.
Results: Photoreceptors release active EVs that are specifically taken up by Muller
glia, but form NTs that mediate material transfer with other photoreceptors, in vivo.
NTs permit the transfer of cytoplasmic and membrane‐bound molecules and, rarely, lysosomes
and mitochondria and can bring about gain‐of‐function in the acceptor cells. Strikingly,
chimeric retinae revealed that cytoplasmic transfer can occur between photoreceptors
in the intact adult retina.
Summary/Conclusion: Photoreceptor nanotubes mediate material transfer during photoreceptor
transplantation in an actin dependent manner. These neurons also release EVs that
are preferentially up‐taken by Muller glia. This study provides the first evidence
of nanotube processes formation and function between sensory neurons in vivo.
Funding: This work was supported by Fight for Sight UK (1566/1567), Moorfields Eye
Charity (E170004A; R180005A); Medical Research Council UK (MR/J004553/1 and MR/T002735/1).
OT08.04
The role of EVs in septic encephalopathy immunometabolism: a novel therapeutic target
Ioannis Koutroulis
1; Panagiotis Kratimenos1; Claire Hoptay2; Evan Goldstein1; Wade O'Brien1; Beata Jablonska1;
Vittorio Gallo1; Robert J. Freishtat1
1Children's National Hospital, Washington, USA; 2Children's National Research Institute,
Washington, USA
Introduction: Metabolic encephalopathy affects one in three intensive care unit (ICU)
patients, with the most serious subtype occurring in the context of sepsis [septic
encephalopathy (SE)], which is associated with up to 70% mortality. The cerebellum
is particularly sensitive to injury early in the SE process. Here we utilized mesenchymal
stem cell‐derived extracellular vesicles (MSC EVs) to examine immunometabolic dysfunction
in metabolic encephalopathy using a murine model of SE.
Methods: We administered cecal contents by an intraperitoneal injection to 7‐10‐week‐old,
C57BL/6J mice to induce sepsis/SE. Encephalopathic and control mice received either
MSC EVs or EV‐depleted media intravenously 6 hours post‐sepsis induction. Mice were
scored every 2 hours until euthanasia (score equal or greater than 15) using a sepsis
scoring system that also evaluates neurological status. We obtained cerebellar samples
(n=8/group) for Hematoxylin‐Eosin (H&E) staining. Total RNA was isolated from cerebellar
samples (n=3/group) and was sequenced to identify differentially expressed genes (DEGs).
Results: Average scores at sacrifice were lower in the EV‐treated group compared to
non‐treated mice with SE, indicating improved disease severity. H&E staining on septic
cerebella revealed significant neuropathological alterations compared to controls,
including shrunken Purkinje and granule cells with irregular nucleus and absent nucleolus,
acidophilic (pink) cytoplasm, apoptotic profiles, and disrupted neuropil. Additionally,
when comparing the DEGs in RNA seq, 103 downregulated and 119 upregulated genes were
identified in the cerebella of EV‐treated mice with SE, as compared to the non‐treated
group. Using the Ingenuity Pathway Analysis software, we showed that neuroinflammatory
pathways remained activated in treated mice, while the IL‐6 signaling pathway was
inhibited. In addition to immune pathways, metabolic signaling pathways that promote
ATP generation including PI3K/AKT, IGF‐1, AMPK and PPARa were also activated, suggesting
an SE‐related decreased intracellular energy production.
Summary/Conclusion: We demonstrated that EVs alter cerebellar immune and metabolic
pathways that may be responsible for the SE‐induced neuropathological changes and
poor outcomes. Targeting specific immunometabolic signaling pathways that promote
energy generation and alleviating immune dysregulation present an opportunity to successfully
treat septic and other metabolic encephalopathies.
Funding: K12‐HD‐001339 (NICHD)
OT08.05
An altered extracellular vesicle protein cargo drives the (mis)communication between
astrocytes and neurons in ALS
Manuela Basso
1; Alice Migazzi2; Paolo Vincenzo Fioretti2; Giulia Canarutto3; Laura Pasetto4; Fabio
Fiordaliso4; Daniele Peroni5; Romina Belli2; Silvano Piazza3; Toma Tebaldi2; Vito
Giuseppe D'Agostino6; Maria Pennuto7; Valentina Bonetto4
1Department of Cellular, Computational and Integrative Biology – CIBIO, University
of Trento; Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano (Italy).,
Trento, Italy; 2Department of Cellular, Computational and Integrative Biology – CIBIO,
University of Trento, Trento, Italy; 3International Centre for Genetic Engineering
and Biotechnology, Trieste, Italy; 4Istituto di Ricerche Farmacologiche Mario Negri
IRCCS, Milano, Italy; 5Department of Cellular, Computational and Integrative Biology
– CIBIO, University of Trento, Milano, Italy; 6Department of Cellular, Computational
and Integrative Biology (CIBIO), University of Trento, Trento, Italy; 7Department
of Biomedical Sciences (DBS), University of Padova, Padova, Italy
Introduction: Amyotrophic Lateral Sclerosis (ALS) is a progressive and devastating
motor neuron disease that affects upper and lower motor neurons. Among several factors,
the progression of the disease is mediated by altered intercellular communication
in the spinal cord between neurons and glial cells. One of the possible ways in which
the cell‐to‐cell communication occurs is through extracellular vesicles (EVs) that
transport proteins, lipids and nucleotides from one cell to the other.
Methods: To characterize EVs in ALS, we used a charged‐based methodology, called nickel‐based
isolation (NBI), allowing rapid and efficient isolation of EVs. By this approach,
it is possible recover not only a high and pure amount of astrocyte derived EVs, but
also to preserve the integrity and the stability of vesicles and analyze their cargo
content. We tested the effect of glial EVs on receiving neurons and motor neurons
by using Operetta® and we analyzed the effect of EVs on receiving neurons by RNA sequencing
and immunofluorescence. We validated our results on purified astrocyte and microglia
populations derived from mice carrying the mutation in TDP‐43Q331K.
Results: Our preliminary results suggest that EVs derived from astrocytes of a transgenic
mouse model of ALS, overexpressing TDP‐43Q331K, transmit toxicity to wild type neurons
by activation of cell death pathways. We further focused on which component of the
EVs would be responsible for propagation of toxicity. We performed an unbiased characterization
of the protein and RNA cargos through a proteomic and small RNA sequencing analysis.
Small RNA sequencing did not reveal notable differences between samples. Interestingly,
the protein cargos differ significantly between control and disease condition, suggesting
that the change of protein messages delivered to receiving neurons by EVs is sufficient
to start neuronal damage.
Summary/Conclusion: Changes in the protein loading of glia EVs in ALS contributes
to motoneuronal toxicity.
Funding: Supported by the MSCA‐IF ExItALS (752470) and the Italian Ministry of Health
(GR‐2016‐02361552).
OT08.06
Cocaine modulates the neuronal endosomal system and extracellular vesicles in a sex‐dependent
manner
Efrat Levy; Pasquale D'Acunzo
Nathan S. Kline Institute for Psychiatric Research, New York, USA
Introduction: It was previously demonstrated that repeated administration of cocaine
causes alterations in endocytic and lysosomal compartments. We previously found inter‐relationship
between neuronal endosomal abnormalities and brain exosomes in neurodevelopmental
and neurodegenerative disorders, including Down syndrome and spinocerebellar ataxia.
Therefore, we conducted a comprehensive analysis of extracellular vesicles (EVs) in
the brain of a mouse model of cocaine addiction.
Methods: C57BL/6J mice received either cocaine or saline injections for two weeks
starting at 2.5 months of age and the effect on locomotor activity investigated. EVs
were isolated from the brain using a high‐resolution iodixanol gradient that separates
EV fractions enriched in microvesicles and exosomes. Morphology, number, and content
of EVs were analyzed by electron microscopy, NTA and western blotting. Size and number
of neuronal endosomes were studied by immunohistochemistry using antibodies to early
(Rab5) and late (Rab7) endosome markers. The role of female hormones in the response
to cocaine was studied in ovariectomized females as compared to sham‐surgery controls.
Results: Drug‐induced sex differences were found with higher locomotion activity in
female mice when compared to males. Cocaine caused a decrease in the number of both
neuronal endosomes and exosomes (but not microvesicles) in the brains of male but
not female mice. Cocaine increased the amount of α‐synuclein per exosome in the brain
of females but did not affect exosomal α‐synuclein content in the brains of males.
The response to cocaine in ovariectomized females mirrored males.
Summary/Conclusion: The reduction of exosome levels in the brain of males and enhanced
packaging of α‐synuclein into female brain exosomes suggest a mechanism for the higher
addictive response of females to cocaine compared to males.
Funding: Supported by NIH (DA044489).
OT09: Various Approaches for Therapeutic Applications of EVs
Chair: Rodolphe W. Poupardin – Cell Therapy Institute, Spinal Cord Injury and Tissue
Regeneration Center Salzburg (SCI ‐ TReCS), Paracelsus Medical University (PMU), Salzburg,
Austria
Chair: Yanis Mouloud – Institute for Transfusion Medicine, University Hospital Essen,
University of Duisburg‐Essen, Essen, Germany
OT09.01
Extracellular Vesicles from Hair Follicle‐derived Mesenchymal Stromal Cells: Isolation,
Characterization and Therapeutic Potential for Chronic Wound Healing
Kevin Las Heras1; Felix Royo2; Clara Garcia‐Vallicrosa2; Manoli Igartua1; Edorta Santos‐Vizcaino1;
Rosa Maria Hernandez1; Juan M. Falcon‐Perez
3
1NanoBioCel Group, Laboratory of Pharmaceutics, School of Pharmacy (UPV/EHU)., Vitoria‐Gasteiz,
Spain; 23Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research
and Technology Alliance (BRTA), Exosomes Laboratory, 48160 Derio, Spain., Derio, Spain;
3Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and
Technology Alliance (BRTA), Exosomes Laboratory, 48160 Derio, Spain., Derio, Spain
Introduction: There has been an increasing interest in the use of hair follicle‐derived
mesenchymal stromal cells (HF‐MSCs) for chronic wounds healing due to their demonstrated
regenerative potential and their numerous advantages over other sources of MSCs —
abundant availability of HFs and an eas collection not affected by gender or age —.
In this regard, the paracrine mediators of HF‐MSCs have been considered as the main
responsible of these effects. However, the properties and bioactivity of the extracellular
vesicles (EVs) secreted by HF‐MSCs (HF‐EVs) remain unknown. We reported here a complete
isolation, characterization and functional comparison of HF‐EVs against EVs secreted
by adipose tissue‐derived MSCs (AT‐EVs).
Methods: HF‐EVs and AT‐EVs were isolated by diferential ultracentirfugation (EV‐TRACK
ID: EV210337). EVs were analyzed by nanotracking analysis and cryo‐electron microscopy.
Marker analysis was performed by western blotting and immunoafinity beads‐based flow
cytometry. Cell uptake, proliferation and migration studies were performed in adult
human dermal fibroblasts (HDFs). The angiogenic potential of EVs was tested on the
tube formation assay using human umbilical vein endothelial cells (HUVECs). Finally,
the protective activity of EVs against hyperglicaemia induced cytotoxicity was assayed
in HDFs.
Results: HF‐EVs as well as AT‐EVs showed the typical EV‐markers CD9, CD63, CD81 and
LAMP‐1 among other interesting markers — CD44, CD29, SSEA‐4 —. Moreover, we found
that AT‐MSCs produced larger quantities of EVs than HF‐MSCs compared to the final
cell count. We also found that both EVs, equally, were able to increase the proliferation
and migration of HDFs, as well as increase the tube formation of HUVECs. Finally all
EVs were able to protect HDFs against hyperglicaemia induced cytotoxicity to the same
extent.
Summary/Conclusion: EVs derived from HF‐MSCs may be promising candidates for the treatment
of chronic wounds, as they enhance proliferation, migration and protection against
hyperglicaemia in HDFs and also induce angiogenesis in endothelial cells.
Funding: Basque Government: PRE_2018_1_0412 and Consolidated Groups, IT 907‐16.
OT09.02
A phase I clinical trial for safety determination of the intra‐articular administration
of umbilical cord mesenchymal stromal cells‐derived small extracellular vesicles in
patients with knee osteoarthrosis
José Matas1; Eliseo Parra2; Aliosha I. Figueroa‐Valdés2; Jimena Cuenca3; Yessia Hidalgo4;
María Ignacia Cádiz5; Celeny Figuera5; Dario Donoso Meneses3; Fernando Figueroa3;
Maroun Khoury
4; Francisca Alcayaga‐Miranda3; Francisco Espinoza1
1Clínica Universidad de los Andes, Santiago, Chile; 2Laboratory of Nano‐Regenerative
Medicine, Centro de Investigación e Innovación Biomédica (CiiB), Universidad de los
Andes, Santiago, Chile, Santiago, Chile; 3Universidad de los Andes, Santiago, Chile;
4IMPACT, Center of Interventional Medicine for Precision and Advanced Cellular Therapy,
Santiago, Chile, Santiago, Chile; 5Consorcio Regenero S.A., Santiago, Chile
Introduction: Osteoarthrosis (OA) is a disease characterized by articular cartilage
loss associated with degenerative joint and subchondral bone changes. Currently, no
therapeutic strategy has proven to be effective for OA treatment. Our previous results
showed that small extracellular vesicles (sEV) derived from umbilical cord mesenchymal
stromal cells (UC‐MSC; CelliStem®OA‐sEV) application in preclinical OA models evidenced
a decrease in OA progression. Following the completition of the pre‐clinical package,
including safety and biodistribution, we initiated an evaluation in patients with
knee OA to clarify the safety of using this emerging acellular therapy. A feasibility
and security study was proposed.
Methods: Patients were recruited following informed written consent according to the
declaration of Helsinki and the study was approved by the institution ethics committee.
sEV were produced and isolated under Good Manufacturing Practice (GMP) conditions
by differential centrifugation and then characterized following the MISEV 2018 guidelines
by nanoparticle tracking analysis, flow cytometry, western blot and transmission electron
microscopy.
Results: GMP‐grade sEV showed a size of 140 nm and classical cup‐shape morphology;
their identity was confirmed by the presence of CD63, CD9, CD81, Flotillin‐1, Syntenin‐1
and their purity were verified by the absence of Calnexin and TOMM20. UC‐MSC‐derived
sEV treated patients (n = 10) will be followed to determine the percentage with any
post‐infiltration adverse reaction, synovitis or pain (days 7 and 30), the percentage
with an adverse event away of the intra‐articular infiltration (days 30, 90 and 180),
WOMAC score changes (days 30, 90 and 180) and VAS pain score changes (days 30, 90
and 180).
Summary/Conclusion: The findings will be of translational relevance for a cell‐free
sEV‐based OA therapy. To our knowledge, this is the first‐in‐joint clinical trial
for the use of sEV derived from allogeneic MSC for the treatment of OA.
Funding: Cells for Cells S.A., Chile; Consorcio Regenero S.A., Chile; FONDECYT #1211749,
ANID, Chile; IMPACT #FB210024, ANID, Chile.
OT09.03
Scalable mass production of Gram‐negative bacterial outer membrane vesicles for the
next‐generation cancer immunotherapeutic agents
Yong Song Gho
1; Jaemin Lee1; Changjin Lee2; Solchan Won3; Sunghyun Song2; Seoyoon Bae1; Jaewook
Lee4; Tae Ryong Lee2; Dong‐Sup Lee3
1POSTECH, Pohang, Republic of Korea; 2Rosetta Exosome Co. Ltd, Seongnam, Republic
of Korea; 3Seoul National University College of Medicine, Seoul, Republic of Korea;
4Rosetta Exosome Co. Ltd, Pohang, Republic of Korea
Introduction: For intercellular and interkingdom communication, both Gram‐negative
and Gram‐positive bacteria actively released extracellular vesicles (EVs) into extracellular
milieu. Recently, our group discovered that Gram‐negative and Gram‐positive bacterial
EVs have potent anti‐tumor activities by inducing a sustainable anti‐tumor immune
response in several mouse tumor models (Kim et al. 2017). However, it is difficult
to produce large quantities of bacterial EVs for pre‐clinical studies and clinical
trials. This study aims to develop manufacturing processes for scalable mass production
of Escherichia coli EVs, known as outer membrane vesicles (OMVs) and to investigate
the in vivo anti‐tumor activities of E. coli OMVs in mouse tumor model.
Methods: E. coli was grown in bioreactors and OMVs were isolated by the combination
of tangential flow filtration and size exclusion chromatography. Purified E. coli
OMVs were characterized by protein amount, number, size, morphology, and outer membrane
protein A (Omp A). For in vivo anti‐tumor activities, E. coli OMVs were injected twice
a week in tumor‐bearing mice for 2 weeks, and tumor volume was measured every 3‐4
days. To evaluate adverse effects, E. coli OMVs were injected and monitored the body
weight and survival rate.
Results: Using a 200‐liter scale bioreactor, we isolate large quantities of E. coli
OMVs with high purity: 2.2 mg in total protein amounts and 2.5 ×1012 particles of
OMVs were isolated from one litter of the conditioned media. The purified OMVs were
spherical morphology limited by lipid bilayer, 20 nm in a diameter, and enriched with
Omp A (a well‐known OMV marker protein). Furthermore, the purified E. coli OMVs showed
a dose‐dependent anti‐tumor activities in mouse bladder cancer model. Treatment of
0.5 μg E. coli OMVs/head caused not only complete regression of tumor growth but also
completely block the tumor growth of re‐challenged bladder cancer cells by inducing
long‐term anti‐tumor memory effects. We also observed that no mice were dead after
administration of 10 μg and 30 μg of E. coli OMVs: the mice administered with OMVs
showed temporal loss of body weights, but they gradually gained body weights from
a week after OMV treatment.
Summary/Conclusion: This study shows that Gram‐negative bacterial OMVs can be produced
in a large amount with high purity, and have potent anti‐tumor activities with a wide
therapeutic window, suggesting that Gram‐negative bacterial OMVs are novel candidates
for the development of next‐generation cancer immunotherapeutic agents.
Funding: This work was supported by National Research Foundation of Korea (2018R1A2A1A05079510
and 2021R1A2C3005275).
OT09.06
Human induced pluripotent stem cells as inexhaustible source of immunomodulatory extracellular
vesicles
Valeria Peli1; Mario Barilani
1; Clelia Pistoni1; Paolo Manzini2; Francesca Pischiutta3; Enrico Caruso3; Francesco
Rusconi1; Alessandro Cherubini1; Valentina Bollati4; Luisa Fiandra5; Ricardo Malvicini6;
Gustavo Yannarelli7; Giada De Lazzari8; Michela Pozzobon8; Giovanna Damia3; Elisa
Zanier3; Lorenza Lazzari
1
1Laboratory of Regenerative Medicine – Cell Factory, Department of Transfusion Medicine
and Hematology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano,
Italy; 2Laboratory of Regenerative Medicine – Cell Factory, Department of Transfusion
Medicine and Hematology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,
Reggio Emilia, Italy; 3Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan,
Italy, Milano, Italy; 4Department of Clinical Sciences and Community Health, Università
degli Studi di Milano, Milan, Italy, Milano, Italy; 5Department of Biotechnology and
Biosciences, University of Milano‐Bicocca, Piazza della Scienza 2, 20126 Milano, Italy,
Milano, Italy; 6Instituto de medicina traslacional, trasplante y bioingeniería (IMeTTyB‐CONICET),
buenos Aires, Argentina; 7IMeTTyB‐CONICET, Instituto de medicina traslacional, trasplante
y bioingenieria, Buenos Aires, Argentina, Buenos Aires, Argentina; 8Department of
Women's and Children's Health, University of Padova, Padua, Italy. Fondazione Istituto
di Ricerca Pediatrica Città della Speranza, Padua, Italy, Padova, Italy
Introduction: Extracellular vesicles (EV) hold promise as cell‐free therapeutics to
overcome the clinical limitations of their parental cells. Mesenchymal stromal cells
(MSC) are the most studied therapeutic EV source. Yet, clinical application of EV
entails large‐scale production via cGMP‐compliant processes that must meet strict
quality requirements. In this framework, primary MSC have two main drawbacks: limited
life‐span; intra‐ and inter‐donor heterogeneity. Thus, we investigated whether human
induced pluripotent stem cells (hiPSC), generated from clinical‐grade HLA‐typed cord
blood MSC, may act as an unlimited source of therapeutic EV.
Methods: EV were isolated by serial centrifugations and purified by size‐exclusion
chromatography and sucrose density gradient. MISEV2018‐guided characterization was
performed by nanoparticle tracking analysis, western blot, flow cytometry and electron
microscopy. Kinetics of EV release by hiPSC and uptake by H19‐7 rat neural cells were
explored in vitro. Therapeutic potential was tested on activated T‐cell and in an
ex vivo murine model of brain ischemia by oxygen and glucose deprivation (OGD).
Results: Biophysical features were compatible with small EV identity, and indicated
pluripotent origin and absence of contaminants. Interestingly, these EV did not express
HLA class I and II. EV production was robust and uptake by recipient cells was dose‐dependent.
In the OGD model hiPSC‐EV induced significant brain protection and downregulation
of inflammatory key drivers TNFa and IFNg. Immunomodulation was validated on activated
T‐cell. EV safety was successfully tested.
Summary/Conclusion: These data point at hiPSC as a source of EV with immunomodulatory
properties. Further efforts are needed to confirm these results in vivo and to set
up a translatable manufacturing process.
Funding: Fondazione Regionale per la Ricerca Biomedica, Regione Lombardia, Project
nr.CP_10/2018. ERP‐2020‐EuronanoMed3‐NANO4STROKE, Project nr.ERP‐2020‐23680649.
OT10: Predictive EV Biomarkers in Cancer
Chair: Dolores Di Vizio – Department of Surgery, Division of Cancer Biology and Therapeutics,
Cedars‐Sinai Medical Center, Los Angeles, CA, USA
OT10.01
Tumor‐derived extracellular vesicles predict clinical outcomes in oligometastatic
prostate cancer treated with stereotactic ablative radiotherapy
Fabrice Lucien
1; Yohan Kim1; Jing Qian1; Henan Zhang1; Ali Arafa1; Feven Abraha1; Ishwor Thapa2;
Erik Tryggestad1; William Harmsen1; Jorgena kosti1; Hesham Ali2; Jacob Orme1; Val
Lowe1; Goeffrey Johnson1; Eugene Kwon1; Haidong Dong1; Sean Park1
1Mayo Clinic, Rochester, USA; 2University of Nebraska in Omaha, Omaha, USA
Introduction: Stereotactic ablative radiotherapy (SABR) has demonstrated clinical
benefit in oligometastatic prostate cancer (omPC) patients. However, the risk of developing
new distant metastatic lesions remains high and only a minority of patients experience
durable progression‐free response. There is a critical need to identify which subset
of oligometastatic patients will benefit from SABR alone versus combination SABR and
systemic agents. Here, we provide the first proof‐of‐concept for the clinical value
of circulating PCEVs as non‐invasive predictor of oncological outcomes in omPC patients
treated with SABR.
Methods: Platelet‐free plasma of 79 oCRPC patients collected at baseline and days
1, 7, and 14 post‐SABR (NCT02816983) was analyzed by nanoscale flow cytometry (Apogee
A60MP) in a blinded manner. Particle detection was calibrated with Rosetta beads (Exometry
Inc) and MESF beads (Spherotech). Prostate cancer‐derived extracellular vesicles (PCEVs)
were defined as EVs positive for one of the following prostate‐specific markers PSMA
or STEAP1. Kaplan‐Meier estimates were used to estimate survival curves. Association
of PCEV levels with clinical features was determined using two‐sided Mann‐Whitney
U tests. Linear regression analysis of PCEV levels with imaging features or levels
of peripheral CD8 T cells was used to determine Spearman's r values and associated
p values.
Results: PCEVs were detected in 100% of patients. Positive correlation was observed
between PSMA+ and STEAP1+ EVs (r=0.599, p< 0.0001). High PCEV levels at baseline were
predictive of shorter median time to distant recurrence (3.5 vs 6.6 months, p=0.0087).
High PCEV levels were also associated with lower levels of circulating effector CD8
T cells. In contrast, radiomic features of 11C‐choline PET/CT before and after SABR
were not predictive of clinical outcomes. Following SABR, PCEV levels reached a peak
at day 7 and median overall survival was significantly longer in patients with higher
PCEV levels (32.7 vs 27.6 months, p=0.003).
Summary/Conclusion: Our study shows that pre‐treatment PCEV levels can be a biomarker
of tumor burden while early changes post‐treatment can predict response to SABR. Combination
of PET imaging with PCEV measurement has the potential to improve the selection of
responders to SABR. Further studies are ongoing to investigate the underpinnings of
metastatic progression including the role of PCEVs in response to SABR treatment.
Funding: This research was supported by NCI R01 CA200551 (SSP, VJL, EDK, and HD),
departmental grant (FL) and generous benefactors (FL). FL was recipient of a postdoctoral
fellowship from the Fonds de Recherche du Quebec‐Sante (FRQS).
OT10.02
Assessment of levels and clinical utility of prostate‐derived extracellular vesicles
(EVs) for the management of prostate cancer using nanoscale flow cytometry
Yohan Kim; Ali Arafa; Cameron Britton; Mohamed Ahmed; Vidhu Joshi; Robert Karnes;
Eugene Kwon; Fabrice Lucien
Mayo Clinic, Rochester, USA
Introduction: There is a need to develop tools to accurately measure the levels of
EVs in biofluids and interrogate their clinical utility as disease biomarkers. We
conducted a comprehensive analysis of prostate‐derived EV (PEVs) levels from the blood
of healthy individuals and prostate cancer patients with different tumor burdens using
standardized and calibrated nanoscale flow cytometry (nFC).
Methods: Blood and urine were prospectively collected from 4 healthy donors (HD),
24 patients with localized (nmPC), 123 oligometastatic (omPC) and 20 metastatic prostate
cancer (mPC). Particle and PEV detection was calibrated with Rosetta beads (Exometry)
and MESF beads (Spherotech). PEV levels were measured by Apogee A60‐MicroPlus nanoscale
flow cytometer using fluorescent antibodies (Anti‐PSMA and STEAP1).
Results: Median levels of plasma PSMA+ and STEAP1+ EVs were higher in mPC (2.7‐fold,
p=0.006 and 9.0‐fold, p≤0.0001 respectively) compared to nmPC. Median levels of plasma
PSMA+ and STEAP1+ EVs were higher in nmPC (7.6‐fold, p< 0.0001, and 2.2‐fold, p=0.006
respectively) compared to HD. Moderate correlation between PSMA+ and STEAP1+ EVs was
observed in nmPC (r=0.48, p=0.02) and omPC (r=0.45, p< 0.0001). Weak correlation was
seen in mPC (r=0.23, p=0.34). For nmPC, 42% and 33% of pts showed detectable levels
of PSMA+ and STEAP1+ EVs respectively. Radical prostatectomy was associated to a decrease
in PSMA+ (3.9‐fold, p≤0.01) and STEAP1+ EVs (2.6‐fold, p≤0.01). Higher concentrations
of PSMA+ (1.8‐fold, p=0.014) and STEAP1+ EVs (4.8‐fold, p=0.004) were observed in
plasma compared to patient‐matched urine.
Summary/Conclusion: Our study demonstrates the performance of standardized and calibrated
nFC for the quantification of PEV levels from biofluids. A positive association found
between PEV levels and tumor burden supports their potential as liquid cancer biomarkers.
Finally, this is a transparent and reproducible framework for future prospective studies
evaluating the clinical utility of EVs for the management of PC using nFC.
Funding: This research was supported by a departmental grant and generous benefactors.
FL was recipient of a postdoctoral fellowship from the Fonds de Recherche du Quebec‐Sante
(FRQS).
OT10.03
The capture of tumor‐derived extracellular vesicles spontaneously released by xenotransplanted
tumors induces a pro‐inflammatory reaction in the pre‐metastatic niche
Yves A. DeClerck
1; Laurence Blavier2; Rie Nakata2; Paolo Neviani2; Aitor Benedicto3; Irina Matei4;
Lyden David4
1Children's Hospital Los Angeles University of Southern California, Los Angeles, USA;
2Children's Hospital Los Angeles, Los Angeles, USA; 3University of the Basque Country,
Leioa, Spain; 4Weill Cornell Medical College, New York, USA
Introduction: Primary tumor‐derived Extracellular Vesicles (TEV) captured in the pre‐metastatic
niche (PMN) promote metastasis. However, studies have relied on the administration
of exogenous TEV in animal models. Here we describe a novel approach to monitor the
spontaneous release of TEV from orthotopic models and their capture at metastatic
sites, that allowed us to dissect the mechanisms through which TEV contribute to the
PMN formation and its transition to the metastatic niche (MN).
Methods: Human neuroblastoma (NB) and melanoma (MEL) cells engineered to release green
fluorescent labeled TEV (GFTEV) were orthotopically implanted into mice to track the
capture of GFTEV in the PMN. An analysis of these GFTEV purified by differential ultra
centrifugation followed by density gradient (MISEV2018) revealed the presence of GF
protein in all EV including exosomes. Immunofluorescence imaging and flow analysis
identified GFTEV‐capturing cells, which were then isolated and analyzed for gene expression
profiling by TaqMan low density array.
Results: GFTEV revealed a specific organotropism to the liver (macrophages and stellate
cells) in the NB model and to the lung (alveolar macrophages) in the MEL model prior
to homing of tumor cells. A gene expression analysis of GFTEV capturing macrophages
(NB model) revealed the upregulation of anti‐apoptotic (Bcl2), pro‐tumorigenic (Cox‐2,
Il‐6), angiogenic (Vegfa), and inflammatory (Ccl2, Cxcl‐10, Il‐18, Il‐1alpha/beta)
genes, and alterations in TGF‐beta pathway. Changes in stellate cells suggested a
contribution to monocyte recruitment (Ccl2) and PMN matrix (Fibronectin). Longitudinal
studies in the MEL model, revealed a decrease in pro‐inflammatory Il‐1alpha and Il‐18
and an increase in anti‐inflammatory Hmox‐1 and Tgf‐beta during PMN to MN transition.
Summary/Conclusion: Our data demonstrate that TEV capture in the PMN precedes tumor
cell homing and induces changes in gene expression favorable to metastatic progression.
They provide a better understanding of the role of TEV in the PMN and its transition
to the MN in pathophysiological relevant models of metastasis.
Funding: UA National Institute of Health/National Cancer Institute R01 CA207983 to
YDC
OT10.04
Circulating extracellular vesicles as biomarkers of response for immune‐checkpoint
inhibitors in advanced NSCLC
Orazio Fortunato
1; Diego Signorelli2; Patrizia Ghidotti2; Claudia Proto2; Marta Brambilla3; Elena
jachetti3; Valentina Capizzuto3; Francesca Pontis1; Ilaria Petraroia1; Mattia Boeri1;
Gabriella Sozzi1; Marina Garassino4
1Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy, Milan, Italy; 2Fondazione
IRCCS Istituto Tumori Milano, Milan, Italy; 3Fondazione IRCCS Istituto Tumori Milano,
milan, Italy; 4University of Chicago, Chicago, USA
Introduction: Programmed death ligand‐1 (PD‐L1) expression is the only predictive
biomarker in clinical practice for immune‐checkpoints inhibitors (ICI) in NSCLC. Extracellular
vesicles (EVs) were used as biomarkers for cancer progression and can express PD‐L1
on their surface. The aim of this study was to evaluate EVs in advanced NSCLC patients
(pts) with low PD‐L1 expression in order to find biomarkers for ICI.
Methods: EVs were isolated using ultracentrifuge from plasma of 64 advanced NSCLC
pts treated with ICI or from conditioned medium of lung cancer cells. Pts were classified
in responders (R) if they achieved a complete or partial response by RECIST 1.1, non‐responders
(NR) otherwise. EVs characterization was performed following MISEV guidelines (Nanoparticles
Tracking analysis, Flow cytometry, TEM). The presence of co‐inhibitory or co‐stimulatory
molecules on EVs was assessed by flow cytometry (FC). T cells of healthy donors were
isolated and stimulated with CD3/CD28 beads in presence of EVs (15ug) and analyzed
by FC.
Results: ‐EVs show significant higher levels of CD9, CD81, CD63, CTLA‐4, 41BB, OX40L
and CD86 and low levels of TIGIT compared to NR‐EVs. Stratifying baseline surface
EVs molecules according to median value, higher values of PD‐L1 and VISTA were related
to worse progression free survival (HR 1.78 and 2.15 respectively). In 20 patients
(10 R, 10 NR), evaluated during ICI therapy, EVs‐PD‐L1 levels increased in R compared
to NR (PD‐L1 fold change 1.89). Interestingly, changes in CD9, CD81 and CD63 levels
on both EVs were observed after ICI.
Strikingly, EVs isolated from NR (n=12) or R (n=8) pts increased CD4 and CD8 T cell
proliferation and activation, evaluated as CFSE dilution and IFNg and Granzyme B production,
respectively. We did not find any significant difference in checkpoint receptors on
T cell surface (PD1, Tim3, Vista, Lag3). Notably, in the same experimental setting,
EVs from a NSCLC cell line efficiently inhibited T cell proliferation
Summary/Conclusion: Plasma EVs from NSCLC pts treated with ICI showed different features
in terms of surface markers. PD‐L1 and VISTA on EVs could represent promising biomarkers
for ICI response in NSCLC.
Funding: The study was supported by grants from Italian Ministry of Health (GR‐2019‐12369047)
OT10.05
Early response prediction with EV‐miRNA signatures in patients with Diffuse large
B cell Lymphoma
Steven Wang1; esther Drees1; cristina gomez martin1; Monique van Eijndhoven1; Nils
Groenewegen1; Karin Oudshoorn2; josee Zijlstra1; daphne de Jong1; Martine chamuleau1;
Dirk M. Pegtel
3
1amsterdam university medical centers, amsterdam, Netherlands; 2twenty university,
enschede, Netherlands; 3Amsterdam University Medical Centers, Amsterdam, Netherlands
Introduction: Introduction: Previously, we have showed that classical Hodgkin lymphoma
(cHL) patients with active disease sustain increased levels of a defined set of cell‐free
extracellular vesicle (EV)‐bound circulating miRNAs by qRT‐PCR. We postulated that,
if elevated levels of EV‐bound miRNAs in individual lymphoma patients can predict
metabolically active disease, consistent alterations in the EV‐miRNA landscape may
predict predict response to therapy. Diffuse large B‐cell lymphoma (DLBCL) is the
most common hematological malignancy with heterogeneous outcomes. Current monitoring
methods cannot reliably predict response early in treatment. RNAseq is a powerful
method to explore the miRNA landscape in biological samples ad generate diagnostic
signatures.
Methods: We generated a small RNAseq protocol (isoSeek) that is optimized for small
RNA profiling from ultra‐low input amounts. All blood samples (PAX gene tubes) were
processed upon shipment within 48hours. Plasma EVs were isolated with Size‐exclusion
chromatography and after an EV‐miRNA enrichment step, libraries were generated and
Illumina sequencing was performed with our isoSeek method. We analyzed over 250 libraries
from 100 patients collected at three to five different time points before and during
treatment from three clinical trials that were collected at over 80 hospitals in the
Netherlands, Belgium and Luxembourg. Technical evaluations including PCA/HC analysis,
batch effect, and spike‐inns and control libraries were highly reproducible demonstrating
robustness of our protocol. The data was analyzed with sRNA‐bench bioinformatics pipeline
and EV‐miRNA signatures were developed by using LASSO regression a form of machine
learning.
Results: We developed several microRNA ‘signatures’ from samples collected pre‐treatment,
after one cycle, and post‐treatment. EV‐miRNA signatures could best validated after
one cycle of treatment in predicting response after internal and external validations
with training and test sets yielding a highly promising AUC of 0.88 (0.79‐0.98).
Summary/Conclusion: NGS with isoSEEK protocol in plasma EVs yielded a robust EV‐miRNA
signature that predicts response to standard therapy (R‐CHOP) early during treatment.
At later stages during treatment the method seems to lose predictive power. This novel
approach could potentially guide risk‐adapted treatment strategies in lymphoma patients
and may help assess efficacy of novel front‐line therapies.
Funding: This work was funded by the Ducth Cancer Foundation, The CCA‐foundation and
the Health‐Holland TKI project Accurate.
OT10.06
Surface marker analysis of extracellular vesicles from tumor extracellular matrix
Sarah Tassinari
1; Edoardo d'Angelo2; Federico Caicci3; Marco Agostini2; Federica Collino4; Benedetta
Bussolati5
1Department of Medical Sciences, University of Turin, 10126 Turin, Italy, Turin, Italy;
2First Surgical Clinic, Department of Surgery, Oncology and Gastroenterology, University
of Padova, Padua, Italy., Padua, Italy; 3Department of Biomedical Sciences, University
of Padova, Padua, Italy., Padua, Italy; 4Laboratory of Translational Research in Paediatric
Nephro‐urology, Fondazione Ca' Granda IRCCS Ospedale Maggiore Policlinico, Milan,
Italy., Milan, Italy; 5Department of Medical Sciences, University of Turin, 10126
Turin, Italy, Torino, Italy
Introduction: Extracellular vesicles (EVs) are an important player in tumor progression
and diffusion, and their characterization within the extracellular matrix (ECM) will
represent a tumor molecular fingerprint. This project aims to identify and characterize
EVs from decellularized tumor biopsies at different stages.
Methods: ECM has been obtained by decellularization of human colorectal cancer (CRC)
and corresponding normal colon biopsy (HT), as control. Twelve primary 2/3 stage colorectal
cancer (2/3‐CRC), 7 metastatic (M‐CRC) and the corresponding HT samples, were processed
to isolate EVs (as approved by local ethical committee). We developed a protocol of
mild enzymatic digestion, followed by ultra‐centrifugation. Nanosight and transmission
electron microscopy (TEM) were performed to characterize EVs concentration and structure.
EVs surface markers were analyzed by super‐resolution microscopy and cytofluorimetric
analyses.
Results: EVs were recovered from decellularized CRC with an EVs average yield of 1.70*108
particles/mg of decellularized tissue. TEM confirmed their morphology, integrity and
size, supporting that the decellularization maintains a bioactive microenvironment.
Tetraspanins (CD9, CD63, CD81) were detected by cytofluorimetric analysis and super‐resolution
microscopy, highlighting a homogenous distribution; CD81 had the lowest expression
among the samples. Moreover, M‐CRC and 2/3‐CRC expressed high CD3, CD29 and CD133,
as a signature of cancer tissue. The expression of CD25, CD56 and HLA‐DR was different
in the metastatic population and associated with tumor‐infiltrating lymphocyte's subsets.
We confirmed EVs cell‐origin and the abundance of PD‐1 and PD‐L1 markers on ECM‐EVs
by super‐resolution microscopy.
Summary/Conclusion: ECM‐EVs can be a tool to identify biomarkers for cancer diagnosis
and staging. The surface markers characterization may provide useful information on
the role of EVs in the tumor microenvironment communication.
Oral with Poster
OWP1: Oral with Poster: Biomarkers & Technologies and Methods
Chair: Raymond M. Schiffelers – University Medical Center Utrecht, Utrecht, The Netherlands
Chair: Pieter Vader, University Medical Center Utrecht, Utrecht, The Netherlands,
alongside Qing‐Ling Fu
OWP1.01=PT10.04
Engineered surface expression of combined CD11a and CD18 (LFA‐1) on extracellular
vesicles to target ICAM‐1 expressing cells
Markus Bergqvist
1; Kyong‐su Park2; Nasibeh Karimi3; Cecilia Lässer3; Jan Lötvall3
1Krefting Research Centre, Institute of Medicine at Sahlgrenska Acadamy, University
of Gothenburg, Gothenburg, Sweden, Göteborg, Sweden; 2Krefting Research Centre, Institute
of Medicine at Sahlgrenska Acadamy, University of Gothenburg, Gothenburg, Sweden,
Gothenburg, Sweden; 3Krefting Research Centre, Institute of Medicine at Sahlgrenska
Academy, University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden
Introduction: Lymphocyte function‐associated antigen 1 (LFA‐1) is an integrin present
on lymphocytes and other leukocytes and has ICAM‐1 and other adhesion molecules as
its ligands. LFA‐1 is a heterodimeric glycosylated receptor with two non‐covalently
linked subunits, CD11A and CD18. We hypothesized that genetically overexpressing LFA‐1
in HEK293f cells would result in release of extracellular vesicles (EVs) that a) express
high quantities of LFA‐1, and b) that these EVs have a propensity to bind to and be
taken up by cells overexpressing ICAM‐1.
Methods: HEK293f cells were sequentially transfected with plasmids for CD11a and CD18
using either the FectoProTM system or the LipofectamineTM 2000 system and multiple
clones with stable expression of LFA‐1 were identified by flow cytometry, and the
expression of LFA‐1 on the EVs was confirmed by nanoFCM analysis and Western blot
of respected protein. The isolation of EVs from this clone was performed by ultracentrifugation
and density cushion. Both direct and a reversed binding assays were utilized to determine
whether the cells and EVs expressing LFA‐1 would associate efficiently to ICAM‐1.
Further, uptake experiments in ICAM‐1 overexpressing HMEC‐1 cells compared wild type
and LFA‐1 expressing EVs.
Results: Flow cytometry verified that the transfections with CD18 and CD11a on HEK293f
was successful and that a stable LFA‐1 clone were developed successfully. Binding
assays with ICAM‐1 and anti‐CD18 antibody coated plates showed a higher binding for
the LFA‐1 clone than the 293f‐wildtype and CD18 clone for both wells coated with ICAM‐1
and anti‐CD18 antibody. Western blot and nanoFCM analysis on the EVs isolated from
these three types of cells showed that CD18 and CD11a were expressed on the EVs isolated
from the LFA‐1 clone but were absent on the EVs from the 293f‐WT and the CD18 clone.
In the reverse binding assays more cells expressing ICAM‐1 were able to bind to the
wells with the LFA‐1 EVs than the wells with other EVs and the neutralized LFA‐1 EVs.
Incubating ICAM‐1 expressing cells with different types of EVs showed that the cells
had a higher uptake for the EVs with LFA‐1 on their surface.
Summary/Conclusion: In conclusion, LFA‐1 overexpressing EVs bind to ICAM‐1 and can
be more readily taken up by ICAM‐1 expressing cells. These EVs can therefore potentially
be utilized to target inflamed tissues, and to delivery therapeutics to cells expressing
ICAM‐1.
OWP1.02=PT10.02
Development of a FRET‐based assay for biomarker pairs in small extracellular vesicles
Déanna F. Shea
1; Paul H. Teesdale‐Spittle2; Nathaniel J.L.K. Davis2
1University of Otago, Dunedin, New Zealand; 2Victoria University of Wellington, Wellington,
New Zealand
Introduction: The early stages of lung cancer are difficult to detect, leading to
high levels of mortality. This highlights the need for new diagnostic methods. Exhaled
breath condensate (EBC) is a promising source of biomarkers for monitoring lung and
respiratory system function. Small extracellular vesicles (sEVs) from EBC are an ideal
source of biomarkers, as they can be purified away from contaminants. In this study
we developed a FRET assay that can distinguish between sEVs isolated from a cellular
model of lung cancer (A549 cells) and those of normal lung (WI‐38 cells) based on
pairs of biomarkers.
Methods: Cell and breath sEVs were isolated via ultracentrifugation and characterised
by NTA, TEM, and western blot. Breath sEVs were non‐invasively obtained from 55 healthy
participants. To identify biomarkers that distinguish a cancer cell model from a cell
model of normal lung, proteomic analysis was used. A photoluminescence (PL)‐quenching‐based
FRET detection assay was developed using antibodies against known EV markers (CD63
and CD81) and the proposed cancer biomarkers conjugated with either a donor (AF488)
or acceptor (AF546) fluorophore.
Results: Proteomic analysis revealed 158 proteins that are unique to A549 sEVs compared
to WI‐38 sEVs. Four of these (CD151, GLUT, MYOF, RhoC) were chosen for investigation.
After confirmation that the FRET assay can detect known EV markers, several pairwise
combinations of proposed biomarkers were first tested on A549 sEVs showing the highest
FRET efficiency with pairs containing CD151. Successful pairs were tested on negative
controls (WI‐38 cell and breath sEVs) reporting no change between the isolated donor
dyes’ PL and that of the conjugated complexes.
Summary/Conclusion: The study shows that a simple FRET assay can distinguish between
sEVs isolated from different sources. That opens the possibility for future development
of FRET assays that can be used for assessment of patients with impaired lung function,
including lung cancer.
OWP1.03=PT10.13
A microfluidic device for extracellular vesicle purification
Alessio Meggiolaro; Valentina Moccia; Paola Brun; Valentina Zappulli; Davide Ferraro
University of Padua, Padova, Italy
Introduction: Extracellular vesicles (EVs) were found to play crucial role in intercellular
exchange of molecular constituents and tumor growth. The study of their properties
requires an efficient isolation and this task is not yet satisfied by the available
techniques. Microfluidics, that allows handling small amount of liquids in microchannels,
combined with solid phase extraction, represent a promising strategy to solve this
fundamental task. However, these systems showed very low throughput due to the poor
mixing between EVs and the solid support. This can be solved by droplet microfluidics,
in which tiny and independent aqueous droplets are generated in an oil phase, and
presents strong mixing of the contained liquids. We present a droplet microfluidic
device devoted to apply this capabilities to EVs isolation to improve recovery rate
and throughput, and to reduce protein background.
Methods: A customized microfluidic device was used to co‐encapsulate in droplets both
cell culture media (MDA‐MB‐231, pre‐purified by 1 UC step) and magnetic beads coated
with anti‐CD63 or anti‐CD81 antibodies. After incubation, droplets were driven towards
a magnetic region within the microfluidic device which acts as a trap for the magnetic
beads. EVs resulting attached to them were characterized by Flow Cytometry (FC), Western
Blot (WB, markers: Alix, Calnexin, TSG101, CD63, CD81) and Nanoparticle Tracking Analysis
(NTA). Results were compared with a more conventional method.
Results: NTA showed that microfluidic approach allows good extraction rate, since
the amount of EVs was comparable with the sample after pre‐purification. Both WB and
FC proved the presence of EVs on the isolated beads using both the microfluidic device
and conventional approach.
Summary/Conclusion: EVs purification assays were performed within a droplet microfluidic
device and validated by three characterization methods (NTA, FACS and WB), resulting
in agreement with conventional method. Currently, purification from more complex samples
are under investigation.
Funding: STARS 2019 ‐ UNIPD
OWP1.04=PT10.01
Biofluid specificity of non‐coding RNA profile associated with systemic lupus erythematosus
activity, relevance of exosomal fraction
Olga Martinez‐Arroyo
1; Ana Ortega1; Ana Flores‐Chova1; Carlos Bea2; Maria J Forner2; Raquel Cortes3
1Cardiometabolic and Renal Risk Research Group, Biomedical Research Group Clinic Hospital
‐ INCLIVA, Valencia, Spain; 2Internal Medicine Clinic Hospital, Valencia, Spain; 3Cardiometabolic
and Renal Risk Research Group, Biomedical Research Institute Clinic Hospital ‐ INCLIVA,
Valencia, Spain
Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease where
the exosomes have a pathogenic role throughout their cargos, especially non‐coding
RNA (ncRNA). The aim of this study is to identify a global ncRNA profile specific
of biofluid, plasma or plasma exosomes, associated to SLE activity.
Methods: Plasma samples were obtained from 96 SLE patients and 25 healthy controls
to isolate EXO‐P by differential ultracentrifugation. RNA was extracted from both
EXO‐P and plasma and ncRNAs were identified using high‐throughput SmallRNA sequencing
analysis. Then results were validated in a higher cohort by qPCR.
Results: MicroRNAs (miRNAs) were the group of small ncRNAs with the highest mapped
reads in all groups for both biofluids, followed by piRNAs, lncRNA and Y‐RNA. Then,
making comparisons between groups, it was observed that the plasma presented the greatest
diversity of differentially expressed ncRNA biotypes, being the miRNA and lncRNA the
most representative. Analysing only miRNAs in SLE, it was observed that they biofluid‐specific,
being up‐regulated in exosomes and down‐regulated in plasma, and only 1.2% were common
in both fractions. Finally, miR‐144‐3p and miR‐144‐5p were the highest up‐regulated
in EXO‐P versus P in all patient groups (3.92 and 3.03, p< 0.001, respectively). The
ROC curve analysis showed a significant area under the curve indicating the discriminatory
power only of the levels of hsa‐miR‐144‐3p in EXO‐P for the presence of SLE (AUC =
0.71, p< 0.01).
Summary/Conclusion: The results obtained show a biofluid specificity for the molecular
profile of ncRNA identified, being up‐regulated in exosomes and down‐regulated in
plasma. MiRNAs are the most representative biotype, and exosomal miR‐144‐3p could
be a potential biomarker of SLE activity.
Funding: This research was funded by “Fondo de Investigaciones Sanitarias del Instituto
de Salud Carlos III” [PI18/01405 and PI21/00249 (FIS Projects for M.J.F. and R.C.)
and CD18/00166 (Sara Borrell A.O.) and the European Regional Development Fund (ERDF).
OWP1.05=PT10.09
MicroRNA signatures from tumor‐derived extracellular vesicles for detection of early‐stage
of breast cancer
Sunyoung Park
1; Min Woo Kim2; Hyojung Lee2; Hogyeong Gwak1; Kyung‐A Hyun1; Seoyeon Choi1; Jee Ye
Kim2; Hyo‐Il Jung1; Seung Il Kim2
1School of Mechanical Engineering, Yonsei University, Republic of Korea, Seoul, Republic
of Korea; 2College of Medicine, Yonsei University, Republic of Korea, Seoul, Republic
of Korea
Introduction: Tumor‐derived EVs (TDEs), which carry oncogenic microRNAs (miRNAs),
have been emerging biomarkers in liquid biopsy. However, TDEs are surrounded by normal
cell‐derived EVs and abundant free‐miRNAs in the plasma. An essential step to practically
analyze TDE‐derived miRNAs is needed to purify and enrich the cancer‐associated EVs
from the plasma samples.
Methods: Cancerous EVs expressing breast cancer‐associated surface markers (Integrin
alpha 6 and EpCAM) were rapidly and selectively isolated by using our novel microfluidic
device within two minutes. The miRNAs in TDE isolated by microfluidic chip were compared
with miRNAs in total EV isolated by the conventional precipitation method. After that,
we selected seven‐candidate miRNAs from the TDEs and profiled them in 82 plasma samples
of breast cancer patients and healthy controls.
Results: The miRNAs from TDEs were successfully enriched with our device. Among seven‐candidate
miRNAs, four miRNAs (miR‐9, miR‐16, miR‐21, and miR‐429) from the EVs were highly
elevated in early‐stage breast cancer patients compared with healthy donors. The combination
of significant miRNAs from specific EVs has a high sensitivity of 0.90, 0.86, 0.88,
and 0.84 of AUC (Area under the curve) in each subtype (Luminal A, luminal B, HER‐2,
and triple‐negative) of early‐stage breast cancer.
Summary/Conclusion: Our results suggest that the combination of four miRNA signatures
of TDEs can open a door to enable the early diagnosis of breast cancer using liquid
biopsy.
Funding: This study was supported by a grant from the Basic Science Research Program
through the National Research Foundation of Korea (NRF) funded by the Ministry of
Science, ICT and Future Planning (2020R1I1A1A01067448, 2021R1A2C301125411, 2020M3A9I4039045).
OWP1.07=PT10.14
A modular microfluidic chip for continuous enrichment and isolation of extracellular
vesicles
Hyo‐Il Jung
1; Hogyeong Gwak
2; Sunyoung Park1; Haeun Yu2; Kyung‐A Hyun2
1School of Mechanical Engineering, Yonsei University, Republic of Korea, Seoul, Republic
of Korea; 2Yonsei University, Seoul, Republic of Korea
Introduction: Nanometer‐sized extracellular vesicles (EVs) are secreted by all cells
and circulate in blood body fluids and carry various biomarkers, including RNA, DNA,
lipids, and play crucial roles in cell‐to‐cell communications in the microenvironment.
EVs have been explored as diagnostic biomarkers and therapeutic substances. In order
to utilize EVs in clinical applications, it is required to isolate and enrich EVs
from abundant other biomarkers such as lipoproteins. Conventional methods of EV isolation
have several drawbacks such as poor yields, low purity, and time‐consuming operations.
Methods: Herein, we present a modular microfluidic platform for enriching EVs on micron‐sized
beads based on affinity capture and purely eluting EVs from the beads. The modular
microfluidic platform consists of two microfluidic chips: a horseshoe‐shaped orifice
micromixer (HOMM) and a fish‐trap‐shaped microfilter unit (fish trap). The HOMM effectively
enhances collisions between the EVs and antibody‐coated carrier beads. Subsequently,
these EV‐carrying beads are trapped by the square structures in the fish trap. Finally,
Injection of the elution buffer releases only pure EVs from the beads.
Results: The binding efficiency of EVs and microbeads on the HOMM was 97% at the flow
rate of 150 μL/min. The capture efficiency of microbeads in the fish trap was approximately
99% at flow rates of 50 to 150 μL/min. PD‐L1 functions as an evasion to immune cells
in the tumor microenvironment and is emerging to play pivotal roles in immunotherapy
response. PD‐L1 positive EVs collected from the modular chip were co‐cultured with
T cells for 12 hours. After then, we investigated the expression of PD‐L1 EV‐internalized
T cells by using flow cytometry. The expression levels of PD‐L1 positive EVs were
50% higher internalized into T cells compared to control.
Summary/Conclusion: Based on these results, the modular chip could be employed as
a simple therapeutic and diagnostic tool for clinical applications.
Funding: This work was supported by the National Research Foundation of Korea (NRF)
grant funded by the Korea government (MSIT) (No. 2021R1A2C301125411 and No. 2020M3A9I4039045)
and 2021 Research Program through the National Research Foundation of Korea (NRF)
funded by the Ministry of Science, ICT & Future Planning (2021R1C1C2007646)
OWP1.08=PT10.06
Extracellular Vesicle MicroRNA That Are Involved in β‐Thalassemia Complications
Carina Levin
1; Ariel Koren2; Annie Rebibo‐Sabbah3; Maya Levin4; Na'ama Koifman5; Benjamin Brenner3;
Anat Aharon4
1Pediatric Hematology Unit, Emek Medical Center, Afula, Israel; 2Pediatric Hematology
Unit "Emek" Medical Center ‐ Afula, Afula, Israel; 3Department of Hematology and Bone
Marrow Transplantation, Rambam Health Care Campus, Haifa, Haifa, Israel; 4Tel Aviv
Sourasky Medical Center, Tel Aviv, Israel; 5Department of Chemical Engineering and
the Russell Berrie Nanotechnology Institute, Technion‐Israel Institute of Technology,
Haifa, Haifa, Israel
Introduction: Beta thalassemia major (βT) is a hereditary anemia characterized by
transfusion‐dependency, lifelong requirement of chelation, and organ dysfunction.
MicroRNA (miRNA) can be packed into extracellular vesicles (EVs) that carry them to
target cells. We explored EV‐miRNA in βT and their pathophysiologic role.
Methods: Circulating EVs were isolated from 35 βT‐patients and 15 controls. EV miRNA
was evaluated by nano‐string technology and real‐time quantitative polymerase chain
reaction (RT‐qPCR). We explored effects of EVs on cell culture proliferation, apoptosis,
and signal transduction.
Results: Higher amounts of small EV (exosomes) were found in patients than in controls.
The expression of 21 miRNA was > two‐fold higher, and of 17 miRNA < three‐fold lower
in βT‐EVs than control‐EVs. RT‐qPCR confirmed differential expression of six miRNAs
in βT, particularly miR‐144‐3p, a regulator of erythropoiesis. Exposure of endothelial,
liver Huh7, and pancreatic 1.1B4 cells to βT‐EVs significantly reduced cell viability
and increased cell apoptosis. βT‐EV‐induced endothelial cell apoptosis involved the
MAPK/JNK signal‐transduction pathway. In contrast, splenectomized βT‐EVs induced proliferation
of bone marrow mesenchymal stem cells (BM‐MSC).
Summary/Conclusion: In summary, the miR‐144‐3p was strongly increased; βT‐EVs induced
apoptosis and decreased endothelial, pancreatic, and liver cell survival while supporting
BM‐MSC proliferation. These mechanisms may contribute to βT organ dysfunction and
complications.
Funding: ISF , The Israel Science Foundation
OWP1.09=PT10.15
Detection of arginase containing small extracellular vesicles in biological fluids
of endometriosis patients as a potential immunosuppressive factor
Karolina M. Soroczyńska
1; Tobias Tertel2; Oumaima Stambouli2; Bernd Giebel2; Malgorzata Czystowska‐Kuzmicz1
1Medical University of Warsaw, Warsaw, Poland; 2Institute for Transfusion Medicine,
University Hospital Essen, University of Duisburg‐Essen, Essen, Germany, Essen, Germany
Introduction: Endometriosis is a chronic gynaecological disorder characterized by
the growth of the endometrium outside its cavity. Despite its high prevalence, at
present there are no effective treatments or biomarkers for early diagnosis. Recent
reports suggest that endometriosis may be related to the impaired immune response.
Our preliminary results indicate an increased level of two isoforms of arginase (ARG)
enzyme, arginase‐1 (ARG1) and arginase‐2 (ARG2) as well as increased ARG activity
in the peripheral blood of patients. Arginases are well‐known regulators of amino
acid metabolism, with a strong immunosuppressive effect, especially in tumors. We
assume that an immunosuppressive mechanism mediated by (ARG)‐carrying extracellular
vesicles (ARG+EVs), may be responsible for the observed dysfunction of the immune
system in endometriosis, resulting in the progression of this disease. The aim of
the project is to identify ARG+EVs in the serum and peritoneal fluid (PF) of endometriosis
patients and to decipher their impact on the dysfunction of the immune system in endometriosis.
Methods: Small EVs were isolated from serum and PF of endometriosis and control patients
using SEC and were verified by Western blotting, NTA and imaging flow cytometry. The
presence of arginases in EVs was determined by Western blotting, ELISA and flow cytometry.
The functionality of ARG+ EVs was investigated using a multi‐donor mixed lymphocyte
reaction (mdMLR) assay.
Results: We detected small EVs in serum and PF samples from endometriosis patients
and controls. According to NTA measurements, there was a trend towards higher total
number of particles in endometriosis patients in comparison to controls both in serum
and PF. We confirmed the presence of ARG1 and ARG2 in single EV samples from serum
and PF of endometriosis patients along with the detection of some classical markers
of small EVs. Based on single EV analyses by imaging flow cytometry, we showed a decrease
in ARG1 expression in serum‐derived EV samples after the laparoscopic surgery. According
to ELISA results, the concentration of vesicular ARG2 was several times higher than
the ARG1 concentration, that was in the range of several ng per ml of serum or PF.
In addition, EVs showed a minor immunomodulatory effect in the mdMLR, with a decline
in activated CD4 and CD8 cells (CD25+CD54+), which was reversed by the addition of
an ARG inhibitor.
Summary/Conclusion: Our findings provide the first evidence for the presence of the
immunosuppressive enzyme ‐ ARG in the cargo of small EVs isolated from serum and PF
of endometriosis patients. We believe that ARG+EVs may impact endometriosis progression,
in terms of immune dysfunction, as well as provide a potential diagnostic/prognostic
biomarker or therapeutic target.
Funding: NAWA Polish National Agency for Academic Exchange grant PPI/APM/2019/1/00051/U001
National Science Centre (NCN) grant OPUS21 2021/41/B/NZ6/02291
OWP1.10=PT10.05
EV derived Proteomics profile to stratify Angiogenic and Vessel co‐opting Lesion in
Colorectal Cancer Liver metastasis
Migmar Metrakos
1; Peter Metrakos2; Anthoula Lazaris2; Lucyna Krzywon1; Stephanie Petrillo2
1McGill University, Montreal, Canada; 2RIMUHC, Montreal, Canada
Introduction: Colorectal cancer (CRC) is the 3rd most common type of cancer worldwide
with liver being the dominant metastatic site. Liver metastases present as two major
histopathological growth patterns (HGPs): Angiogenic and Non‐angiogenic (vessel co‐opting).
We have published that CRCLM patients treated with chemotherapy and bevacizumab have
a worse five‐year overall survival when their lesions employ vessel co‐option instead
of angiogenesis. Thus, the stratification of these HGP is of clinical relevance. There
are currently no biomarkers available to stratify these patients. Our study aims at
generating extracellular vesicle (EV) based signature using blood‐based biomarkers
(Liquid Biopsy) to stratify patients into angiogenic or vessel coopting lesions for
personalized treatment strategy.
Methods: We isolated EVs from plasma of 13 Chemonaive patients (Angiogenic n= 7 and
Vessel co‐option n=6). Based on MISEV guideline, EVs were characterized using nanoparticle
tracking analysis, electron microscopy and Western blot. Mass Spectrometry was performed
to study the EV proteomics profiles followed by analysis using MAXQuant software.
We validated the presence of the proteins in the tissue of origin using immunostaining
methods.
Results: Using FunRich to perform cellular enrichment analysis, we observed that the
majority of proteins were of exosome origin. Principal component analysis (PCA) was
performed using Perseus analysis tool and we generated a list of significantly differentially
expressed proteins. ROC‐AUC analysis was performed to obtain diagnostic power of individual
candidate proteins and refine the list of proteins in order of the diagnostic power.
Interestingly, S100A9 protein was the top protein observed and the expression of the
S100A9 in the EV correlated well with the tumor tissue thus showing significant differences
in expression at the tumor interphase in co‐opting lesions only. Further we observed
that S100A9 proteins on the tissue were expressed by the macrophage and neutrophils
which has been suggested to be involved in the inhibition of T‐Cell response.
Summary/Conclusion: Our findings indicate that blood derived EV biomarkers can be
used to stratify patients into angiogenic and non‐angiogenic tumor types and may predict
response to current treatment regimes.
Funding: MEDTEQ Innovation for Health
OWP1.11=PT10.10
miR‐210 expression is strongly hypoxia‐induced in anaplastic thyroid cancer compared
with papillary thyroid cancer cell lines and is associated with extracellular vesicles
and extracellular ribonucleoproteins
Bonita H. Powell
1; Andrey Turchinovich2; Yongchun Wang3; Martha A. Zeiger4; Christopher B. Umbricht3;
Kenneth W. Witwer5
1Johns Hopkins University School of Medicine, Baltimore, USA; 2Sciberg e.Kfm., Mannheim,
Germany; 3Johns Hopkins University School of Medicine, Department of Surgery, Baltimore,
USA; 4Surgical Oncology Program, National Cancer Institute, National Institutes of
Health, Bethesda, USA; 5Johns Hopkins University School of Medicine, Department of
Molecular and Comparative Pathobiology, Baltimore, USA
Introduction: Anaplastic thyroid carcinoma (ATC) is a rare but deadly thyroid cancer.
Hypoxia is frequent in aggressive solid tumors like ATC and can promote resistance
to therapy via the hypoxia‐inducible factor (HIF) pathway. Identifying and targeting
hypoxic cells is an attractive approach to treating ATC.
Methods: Ligation‐based and ‐independent small RNA‐seq (sRNA‐seq) methods were used
to compare miRNA expression in ATC lines (SW1736 and C643) vs. papillary thyroid cancer
(PTC) lines (TPC‐1 and BCPAP) at 2% (hypoxia) or atmospheric (normoxia) O2 levels.
Differentially expressed miRNA was validated by Stem‐Loop RT‐qPCR. Extracellular vesicles
(EVs) and ribonucleoproteins (RNPs) were isolated from cell‐ and debris‐pre‐cleared
conditioned media by size‐exclusion chromatography (SEC). EVs were characterized by
electron microscopy (EM), resistive pulse sensing (RPS), and Western blot (WB).
Results: sRNA‐seq and qPCR showed 2x lower normoxic expression of miR‐210 in ATC vs.
PTC lines. In a 0, 2, 4, 8, 24, & 48hr time‐course, miR‐210 was >10x induced in hypoxic
vs normoxic ATC cells but only 2‐4‐x in PTC. Both sRNA‐seq and qPCR showed that miR‐210
was the only miRNA significantly up‐regulated (>2x) in hypoxic SW1736 (ATC) cells.
In SW1736, miR‐210 levels declined after 72hr of hypoxia, consistent with lower HIF‐1alpha
protein levels, but remained elevated (>2x) relative to normoxia. However, miR‐210
increased (>2x) in media collected at 72hr, suggesting extracellular release. miR‐210
in hypoxia relative to normoxia was enriched ∼3x in EV and RNP fractions separated
by SEC. Lastly, similar particle counts per cell were observed for EVs released during
hypoxia vs. normoxia (RPS), but there was an enrichment of CD63 and CD9 after 72hr
hypoxia (WB).
Summary/Conclusion: mir‐210, a HIF target, indicates hypoxia in ATC lines and associates
with EVs and extracellular RNPs. Therefore, miR‐210 is a potential cellular and extracellular
marker for hypoxia within ATC tumors. Further analysis of miR‐210 levels in ATC tissues
and plasma is warranted for the potential use of drugs that target hypoxia effectors
such as HIF‐1 and HIF‐2.
OWP1.12=PT10.12
Vesicle subpopulations from the nanoscale to the microscale: development and optimization
of a separation protocol with asymmetrical flow field‐flow fractionation (AF4)
Daniele D'Arrigo
1; Arianna Gennari2; Chiara Arrigoni1; Marco Vanoni3; Marco Delcogliano4; Christian
Candrian5; Nicola Tirelli6; Matteo Moretti1
1Regenerative Medicine Technologies Lab, Service of Orthopaedics and Traumatology,
Department of Surgery, EOC, via Federico Chiesa 5, Bellinzona, Bellinzona, Switzerland;
2Laboratory of Polymers Biomaterials, Istituto Italiano di Tecnologia, Via Morego
30, 16163, Genoa, Italy, Genoa, Italy; 3Department of Biotechnology and Bioscience,
Università degli studi di Milano‐Bicocca, 20126, Milan (IT), Milan, Italy; 4Service
of Orthopaedics and Traumatology, Department of Surgery, EOC, Via Tesserete 46, Lugano,
Switzerland, Lugano, Switzerland; 5Service of Orthopaedics and Traumatology, Department
of Surgery, EOC, via Tesserete 46, Lugano, Switzerland, Lugano, Switzerland; 6Laboratory
of Polymers Biomaterials, Istituto Italiano di Tecnologia, Via Morego 30, 16163 Genoa,
Italy, Genoa, Italy
Introduction: Extracellular vesicles (EVs) are described as lipid particles with a
limited size distribution, nonetheless different EV subpopulations exist and can have
important biological roles. For instance, large EVs have a role in inflammation, key
process in joint diseases like osteoarthritis (OA). However, most of the studies looking
for new OA biomarkers are only focused on small EVs. Thus, our aim is to develop a
protocol based on the asymmetrical flow field‐flow fractionation (A4F) technique to
separate different sized EV subpopulations from the synovial fluid (SF), also applicable
to other biofluids.
Methods: We collected shoulder and knee SF from a total of 6 donors after biceps tenotomy
or knee replacement. We also got culture medium from synovial fibroblasts isolated
from 4 arthritic patients and plasma from a healthy donor. Firstly, we optimized flow
values in the A4F to obtain the whole EV profile from the different samples. Then
we separated different sized EV subpopulations, evaluating EV average size, relative
abundance, Z potential, and concentration of proteins and nucleic acids. We performed
transmission and immune electron microscopy (EM) to confirm particle size and identity.
Finally, with proteomics we assessed EV markers and protein content.
Results: With our protocol we obtained the EV profile and isolated EVs with a radius
ranging from 20 up to 700 nm, divided into 4 subpopulations. As confirmed by EM, the
EV size, profile and the relative percentage of each subpopulation were different
in each biofluid. In addition, EVs from SF showed a decreasing trend of Z potential
and protein concentration, but not of nucleic acid content, with increasing size.
We demonstrated the presence of EV‐specific markers, also by immune EM and, as expected
from a size‐based separation approach, we found lipoproteins in the smaller EV subpopulations.
Summary/Conclusion: Our A4F‐based protocol allows the isolation of EVs with a radius
ranging from 20 up to 700 nm and the separation of different sized subpopulations.
It also provides the whole EV profile of samples and we showed that it differs based
on the biofluid. The isolation and the characterization of different subpopulations
in biofluids would give intriguing new opportunities to find diagnostic OA biomarkers.
Funding: Swiss National Foundation, SNF grant number P1SKP3_199444
OWP1.13=PT10.07
Imaging flow cytometry challenges the usefulness of classically used EV labelling
dyes and qualifies that of a novel dye, named Exoria™ for the labelling of MSC‐EV
Tobias Tertel
1; Melanie Schoppet2; Oumaima Stambouli1; Ali Al‐Jipouri1; Patrick F. James2; Bernd
Giebel1
1Institute for Transfusion Medicine, University Hospital Essen, University of Duisburg‐Essen,
Essen, Germany, Essen, Germany; 2Exopharm Ltd, Level 17, 31 Queen St, Melbourne, Victoria,
Australia, Melbourne, Australia
Introduction: Extracellular vesicles (EVs) are involved in mediating intercellular
communication processes. An important goal within the EV field is the study of the
biodistribution of EVs and the identification of their target cells. Considering that
EV uptake is important for EVs in mediating intercellular communication processes,
labelling with fluorescent dyes has emerged as a broadly distributed strategy for
the identification of the EVs target cells and tissues. However, the accuracy and
specificity of commonly utilized labelling dyes has not been sufficiently analyzed.
Methods: By combining recent advancements in imaging flow cytometry for the phenotypic
analysis of single EVs and aiming to identify target cells for EVs within therapeutically
relevant MSC‐EV preparations, we explored the EV labelling efficacy of various fluorescent
dyes, specifically of CFDA‐SE, Calcein AM, PKH67, BODIPY‐TR‐Ceramide and a novel lipid
dye named Exoria.
Results: Our analyses qualified Exoria as the only dye which specifically labels EVs
within our MSC‐EV preparations. Furthermore, we demonstrate Exoria labelling does
not interfere with the immunomodulatory properties of the MSC‐EV preparations as tested
in a multi‐donor mixed lymphocyte reaction assay. Within this assay, labelled EVs
were differentially taken‐up by different immune cell types.
Summary/Conclusion: Overall, our results qualify Exoria as an appropriate dye for
the labelling of EVs derived from our MSC‐EV preparations, this study also demonstrates
the need for the development of next generation EV characterization tools which are
able to localize and confirm specificity of EV labelling.
OWP1.14=PT10.11
New targets and new approaches for multiple myeloma: extracellular vesicles as functional
liquid biomarkers
Antonia Reale
1; Andrew Spencer1; Tiffany Khong1; David W. Greening2; Haoyun (Alexx) Fang2; Maoshan
Chen3; Rong Xu1; Irena Carmichael1; Nicholas Bingham1; Malarmathy Ramachandran1
1Monash University, Melbourne, Australia; 2Baker Heart and Diabetes Institute, Melbourne,
Australia; 3NA, Melbourne, Australia
Introduction: HS5 stromal cells pre‐treated with small extracellular vesicles (sEV)
enriched from blood plasma of myeloma (MM) patients promoted adhesion of human MM
cells (HMCL), with preliminary proteomic profiling of MM‐sEV (vs healthy donors‐HD)
revealing enrichment of factors implicated in cell migration and adhesion.
Aims: To demonstrate that plasma‐derived sEV induce a microenvironment favouring MM
progression and identify the protein content of plasma‐sEV that promotes this.
Methods: sEV were enriched from plasma (1mL) using a commercial kit. Proteomic profiling
(nLC and high‐resolution mass spectrometry, Orbitrap HF‐X) of plasma‐sEV derived from
HD (x10) and patients with MM (x8) or pre‐malignant conditions (monoclonal gammopathy
of undetermined significance‐MGUS x10; smouldering/asymptomatic MM‐SMM x4), and functional
studies (co‐culture system HS5:HMCL) were performed.
Results: Stromal cells pre‐treated with MM‐sEV induced both HMCL proliferation (p<
0.05) and drug resistance (p< 0.0001) to anti‐MM drugs (proteasome inhibitors) when
compared to untreated cells.
A total of 412 proteins were detected and quantified by proteomic profiling of PBPL‐sEV
with 13 reported as highly enriched in EV‐marker databases (ExoCarta‐top100) and 8/13
corresponding to universal cancer EV‐markers proposed by Hoshino‐Cell2020. Gene ontology
analysis of identified proteins (G:Profiler; p< 0.05) revealed enrichment for cellular
component terms, e.g. extracellular vesicles, exosomes, and for several biological
processes, e.g. cell communication, endocytosis, cell migration, cellular response
to stimulus. Comparative analysis between our dataset and several publicly available
datasets revealed sEV‐markers with potential discriminatory specificity for MM, MGUS
or SMM. Comparative analysis revealed 40, 40 and 41 proteins differentially regulated
between HD‐sEV and MM‐sEV or MGUS‐sEV or SMM‐sEV (P < 0.05; log2 fold change ≥2).
A specific protein signature identified in MM‐sEV was found in ≥30% of MM‐sEV vs <
30% HD‐sEV. Specific protein signatures were also identified in MGUS‐sEV (≥30% of
MGUS‐sEV but < 30% HD‐ or MM‐ or SMM‐sEV) and SMM‐sEV (≥30% of SMM‐sEV but < 30% HD‐
or MM‐ or MGUS‐sEV). These proteins were not found in human whole plasma (Lehallier‐Nat
Med2019) or solid tumors‐derived sEV described by Hoshino‐Cell2020 and Vinik‐SciAdv2020).
Summary/Conclusion: MM‐sEV may play an important role in disease progression by re‐programming
the tumour microenvironment. The characterization and proteomic profiling of disease‐specific
circulating sEV as a biomarker discovery strategy may provide translational applications
in MM.
Funding: Australian Government Research Training Program Scholarship and Departmental
Scholarship (Monash University, to Antonia Reale)
OWP2: Oral with Poster: Fundamental Biology and Pathophysiology
Chair: María Yáñez‐Mó – CBM‐SO, IIS‐IP, Universidad Autónoma de Madrid
OWP2
Oral with Poster: Fundamental Biology and Pathophysiology
María Yáñez‐Mó
CBM‐SO, IIS‐IP, Universidad Autónoma de Madrid, Madrid, Spain
OWP2.01=PT11.13
Release of immunosuppressive prostate cancer‐derived extracellular vesicles impairs
with cytotoxic CD8+ T‐cell activity in response to radiotherapy
Yohan Kim; Roxane Lavoie; Haidong Dong; Sean Park; Fabrice Lucien
Mayo Clinic, Rochester, USA
Introduction: Stereotactic ablative radiotherapy (SABR) is a promising treatment for
oligometastatic prostate cancer by optimizing local control and inducing a systemic
antitumor immune response at non‐irradiated distant metastatic sites. However, most
patients still experience distant progression. We recently showed that patients with
high levels of tumor derived EVs (tdEVs) following SABR tend to have lower levels
of circulating effector CD8+ T cells, leading to higher risk of developing metastasis.
Based on the clinical observations, we hypothesized that radiotherapy can induce the
release of immunosuppressive tdEVs resulting in impaired antitumor immune response.
Methods: Prostate cancer cells (PC3 and DU145) were irradiated with single dose or
fractionated radiotherapy. Levels of tdEVs were measured by nanoscale flow cytometer
(Apogee A60MP). Human CD8+ T‐cells were co‐cultured with tdEVs to analyze T‐cell phenotype
and cytotoxic function. Molecular composition of cancer cell surface and tdEVs in
response to radiotherapy was analyzed by mass spectrometry, western blotting, and
flow cytometry.
Results: Radiotherapy significantly increased release of tdEVs (>2‐fold, p< 0.05).
EVs from irradiated CRPCa cells inhibited proliferation and killing function of CD8+
T cells. Proteomics revealed upregulation of B7‐H3 at surface of cancer cells and
enrichment within EVs in response to radiotherapy. Co‐culture of CD8+ T‐cells and
radiotherapy‐induced tdEVs significantly decreased T‐cell cytotoxic activity (1.3‐fold,
p< 0.05). Overexpression of B7‐H3 protein in tdEVs suppressed cytotoxic activity whereas
tdEVs with deletion of B7‐H3 expression was associated with partial recovery of T‐cell
cytotoxic function.
Summary/Conclusion: This study unveils a novel cellular mechanism that can impair
with the efficacy of SABR and warrants tdEVs (i.e B7‐H3+) as a promising target to
elicit radiotherapy‐induced antitumor immune response.
Funding: This research was supported by departmental grant (FL) and generous benefactors
(FL). FL was recipient of a postdoctoral fellowship from the Fonds de Recherche du
Quebec‐Sante (FRQS).
OWP2.02=PT11.07
MALAT1+ EVs from inflammatory airway neutrophils promotes hyperexocytosis across generations
of airway recruited neutrophils via HDAC11
Brian S. Dobosh; Diego Moncada Giraldo; Rabindra Tirouvanziam
Emory University, Atlanta, USA
Introduction: Cystic fibrosis (CF) is characterized by recruitment and hyperexocytosis
of granules from polymorphonuclear neutrophils (PMNs) yet paradoxical failure to kill
pathogens in the airways ‐ a phenotype termed granule releasing, immunomodulatory
and metabolically active (GRIM). Newly arrived, naïve PMNs are exposed to EVs from
other cells including earlier arrived PMNs. We utilized a model in which blood PMNs
can be conditioned into GRIM cells by transmigration toward CF sputum. We sought to
determine what component of the sputum caused PMNs to become GRIM.
Methods: EVs were purified by centrifugation at 800, 3000, 20000xg then by 300kDa
MWCO column considered an “intermediate recovery, intermediate specificity” EV enrichment
method by MISEV2018. EV integrity, purity and concentration were determined by EM
and NTA and western blot of TSG101, CD63 and calnexin. Cell‐specific EVs were validated
by immunoprecipitation and nanoflow cytometry with antibodies against CD66b (PMN),
CD326 (epithelial) or CD115 (macrophage).
Results: EVs from CF sputum were necessary and sufficient to generate GRIM PMNs. Removal
of CD66b+, but not CD326+ or CD115+EVs prevented the GRIM phenotype. EVs from GRIM
PMNs were generated and applied to naïve neutrophils, which became GRIM.
RNA‐seq of GRIM and non‐GRIM PMN EVs identified lncRNA MALAT1 as differentially expressed.
Naïve PMNs became GRIM when transfected with MALAT1, which localized to EVs, and caused
other naïve PMNs to become GRIM. HDAC11 was differentially expressed in GRIM vs non‐GRIM
PMNs. Expression of HDAC11 in GRIM PMNs caused upregulation and packaging of MALAT1
into EVs which could convert naïve PMNs to GRIM PMNs.
Summary/Conclusion: PMNs become GRIM due to HDAC11 which caused expression and packaging
of MALAT1 into EVs. MALAT1+ CD66b+ EVs caused naïve PMNs to express HDAC11 and become
GRIM. This suggests that MALAT1 and HDAC11 are targets to lessen inflammation in CF
and other airway diseases with PMNs such as COPD, asthma and COVID19.
Funding: CF Foundation (TIROUV15A0), Emory Pediatrics Flow Core.
OWP2.03=PT11.03
Chronic subtoxic oxidative stress in retinal pigmented epithelium identifies polarized
desmosome shedding via exosomes as an early biomarker of cellular dysfunction
Belinda Hernandez
1; Nikolai Skiba2; Martha Cady2; Mikael Klingeborn2; Catherine Bowes Rickman2
1Duke Univeristy, Durham, USA; 2Duke University, Durham, USA
Introduction: Oxidative stress is implicated in the pathobiology of age‐related macular
degeneration (AMD) and initially targets the retinal pigmented epithelium (RPE). We
hypothesize that oxidative stress leads to RPE dysfunction, affecting RPE exosome
release and their role in extracellular matrix (ECM) changes leading to early signs
of AMD.
Methods: Fully differentiated and polarized primary porcine RPE cells grown on cell
culture inserts were treated daily with 0.2mM H2O2 for 4 weeks to induce chronic oxidative
stress. Exosome isolation from basal‐side conditioned media was done by differential
centrifugation followed by Iodixanol density gradient flotation. Exosome yield was
assessed by Nanoparticle Tracking Analysis. Purity and protein content of exosome
preparations were analyzed by immunoblotting for exosomal markers, and markers for
known contaminants. In‐depth proteomic mass spectrometry analyses were done on both
exosomes and ECM preparations. EV track for methods: EV170046 and EV200042.
Results: Unbiased proteomic analyses of the content of highly purified basolateral
exosomes isolated from RPE cultures under oxidative stress revealed changes to a number
of ECM and desmosomal proteins. Keratin 10 and Junction Plakoglobin were increased
greater than 3‐fold in basolateral exosomes. Increased release of desmosomal proteins
were correlated with a 4‐fold increase in basolateral exosome secretion. Treatment
of RPE cultures with an inhibitor of exosome release reduced basolateral EV secretion
and reduced deposition of a subset of proteins into the ECM.
Summary/Conclusion: We show for the first time that oxidative stress in primary RPE
cultures induces basolateral shedding of desmosome components via exosomes, ECM changes,
and increased basolateral EV secretion which could be prevented by inhibition of exosome
release. These findings open up a completely novel avenue for therapeutic intervention
and access to early biomarkers of cellular dysfunction in AMD.
Funding: NIH/NEI R21 EY033057 , R01 EY031748, and P30 EY005722 (Duke Eye Center).
OWP2.04=PT11.09
miRNAs enriched in extracellular vesicles as actors and markers of papillary thyroid
cancer
Ophélie Delcorte
de DUVE Institute ‐ UCL, Brussels, Belgium
Introduction: Papillary thyroid carcinoma (PTC) is the most frequent subtype of thyroid
cancers. Despite good prognosis in most cases, postsurgery recurrences and metastases
can occur. Moreover, differential diagnosis between benign and malignant nodules is
still challenging. Gaining knowledge about extracellular vesicles (EVs) in PTC could
have a double benefit: a better understanding of PTC clinical behaviour, and the discovery
of accessible (and accurate) diagnostic tools.
The goals of this project are to (i) identify miRNAs actors and markers, released
via EVs by the tumor, (ii) decipher the mechanisms by which they impact thyroid cancer
and its microenvironment, and (iii) evaluate the diagnostic value of circulating miRNAs.
Methods: Using a mouse model mimicking human PTC, we isolated EVs from dissociated
control‐ and early and late PTC‐tissue by differential ultracentrifugations. Vesicles
in the high‐speed pellet were characterized in‐depth and sequencing was performed
to identify tumor‐derived EV‐miRNAs. We investigated the distribution of EV‐miRNAs
according to their cellular source using the Nanoview technique. In parallel, the
miRNAs candidates were quantified in tissues, in plasma and in plasma‐EVs from patients
treated for thyroid diseases.
Results: We focused on 4 miRNAs differentially more abundant in EVs from PTC tissues.
In silico analysis revealed their enrichment in immune‐related pathways, consistently
with the massive recruitment of macrophages observed in the model. We showed that
the number of EVs bearing epithelial and immune markers was increased in PTC tissues.
The 4 miRNAs were mostly expressed, and deregulated, in epithelial cells. We thus
propose that their increased abundance in epithelial‐EVs could affect the immune microenvironment.
Finally, the analysis on human samples demontrated that two miRNAs, miR‐146b‐5p and
miR‐21a‐5p were more abundant in tissue and plasma‐EVs isolated from patients with
PTC, as compared to benign diseases.
Summary/Conclusion: We provided a gradual tissue‐ and EV‐miRNAs profiling during PTC
development which allowed the identification of EV‐miRNAs that could (i) support the
establishment of a permissive microenvironment for tumor development and (ii) contribute
to thyroid cancer diagnosis.
Funding: Fondation Roi Baudouin (Fund Yvonne Smits), Université catholique de Louvain
(Actions de Recherche concertées, ARC 15/20‐065), National Lottery, FNRS, Télévie
and de Duve Institute.
OWP2.05=PT11.04
Controlled release of epigenetically‐activated extracellular vesicles from a gelMA/nanoclay
composite hydrogel to promote bone repair
Kenny Man
1; Inês A. Barroso1; Mathieu Y. Brunet1; Ben Peacock2; Angelica S. Federici3; David
A. Hoey3; Sophie C. Cox1
1University of Birmingham, Birmingham, United Kingdom; 2NanoFCM Co., Ltd., Nottingham,
United Kingdom; 3Trinity College Dublin, Dublin, Ireland
Introduction: Extracellular vesicles (EVs) have garnered growing attention as promising
acellular tools for bone repair. Although EVs potential has been shown, issues associated
with their therapeutic potency and short half‐life in vivo hinders their clinical
utility. Epigenetic reprogramming with the histone deacetylase inhibitor Trichostatin
A (TSA) has been reported to promote the osteoinductive potency of osteoblast‐derived
EVs. Gelatin methacryloyl (GelMA) hydrogels functionalised with the synthetic nanoclay
laponite (LAP) have been shown to enhance the retention of bioactive factors. This
study investigated the potential of utilising a GelMA‐LAP hydrogel to improve local
retention and control delivery of epigenetically‐activated EVs as a novel bone repair
strategy.
Methods: GelMA/nanoclay composites were fabricated by combining 5wt% GelMA with different
concentrations of LAP (0.5, 1 and 2 wt%) prior to visible light crosslinking. The
hydrogels compressive modulus, shear‐thinning behaviour, 3D printing fidelity and
osteogenic potency was evaluated. EVs were derived from 5 nM TSA‐treated or untreated
osteoblasts over a 2‐week period. EVs size, morphology and concentration were assessed
via nanoflow cytometry and transmission electron microscopy. Isolated EVs were incorporated
within the composites and their release kinetics were determined using the CD63 ELISA.
Human bone marrow stromal cells (hBMSCs) osteogenic differentiation within the EV‐functionalised
hydrogel was evaluated by biochemical and histological analysis.
Results: LAP incorporation improved GelMA compressive modulus, shear‐thinning properties
and 3D printed shape fidelity in a dose‐dependent manner when compared to LAP‐free
gels. Moreover, hydrogels containing LAP increased hBMSCs mineralisation capacity
(1.41‐fold) over 14 days. EV release kinetics from these nanocomposites were strongly
influenced by LAP concentration with significantly more vesicles released from LAP‐free
constructs. EVs derived from TSA‐treated osteoblasts (TSA‐EVs) enhanced proliferation
(1.09‐fold), migration (1.83‐fold), and mineralisation (1.87‐fold) of hBMSCs when
released from the GelMA‐LAP hydrogel compared to the untreated EV gels. Importantly,
the TSA‐EV functionalised GelMA‐LAP hydrogel significantly promoted encapsulated hBMSCs
extracellular matrix collagen production (≥1.3‐fold) and mineralisation (≥1.78‐fold)
in a dose‐dependent manner compared to untreated EV constructs.
Summary/Conclusion: Taken together, these findings demonstrate the potential of combining
epigenetically‐activated EVs with a nanocomposite photocurable hydrogel to enhance
the therapeutic efficacy of acellular vesicle approaches for bone repair.
OWP2.06=PT11.15
The role of Notch2 in osteoclastogenic and angiogenic potential of extracellular vesicles
in multiple myeloma
Domenica Giannandrea
1; Natalia Platonova1; Michela Colombo1; Mara Mazzola2; Valentina Citro1; Raffaella
Adami1; Filippo maltoni1; Silvia Ancona1; Vincenza Dolo3; Ilaria Giusti3; Andrea Basile4;
Anna Pistocchi2; Laura Cantone5; Valentina Bollati6; Lavinia Casati1; Elisabetta Calzavara7;
Mauro Turrini7; Elena Lesma1; Raffaella Chiaramonte1
1Department of Health Sciences, Università degli Studi di Milano, Milano, Italy; 2Department
of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano,
Milano, Italy; 3Department of Life, Health and Environmental Sciences‐ University
of L'Aquila, L'Aquila‐ Italy, L'Aquila, Italy; 4Department of Oncology and Hemato‐oncology,
Università degli Studi di Milano, Milano, Italy; 5Department of Clinical Sciences
and Community Health, Università degli Studi di Milano, Milano, Italy; 6Department
of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan,
Italy, Milano, Italy; 7Division of Hematology, Valduce Hospital, Como, Italy
Introduction: Multiple myeloma (MM) is still uncurable due to the crosstalk between
MM cells and bone barrow (BM) cells.
Extracellular vesicles (EVs) play a key role in the pathological communication between
MM and BM. Notch2 receptor and Jagged1 and 2 are overexpressed in MM, triggering Notch
pathway also on BM population and inducing their pro‐tumorigenic activity.
Here, we investigate the effect of MM‐derived EVs in eliciting the pro‐tumoral effect
of BM in MM progression and the role of vesicular Notch2.
Methods: MM cells constitutively inhibited for Notch2 (MMN2KD‐EVs) and the shed EVs
(MM‐EVs) were characterized for Notch receptors by Western blot, for size and number
by nanoparticle tracking analysis and electronic transmission microscopy, and for
their uptake in recipient cells by confocal and flow cytometry. The transfer of Notch2
via EVs was evaluated by an in vitro system of sending cells expressing HA‐tagged
Notch2, their EVs and receiving cells. Notch pathway activation was assessed by Notch
reporter assays in vitro (HeLa cells) and in vivo (transgenic zebrafish embryos).
The pro‐tumorigenic effect of MM‐EVs and MMN2KD‐EVs were evaluated by measuring their
osteoclastogenic and angiogenic potential in vitro. To confirm the role of vesicular
Notch, the effect of MM‐EVs or EVs from the BM of MM patients was assessed in the
presence of a g‐secretase inhibitor (GSI), which affects Notch activation (Informed
consent and IRB of Insubria approval was obtained n. 1/2018.).
Results: MM‐EVs carry and transfer Notch2 increasing Notch signaling in recipient
endothelial cells and osteoclasts. MM‐EVs induce the osteoclast formation and angiogenesis
in a Notch2 dependent way. GSI effectively decreased the osteoclastogenic and angiogenic
potential of MM‐EVs in vitro and the angiogenic effect of EV from MM patients’ BM.
Summary/Conclusion: These results suggest that targeting Notch pathway may hamper
the pro‐tumorigenic activity of MM‐EV in the BM.
OWP2.07=PT11.02
CD63 Regulates Cholesterol storage within endosomes and its distribution via exosomes
Roberta Palmulli1; Mickael Couty
2; Frederik Verweij3; Stéphanie Charrin4; Maharajah Ponnaiah5; Melissa C. Piontek6;
Florent Dingli7; Wouter H. Roos6; Eric Rubinstein8; Marie Lhomme9; Anatol Kontush9;
Damarys Loew7; Graça Raposo10; Guillaume van Niel11
1Department of Pathology, University of Cambridge, Cambridge. CB2 1QP. United Kingdom,
Cambridge, United Kingdom; 2Université de Paris, Institute of Psychiatry and Neuroscience
of Paris (IPNP), INSERM U1266, F‐75014 Paris, France, paris, France; 3Université de
Paris, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, F‐75014
Paris, France, Paris, France; 4Centre d'Immunologie et des Maladies Infectieuses,
Inserm, CNRS, Sorbonne Université, CIMI‐Paris, 75013 Paris, France, Paris, France;
5National Institute for Health and Medical Research (INSERM), UMR‐ICAN 1166, Paris,
France, paris, France; 6Faculty of Science and Engineering Molecular Biophysics —
Zernike Institute for Advanced Materials Nijenborgh 4 9747 AG Groningen The Netherlands,
Gronigen, Netherlands; 7Institut Curie, PSL Research University, LSMP ‐ Curie CoreTech
Mass Spectrometry Proteomics, Paris, France; 8Centre d'Immunologie et des Maladies
Infectieuses, Inserm, CNRS, Sorbonne Université, CIMI‐Paris, 75013 Paris, France,
paris, France; 9National Institute for Health and Medical Research (INSERM), UMR‐ICAN
1166, Paris, France, Paris, France; 10Institut Curie CNRS, PARIS 05, France; 11Institute
of Psychiatry and Neurosciences of Paris, INSERM U1266, France, Paris, France
Introduction: Exosomes are extracellular vesicles (EV) of endosomal origin that function
as a clearance cellular pathway and in intercellular communication. CD63 is a tetraspanin
enriched on intraluminal vesicles of multivesicular endosomes (MVEs) and is hence
commonly used as exosomal marker and for functionalizing exosomes. Yet, the role of
CD63 in Intra‐Luminal Vesicles (ILVs) and exosomes biogenesis remains unclear.
Methods: To determine the role of CD63 in intracellular trafficking and ILVs biogenesis
we generated in vitro cell lines KO for CD63 by CRISPR editing in HeLa and melanoma
MNT1 cell lines. We isolated extracellular vesicles by size exclusion chromatography
(SEC) for phenotypic analysis and differential ultracentrifugation (UC) for functional
assays. We combined lipidomic and proteomic analysis to live cell imaging, photon
and electron‐microscopy coupled to immunolabeling to decipher pathways where CD63
is involved in generated KO cell lines and derived extracellular vesicles.
Results: We report here that depletion of CD63 neither impairs size and distribution
of EV isolated by SEC nor enrichment of canonical exosome marker. OMICs analysis showed
reveals changes in lipid composition, in particular cholesterol between Wild‐Type
(WT) and CD63 KO cells. This led us to study the role of CD63 in cholesterol sorting
into ILVs and exosomes. Live cell imaging of cholesterol trafficking and staining
of cholesterol enriched microdomains by EM show that CD63 controls sorting of cholesterol
to ILVs and exosomes. In absence of CD63, cholesterol is redirected to the Trans‐Golgi
Network using actin‐related tubulation from MVEs. In feeding assay we show that ILVs
can serve as endosomal storage entities for cholesterol and exosomes can be used as
alternative source of cholesterol by recipient cells.
Summary/Conclusion: Overall, these results demonstrate a role for CD63 in sorting
cholesterol to ILVs and exosomes, a process consistent with the roles previously attributed
to CD63. Our work also establishes ILVs and exosomes as an alternative source of cholesterol
for cells that would complement that provided by lipoparticles.
Funding: RP was a beneficiary of a fellowship from the Institute Curie International
PhD programme and the ARC foundation. MC is grateful to the ARC foundation (PGA1 RF20190208474).
GvN is grateful to the Institut National du Cancer (PLBIO19‐059.
OWP2.08=PT11.06
Fluorescent Nanoprobes Based on Goat Milk Small Extracellular Vesicles for In Vivo
Detection of Inflammation Processes
María Isabel González
1; Ana Santos‐Coquillat2; Agustín Clemente‐Moragón3; Mario González‐Arjona2; Gorka
Sobrino3; Virginia Albaladejo‐García2; Héctor Peinado Selgas4; Javier Muñoz5; Pilar
Ximénez Embún4; Borja Ibañez3; Eduardo Oliver3; Manuel Desco2; Beatriz Salinas6
1Instituto de Investigación Sanitaria Gregorio Marañón (Madrid, Spain), Madrid, Spain;
2Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; 3Centro Nacional
de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain; 4Spanish National
Cancer Research Center (CNIO), Madrid, Spain; 5Centro Nacional de Investigaciones
Oncológicas Carlos III (CNIO), Madrid, Spain; 6Instituto de investigación Sanitaria
Gregorio Marañón, Madrid, Spain
Introduction: In the last decade, small extracellular vesicles (sEVs) are emerging
as substitutes of synthetic nanoparticles in the field of molecular imaging due to
their morphological and structural similarities, along with its proven biological
role in the regulation of inflammatory processes. We present the potential use of
goat milk sEVs labeled with commercial fluorophores as natural probes for the detection
of inflammation by optical imaging.
Methods: sEVs isolated from goat milk by combined ultracentrifugation and size exclusion
chromatography were fully characterized (TEM, DLS, NTA, proteomics and western blot)
and fluorescently labeled with BDP and SCy5 fluorophores for 90 min at pH 8.5 and
4°C. After physicochemical characterization, in vitro internalization and cytotoxicity
assays of sEVs‐BDP were performed in RAW 264.7 macrophages (M0, M1 and M2). sEVs‐SCy
(20μg/PBS) were in vivo evaluated by optical imaging (6 and 21h) after the intravenous
injection in a peritonitis mouse model. sEVs‐SCy uptake by myeloid population from
peritoneal exudates was analyzed by flow cytometry.
Results: sEVs‐based nanoprobes were synthesized with high reaction yields (99% by
flow cytometry), purity (>95%) and stability (up to 72h by HPLC), maintaining the
original properties of non‐labeled vesicles. The probes did not exhibited cytotoxicity
or adverse effects in macrophages. In vitro assessment showed internalization in polarized
and non‐polarized macrophages, with highest uptake by M1. In vivo validation of the
nanoprobes demonstrated their ability to detect the inflammatory process in the peritoneal
region. Subsequent confocal and flow cytometry studies confirmed in vivo incorporation
into inflammatory populations, with 28% of total macrophage population and 19% of
neutrophils from peritoneal exudates.
Summary/Conclusion: We present a novel fluorescent probe based on goat milk sEVs able
to in vivo detect inflammation underlying diseases, through its uptake by myeloid
cells.
Funding: This study has been funded by Instituto de Salud Carlos III, through the
project “PI20/01632”, co‐funded by European Regional Development Fund (ERDF), “A way
to make Europe” and by Comunidad de Madrid, project “Y2018/NMT‐4949 (NanoLiver‐CM)”
and “S2017/BMD‐3867 (RENIM‐CM)”, co‐funded by European Structural and Investment Fund.
This work has been also supported by “Diagnosis and treatment follow‐up of severe
Staphylococcal Infections with Anti‐Staphylococcal antibodies and Immune‐PET ‐ Grant
Fundación BBVA a Equipos de Investigación Científca 2018”. A. Santos‐Coquillat is
grateful for financial support to Consejería de Educación e Investigación, co‐financed
by European Social Fund (ESF) grant PEJD‐2018‐POST/BMD‐9592. A. Santos Coquillat is
also funded by Instituto de Salud Carlos III, co‐funded by European Social Fund “Investing
in your future” (grant CD19/00136).
OWP2.09=PT11.10
Miscommunication in Amyotrophic Lateral Sclerosis and Frontotemporal Dementia: how
to see it?
Paolo Vincenzo Fioretti
1; Alice Migazzi1; Giorgina Scarduelli1; Luisa Donini1; Silvia Del Longo1; Manuela
Basso2
1Department of Cellular, Computational and Integrative Biology – CIBIO, University
of Trento, Trento, Italy; 2Department of Cellular, Computational and Integrative Biology
– CIBIO, University of Trento; Istituto di Ricerche Farmacologiche Mario Negri IRCCS,
Milano (Italy)., Trento, Italy
Introduction: Amyotrophic Lateral Sclerosis (ALS) and Frontotemporal dementia (FTD)
are progressive neurodegenerative diseases characterized by protein inclusions enriched
in a protein called TDP‐43. Among several factors, the progression of these diseases
could be mediated by altered intercellular communication between neurons and glial
cells. Published data and our preliminary results suggest that extracellular vesicles
(EVs) derived from astrocytes of a transgenic mouse model of ALS, overexpressing TDP‐43Q331K,
transmit toxicity to wild type neurons. Whether EVs modulate toxicity by directly
entering the receiving neurons or by other mechanisms is still unknown.
Methods: Primary cultures were prepared as previously described and comply with the
Declaration of Helsinki (authorization from the Italian Ministry of Health # 576/2021‐PR).
To isolate EVs, we used a charged‐based methodology, called nickel‐based isolation
(NBI), on conditioned media concentrated through Amicon filters. EVs visualization
was performed with confocal and spinning disk microscopy, on immortalized cells and
glial and neuronal primary cultures derived from ALS and FTD mice. Preliminary single‐particle
tracking experiments were carried out at the Nanoimager, ONI.
Results: We isolated EVs from astrocytes overexpressing EGFP‐CD63 and incubated them
with receiving neurons, resulting in the detection of internalized signal. We developed
new fluorescent tools with proteins belonging to the tetraspanin (CD9 and CD81) and
annexin (ANXA2 and ANXA11) families to compare uptake kinetics and toxicity of different
EV subpopulations. To further investigate the uptake mechanisms, experiments of EV
co‐localization with lysosomes and endoplasmic reticulum, are ongoing in the lab,
together with treatments with inhibitors of distinct uptake pathways.
Summary/Conclusion: Deciphering the neuronal uptake mechanisms of glial EVs in a TDP‐43Q331K
model uncover novel pathogenic mechanisms of ALS and FTD.
Funding: Supported by the MSCA‐IF ExItALS (752470), the Italian Ministry of Health
(GR‐2016‐02361552) and 1° Bando Eccellenze 2021 ‐ Fondazione VRT.
OWP2.10=PT11.01
Cancer extracellular vesicles promotes lymph node metastasis via neutrophil extracellular
traps
Xin SU
1; Ariane Brassard1; Ramin Rohanizadeh2; Iqraa Dhoparee‐Doomah1; Betty Giannias3;
France Bourdeau3; Roni Rayes3; Julia Burnier2; Jonathan Spicer2; Veena Sangwan2; Lorenzo
Ferri2; Jonathan Cools‐Lartigue2
1RI‐MUHC/McGill University, MONTREAL, Canada; 2RI‐MUHC/McGill University, Montreal,
Canada; 3McGill University, Montreal, Canada
Introduction: Lymph nodes (LNs) are the first sites of metastasis for most of solid
cancers. The initiation of LN metastasis is mediated by immune cells including polymorphonuclear
neutrophils (PMNs), and tumor derived factors, such as tumour extracellular vesicles
(tEV). Our earlier work showed that PMNs and neutrophil extracellular traps (NETs)
can capture circulating tumour cells and promote metastasis in distant sites. Thus,
one potential mechanism of increased LN metastasis is that tEV recruit PMNs and induce
NETs formation.
Methods: Human tissue micro‐arrays (TMAs) of gastroesophageal (GEA) cancer patients
were stained with PMN and NETs markers and quantified by HALO software. C57BL/6 or
pad4‐/‐ mice were injected with B16F10 or H59 cells alone or treated with neutrophil
elastase inhibitor (NEi) or neutrophil depletion antibody. LN sections were stained
with NETs markers and quantified by ImageJ (NIH). EV were isolated from cell culture
media by ultracentrifugation.
Results: In the study of 175 GEA cancer patients, lymphatic NET deposition was observed.
This was associated with reduced survival even in the absence of overt metastasis(p=0.03).
Next, we demonstrated the lymphatic accumulation of tEVs both in vitro and in vivo.
In both settings this was associated with PMN recruitment and NETs deposition. In
vivo, NETs deposition was associated with increased development of lymphatic metastasis,
and LN metastasis was abrogated through different kinds of NETs inhibition (neutrophil
depletion, pad4 knockout and NEi treatment, n=10, p< 0.001), demonstrating the consequences
of LN NETs deposition and its potential as a treatment target. Finally, we showed
that tEV induced PMN recruitment and NETs formation was mediated by increased production
of IL‐8 by Lymphatic Endothelial Cells (LEC).
Summary/Conclusion: Together, we demonstrated that tEVs can contribute to LN metastasis
as PMN recruiter and NETs inducer, as well as a potential therapeutic targets. By
further investigating the detailed mechanism, this project will lead to major advances
in the management of cancer patients.
Funding: The Thoracic Surgery Foundation and MGH start‐up fund
OWP2.12=PT11.14
Surface proteins dictate the diffusion of extracellular vesicles derived from myofibroblasts
through various components of the extracellular matrix during skin wound healing
Syrine Arif
1; Sébastien Larochelle2; Véronique J. J. Moulin3
1Centre de recherche en organogénèse expérimentale de l'Université Laval/LOEX ‐ Centre
de recherche du CHU de Québec‐Université Laval, Québec, QC, Canada, Québec, Canada;
2Centre de recherche en organogénèse expérimentale de l'Université Laval/LOEX ‐ Centre
de recherche du CHU de Québec‐Université Laval, Québec, QC, Canada, Quebec, Canada;
3Centre de recherche en organogénèse expérimentale de l'Université Laval/LOEX ‐ Centre
de recherche du CHU de Québec‐Université Laval, Québec, QC, Canada; Département de
chirurgie, Faculté de médecine, Université Laval, Québec, QC, Canada, Quebec, Canada
Introduction: The intercellular communication through the extracellular matrix (ECM)
of a tissue is essential for skin wound healing. Myofibroblasts, specialized cells
of this process, produce extracellular vesicles (EVs) that stimulate angiogenesis
and tissue remodeling in vitro, two key steps in wound healing. EVs can target local
or distal cells based on their free diffusion or binding to their environment. However,
the diffusion mechanisms of EVs through solid tissues remain largely unexplored. Binding
of EVs to the ECM could modulate EVs diffusion and therefore modify their action during
healing.
Methods: EVs were extracted from myofibroblast culture medium by differential centrifugation.
To evaluate EVs binding to ECM molecules, we mixed fluorescent EVs, pretreated or
not with proteinase K, with solutions of type I collagen or type III collagen. Following
hydrogel polymerization, a buffer was added allowing a passive exchange between the
two compartments. EVs presence in the buffer was quantified for 4 days by evaluating
fluorescence appearance. The presence of some integrins were detected by flow cytometry
and specific peptides were used to evaluate EVs‐ECM binding.
Results: EVs did not diffuse outside of collagen I gel compared to the rapid diffusion
observed when collagen III was used. The lack of diffusion observed when EVs were
added into collagen I was cancelled when EVs were pretreated with proteinase K or
RGD‐peptide. Several integrins including α5β1 and α2β1 have been detected on EVs.
Summary/Conclusion: Our data provide evidence that the bioavailability of EVs as well
as their action during healing might be dictated by the local organization of the
ECM: collagen III is predominant at the onset of healing whereas collagen I is mainly
predominant at the end of healing process.
Funding: This work was supported by the Natural Sciences and Engineering Research
Council of Canada (NSERC) (RGPIN2014–04404).
OWP2.13=PT11.12
Platelet concentrate and red blood cell product derived extracellular vesicles: composition
and specific targeting into different immune cells
Petra Ilvonen; Ulla Impola; Saara Laitinen
Finnish Red Cross Blood Service, Helsinki, Finland
Introduction: Blood‐derived extracellular vesicles (EVs) are shown to have great therapeutic
potential. Until recently, characterizing the composition of clinically used platelet
concentrate (PC) and red blood cell (RBC) product‐derived EVs in modern technology
has been possible. We have previously shown that PCs used for transfusions contain
an increasing amount of EVs after a longer storage period and the number of EVs and
platelet activation is also affected by platelet additive solutions (PASs). Few recent
publications show that platelet EVs from plasma can target specifically certain mononuclear
cell populations but little is known about PC‐derived EVs and their immunological
function as varying manufacturing and purification methods also yield different EV
populations.
Methods: Different isolation methods were tested and ultracentrifugation (UC) was
selected to collect a pure population of PC‐derived EVs. EVs were further analyzed
for surface proteins and contaminating lipoprotein particles using Imaging Flow Cytometer
and western blot analysis. Targeting into different mononuclear cells as well as their
immunological relevance was investigated in vitro using imaging flow cytometry and
IIF microscopy.
Results: With UC we get a population of EVs with low contamination of plasma protein
impurities. The main population of the PC‐derived EVs are CD41 positive, whereas the
population of EVs derived from RBC product contain several CD235 negative EVs. We
show that the origin of EVs affects their targeting and uptake kinetics into mononuclear
cells affecting their immunophenotype.
Summary/Conclusion: In this study, we identified differences in the immunological
function of PC and RBC‐product EVs. Different EV populations isolated from blood products
might be utilized either as therapeutic components or as drug delivery vehicles. This
would give new applications for donated blood components.
Funding: EV Ecosystem for Theranostic Platforms, funded by Business Finland
OWP2.14=PT11.08
Mapping the biodistribution of CD63 endogenously produced pancreatic cancer EVs
Bárbara Adem
1; Nuno Bastos1; Carolina F Ruivo1; Barbara Seidler2; José C Machado3; Dieter Saur2;
Dawen Cai4; Sonia A Melo3
1i3S ‐ Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal;
IPATIMUP ‐ Instituto de Patologia e Imunologia Molecular da Universidade do Porto,
Portugal; Instituto de Ciências Biomédicas de Abel Salazar, Universidade do Porto,
Portugal, Porto, Portugal; 2Medical Clinic and Polyclinic II, Klinikum rechts der
Isar, Technical University Munich, Germany; German Cancer Research Center (DKFZ) and
German Cancer Consortium (DKTK), Heidelberg, Germany, Munich, Germany; 3i3S ‐ Instituto
de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; IPATIMUP ‐ Instituto
de Patologia e Imunologia Molecular da Universidade do Porto, Portugal; Departamento
de Patologia, Faculdade de Medicina, Universidade do Porto, Portugal., Porto, Portugal;
4University of Michigan Medical School, Ann Arbor, Michigan, USA., Ann Arbor, USA
Introduction: Cancer cells use extracellular vesicles (EVs) as a mean to exchange
information with its close‐contact microenvironment and at distance, coordinating
a myriad of biological functions. Still, how endogenously produced cancer EVs spontaneously
flow in a multicellular organism, and with which organs/cells do they communicate
remains highly unexplored.
Methods: We developed a CD63 multireporter transgenic mouse model in which tissue‐specific
derived EVs are fluorescently labelled, the ExoBow. Together with transgenic mice
that faithfully recapitulate the pathogenesis of pancreatic ductal adenocarcinoma
(PDAC) we have mapped the network of communication mediated by pancreatic cancer EVs
within its microenvironment, and systemically, with other organs.
Results: Notably, the observed network of communication mediated by pancreas cells
is plastic and varies according to the biological context. Prior to disease onset,
pancreas EVs are scarcely exchanged within the normal pancreas microenvironment, and
we found significant inter‐organ communication with the thymus and stomach. Upon cancer
establishment, the level of communication increases both locally and systemically
and, the biodistribution of cancer EVs changes along disease progression. At early
PDAC stages, communication occurs with intestines and mesenteric lymph nodes, while
at late stages occurs with thymus and kidneys. Within the tumor, communication from
cancer cells occurs significantly with cancer associated fibroblasts, endothelial
and distinct subsets of immune cells.
Summary/Conclusion: Our work shows for the first time that the communication routes
originated from cancer cells are not preferentially related with organs of metastasis.
Rather, it suggests that cancer EVs are more actively involved in other processes
of disease progression. Also, the dynamic nature of this communication network potentially
contributes to the plastic capacity of the tumor.
OWP2.15=PT11.11
Morphine‐induced the same proteome modulation on Human Brain Microvascular Endothelial
Cells and associated Extracellular Vesicles
Tatjana Vujic
University of Geneva, Genève, Switzerland
Introduction: Morphine, a member of opioid family, is commonly used as a gold standard
for pain medication. This antinociceptive drug is transported to the Central Nervous
System (CNS) by crossing the blood‐brain barrier. The latter ensures the CNS homeostasis
with brain endothelial cells, which are at the interface between the blood and the
CNS. Moreover, one relatively unexplored form of cell‐cell communication associated
with brain in response to morphine exposure is extracellular vesicles (EVs). EVs are
a nanosized particle released from the cells into the circulation and are a promising
cargo reflecting the state of the cell of origin. Some studies suggested that morphine
is involved in oxidative stress as well as inflammation and affects BBB permeability,
but the biological processes are still not well understood. The purpose of this research
was to characterize EVs derived from morphine‐exposed brain endothelial cells. EVs
were then analyzed with a combination of mass spectrometry‐based proteomics and pathway
enrichment strategies.
Methods: Human Brain Microvascular Endothelial Cells (HBMECs) were exposed to morphine
(0, 1, 10, 25, 50 and 100 μM) for 24h. EVs were isolated using EVtrap beads (Tymora
Analytical Operations) and characterized by their size distribution (NTA), their concentration
(NTA) and the presence of well‐known EV markers (western blots). High‐throughput mass
spectrometry‐based quantitative proteomics by Data Independent Acquisition was then
applied on whole HBMECs and HBMECs‐derived EVs. Signature pathways of morphine‐exposed
HBMECs and EVs were analyzed by gene ontology terms and pathway enrichment (MetaCoreTM).
Results: EVs isolation was successful as the size of these particles was within the
range (50‐150nm) and that they possess common EV markers. The main results highlighted
that HBMECs and HBMECs‐derived EVs exposed to morphine have common modulated pathways,
namely cell adhesion, oxidative stress and immune system.
Summary/Conclusion: In conclusion, our data confirmed that morphine has a detrimental
effect on HBMECs‐derived EVs by modulating proteins involved in the same three main
biological processes (cell adhesion, oxidative stress and immunity). These biological
pathways might be associated. Indeed, a high level of oxidative stress may lead to
a lack of cell adhesion triggering the immune system defense. This effect is also
observable on the whole cell. As EVs mirror their cell of origin, their common biological
pathways may potentially be molecular signatures of the morphine‐induced damaged in
the circulation. However, more studies have to be done to validate these results.
Funding: Swiss National Funding
Oral Presentations
OF11: EV Detection
Chair: Marca H.M Wauben – Division of Cell Biology, Metabolism & Cancer, Department
of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University,
Utrecht, The Netherlands
Chair: André Görgens – Department of Laboratory Medicine, Karolinska Institutet, Stockholm,
Sweden
OF11.01
In‐chip characterization of EV population heterogeneity with single EV sensitivity
Alexia Stollmann
1; Jaime Ortega Arroyo1; Jose Garcia Guirado1; Hyungsoon Im2; Romain Quidant1
1Nanophotonic Systems Laboratory, Department of Mechanical and Process Engineering,
ETH Zürich, Zurich, Switzerland; 2Massachusetts General Hospital, Boston, USA
Introduction: Early diagnostics is an area where humanity can improve its fight against
many diseases, especially cancer. One of the most promising tools for improving early
diagnostics are liquid biopsies, since they are minimally invasive, portable and low
cost compared to other options. Extracellular vesicles (EVs) have been shown to have
great potential as liquid biopsies; unfortunately, however, not enough is understood
about these biological nanoparticles yet. This is because EVs are extremely heterogeneous
in size, molecular composition and biogenesis, thus making them very difficult to
isolate and characterize with single EV sensitivity and high throughput. Here, we
developed an integrated microfluidics and interferometric scattering (iSCAT) microscopy
platform to perform label‐free multiplexed single‐EV experiments that characterize
the underlying heterogeneity of EV populations.
Methods: We designed a microfluidic chip that allows for multiplexed screening of
different EV subpopulations within a sample. We tested different surface passivation
strategies to reduce non‐specific EV binding. EVs were then immobilized using tethered
capture antibodies. We used CD63, CD9, CD81 and EpCAM, CD24, EGFR and EGFRvIII as
EV and cancer specific biomarkers, respectively. We then performed EV binding experiments,
using cell cultured derived EVs from Caov‐3, ES‐2, Gli36‐WT and Gli36‐EGFRvIII cell
lines. The captured EVs were imaged using a custom iSCAT microscope, which is able
to resolve single EVs in a label‐free manner. The collected images were analyzed to
obtain quantitative statistical information on all captured EV subpopulations.
Results: We found that passivating our microfluidic chip with a supported lipid bilayer
reduced non‐specific EV binding the most, all whilst being compatible with in‐chip
functionalization. The protocol to achieve this passivation was then optimized to
control the number of binding sites. Multiplexed EV screening experiments were performed,
allowing us to characterize the subpopulations present in EV samples. Our chips allow
us to perform fast (total experiment time 3‐4 hours), high‐throughput (imaging area
of 300x3000um2) and multiplexed (6 channels with a positive and negative control)
immunoassays with minimal sample volumes (10 ul).
Summary/Conclusion: We developed an integrated platform with a protocol which enables
in‐chip surface passivation and experiment run‐through, to study EV population heterogeneity.
Our iSCAT detection method enables label‐free single particle imaging and subsequent
image analysis results in quantitative information about targeted EV subpopulations.
These experiments prove that our platform is ideally suited for the characterization
of EV subpopulations and show its potential to be used for multiplexed, high‐throughput,
specific and sensitive immunoaffinity assays.
OF11.02
Machine learning‐enabled quantitative detection of extracellular vesicle mixtures
using nanoplasmonic sensors
Colin L. Hisey
1; Mohammadrahim Kazemzadeh2; Miguel Martinez‐Calderon3; MoiMoi Lowe2; Cherie Blenkiron2;
Weiliang Xu2; Neil Broderick2; Lawrence W. Chamley2
1The Ohio State University, Columbus, USA; 2University of Auckland, Auckland, New
Zealand; 3CERN, Meyrin, Switzerland
Introduction: Many extracellular vesicle (EV) studies rely on cell cultures for EV
production, but the exogenous EVs from fetal bovine serum (FBS) or other sera supplements
are difficult to remove and may cause confounding effects on downstream experiments.
However, there are currently no adequate methods for routinely determining the relative
amounts of FBS EVs within a given EV preparation. One potential solution involves
the use of surface‐enhanced Raman spectroscopy (SERS) to biochemically fingerprinting
EVs in combination with machine learning algorithms to classify the otherwise convoluted
spectra. In this study, we combined EV SERS and a custom Autoencoder algorithm to
quantitatively determine the relative amounts of FBS EVs to EVs from cultured cells
within a mixture.
Methods: We first tested the feasibility of this approach using known ratios of SERS
chemical standards Rhodamine B and Rhodamine 6G, which have similar but distinguishable
spectra, much like EVs. We then isolated both commercial FBS EVs (Sigma) and bioreactor‐produced
MDAMB231 breast cancer EVs using differential ultracentrifugation and size exclusion
chromatography. Following MISEV validation, including western blotting, transmission
electron microscopy, and nanoparticle tracking analysis, we performed EV SERS on known
mixtures of the two EV populations and trained the autoencoder to find a linear function
that describes their relative amounts within any mixture.
Results: Our results show that EV SERS can be used to effectively fingerprint fetal
bovine serum EVs and EVs from cell cultures, and that by applying a customized Autoencoder
algorithm, their relative amounts within an EV mixture can be quantitatively determined.
This approach is now being applied to EVs from mesenchymal stromal cell cultures,
which often require serum supplementation, and which will require this type of quality
control measure for future clinical translation.
Summary/Conclusion: We demonstrate the non‐destructive, label‐free, ultrasensitive,
and quantitative detection of the relative amounts of FBS EVs in mixtures with EVs
from cell cultures. This approach should provide several useful applications in diverse
EV studies, such as monitoring the integrity of semipermeable membranes within EV
bioreactors, ensuring the quality or potency of therapeutic EV preparations, or even
determining relative amounts of EVs produced in cocultures.
Funding: Breast Cancer Foundation New Zealand Innovation and Technology Grant
OF11.03
Plastic antibodies tailored as photonic materials for sensing extracellular vesicles
Manuela F. Frasco; Mariana S. Amorim; Joana F. Pires; M. Goreti G. F. Sales
BioMark@UC, Faculty of Sciences and Technology, University of Coimbra, Coimbra, Portugal,
Coimbra, Portugal
Introduction: Plastic antibodies (PAs) are biomimetic polymer materials with high
affinity and selectivity to a target biomolecule. PAs act as synthetic receptors because
they retain an imprinted molecular memory obtained during polymer formation in the
presence of the target. After template removal, these binding sites are selective
and mimic specific biological recognition mechanisms with higher stability and robustness.
Thus, PAs have been extensively applied in biosensors. Novel technologies for separation
of extracellular vesicles (EVs) are urged to surpass the existing limitations, owing
to the intrinsic complexity of EVs. Simultaneously, tailoring PAs as photonic materials
enables a label‐free optical detection upon recognition and binding of the EVs.
Methods: Various strategies of preparing PAs as structured hydrogels or as core‐shell
imprinted materials were pursued. Surface proteins on EVs, namely CD9 and CD81, were
chosen as target molecules, and the polymer networks were combined with self‐assembled
colloids having photonic properties.
Results: The photonic PAs‐based biosensors demonstrated a selective and sensitive
recognition of the target proteins, as observed by changes in the reflectance spectra
of the sensing materials, while the non‐imprinted controls had random variations.
Also, the developed sensing materials responded to the presence of EVs.
Summary/Conclusion: PAs can be tailored with different formats and conjugated with
a label‐free detection approach are very promising biomimetic materials to improve
the sensing of EVs. Moreover, the selectivity presented by these materials, allied
to their low cost of production and stability, are relevant features considering the
capture of EVs by specific surface markers, and thus can be useful to analyse subpopulations
of EVs.
Funding: The authors gratefully acknowledge funding from the European Commission trough
the project MindGAP (FET‐Open/H2020/GA829040).
OF11.04
Detecting the collective nanomechanical fingerprint of EV populations by COlloidal
NANoplasmonics (CONAN)
Lucrezia Caselli1; Jacopo Cardellini2; Lucia Paolini3; Andrea Zendrini3; Annalisa
Radeghieri3; Giuseppe Pomarico3; Andrea Ridolfi4; Marco Brucale4; Francesco Valle4;
Costanza Montis5; Paolo Bergese
3; Debora Berti6
1Università degli Studi di Firenze, Firenze, Italy; 2Università degli Studi di Firenze,
Florence, Italy; 3Università degli studi di Brescia, Brescia, Italy; 4Italian National
Research Council (CNR), Institute for the Study of Nanostructured Materials (ISMN),
Bologna, Italy, Bologna, Italy; 5University of Florence, Italy, Firenze, Italy; 6University
of Florence, Italy, Florence, Italy
Introduction: We focus on some unique characteristics of the interaction of citrated
gold nanoparticles (AuNPs) with lipid membranes (Montis et al. 2014 doi:10.1039/C4NR00838C,
Montis et al. 2020 doi:10.1016/j.jcis.2020.03.123) and combine them with nanoplasmonics
to propose an accessible, versatile, fast and cost‐effective method for assaying the
collective nanomechanical properties of EV populations.
Methods: Separation and characterization of EV samples from different sources compliant
with MISEV2018. EV hybrids obtained by post‐separation functionalization with selected
proteins via click chemistry. All the other materials and methods as reported in Caselli
et al. 2021 doi:10.1039/D1NH00012H.
Results: By combining UV‐Vis Spectroscopy, Small‐Angle X‐ray Scattering (SAXS) and
Atomic Force Microscopy (AFM)‐based Force Spectroscopy, we demonstrate that the stiffness
of vesicles modulates the surface plasmon resonance (SPR) of the AuNPs adsorbed on
their surface, which can be readily monitored by UV‐Vis spectroscopy. We then leverage
this discovery to show that SPR tracking provides quantitative access to the mean
stiffness of samples of liposomes as well as of native and hybrid EVs.
Summary/Conclusion: A “plasmon‐based nanoruler” has been set up for collectively fingerprinting
EV populations by their stiffness and successfully tested on native and hybrid EVs.
These findings open new perspectives for fundamental analytical investigation of EVs,
while promoting nanomechanical properties as an appealing complement/alternative for
large‐scale EV characterization, grading and monitoring.
Funding: European projects “evFOUNDRY” (H2020 FETOPEN, n. 801367) and “BOW” (H2020
FETPROACT, n. 952183).
OF11.05
Benchmarking purification and proteomic characterization of human plasma extracellular
vesicles
Alin Rai; David W. Greening
Baker Heart and Diabetes Institute, Melbourne, Australia
Introduction: Although mass spectrometry (MS) remains a powerful tool to rapidly identify
extracellular vesicle (EV) proteins, yet our understanding of circulating EVs in human
remains limited mainly due to technical limitations in detecting low‐abundant EV proteins
against a background of abundant non‐EV plasma components that co‐purify using current
EV isolation strategies.
Methods: We introduce direct density‐gradient separation protocol to isolate circulating
EVs from human plasma and performed their biophysical/biochemical (using MS) characterization.
Results: From clinically relevant volume of human plasma (500 μl, ∼100 mg), we isolate
circulating EVs (∼2 μg, buoyant density 1.08‐1.10 g/ml) of high purity (EV‐METRIC:
100%), achieving a ∼50 × 106 fold enrichment. Cryo electron microscopy revealed that
purified EVs were 100‐800 nm in size, spherical in shape and morphologically intact,
with minimal contamination of lipoprotein particles/protein aggregates. EVs display
enrichment of EV markers (CD9/44/81, Syntenin 1), and depletion of abundant plasma
proteins (albumin, transferrin), lipoprotein particles (APOA1/B100) and non‐EV proteins
(AGO2, complement proteins). MS quantified 1787 proteins including receptors (integrins,
ephrins), kinases, small EVs and large EVs proteins (markers, hallmark ontologies
and surfaceome), cell‐specific protein signatures and those implicated in Disease
Ontologies. Comparative Ontology analysis of our Plasma EV proteome and well‐characterized
EV proteome from different cell lines enabled careful assessment of reported Plasma
EV proteomes, highlighting limitations in current strategies (including commercial
kits).
Summary/Conclusion: Our study provides an effective protocol to isolate circulating
EVs from human plasma, particularly for discovery and functional studies, and will
serve as a benchmark for future studies of plasma EV research. We propose that our
study provides a way forward for standardization of plasma EV protein landscape.
OF11.06
Metabolically labeled exosomes for biogenesis and functional studies
Maria L. fiani; Valeria Barreca; Deborah Polignano; Lorenzo Galli; Valentina Tirelli;
Massimo Sanchez; Mario Falchi; Lucia Bertuccini; Massimo Tatti; Massimo Sargiacomo
Istituto Superiore di Sanità, Rome, Italy
Introduction: Exosomes are small Extracellular Vesicles (sEV) formed by an endosomal
route by inward budding of the late endosome/multivesicular body (MVB) membrane. Despite
in recent years much progress has been made to better define sEV composition and biogenesis
pathways, their small size and heterogeneity pose challenges to find new reliable
labelling strategies to identify specific exosome populations. We developed an innovative
methodology to metabolically label fluorescent sEV through the use of a fluorescent
lipid (BODIPY C16) that is readily internalized by cells and is transformed into phospholipids
which will form part of the lipid bilayer of the secreted vesicles.
Methods: Fluorescent sEV secreted in the conditioned media of melanoma cells pulsed
with BODIPY FL C16 were purified by differential ultracentrifugation, quantified by
Flow Cytometry (FC) and Nanoparticle Tracking Analysis (NTA), sorted by Fluorescence
Activated Cell Sorting (FACS) and further characterized by density gradient separation
and Western Blot analysis for typical sEVs markers. Colocalization studies were performed
by confocal microscopy and electron microscopy.
Results: Confocal images showed colocalization of BODIPY lipids with lipid transformation
sites such as ER and mitochondria and with specific markers of late endosomes/MVB
or other organelles (tetraspanins, Golgi markers, lysosomes) but not with the plasma
membrane. Secretion of fluorescent sEV (Bodipy sEV) was followed over time showing
an early release of Bodipy sEV into the extracellular medium with a constant ratio
of Bodipy sEV/total EVs, as determined by NTA, up to 6 hours. Bodipy sEV secreted
in the conditioned media purified by differential ultracentrifugation were separated
by density gradient fractionation. Fractions analysed by FC displayed a single low
density peak at 1,08‐1,09 g/ml that is detergent sensitive demonstrating that fluorescent
particles are indeed lipid vesicles and contain tetraspanins (CD63, CD81 and CD9),
syntenin and ESCRT components when analysed by Western Blot. Electron microscopy analysis
of ultracentrifuged and sorted Bodipy sEV showed that Bodipy sEV have the typical
shape and size (about 80 nm) of a subpopulation of sEV often referred to as small
exosomes (Exo‐S). Finally, colocalization studies of single Bodipy sEV with tetraspanins
fluorescent antibodies showed colocalization of Bodipy sEV with CD63, CD81 and CD9.
Summary/Conclusion: Taken together these results show a very specific and effective
labelling of a discrete sEV subpopulation that can be further exploited for biogenesis,
internalization and functional studies.
Funding: This work was supported by the Italian Ministry of Health (grant RF‐2019‐12369719)
OF12: EVs in Cancer Immunology and Cancer Immunotherapy
Chair: Theresa L. Whiteside – UPMC Hillman Cancer Center, University of Pittsburgh,
Cancer Institute Pittsburgh, Pennsylvania, USA
OF12.01
Antigen‐loaded extracellular vesicles induce responsiveness to anti‐PD‐1 and anti‐PD‐L1
treatment in a checkpoint refractory melanoma model
Rosanne E. Veerman1; Gözde Güclüler Akpinar2; Annemarijn Offens
1; Loïc Steiner1; Pia Larssen1; Andreas Lundqvist3; Mikael Karlsson4; Susanne Gabrielsson1
1Division of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet,
Stockholm, Sweden, Stockholm, Sweden; 2Division of Immunology and Allergy, Department
of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, Solna, Sweden; 3Department
of Oncology‐Pathology, Karolinska Institutet, Stockholm, Sweden, Stockholm, Sweden;
4Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm,
Sweden, Stockholm, Sweden
Introduction: Extracellular vesicles (EVs) are important mediators of intercellular
communication and are candidates for cancer immunotherapy. Immune checkpoint blockade,
specifically of the PD‐1/PD‐L1 axis, mitigates T cell exhaustion but is only effective
in a subset of cancer patients. Therefore, combination strategies are extensively
explored. Reasons for therapy resistance can be low primary T cell activation to cancer
antigens, poor antigen presentation and reduced T cell infiltration into the tumor.
We here investigated if EV therapy could induce susceptibility to anti‐PD‐1 or ‐PD‐L1
therapy in a checkpoint refractory B16 melanoma model.
Methods: EVs carrying the model antigen ovalbumin (OVA) and adjuvant α‐galactosylceramide
were isolated from murine bone marrow‐derived dendritic cells by ultracentrifugation
and characterized by nanoparticle tracking analysis, transmission electron microscopy,
western blot and bead‐based flow cytometry. Mice were inoculated with B16 melanoma
cells and treated with anti‐PD‐1 or ‐PD‐L1. EVs were administered therapeutically
or prophylactically. Tumor growth was monitored and immune cells from the tumor and
spleen were analyzed by flow cytometry and ELISPOT.
Results: Injection of EVs but not checkpoint blockade induced a potent antigen‐specific
T cell response and reduced tumor growth. The combination of EVs and anti‐PD‐1 or
‐PD‐L1 in a therapeutic model caused a trend towards higher numbers of OVA‐specific
CD8+ T cells. Moreover, the combination therapy prolonged survival in a prophylactic
model.
Summary/Conclusion: EVs induced potent anti‐tumor immune responses and furthermore
induced anti‐PD‐1 or anti‐PD‐L1 sensitivity in a checkpoint‐refractory mouse tumor
model. This shows that EVs have potential as a treatment for patients not responding
to checkpoint blockade.
OF12.03
ICAM‐1‐mediated Adhesion is a Prerequisite for PD‐L1 Exosome‐induced T Cell Suppression
Wei Guo
1; Wei Zhang2; Wenqun Zhong2; Beike Wang2; Jiegang Yang2; Jingbo Yang2; Ziyan Yu2;
Xiaowei Xu3
1University of Pennsylvania, Philadelphia, USA; 2University of Pennsylvania Department
of Biology, Philadelphia, USA; 3University of Pennsylvania Department of Pathology,
Philadelphia, USA
Introduction: Tumor‐derived extracellular vesicles (TEVs) suppress the proliferation
and cytotoxicity of CD8+ T cells, thereby contributing to tumor immune evasion. The
molecular mechanisms by which TEVs interact with CD8+ T cells and suppress their function
remains elusive.
Methods: Nanoparticle tracking analysis, electron microscopy, differential centrifugation,
Iodixanol density gradient centrifugation, fluorescence microscopy, western blotting,
ExoView single vesicle assay, flow cytometry, Extracellular vesicle‐Target cell Interaction
Detection through SorTagging (ETIDS), Immunohistochemistry, tumor xenograft in mice.
Results: The adhesion molecule ICAM‐1 co‐localizes with PD‐L1 on the exosomes, and
are both upregulated by interferon‐g. Exosomal ICAM‐1 interacts with LFA‐1, which
is upregulated on activated T cells. The reciprocal upregulation of ICAM‐1 and LFA‐1
promotes exosome‐T cell interaction. Blocking ICAM‐1 on TEVs reduces the interaction
of TEVs with CD8+ T cells, and attenuates PD‐L1‐mediated suppressive effects of TEVs.
During this study, we have established an Extracellular vesicle‐Target cell Interaction
Detection through SorTagging (ETIDS) system to assess the interaction between a TEV
ligand and its target cell receptor. This system, for the first time, allowed the
detection of the interaction between PD‐L1 on TEVs and PD‐1 on T cells, and this interaction
is significantly reduced in the absence of ICAM‐1.
Summary/Conclusion: ICAM‐1‐LFA‐1 mediated adhesion between TEVs and T cells is a prerequisite
for exosomal PD‐L1 mediated immune suppression.
Funding: NIH R35 GM141832 and NCI CA174523.
OF12.04
Tumor‐derived extracellular vesicles, nanoparticles and co‐isolated viral particles
from endogenous retrovirus, contribute differently to the effect of bulk tumor‐EVs/ENPs
on immune modulation of antigen presenting cells
Federico Cocozza
1; Lorena Martin‐Jaular2; Aurélie Di Cicco3; Daniel Levy3; George Kassiotis4; Mercedes
Tkach1; Clotilde Théry2
1INSERM U932, Institut Curie Centre de Recherche, PSL Research University, Paris,
France, Paris, France; 2Institut Curie, PSL Research University, INSERM U932, Paris,
France; 3CNRS UMR3215, Institut Curie Centre de Recherche, PSL Research University,
Paris, France, Paris, France; 4Retroviral Immunology, The Francis Crick Institute,
London, NW 1AT, UK, London, United Kingdom
Introduction: Tumor cells secrete extracellular vesicles (EVs) and nanoparticles (ENPs)
that have been associated with a plethora of immune regulatory functions. In particular,
EVs have been proposed to act as a cell‐free source of tumor antigens (Ag) and to
carry together pathogen‐ or damage‐associated molecular patterns that may induce immune
priming of antigen presenting cells (APC) possibly resulting in immune responses against
tumors. However, the EV composition and their cargo can be remarkably diverse, and
different EVs and ENPs may have varying abilities to interact and modify recipient
cells. Therefore, understanding the mechanisms by which the different types of EVs
and ENPs modulate the responses of APCs in the context of tumor progression is crucial,
and may identify suitable EV‐based candidates to use as immunotherapeutic agents against
tumors.
Methods: Here we characterize the heterogeneity of the secreted EVs and ENPs of E0771
cells, a murine mammary adenocarcinoma. Unexpectedly, we found viral‐like particles
(VLPs) of infectious endogenous murine leukemia virus (MLV) in the bulk isolates of
EVs/ENPs. We set up a protocol that isolate these subpopulations of nanoparticles,
to analyze separately 10k (large EVs + VLPs), small EVs, VLPs and ENPs.
Results: These subpopulations were differentially uptaken and induced different phenotypic
changes in a dendritic cell line and primary DCs, as assessed by flow cytometry to
measure upregulation of maturation markers and cell viability.
Summary/Conclusion: EVs isolated by regular protocls from mouse tumor cells contain
VLPs coming from endogenous MLV with infectious potential.
Combination of filter concentration, centrifugation and density gradient allows to
separate 10k, sEV, VLP and ENP.
These subtypes of particles contribute differently to modification of target immune
myeloid cells in vitro.
These results call for re‐evaluation of previous studies of mouse tumor‐derived EVs
to decipher the respective proportions and functions of non‐viral EVs and virus‐like
particles.
Funding: “TRAIN‐EV” a MSCA ITN, grant agreement No 722148. French funding sources:
ARC, FRM, INCa, ANR.
OF12.05
Colorectal cancer‐derived Te‐EVs function as tumor promoter by targeting monocytes
via EVs‐tRNA
Yuya Monoe
1; Kentaro Jingushi2; Yoshiaki Takano3; Kohei Taniguchi4; Kazumasa Komura5; Kazutake
Tsujikawa6
1Laboratory of Molecular and Cellular of Physiology, Graduate school of pharmacuetical
scirnces, Osaka university, suita, Japan; 2Laboratory of Molecular and Cellular Physiology,
Graduate School of Pharmaceutical Sciences, Osaka University, Osaka, Japan; 3Department
of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University,
Takatsuki, Japan; 4Department of Translational Research, Osaka Medical and Pharmaceutical
University, Tkatsuki, Japan; 5Department of Translational Research, Osaka Medical
and Pharmaceutical University, Takatsuki, Japan; 6Laboratory of Molecular and Cellular
Physiology, Graduate School of Pharmaceutical Sciences, Osaka University, Suita, Japan
Introduction: Extracellular vesicles (EVs) have emerged as a novel mediator of tumorigenesis.
Many reports suggest that EVs are inseparable part of cancer microenvironment from
the experiments using cell lines and body fluids. However, these observations have
not yet been experimentally proven in vivo. To understand the physiological function
of cancer cell‐derived EVs, we have analyzed the tumor tissue‐derived EVs, which reflects
physiological characteristics and behavior in human body.
Methods: Clinical specimens: The colon cancer specimens were obtained from patients
undergoing primary resection at the Osaka Medical and Pharmaceutical University, Japan.
Tumor‐associated normal colon tissue was also obtained from a subset of these patients
when possible. Written informed consent was obtained from each patient, and the study
was approved by the ethics review board of the Osaka Medical and Pharmaceutical University
and was conducted according to the principles of the Declaration of Helsinki.
Purification of tumor tissue‐derived EVs: Following excision, the tissue samples were
immediately immersed in 4 ml DMEM medium without FCS and stored at 37oC for 2 h. Tissue‐immersed
medium was then centrifuged at 2,000 g, for 30 min, and the collected supernatants
were subjected to the ultracentrifuge method (100,000 g x 2) for recovery of tissue‐exudative
EVs (Te‐EVs). The size and concentration of EVs were determined using qNano.
RNAseq for EVs‐RNA: RNA was isolated from EVs samples using the miRNeasy Kit and subjected
for RNAseq analysis.
Results: Compared to normal tissue, tumor released more EVs (tumor Te‐EVs) which had
larger particle diameter and higher small RNA content than those released from adjacent
normal tissue (normal Te‐EVs). RNAseq showed that 5'‐tRNA fragment Glycine‐GCC (5'‐tRF‐Gly‐GCC)
was much higher in tumor Te‐EVs compared to normal Te‐EVs. Phenotypical analysis showed
that the tumor Te‐EVs but not normal Te‐EVs, upregulated the secretion of inflammatory
cytokines in monocytes via Toll‐like receptor 8 (TLR8). In vitro‐transcribed 5'‐tRF‐Gly‐GCC
also upregulated the secretion of inflammatory cytokines in monocytes. Furthermore,
supernatant obtained from tumor Te‐EVs‐educated monocytes, significantly upregulated
the cell growth of colon cancer cells, which was abolished by TLR8 knockdown in monocytes.
Summary/Conclusion: Colorectal cancer EVs‐RNA function as tumor promoter by targeting
monocytes via TLR8.
OF12.06
Reprogrammed T cell exosomes by surface engineering of cytokine induce potent anti‐tumor
effects
Kyungmoo Yea
1; Moon‐Chang Baek2; Dokyung Jung3
1Department of New Biology, DGIST, Daegu, Republic of Korea; 2Kyungpook National University
School of Medicine, Daegu, Republic of Korea; 3School of Medicine, Kyungpook National
University, Daegu, Republic of Korea
Introduction: Exosomes play a key role in the interaction between the immune system
and cancer. Immune cell‐derived, particularly T cell exosomes are known for their
anti‐cancer effect. However, to enhance the clinical applicability of T cell exosomes,
it is essential to reinforce their anti‐cancer potential.
Methods: First, we engineered T cell exosomes by attaching cytokine to the cell surface
using a flexible linker. Then, physical characteristics of engineered exosomes were
verified by using NTA and TEM analysis. Protein and mRNA levels of T cell activation
and proliferation markers were determined by western blot and quantitative real‐time
PCR. Cancer cell viability was measured by in vitro bioluminescent or MTS assay. To
identify the altered payload of EXO‐cyts causative for their anti‐cancer activity,
we conducted miRNA‐sequencing analysis of EXO‐cyts to profile miRNAs, respectively.
To investigate in vivo efficacy of EXO‐cyts, tumor growth and metastasis were analyzed
after exosome injection in melanoma mouse models. In addition, to test the combination
effect, EXO‐cyts and existing anti‐cancer drugs were administered together.
Results: EXO‐cyt increased the anti‐cancer ability of CD8+ T cells, but interestingly,
it did not affect the activity of regulatory T cells. Expression levels of cellular
programmed cell death ligand‐1 on melanoma cells and their exosomal PD‐L1 were downregulated
by EXO‐cyt treatment, resulting in increase of CD8+ T cell‐mediated cytotoxicity.
The respective effects of EXO‐cyt on CD8+ T cells and melanoma cells were reproduced
by several miRNAs upregulated by the cytokine autocrine effect present inside EXO‐cyt.
In mouse models, EXO‐cyt treatment inhibited tumor progression in melanoma‐bearing
immunocompetent mice but not in nude mice. The combination therapy of EXO‐cyt and
existing anti‐cancer drugs significantly improved anti‐tumor efficacy with decreasing
PD‐L1 in tumor tissues and plasma.
Summary/Conclusion: In summary, the expression of cytokine through a flexible linker
on the surface of T cells induces dramatic changes in anti‐cancer miRNA contents of
exosomes in addition to the direct immune stimulation by cytokine. Remarkably, these
EXO‐cyts preferentially increased the proliferation and activity of CD8+ T cells without
affecting Treg cells. Furthermore, EXO‐cyts inhibited cPD‐L1 and ePD‐L1 levels both
in vitro and in vivo melanoma models. Here, we propose that reprogrammed EXO‐cyt is
a potent cancer immunotherapy that works by modulating both immune cells and cancer
cells. We anticipate that the use of EXO‐cyts alone or in combination with conventional
immunotherapy could lead to significant advances in cancer therapy. In addition, our
method to engineer exosome shows considerable potential in terms of robust reprogramming
for exosome‐based therapy beyond artificial payloads.
OF13: Neuronal and Neurodegenerative Diseases
Chair: Andrew F. Hill – Victoria University
Chair: Graça Raposo – Institut Curie UMR144, PSL Research University
OF13.01
Efficacy of extracellular vesicles from hiPSC‐derived neural stem cells in alleviating
cognitive and mood dysfunction and neuropathologies in a model of Alzheimer's disease
Leelavathi N Madhu; Raghavendra Upadhya; Sahithi Attaluri; Maheedhar Kodali; Bing
Shuai; Maha Kirmani; Jenny Jaimes Gonzalez; Ashok K. Shetty
Institute for Regenerative Medicine, Dept of Molecular and Cellular Medicine, Texas
A&M Univ College of Medicine, College Station, USA
Introduction: Current therapies do not improve brain function in Alzheimer's disease
(AD). Hence, there is a need for new approaches capable of restraining disease progression
and improving brain function. In this regard, extracellular vesicles (EVs) from human
induced pluripotent stem cell‐derived neural stem cells (hiPSC‐NSCs) exhibiting the
therapeutic effects of NSCs are of great interest.
Methods: We investigated whether hiPSC‐NSC‐EV treatment in the early stage of AD would
maintain better brain function. EVs from hiPSC‐NSC cultures were purified through
chromatography and then administered intranasally to 3‐months old 5XFAD mice (∼200
billion/week for two weeks). A month later, the efficacy of EV treatment on cognitive
and mood function was probed via several behavioral tests, following which brain tissues
were examined for neuropathologies and hippocampal neurogenesis.
Results: Both male and female AD mice receiving the vehicle exhibited impaired object
location memory and pattern separation function, and anhedonia. Intranasally administered
hiPSC‐NSC‐EVs incorporated into neurons and microglia in virtually all regions of
the AD brain. Furthermore, both genders of AD mice receiving EVs displayed improved
proficiency for object location memory and pattern separation with no anhedonia. Such
functional benefits in EV‐treated AD mice were associated with reductions in astrocyte
hypertrophy, the density of microglia, oxidative stress markers malondialdehyde and
protein carbonyls, and proinflammatory cytokines TNF‐a, IL‐1b, and MIP‐1a in the hippocampus.
EV‐treatment also reduced amyloid‐beta load and maintained a higher level of neurogenesis
in AD mice.
Summary/Conclusion: The results imply that intranasal administration of hiPSC‐NSC‐EVs
in the early stage of AD can maintain better cognitive and mood function by restraining
the progression of neuroinflammatory changes and amyloid‐beta accumulation and facilitating
higher levels of hippocampal neurogenesis.
Funding: Supported by a grant from the National Institute of Neurological Disorders
and Stroke (1R01NS106907 to A.K.S.)
OF13.02
Relationship between plasma extracellular vesicle miRNAs and measures of neuropsychiatric
function in methamphetamine use disorder
Ursula S. Sandau
1; Erika Duggan2; Sierra J. Smith3; Marilyn Huckans3; John P. Nolan2; Jennifer M.
Loftis3; Julie A. Saugstad1
1Oregon Health & Science University, PORTLAND, USA; 2Scintillion Institute, San Diego,
USA; 3Oregon Health & Science University, Portland, USA
Introduction: The long‐term health effects of methamphetamine including cognitive
impairments, anxiety, and depression, which can persist during recovery and are associated
with poor treatment outcomes. Thus, biosignatures based on objectively quantifiable
blood biomarkers that relate to neuropsychiatric data could be used clinically to
monitor recovery. We previously identified seven plasma extracellular vesicle (EV)
miRNAs that are differentially expressed in humans with active methamphetamine disorder
(MA‐ACT) vs. controls (CTL). Here we related the expression of plasma EVs and their
miRNAs to measures of neuropsychiatric function.
Methods: We measured the concentration of tetraspanin+ (CD9, CD63, CD81) and platelet
EVs (CD41) in MA‐ACT and CTL participants by vesicle flow cytometry. MiRNA expression
in plasma EVs isolated by size exclusion chromatography were assayed by TaqMan arrays.
Plasma EV concentrations and miRNA expression levels were related to measures of anxiety
(GAD), depression (PHQ‐9), and memory (PRMQ).
Results: CD41+ EVs correlated with depression scores in MA‐ACT plasma, while TS+ EVs
did not correlate with any of the neuropsychiatric measures. For the seven EV miRNAs
with differential expression in MA‐ACT, four correlated with clinical features of
methamphetamine use disorder: miR‐374b‐5p and ‐628‐3p correlated with anxiety and
memory scores, respectively, while miR‐301a‐3p, ‐382‐5p, and ‐628‐3p correlated with
methamphetamine use characteristics (e.g., frequency of use and lifetime exposure).
The predicted gene targets of these four miRNAs identified pathways related to synaptic
plasticity, neurodegeneration, neuroinflammation, and dopamine neuron function, which
are all factors of methamphetamine dependency.
Summary/Conclusion: These studies demonstrate the potential utility of plasma EVs
to serve as metrics for recovery by relating EVs and miRNA cargo to clinical features
of methamphetamine use.
OF13.04
Retinal pigment epithelium extracellular vesicles are potent inducers of age‐related
macular degeneration disease phenotype in the outer retina
Marzena Kurzawa‐Akanbi
1; Phillip Whitfield2; Florence Burté1; Birthe Hilgen1; Mark Platt3; Mary Doherty4;
Rachel Queen1; Jonathan Coxhead1; Andrew Porter1; Maria Öberg5; Daniela Fabrikova5;
Chia Shyan Beh1; Maria Georgiou1; Veronika Boczonadi1; Joseph Collin1; Anetta Härtlova5;
Michael Taggart1; Jumana Al‐Aama6; Viktor Korolchuk1; David Steel1; Lyle Armstrong1;
Majlinda Lako1
1Newcastle University Biosciences Institute, Newcastle upon Tyne, United Kingdom;
2Glasgow Polyomics, College of Medical, Veterinary and Life Sciences, University of
Glasgow, Glasgow, United Kingdom; 3Loughborough University, Loughborough, United Kingdom;
4Lipidomics Research Facility, University of the Highlands and Islands, Inverness,
United Kingdom; 5Wallenberg Center for Molecular and Translational Medicine, University
of Gothenburg, Gothenburg, Sweden; 6Faculty of Medicine, King Abdulaziz University,
Jeddah, Saudi Arabia
Introduction: Age related macular degeneration (AMD) is a leading cause of legal blindness.
Vision loss is caused by the progressive loss of retinal pigment epithelium (RPE)
and photoreceptors, and/or retinal and choroidal angiogenesis. It is unclear how disease
features spread in the outer retina and whether extracellular vesicles (EVs) play
a role in this process. We used AMD patient specific RPE with the high‐risk Y402H
polymorphism in the complement factor H (CFH) gene to perform a comprehensive analysis
of EVs, their cargo and role in AMD pathology.
Methods: EVs were purified from cell conditioned media using size exclusion chromatography
and characterised using transmission electron microscopy and western blot for EV markers
(CD63, CD81 and Alix). RPE EV secretion was assessed using Tunable Resistive Pulse
Sensing. Transcriptomic, proteomic and lipidomic analyses were used to identify the
disease specific contents of EVs. Functional assays were employed to investigate the
AMD RPE EV signaling in the outer retina.
Results: Analyses showed enhanced and polarised EV secretion in AMD RPE cells. Transcriptomic,
proteomic and lipidomic analyses demonstrated that AMD RPE EVs carry a repertoire
of RNA, proteins and lipids that reflect disease changes in the RPE cells of origin
and mediate key AMD pathological processes including oxidative stress, cytoskeletal
dysfunction, angiogenesis and drusen accumulation. We demonstrated that exposure of
control RPE to AMD RPE apical EVs leads to the formation of cytoplasmic stress vacuoles,
cytoskeletal destabilization, abnormalities in the morphology of the nucleus in the
recipient cells, and protein and oxidative stress, these being key pathological features
in AMD. Treatment of laminated retinal organoids with apical AMD RPE EVs led to disrupted
neuroepithelium and appearance of enlarged cytoprotective alpha B crystallin immunopositive
cells, some of which co‐expressed retinal progenitor cell markers PAX6 or VSX2, consistent
with the activation of regenerative pathways upon injury.
Summary/Conclusion: Our findings indicate that AMD RPE EVs act as signaling messengers
in the outer retina with an important role in disease progression.
Funding: This work was funded by the Macular Society UK and MRC Confidence in Concept.
OF13.05
Small extracellular vesicle remodeling in response to mutant huntingtin
Natayme R. Tartaglia
1; Francesca Farina2; Morgane Fontaine2; Lorena Martin‐Jaular3; Damarys Loew4; Florent
Dingli4; Emmanuel Brouillet2; Clotilde Théry3; Christian Neri2
1Sorbonne University, Institute of Biology Paris‐Seine (IBPS), Paris, France; 2Institute
of Biology Paris‐Seine (IBPS), Sorbonne University, CNRS UMR 8256, ERL INSERM U1164,
Paris, France; 3Institut Curie, PSL Research University, INSERM U932, Paris, France;
4Institut Curie, PSL Research University, LSMP ‐ Curie CoreTech Mass Spectrometry
Proteomics, Paris, France
Introduction: Extracellular vesicles (EVs) have emerged as important mediators of
cell‐to‐cell communication in brain development and they have been associated with
neurodegenerative disease (ND) processes. However, the effects of ND insults on specific
EV sub‐populations remain poorly characterized. Here, we investigated the features
of small EVs (SEVs) in cellular models of Huntington's Disease (HD), a ND caused by
CAG expansion in huntingtin, primarily leading to late‐onset striatal neurodegeneration,
and altering homeostatic mechanisms commonly associated with several NDs.
Methods: We purified SEVs from conditioned medium of striatal cells derived from HD
knock‐in mice and neural stem cells derived from human HD induced pluripotent stem
cells. SEVs were purified using size exclusion chromatography (SEC), followed by nanoparticle
tracking analysis (NTA), total protein dosage, western blot analysis using a panel
of EV markers, electronic microscopy, and quantitative mass spectrometry analysis
of human SEVs.
Results: We found that SEVs undergo several modifications in HD conditions, including
impaired secretion, reduced tetraspanin‐marker levels, protein‐content remodeling
with protein increases and decreases detected in HD SEVs compared to control SEVs,
raising the possibility that mutant huntingtin‐expressing cells may reprogram SEV
biogenesis and secretion, during neuronal differentiation.
Summary/Conclusion: Our data point to profound SEV‐remodeling in response to ND insults
such as mutant huntingtin. We will discuss how our study may lead to better understanding
EV dynamics in response to ND insults, highlighting fundamental implications and biomedical
potential associated with the study of SEVs.
Funding: Agence Nationale de la Recherche (ANR)
OF13.06
Molecular characterization of brain‐derived EVs from human brain and animal models
of Alzheimer's disease by proteomics and novel microglia‐specific EV reporter system
Seiko Ikezu
1; Satoshi Muraoka2; Kevin A. Clayton3; Jean‐Christophe Delpech4; Mark P. Jedrychowski5;
Shawn Herron6; Mohammad Abdullah1; kristen D. Onos7; Kelly J. Keezer8; Gareth R. Howell8;
Tsuneya Ikezu1
1Department of Neuroscience, Mayo Clinic Florida, Jacksonville, USA; 2National Institutes
of Biomedical Innovation, Health and Nutrition, Ibaraki, Japan; 3Department of Pharmacology
and Experimental Therapeutics, Boston University School of Medicine, Hanover, USA;
4INRAE University Bordeaux, Bordeaux, France; 5Department of Cell Biology, Harvard
Medical School, Boston, USA; 6Department of Pharmacology and Experimental Therapeutics,
Boston University School of Medicine, Boston, USA; 7The Jaxon laboratory, Bar Harbor,
USA; 8The Jaxon Laboratory, Bar Harbor, USA
Introduction: Extracellular vesicles (EVs) play an emerging role in progression of
neurodegenerative disorders, notably Alzheimer's disease (AD). We have recently reported
that brain‐derived extracellular vesicles (BDEVs) isolated from AD patients’ brains
efficiently spread misfolded tau protein in mouse brains. To uncover the specific
cell type of BDEVs facilitating this phenomenon, we performed quantitative proteomic
profiling of BDEVs isolated from brain tissues of AD patients, mild cognitive impairment
(MCI) and control human subjects as well as APP/PS1 rodent AD model and control mice.
We further examined EV secretory function of plaque associated microglia in APP knock‐in
mice.
Methods: BDEVs were separated from human brain samples of 11 AD, 8 MCI and 11 control
age‐matched subjects as well as 6 brain samples of 8‐month‐old CAST.APP/PS1 and control
female mice, using discontinuous sucrose gradient ultracentrifugation and subjected
to tandem mass spectrometry for differentially expressed protein and pathway analysis.
To monitor EV secretion specifically from microglia in vivo, we developed and injected
a novel lentivirus expressing mEmerald‐conjugated CD9 specifically in microglia with
APPNL‐G‐F knock‐in mice. Mice were euthanized 10 days after the lentivirus injection
in the medial entorhinal cortex of mouse brains and brain tissues were subjected to
immunohistochemistry to detect mEmerald+ EVs using GFP antibody and disease associated
microglia using Mac2 antibody.
Results: Cell type specific molecular analysis of BDEVs showed gradual shift from
neuronal to glial origins between control, MCI and AD patients. Disease‐associated
microglia proteomic signature was significantly upregulated in BDEVs in AD patients
(APOE, ITGAX, and CD63) compared to the control and/ or MCI. ITGAX was also enriched
in BDEVs isolated from CAST.APP/PS1 mice, further supporting the involvement of microglial
EVs in disease progression. Interestingly, Mac2+ plaque associated microglia secrete
significantly more mEmerald‐CD9+ EVs compared to Mac2‐ microglia in AD mouse models.
Summary/Conclusion: We discovered an enrichment of glia‐derived EVs in AD brains compared
to the control or MCI cases, which was reproduced in APP/PS1 mouse model. Further,
microglia appear as potent contributor of disease progression via hyper‐secretion
of EVs.
Funding: Abbvie Inc. Cure Alzheimer's Fund, NIH RF1 AG054199, NIH R01 AG054672, NIH
R01 AG066429, NIH R01 AG072719, NIH R01 AG067763, and NIH R21 NS104609.
OF14: Novel Approaches in Studying EV Nucleic Acids
Chair: Metka Lenassi – Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
Chair: Esther N.M Nolte‐'t Hoen – Division of Cell Biology, Metabolism & Cancer, Department
of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University
OF14.01
In situ hybridization to detect DNA amplification in EVs
LUCIA CASADEI
1; Patricia Sarchet2; Fernanda Costas C. de Faria2; Sayumi Tahara2; Luciano Cascione3;
Federica Calore2; Giovanni Nigita4; Valerie Grignol2; Raphael E. Pollock2
1The Ohio State University, COLUMBUS, USA; 2The Ohio State University, Columbus, USA;
3Institute of Oncology Research (IOR), Lausanne, Switzerland; 4The Ohio State University,
columbus, USA
Introduction: Extracellular vesicles (EVs) are secreted lipid bilayer‐enclosing vesicles.
The small size of EVs and the limited quantities that can usually be obtained from
patient‐ and cell‐derived samples poses limitations to their study. Currently, no
methodologies have been shown that allow EV study within tissues of origin and subsequent
probing for specific sequences of DNA within tissue‐contained EVs. Retroperitoneal
liposarcoma (RL) includes well differentiated/dedifferentiated liposarcoma (WD/DDLPS);
these are among the most common sarcoma subtypes. At the molecular level, practically
all RL have amplification of 12q13‐q22, the locus of MDM2, the most commonly overexpressed
RL gene.
Methods: A new methodology allowing embedding and in situ hybridization (ISH) of EVs
from tissues/cell lines and sera has been developed. EVs were isolated from cells
cultured in serum‐free medium for 48 h and from serum patient samples. Serial centrifugations
(300 x g for 10’, 2,000 x g for 20’, 10,000 x g for 30') and ultracentrifugation (100,000
× g for 70’) were performed. EV pellet was washed with PBS and another ultracentrifugation
at the same speed was performed. As for tumor EVs isolation, once tumor was dissociated,
the cell suspensions were filtered (100 μM filter) and serial centrifugation and ultracentrifugation
has been performed, as described above. The quality of isolated particles was assessed
through TEM, Nanotrack analysis and Western blot.
Results: Here we show, for the first time, the possibility of examining EVs while
still within tissues, cell lines and patient sera as substrates to be used for detecting
DNA amplification through ISH. Specifically, we report here: (i) a procedure for the
successful selective, specific, and contaminant‐free ISH examination of EVs contained
within liposarcoma tissues; (ii) the detection of MDM2 amplification in EVs within
liposarcoma tissues prior to EV release into the circulation; (iii) the detection
of MDM2 amplification in EVs isolated from sera and cell line conditioned media.
Summary/Conclusion: Our findings show that EVs isolated from tissues, cell lines and
sera can be embedded and used as substrate to detect specific sequences of DNA through
ISH. This methodology may allow the visualization of DNA targets, help establish DNA
sorting‐into‐EV processes, and facilitate the study of EV DNA cargo transfer from
donor to recipient cells while allowing diagnostic verification in many diseases.
Modification of probes may enable researchers to detect targets and specific DNA alterations
directly in tumor EVs, thereby facilitating detection, diagnosis, and improved understanding
of tumor biology relevant to many cancer types.
Funding: This work was supported by The Ohio State University Comprehensive Cancer
Center and the National Institutes of Health under grant number P30 C016058 and DOD
CDMRP Grant CA210874.
OF14.02
Identification and validation of EV reference genes for the normalization of RT‐qPCR
data
Cláudio A. Pinheiro
1; Niké Guilbert2; Quentin Roux2; Suzanne Fischer2; Lien Lippens2; An Hendrix3
1Laboratory of Experimental Cancer Research, Ghent, Belgium; 2Laboratory of Experimental
Cancer Research, Gent, Belgium; 3Department of Urology, Ghent University Hospital,
Ghent, Belgium; Laboratory of Experimental Cancer Research, Department of Human Structure
and Repair, Ghent University, Ghent, Belgium; Cancer Research Institute, Ghent, Belgium,
Ghent, Belgium
Introduction: Reference genes (RG) for extracellular vesicles (EV) are central to
the high‐throughput and accurate profiling of selected EV‐associated genes. We identify
and validate four EV‐associated mRNAs as RG for the normalization of EV‐associated
gene expression by RT‐qPCR across multiple cell lines and biofluids.
Methods: From our previous work (PMID:25317274) we selected the top 4 differentially
enriched protein coding genes in EV preparations obtained by density gradient ultracentrifugation
(DGUC): SNRPG, OST4, TOMM7 and NOP10. We evaluated and compared the expression of
the candidate RG and commonly used RG (including GAPDH) across 15 cell lines and analyzed
their presence in EV separated by DGUC from 4 biofluids (conditioned medium (n=10),
blood plasma, urine and tumor interstitial fluid) in three biological replicates.
EV preparations were characterized by EM, western blot, NTA and RT‐qPCR. Gene stability
was assessed by 4 algorithms for RG identification.
Results: Similar to commonly used RG, candidate RG were stably expressed across 15
cell lines, under varying serum conditions (0‐10%). Protease K and RNase A treatment
of DGUC fractions confirmed the selectivity of the candidate RG for EV‐enriched fractions
(density 1.09–1.10g/mL), in contrast to GAPDH. Disruption of culture conditions by
10Gy irradiation did not affect RG levels in EV. Algorithm‐based stability analysis
of randomized samples confirmed constant levels of candidate RG in EV across all biofluids.
In addition, their Cq values directly correlated with particle numbers measured by
NTA. Importantly, the 4 candidate RG demonstrated to be more stable compared to the
commonly used RG.
Summary/Conclusion: We have successfully identified and validated four EV‐associated
RG, that can be used for the normalization of EV RT‐qPCR data and ultimately assist
in advancing our understanding of the EV‐associated mRNA cargo.
Funding: This work was supported by UGent, FWO, KOTK (the Flemish cancer society)
and European Union's Horizon 2020 research and innovation programme under the Marie
Skłodowska‐Curie grant agreement No [722148].
OF14.04
Extracellular vesicles carrying Firmicutes predict response to pembrolizumab in urothelial
carcinoma
Kentaro Jingushi
1; Atsunari Kawashima2; Takuro Saito3; Akinaru Yamamoto2; Toshihiro Uemura2; Norio
Nonomura2; Kazutake Tsujikawa4
1Laboratory of Molecular and Cellular Physiology, Graduate School of Pharmaceutical
Sciences, Osaka University, Osaka, Japan; 2Department of Urology, Graduate School
of Medicine, Osaka University, Suita, Japan; 3Department of Surgery, Graduate School
of Medicine, Osaka University, Suita, Japan; 4Laboratory of Molecular and Cellular
Physiology, Graduate School of Pharmaceutical Sciences, Osaka University, Suita, Japan
Introduction: Bacterial flora in the body has clinical significance for the host.
The metabolic environment created by this flora influences immunotherapy in urothelial
carcinoma. However, there have been no report on the clinical significance of bacterial
flora in the host bloodstream. Here, we aimed to clarify the clinical significance
of blood flora in urothelial carcinoma patients.
Methods: Clinical specimens: Serum were obtained from 50 patients with localized urothelial
cancer (UC) who had undergone TURBT and from 31 metastatic UC patients who had undergone
treatment with pembrolizumab, and 20 healthy donors. Written informed consent was
obtained from each patient, and the study was approved by the ethics review board
of the Osaka University Medical Hospital and was conducted according to the principles
of the Declaration of Helsinki.
Serum EVs isolation: Serum samples (200 ul) were centrifuged at 2,000 g for 30 minutes
and filtered with 0.2 um syringe filter before applying into the following extracellular
vesicles (EVs) isolation. Serum EVs were isolated using ultracentrifugation method
or qEV columns, Exosome Isolation Kit and MagCapture Exosome Isolation Kit. DNA was
isolated from EVs samples using the QIAamp Circulating Nucleic Acid Kit.
16S metagenomic sequencing: 16S rRNA metagenomic sequencing was performed on a MiSeq
platform. QIIME was used to process all raw sequencing data. Linear discriminant analysis
effect size (LEfSe) was used to elucidate bacterial genus classification taxa that
were associated with malignancy of UC and immunological classification of T cells.
Results: The expression of peripheral EVs carrying DNA of Firmicutes phylum was significantly
correlated with the number and activation surface marker expression of infiltrating
T cells within tumor tissues. In addition, Firmicutes abundance could predict the
response and prognosis of patients with metastatic urothelial carcinoma treated with
immunotherapy.
Summary/Conclusion: Information of Firmicutes abundance derived from EVs in the blood
can reflect the local immune status of the tumor microenvironment and could be used
to predict the efficacy and prognosis of cancer immunotherapy.
OF14.05
DNA bound to the surface of urine extracellular vesicles as potential kidney allograft
injury biomarker
Ivana Sedej
1; Maja Štalekar2; Magda Tušek Žnidarič2; Katja Goričar3; Nika Kojc4; Polona Kogovšek2;
Vita Dolžan3; Miha Arnol1; Metka Lenassi5
1Department of Nephrology, Division of Internal Medicine, University Medical Centre
Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia; 2Department of Biotechnology
and Systems Biology, National Institute of Biology, Ljubljana, Slovenia, Ljubljana,
Slovenia; 3Institute of Biochemistry and Molecular Genetics, Faculty of Medicine,
University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia; 4Institute of Pathology,
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia;
5Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia
Introduction: Numerous studies support elevated donor‐derived cell‐free DNA (dd‐cfDNA)
in blood and urine as a biomarker of kidney allograft injury (KAI) in kidney transplant
recipients (KTR). We aimed to explore whether DNA is bound to extracellular vesicles
in urine (uEVs), and if so, is EV‐DNA associated with KAI.
Methods: Using size exclusion chromatography (EV210292), we isolated EVs, EV‐DNA and
cfDNA from second morning spot urine of 41 study consenting KTR. According to histopathology
of surveillance/for‐cause biopsies, we divided the patients into normal histology
(NH) and KAI (rejection or non‐rejection injury) groups. NTA was used to determine
EV size and concentration, while fluorometry, donor‐recipient genotyping and digital‐droplet
PCR were used to determine DNA parameters (yield, copy number, integrity index). DNase
assay and immunogold TEM were applied to study EV‐DNA location. Association between
EV‐DNA and histological phenotype of KAI was analysed. The National Ethics Committee
approved the study.
Results: We isolated pure uEVs of KTR. The median uEV concentration was 8.47 x 1010/mmol
U‐creatinine, while uEV mode size was 125.8 nm. EVs mean size was significantly larger
in KAI groups compared to NH (177.5 nm and 174.1 nm vs. 160.7 nm, P = 0.045, respectively).
DNA co‐isolated with uEVs and correlated with cfDNA in several parameters. EV‐DNA
and cfDNA yield, DNA copy numbers or ddDNA copy numbers (for cfDNA) were significantly
increased in KAI groups compared to NH. Importantly, EV‐DNA copy numbers were greater
in allograft rejection and differed significantly in antibody‐ vs. cell‐ mediated
rejection. Compared to cfDNA, EV‐DNA was less fragmented and bound to the surface
of EVs as per TEM after DNA labelling. uEV‐DNA characteristics correlated with the
degree of inflammation in KTR.
Summary/Conclusion: DNA is bound to the surface of uEVs and may be a potential non‐invasive
KAI biomarker.
Funding: Slovenian Research Agency Grants P3‐0323, P1‐0170, P4‐0165, P4‐0407.
OF15: Metabolism Obesity Nutrition
Chair: Soazig Le Lay – Inserm U1087 Institut du Thorax Nantes & SFR ICAT Univ Angers
Chair: Olivier Blanc‐Brude – Paris Center for Cardiovascular Research, Institut National
de la Santé et de la Recherche Médicale U970, Université de Paris, France
OF15.01
MicroRNAs from Adipocyte‐derived Small Extracellular Vesicles in Patients with Alzheimer's
Disease are Associated with Cognitive Impairment and Insulin Resistance
Rachael Batabyal
1; Ankush Bansal2; Evan Nadler3; Kazue Hashimoto‐Torii3; Robert J. Freishtat2
1Children's National Hospital, Columbia, USA; 2Children's National Hospital, Washington,
USA; 3Children's National Hospital and The George Washington University, Washington,
USA
Introduction: We are experiencing parallel epidemics of obesity and Alzheimer's disease
(AD). Obesity increases the risk of AD. This suggests adipose‐derived factors may
provide a mechanistic link in AD pathogenesis. Adipocyte‐derived small extracellular
vesicles (ad‐sEVs) induce pathology critical to developing obesity‐related disease
(e.g insulin resistance). Insulin resistance may play a key role in AD pathogenesis.
We hypothesized that circulating ad‐sEVs from AD patients carry miRNAs predicted to
cause insulin resistance and are associated with cognitive impairment.
Methods: We studied serum and cerebrospinal fluid (CSF) from 19 participants with
AD and 14 non‐AD controls. Ad‐sEVs were isolated from samples by precipitation and
immunoselection. Ad‐sEV miRNA expression was profiled and the biofluids of the two
groups compared. Weighted gene co‐expression network analysis (WGCNA) was applied
to investigate the relationship between miRNA expression changes and phenotypic traits,
including Mini‐Mental State Exam (MMSE). Enrichment analysis was performed on the
top 30‐40 miRNAs in each co‐expression module for MMSE.
Results: Serum and CSF miRNA expression correlated strongly (r2=0.98). In serum, 189
miRNAs were differentially expressed by a fold change ≥|1.1| in the AD and control
groups (p≤0.1) and 251 were differentially expressed in CSF. Using WGCNA, 5 miRNA
modules were identified in each biofluid. MiRNAs associated with AD and insulin signaling
were enriched in both serum and CSF in the two modules that most strongly correlated
(directly or indirectly) with MMSE scores. Within these two modules, 26/30 and 14/30
miRNAs were associated with AD in the serum and 22/30 and 26/30 miRNAs targeted insulin
signaling pathways. In CSF, 22/30 and 27/40 miRNAs were associated with AD and 22/30
and 29/40 miRNAs targeted insulin signaling pathways. Using Ingenuity Pathway Analysis,
we found that downregulation of insulin receptor and IGF‐1 signaling was predicted
by miRNAs from AD patients compared to controls.
Summary/Conclusion: These findings support our hypothesis that, in AD, altered expression
of ad‐sEV miRNAs target insulin signaling pathways and are associated with cognitive
impairment. These findings support using serum ad‐sEVs as a surrogate for CSF ad‐sEVs.
Functional validation of these findings is ongoing.
Funding: Supported by UW ADRC NIH:P50AG005136
OF15.02
Effects of n‐3 PUFAs on the coagulatory behaviour of EVs generated in vitro from washed
platelets
Esra Bozbas; Ruihan Zhou; Keith Allen‐Redpath; Parveen Yaqoob
University of Reading, Reading, United Kingdom
Introduction: Platelet‐derived EVs (PDEVs) comprise the most abundant EV population
in the circulation, at least in healthy individuals, and may play a role in the development
of cardiovascular diseases (CVDs) through their procoagulant activities. PDEVs can
potentially be modified by dietary fatty acids since they carry bioactive lipid mediators
and their cell membrane fatty acid composition can be modified by dietary fatty acids,
including n‐3 polyunsaturated fatty acids (PUFA), which are abundant in oily fish
and fish oil and reported to reduce risk of cardiovascular diseases. This study investigated
whether consumption of n‐3 PUFA alters the coagulatory behaviour of PDEVs.
Methods: Forty subjects with moderate risk of CVDs were supplemented with either 1.8
g/d n‐3 PUFA or control (high‐oleic safflower oil) for a 12‐week period. This randomised,
double‐blind, placebo‐controlled crossover study was approved by the University of
Reading Research Ethics Committee.
To isolate PDEVs in vitro, washed platelets, obtained before and after each intervention
period, were incubated in the presence or absence of the stimulant, 30 μM Thrombin
Receptor Activator Peptide‐6 (TRAP‐6), for 2h at 37°C. Platelets were then removed
by centrifugation and EVs were pelleted and washed. The thrombogenicity of these in
vitro‐generated PDEVs was assessed using a tissue factor‐induced thrombin generation
assay (Technothrombin TGA kit), which evaluates a change in fluorescence as a result
of cleavage of a fluorogenic substrate by thrombin over time upon activation of the
clotting cascade by tissue factor. Pooled vesicle free plasma (VFP) from healthy subjects
(n=3) was used for benchmarking purposes in the assessment of thrombin generation
induced by in‐vitro‐generated PDEVs.
Results: VFP alone was significantly less able to support thrombin generation than
VFP reconstituted with in vitro‐generated PDEV. Thrombin generation supported by in
vitro‐generated PDEVs derived from subjects supplemented with fish oil was significantly
lower than that supported by PDEVs from subjects supplemented with control oil, as
reflected by increased lag time and time to peak thrombin, and decreased peak thrombin,
velocity index and area under the curve.
Summary/Conclusion: PDEVs produced in vitro from both unstimulated and stimulated
platelets are able to support thrombin generation, but their thrombogenic capacity
is reduced when platelet donors are supplemented with n‐3 PUFA, indicating potential
anti‐coagulatory properties of n‐3 PUFAs mediated through PDEVs.
Funding: This study was funded by the BBSRC Diet and Health Research Industry Club
(BBSRC DRINC) and the Republic of Türkiye (the Graduate Education Scholarship).
OF15.03
Sorting mechanisms for MicroRNAs into extracellular vesicles in placental cells in
gestational diabetes mellitus
Soumyalekshmi Nair
1; Nanthini Jayabalan1; Andrew Lai2; Dominic Guanzon1; Flavio Carrion3; Katherin Scholz‐Romero1;
Martha Lappas4; Carlos Salomon Gallo1
1The University of Queensland, Brisbane, Australia; 2Exosome Biology Laboratory, University
of Queensland Centre for Clinical Research, The University of Queensland, Brisbane,
Australia; 3Universidad del Alba, Santiago, Chile; 4University of Melbourne, Melbourne,
Australia
Introduction: Gestational Diabetes Mellitus (GDM) is the glucose intolerance in pregnancy
and leads to pregnancy complications and metabolic disorders in mother and offspring.
Placenta‐derived small extracellular vesicles (sEVs) play key roles in the regulation
of maternal metabolism by transfer of miRNAs mediating cell communication. The aim
of the present study is to identify the molecular mechanisms associated with selective
packaging of miRNAs sEVs in placental cells in normal glucose tolerant (NGT) and GDM
pregnancies.
Methods: sEVs were isolated from cell‐conditioned media of primary human trophoblast
cultures from NGT and GDM patients. The miRNA profile in trophoblast cells and sEVs
were analyzed using next generation sequencing and the proteins associated with the
sEV enriched miRNAs were identified by biotin pull down and mass spectrometry. Further,
siRNA mediated knock down of proteins and analysis of miRNA expression in sEVs using
real time PCR were performed.
Results: GDM alters the miRNA content of placental cells and sEVs. A specific set
of miRNAs were highly enriched in sEVs compared to their cells of origin in NGT and
GDM. We classified these miRNAs into three groups as miRNAs enriched in sEVs (1) only
in NGT (2) only in GDM and (3) in both NGT and GDM. Candidate miRNAs were chosen for
each group (miR‐150‐5p and miR‐1246 for NGT; miR‐1285‐5p for GDM; and miR‐486‐5p for
shared) based on their abundance and enrichment in sEVs. Further, we identified a
repertoire of unique proteins interacting with miRNAs within each group. We found
that RNA binding protein YBX3 is required for the sorting of miR‐1246 in sEVs in NGT
and proteins CWF19L1 and DISC3 for the sorting of miR‐486 in NGT and GDM condition.
Furthermore, proteins FASTKD2 and HDLBP inhibits the sorting and release of miR‐1285
in sEVs from GDM trophoblast cells.
Summary/Conclusion: These findings provide insights into the mechanisms by which miRNA‐protein
interactions lead to the selective packaging of miRNAs into sEVs in healthy pregnancy
and GDM.
Funding: This research was funded by National Health and Medical Research Council
(NHMRC 1195451)
OF15.04
Hepatoprotective effect of cranberry vesicles in a mouse model of diet‐induced obesity
Amélie Légaré
1; Arianne Morissette1; Christine Dallaire1; Joanie Dupont‐Morissette1; Geneviève
Guèvremont1; Thibault Varin2; Geneviève Pilon1; Julien Boucher3; Valérie Chénard3;
André Marette1
1Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie
de Québec, Canada, Québec, Canada; 2Institut sur la Nutrition et les Aliments Fonctionnels,
Université Laval, Canada, Québec, Canada; 3Centre de recherche du CHU de Québec, Canada,
Québec, Canada
Introduction: Numerous studies, notably carried out by our team, have shown that cranberries
counteract obesity‐related metabolic disorders. It has been reported that fruit vesicles
can alleviate gut‐associated diseases, such as obesity. Yet, the impact of cranberry
extracellular vesicles (CranEVs) on metabolic and liver health has never been studied.
The objective of this project is therefore to evaluate the effect of CranEVs intake
on metabolic health in a mouse model of diet‐induced obesity.
Methods: CranEVs were isolated from freshly pressed cranberry juice by differential
ultracentrifugation followed by a sucrose density gradient. The vesicles were then
characterized by Nanoparticle Tracking Analysis, Dynamic Light Scattering, and transmission
electron microscopy. Male C57bl/6J mice were subjected to an obesogenic diet for 10
weeks. The first group received daily gavage containing CranEVs diluted in PBS, while
the control group received a daily gavage of PBS (n = 12 per group). The food intake
and body weight were monitored daily. Insulin and glucose tolerance tests were performed
at week 6 and week 8 respectively. Liver transcriptome profiles will be obtained by
Illumina NovaSeq sequencing.
Results: Despite a similar calorie intake, mice given CranEVs gained significantly
less weight than the control group, in addition to experiencing a reduction of adipose
tissue weight. In the liver, a significant decrease of the triglyceride and cholesterol
content was observed in the mice given the extract. Analysis of the liver transcriptomic
data will perhaps shine a light on the mechanisms underlying the observed benefits
of CranEVs on mice health.
Summary/Conclusion: This project is the first to assess the metabolic impact of CranEVs.
Based on our results, CranEVs reduce adiposity and hepatic lipid accumulation. Thus,
these cranberry‐derived vesicles could represent a promising therapeutic avenue to
counteract obesity‐related metabolic disorders, such as nonalcoholic fatty liver diseases.
Funding: This work was funded by the Cardiometabolic Health, Diabetes and Obesity
Research Network. A. Légaré was financially supported by the Canadian Institutes of
Health Research, Quebec Research Funds, and Natural Sciences and Engineering Research
Council of Canada.
OF15.06
Glycolysis in hepatic stellate cells induces fibrogenic sEV release and promotes liver
fibrosis
Shalil Khanal; Vijay Shah; Enis Kostallari
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, USA
Introduction: Hepatic stellate cells (HSCs) are the main drivers of liver fibrosis
by secreting high amounts of collagen. Our group has previously demonstrated that
activated HSCs increase the release of fibrogenic small extracellular vesicles (sEVs).
However, the mechanism leading to their release is not fully understood. Activated
HSCs also display a highly glycolytic profile, where hexokinases (HK) catalyze the
first committed step in glucose metabolism by phosphorylating glucose. The aim of
this study is to investigate the role of glycolysis, and more specifically of HK2,
in driving fibrogenic sEV release and liver fibrosis.
Methods: In vitro, primary human HSCs were treated overnight with glucose to induce
glycolysis or 2‐deoxy‐glucose (2DG) to inhibit HK2. sEVs were purified by differential
ultracentrifugation and characterized by western blot and mass spectrometry. In vivo,
mice lacking one allele of Hk2 gene selectively in HSCs (PDGFRβCreERT2/HK2fl/+) and
littermate controls (HK2fl/+) were utilized. Liver fibrosis was induced by carbon
tetrachloride (CCl4) administration.
Results: Our publicly available single cell RNA sequencing dataset demonstrated that
HK2 mRNA expression was 1.7‐fold higher in fibrogenic HSCs isolated from CCl4‐treated
mice than in non‐fibrogenic HSCs (adjusted p = 1.82E‐09, GSE175939). In vitro, 1 g/L
of glucose enhanced HK2 protein expression by 2‐fold compared to no glucose condition
(n=4, p< 0.05). Glucose treatment also increased sEV release by 7‐fold as demonstrated
by CD81 protein levels, which was abrogated by treating cells with the HK2 inhibitor,
2DG (1 g/L n=3, p< 0.05). Mass spectrometry analysis demonstrated that sEVs derived
from HSCs cultured in the presence of glucose were enriched with fibrogenic proteins
such as collagens, which was reversed by 2DG treatment. Based on these data, we examined
the role of HK2 in fibrosis in vivo. CCl4 administration to HK2fl/+ littermate control
mice enhanced Sirius red staining of the liver by 4.7‐fold, collagen 1 alpha 1 mRNA
levels by 12‐fold and alpha smooth muscle actin mRNA levels by 3‐fold, suggesting
enhanced fibrogenesis. However, Hk2 deletion selectively in HSCs in PDGFRβCreERT2/HK2fl/+
mice attenuated liver fibrosis (3‐6 mice/group, p< 0.05).
Summary/Conclusion: Our results suggest that glycolytic HK2 mediates fibrogenic sEV
release and liver fibrosis.
Funding: Pinnacle Research Award/American Association for the Study of Liver Diseases
(AASLD)
P30DK084567 ‐ Pilot and Feasibility award,Mayo Clinic Center for Cell Signaling in
Gastroenterology/HHS | NIH | National Institute of Diabetes and Digestive and Kidney
Diseases (NIDDK)
OF16: Biodistribution of EVs
Chair: Oscar Wicklander – Department of laboratory medicine, Karolinska Institutet
Chair: Dirk M. Pegtel – Amsterdam University Medical Centers
OF16.01
Albumin‐binding extracellular vesicles demonstrate extended circulation time and lymph
node accumulation
Xiuming Liang
1; Zheyu Niu2; Valentina Galli3; Nathalie Howe3; Ying Zhao4; Oscar Wiklander5; Wenyi
Zheng1; Rim Jawad Wiklander5; Giulia Corso5; Christopher Davies6; Justin Hean6; Eleni
Kyriakopoulou6; Doste Mamand7; Risul Amin8; Joel Nordin7; Dhanu Gupta7; Samir El Andaloussi1
1Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Huddinge,
Sweden; 2Biomolecular Medicine, Clinical Research Center, Department of Laboratory
Medicine, Karolinska Institutet, Stockholm, Sweden, Stockholm, Sweden; 3Evox Therapeutics
Limited, Oxford, United Kingdom, Oxford, United Kingdom; 4Experimental Cancer Medicine,
Clinical Research Center, Department of Laboratory Medicine, Karolinska Institutet,
Stockholm, Sweden., Stockholm, Sweden; 5Department of Laboratory Medicine, Karolinska
Institutet, Stockholm, Sweden, Stockholm, Sweden; 6Evox Therapeutics Limited, Oxford,
UK., Oxford, United Kingdom; 7Department of laboratory medicine, Karolinska Institutet,
Stockholm, Sweden; 8Biomolecular Medicine, Clinical Research Center, Department of
Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden., Stockholm, Sweden
Introduction: Extracellular vesicles (EVs) have shown promise as potential therapeutics
for the treatment of various diseases. However, their rapid plasma clearance after
administration could be a limitation in certain therapeutic settings. Hence, there
is an unmet need to develop efficient approaches to extend EV circulation time in
vivo.
Methods: An engineering strategy is employed to decorate albumin onto the surface
of the EVs through surface display of albumin binding domains (ABDs). ABDs are added
to the extracellular loops of select EV‐enriched tetraspanins (CD63, CD9 and CD81)
or directly fused to the extracellular terminal of single transmembrane EV‐sorting
domains, such as Lamp2B. Nanoluc luciferase is fused to the intracellular terminal
of tetraspanins or Lamp2B to allow facile tracing of engineered EVs. The binding of
engineered EVs with human plasma albumin (HSA) in vitro and mouse plasma albumin (MSA)
in vivo is confirmed by super‐resolution imaging. EVs in the circulation and harvested
organs are monitored by Nanoluc activity assay and in vivo imaging achieved using
the IVIS® optical imager.
Results: The engineered EVs exert robust binding capacity to HSA in vitro and MSA
after injection in vivo. By binding to MSA, the circulating time of EVs (derived from
different cells) dramatically increases after different routes of administration.
Moreover, these engineered EVs show considerable lymph node (LN) and solid tumor accumulation,
which can be utilized when using EVs for immunomodulation, cancer‐ and/or immunotherapy.
The increased circulation of EVs may also be important when combined with tissue‐specific
targeting ligands.
Summary/Conclusion: By introducing ABDs onto EVs, their circulation time is significantly
extended, which could provide significant benefit for their therapeutic use in a variety
of disease indications.
OF16.02
Identification of local and systemic exchange of cancer cell derived EVs during pancreatic
cancer progression
Kathleen M. McAndrews; Jiha Kim; Amanda Haltom; Patience Kelly; Janine Hensel; Carolina
Ruivo; Raghu Kalluri
MD Anderson Cancer Center, Houston, USA
Introduction: Intercellular signaling between cancer cells and stromal cells within
the tumor microenvironment (TME) and distant metastatic sites is known to be critical
for regulating the progression of cancer. A number of recent studies have indicated
a role for ex vivo isolated cancer cell extracellular vesicles (EVs) in communication
between distinct cell types of the TME and in promoting metastasis; however, the precise
role of endogenous EV transfer in tumorigenesis and autochthonous cancer progression
has been elusive. Here, we developed novel mouse models to fluorescently track the
endogenous exchange of CD9+ EVs and evaluate the functional consequences of CD9+ EV
transfer in the development and progression of pancreatic cancer.
Methods: In order to generate a conditional mCherry‐CD9 allele, a cassette encoding
loxP‐STOP‐loxP followed by mCherry‐CD9 (LSL‐mCherry‐CD9) was knocked into the ROSA26
locus. Mice containing this allele were crossed to Pdx1‐Cre; LSL‐KrasG12D (KC), and
Pdx1‐Cre; LSL‐KrasG12D; LSL‐Trp53R172H (KPC) mice with LSL‐YFP to express a cytoplasmic
YFP, which was used to identify pancreatic epithelial or cancer cells. Transfer of
mCherry CD9+ EVs was evaluated by confocal microscopy analysis of cells with mCherry
signal and lacking cytoplasmic YFP signal. Single cell RNA sequencing of YFP‐mCherry‐
and YFP‐mCherry+ cells from the pancreata of KPC mice was used to evaluate transcriptional
changes in stromal cells containing mCherry CD9+ EVs.
Results: Exchange of epithelial cell derived CD9+ EVs (EC EVs) with local cells in
the microenvironment of KPC pancreata occurs prior to formation of precancerous lesions
and increases throughout cancer progression. Such EC EVs exchange with surrounding
stromal cells in the TME, including fibroblasts and immune cells, was associated with
transcriptional reprogramming of stromal cells. Analysis of the metastatic organs
lung and liver revealed an accumulation of EC EVs with cancer progression and metastasis
in KPC mice. EC EVs were also detected in the lung and liver of KC mice in which metastasis
does not occur, but at a lower frequency than KPC mice with metastasis. Transfer of
EC EVs was detected in organs lacking metastasis, including the kidney and brain;
however, such transfer was less common in non‐metastatic organs compared to metastatic
organs.
Summary/Conclusion: Together, these data suggest that EC EVs are endogenously transferred
prior to tumor formation, suggesting that EV transfer may play a role in intercellular
communication in the context of normal physiology. EC EV accumulation in both non‐metastatic
and metastatic organs indicates that EVs may act to promote metastasis and exert other
yet to be uncovered functions.
OF16.03
Radioactive labeling of Extracellular Vesicles and In Vivo Tracking by Non‐invasive
SPECT/CT Imaging
María Isabel González1; Gorka Sobrino2; Manuel Desco3; Beatriz Salinas
3
1Instituto de Investigación Sanitaria Gregorio Marañón (Madrid, Spain), Madrid, Spain;
2Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain; 3Instituto de
investigación Sanitaria Gregorio Marañón, Madrid, Spain
Introduction: The clinical application of EVs as natural nanoparticles still requires
a deeper understanding of their in vivo behavior after exogenous administration. Nuclear
imaging emerges as useful tool due to its non‐invasive feature and high selectivity
and sensitivity. We present a simple method for the radiolabeling of small EVs (sEVs)
and its validation as non‐invasive tool for the study of EVs pharmacokinetic properties
by nuclear imaging.
Methods: sEVs were isolated from goat milk by combined ultracentrifugation and size
exclusion chromatography and radioactively labeled with commercial pertechnetate ([99mTc]
NaTcO4) in presence of SnCl2 at 37°C/30min. Purity and in vitro stability (37°C/PBS)
were assessed by HPLC and TLC. After physicochemical characterization, 99mTc‐sEVs
were administrated to healthy mice by intravenous (310–350μCi) and intraperitoneal
(190–340μCi) injection and intranasal instillation (140–170μCi). In vivo circulation
time was assessed by blood extraction and pharmacology profile was evaluated by in
vivo SPECT/CT, ex vivo biodistribution and autoradiography.
Results: Radioactive 99mTc‐sEVs presented high purity (>95%) and stability (>95% at
48h), maintaining similar properties to non‐labeled sEVs (cup‐shape morphology, 114.0±8.0nm).
In vivo tracking revealed major changes in biodistribution; intravenous injection
showed main sEVs liver uptake (36.6±7.5%ID/g) and short blood half‐life (4min). sEVs
intraperitoneally injected showed higher circulation time (16min) but typical free
99mTc signal at thyroid (22.0±7.2%ID/g at 24h), suggesting sEVs degradation. Nuclear
signal in brain was observed after intranasal instillation, with main uptake in stomach.
Summary/Conclusion: We present an easy method for EVs radiolabeling and its validation
as non‐invasive tool to study the EVs biological behavior after exogenous administration,
demonstrating drastic changes in their pharmacokinetics among administration routes
Funding: This study was supported by the Ministerio de Ciencia, Innovación y Universidades,
Instituto de Salud Carlos III, project “PI16/02037”, co‐funded by the European Regional
Development Fund (ERDF), “A way of making Europe”, and by Comunidad de Madrid, project
“Y2018/NMT‐4949 (NanoLiver‐CM)” and “S2017/BMD‐3867 (RENIM‐CM)”, co‐funded by European
Structural and Investment Fund. The CNIC is supported by the Instituto de Salud Carlos
III (ISCIII), the Ministerio de Ciencia e Innovación (MCIN) and the Pro CNIC Foundation
and is a Severo Ochoa Center of Excellence (SEV‐2015‐0505).
OF16.04
Novel Strategies for the Fluorescent Labeling of Extracellular Vesicles for In Vitro
and In Vivo Imaging
María Isabel González
1; Mario González‐Arjona2; Ana Santos‐Coquillat2; Gorka Sobrino3; Javier Vaquero2;
Elena Vázquez‐Ogando2; Antonio de Molina3; Héctor Peinado Selgas4; Manuel Desco2;
Beatriz Salinas5
1Instituto de Investigación Sanitaria Gregorio Marañón (Madrid, Spain), Madrid, Spain;
2Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; 3Centro Nacional
de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain; 4Spanish National
Cancer Research Center (CNIO), Madrid, Spain; 5Instituto de investigación Sanitaria
Gregorio Marañón, Madrid, Spain
Introduction: Molecular imaging allows non‐invasive assessment of the EVs biological
properties. Current methods for the fluorescent labeling of EVs involve tedious bioengineering
or unstable lipophilic binding, which may lead to false‐positive imaging. We present
a straightforward strategy for the covalent fluorescent labeling of EVs, and its in
vitro and in vivo evaluation by optical techniques.
Methods: Small EVs (sEVs) isolated from goat milk, U87 or B16F10 cell culture by ultracentrifugation
were characterized (TEM, DLS, NTA and flow cytometry) and labeled with BDP and SCy7.5
NHS ester fluorophores for 90min at pH 8.5 and 4°C. Physicochemical characterization
and in vitro stability (37°C/PBS) by HPLC were performed in all samples. In vitro
evaluation of fluorescent sEVs by confocal imaging was assessed in hepatocytes employing
5 and 0.5 μg/ml of milk SCy‐sEVs at 30, 60, 120 and 240min, and 24h. Milk SCy‐sEVs
were in vivo tested after intravenous injection in healthy mice (25μg/PBS) by IVIS
imaging at 1, 4 and 24h. Mice were sacrificed, organs were ex vivo imaged and livers
were histologically analyzed by H&E and confocal microscopy.
Results: Fluorophores were strongly attached to sEVs with high reaction yield confirmed
by flow cytometry (>99%) and high stability at 72h, maintaining the original properties
of starting sEVs (cup‐shape morphology, 123‐140nm). Milk SCy‐sEVs was in vitro located
in the cytoplasm of hepatocytes even at short time‐points, presenting dose‐dependent
internalization. In vivo biodistribution evaluation of SCy‐sEVs exhibited major accumulation
in liver (3.4•108 ± 5.8•106 (p/s/cm2/sr)/(μW/cm2)), without significant alterations
in this organ.
Summary/Conclusion: Our strategy for fluorescent labeling of EVs allows the attachment
of diverse commercial fluorophores to the vesicle surface with a yield of nearly 100%
and proven stability. The novel fluorescent EVs were in vitro and in vivo assessed
proving the utility of our chemical tool.
Funding: This study was supported by the Comunidad de Madrid, projects: “Y2018/NMT‐4949
(NanoLiver‐CM)” and “S2017/BMD‐3867 (RENIM‐CM)”; it was also co‐funded by the European
Structural and Investment Fund. The CNIC is supported by the Instituto de Salud Carlos
III (ISCIII), the Ministerio de Ciencia e Innovación (MCIN), and the Pro CNIC Foundation,
and it is a Severo Ochoa Center of Excellence (SEV‐2015‐0505). JV was supported by
grants from Instituto de Salud Carlos III (PI18/01833), co‐funded by European Regional
Development Fund (ERDF) and from Comunidad de Madrid, project “S2017/BMD2737 (ExoHep‐CM)”,
co‐funded by European Structural and Investment Fund. A. Santos‐Coquillat is grateful
for the financial support from Ministerio de Ciencia e Innovación, Instituto de Salud
Carlos III Sara Borrell Fellowship grant CD19/00136.
OF16.05
Proteomic characterisation of CD81‐tdTomato prostate cancer‐derived sEVs and their
distribution in two‐dimensional dynamic cell systems
Timothea Konstantinou
1; Rachel Errington2; Aled Clayton2
1Cardiff University, CARDIFF, United Kingdom; 2Cardiff University, Cardiff, United
Kingdom
Introduction: Cancer‐derived sEVs promote several critical processes in disease progression;
however, the underlying mechanisms and kinetics of sEV uptake and distribution within
cell populations are still being explored. In this work, a prostate cancer cell line
generating fluorescent sEVs was developed by overexpressing the tdTomato fluorescent
protein fused to the tetraspanin CD81. The phenotype and proteome of CD81‐tdTomato
sEVs was characterised, followed by visualisation and quantification of their uptake
and retention in prostate cancer‐ and mesenchymal stem cell‐populations.
Methods: sEVs were isolated by the 30% sucrose/D2O cushion ultracentrifugation method
and were phenotypically characterised by Nanoparticle Tracking Analysis, Cryo‐Electron
Microscopy, Western Blot analysis, ELISA‐like assays, Micro Flow Cytometry and Confocal
Microscopy. Proteomic analysis was done by SWATH‐MS, and Fluorescence Microscopy with
a developed Fiji macro were used to visualise and quantify sEV signal. CD81‐tdTomato
sEVs were compared to age‐matched sEVs from non‐transfected controls throughout.
Results: Phenotypic analysis showed significant differences in CD81‐tdTomato sEV size
and morphology, and proteomic analysis further revealed a number of dysregulated proteins.
These were implicated in MVB/sEV‐, growth‐, cytoskeleton, adhesion‐, migration‐ and
survival‐associated pathways. Analysis of CD81‐tdTomato sEV uptake and retention demonstrated
differential dynamics between prostate cancer‐ and mesenchymal stem cell recipients.
However, heterogeneous sEV uptake was observed for both systems and associated with
cell area.
Summary/Conclusion: Overexpression of the tetraspanin CD81 fused to a fluorescent
protein caused significant alterations to the phenotype and proteome of secreted sEVs,
which are under‐appreciated in similar studies. Furthermore, the understanding of
uptake and distribution of these sEVs in 2D dynamic cell systems provided a quantifiable
benchmark and starting point for further investigations in 3D microenvironments.
Funding: Cancer Research UK
Keywords: CD81, tetraspanins, tdTomato, fluorescent proteins, sEVs, MVB, SWATH‐MS,
proteomics, uptake, retention, fluorescence microscopy
OF16.06
Biodistribution and Kinetics of Cardiac Exosomes After Myocardial Infarction
Weija Luo1; Xiao Du1; Zhishi Chen1; Yuan Dai1; Wei Yu1; Jiang Chang
2
1Texas A&M University, Houston, USA; 2Texas A&M University College of Medicine, Houston,
USA
Introduction: Exosomes emerge as new messengers for in vivo communication amongst
cells and organs. The beneficial effects of exosomes on the injured heart and potential
roles in the prognosis of varied cardiovascular diseases have been suggested with
promising results. Understanding the biodistribution and kinetics of endogenous cardiac
exosomes during post‐myocardial infarction (MI) will significantly impact exosome‐mediated
basic and translational studies. This study uncovered the tissue distribution and
kinetics of the exosomes released from the MI hearts using an inducible exosome reporter
mouse model.
Methods: We generated a transgenic mouse expressing the bioluminescent reporter NanoLuc‐fusion
protein. We fused the NanoLuc reporter with exosome surface marker CD63 for specific
labeling of exosomes. The cardiomyocyte‐specific αMHC promoter was introduced, followed
by a loxP‐STOP‐loxP cassette for precise spatial labeling of exosomes originating
from cardiomyocytes. The cardiomyocyte‐specific exosome reporter mice were bred with
tamoxifen‐inducible Cre mice. The exosome labeling and distribution were assessed
by luciferase assay and non‐invasive bioluminescent live imaging. We performed a permanent
ligation of the left anterior descending artery. All of the assessments were conducted
on day three and day fourteen of post‐MI, representing the acute and chronic stages
of the post‐MI injury healing process.
Results: The uptake levels of exosomes among thirteen different organs, including
plasma, were detected and quantified. Profound differences of cardiac exosomes in
various tissues during the MI healing process were exhibited.
Summary/Conclusion: Exosome‐mediated communications between the heart and other organs
are differential and dynamic during post‐MI recovery. Meanwhile, the exosome tracking
mouse model enables elucidating the endogenous exosome trafficking pattern and allows
the study of exosome behavior in different biological and pathological conditions.
Funding: American Heart Association Innovative Project Award: 18IPA34180012
OF17: EVs in Breast and Prostate Cancers
Chair: Lucia R. Languino – Thomas Jefferson University
OF17.01
EVs from therapy‐induced senescent breast cancer cells elicit STING‐dependent inflammatory
signaling
Karen Crasta
1; Rekha Jakhar2; Yen Nguyen3; Matius Robert3
1National University of Singapore, Singapore, Singapore; 2Research Fellow, Singapore,
Singapore; 3Research Assistant, Singapore, Singapore
Introduction: Breast cancer is a leading cause of cancer death in women. Among the
chemotherapeutic drugs used as front‐line therapy are microtubule‐targeting agents
(MTAs) which include paclitaxel. The use of such drugs can lead to therapy‐induced
senescence (stable cell cycle arrest). The aim of this study was to investigate the
effect of extracellular vesicles released from therapy‐induced senescence breast cancer
cells in breast cancer pathogenesis.
Methods: MDA‐MB‐231 human breast cancer cell line and mouse mammary 4T1 cells treated
with MTA commonly used in lab settings, Noc (100 ng/μl) for 72 h to induced therapy‐induced
senescence (TIS). For sEV/exosome isolation, senescent conditioned media (CM) was
prepared after Noc and DMSO treatment by incubating cells in growth media containing
exosome‐depleted FBS for 72 h. CM was then collected and centrifuged at 500×g 10min,
2,000×g 30min, and 15,000×g 30min at 4°C to remove cells and large debris. Supernatant
was filtered, exosomes (sEVS) pelleted at 120,000×g, 2h, 4°C, washed with PBS, centrifugation
at 100,000×g,1h, 4°C. Izon fractionation collector was used to collect sEVs/exosomes.
Presence and size evaluation of exosomes was confirmed by Nanosight, electron microscopy
and western blot for Cd63, Alix and TSG101. Exosomes were dissolved in PBS for whole
exosome experiments or processed for total RNA, miRNA and protein isolation for microRNA
profiling, RNA‐seq and mass spectrometry proteomic profiling. Live‐cell microscopy
using CD63‐GFP was used to track exosome transfer in recipient cells. Macrophage polarisation
(M1/M2) determination assays, FACS, Western and wide‐field microscopy for apoptosis
markersNF‐kB and STING signalling assays was carried out. Therapy‐induced Senescence
(TIS) was determined by western detection for p53, p21, lamin B1 degradation, beta‐gal
senescence along with profiling for senescent associated secretory phenotype (SASP).
Results: We observe both in tissue culture, zebrafish and mouse model metastatic potential
reduction and tumor suppression/ tumor regression occurs following EV‐dependent transfer
into breast cancer recipient cells. Characterization and profiling revealed a cathepsin
D‐dependent apoptotic driven pathway in conjunction with STING‐dependent macrophage
killing.
Summary/Conclusion: Therapy‐induced senescent cells elicit STING‐dependent inflammatory
signaling in macrophages and lead to tumour regression.
Funding: This work was funded by Singapore Ministry of Education Tier 2 (MOE2018‐T2‐2‐179)
to Karen Crasta.
OF17.02
Inhibiting EV release from breast cancer cells combats drug resistance
Caitrin Crudden
1; Maarten Bebelman2; Katinka Langedijk1; Connie Jimenez1; Bart Westerman1; Dirk M.
Pegtel2
1Amsterdam UMC, Amsterdam, Netherlands; 2Amsterdam University Medical Centers, Amsterdam,
Netherlands
Introduction: Despite the advent of targeted therapies for breast cancer treatment,
a large proportion of patients eventually relapse due to resistance mechanisms. There
are currently no drugs available that selectively target the most malignant subpopulations
of drug‐resistant breast cancer cells and re‐sensitizing such cells would hugely benefit
patients. Extracellular vesicle (EV) release has been linked to therapy resistance,
and crucially, has been a central modality across a wide range of mechanisms of resistance,
drugs and cancer types. It is therefore conceivable that selective inhibition of the
pathways that drive EV production or release from cancer cells has therapeutic potential.
In this project we aimed to identify clinically feasible inhibitors of EV release
to combat drug resistance.
Methods: From a panel of human breast cancer cell lines we found that EV secretion
is increased in aggressive, resistant cells. We developed an endogenous bioluminescent
reporter for EV secretion that could sensitively and robustly report EV secretion.
Using CRISPR/Cas9‐technology we generated HA‐NanoLuc‐CD63 knock‐in MCF7.
Results: We performed a broad‐spectrum kinase inhibitor screen of 400 compounds, and
validated potential hits for toxicity, pharmacokinetics and cellular morphology changes.
In support of our original hypothesis, we found that Bemcentinib, identified as a
putative inhibitor of EV secretion in MCF7, increases the sensitivity of a paclitaxel‐resistant
MCF7 subline to paclitaxel‐toxicity. In a long term clonogenic assay, co‐treatment
of Bemcentinib and Paclitaxel synergize to prevent paclitaxel‐resistant MCF7 from
producing progeny, when compared to either agent alone.
Summary/Conclusion: We find evidence that blocking underlying EV secretion pathways
is feasible by kinase control, and able to resensitize resistant cells to first‐line
agents, representing an alternative treatment strategy.
Funding: Dutch Cancer Society (KWF) Unique High Risk Grant (#11308) to D.M Pegtel.
OF17.03
Tethered exosomes containing MT1‐MMP contribute to ECM degradation during breast cancer
progression
Roberta Palmulli; Hannah K. Jackson; James R. Edgar
Department of Pathology, University of Cambridge, Cambridge. CB2 1QP. United Kingdom,
Cambridge, United Kingdom
Introduction: Membrane‐bound metalloproteinase membrane type 1–matrix metalloproteinase
(MT1‐MMP) plays a central role in extracellular matrix (ECM) degradation during breast
cancer progression. MT1‐MMP is exposed on the plasma membrane of cancer cells, from
where it can degrade the ECM. In addition, MT1‐MMP has been found to be enriched on
EVs, although the contribution of such EVs to cancer progression has been overlooked.
We previously showed that sEVs/exosomes can be tethered at the surface of producing
cells by the protein tetherin. Interestingly, tetherin is highly expressed in metastatic
breast cancer where it modulates ECM degradation, tumour cell migration and metastasis
formation. The molecular mechanism behind tetherin overexpression and cancer progression
remains elusive.
Methods: Tetherin KO and tetherin overexpressing MDA‐MB‐231 cell lines were generated.
Biochemistry, fluorescence microscopy, and electron microscopy were used to characterise
MDA‐MB‐231 cell lines, sEV release, and to study the localisation and function of
MT1‐MMP and tetherin. In some cases, Bafilomycin‐A1 was used to induce release of
exosomes. sEVs were isolated by size exclusion chromatography and characterised using
biochemistry, electron microscopy and nano‐flow cytometry (nanoFCM). Extracellular
matrix degradation assays were also performed.
Results: Our data show that MDA‐MB‐231 cells release sEVs containing MT1‐MMP, that
are likely derived from multivesicular endosomes (exosomes). MDA‐MB‐231 cells express
tetherin. Tetherin is released through sEVs and can tether sEVs at the surface of
producing cells, modulating the release of (MT1‐MMP) sEVs in the extracellular space.
Tetherin expression modulates ECM degradation by MDA‐MB‐231 cells.
Summary/Conclusion: Our data show that breast cancer cells release MT1‐MMP through
exosomes that can be tethered at the cell surface by tetherin. This study will contribute
to elucidate the function of exosomal metalloproteases and tetherin during breast
cancer progression.
Funding: JRE and RP are supported by a Sir Henry Dale Fellowship jointly funded by
the Wellcome Trust and the Royal Society (216370/Z/19/Z). HKJ is funded by Exosis.
OF17.04
New strategies using small extracellular vesicles to increase the efficacy of CDK4/6
inhibitors in breast cancer
Paula Carpintero‐Fernandez; Marta Barturen‐Gomez; alejandro Garcia‐Yuste; Joaquin
Mosquera; Benigno Acea; Maria D. Mayan
CellCOM Research Group. INIBIC‐A Coruña, A Coruña, Spain
Introduction: Connexins are channel‐forming proteins involved in cell‐to‐cell communication.
These channel proteins modulate the tumour microenvironment via channel‐dependent
and channel‐independent functions. Connexin43 (Cx43) has been reported to be dysregulated
in breast cancer, however there is still controversy of its role in the pathogenesis
and development of the disease depending on the subtype. The therapeutic response
of tumour cells are also affected by these transmembrane proteins. On the other hand,
small extracellular vesicles (sEVs) are already being used in different trials as
new advanced therapies as drug vehicles to treat different types of cancer.
Methods: The human ER+/HER2‐ breast cancer cell line MCF7 was used in this study.
Lentiviral vectors and sEVs‐enriched in Cx43 isolated from different sources , were
used to restore Cx43 in breast cancer cells. sEVs were isolated by ultracentrifugation
and characterized by NTA, electron microscopy and WB. Standard methods were used to
study the effect of sEVs‐enriched in Cx43 in combination with CDK4/6 inhibitors in
cellular senescence and apoptosis. The CDK4/6 inhibitors (Palbociclib, Abemaciclib,
Ribocilcib) were obtained from Selleckchem.
Results: Here, we have demonstrated that the restoration of Cx43 in ER+/HER2‐ breast
cancer cells using lentiviral vectors enhances senescence and sensitizes breast cancer
cells to cell death by apoptosis increasing the efficacy of the CDK4/6 inhibitors
(Pabociclib, Abemaciclib, Ribociclib) . We obtained similar results using sEVs‐enriched
in Cx43, in combination with CDK4/6 inhibitors, which significantly increases CDK4/6
inhibitors efficacy in 2D and 3D models. Further, the combination of Cx43, CDK4/6
inhibitors and senolytic drugs, such as Navitoclax, has been assayed and this combination
resulted in the best strategy to enhance senescence, reduce the proliferation of breast
cancer cells and increase cell death increasing efficacy and preventing drug resistance.
Summary/Conclusion: The results presented here has been protected in an EU patent
application. We propose a new and effective drug combination strategy based on the
use of sEVs enriched in Cx43 to reduce CDK4/6 inhibitors resistance by improving their
efficacy in breast cancer models. The results obtained could impact in the manage
and treatment of tumours that respond to CDK4/6 inhibitors treatment and with a potential
clinical benefit in patients.
OF17.05
A 3D‐printed metastatic‐niche‐on‐a‐chip for characterizing the cancer‐stroma co‐adaptation
via extracellular vesicle crosstalk
Molly L. Shen
1; Vahid Karamzadeh1; Alia Alameri1; Andreas Wallucks1; Emilie Solymoss2; Andy Ng1;
Peter M. Siegel2; David Juncker1
1Department of Biomedical Engineering, Faculty of Medicine and Health Sciences, McGill
University, Montreal, Canada; 2Rosalind and Morris Goodman Cancer Research Centre,
McGill University, Montreal, Canada
Introduction: Cancers exhibit organ‐specific metastasis (organotropism). Studying
the underlying mechanism remains challenging due to limitations in co‐culture models
to recapitulate the spatiotemporally regulated cellular interactions in the tumor
microenvironment (TME). Here, we report a microfluidic metastatic‐niche‐on‐a‐chip
for co‐culturing cancer spheroids with up to two relevant TME stromal cell types.
Furthermore, we established endogenous fluorescent protein tags to distinguish EVs
secreted by cancer and stromal cells. We utilized our device to characterize the migration
pattern and EV crosstalk of organotropic breast cancer cells co‐cultured in matched
(lung‐tropic in lung) and un‐matched (lung‐tropic in bone) metastatic‐niche.
Methods: The device was 3D‐printed using a novel photocurable bio‐ink optimized for
biocompatibility, hydrophilicity, and transparency. Cell lines expressing membrane‐targeting
fluorescent proteins were established to classify EVs secreted by cancer vs. stroma.
Matrigel‐embedded spheroids of bone‐ and lung‐tropic subpopulations of MDA‐MB‐231
triple negative breast cancer cell line were seeded into the central chamber of the
device, while in‐device capillary stop valves enabled patterning of the lung or bone
stromal cells in channels surrounding the spheroid, mimicking the in vivo cancer‐stromal
morphology. Conditioned media was sampled in a time‐course, purified using IZON columns,
and single EVs were analyzed using a CytoFLEX flow cytometer and an in‐house single
EV imaging platform.
Results: EVs collected from the co‐culture device were profiled for tetraspanins and
cancer‐associated integrins. Preliminary data suggested that while both bone‐ and
lung‐tropic breast cancer spheroid triggered sprouting of lung fibroblast at as early
as day 2, EVs from the lung‐tropic spheroid in lung condition had a higher CD63‐CD9
co‐expression and a 2‐fold increase in integrin β1+ EVs. In contrast, EVs secreted
by the bone‐tropic spheroid had higher abundance of integrin αV, α6, and β4 when co‐cultured
with matched stromal cells.
Summary/Conclusion: Our platform may potentially help identify changes in EV crosstalk
linked to metastatic pre‐disposition, plasticity and co‐adaptation of cancer and stroma
in the metastatic niche.
OF17.06
Activation of TGF‐β signaling modifies the protein content of extracellular cellular
vesicles derived from breast cancer cells
Dorival M. Rodrigues‐Junior
1; Konstantina Psatha2; Michalis Aivaliotis2; Carl‐Henrik Heldin1; Aristidis Moustakas1
1Uppsala University, Uppsala, Sweden; 2University of Thessaloniki, Thessaloniki, Greece
Introduction: Transforming growth factor‐β (TGF‐β) signaling forms a complex pathway
known to suppress early‐stage hyperplasia, but yet induces epithelial‐mesenchymal
transition, assisting tumors to achieve metastasis. Extracellular vesicles (EVs) secreted
by diverse human tumor cells have been associated with the process of metastasis.
Although some molecules associated with the TGF‐β pathway have been implicated as
cargo of EVs, a role of TGF‐β signaling on EV biology has been poorly studied. Here,
we described the impact of TGF‐β signaling on the protein content of breast cancer
cell‐derived EVs and the biological role of EVs induced by TGF‐β (TGF‐β+EV).
Methods: To this end, EV‐fractions enriched in CD81 or Cholerae toxin B chain (CTB)
were isolated from the vesicular secretome fraction (VSF) of human breast cancer MDA‐MB‐231
cells stimulated or not with TGF‐β. The EVs were characterized based on morphology,
size distribution and presence of EV‐specific antigens.
Results: Of the 971 proteins detected in the CD81+EVs by LC‐ESI‐MS/MS, 38 were specific
to TGF‐β+EVs while 137 were present in the Control (Ctrl EV). From the 2,406 proteins
identified in the CTB+EVs, 86 were present only in the TGF‐β+EVs, while 124 were specific
to the Ctrl. PANTHER and STRING database analysis indicated that the content of TGF‐β+EVs
was related to integrin signaling and inflammation mediated by chemokines. Moreover,
such EVs induced TGF‐β signaling. Blocking EV uptake did not suppress such effect,
whereas EV incubation with a monoclonal anti‐TGFβ antibody significantly reduced the
activation of TGF‐β signaling induced by these EVs. Furthermore, TGF‐β pathway activation
by EVs led to higher levels of TGF‐β responsive genes in the recipient cells, also
increasing their motility and resistance to cytotoxic drugs.
Summary/Conclusion: Hence, we uncovered new functions of the TGF‐β pathway regulating
the cargo of tumor‐derived EVs, which drives tumor aggressiveness and may assist the
prediction and assessment of cancer patients.
Funding: Ludwig Cancer Research; Cancerfonden [CAN2018/469] to ArM; Vetenskapsrådet
[2018‐02757‐3] to ArM, [2020‐01291] to CHH; Barncancerfonden [PR2018‐0091] to ArM;
European Research Council [787472] to CHH.
OF18: The Bioactive Component in EVs
Chair: Antonia Reale – Monash University
Chair: Neta Regev‐Rudzki – Weizmann Institute of Science
OF18.01
Cancer cell targeting via small extracellular vesicles
ShivRam Krishn1; Vaughn Garcia2; Nicole Naranjo2; Fabio Quaglia2; Christopher Shields2;
Maisha Harris3; Qin Liu4; Dario Altieri5; Lucia R. Languino
6
1Jefferson University, philadelphia, USA; 2Jefferson University, Philadelphia, USA;
3Jefferson u., Philadelphia, USA; 4Wistar I., Philadelphia, USA; 5The Wistar Institute,
Philadelphia, USA; 6Thomas Jefferson University, Philadelphia, USA
Introduction: Cancer cells crosstalk with the tumor microenvironment (TME) by releasing
small extracellular vesicles (sEVs) which are enriched in the epithelial‐specific
αVβ6 integrin. sEVs mediate protein transfer of αVβ6 to microvascular endothelial
cells and monocytes in the TME; this transfer results in de novo αVβ6 expression and
affects these cells’ functions. As evaluated by our proteomic and immunoblotting analyses,
αVβ6 expression in donor cancer cells and their sEVs inhibits the levels of molecules
that have a tumor suppressive role, such as STAT1; in recipient cells, sEV‐mediated
αVβ6 expression affects STAT1 signaling.
Methods: sEVs were isolated from DU145 prostate cancer cell culture media and characterized
by electron microscopy, density gradients, NTA, and immunoblotting analysis, as per
MISEV2018 guidelines. sEVs were mixed with non‐silencing siRNAs, ITGB6 targeting D1
or D13.1 siRNA, or Cy3 control DsiRNAs, and electroporated; then, they were incubated
with RNase A, washed, centrifuged, and tested in functional assays using PC3 cells.
Results: We have now selected αVβ6, which is expressed in many cancer cells but absent
in normal cells, as candidate for a sEV‐mediated therapeutic approach. We show an
efficient strategy to target αVβ6 in cancer cells by using siRNA loaded into sEVs.
We first demonstrate that fluorescently labeled siRNAs can be efficiently loaded into
sEVs by electroporation; by confocal microscopy, we show internalization of siRNA‐loaded
sEVs into recipient cells. We then provide evidence that sEV‐mediated delivery of
β6 targeting siRNAs to cancer cells specifically downregulates αVβ6 expression, without
changing the expression of the β5 integrin subunit. As a consequence, sEV‐mediated
delivery of β6 targeting siRNAs, but not of non‐silencing siRNAs, significantly reduces
cell adhesion and migration of cancer cells on αVβ6‐specific substrates.
Summary/Conclusion: Overall, this study shows that sEVs from cancer cells may contribute
to a horizontal propagation of integrin‐associated phenotypes from cancer cells to
the TME and demonstrates an efficient approach for specific targeting of the αVβ6
integrin in cancer cells using sEVs carrying ITGB6‐specific siRNAs.
Funding: NIH‐R01CA224769; NIH‐P01CA140043
OF18.02
A map of the extracellular RNA carried by RNA‐binding proteins (RBPs) within extracellular
vesicles, lipoprotein particles, and ribonucleoprotein (RNP) particles across human
biofluids
Emily LaPlante; David Chen; Robert Fullem; Matthew Roth; Eric Van Nostrand; Aleksandar
Milosavljevic
Baylor College of Medicine, Houston, USA
Introduction: RNA binding proteins (RBPs) play a critical role in the release and
transport of extracellular RNA (exRNA) by sorting and loading exRNA into vesicles/lipoproteins
and even directly carrying exRNA. However, the current understanding of RBPs as carriers
of exRNA fragments in human biofluids is still lagging behind work on other exRNA
carriers.
Methods: We leverage ENCODE eCLIP data, which determines the bindings sites for 150
RBPs and intersect it with 6,930 human small RNAseq samples from the exRNA Atlas to
determine the landscape of exRNA fragments bound by these RBPs. We identify exRNA
fragments with RBP binding sites from eCLIP experiments that are significantly correlated
in the human exRNA Atlas to discover RBPs with detectable exRNA “footprints”. We then
perform computational deconvolution of RBP exRNA cargo to place RBPs into different
carrier types – vesicles, lipoproteins, or RNPs. All files are made available for
the community.
Results: At least several hundred thousand short RNA fragments appear to be carried
into the extracellular space by RBPs. RBPs with enriched exRNA patterns are identified
across different biofluids, including plasma, serum, saliva, CSF, and urine. We find
33 RBPs with detectable footprints in both cell supernatant and healthy human plasma.
These RBPs are enriched for 5 different functions – RNA stability and decay, translation
regulation, RNA localization, miRNA processing, and splicing. We also place 44 RBPs
into vesicular and non‐vesicular carrier classes.
Summary/Conclusion: We present the first map of exRNAs carried by specific RBPs within
extracellular vesicles, lipoprotein particles, and free RNPs across human biofluids.
To empower the community, we extend the exRNA Atlas resource with intersections between
all 150 RBPs eCLIP “footprints” and all 6,930 human small RNAseq samples in the exRNA
Atlas. The map and the new data resource will improve understanding of the role of
RBPs as carriers of extracellular RNA in both normal physiological and disease contexts.
OF18.03
Malaria‐infected red blood cells release two distinct extracellular vesicle sub‐populations
featuring the ability to target different sub‐cellular destinations
Paula Abou Karam
1; Irit Rosenhek‐Goldian1; Tamar Ziv2; Hila Ben Ami‐Pilo1; Ido Azuri1; Anna Rivkin1;
Edo Kiper1; Ron Rotkopf1; Sidney R. Cohen1; Raya Sorkin3; Ana Claudia Torrecilhas4;
Ori Avinoam1; Alicia Rojas5; Mattia Morandi1; Neta Regev‐Rudzki1
1Weizmann Institute of Science, Rehovot, Israel; 2Technion ‐ Israel Institute of Technology,
Haifa, Israel; 3Tel Aviv University, Tel Aviv, Israel; 4Federal University of São
Paulo, Diadema, Brazil; 5University of Costa Rica, San Jose, Costa Rica
Introduction: Malaria is the most serious mosquito‐borne parasitic disease, caused
mainly by the intracellular parasite Plasmodium falciparum (Pf). This parasite invades
human red blood cells (RBCs) and releases extracellular vesicles (EVs) carrying DNA,
RNA, proteins and lipids to alter its host immune responses. Recent findings from
various mammalian systems indicate the heterogeneity of the EV pool, based on distinct
cargo components. Our aim was therefore to identify the various EV subpopulations
produced by malaria infection.
Methods: EV samples were subjected to size‐separation analysis, using Asymmetric Flow
Field‐Flow Fractionation (AF4). The EV subpopulations were then collected and characterized
both by atomic force microscopy (AFM) and cryo‐transmission electron microscopy (cryo‐TEM).
Proteins were also isolated and subjected to proteomic analysis. Furthermore, using
Förster resonance energy transfer (FRET)‐based fusion assay we examined the fusion
capabilities of the EV subpopulations. Finally, Laurdan staining and AFM puncture
analysis combined with machine learning methods were applied in order to characterize
the membrane biophysical properties of the subpopulations.
Results: Interestingly, we identified two distinct EV subpopulations secreted by parasite‐infected
RBCs that differed in size (26 nm and 69 nm, in average). A mass spectrometry (MS)
analysis of each respective EV subpopulation revealed a mixture of human and parasitic
proteins. Surprisingly, the enriched cellular pathways differed between the two subpopulations,
with the small EVs containing complement‐system proteins and the large EVs a pronounced
amount of proteasome subunits. We then measured the membrane fusion abilities of each
subpopulation with three types of host cellular membranes: plasma, late and early
endosome. Remarkably, the small EVs fused to early endosome liposomes at significantly
greater levels than did the large EVs. Atomic force microscope puncture tests evaluated
with machine‐learning methods further emphasize the difference between the two subpopulations
through their mechanical properties.
Summary/Conclusion: Our data demonstrate that Pf‐iRBCs release two distinct subpopulations
of EVs which differ in their protein content, biophysical properties, and fusion abilities.
Therefore, this study may shed light on how malaria parasites utilize the powerful
EV pathway to secrete particles responsible for discriminated functions in the parasite‐host
interaction.
OF18.04
Extracellular vesicles in human body fluids trigger coagulation by exposing functional
extrinsic tenase complexes
Yong Hu
1; Chi Hau2; Johannes Thaler3; Rienk Nieuwland4
1Laboratory of Experimental Clinical Chemistry; Vesicle Observation Center; Department
of Biomedical Engineering & Physics, Amsterdam University Medical Center, University
of Amsterdam, Amsterdam, Netherlands; 2Department of Clinical Chemistry; Vesicle Observation
Center, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands;
3Clinical Division of Haematology and Haemostaseology, Department of Medicine I, Medical
University of Vienna, Vienna, Austria; 4Department of Clinical Chemistry; Vesicle
Observation Center; Amsterdam University Medical Center, University of Amsterdam,
Amsterdam, Netherlands
Introduction: Coagulation is the first step of wound healing, and reduces blood loss
and the risk of infection. Tissue factor (TF) is the transmembrane receptor of (activated)
coagulation factor (F)VII(a), and together they form the “extrinsic tenase” complex,
which triggers coagulation by activating FX to FXa. Surprisingly, TF occurs not only
in the vessel wall, but is also commonly present on extracellular vesicles (EVs) in
body fluids such as amniotic fluid (AF), milk, saliva, and urine. Here we investigated
whether such EVs expose extrinsic tenase complexes.
Methods: Milk, saliva, and urine were collected from healthy breastfeeding women (n=6),
and AF was collected from healthy women undergoing routine amniocentesis (n=7). EVs
were isolated by size exclusion chromatography (SEC) and coagulation (clotting) experiments
were performed in the presence and absence of antibodies against TF and FVIIa in normal
plasma and in FVII‐deficient plasma. The extrinsic tenase activity, i.e. the activation
of FX to FXa, was determined by a chromogenic assay.
Results: All body fluids triggered clotting of normal plasma. Milk was the most coagulant
body fluid, followed by AF, saliva, and urine. The body fluids also triggered clotting
of FVII‐deficient plasma, which was inhibited by anti‐FVII and anti‐TF (milk: p=0.031,
p=0.044; AF: p< 0.000, p=0.001; saliva, p< 0.000, p=0.055; urine: p=0.024, p=0.024).
SEC showed that only fractions containing EVs triggered clotting and generated FXa,
which was inhibited by anti‐FVII and by anti‐TF.
Summary/Conclusion: Normal human body fluids contain EVs exposing functional extrinsic
tenase complexes. These EVs activate FX directly, thereby bypassing a major part of
the coagulation cascade and providing direct hemostatic protection.
Funding: Y.H. was supported by a scholarship from the China Scholarship Council (CSC).
J. T. was supported by an unrestricted travel grant from the International Society
on Thrombosis and Haemostasis.
OF18.05
Colostrum exosome‐based delivery of siRNAs and inhibition of lung cancer
Ramesh C. Gupta
1; Margaret Wallen2; Raghuram Kandimalla3; Jeyaprakash Jeyabalan2; Disha Moholkar3;
Radha Munagala2; Wendy Spencer2; Farrukh Aqil4
13P biotechnologies and Department of Pharmecology & Toxicology and Brown Cancer Center,
University of Louisville, Louisville, KY 40202, Louisville, USA; 23P biotechnologies
Inc., Louisville, KY 40202, Louisville, USA; 3University of Louisville, Louisville,
KY 40202, Louisville, USA; 4University of Louisville, Louisville, USA
Introduction: We have shown that bovine milk and colostrum provide abundant small
extracellular vesicles, also referred to as exosomes, for drug delivery. We now report
a novel exosome‐polyethyleneimine (PEI) matrix (EPM) for delivery of siRNA targeting
KRAS (siKRAS) and nuclear factor erythroid 2‐related factor, NRF2 (siNRF2) to inhibit
lung cancer by downregulating target protein expression. These two oncogenic targets
are known to be highly expressed in lung, as well as other types of cancer.
Methods: Exosomes were isolated from bovine colostrum powder by rehydration and differential
centrifugation and characterized for size, pdi and charge (Zetasizer) and hallmark
proteins (Western blot). Test siRNAs were entrapped in the EPM by brief incubation
of siRNA with the vector, followed by PEG precipitation. The siRNA entrapment efficiency
was determined using tracer 5’‐32P‐labeled siRNA. The transfection efficiency was
determined in vitro by measuring gene knockdown via Western blot analysis, while anti‐cancer
effects were assessed in vivo using lung tumor xenografts in immunocompromised mice.
Results: Colostrum exosomes exhibited similar size and charge as mature milk exosomes
and carried similar surface proteins markers. Based on the presence of radioactive
siRNA, we found that the EPM entrapped >90% of added siRNA (up to 20 μg). siRNA entrapped
in EPM was protected from enzymatic degradation upon exposure to RNases, as detected
by gel electrophoresis using radioactive tracer siRNA. EPM‐siKRAS decreased mutant
KRAS expression in A549 lung cancer cells dose dependently. When composed of folic
acid‐functionalized exosomes, EPM‐siKRAS resulted in significant inhibition of orthotopic
lung xenografts (>70%; p< 0.01) and downregulation of KRAS expression in the tumor
(>50%; p< 0.05). Likewise, EPM‐siNRF2 delivery resulted in dose‐dependent decrease
of NRF2 expression in the same cell line and correlated with the inhibition of cell
survival. EPM‐siNRF2 formulation also inhibited the growth of subcutaneous lung tumors
(>57%; p< 0.01) in immunocompromised mice.
Summary/Conclusion: The colostrum exosome‐based EPM technology provided significant
gene knockdown and lung tumor inhibition by targeted delivery of siRNA and represent
a simple and effective exosome‐based gene therapy approach.
Funding: Supported from funds from 3P Biotechnologies and, in part, from the USPHS
grant CA221487‐01.
OF18.06
Matrix vesicles membrane organization and its interaction with PHOSPHO1 investigated
by means of biomimetic membrane models
Ana Lara Nanzer1; Luiz Henrique Andrilli1; Heitor G. Sebinelli2; Maytê Bolean1; Massimo
Bottini3; José Luis Millán4; Ana Paula Ramos5; Pietro Ciancaglini
1
1Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) da Univeridade
de São Paulo (USP), Ribeirão Preto, Brazil; 2Faculdade de Filosofia, Ciências e Letras
de Ribeirão Preto (FFCLRP) ‐ Universidade de São Paulo (USP), Ribeirão Preto, Brazil;
3University of Rome Tor Vergata, Roma, Italy; 4Sanford Burnham Prebys, La Jolla, CA,
USA, La Jolla, USA; 5Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP)
da Univeridade de São Paulo (USP), Av. Bandeirantes, 3900, Brazil
Introduction: Bone biomineralization is a process mediated by osteoblasts through
the release of matrix vesicles (MVs). The most accepted theory describes the MVs´
biogenesis by budding from cell membranes, secreted at specific sites in the bone
extracellular matrix. The internal MVs reservoir is composed by enzymes such as PHOSPHO1,
a phosphatase that hydrolyzes phosphocholine and phosphoethanolamine, and generates
Pi through phospholipids degradation, that may be also involved in MVs biogenesis.
In this study, we aimed to investigate the interactions of PHOSPHO1 with lipids enriched
in the membrane of MVs and to compare the results with monolayers composed by native
lipids extracted from MVs.
Methods: For this, we isolated MVs from the femurs of chicken embryos (16‐17 days)
and purified the lipids using a sequence of dispersion in organic solvents/centrifugation
steps. We used DPPC, DPPS and cholesterol (Chol), and Langmuir monolayers as a mimetic
membrane model. 1M of lipid chloroformic solutions were dripped at the air‐liquid
interface on a Tris/HCl (containing 100 mM NaCl and 2 mM MgCl2) buffer, pH 7.4. PHOSPHO1
(0.76 μg/mL) was added to the subphase, then the monolayer was compressed with the
aid of a Langmuir trough.
Results: The compressional moduli of the DPPS monolayers was increased in the presence
of the enzyme when compared to pure DPPS. Moreover, the area occupied per lipid molecule
was increased from 56.9 Å2 to 63 Å2 in the presence of PHOSPHO1, which indicated interaction
between DPPS and the enzyme. Although PHOSPHO1 also increased the compressional moduli
of DPPC monolayers, its presence reduced the area occupied per lipid, revealing different
interaction guided by the composition of the lipids polar head In situ fluorescence
microscopy images of the monolayers revealed the formation of larger domains rich
in phospholipids induced by the presence of the enzyme. Monolayers composed by lipids
extracted from native MVs were also formed in the presence of PHOSPHO1. The enzyme
increased the area occupied per lipid in pH 7.4, but not in more acidic pH. The results
were similar to those found in artificial monolayers composed by DPPC:DPPS:Chol, which
may be an indication of the enzyme adsorption at lipid‐rafts moieties.
Summary/Conclusion: The results reveal that the interaction of PHOSPHO1 with lipids
in MVs can be mimicked by adjusting the composition of artificial Langmuir monolayers.
The lipid organization is crucial for the interaction of PHOSPHO1 with MVs´membrane
model. These results shed light in the mechanisms of biogenesis driven by this enzyme.
Funding: Supported by FAPESP: (2019/08568‐2; 2019/25054‐2; 2021/02768‐0); CNPq (304021/2017‐2).
OF19: EV Analysis Flow Micros
Chair: Rienk Nieuwland – Department of Clinical Chemistry; Vesicle Observation Center;
Amsterdam University Medical Center, University of Amsterdam
Chair: Tobias Tertel – Institute for Transfusion Medicine, University Hospital Essen,
University of Duisburg‐Essen, Essen, Germany
OF19.01
Multiplexed protein detection on single extracellular vesicles by DNA Exchange Imaging
Andreas Wallucks
1; Philippe DeCorwin‐Martin1; Lucile Alexandre2; Johan Renault1; Rosalie Martel1;
Molly L. Shen1; Lorenna Oliveira Fernandes De Araujo1; Andy Ng1; David Juncker1
1Department of Biomedical Engineering, Faculty of Medicine and Health Sciences, McGill
University, Montreal, Canada; 2Department of Biomedical Engineering, Faculty of Medicine
and Health Sciences, McGill University, Montreal, Canada; Laboratoire Physico Chimie
Curie, Institut Curie, PSL Research University, CNRS, Paris, France, Paris, France
Introduction: There is a need for technologies that profile extracellular vesicles
(EVs) on the single vesicle level to uncover functionally different subpopulations
which are masked in bulk analyses. Here we report a single EV multiplexed proteomics
platform named Digital Omics of Single EVs (DOSE) based on DNA exchange imaging (DEI).
Methods: We use EVs derived from HT29 and A431 cells that are purified using 220 nm
filters followed by a size exclusion column step (IZON). The EVs are characterized
according to MISEV2018 with TRPS, TEM and their protein content is validated by Western
blot.
Results: DOSE uses a flow cell on top of a glass coverslip with antibody functionalized
surface which is mounted in an inverted fluorescence microscope (Nikon Ti2). The EV
capture on the surface is monitored by label‐free live imaging using interferometric
scattering imaging (iSCAT). We proceed to block the surface and incubate a panel of
antibodies, each of which is conjugated to a target specific DNA oligo. Detection
is done using complementary oligos with fluorescent labels which can be hybridized
in less than five minutes and be removed after imaging by toehold mediated strand
displacement. Liquid handling and imaging are fully automated so that thousands of
individual vesicles can be characterized with an initial panel of twenty protein markers.
The image analysis is done with a custom Matlab pipeline using the label‐free images
to detect vesicles, suppressing noise and non‐specifically bound labels in the fluorescence
channels.
We validate the label free EV detection using silica beads as size standards as well
as a CD63‐GFP expressing A431 cell line. Furthermore, we show proof‐of‐principle DEI
experiments on HT29 EVs where specific capture of vesicles positive for low abundance
targets results in enrichment of subpopulations compared to general capture of EVs.
Summary/Conclusion: The method overcomes several challenges in single EV techniques
including spectral limitations in multiplexed fluorescence imaging and a background
from non‐specific interactions or imperfect EV isolation techniques. It allows for
fast cycling times and high throughput at relatively low added cost making it a promising
technique to be incorporated into the single EV toolbox.
Funding: Genome Canada Disruptive Innovation in Genomics, A.W. Schmidt Science Fellows,
L.A. Action Marie Sklodowska‐Curie
OF19.02
Automation of clinical extracellular vesicle measurement using standardized and calibrated
nanoscale flow cytometry
Yohan Kim
1; Ishwor Thapa2; Edwin van der Pol3; Ali Arafa1; Cameron Britton1; Shelly Song1;
Hesham Ali4; Robert Karnes1; Fabrice Lucien1
1Mayo Clinic, Rochester, USA; 2University of Nebraska‐Omaha, Omaha, USA; 3Department
of Clinical Chemistry, Vesicle Observation Center, Department of Biomedical Engineering
and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands, Amsterdam,
Netherlands; 4University of Nebraska in Omaha, Omaha, USA
Introduction: Nanoscale flow cytometry (nFC) can enumerate thousands of extracellular
vesicles (EVs) within minutes using fluorescence and light‐scattering detection, thus
allowing us to evaluate the clinical utility of EVs as liquid biomarkers in human
diseases. However, gating strategy for large sample cohorts can be time‐consuming
and subjective with low abundant EV populations and background noise. Here, we developed
a computer‐assisted gating strategy for rapid and objective EV quantification.
Methods: Blood samples of 4 healthy donors and 92 localized prostate cancer (locPCa)
patients were prospectively collected using institutional review board approved protocols.
Optimized multiplex labeling of EVs with antibodies was performed to detect different
EV subsets (prostate, platelet, leukocyte). The Apogee A60‐MicroPlus nanoscale flow
cytometer was used to detect EVs. An automated gating model, written in R programming
language, transformed flow cytometry data to hyperbolic arcsine and detected dense
background noise by ‘Kmeans’ clustering. Based on the slopes of the density plots
around the cluster locations, polygon boundaries were generated to select target EVs
for each file. To distinguish EVs of interest from non‐specific events, multiple machine
learning models were evaluated.
Results: Comparing to manual data processing, computer assisted‐data processing generated
similar concentrations of prostate (p>0.08) and platelet (p>0.06) EV subsets in an
unbiased and faster manner (less than 10 minutes). Both processes resulted in no significant
differences in prostate EV levels between healthy donor and locPCa patients. However,
levels of leukocyte EVs and platelet EVs from locPCa patients was significantly higher
(1.5‐fold, p< 0.05 and 10‐fold, p< 0.01 respectively) than healthy donors.
Summary/Conclusion: This study provides reproducible clinical EV measurement using
nFC and automated data analysis, and ultimately will serve as framework for the future
development of EV‐based liquid biopsies in human diseases.
Funding: This research was supported by departmental grant (FL) and generous benefactors
(FL). FL was recipient of a postdoctoral fellowship from the Fonds de Recherche du
Quebec‐Sante (FRQS).
OF19.03
Tellurium‐based labeling of the extracellular vesicle proteome (TeLEV) enables high‐dimensional
single‐cell analyses of EV recipients by mass cytometry and imaging mass cytometry
Daniel Bachurski
1; Yong J. Bu2; Dominik Priesmann3; Tobias Tertel4; Paul J. Bröckelmann5; Marcel Schmiel6;
Philipp Gödel7; Alexander F. vom Stein8; Ron D. Jachimowicz9; Katrin S. Reiners10;
Roland T. Ullrich7; Katarzyna Bozek11; Nima Abedpour12; Marcus Krüger3; Christian
Preußer13; Bernd Giebel4; Elke Pogge von Strandmann13; Mark Nitz2; Michael Hallek8
1University of Cologne, Faculty of Medicine and University Hospital Cologne, Department
I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf,
Mildred Scheel School of Oncology Aachen Bonn Cologne Düsseldorf, Center for Molecular
Medicine Cologne, CECAD Center of Excellence on Cellular Stress Responses in Aging‐Associated
Diseases, Cologne, Germany, Cologne, Germany; 2Department of Chemistry, University
of Toronto, Toronto, Ontario, Canada, Toronto, Canada; 3University of Cologne, Institute
for Genetics, CECAD Center of Excellence on Cellular Stress Responses in Aging‐Associated
Diseases, Cologne, Germany, Cologne, Germany; 4Institute for Transfusion Medicine,
University Hospital Essen, University of Duisburg‐Essen, Essen, Germany, Essen, Germany;
5University of Cologne, Faculty of Medicine and University Hospital Cologne, Department
I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf,
Mildred Scheel School of Oncology Aachen Bonn Cologne Düsseldorf, Max Planck Institute
for Biology of Ageing, Cologne, Germany, Cologne, Germany; 6University of Cologne,
Faculty of Medicine and University Hospital Cologne, Department of Translational Genomics,
Cologne, Germany University of Cologne, Faculty of Medicine and University Hospital
Cologne, Institute of Pathology, Cologne, Germany, Cologne, Germany; 7University of
Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal
Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, Cologne
Essen Lymphoma Working Group, Center for Molecular Medicine, Cologne, Germany, Cologne,
Germany; 8University of Cologne, Faculty of Medicine and University Hospital Cologne,
Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne
Duesseldorf, Center for Molecular Medicine Cologne, CECAD Center of Excellence on
Cellular Stress Responses in Aging‐Associated Diseases, Cologne, Germany, Cologne,
Germany; 9University of Cologne, Faculty of Medicine and University Hospital Cologne,
Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne
Duesseldorf, Max Planck Institute for Biology of Ageing, Cologne, Center for Molecular
Medicine Cologne, CECAD Center of Excellence on Cellular Stress Responses in Aging‐Associated
Diseases, Cologne, Germany, Cologne, Germany; 10Institute of Clinical Chemistry and
Clinical Pharmacology, University Hospital, University of Bonn, Germany, Bonn, Germany;
11University of Cologne, Center for Molecular Medicine Cologne (CMMC), Faculty of
Medicine and University Hospital Cologne, Data Science of Bioimages Lab, Cologne,
Germany, Cologne, Germany; 12University of Cologne, Faculty of Medicine and University
Hospital Cologne, Department of Translational Genomics Center for Molecular Medicine
Cologne, Cologne, Germany, Cologne, Germany; 13Institute for Tumor Immunology, Center
for Tumor Biology and Immunology (ZTI), Philipps University of Marburg, Marburg, Germany,
Marburg, Germany
Introduction: The expanding EV field needs reproducible and sensitive methods to characterize
single EVs and EV‐mediated effects on single cells. Although single‐EV techniques
are now commonly applied in the field, high‐dimensional single‐cell analyses to elucidate
the functional impact of EV uptake on recipient cells are lacking.
Here, we developed the novel EV labeling method TeLEV based on L‐2‐tellurienylalanine
(TePhe), a phenylalanine mimic containing the heavy metal tellurium (Te). TePhe is
applied as an amino acid substitute to EV‐producing cells, resulting in the release
of Te‐labeled EVs (TeLEVs). TeLEV recipient cells can be easily identified by mass
cytometry (MC). As MC and imaging MC (IMC) can discriminate over 52 heavy metal isotopes
conjugated to antibodies, both emerged as technologies for the phenotypic dissection
of heterogeneous cell populations and tissues amongst others for PBMCs. Combining
TeLEV with MC, we became thus able to explore EV uptake at a single‐cell level in
over 30 different cell types in parallel and could also study the impact of EVs on
various cellular functions such as apoptosis, DNA‐damage response, migration, proliferation
and tyrosine‐kinase signaling.
Methods: In our studies, we separated TeLEVs from serum‐free cultured cells of eight
different cell lines (incl. HEK293T, HeLa, JVM‐3) and from primary cells (incl. chronic
lymphocytic leukemia cells) by combining 0.2 μm filtration, 10 kDa ultrafiltration
and size‐exclusion chromatography (qEV/35nm).
Results: Upon characterizing TeLEVs according to the MISEV2018 criteria and comparing
them with non‐labeled EVs of the same cells, we did not observe any differences in
composition or morphology. Next, we analyzed the uptake of TeLEVs by PBMCs cultured
in the presence of TeLEVs for 16 h. Our analyses revealed that independent of the
EV source, classical, transitional and non‐classical monocytes, as well as myeloid
dendritic cells, were the main recipients of TeLEVs. Since we found differences in
the individual label intensities of these EV incorporating cells depending on the
EV source, we conclude that the differences emerged from different cellular uptake
behaviors rather than being unspecific. Notably, although we analyzed T cells from
14 subsets (incl. Tregs and γδ T), we did not identify EV uptake in any T cell.
Summary/Conclusion: In summary, TeLEV is a broadly applicable and easy‐to‐operate
labeling method for EVs secreted by various cell types. Due to the advantages of MC
and IMC, TeLEV will provide new avenues for studying the biodistribution of EVs and
their functional impact on recipient cells.
Funding: This work was funded by the Deutsche Krebshilfe through a Mildred Scheel
Nachwuchszentrum Grant (Grant number 70113307)
OF19.04
Systematic evaluation of endogenous single EV labeling by membrane‐localizing‐peptide‐
and tetraspanin‐based genetic tagging strategies
Molly L. Shen
1; Emilie Solymoss2; Andreas Wallucks1; Sébastien Tabariès2; Matthew G. Annis2; Andy
Ng1; Peter M. Siegel2; David Juncker1
1Department of Biomedical Engineering, Faculty of Medicine and Health Sciences, McGill
University, Montreal, Canada; 2Rosalind and Morris Goodman Cancer Research Centre,
McGill University, Montreal, Canada
Introduction: Endogenous EV labeling via membrane‐localizing peptides and EV‐associated
tetraspanins serve as an attractive solution for long‐term in vivo EV analysis. In
this work, we systematically evaluated the labeling efficiency of various EV labeling
tags at the single EV level.
Methods: We generated a library of lentiviruses encoding a panel of fluorescent proteins
(GFP, ZsGreen, Venus, tdTomato, or RFP) that are tagged with: 1) Src myristoylation
sequence (myr‐) ; 2) Lyn kinase myristoylation and palmitoylation sequence (myrpalm‐)
; 3) full‐length human CD63; or 4) full‐length human CD9; as well as the GAP43 palmitoylation
sequence (palm‐) tagged with GFP or tdTomato (a kind gift from Professor Charles P.
Lai). A panel of cell lines (293T, A431, T47D, BT459, and MDA‐MB‐231) were stably
transfected. Their EVs were purified using IZON columns and analyzed using a 3 laser
CytoFLEX flow cytometer and an in‐house interferometric scattering microscope capable
of label‐free single EV imaging.
Results: All EV tags successfully labelled the plasma membrane of all cell lines screened.
We also observed fluorescence signal in the cytosol of cells transfected with the
myr‐, myrpalm‐ and palm‐ tags, suggesting an accumulation of non‐membrane bound fluorescent
proteins. When benchmarked using GFP as a model fluorescent protein, palm‐ and the
tetraspanin‐based tags achieved EV labeling efficiencies of over 75%, as measured
by both instruments. Meanwhile, myr‐ and myrpalm‐GFP only labeled around 20∼30% of
the total EV population. While some cell‐type‐dependent fluctuations in labeling efficiency
was observed, the excitation profile of the fluorescent protein also influenced the
measurable labeling efficiency, most notable on the CytoFLEX platform that lacks a
laser optimal for orange/red fluorescent proteins. It recorded a labeling efficiency
of 89.4% for palm‐GFP but only 10.3% for palm‐tdTomato. Similarly, myr‐ZsGreen (21%)
recorded a labeling efficiency much greater than myr‐Venus and myr‐RFP (1.4∼5%).
Summary/Conclusion: Our work demonstrated that single EV labeling efficiency can vary
greatly depending on the tag and fluorescent protein of choice. Ongoing work entails
proteomic profiling of the labelled EVs vs. their non‐transfected counterparts to
examine any potential alterations in the EV proteome caused by each EV labeling tags.
OF19.05
Introducing ultra‐correlative microscopy for single‐EV analysis
Zubair Ahmed Nizamudeen
1; Victoria James2; Robert Markus2; Rachael Xerri2; Kiran Suain2; Mark Platt3; Jason
P. Webber4; David Scurr2; Christopher Parmenter2; Chris Denning2; Virginie Sottile5;
Kenton Arkill2
1University of Nottingham, Oxford, United Kingdom; 2University of Nottingham, Nottingham,
United Kingdom; 3Loughborough University, Loughborough, United Kingdom; 4Swansea University,
Swansea, United Kingdom; 5University of Pavia, Pavia, Italy
Introduction: This presentation summarises our efforts towards ultra‐correlative microscopy
that can allow single‐EV analysis with utmost clarity. We developed new approaches
based on direct stochastic optical reconstruction microscopy (dSTORM) and correlative
light‐electron microscopy (CLEM). dSTORM uses multi‐iterative localisation of fluorophores
between light and dark states to provide a super resolution image that can visualise
EVs ≥30nm. CLEM allows alignment of fluorescently labelled molecules under light microscopy
with their ultrastructural details observed under electron microscopy, providing extensive
information at the nanoscale. Ultra‐correlation involves advanced CLEM that includes
high‐content compositional correlation.
Methods: For dSTORM (complemented by NTA, qNano, DotBlot‐CD63,TSG101,GM130, TEM and
cryoTEM analysis), cell uptake and sonication experiments, DiD‐labelled‐EVs were isolated
using Qiagen exoEasy Maxi Kit (from primary mouse stem cells). For CLEM, Du145 prostate
cancer derived EVs were isolated (ultracentrifugation) and labelled with AF488 C5‐maleimide.
For compositional correlation at 3D nanoscale, two approaches were developed: 1) 3D
ORBISIMS using the HYBRIDSIMS platform and 2) Cryo‐Biopsy approach using the 3D FIBSEM
platform, for omics analysis of native‐state biology.
Results: d‐STORM approach can simultaneously provide size, shape and count analysis
with high range and speed, and complements cryo‐TEM data for detection of EV damage/changes
due to low‐power sonication. CLEM allowed structural correlation of single fluorescent
EVs with their lipid bilayers. 3D cryo‐ORBISIMS approach allowed identification of
subcellular mass spec data (e.g. phosphatidylcholine, phosphatidylinositol) of DAPI
correlated cells. Cryo‐biopsy approach allowed detection of 18s RNA and transcriptomic
analysis from fluorescence correlated subcellular microsurgeries (< 200μm2) as confirmed
by PCR and RNA sequencing, respectively.
Summary/Conclusion: dSTORM and CLEM show high potential for ultra‐correlative single‐EV
analysis allowing native‐state structure‐function‐composition correlation, providing
valuable information about EVs in situ and after isolation. Future work will focus
on standardisation of protocols.
Funding: BBSRC, EPSRC, MIUR
OF19.06
Imaging flow cytometry, a sensitive tool to measure urinary extracellular vesicles
with a simple and isolation‐free protocol
Liang Wu
1; Wouter W. Woud2; Wenda Verschoor3; Ana M. Rodriguez3; Dennis Hesselink2; Carla
Baan2; Karin Boer2
1Erasmus MC Transplant Institute, Department of Internal Medicine, University Medical
Center Rotterdam Erasmus MC, Rotterdam, Netherlands; 2Erasmus MC Transplant Institute,
Department of Internal Medicine, University Medical Center Rotterdam, Rotterdam, The
Netherlands, Rotterdam, Netherlands; 3Erasmus MC Transplant Institute, Department
of Internal Medicine, University Medical Center Rotterdam Erasmus MC, Doctor Molewaterplein
40, 3015 GD Rotterdam, the Netherlands;, Rotterdam, Netherlands
Introduction: The measurement of urinary extracellular vesicles (uEV) is still hindered
by low sensitivity of detecting techniques, or bias induced by isolation. Imaging
flow cytometry (IFCM) is a highly sensitive technique to detect small single uEV.
Centrifugation, dithiothreitol (DTT) treatment, and dilution are commonly used to
remove contaminants, increase uEV yield, or adjust urine pH. Here, we present a reliable,
simple and isolation‐free protocol to measure uEV by IFCM.
Methods: Urine from healthy volunteers (n=5) and kidney transplantation recipients
(KTR) (n=5) were collected. Supernatant of a colorectal cancer cell line (COLO 205)
were used as a positive control. Samples were labeled with CD63‐Alxa488 and CD63‐APC
and isotype labeling was set as negative control. Detergent treatment identified biological
structures. Coincidence events were excluded from analysis, double positive events
represented EV.
Results: 14‐times repeated IFCM detecting positive control showed a coefficient of
variance of 4.6%. Centrifugation (10,000 g 10 min) removed autofluorescent particles
in unstained urine, therefore optimizing the gating strategy enabling to distinguish
uEV from autofluorescent background. In stained urine samples, this centrifugation
removed 6.13 ± 4.15 × 10^6/ml uEV (P < 0.05), representing 20.8 ± 15.8% uEV (P < 0.05).
Addition of DTT (25 mg/ml) did not affect uEV numbers in healthy urine, but showed
a 17.5 ± 25.8% higher concentration of uEV in KTR urine (P = 0.06). This might be
associated with a higher total protein/creatinine ratio in patient urine (89.6 ± 44.4
g/mol) than healthy urine (4.0 ± 1.6 g/mol) (P < 0.01). Dilution resulted in a logarithmic
decrease of uEV concentration with no significant effects on total uEV numbers.
Summary/Conclusion: In summary, IFCM is a sensitive and reliable tool to characterize
single uEV in both urine from healthy as well as diseased individuals, with 25 mg/ml
DTT incubation, and no need of centrifugation or uEV isolation.
OF20: Cell Biology Aspects
Chair: Deborah C. Goberdhan – Department of Physiology, Anatomy and Genetics, University
of Oxford
Chair: Alissa M. Weaver – Vanderbilt University School of Medicine
OF20.01
Vesicle induced receptor sequestration: a universal mechanism behind extracellular
vesicle‐based protein signaling?
Oskar Staufer
1; Joachim Spatz2
1University of Oxford, Oxford, United Kingdom; 2Max Planck Institute for Medical Research,
Heidelberg, Germany
Introduction: Extracellular vesicles (EVs) are fundamental for proper physiological
functioning of multicellular organisms. By shuttling nucleic acids and proteins between
cells, EVs regulate a plethora of cellular processes. However, our mechanistic understanding
concerning the biophysical principles underlying EV‐based communication is still incomplete.
Mechanisms explaining why and when cells apply EV‐based communication and how EV might
agument the signalling potency of proteins presented on their surface, are sought.
In our study, we focuse on immune‐modulatory protein ligands presented on EVs, aiming
to eludciate any amplfying biophysical effects of the EV membrane on ligand‐receptor
interactions.
Methods: We apply an in vitro reconstitution approach to engineer fully‐synthetic
EVs based on vesicles released into T‐cell immune synapses and between osteoblast
and osteoclasts. This approach allows to prescicly control the biophysical properties
of the EV mimetics. Based on this, we verify the proposed mechanism using natural
EVs isolated from human primary T‐cells and combine our analysis with in silico diffusion
simulations.
Results: We identify vesicle‐induced receptor sequestration (VIRS) as a potentially
universal mechanism augmenting the signalling potency of proteins presented on EV‐membranes.
By bottom‐up reconstitution of synthetic EVs, we show that immobilization of the receptor
ligands FasL and RANK on EV‐like vesicles, increases their signalling potential by
more than 1000‐fold compared to their soluble forms. Moreover, we perform diffusion
simulations within immunological synapses to compare receptor activation between soluble
and EV‐presented proteins. By this we propose vesicle‐triggered local clustering of
membrane receptors as the principle structural mechanism underlying EV‐based protein
presentation.
Summary/Conclusion: We conclude that EVs act as extracellular templates promoting
the local aggregation of membrane receptors at the EV contact site, thereby fostering
inter‐protein interactions. Our results uncover a potentially universal mechanism
explaining the unique structural profit of EV‐based intercellular signalling.
OF20.02
Real‐time single‐molecule observation and analysis of the species‐dependent interactions
between extracellular vesicles (EVs) and recipient cells
Mette Malle
1; Yan Yan1; Ping Song1; Philipp Löffler2; Jørgen Kjems1
1Interdisciplinary Nanoscience Center, Aarhus University, Aarhus, Denmark; 2Department
of Physics, Chemistry and Pharmacy, University of Southern Denmark, Odense, Denmark
Introduction: Extracellular vesicles (EVs) hold the potential as a native and multifunctional
nanovesicle‐mediated drug carrier. Both the drug loading strategy of EVs, and the
single‐EV level of characterization and tracking in live cells, are crucial for EV
application in drug delivery. In this study, we optimized two different EV loading
strategies: electroporation and liposome fusion, and characterized the difference
of interactions between cross‐species EVs and cells on a single EV level.
Methods: We isolate EVs from four different origins and three different species –
mouse plasma, C2C12 cell culture, human plasma, human MSC cell culture, and bovine
milk. The EVs were characterized following the MISEV 2018 guidelines. The siRNA loading
efficiency was analyzed at the single‐particle level using state‐of‐the‐art TIRF microscopy.
Then single‐particle tracking of fluorescent‐labeled EV in live cells (HEK293 cells,
bEnd‐3 cells, and ARPE‐19 cells) was performed using HILO microscopy. The data was
analyzed by an in‐house developed python script. The EVs were loaded with siRNAs against
GADPH and the knockdown efficiency of GADPH in recipient cells was evaluated by QRT‐PCR.
Results: In our results, milk EVs showed the highest loading efficiency of above 90%
EVs loaded with siRNAs, while other EVs showed 70‐80%. The interactions between individual
EVs and cells are species/origin‐dependent with different efficiency of EV co‐localization
with the cell membrane, uptake in the recipient cells, and co‐localization with an
endosome. Our data also supported that EVs can deliver siRNAs into recipient cells
and knock down the gene expression with origin‐dependency.
Summary/Conclusion: Here we demonstrate the origin/species dependency of EV interaction
with recipient cells by our single EV tracking technique. The technique allows us
to determine the mechanistic interspecies differences. We envision that this is an
important step for specific EV‐mediated therapeutic and native drug delivery.
OF20.03
Syntenin‐1 regulates the expression of adhesion proteins on small extracellular vesicles
Barnabas Irmer
1; Antonio Egea‐Jiménez2; Stéphane Audebert2; Luc Camoin2; Annalen Bleckmann3; Pascale
Zimmermann4; Kerstin Menck3
1Dept. of Medicine A, Haematology, Oncology, and Pneumology, University Hospital Münster,
Muenster, Germany; 2Centre de Recherche en Cancérologie de Marseille (CRCM), Aix‐Marseille
Université, Marseille, France; 3Dept. of Medicine A, Haematology, Oncology, and Pneumology,
University Hospital Münster, Münster, Germany; 4K. U. Leuven, Leuven, Belgium
Introduction: Tumour‐derived small extracellular vesicles (sEVs) are known as potent
promotors of tumour progression and metastasis. However, the attribution of such effects
to specific sEV subpopulations remains challenging. Syntenin‐1 (ST1) is a key regulator
for the biogenesis of an endosomal‐derived sEV subpopulation and overexpressed in
many tumour entities. Moreover, ST1 contributes to the assembly of protein complexes
at the membrane. Indeed, the PDZ domains of ST1 directly bind various transmembrane
interactors like syndecans and tetraspanins supporting the formation of higher order
signalling nexi. Therefore, this study aimed to characterize the ST1‐dependent sEV
protein signature and its functional relevance in breast cancer.
Methods: sEVs from murine wild type and ST1 knockout breast cancer cells (4T1) were
isolated by serial ultracentrifugation and classified by proteomics and nanoparticle
tracking analysis. Several differentially expressed proteins (DEPs) were selected
for immunoblot validation, database screening and further functional analysis. Direct
protein interaction was quantified via surface plasmon resonance (SPR) spectroscopy.
Results: Proteomic analysis revealed a subset of 52 ST1‐dependent sEV marker proteins
including direct ST1‐binding partners like ALIX, CD63 and SDC4 as well as tumour‐associated
proteins with clinical impact on patient survival. Intriguingly, many of the downregulated
DEPs on ST1‐deficient sEVs were attributed to cell adhesion, extracellular matrix
assembly and cell‐cell contacts via pathway enrichment analysis. A ST1‐dependent expression
on sEVs was validated in 4T1 and human MCF 7 breast cancer cells for selected DEPs
with such adhesive potential including the epithelial cell adhesion molecule (EpCAM).
By SPR technology we show that EpCAM directly binds to ST1 via its PDZ‐binding motif.
Functionally, EpCAM seemed to act merely as a cargo protein without evident contribution
to sEV biogenesis.
Summary/Conclusion: ST1 regulates the formation of a sEV subpopulation associated
with cell adhesion. Thus, ST1‐dependent sEVs might be potential drivers for enhanced
tumour‐derived sEV distribution and pre‐metastatic niche formation in breast cancer
by promoting the disappearance of adhesion complexes from cancer cells and their secretion
in the matrix on sEVs.
OF20.04
ER‐membrane contact sites regulate biogenesis of RNA containing extracellular vesicles
via VAP‐A‐CERT linkages
Bahnisikha Barman
1; Bong Hwan Sung1; Evan Krystofiak1; Jie Ping2; Marisol Ramirez2; Bryan Millis1;
Ryan Allen2; Nripesh Prasad3; Sergei Chetyrkin1; Wade Calcutt1; Kasey Vickers1; James
G. Patton1; Qi Liu2; Alissa M. Weaver4
1Vanderbilt University, Nashville, USA; 2Vanderbilt University Medical Center, Nashville,
USA; 3Discovery Life Sciences, Huntsville, USA; 4Vanderbilt University School of Medicine,
Nashville, USA
Introduction: Extracellular RNAs have emerged as a novel mechanism for cell‐to‐cell
communication and drive many physiological and pathological processes including cancer.
The major vehicle for transmission of these extracellular RNAs is extracellular vesicles
(EVs). However, the underlying mechanisms by which these RNA‐containing EVs are generated
are poorly understood. Here, we identify VAP‐A and CERT linkages at endoplasmic reticulum‐endosome
membrane contact sites (ER MCS) as key subcellular locations for the biogenesis of
RNA‐containing EVs.
Methods: We used bioinformatics, RNA‐sequencing, lipidomic, confocal and transmission
electron microscopy, tumor xenograft and various biochemical techniques to analyze
EV biogenesis and cargo content in colon cancer cell lines.
Results: High‐resolution imaging data indicated small RNA localization at ER‐endosome
membrane contact sites. RNA‐Seq analysis revealed several small RNAs that are changed
in VAP‐A KD small and large EVs compared to control EVs. Density gradient fractionation
revealed that VAP‐A regulates a select subpopulation of small EVs that are enriched
with RNA. Confocal microscopy data revealed that key RNAs are altered in multivesicular
endosomes in VAP‐A KD cells. Lipidomics analysis of small and large EVs revealed that
VAP‐A controls levels of ceramide, a key lipid involved in EV biogenesis. In addition,
KD of the VAP‐A binding ceramide transporter CERT led to a similar defect in EV biogenesis
as that of VAP‐A KD. Furthermore, imaging data revealed that the ceramide producing
enzyme neutral sphingomyelinase 2 co‐localizes with VAP‐A positive ER membranes.
Summary/Conclusion: Altogether, we discovered that VAP‐A‐CERT linkages at ER membrane
contact sites are critical for biogenesis of RNA‐containing EVs. These data suggest
a model in which ceramide transfer at ER MCS drives biogenesis of a select subpopulation
of EVs containing RNA‐RBP complexes. Beyond improving our understanding of EV biogenesis,
we expect that these findings may be useful for exploring the functions of RNA‐containing
EVs.
Funding: Funding was provided by NIH grants U19CA179514 and PO1CA229123.
OF20.05
Loading lysosomal enzyme, beta‐glucocerebrosidase, onto exosomes via CD63
Biao Lu
1; Annie Brown2
1Department of Bioengineering, Santa Clara University, Santa Clara, USA; 2Department
of Bioengineering, Santa Clara, USA
Introduction: Exosomes are cell‐derived nano‐sized extracellular vesicles that hold
a great promise for targeted delivery of therapeutic proteins and enzymes. However,
an exosome‐based strategy to deliver preloaded enzymes into targeted intracellular
action sites is still lacking. Here we describe a novel genetic method to produce
enzyme‐loaded exosomes for the targeted intracellular delivery and treatment of Gaucher
disease, one of the most common lysosomal storage disorders.
Methods: We designed and synthesized a cohort of fusion genes composed of human β‐glucocerebrosidase
(GBA), green fluorescence protein, and tetraspanin CD63 in different configurations.
We then cloned these fusion genes into mammalian vectors for the production of enzyme‐loaded
exosomes.
Results: Using transfection and confocal microscope, we show the successful incorporation
of therapeutic GBA into pre‐secreted exosomes in 293T cells. We also show that GBA‐loaded
exosomes are eventually released into culture medium. Isolation and characterizations
of exosomes confirm the successful enzyme loading without significantly affecting
vesicle size as compared to non‐modified controls. Image study further demonstrates
that addition of enzyme‐loaded exosomes to the cultured human cells results in intracellular
delivery of fusion enzymes to the endosomal compartments, the targeted therapeutic
sites of GBA.
Summary/Conclusion: Genetic fusion of lysosomal enzyme with CD63 enables exosomal
loading. This strategy is useful to produce exosome‐based nano‐medicine for the treatment
of lysosomal storage disorders.
Funding: This work is supported by the National Institute of General Medical Sciences
of the National Institute of Health under Award Number R15GM137449.
OF20.06
EVs utilize a virus‐like membrane fusion mechanism for cargo delivery
Mattia Morandi
1; Petro Busko1; Efrat Ozer‐Partuk2; Suman Khan1; Giulia Zarfati3; Yael Alon1; Neta
Regev‐Rudzki1; Ori Avinoam1
1Weizmann Institute of Science, Rehovot, Israel; 2Weizmann Institute of Science, rehovot,
Israel; 3Weizmann Istitute of Science, Rehovot, Israel
Introduction: Extracellular vesicles (EVs) are essential in mediating cell – cell
communication across physiological processes and pathologies, yet the mechanism by
which EVs release their content into recipient cells remains a key open question.
Enveloped viruses such as Influenza, HIV and VSV, utilize fusion between the viral‐
and cellular‐ membrane to deliver their genomes into the cytosol. This membrane fusion
is mediated by glycoproteins on the viral enveloped known as fusogens, which are typically
triggered by the low pH and environment of the endosome to mediate virus‐to‐host membrane
fusion. Here, we tested the hypothesis that EVs release their cargo into the cytosol
via pH‐dependent membrane fusion and sought to identify the fusogens driving this
process.
Methods: EVs samples were isolated from cell culture supernatant via density gradient
ultracentrifugation. Membrane fusion of EVs and enveloped viruses was evaluated using
an in vitro FRET‐based membrane mixing assay. Transmission Electron Microscopy (Cryo‐TEM)
and Cryo Electron Tomography (Cryo – ET) were used to visualize the fusion process
and resolve the 3D ultrastructure of the EV‐liposome interaction. CRISPR‐Cas9 genome
editing was used to delete CD9p‐1, an EV protein from the immunoglobulin superfamily,
to investigate its role in EV fusion.
Results: Our results show that EVs fuse with membranes mimicking the lipid composition
of the late endosome in a pH dependent manner, reminiscent of enveloped viruses. Unlike
most envelope viruses, exposure of EVs to low pH in the absence of target membranes
did not result in their irreversible inactivation. Analysis of EVs mixed with liposomes
by cryo‐TEM and Cryo‐ET revealed clear fusion intermediates only upon acidification.
Finally, CRISPR‐Cas9 mediated knockout (KO) of the immunoglobulin superfamily protein
CD9‐p1 in ovarian cancer cells resulted in up to 40% reduction in the EV fusion capability.
CD9‐p1 KO also results in lower EV biogenesis.
Summary/Conclusion: Our work suggests that EVs utilize a virus‐like mechanism to transfer
their cargo into the cytoplasm. Our results are consistent with a model wherein EV
are produced in the low pH environment of the multivesicular bodies which would render
them inactive. Upon secretion, exposure to neutral pH would prime the fusogen on the
EV membrane. While the identity of the fusogen/s remain unknown, we identified a novel
protein, CD9p‐1, involved not only in the EVs cargo delivery process but also in EVs
biogenesis, as it has been observed for virogenesis upon deletion of key viral proteins.
These findings provide novel insight and shed a light on still obscure aspects of
EVs biology and their interaction with recipient cells.
Funding: This research was supported by the Sergio Lombroso Program and by the Israel
Science Foundation (ISF) Israel Precision Medicine Partnership program.
OF21: Therapies (ISEV‐ISCT)
Chair: Sai Kiang Lim – Institute of Molecular and Cell Biology, Agency for Science,
Technology and Research, Singapore. Department of Surgery, Yong Loo Lin School of
Medicine, National University of Singapore, Singapore
OF21.01
EV proteomic signatures mirror the pro‐inflammatory state of severe COVID‐19 infection
Luisa Weiss
1; Lara Boehm1; Paulina Szklanna1; Sarah cullivan1; Shane Comer1; Sarah Kelliher2;
Caitriona Scaife3; Fionnuala Ní Áinle2; Barry Kevane2; Patricia Maguire1
1UCD Conway SPHERE Research Group, Conway Institute, University College Dublin, Ireland,
Dublin, Ireland; 2Department for Haematology, Mater Misericordiae University Hospital,
Ireland, Dublin, Ireland; 3Mass Spectrometry Core Facility, Conway Institute, University
College Dublin, Ireland, Dublin, Ireland
Introduction: COVID‐19 infection can present with a heightened inflammatory state
and an increased thrombotic risk. Extracellular vesicles (EVs) are pro‐coagulant and
pro‐inflammatory mediators of intercellular communication and frequently attributed
to inflammation, however their role, if any, in COVID‐19 remains poorly characterised.
We hypothesised that circulating EV signatures differ between COVID‐19 patients and
healthy controls (HC) as well as COVID‐negative (COVID‐) general medicine (GM) patients.
Methods: Platelet poor plasma samples from COVID‐19 positive (COVID+) patients requiring
intensive care (severe) or hospital care (non‐severe), as well COVID‐ general medical
inpatients and healthy controls were enriched for EVs by ultrafiltration. Immunoblotting
confirmed successful EV enrichment. Proteomic signatures were established by mass
spectrometry.
Results: Quantitative proteomic profiling of circulating EV enrichments robustly quantified
over 300 proteins. Strikingly, hierarchical clustering of EV protein levels distinctly
separated all patient cohorts. Moreover, compared to HC, COVID+ patients displayed
fundamentally increased expression of several highly proinflammatory proteins and
complement factors. Intriguingly, EV protein levels clearly separated severe and non‐severe
COVID patients. Although GM patients were also hospitalised for pro‐inflammatory conditions
of the respiratory system, no differences in protein expression were observed between
non‐severe COVID+ and GM patients. Our data highlight that severe COVID‐19 presents
with a distinct inflammatory state and indicate that plasma EV protein signatures
may be a useful tool in assessing the severity of COVID‐19.
Summary/Conclusion: In conclusion, we have established that EV protein signatures
mirror the pro‐inflammatory state of COVID‐19 patients and may be surrogate markers
of COVID‐19 severity. These findings may be of translational relevance towards characterising
the underlying differences in severe and non‐severe COVID‐19 disease progression.
Funding: This study was funded by Science Foundation Ireland.
OF21.02
Extracellular vesicles and soluble factors secreted by lung fibroblasts support alveolar
epithelial organoid formation
Luke van der Koog
1; Anika Nagelkerke2; Reinoud Gosens1
1Department of Molecular Pharmacology, University of Groningen, The Netherlands, Groningen,
Netherlands; 2Department of Pharmaceutical Analysis, University of Groningen, The
Netherlands, Groningen, Netherlands
Introduction: COPD is one of the most common lung diseases, characterized by progressive
and irreversible airflow limitation as a result of increased tissue destruction and
defective tissue repair. Since current therapeutics do not alter disease progression,
new therapies that pharmacologically reactivate lung repair are needed. Recently,
the secretome of lung fibroblasts, consisting of Extracellular Vesicles (EVs) and
other soluble factors (SF), has been associated with alveolar regeneration. We aimed
to elucidate the supportive function of lung fibroblast (MRC5)‐derived EVs and SF
on the regenerative potential of alveolar epithelial progenitor cells in an organoid
assay.
Methods: EVs and SF derived from MRC5 cells (∼ 3.0 E+08 cells) were purified using
ultrafiltration and size exclusion chromatography. EVs were characterized by a combination
of nanoparticle tracking analysis, total protein analysis, dot blot analysis for different
EV‐markers (CD9, CD63, and CD81), and cryogenic transmission electron microscopy.
Murine organoids were established by co‐culturing 10,000 alveolar epithelial progenitor
cells (EpCAM+/CD45‐/CD31‐) with 2,500 CCL206 lung fibroblasts in Matrigel. MRC5‐derived
EVs (1E+09 particles/ml) or SF (30 μg/ml) were added once on day 0 or consecutively
for 14 days. On day 14 total number and size of the organoids formed was determined.
Immunostainings were used to assess the number of differentiated alveolar organoids.
Results: Treatment with EVs or SF on day 0 significantly increased the number of organoids
formed, i.e. a 29.50% ± 8.11% increase for EVs and 33.00% ± 20.34% for SF. Neither
single treatment with EVs nor SF affected the size of organoids. Immunostaining for
prosurfactant protein C revealed that the alveolar organoid count was significantly
enhanced upon single treatment with EVs or SF (i.e. a 13.33% ± 5.01% increase for
EVs and 13.50% ± 5.75% for SF). In addition, treatment with EVs or SF over the course
of 14 days resulted in enhanced organoid count (i.e. a 58.17% ± 39.60% and 91.67%
± 33.28% increase respectively) and organoid size (i.e. a 36.50% ± 10.46% and 37.50%
± 27.02% increase respectively).
Summary/Conclusion: Both lung fibroblast‐derived EVs and SF support the formation
of alveolar epithelial organoids, making them an interesting potential regenerative
treatment to further pursue for COPD.
OF21.03
Development of bioengineered small extracellular vesicles as a novel vaccine against
SARS‐CoV‐2
Hannah K. Jackson
1; Heather M. Long2; Graham S. Taylor2; Lesley Young3; John Trowsdale3; Mathew Lo3;
James R. Edgar1
1Department of Pathology, University of Cambridge, Cambridge. CB2 1QP. United Kingdom,
Cambridge, United Kingdom; 2Institue of Immunology and Immunotherapy, University of
Birmingham, Birmingham. B15 2TT. United Kingdom, Birmingham, United Kingdom; 3Exosis,
Inc. Palm Beach, Florida. 33480. USA, Palm Beach, USA
Introduction: With the worldwide spread of emerging SARS‐CoV‐2 variants, it is critical
to develop vaccines that can induce broadly protective responses with increased potency
and durability. Small extracellular vesicles (sEVs), key intercellular communicators
characterised by low toxicity and immunogenicity, offer a novel platform for effective
SARS‐CoV‐2 vaccine development. sEVs containing multiple SARS‐CoV‐2 antigenic regions
were tested for their ability to stimulate SARS‐CoV‐2 specific T cells.
Methods: FLAG tagged fusion constructs containing regions from SARS‐CoV‐2 proteins
were cloned to scaffold proteins that are enriched in sEVs. Constructs were designed
with multiple distinct sites on scaffolds accessible for inserts – allowing viral
regions to be placed inside or outside sEVs. Constructs were confirmed by sequencing,
and protein localisation verified by flow cytometry and immunofluorescence. sEVs were
isolated by ultracentrifugation and characterised using western blotting, electron
microscopy and nanoFCM. Immunogold electron microscopy confirmed antigen topology
on sEVs. In vitro confirmation of sEV antigen processing was assessed by stimulation
of T cells using sEV‐exposed B cell lines.
Results: The expression of fusion proteins containing SARS‐CoV‐2 antigenic regions
on or within sEVs, that are likely endosome‐origin exosomes, did not alter steady‐state
trafficking of sEV proteins or yields. B cells exposed to bioengineered sEVs potently
stimulated virus‐specific T cell clones at significantly lower doses compared to control
recombinant viral proteins.
Summary/Conclusion: We have developed a novel prototype exosomal vaccine against multiple
SARS‐CoV‐2 antigens that is able to elicit potent T cell responses. The SARS‐CoV‐2
vaccine demonstrates the potential development of exosome‐based vaccines to target
multiple coronaviruses and novel vaccines to emerging pathogens.
Funding: Exosis, Inc
OF21.04
Therapeutic effects of mesenchymal/stromal stem cells and their derived extracellular
vesicles in rheumatoid arthritis
Dimitrios Tsiapalis1; Achilleas Floudas2; Tobias Tertel3; Verena Börger3; Bernd Giebel3;
Ursula Fearon2; Lorraine O'Driscoll4
1School of Pharmacy and Pharmaceutical Sciences & Trinity Biomedical Sciences Institute,
Trinity College Dublin, Dublin, Ireland, Dublin, Ireland; 2Molecular Rheumatology,
Trinity College Dublin, Ireland, Dublin, Ireland; 3Institute for Transfusion Medicine,
University Hospital Essen, University of Duisburg‐Essen, Essen, Germany, Essen, Germany;
4School of Pharmacy and Pharmaceutical Sciences, Trinity Biomedical Sciences Institute,
and Trinity St. James's Cancer Institute, Trinity College Dublin, Dublin 2, Ireland.,
Dublin, Ireland
Introduction: Rheumatoid arthritis (RA) is an autoimmune disease characterised by
inflammation, progressive damage, and pain in joints. Currently available therapy
is inadequate to alleviate the inflammation and reduce the joint damage. While the
immune‐regulatory effect of MSC‐EVs has been tested in many diseases, little is known
with respect to their effect on RA. Thus, we aimed to assess the effect of human MSCs
and MSC‐EVs on T cells and synovial fibroblasts (RASFs) of RA patients. The effect
of EVs derived from MSCs primed with interferon beta (IFNb) was also assessed.
Methods: MSC‐EVs were collected using a PEG precipitation, followed by ultracentrifugation‐based
protocol and were characterised via NTA, TEM, imaging flow cytometry (IFCM) and immunoblotting
analysis. Immune‐regulatory properties of MSCs and MSC‐EVs were assessed on CD4+ T
cells stimulated with CD3/CD28. Also, the effect of MSC‐EVs on RASFs stimulated with
TNFa was assessed.
Results: EVs from naïve and IFNb primed MSCs were prepared and all fulfilled MISEV2018
criteria as evaluated by NTA, TEM and immunoblotting. Additionally, IFCM confirmed
the recovery of CD9+ and CD63+ small‐sized EVs. Applied onto the stimulated CD4+ T
cells, EV preparations from IFNb primed MSCs suppressed the expression of more inflammatory
cytokines (GM‐CSF, IL‐2, IL‐4 and TNFa; p < 0.05, in all cases) associated with the
pathogenesis of RA. However, while MSCs suppressed T cell proliferation, all MSC‐EVs
had a tendency to increase numbers of T regulatory cells. Furthermore, MSC‐EVs inhibited
(p < 0.05) the migration of RASFs and reduced (p < 0.05) the expression of the RA
surface markers HLA‐DR and CD34.
Summary/Conclusion: Both MSCs and MSC‐EVs exerted immune‐regulatory effects on RA
CD4+ T cells and MSC‐EVs, but not the MSCs themselves, inhibited RASFs migration.
The beneficial effect of MSC‐EVs on RA derived T cells and RASFs was further enhanced
by priming the MSCs with IFNb.
Funding: European Union's Horizon 2020 research and innovation action. Grant agreement
No. 814495‐EVPRO
OF21.05
Mesenchymal stromal cell‐derived extracellular vesicles attenuate metabolic changes
in pre‐clinical models of ARDS through mitochondrial transfer
Johnatas Silva
1; Declan Doherty1; Catherine McClintock1; Daniel McAuley1; Cecilia O'Kane1; Anna
D. Krasnodembskaya2
1Wellcome‐Wolfson Institute for Experimental Medicine, Queen's University Belfast,
Belfast, United Kingdom; 2Wellcome‐Wolfson Institute for Experimental medicine, Queen's
Universiy Belfast, Belfast, United Kingdom
Introduction: Mesenchymal stromal cells (MSC)‐derived extracellular vesicles (EVs)
are being investigated as a therapy for acute respiratory distress syndrome (ARDS).
Previously, we demonstrated that MSC EVs restore functional activity of the injured
cells through mitochondrial transfer. However, the impact of this mechanism on the
balance of oxidative phosphorylation and glycolysis is not known. Here we investigated
how EV mitochondrial transfer modulates metabolic alterations in the primary human
pulmonary cells exposed to LPS or ARDS plasma.
Methods: EVs were isolated from bone‐marrow MSCs with normal or dysfunctional mitochondria
by ultracentrifugation. Mitochondrial dysfunction in MSCs was induced by Rhodamine6G.
EVs were characterized for number, size distribution, tetraspannin expression, and
mitochondrial content. Primary human distal lung epithelial and endothelial cells,
and monocyte derived macrophages were stimulated with LPS or plasma from ARDS patients
and treated with EVs. Mitochondrial respiration and glycolytic flux were assessed
by Seahorse metabolic analyser, barrier properties were assessed by xCELLigence, phagocytosis
was assessed by flow cytometry. Also, single cell transcriptomic analysis was performed
on mouse lungs in the in vivo LPS‐induced lung injury model.
Results: Inflammatory stimulation resulted in pronounced reduction of mitochondrial
respiration, increase in glycolysis and functional impairment in all cell types. MSC
EVs isolated from normal MSCs inhibited glycolytic flux, restored mitochondrial respiration
and cell function while mitochondria‐depleted EVs were not effective. Analysis of
the single cell seq data showed that MSC EVs administration regulates expression of
essential genes involved in mitochondrial metabolism in vivo.
Summary/Conclusion: MSC EVs alleviate ARDS‐induced metabolic alterations via transfer
of healthy mitochondria.
Funding: Horizon‐2020‐MSCA‐IF ALGORITM 895134 to JS, MRC UK MR/R025096/1 and MR/S009426/1
to AK
OF21.06
Effects of GMP‐grade, mesenchymal stromal cell‐derived extracellular vesicles on the
development of fibrosis and on pulmonary epithelial function in a rat model of bronchopulmonary
dysplasia
PAOLA BISACCIA
1; FABIO MAGAROTTO1; Stefania D'Agostino2; Marcin Jurga3; Eugenio Baraldi2; Andrea
Porzionato4; Maurizio Muraca5; Michela Pozzobon6
1Department of Women and Children Health, Università di Padova, Italy, PADUA, Italy;
2Department of Women and Children Health, Università di Padova, Italy, Padua, Italy;
3ExoBiologics, Belgium, Niel, Belgium; 4Department of Neuroscience‐DNS, Università
di Padova, Italy, PADUA, Italy; 5Department of Women's and Children's Health, University
of Padova, Padua, Italy., Padova, Italy; 6Department of Women's and Children's Health,
University of Padova, Padua, Italy. Fondazione Istituto di Ricerca Pediatrica Città
della Speranza, Padua, Italy, Padova, Italy
Introduction: Mesenchymal stromal cells‐derived extracellular vesicles (MSC‐EVs) can
prevent the development of Bronchopulmonary Dysplasia (BPD) in animal models and in
preliminary clinical trials. We investigated the effects of MSC EVs on the development
of fibrosis and on some functions of lung epithelial cells in an animal model of hyperoxia‐induced
BPD.
Methods: Good Manufacturing Practice‐grade (GMP‐grade) EVs were produced by human
Wharton‐Jelly derived MSCs (Exo Biologics, Belgium) isolated by tangential flow filtration
(TFF) and characterized according to MISEV2018. Rat pups were divided in 3 groups:
normoxia + PBS vehicle, hyperoxia with PBS, hyperoxia with MSC EVs in PBS. Both PBS
and EVs were injected intratracheally (IT) on days 3, 7 and 10 and pups were sacrified
on day 14. It was evaluated the expression of the genes involved in fibrosis pathways
such as TGFβ1 and alpha‐SMA. To evaluate epithelial secretory function, the expression
of glycosaminoglycans (Alcian blue staining) and of surfactant protein C (SFTPC) was
analyzed by immunohistochemistry and immunofluorescence. Collagen deposition was assessed
by Sirius Red staining. Macrophages from bone marrow were cultured and analyzed for
alpha‐SMA and CD90 expression by flow cytometry after TGFβ1 treatment.
Results: Pups under hyperoxia exhibited an increase both in collagen deposition and
in the expression of pro‐fibrotic genes in the lungs. Both parameters were reduced
by treatment with MSC EVs. Both Glycosaminoglycan and SFTPC lung content were significantly
increased in MSC EV‐treated rat pups compared to untreated animals. In vitro, MSC
EVs suppressed the induction of alpha‐SMA in macrophages.
Summary/Conclusion: Intratracheal administration of clinical‐grade MSC‐EVs counteracts
the development of fibrosis and improve pulmonary epithelial function in a neonatal
model of hyperoxia‐induced lung injury. These results can contribute to unraveling
the mechanism of action of these nanoparticles in preventing the development of BPD.
OF22: Microbe Human Host Communication
Chair: Ana Claudia Torrecilhas – Federal University of São Paulo
Chair: Antonio Marcilla – Universitat de Valencia
OF22.01
Visualizing Transfer of Microbial Biomolecules by Outer Membrane Vesicles in Microbe‐Host‐Communication
In Vivo
Stefan Momma
Goethe University Frankfurt, Frankfurt, Germany
Introduction: The intestinal microbiota influences mammalian host physiology in health
and disease locally in the gut but also in organs devoid of direct contact with bacteria
such as the liver and brain. Extracellular vesicles (EVs) or outer‐membrane vesicles
(OMVs) released by microbes are increasingly recognized for their potential role as
biological shuttle‐systems for inter‐kingdom communication. However, physiologically
relevant evidence for the transfer of functional biomolecules from the intestinal
microbiota to individual host cells by OMVs in vivo is scarce.
Methods: By introducing Escherichia coli engineered to express Cre‐recombinase (E.
coliCre) into mice with a Rosa26.tdTomato‐reporter background, we leveraged the Cre‐LoxP
system to report the transfer of bacterial OMVs to recipient cells in vivo.
Results: Colonizing the intestine of these mice with E. coliCre, resulted in Cre‐recombinase
induced reporter gene‐expression in cells along the intestinal epithelium, including
intestinal stem cells as well as mucosal immune cells such as macrophages. Furthermore,
even far beyond the gut, bacterial‐delivered Cre induced extended marker gene expression
in a wide range of host tissues, including the heart, liver, kidney, spleen, and brain.
Summary/Conclusion: Together, our findings provide a method and proof of principle
that OMVs can serve as a biological shuttle system for the horizontal transfer of
functional biomolecules between bacteria and mammalian host cells.
OF22.02
Extracellular weapons against bacterial infection: protective roles of antigen‐encapsulating
extracellular vesicles derived from Salmonella‐infected macrophages
Lisa E. Emerson1; Winnie Hui2; Hailey Barker1; Carol Hoffman1; Mark Ou1; Beata Clapp1;
Gustavo Maegawa3; David Pascual1; Mariola J. Edelmann
1
1University of Florida, Gainesville, USA; 2Nanostring, Boston, USA; 3Columbia University,
New York, USA
Introduction: Salmonella Typhimurium is a causative agent of nontyphoidal salmonellosis,
for which there is a lack of a clinically approved vaccine in humans. As an intracellular
pathogen, Salmonella impacts many cellular pathways, which may play a role in the
immunity towards this pathogen. However, the intercellular communication mechanism
facilitated by host‐derived small extracellular vesicles (sEVs) is an overlooked aspect
of the host responses to this infection.
Methods: We used a proteome‐based network analysis of proteins associated with sEVs
derived from Salmonella‐infected macrophages. Next, we performed in vitro and in vivo
studies using BALB/c mice to identify the role of sEVs in adaptive immunity against
the challenge with Salmonella.
Results: Our bioinformatics‐based analysis of vesicular proteins generated by infected
macrophages predicted that the host‐derived sEVs generated during macrophage infection
stimulate macrophages and promote activation of T helper 1 (Th1) cell activation.
We also identified that sEVs generated during infection contain Salmonella proteins,
including specific antigens that were previously shown to stimulate protective immune
responses against Salmonella in vivo. Furthermore, we showed that sEVs generated by
infected macrophages stimulate a mucosal immune response against Salmonella infection
when delivered intranasally to BALB/c mice, a route of antigen administration known
to initiate mucosal immunity. Specifically, sEVs stimulated the production of anti‐Salmonella
IgG and IgA antibodies. These sEVs also lead to an antigen‐specific cell‐mediated
immunity. In particular, splenic mononuclear cells isolated from mice administered
with sEVs derived from Salmonella‐infected macrophages increased CD4+ T cells secreting
Th1‐type cytokines if restimulated with Salmonella antigens. Moreover, sEVs led to
a reduced bacterial burden in organs in the challenge study and increased survival
of the animals.
Summary/Conclusion: Our results demonstrate that sEVs formed by macrophages during
infection contribute to Th1 cell bias in the anti‐Salmonella responses. Collectively,
we unraveled the novel role of sEVs as vehicles transmitting antigens to induce Th1‐type
immunity against Gram‐negative bacteria. Understanding the sEVs‐mediated defense mechanisms
will allow the development of future approaches to combat intracellular bacterial
infections.
Funding: R03 AI135610‐02
OF22.03
Antiviral activity of human epithelial cell extracellular vesicles (EVs) is mediated
by EVs‐associated interferons
Tiziana Corsello‐Gorgun; Yue Qu; Teodora Ivanciuc; Antonella Casola; Roberto Garofalo
Department of Pediatrics, Division of Clinical and Experimental Immunology and Infectious
Diseases, Galveston, USA
Introduction: Respiratory syncytial virus (RSV) is a major cause of acute lower respiratory
tract infections in children and elderly. Extracellular vesicles (EVs) are microvesicles
known to carry biologically active molecules, including RNA, DNA and proteins. EVs
have the potential to modulate cellular responses of recipient cells following a variety
of stimuli. Viral infections can induce profound changes in EV composition, but EV
contribution to the replication and pathogenesis of respiratory viruses is largely
unknown. In this study, we investigated the composition/function of EVs released from
airway epithelial cells infected with RSV and tested whether RSV‐ EVs affect the antiviral
response of recipient cells.
Methods: EVs were isolated from uninfected (control‐EVs) and RSV infected (RSV‐EVs)
A549, a human alveolar type II–like epithelial cell line, or from primary small airway
epithelial (SAE) cells. EVs were purified using a two‐step enrichment procedure and
characterized using particle sizing (size and concentration) and Western blot for
the EV markers. Recipient A549 and SAE cells were cultured for 24 hours in the presence
or absence of control‐EVs or RSV‐EVs, then infected with RSV for 24 hours. Viral titers
by plaque assay were measured in recipient infected cells. IFNs and cytokine assays
were used to detect their levels in EVs and in recipient cells.
Results: Recipient cells, both A549 and SAE cells, treated with RSV‐EVs showed significantly
lower viral replication than control EV‐treated cells in response to RSV infection,
indicating that EVs released from A549 and SAE cells infected with RSV (RSV‐EVs) can
transfer antiviral activity to infected neighboring cells. In addition, significant
amount of immuno‐reactive interferon beta (IFN‐β) and lambda (IFN‐λ) were detected
by ELISA in preparations of isolated RSV‐EVs. To test the bioactivity of IFNs associated
with RSV‐EVs, recipient cells were treated with Cerdulatinib, an IFN receptor signaling
inhibitor. Following RSV infection, increased viral replication was observed in recipient
cells treated with Cerdulatinib and RSV‐EVs compared to recipient cells treated with
RSV‐EVs alone, suggesting that IFNs carried by epithelial EVs are indeed biologically
active.
Summary/Conclusion: No vaccine or effective treatment is currently available for RSV.
Cellular pretreatment with RSV‐EVs reduced the RSV replication in airway epithelial
recipient cells, suggesting that could exert its antiviral activity in the context
of RSV infection potentially through modulation of EV and IFNs mediated mechanism.
Therefore, RSV‐EVs could represent a future novel pharmacological approach for ameliorating
virus‐induced lung disease.
OF22.04
Are microbiota‐derived outer membrane vesicles promoters of inflammation and neurodegeneration
in Parkinson's disease?
Tiana F. Koukoulis
1; Leah C. Beauchamp2; Adityas Purnianto1; Victoria A. Lawson3; Neil M. O'Brien‐Simpson4;
Maria Kaparakis‐Liaskos5; David I. Finkelstein1; Kevin J. Barnham1; Laura J. Vella1
1The Florey Institute of Neuroscience and Mental Health, The University of Melbourne,
Parkville, Australia, Melbourne, Australia; 2The Florey Institute of Neuroscience
and Mental Health, The University of Melbourne, Parkville, VIC, Australia, Parkville,
Australia; 3Department of Microbiology and Immunology, The Peter Doherty Institute
for Infection and Immunity, The University of Melbourne, Parkville, Australia, Melbourne,
Australia; 4Centre for Oral Health Research, Melbourne Dental School, The University
of Melbourne, Parkville, Australia, Melbourne, Australia; 5Department of Microbiology,
La Trobe University, Bundoora, Australia, Melbourne, Australia
Introduction: The microbiota‐gut‐brain axis is beginning to take centre stage in Parkinson's
disease (PD) research, as the spotlight becomes fixed on microbiotic dysbiosis as
a facilitator and driver of PD pathogenesis. It is understood that the gut microbiota
promotes local, systemic and neural inflammation, which can promote neurodegeneration
in PD, however how bacteria influence these processes remains unclear. We propose
that Outer membrane vesicles (OMVs) released from Gram‐negative bacteria are a mediators
of PD, due to their immune stimulatory composition, including containing potent lipopolysaccharides
(LPS) and capability to impact gastrointestinal permeability and influence global
inflammation.
Methods: OMVs isolated from bacterial culture or murine faeces were characterized
by density, size, morphology, LPS content and ability to stimulate immune cells in
vitro. OMVs from bacterial culture or an equivalent dose of LPS were orally administered
to a PD model mouse to determine if OMVs contribute to the acceleration and exacerbation
of PD inflammation, and gastrointestinal and neurological dysfunction.
Results: Escherichia coli OMVs exacerbated dysfunction in the gut of PD model mice
evidenced by reduced faecal pellet output and increase of some proinflammatory cytokines.
OMVs also promoted motor dysfunction in PD model mice and accelerated neurodegeneration.
These results indicate OMVs can influence gastrointestinal and neuronal pathology
and function.
Summary/Conclusion: This is the first study to demonstrate that orally administered
OMVs promote inflammation, behavioural dysfunction and neurodegeneration in a PD mouse
model, and thus could contribute to the pathogenesis of PD. The greater implications
of this work include drawing functional connections between microbiotic dysbiosis,
inflammation and the gut‐brain axis, which is relevant to PD, but also many other
neurodegenerative disorders.
OF22.05
The human gut bacteria Bacteroides thetaiotaomicron releases extracellular vesicles
containing proteins that influence host cell physiology and metabolism
Regis Stentz; Emily Jones; Rokas Juodeikis; Andrew Goldson Goldson; Arlaine Brion;
Catherine Booth; Simon Carding
Quadram Institute, Norwich, United Kingdom
Introduction: It is increasingly apparent that bacterial extracellular vesicles (BEVs)
produced by members of the intestinal microbiota contribute to microbe‐host cell interactions.
Unresolved questions are, what is the nature of the cargo packaged into BEVs and how
do they impact on host cell function? Here we analyzed and compared the proteome of
BEVs produced by the major human gut symbiont Bacteroides thetaiotaomicron (Bt) produced
in vitro and in the mouse intestine and identified proteins that are exclusively enriched
in BEVs produced in vivo suggesting that their increased abundance is induced by host‐related
factors.
Methods: In vitro conditions consisted of cultures of Bt grown in a complex medium
and in vivo studies consisted of orally administering Bt to germfree mice and collecting
cecal contents 3 days later. Vesicles from cultures and cecal contents were concentrated
by crossflow filtration, separated by size exclusion chromatography (SEC) and recovered
by ultracentrifugation followed by protein extraction. Differential expression of
BEV proteins obtained under different conditions were explored using tandem mass tagging
(TMT) combined with liquid chromatography mass spectrometry (LC‐MS/MS). Data sets
were analyzed using the Proteome Discoverer v2.1 software. Enzyme assays were performed
using intact BEVs fractionated by SEC and obtained from the same conditions.
Results: We identified 102 proteins highly enriched in BEVs in vivo of which the majority
(66/102) were enriched independently of their expression in parental cells. These
abundantly BEV‐secreted proteins included a dipeptidyl‐peptidase IV (CD26) and an
asparaginase and the highly efficient degradation of substrates by intact BEVs derived
from the mouse caecum was demonstrated. The potential significance and impact of these
activities on host physiology will be discussed.
Summary/Conclusion: These findings provide new insights into the role BEVs play in
microbiota‐host interactions with their contents capable of playing key roles in the
maintenance of intestinal homeostasis and host metabolism.
Funding: This work was supported in part by the UK Biotechnology and Biological Sciences
Research Council under grant numbers BB/J004529/1, BB/R012490/1, and BBS/E/F000PR10355
(SC).
OF22.06
Pseudomonas aeruginosa extracellular vesicles upregulate NFkB inflammatory pathway
via cystic fibrosis transmembrane conductance regulator protein
Andrea L. Hahn
1; Aszia Burrell2; Kylie I. Krohmaly3; Claire Hoptay2; Robert J. Freishtat1
1Children's National Hospital, Washington, USA; 2Children's National Research Institute,
Washington, USA; 3George Washington University, Washington, USA
Introduction: Cystic fibrosis (CF) is an autosomal recessive disease caused by dysfunction
of the CF transmembrane conductance regulator (CFTR) gene. Persons with CF suffer
from recurrent and chronic lung infections, with Pseudomonas aeruginosa (Pa) being
one of the most impactful on lung inflammation and disease progression. One particular
virulence factor carried by Pa extracellular vesicles (EVs), Cif, induces lung inflammation
through modification of CFTR expression and induction of the NFkB signaling pathway.
We hypothesized that Pa EVs would induce increased NFkB signaling in wild‐type (WT)
compared to CF human bronchial epithelial (HBE) cells due to increased presence of
CFTR protein.
Methods: EVs were isolated from the sputum supernatants of persons with CF using precipitation
and size exclusion chromatography (1 mL starting volume). Pa antibodies were attached
to releasable magnetic beads to isolate Pa‐specific EVs. Life extended WT and CF HBE
cells (F508del/F508del) were grown to 80% confluency, and equivalent volumes of Pa
EVs (250 uL) were added and incubated for 22 hours before cell harvesting. Cells were
immediately lysed with TRIzol and RNA extracted with a DirectZol MiniPrep kit. RNAseq
was performed using NextSeq and HiSeq. A Galaxy workflow incorporating HISAT2, Stringtie,
Gffcompare, featureCounts, and DESeq2 was used to determine differential gene expression.
Ingenuity pathway analysis (IPA) was used to identify differences in canonical pathways.
Results: RNA quality assessment showed RIN values near 10, with an average of 35 million
reads per sample (range 14‐55 million). A total of 246 transcripts were differentially
abundant between CF and WT HBE cells after Pa EV exposure with an unadjusted p‐value
< 0.05, which were imported into IPA. Importantly, NFkB signaling was significantly
upregulated (Z‐score 2.12, genes BMP4, CSNK2B, FGFR3, IL1A, LTBR, MAP2k7, PRKACA,
RELA), while interleukin (IL)‐6 and IL‐8 signaling pathways also trended toward upregulation
in WT HBE cells compared to CF HBE cells.
Summary/Conclusion: NFkB, IL‐6, and IL‐8 inflammatory signaling pathways were increased
in WT compared to CF HBE cells, suggesting CFTR expression is an important variable
in Pa EV induced inflammation.
Funding: NIH NCATS UL1TR001876
Oral Presentation
OS23: Engineered EVs
Chair: Marie Morille – ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
Chair: Minh T.N Le – Department of Pharmacology, Yong Loo Lin School of Medicine,
National University of Singapore, Singapore
OS23.01
Nano‐transfection for on demand cellular packaging of extracellular vesicles in therapeutic
delivery
Nina Erwin
1; Andrew Brock1; Thomas Schmittgen1; Mei He
2
1Department of Pharmaceutics, College of Pharmacy, University of Florida, Gainesville,
USA; 2Department of Pharmaceutics, College of Pharmacy, University of Florida, GAINESVILLE,
USA
Introduction: Extracellular vesicles (EVs) are the emerging alternative as the therapeutic
delivery and vaccine platform. However, low efficiency on EV cargo loading and cellular
secretion remains the biggest roadblock. Therefore, we developed a “smart” polymeric
micelles as the first nanoparticle‐based cellular transfection tool for enhancing
the site‐specific packaging of EVs with desired cargoes.
Methods: The PCL‐PEG functionalized polymeric micelles have been designed and synthesized
for carrying therapeutic peptides/drugs via photo‐cleavable chemical groups and self‐assembled
as nanoparticles. The human dendritic cells were used for fast uptaking which allows
the internalization of carried cargos. Owing to the conjugated photo‐cleavable group,
the photo‐controlled release of cargos are enabled on demand for releasing carried
cargos into endocytic pathway specifically, which is subsequently the precursor for
packing EVs and secreting into extracellular environment. The characterization of
synthesized nanoparticles has been confirmed by NMR and Dynamic Light Scattering (DLS)
analysis. The secreted EVs have been characterized by nanoparticle tracking analysis
in terms of size, concentration, and zeta potential, NanoView surface marker profiling,
as well as the SEM and TEM for morphological study.
Results: Compared to conventional transfection of cargo, the small hydrodynamic size
and uniform spherical morphology has been observed from synthesized nanoparticles
allowing for rapid cellular uptake and internationalization. Here we used the tumor
antigenic peptide gp‐100 as the model cargo. The time elapse confocal imaging of internalization
and cargo packing demonstrated the cargo release into the endocytic pathway for forming
the secreted EVs. Such highly efficient cellular transfection is specific to endocytic
pathway, which provides a new solution for EV therapeutic cargo loading. The entire
cellular transfection and EV loading protocol is simple by adding polymeric micelle
nanoparticles into culture medium and treat with 365nm light at the incubation time
of 30‐60 minutes, which is compatible with conventional cell culture system for scaling
up and GMP manufacturing without special facility setup. The further investigation
on therapeutic function in vivo is underway.
Summary/Conclusion: We introduce a viable nanotransfection method for promoting cellular
production of cargo loaded EVs via the endocytic pathway. The photo‐controlled release
strategy during the cell culture is simple and effective, which is desirable for large‐scale
EV cellular manufacturing.
Funding: NIH NIGMS MIRA award 1R35GM133794
OS23.02
In situ EV engineering for potent biotherapeutics delivery in vivo
Dhanu Gupta
1; Samir El Andaloussi2
1Department of laboratory medicine, Karolinska Institutet, Stockholm, Sweden; 2Department
of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Huddinge, Sweden
Introduction: The unique properties of extracellular vesicles (EVs), such as biocompatibility
and the ability to cross biological barriers, render EVs a next‐generation drug delivery
tool. Therapeutic EV research has seen tremendous development in the past decade,
from in vitro studies towards pre‐clinical models to various clinical trials. Even
so, the road towards successful clinical translation has various hurdles such as manufacturing
and fast plasma clearance of exogenously delivered EVs. Here we have utilised gene
therapy modalities to engineer cells in vivo to utilise endogenously secreted EVs
to deliver biotherapeutics.
Methods: For the generation of in situ engineered EVs in vivo, the EV engineering
transgenes were delivered either as an mRNA or DNA using LNPs or in adeno‐associated
viruses. Importantly, these delivery vectors have tropism to the liver and in part
to the spleen. Therefore the in situ produced engineered EVs primarily have a hepatic
origin. For tracking and assessing pharmacokinetics in situ engineered EVs in vivo,
endogenous bioluminescent (BL) EV labelling strategies were used. The therapeutic
application of this platform was evaluated in an in vivo intestinal inflammation model
which mimics Crohn's disease.
Results: BL tagging of in situ EVs showed a body‐wide distribution of EVs to all major
organs, including hard‐to‐reach tissues such as CNS and muscle. This system could
achieve a sustained release of engineered EVs in circulation and showed a dramatic
increase in pharmacokinetic profile over exogenously administered EVs. For therapeutic
applications, using the liver as a bio factory, in situ engineered EVs potently delivered
an anti‐inflammatory protein to alleviate intestinal inflammation in an in vivo disease
model.
Summary/Conclusion: By harnessing the latest innovations in nucleic acid therapy,
this approach utilises the power of both synthetic and natural drug delivery vectors
for efficient biotherapeutics delivery to hard‐to‐reach organs.
OS23.03
YAP/TAZ facilitates extracellular vesicle release upon mechanical stimulation
René Weiss
1; Felix Nägele2; Tanja Eichhorn1; Viktoria Weber1; Johannes Holfeld2
1Department for Biomedical Research, Center for Biomedical Technology, Danube University
Krems, Krems, Austria, Krems, Austria; 2Department of Cardiac Surgery, Medical University
of Innsbruck, Austria, Innsbruck, Austria
Introduction: The physical stimulus of shockwave therapy (SWT) has a pro‐angiogenic
impact on ischemic tissue, representing a promising regenerative approach. The Hippo
signaling pathway YAP/TAZ plays a key role in angiogenesis and can be regulated by
mechanical signals. Both SWT stimulation and YAP/TAZ activation cause a release of
extracellular vesicles (EVs). We aim to substantiate the mechanotransduction of SWT
via YAP/TAZ facilitated EV release and subsequent angiogenic response.
Methods: Human umbilical vein endothelial cells (HUVECs) were stimulated with 300
impulses at a frequency of 3 Hz and an energy flux density of 0,1mJ/mm2. 4h thereafter,
mRNA expression of YAP/TAZ target genes (ANKRD1, CYR61) was measured and the nuclear
localization of YAP/TAZ was examined by immunofluorescence. The culture supernatant
was collected. EV release was characterized by flow cytometry (Cytoflex LX calibrated
with fluorescent silica beads) using the membrane dye Cell Mask Orange (CMO) and tetraspanin
markers CD63 and CD81. Furthermore, EVs were analyzed by a bead‐based flow cytometry
assay with CD63‐coupled magnetic beads.
Results: SWT of HUVECs resulted in a higher concentration of CMO+ EVs (9,953±2,039
vs.6,092±1,503 EVs/μl) in the culture supernatant as compared to the untreated control.
This was confirmed by a higher percentage of EV‐decorated beads after SWT, accompanied
by higher mRNA expression of YAP/TAZ target genes ANKRD1 (p=0.0005, respectively)
and CYR61 (p=0.0006, respectively). Immunofluorescence staining showed nuclear translocation
of YAP/TAZ upon SWT compared to untreated controls. These effects were abolished and
the EV concentration was decreased upon pharmacological inhibition of YAP/TAZ nuclear
translocation.
Summary/Conclusion: The mechanical stimulus of SWT activates the Hippo‐Pathway YAP/TAZ
and causes EV release. Our study provides substantial insight into cellular mechanotransduction
and serves as the basis for translation into clinical practice.
OS23.04
Engineering extracellular vesicles for embryo implantation
Qi Hui Poh; Alin Rai; David W. Greening
Baker Heart and Diabetes Institute, Melbourne, Australia
Introduction: A major cause of infertility is failure of the embryo implanting to
the maternal endometrium. This process of implantation requires precise coordination
between the endometrium and embryo and is mediated, in part, by extracellular vesicles
(EVs) released by the outer layer of the embryo (trophectoderm). Hence, engineering
nanovesicles that recapitulate trophectoderm EV function is an attractive therapeutic
strategy to improve embryo implantation and reproductive success.
Methods: Human stem cell‐derived trophectoderm cells (Tsc) were serially extruded
(10, 5, 1 μm) to generate nanovesicles (NVs), purified using density‐based separation
(6.5 x 105 cells, 1.13g/cm2), characterized using cryo‐electron microscopy, single
particle tracking analysis, and quantitative proteomics, and functionally assessed
for attachment of human trophectoderm spheroids and mouse embryo outgrowth post‐hatching
from the zona pellucida.
Results: Tsc‐NVs were spherical in morphology, ∼150 nm in diameter, transferred to
endometrial cells (24 h), and significantly improved trophectoderm spheroid attachment
to low receptive human endometrium (HEC1A) cells (p< 0.05, n=5) and mouse embryo outgrowth
on fibronectin matrix, similar to native trophectoderm EVs. Using quantitative proteomics,
nanovesicle transfer reprogrammed low receptive endometrial cell proteome landscape,
upregulating expression of factors (ALPP, CD44, ITGA2, ITGB1, PHB, TNC) and molecular
pathways (non‐integrin membrane‐ECM interactions, ECM proteoglycans) involved in embryo
implantation and endometrial remodeling and receptivity. To enhance therapeutic efficacy,
engineered nanovesicles can also be modified to encapsulate pro‐implantation factors,
including epidermal growth factor (EGF).
Summary/Conclusion: Therefore, this strategy of nanovesicle generation is potentially
a highly scalable and modifiable therapeutic approach for personalized reproductive
medicine.
Funding: This research was supported by National Health and Medical Research Council
Project Future Fund grant 1201805 (to D.W.G). We note further support by Helen Amelia
Hains Fellowship (to D.W.G), and by the Victorian State Government Operational Infrastructure
funding to the Baker Institute. QHP is supported by a joint Baker Institute‐La Trobe
University Research Training Program Scholarship.
OS23.05
Increase the anti‐inflammatory efficacy of small extracellular vesicles through glycoengineering
Wenyi Zheng
1; Xiuming Liang1; Rui He2; Jeremy Bost3; Samir El Andaloussi1
1Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Huddinge,
Sweden; 2Karolinska Institutet, Huddinge, Sweden; 3Department of laboratory medicine,
Karolinska Institutet, Stockholm, Sweden
Introduction: Small extracellular vesicles (EVs) from immunomodulatory cells, such
as mesenchymal stem cells, are potential therapeutics for inflammatory disorders,
while the efficacy thereof is limited by fast elimination from circulation as well
as low abundance at target tissues. Endothelial cells at inflammatory sites typically
upregulate E‐selectin and other adhesion molecules to facilitate leukocytes infiltration
via binding to the surface glycan sialy Lewis‐X (sLeX).In this study, we aim to boost
the anti‐inflammatory efficacy of small EVs by displaying the glycan ligand sLeX.
Methods: EV source cells, primarily HEK‐293T cells, were genetically engineered in
a modular manner to display the glycan sLeX on EV surface. Small sLeX‐EVs were harvested
and characterized in terms of ligand expression by single‐vesicle flow cytometry,
size distribution, affinity to recombinant E‐selectin protein, cellular uptake by
endothelial cells, and circulation time in mouse.
Results: Through simultaneous expression of fucosyltransferase 7 and a modified glycoprotein
based on the EV scaffold protein CD63, sLeX was successfully displayed on source cells
as well as on small EVs. The small sLeX‐EVs had typic spheric shape and size distribution
as exosome, like their counterpart without glycoengineering. In difference, only small
sLeX‐EVs displayed increased uptake in activated murine as well as human endothelial
cells. Moreover, displaying the glycan sLeX extended the circulation time of small
EVs in multiple mouse models.
Summary/Conclusion: Displaying the glycan sLeX on small EVs through genetic engineering
achieved higher uptake by endothelial cells in inflammatory state and retention in
mouse plasma. The next steps involve using immunomodulatory mesenchymal stem cell
as the source cell and examining the anti‐inflammatory functions of sLeX‐EV.
Funding: S.E.‐A. is supported by H2020 EXPERT, SSF‐IRC, ERC CoG, and SSMF. S.E.‐A.
is a founder, consultant, and stock holder of EVOX Therapeutics.
OS24: Biomarkers of Neuronal Diseases
Chair: Christian Neri – Institute of Biology Paris‐Seine (IBPS), Sorbonne University,
CNRS UMR 8256, ERL INSERM U1164
Chair: Julie A. Saugstad – Oregon Health & Science University
OS24.01
The effect of exercise on the plasma extracellular vesicle proteome of myalgic encephalomyelitis/chronic
fatigue syndrome
Ludovic Giloteaux; Maureen Hanson
Cornell University, Ithaca, USA
Introduction: ME/CFS is a debilitating disease of unknown etiology lasting for 6 months
or more, featuring fatigue, cognitive impairment, myalgias, and immune system dysfunction.
These symptoms are exacerbated upon physical or mental activity, a phenomenon known
as post‐exertional malaise. EVs are known to be released following exercise and their
cargo could be involved in cell‐to‐cell signaling that results in abnormalities in
patients’ immune function and metabolism at baseline, but particularly after exertion.
We aimed to characterize the content of EVs in ME/CFS and controls before and after
exercise.
Methods: Blood samples were collected from 18 female with ME/CFS and 18 female controls
before, 15 minutes and 24h after a cardiopulmonary exercise test. EVs were isolated
from plasma by SEC and characterized by NTA,TEM and immunoblotting. An LC‐MS/MS based
shotgun proteomics analysis strategy was used to perform longitudinal proteomic profiling
of EVs. Linear mixed models assessed differences between groups and changes in response
to exercise at each time point along with gene ontology (GO), pathway enrichment and
protein‐protein interaction network analysis. Linear regressions were applied to find
analytes associated with physiological parameters.
Results: Morphological analysis showed a homogeneous population of vesicles in both
groups with no significant differences of size at the 3 time points. ME/CFS individuals
had significantly higher levels of EVs at baseline and post exercise. There was a
significant increase of EVs in the control group post exercise not observed in patients.
EV proteomics analysis identified of 886 proteins, including 164 and 95 unique to
the controls and ME/CFS subjects respectively. Several proteins were found to be significantly
and consistently dysregulated at the 3 time points, while other were only dysregulated
during recovery (15min. and 24h). GO and pathway enrichment analysis of differentially
expressed proteins evidenced redox imbalance in ME/CFS, disruption of the ephrin signaling
pathway and dysregulation of carbon metabolism. Furthermore, we found EV proteins
that were solely associated with peak oxygen consumption in the ME/CFS group post‐exercise.
Summary/Conclusion: The abundance of EVs changes following exercise and the protein
cargo of EVs differs at each time point and between cases and controls. This work
demonstrates that patients and controls differ in their response to exercise with
regard to EV proteins involved in immune response, energy metabolism, muscle contraction,
and axon guidance. The findings of this study may open new windows to reveal ME/CFS
pathogenic mechanisms and may aid in the development of better biomarkers.
Funding: This project was funded by NIH NNINDS/OD/NIDA/NHLBI/NHGRI through NINDS U54NS105541
to the Cornell Center for Enervating Neuroimmune Disease.
OS24.02
Single‐vesicle analyses validate L1CAM as a marker of blood‐borne neuron‐derived extracellular
vesicles
Carlos J. Nogueras‐Ortiz
1; Pamela Yao1; Liz Calzada1; Erden Eren1; Christopher Dunn2; Olga Volpert3; Francheska
Delgado‐Peraza1; Maja Mustapic1; Christopher Ramsden1; Erez Eitan3; Dimitrios Kapogiannis4
1Laboratory of Clinical Investigation, National Institute on Aging, Baltimore, USA;
2Flow Cytometry Unit, National Institute on Aging, Baltimore, USA; 3NeuroDex Inc.,
Natick, USA; 4National Institutes of Health, Baltimore, USA
Introduction: The neuronal cell adhesion molecule L1CAM has been considered until
recently as an extracellular membrane marker of blood‐borne neuron‐derived extracellular
vesicles (NDEVs) and hence targeted via immunoprecipitation (IP) to derive EV biomarkers
of brain pathology. Although cumulative evidence showing enrichment of neuronal cargo
after L1CAM IP supports this rationale, recent publications claimed that L1CAM is
not EV‐associated. To address this challenge, we performed single‐vesicle studies
showing L1CAM in plasma‐derived EVs in association with bona fide neuronal markers.
Methods: The existence of L1CAM+ NDEVs was evaluated by measuring both EV‐associated
and soluble L1CAM in human plasma fractionated via size‐exclusion chromatography (SEC;
Izon® qEV10/70nm columns) using a previously validated Simoa® assay and an intact
EV Luminex assay designed to detect L1CAM in pan‐tetraspanin positive EVs. The detection
of EV‐associated L1CAM in SEC EV fractions as well as in the L1CAM IP eluate was confirmed
using high‐resolution confocal microscopy, immune‐electron microscopy and high sensitivity
nanoscale multiplex flow cytometry analysis (FCA) under non‐swarming conditions.
Results: L1CAM Simoa® detected L1CAM in early SEC EV fractions devoid of soluble plasma
proteins. Findings were confirmed by: 1) intact EV Luminex assay showing EV‐associated
L1CAM in early SEC fractions; 2) immune electron and confocal microscopy allowing
visualization of single L1CAM/Alix and L1CAM/VAMP2 double‐positive nanoparticles;
and 3) FCA demonstrating a sub‐population of L1CAM+ EVs among total plasma EVs. These
methods also showed that L1CAM IP results in the capture of L1CAM‐bearing EVs double‐positive
for bona fide EV markers, as well as neuronal markers VAMP2 and GAP43, and a 25‐fold
enrichment of L1CAM‐positive EVs over SEC EV fractions.
Summary/Conclusion: Multiple EV analyses at the single‐vesicle level confirmed the
presence of plasma NDEVs bearing surface L1CAM, thus validating L1CAM as a target
for NDEV immunocapture.
OS24.03
Identification of neuron‐specific extracellular vesicle markers
Dmitry Ter‐Ovanesyan
1; Emma J. K. Kowal2; Wendy Trieu3; Bogdan Budnik3; Siddharth Iyer3; Aviv Regev4;
George Church3; David Walt3
1Harvard University, Cambridge, USA; 2MIT, Cambridge, USA; 3Wyss Institute for Biologically
Inspired Engineering, Boston, USA; 4Genentech, San Francisco, USA
Introduction: Extracellular vesicles (EV) are an exciting class of biomarkers since
they contain RNAs and proteins from the cell of origin. Isolating neuron‐specific
EVs from human biofluids such as cerebrospinal fluid (CSF) or plasma represents a
promising approach for understanding the state of neurons and diagnosing neurological
disease. Previous attempts to isolate neuron‐derived EVs have relied on immuno‐isolation
of L1CAM, which we have previously found to be a free protein in CSF and plasma. Thus,
new candidate markers are needed.
Methods: We developed an unbiased pipeline for the identification of cell‐type specific
EV markers based on gene expression and EV proteomics data and applied it to prioritizing
candidates for the isolation of neuron EVs. We generated high quality data for the
EV proteome of human CSF and plasma based on a novel EV purification technique involving
multimodal chromatography resin. We then analyzed transmembrane proteins to assess
their cell type of origin based on organ‐level and cell‐level RNA‐Seq datasets.
Results: We have characterized the EV proteome of human CSF and plasma to higher depth
than previous studies after purifying EVs to exceptionally high purity. Using this
data, we suggest several new candidate markers that found in EV biofluids as well
as displaying neuron specific expression within the brain and brain‐specific expression
within the body.
Summary/Conclusion: Our work represents a framework for the identification of cell
type‐specific EV markers and an important step towards the isolation of neuron‐specific
EVs for diagnostics of neurological disease.
Funding: Chan Zuckerberg Initiative; Open Philanthropy Project; Wyss Institute
OS24.04
Tau, antioxidant proteins, and cellular markers are altered in brain tissue extracellular
vesicles in Alzheimer's disease
Yiyao Huang
1; Tom A. P. Driedonks1; Lesley Cheng2; Harinda Rajapaksha2; David A. Routenberg3;
Javier Redding1; Tanina Arab1; Bonita H. Powell1; Olga Pletniková1; Juan C. Troncoso1;
Laura Vella4; Lei Zheng5; Andrew F. Hill6; Vasiliki Mahairaki7; Kenneth W. Witwer1
1Johns Hopkins University School of Medicine, Baltimore, USA; 2La Trobe University,
Bundoora, Australia; 3MesoScale Diagnostics, LLC, Rockville, MD, USA, Rockville, USA;
4The University of Melbourne, Parkville, Australia; 5Southern Medical University,
Guangzhou, China (People's Republic); 6Victoria University, Melbourne, Australia;
7Department of Genetics, Johns Hopkins University School of Medicine, Baltimore, MD,
USA. The Richman Family Precision Medicine Center of Excellence in Alzheimer's Disease,
Johns Hopkins University School of Medicine, Baltimore, MD, US., Baltimore, USA
Introduction: Alzheimer's disease (AD) is a slowly progressive neurodegenerative disease
characterized by intracellular or extracellular protein accumulation and associated
neuroinflammation. Extracellular vesicles (EVs) have emerged as important participants
in AD pathophysiology. Brain tissue derived EVs (bdEVs) act locally at the source
and also leave the brain to betray the state of the central nervous system (CNS).
Recent advances allow us to separate bdEVs and reveal bdEV proteome changes in AD
brains. To find additional candidates for AD detection and peripheral bdEV capture,
selected AD pathogenesis‐related proteins and CNS cellular origin markers were tested
on bdEVs from AD and controls.
Methods: Post‐mortem human AD (n=23) and control (n=7) brains were obtained from the
Johns Hopkins Alzheimer's Disease Research Center. Brain tissue‐derived EVs were separated
as previously described (Huang, et al., JEV, 2020; Vella, et al., JEV, 2017) and characterized
in accordance with the recommendations of the Minimal Information for Studies of EVs
(MISEV). Lysed and intact bdEVs were then subjected to electrochemiluminescence‐linked
(ECL) immunoassay for detection of AD pathogenesis related proteins and selected cellular
of origin markers.
Results: Levels of total tau, phosphorylated tau, and antioxidant proteins peroxiredoxin
1 (PRDX) 1 and 6 were significantly elevated in AD bdEVs compared with controls. CNS
cell marker detection indicated bdEVs from different cell types, including astrocytes,
endothelia, microglia, and neurons. Moreover, several EV cellular origin surface markers
were elevated in AD patients.
Summary/Conclusion: Elevation of several EV markers was observed, indicating cell
activation and/or increased release of these EVs in AD. The dysregulated molecules
may be involved in AD mechanisms, constitute new biomarkers for disease monitoring,
and, in the case of surface molecules, serve as targets for bdEV capture.
Funding: This work was supported in part by grants AI144997, MH118164, and UG3CA241694
to Kenneth W. Witwer.
OS24.05
Fluorescence tagged Small extracellular vesicles role in early diagnosis of Parkinson's
disease
Simran Rastogi1; Fredrik Nikolajeff2; Saroj Kumar
1
1All India Institute of Medical Sciences, New Delhi, New Delhi, India; 2Lulea University
of Technology, Lulea, Sweden
Introduction: The earlier studies of our group proved the link between saliva‐derived
small‐sized extracellular vesicles (sEVs) and Parkinson's disease (PD). PD, a manageable
condition although remains asymptomatic in the early stages. The current study used
Fluor NTA (nanoparticle tracking) and explores how it could be a potent biomarker
for PD.
Methods: The salivary sEVs of the subjects (PD=70, healthy controls=26) were isolated
by PEG‐based chemical precipitation followed by antibody‐based validation through
CD63 (universal surface marker) and confirmed neuronal origin by CD171 as well morphologically
characterized through cryo‐EM. The sEVs quantification via fluorescence‐tagged sEVs
NTA and antibody‐based NTA using CD63. The α‐syntotal in sEVs cargo was determined
by ELISA. The confirmation of the disease severity staging was done by 99mTc‐TRODAT‐SPECT.
Results: We observed a significant increase of fluorescence‐tagged sEVs in PD (p<
0.0001) than the HC via NTA (sensitivity of 94.34%) as well it was in line with the
antibody‐tagged sEV p=0.006 (sensitivity of 94.12%). A significant increase of α‐syntotal
concentration in the sEVs of PD when compared to HC (sensitivity of 88.24%). The fluorescence‐tagged
sEV depicted a positive correlation with the hallmark protein of PD α‐syntotal r=0.4709,
p=0.0486. The striatal binding ratios in the 99mTc‐TRODAT‐SPECT shown to have a positive
correlation with the fluorescent sEVs concentration r=0.3000, α‐syntotal concentration
r=0.8000. The findings suggested that the salivary sEV concentration and the expression
level of α‐syn are not only higher in PD patients than HC but also followed the results
of the TRODAT scan.
Summary/Conclusion: This study is the first to address that the fluorescence tagged
sEVs can screen the progression of the disease with clinically acceptable sensitivity
and can be a potent early detection method for PD.
Funding: The funding for this study was provided by Lulea University of Technology,
Sweden, Department of Health Research (DHR) and Indian Council of Medical Research
(ICMR), India for extramural and AIIMS intramural research grants.
OS24.06
Identification of neural cell type‐specific molecules in the extracellular vesicles
enriched from human cerebrospinal fluid and their application to Alzheimer's disease
Tsuneya Ikezu1; Satoshi Muraoka2; Mark P. Jedrychowski3; Yang You1; Zhengrong Zhang1;
Seiko Ikezu
4
1Mayo Clinic Florida, Jacksonville, USA; 2National Institutes of Biomedical Innovation,
Health and Nutrition, Ibaraki, Japan; 3Department of Cell Biology, Harvard Medical
School, Boston, USA; 4Department of Neuroscience, Mayo Clinic Florida, Jacksonville,
USA
Introduction: Extracellular vesicles (EVs) are emerging vehicles in studying neurodegenerative
diseases including Alzheimer's disease (AD). Almost every cell type in the central
nervous system including neurons and glia are known to shed EVs, which can be detected
in the cerebrospinal fluid (CSF). Monitoring cell type‐specific EVs from patient‐derived
CSF and profiling their contents by transcriptomic or proteomic analyses provide a
useful method to study the pathophysiology of AD. We have recently identified EV unique
molecules to human neurons, astrocytes, microglia‐like cells, and oligodendrocytes.
We applied these datasets for the characterization of CSF EV proteins and their changes
in mild cognitive impairment (MCI) and AD cases.
Methods: We performed combined label‐free and tandem mass tag‐labeling based quantitative
mass‐spectrometry of EVs isolated from human induced pluripotent stem cells (hiPSCs)
by using size exclusion column method and CSF by MagCapture method to conduct a comprehensive
EV proteomics study on controls, AD and MCI risk cases. The enrichment of EV was determined
by quantitative mass‐spectrometry and immunoblotting of EV and non‐EV markers. The
changes in the cellular composition of the EV profiles were assessed for their correlation
with disease status, pathway analysis and correlation with cognitive function.
Results: Novel cell type‐specific EV protein markers were identified from induced
pluripotent stem cell‐derived excitatory neurons (e.g., NCAM1, ATP1A3), astrocytes
(e.g., LRP1, ITGA6), microglia‐like cells (e.g., LCP1, ITGAM) and oligodendrocytes
(e.g., LAMP2, FTH1). Furthermore, cell type‐specific EV molecule analysis revealed
significant enrichment of astrocyte and microglia‐derived EVs in AD CSF compared to
control or MCI EV samples. Moreover, Quantitative proteomics analysis showed that
EVs expressed 1284 unique proteins in AD, MCI and control groups. Statistical analysis
identified three proteins (HSPA1A, NPEPPS, and PTGFRN) involved in AD progression.
Finally, the PTGFRN showed a correlation with amyloid plaque (rho = 0.404, p = 0.027)
and tangle scores (rho = 0.500, p = 0.005) in AD, MCI cases.
Summary/Conclusion: Our study presents novel human neural cell type‐specific EV markers,
highlights the key role of glia‐derived EVs in AD CSF. The study also indicate that
three proteins, HSPA1A, NPEPPS and PTGFRN, may be used to monitor the progression
of MCI to AD.
Funding: Abbvie, Inc. (TI), Alzheimer's Association AARF‐9550302678 (SM), Alzheimer's
Research UK (TI), Cure Alzheimer's Fund (TI), NIH RF1 AG054199 (TI), NIH R01 AG054672
(TI), NIH R01 AG066429 (TI), NIH R01 AG072719 (TI), NIH R01 AG067763 (TI)
OS25: EV Characterization
Chair: An Hendrix – Department of Urology, Ghent University Hospital, Ghent, Belgium;
Laboratory of Experimental Cancer Research, Department of Human Structure and Repair,
Ghent University, Ghent, Belgium; Cancer Research Institute, Ghent, Belgium
Chair: Céline Elie‐Caille – Institut FEMTO‐ST, UMR 6174 CNRS, 25030 Besancon cedex,
France
OS25.01
Rapid and sensitive extracellular vesicle detection by fluorescent lateral flow immunoassay
Baihui Wang1; José María Duque2; Guillermo García‐Santos3; María Fernández‐Hevia3;
Luis sánchez2; Luis García‐Flórez4; Esther Serrano‐Pertierra
1; María Carmen Blanco‐López5
1Universidad de Oviedo, Dpto. Química Física y Analítica, Oviedo, Spain; 2Hospital
Universitario San Agustín, Avilés, Spain; 3Hospital Universitario Central de Asturias,
Oviedo, Spain; 4Hospital Universitario Central de Asturias, oviedo, Spain; 5Universidad
de Oviedo, Dpto Química Física y Analítica, Oviedo, Spain
Introduction: Extracellular vesicles (EV) are small membrane structures released by
cells that act as potent mediators of intercellular communication. In the field of
biomedicine they have been studied as a novel source of biomarkers and drug delivery
vehicles. Detection and potential characterization of freshly isolated EV is of great
interest for subsequent EV analysis and studies. Thus, lateral flow immunoassay is
a potential, low‐cost, and user‐friendly tool for rapid EV characterization.
Methods: Fluorescent nanoparticles (EuNPs) were functionalized with an antibody against
tetraspanin CD63 (detection antibody). For LFIA assays, antibodies anti‐CD9 and anti‐IgG
were dispensed on a nitrocellulose membrane as test line and control line, respectively.
Plasma‐derived EV were isolated by using a precipitation reagent or by size exlusion
cromatography (SEC). Size characterization and concentration were determined by nanoparticle
tracking analysis (NTA) at Nanovex (Spain). Protein content in the obtained fractions
was measured by BCA assay. Fluorescent LFIA was then performed to enable rapid on‐site
detection of EV.
Results: The high sensitive fluorescent LFIA system can detect CD63+CD9+ EVs is freshly
isolated plasma‐derived EV, by SEC or by using a precipitation reagent. EV could be
clearly detected in both cases, even in high diluted SEC fractions, and employing
a only minimum volume of the sample. The limit of detection (LOD) of our system was
5.27×104 EVs /μl.
Summary/Conclusion: This study shows a fluorescent LFIA may be used for rapid on‐site
detection of plasma‐derived EVs isolated by SEC or by using a precipitation reagent.
This system achieved low LOD. In addition, our system may be adapted to other surface
markers to characterize further freshly isolated EV fractions according to the field
of interest.
Funding: This research was funded by the Ministerio de Ciencia e Innovación (Spain),
grant number: PID2020‐119087RB‐I00. This study was also financed by European Union
through the European Regional Development Fund (Principado de Asturias, FICYT, PCTI
2018‐2022), under the grant number: IDI/2021/000112.
OS25.02
Raman spectroscopy for the quality assessment of extracellular vesicles as cell‐free
products in regenerative medicine
Alice Gualerzi; Silvia Picciolini; Francesca Rodà; Valentina Mangolini; Marzia Bedoni
Laboraotry of Nanomedicine and Clinical Biophotonics, IRCCS Fondazione Don Carlo Gnocchi,
Milan, Italy, Milan, Italy
Introduction: Extracellular vesicles (EVs) from mesenchymal/stromal cells (MSC) are
one of the emerging strategies for cell‐free regeneration therapies. Problems of purification,
yield, and reproducibility of the isolation procedure are some of the hurdles in their
translation to clinics. Differently from their cellular counterpart, MSC‐derived EVs
cannot rely for their quality control only on the superficial markers because EV‐markers
are more difficult to be detected, require dedicated batches and sophisticated technologies.
Raman spectroscopy (RS) can be used as quality control as it provides the label free
biochemical characterization of the sample; it is fast, cost‐effective and sensitive,
it does not focus on a specific component, but rather looks at the true complexity
of their composition.
Methods: The RS bulk characterization of EVs was performed on preparations from different
research laboratories and small industries . The reproducibility of different isolation
methods, the purity of the preparations and the quality of the cell sources were assessed
by calculating the spectroscopic protein‐to‐lipid ratio and performing the multivariate
statistical analysis of the collected spectra.
Results: The results obtained by the Laboratory of Nanomedicine and Clinical Biophotonics
demonstrate that the Raman approach is effective in the quality control of both EVs
and conditioned media obtained from MSC cultures, demonstrating that RS can be a valuable
tool in the reproducibility assessment of cell‐free products to be used in the pipeline
of stem cell‐derived preparations for regenerative medicine.
Summary/Conclusion: The RS approach to the massive production of EVs can help in the
assessment of the proper isolation procedure for a downstream application, in the
evaluation of reproducibility among batches and operators and in the comparison of
data obtained between laboratories by the generation of online databases that can
merge Raman data of EVs from various sources to foster transparency of data.
Funding: The project was supported by the Italian Ministry of Health.
OS25.03
Advance Molecular Tools for Detection and Characterization of Extracellular Vesicles
Ehsan Manouchehri Doulabi1; Tanya Kumar Sinha1; Radiosa Gallini1; Liza Löf1; Masood
Kamali‐Moghaddam
2
1Dept. of Immunology, Genetics and Pathology, Science for Life Laboratory, Uppsala
University, Uppsala, Sweden, Uppsala, Sweden; 2Dept. of Immunology, Genetics and Pathology,
Science for Life Laboratory, Uppsala University, Uppsala, Sweden., Uppsala, Sweden
Introduction: DNA‐assisted proximity assays are powerful and versatile tools for sensitive,
specific and high throughput detection of macromolecules such as DNA, RNA and proteins
as well as posttranslational modifications in in situ and in liquid biopsies.
Methods: Commonly, in these assays the target molecules are recognized by several
proximity probes, each equipped with a DNA oligonucleotide. Upon binding of the target
molecules, the DNA oligonucleotides are brought in proximity, subjected to enzymatic
ligation or polymerization, which results in formation of an amplifiable reporter
molecule. The use of multiple recognition events in combination with signal amplification
allows highly specific and sensitive detection of the target molecules.
Results: We have developed a large number of affinity‐based proximity assays for single‐
and multiplex detection of large complexes. Several of these technologies, such as
proximity ligation assay (PLA) combined with flow cytometry readout, multiplex proximity
extension assays (PEA) and proximity barcoding assays (PBA) are used for sensitive
detection and characterization of extracellular vesicles in bulk or at single molecule
level. In addition, we have applied these technologies in combination with mass spectrometry
for identification of exosomal surface proteins, allowing establishment of assays
for detection of organ‐specific extracellular vesicles in liquid biopsies.
Summary/Conclusion: Here, we discuss the application of proximity assays for screening,
characterization and sensitive detection of extracellular vesicles in body fluids.
OS25.04
Machine learning approaches for label‐free nanoplasmonic classification of placental
extracellular vesicles
Mohammadrahim Kazemzadeh
1; Colin L. Hisey2; Miguel Martinez‐Calderon3; Song Paek4; Neil Broderick1; Lawrence
W. Chamley1; Weiliang Xu1
1University of Auckland, Auckland, New Zealand; 2The Ohio State University, Columbus,
USA; 3Department of physics University of Auckland, Auckland, New Zealand; 4Department
of Obstetrics and Gynaecology, University of Auckland, New Zealand, Auckalnd, New
Zealand
Introduction: Surface Enhanced Raman Spectroscopy (SERS) has been extensively applied
for both labeled and label‐free detection and classification of extracellular vesicles
(EVs). However, the heterogeneity of EVs and their diverse biochemical compositions
have restricted the clinical translation of EV SERS. Novel machine learning techniques
are capable of dealing with this heterogeneity and mitigating the disadvantages of
labeled methods. In this research, we developed bottleneck classifiers (BC) that can
extract the unique differences between highly heterogeneous placental EV SERS data,
enabling the label‐free classification and visualization of preeclampsia.
Methods: Placental extracellular vesicles (EVs) were harvested from donated placentae
by culturing 400 mg explants in netwell inserts. EVs were isolated from conditioned
media using differential ultracentrifugation and size exclusion chromatography. Following
validation using transmission electron microscopy and nanoparticle tracking analysis,
EV SERS spectra were obtained using EVs from both healthy and preeclamptic placentae.
We then constructed an autoencoder‐like network by changing the decoder to a classifier
to achieve the desired BC. Encoders with both linear and nonlinear activations were
considered, as linear activation achieves highly interpretable results nonlinear achieves
maximum classification accuracy.
Results: We show that the linearly activated encoder leads to a classification accuracy
of 92%, which is greater than any other conventional machine learning, while also
producing interpretable results. In fact, Raman bands of 1745 cm‐1 and 1330 cm‐1 play
the most vital roles in classification between Normotensive (NT) and Preeclamptic
(PE) EVs. Both of these bands are associated with phospholipids and this finding is
consistent with previous biological research in this area.
Summary/Conclusion: We have developed novel bottleneck classifiers for both the visualization
and classification of EV SERS data. The superiority of the presented technique over
classical techniques is shown via interpretable classification and visualization of
placentae NT and PE EVs.
Funding: HRC New Zealand, AMRF, and Goodfellow
OS25.05
Genetically engineered MRI‐trackable extracellular vesicles as SARS‐CoV‐2 mimetics
for examination of viral binding
Andrea Galisova; Jiri Zahradnik; Hyla Allouche‐Arnon; Mattia Morandi; Ori Avinoam;
Neta Regev‐Rudzki; Gideon Schreiber; Amnon Bar‐Shir
Weizmann Institute of Science, Rehovot, Israel
Introduction: Understanding viral‐induced pathologies is of great interest, particularly
nowadays with the prolonged COVID19 pandemic. In this regard, extracellular vesicles
(EVs) offer a unique platform for studying viral infection paths and mechanisms due
to similar properties as viruses and possibility of visualization by imaging methods
(Han Z. et al, JEVs 2021, e12054). Here, we show the development of genetically engineered
EVs displaying the receptor‐binding domain (RBD) of SARS‐CoV‐2 on their surface as
corona‐virus‐like mimetics that can be labeled both magnetically or fluorescently.
Methods: HEK293 cells were genetically modified to express the RBD of SARS‐CoV‐2 on
their surface. Then, these cells were incubated with SPIO nanoparticles (2.5‐40 μg/mL)
and the secreted labeled EVs (EVsRBD as corona‐mimetics or EVsnoRBD as controls) were
isolated by differential centrifugation (400 g, 2000 g, 10 000 g, 100 000 g) and characterized
by several methods (MRI, NanoSight, Western blot, flow cytometry and transmission
electron microscopy ‐ TEM). For in vivo examination, two types of subcutaneous tumors
were induced in nude mice (HEK293T as control or HEK293T overexpressing ACE2) to study
in vivo targeting of EVsRBD to the ACE2 receptor. EVs (3x10E11) were intravenously
injected in mice followed by in vivo MRI and ex vivo fluorescence imaging.
Results: Cryo‐TEM analysis showed that the secreted genetically engineered EVs have
typical EVs size (∼100 nm) and shape. Binding to the ACE2 receptors was confirmed
by a higher uptake of EVsRBD into ACE2‐expressing cells compared to control EVsnoRBD.
MRI of isolated EVs showed concentration‐dependent accumulation of SPIONs as depicted
from the lower MRI signal on T2‐weighted images. In vivo targetability of EVsRBD was
demonstrated by MRI and fluorescence imaging of mice following EVs injection. The
higher accumulation of the EVsRBD in ACE2‐expressing cells as compared to control
cells was confirmed by the lower T2/T2* MRI signal. Similarly, ex vivo fluorescence
imaging showed higher accumulation of EVsRBD in the ACE2 expressing cells as compared
to EVsnoRBD.
Summary/Conclusion: Here, we show a multimodal imaging platform for mapping the binding
of coronavirus mimetics to the ACE2 receptors both in vivo and in vitro by genetically
engineered EVs expressing the RBD of SARS‐CoV‐2. The proposed platform can be implemented
to study other viruses by engineering a tailored peptide on the EVs surface and thus
to explore the role of receptors in a wide spectrum of viral pathologies and to evaluate
antiviral treatments.
Funding: This study was supported by the Ben B. and Joyce E. Eisenberg Foundation.
OS25.06
High‐throughput nanomechanical differentiation of lipoproteins and extracellular vesicles
Andrea Ridolfi1; Laura Conti1; Marco Brucale
1; Roberto Frigerio2; Alessandro Gori3; Jacopo Cardellini4; Costanza Montis5; Debora
Berti6; Paolo Bergese
7; Marina Cretich3; Francesco Valle1
1Italian National Research Council (CNR), Institute for the Study of Nanostructured
Materials (ISMN), Bologna, Italy, Bologna, Italy; 2Consiglio Nazionale delle Ricerche,
Istituto di Scienze e Tecnologie Chimiche "Giulio Natta" (SCITEC), Milan, Italy, Milano,
Italy; 3Consiglio Nazionale delle Ricerche, Istituto di Scienze e Tecnologie Chimiche
“Giulio Natta” (SCITEC), Milan, Italy, Milano, Italy; 4Università degli Studi di Firenze,
Florence, Italy; 5University of Florence, Italy, Firenze, Italy; 6University of Florence,
Italy, Florence, Italy; 7Università degli studi di Brescia, Brescia, Italy
Introduction: Proper isolation of Extracellular vesicles (EVs) and lipoproteins (LPs)
from plasma and serum samples remains challenging. Due to their similar size and density
distributions, EVs and LPs often co‐isolate when using physical‐based enrichment methods;
detecting reciprocal contamination is in itself nontrivial. We apply a recently developed
single‐particle nanomechanical screening method to EVs and LPs, showing that it can
be used to detect co‐isolated subpopulations, obtain their size distributions and
estimate their relative abundance.
Methods: EVs were obtained through tangential flow filtration from a culture of human
cardiac progenitor cells (CPCs) and characterized via cryo‐Transmission Electron Microscopy,
Atomic Force Microscopy (AFM), Nanoparticle Tracking Analysis, Western Blot. LPs (VLDL,
IDL, LDL, HDL, chylomicrons) were purchased from commercial sources. All samples were
characterized via a nanomechanical screening method we recently developed (Ridolfi
et al 2020, doi:10.1021/acs.analchem.9b05716; Frigerio et al 2021, doi:10.3390/cells10030544)
Results: Each LP subtype is found to display a specific mechanical fingerprint, which
is different from that of EVs and of other LPs. Only Very‐Low Density Lipoproteins
(VLDL) and chylomicrons exhibit substantial reciprocal overlap in term of size and
mechanical stiffness. While VLDL and chylomicrons exhibit a nanomechanical behavior
associated with pressurized elastic vessels, other LPs do not ‐ suggesting major (but
still unclear) structural differences.
Summary/Conclusion: To the best of our knowledge, these results represent the first
single‐particle mechanical investigation of lipoproteins. Our AFM‐based method can
resolve the nanomechanical properties of co‐isolated EVs and LPs, hence providing
a useful tool for assessing the purity of plasma‐ and serum‐ derived preparations.
Funding: We acknowledge the grants H2020 FETOPEN‐801367 “evFOUNDRY”, H2020 FETPROACT
952183 “BOW”, H2020‐FETPROACT‐951768 “MARVEL”.
OS26: Novel EV Cargo
Chair: David W. Greening – Baker Heart and Diabetes Institute
Chair: Ryan C. Pink – Oxford Brookes University
OS26.01
Application of phage‐displayed random peptide library technology for identification
of extracellular vesicles in patients with brain tumors
Wenbo Zhou1; Julia Craft2; Alex Ojemann1; Luke Bergen1; Arin Graner1; Aitana Gonzales1;
Anthony Fringuello1; Qianbin He1; Michael W. Graner1; Xiaoli Yu
1
1University of Colorado Anschutz Medical Campus, Aurora, USA; 2University of Colorado
Denver, Aurora, USA
Introduction: Extracellular vesicles (EVs) mediate cell–cell communication through
activation of receptors at the surface of recipient cells. EVs released by tumor cells
are instrumental in affecting tumor surrounding cells to favor their own growth and
dissemination. Protein markers and non‐protein constituents such as lipids and glycoconjugates
have been shown to be highly specific as EV markers, therefore understanding the mechanisms
of EV surface recognition would provide insight for tumor pathogenesis. Phage‐displayed
random peptide libraries provide an unbiased approach for identification EV surface
markers.
Methods: We purified EVs from plasma and tumor cell lines in patients with glioblastoma
and meningioma. We used ExoEasy (Qiagen), ExoQuick® (SBI), and ultracentrifugation
methods for EV isolation. EVs were evaluated by NTA and Western blots. We applied
two phage‐display peptide libraries (7‐mer &12‐mer) for identification of peptides
specific to brain tumor EVs. Phage peptides selected were evaluated for their binding
specificities to EVs using ELISA and peptide immunoprecipitation. Synthetic peptides
were used for inhibition assays for tumor EV cytotoxicity in neurons.
Results: We identified a total of 45 (36 unique) phage peptides that were specific
to brain tumor EVs derived from pooled and individual Glioblastoma (GBM) and Meningioma
(MMA) plasma and tumor cell lines. We showed that these peptides bind to brain tumor
EVs in a dose‐dependent manner. Furthermore, we demonstrated that EV specific peptides
inhibited GBM EV induced cytotoxicity in neurons.
Summary/Conclusion: Phage peptide technologies can be used for enrichment, isolation,
and characterization of EVs derived brain tumor plasma and cell lines, and these EVs
could provide biomarker potentials and insight into brain tumor pathogenesis.
Funding: NIH/NIMH
OS26.02
Hemodynamics control tumor EVs uptake, trafficking and function
Benjamin Mary
1; Nandini Asokan2; Annabel Larnicol3; Olivier Lefebvre2; Jacky G. Goetz2; Vincent
Hyenne4
1INSERM U1109, Strasbourg, France; 2Inserm U1109, Strasbourg, France; 3Inserm U1109,
strasbourg, France; 4INSERM / CNRS, Strasbourg, France
Introduction: Tumor extracellular vesicles (tEVs) escape the primary tumor and reach
distant organs where they can alter the microenvironment and eventually promote the
formation of pre‐metastatic niches. To do so, tEVs transit through body fluids including
the blood circulation where they are subjected to various hemodynamic forces. Despite
the importance of this transit, and the massive amounts of EVs present in the blood
circulation of cancer patients, very little is known about the intravascular behavior
of EVs. In particular, how tEVs cope with hemodynamics and how the latter impact their
delivery in endothelial cells and their function remain(s) elusive.
Methods: In this study, we combine an in vitro (microfluidics) and in vivo (zebrafish)
approaches to simultaneously tune flow forces and track fluorescently labelled tEVs.
We exploit multi‐scale imaging to follow internalized EVs, and transcriptomics to
assess the impact of EVs on receiving endothelial cells.
Results: We found that a moderate flow velocity (400 μm/s, mimicking hemodynamics
of small capillaries in mammals) promotes the uptake of tEVs by endothelial cells.
Interestingly, we observed that such flow redirects the trafficking of a small portion
of internalized EVs to non‐degrative endosomes suggesting that endothelial mechanosensing
could favor EV escape from the degradation machinery. As a consequence, circulating
tEVs induce a strong pro‐angiogenic response in flow‐stimulated endothelial cells,
notably by promoting the expression of pro‐angiogenic transcription factors.
Summary/Conclusion: Our work shows that hemodynamics affect the uptake, fate and function
of circulating EVs and demonstrates the importance of studying EVs in realistic environmental
conditions. We propose that tEVs contribute to pre‐metastatic niche formation by acting
on specific vascular regions with permissive flow profiles.
OS26.03
Extracellular vesicles are enriched in metals and transfer metals intercellularly
Adityas Purnianto
1; Celeste H. Mawal1; Huaqi Su1; Leah C. Beauchamp1; Tiana F. Koukoulis2; Mark A.
Greenough1; Krista A. Dent1; Catriona A. McLean3; Scott Ayton1; David I. Finkelstein2;
Ashley I. Bush4; Kevin J. Barnham2; Laura J. Vella2
1The Florey Institute of Neuroscience and Mental Health, The University of Melbourne,
Parkville, VIC, Australia, Parkville, Australia; 2The Florey Institute of Neuroscience
and Mental Health, The University of Melbourne, Parkville, Australia, Melbourne, Australia;
3Department of Anatomical Pathology, Alfred Hospital, Melbourne, VIC, Australia, Melbourne,
Australia; 4The Florey Institute of Neuroscience and Mental Health, The University
of Melbourne, Parkville, Australia, Parkville, Australia
Introduction: EVs are of interest as a potential source of biomarkers and mediator
of intercellular communication. Trace metals are essential elements involved in various
physiological and pathological processes, however there is limited information on
the metal content of EVs or their potential role in metal homeostasis. This study
aims to comprehensively examine the metal content of EVs, isolated from a variety
of in vitro and in vivo sources, and the capacity of EVs for intercellular metal transfer.
Methods: 15 biologically important metals were measured in sEVs from 3 cell lines
and human nasal secretions, frontal cortex or plasma using inductively coupled plasma
mass spectrometry. sEVs were isolated by differential centrifugation followed by ultracentrifugation
(UC), size exclusion chromatography (SEC), density gradient‐UC (DGUC) or combination
of DGUC and SEC. Immunoblotting and transmission electron micrography were used for
validation. SH‐SY5Y cells treated with Fe57 isotope or Pb were used to determine metal
packaging into EVs and transfer to recipient cells.
Results: Relative to cells or neat clinical samples, sEVs from in vitro and in vivo
sources, were enriched in essential trace metals, particularly Fe and Cu. While Al
and Pb were undetectable in neat plasma, these non‐physiological metals were detected
in sEVs, implying a role for sEVs in removal of toxic metals. In vitro, Fe 57 and
Pb were enriched in sEVs and in recipient cells after loading donor cells with these
rare metals, confirming the intracellular packaging of metals into sEVs and the capacity
of sEVs for intercellular metal transfer.
Summary/Conclusion: This is the first study to comprehensively characterize the metal
content of EVs and demonstrate transfer of essential trace and heavy metals via EVs.
This study highlights the potential roles of EVs in trace metal homeostasis and cellular
defense against toxic metals and has implications for biomarker and therapeutic target
discovery of diseases with metal dysregulation.
OS26.04
Supermeres, a small secreted nanoparticle, represent a new functional carrier of cellular
information reflecting diverse extracellular heterogeneity
Jeff Franklin
1; Qin Zhang2; Dennis Jeppesen3; James Higginbotham2; Mark Castleberry2; Clark Massick2;
Marisol Ramirez2; Qi Liu2; Kasey Vickers2; Al Charest4; Robert Coffey2
1Vanderbilt University Medical Center/Vanderbilt University, Nashville, USA; 2Vanderbilt
University Medical Center, Nashville, USA; 3Vanderbilt Univeristy Medical Center,
Nashville, USA; 4Dana‐Farber / Harvard Cancer Center, Boston, USA
Introduction: The heterogeneity of the cellular secretome has been rapidly expanding
demonstrating a diverse population of extracellular vesicles (EVs) but also populations
of non‐membranous nanoparticles. One of these, exomeres, identified by the Lyden lab
(Zhang et al.., … Lyden. Nat Cell Biol. 2018;20(3):332‐43), are around 35nm and have
distinct cargo that are different from EVs and are functional, carrying active ST6gal1
as one example (Zhang et al… Coffey RJ. Cell Rep. 2019;27(3):940‐54). We have characterized
even smaller lipid‐poor nanoparticles termed supermeres (Zhang et al., … Coffey RJ
Nat Cell Biol. 2021;23(12):1240‐54).
Methods: Supermeres, EVs and exomeres are purified using a combination of methods
including differential ultracentrifugation, density‐gradient purification and size
exclusion chromatography. Because producing EVs and nanoparticles can be labor intensive
using a traditional 2D cell culture method, a hollow fiber bioreactor is used to produce
these in high concentration. Proteomic and RNA analysis of the hollow fiber secretome
was compared with the same cells grown on tissue culture dishes.
Results: Supermeres have consistent protein cargos within DiFi cells grown in 2D and
in the bioreactor; small RNA cargo differs somewhat between the two growth conditions.
Supermeres contain various RNA binding proteins as well as proteolytically cleaved
membrane proteins, including proteins associated with neurodegeneration. A major RNA
cargo in supermeres is miR‐1246, derived from the RNU2 snRNA. Functionally, supermeres
have the ability to traverse diverse tissues including crossing the blood brain barrier,
transfer drug resistance and can metabolically reprogram hepatocytes in vivo.
Summary/Conclusion: Supermeres are a new class of secreted nanoparticle replete with
disease biomarkers and therapeutic targets.
Funding: NCI grant nos R35 CA197570, UG3 241685, P01 CA229123 and P50 236733 to R.J.C.
We acknowledge the generous support of the Nicholas Tierney GI Cancer Memorial Fund
OS26.05
Can the oncomolecules carried by small EVs help to diagnose pancreatic cancer early?
Marco Falasca
1; Arunima Panda1; Melissa Rhodes1; Pratibha Malhotra1; Peter Meikle2; David W. Greening2;
Krish Ragunath1; Marcello Manfredi3; Ilaria Casari1
1Curtin University, Perth, Australia; 2Baker Heart and Diabetes Institute, Melbourne,
Australia; 3University of Piemonte Orientale, Novara, Italy
Introduction: Pancreatic cancer (PC), is one of the deadlier and most aggressive tumours,
increasing in prevalence and death rate. Its lack of early symptoms, and consequent
late diagnosis, result in fast spread and resistance to chemotherapy, making it a
significant challenge for the majority of patients. Finding a way to detect PC earlier
and a successful cure is a high priority. Small extracellular vesicles (sEVs) are
used by cancer cells to communicate and aid in cancer progression. Molecules transported
by sEVs unique to PC could be used as markers to detect PC in its early stage.
Methods: We characterised sEVs from human non‐malignant pancreatic duct cells (HPDE,
hTERT–HPNE), PC cells (AsPC‐1, BxPC‐3 and MIA PaCa‐2) and patient‐derived xenograft
(PDX) PC cell lines. Plasma samples (60 PC patients and 30 healthy controls) have
been also collected. sEVs have been isolated following MISEV 2018 guidelines. Comprehensive
proteomic and lipidomic analyses of sEVs have been performed. Ethics have been approved
for use of human blood samples from PC patients and age‐matched healthy controls (Royal
Perth Hospital RGS4208).
Results: Our data revealed that specific oncoproteins and lipids are only present
in PC‐derived sEVs and not in non‐malignant pancreatic duct cells. In addition, we
have found that sEVs from human PC cell lines and PDX cells contained metastatic regulatory
factors and signalling molecules fundamental to PC progression as cargo unique to
PC sEVs. Interestingly, proteomic analysis of sEVs‐derived from human PC cell lines
reveals enrichment of key enzymes involved in inositol synthesis and metabolism such
as the transporter SLC5A3. SLC5A3 is involved in inositol transport and the formation
of key signalling molecules such as phosphatidylinositol 4,5‐bisphosphate. SLC5A3
is an unfavourable prognostic factor for PC and correlates with a lower survival probability.
Our findings have been validated in sEVs obtained from blood samples from PC patients.
Summary/Conclusion: We propose that the combination of lipids and proteins could be
a potential PC biomarker, which offers the opportunity of an early PC diagnosis. In
addition, we identify how sEV‐derived lipids and proteins mediate signalling between
PC and recipient cells (e.g., other PC cells, cancer‐associated fibroblasts, endothelial
cells).
Funding: This research is funded by the Australian Pancreatic Cancer Foundation
OS26.06
Tetraspanins are unevenly distributed across single extracellular vesicles and bias
sensitivity to multiplexed cancer biomarkers
Rachel R. Mizenko
1; Terza Brostoff2; Tatu Rojalin3; Hanna J. Koster3; Hila S. Swindell4; Gary S. Leiserowitz5;
Aijun Wang6; Randy P. Carney7
1Biomedical Engineering Department, University of California Davis, Davis, USA; 2Department
of Pathology, University of California San Diego, San Diego, USA; 3Department of Biomedical
Engineering, University of California Davis, Davis, USA; 4Department of Surgery, University
of California Davis, Davis, USA; 5Division of Gynecologic Oncology, University of
California Davis Medical Center, Sacramento, USA; 6Department of Surgery, University
of California Davis, Sacramento, USA; 7UC Davis, Davis, USA
Introduction: Development of extracellular vesicle (EV) based diagnostics is of great
interest due to EVs’ representation of the proteome and transcriptome of their parent
cell. Most diagnostics rely on capture by a single tetraspanin; however, there is
growing evidence that these tetraspanins are expressed on subpopulations of EVs and
little work has scrutinized co‐expression of tetraspanins and relevant markers. For
this reason, we sought to determine i) if tetraspanin colocalization was unique to
specific biofluid sources and ii) if enrichment by a single tetraspanin impacted identification
of diagnostically relevant markers in ovarian cancer (OvCa) EVs.
Methods: EVs were isolated by differential ultracentrifugation from OvCa cells, placental
mesenchymal stem cells (PMSCs), and serum. Single EVs were interrogated for tetraspanin(CD9,
CD63, CD81) or OvCa marker(CD24, EpCAM, Her2) expression by immunocapture/immunofluorescence
(ExoView R100). OvCa EVs were also non‐specifically biotinylated and captured by anti‐biotin
capture spots.
Results: EVs from all sources had heterogeneous colocalization of tetraspanins that
remained consistent across successive isolations. Yet these tetraspanin profiles were
distinct for EVs isolated from serum, OvCa cells, and PMSCs. When labeling for OvCa
markers, each marker was colocalized most frequently with a specific tetraspanin.
After biotinylation, as many or more OvCa marker+ EVs were captured non‐specifically
than by any single tetraspanin.
Summary/Conclusion: This work suggests that tetraspanin colocalization is consistent
for EVs from a given source but that it in general varies by source. Importantly,
we found that capture by a single tetraspanin biased the frequency of multiplexed
proteins and dramatically impacted the sensitivity to a given OvCa marker. This suggests
that use of a single tetraspanin for capture in a diagnostic device should be vetted
to confirm high colocalization with a given marker to maximize sensitivity.
Funding: R.P.C was supported by NIH NCI (1R01CA241666).
OS27: Natural and Engineering EVs as Therapeutics
Chair: Kathrin Gärtner, Helmholtz Center Munich German Research Center for Environmental
Health, Research Unit Gene Vectors, Munich, Germany
Chair: Farrukh Aqil – University of Louisville
OS27.01
Extracellular Vesicles carrying silencing sequences alleviate Machado‐Joseph Disease
(MJD)
David ‐. Rufino‐Ramos
1; Kevin Leandro2; Vitor Carmona3; Inês M. Martins2; Patrícia Albuquerque3; Rosário
Faro3; Rita Perfeito3; Rui Jorge J. Nobre3; Luís Pereira de Almeida3
1CNC ‐ Coimbra, Portugal, Coimbra, Portugal; 2CNC ‐ Coimbra, Coimbra, Portugal; 3CNC,
Coimbra, Portugal
Introduction: Extracellular vesicles (EVs) are membrane‐based structures produced
by cells, with capacity to carry miRNAs, non‐coding RNAs with around 22 nucleotides.
MiRNA enrichment into EVs is promoted by specific motifs, designated as ExoMotifs.
Therefore, the aim of this work was to investigate whether ExoMotifs would promote
packaging of engineered miRNA‐based silencing sequences into EVs to use them as therapeutic
vehicles to treat Machado‐Joseph Disease (MJD). MJD is a neurodegenerative disorder
caused by abnormal over‐repetition of a CAG tract within the ataxin‐3 (ATXN3) gene,
conferring toxic properties to the ATXN3 protein.
Methods: An ExoMotif signal was associated with silencing sequences targeting mutant
ATXN3 (mutATXN3) to promote its packaging into EVs, which was evaluated by qRT‐PCR.
Additionally, neuronal targeting proteins were expressed at EVs surface, and their
neuronal targeting efficiency was evaluated in vitro and in vivo by immunocytochemistry
and flow cytometry. To evaluate target engagement, engineered EVs were administered
by daily intranasal administration to mice expressing a mutATXN3 dual luciferase reporter
system.
Results: We found that silencing sequences with the ExoMotif retained the capacity
to silence mutant ataxin‐3 and were effectively incorporated into EVs. Furthermore,
the bioengineered EVs significantly decreased mutATXN3 mRNA levels in neuronal cells.
Importantly, continuous intranasal administration of therapeutic EVs significantly
decreased the brain luminescence associated with mutATXN3 dual luciferase reporter
system.
Summary/Conclusion: MutATXN3 silencing sequences enriched in EVs reach the brain via
intranasal route and are therapeutically active reducing in vivo the disease‐causing
ataxin‐3.
Funding: This work was funded by Competitiveness Factors Operational Program (COMPETE
2020) and National Funds through FCT (Foundation for Science and Technology) (SFRH/BD/132618/2017),
ViraVector (CENTRO‐01‐0145‐FEDER‐022095), SpreadSilencing POCI‐01‐0145‐FEDER‐029716,
by National Ataxia Foundation (USA), the American Portuguese Biomedical Research Fund
(APBRF) and the Richard Chin and Lily Lock Machado‐Joseph Disease Research Fund.
OS27.02
Protective Antibody Responses Produced by Extracellular Vesicles isolated from Salmonella
Infected Macrophages
Lisa E. Emerson; Hailey Barker; Terri Tran; Samantha Barker; Samantha Enslow; Mark
Ou; Carol Hoffman; David Pascual; Mariola J. Edelmann
University of Florida, Gainesville, USA
Introduction: Non‐Typhoidal Salmonella (NTS) causes over 95 million infections each
year, and despite the severity and disease burden there is no approved vaccine to
combat infection. A potential vaccine strategy that has not been deeply explored,
are extracellular vesicles (EVs) produced during NTS infection.
Methods: To study the role of EVs isolated after NTS infection, we infected macrophages
with Salmonella and isolated EVs using ultracentrifugation. Next, we treated 35 mice
with either PBS control, live Salmonella vaccine (∆aroA) control, EVs isolated from
NTS infection of macrophages, or disrupted EVs; and collected blood and stool samples
to assess the effect of EVs on mucosal immunity. We performed ELISAs to measure IgG
in serum and IgA in stool. Finally, we challenged mice orally with NTS.
Results: Our analysis of serum IgG and fecal IgA showed a significant increase in
Salmonella‐specific antibody responses in the EV treated mouse group. IgG and IgA
increased over time for 12 weeks in both live vaccine and EV treatment groups. Challenge
results showed that mice with protective IgA and IgG responses had a lower bacterial
burden and increased survival compared to PBS control mice and mice given disrupted
vesicles.
Summary/Conclusion: Our results display the ability of EVs isolated during Salmonella
infection to generate Salmonella‐specific protective antibody responses. Our findings
demonstrate a previously unknown role of EVs in bacterial infection and their potential
as a vaccine strategy. Understanding the full immune potential of EVs will aid in
EV vaccine approaches to fight the bacterial infection.
Funding: R03 AI135610‐02
OS27.03
Small extracellular vesicles from metabolically reprogrammed mesenchymal stem cells
as a potential acellular therapy for osteoarthritis
Patricia Luz‐Crawford
1; Eliana Lara‐Barba2; Felipe A. Bustamante‐Barrientos2; Cynthia García3; Yeimi Herrera‐Luna2;
Carolina Pradenas2; Noymar Luque‐Campos2; Gabriela Maita4; Roberto Elizondo‐Vega5;
Farida Djouad6; Ana María Vega‐Letter3
1Laboratorio de Inmunología Celular y Molecular, Centro de Investigación Biomédica,
Facultad de Medicina, Universidad de Los Andes, Santiago, Chile; IMPACT, Center of
Interventional Medicine for Precision and Advanced Cellular Therapy, Santiago, Chile,
Santiago, Chile; 2Laboratorio de Inmunología Celular y Molecular, Centro de Investigación
Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile, Santiago,
Chile; 3Laboratory of Molecular and Cellular Immunology, Faculty of Medicine, Universidad
de los Andes, Santiago, Chile, Santiago, Chile; 4Laboratorio de Inmunología Celular
y Molecular, Centro de Investigación Biomédica, Facultad de Medicina, Universidad
de Los Andes, Santiago, Chile;Department of Physiology, Pontificia Universidad Católica
de Chile, Santiago, Chile, Santiago, Chile; 5Laboratorio de Biología Celular, Departamento
de Biología Celular, Facultad de Ciencias Biológicas, Universidad de Concepción, Concepción,
Chile, Concepcion, Chile; 6Institute for Regenerative Medicine and Biotherapy (IRMB),
Univ Montpellier, Institut national de la santé et de la recherche médicale (INSERM),
Montpellier, France, Montpellier, France
Introduction: Osteoarthritis (OA) is a degenerative disease in which there is a loss
of articular cartilage and chronic inflammation. Currently, only palliative treatments
are available. In this context, mesenchymal stem cells (MSC) and their derived small
extracellular vesicles (sEVs) appear as the candidate of choice for the development
of new therapies for OA due to their chondroprotective and immunomodulatory properties.
Methods: sEVs were isolated from metabolically reprogrammed MSC through ultracentrifugation.
sEVs were then quantified by nanoparticle tracking analysis and characterized by flow
cytometry. Then, sEVs were added to the culture media of either chondrocytes for regeneration
or macrophages for inflammation evaluation, respectively. After 24 hours, chondrocytes
were collected to measure classical OA markers through RT‐qPCR and macrophage polarization
was assessed through flow cytometry.
Results: sEVs derived from MSC with an induced metabolic reprogramming promote the
polarization of macrophages towards an anti‐inflammatory phenotype by increasing expression
of M2 marker CD206+. On the other hand, we observed that the sEVs were able to protect
the key components of cartilage tissue by increasing the ratio of COL2/COL1 expression
and decreasing the expression of aggrecan degrading enzyme ADAMTS4.
Summary/Conclusion: Our results show that the metabolic reprogramming of MSC improves
the therapeutic properties of their sEVs. Indeed, we demonstrate that these sEVs have
an anti‐inflammatory effect, evidenced by the polarization of macrophages towards
an M2 phenotype. Furthermore, sEVs from metabolically modulated MSC showed a chondroprotective
effect, evidenced by the increase of the COL2/COL1 expression ratio and a decrease
of ADAMTS4, indicating a recovery of the hyaline cartilage phenotype.
Funding: This research was supported by the Agencia Nacional de Investigación y Desarrollo
(ANID) from Chile through the grants FONDECYT regular n°1211353; FONDECYT iniciación
n°11220549; FONDEF ID: 21I10194.
OS27.04
Small EVs from inflammation‐primed adipose‐derived stem cells facilitate tendon healing
in a preclinical mouse Achilles tendon injury and repair model
Hua Shen
1; Ryan Lane2; Ratna B. Ray3
1Washington University School of Medicine, St. Louis, USA; 2Washington University
School of Medicine, Saint Louis, USA; 3Saint Louis University, Saint Louis, USA
Introduction: Full restoration of tendon structure and function after injury has been
a clinical challenge. This is mainly due to profound inflammation and insufficient
regeneration after injury. We found EVs from inflammation‐primed adipose‐derived stem
cells (iEVs) reduce inflammation after injury. However, if iEVs may improve tendon
structural and functional recovery after injury and the active subgroup and mechanism
of iEVs in these actions remain elusive.
Methods: Bulk iEVs were prepared from conditioned medium of IFNγ‐primed mouse ASC
culture containing 2% EV‐free FBS via differential centrifugation, separated by tetraspanin
markers, and analyzed via TEM, western blot, DLS, NTA, and flow cytometry. With IACUC
approval, the dose‐effect of iEVs (0, 1e+09, or 5e+09 iEVs/repair) on tendon healing
was assessed in a preclinical mouse Achilles tendon injury and repair model. The active
subgroup and the mechanism of action of iEVs were determined in vitro.
Results: iEVs dose‐dependently reduced injury‐site NF‐κB activity in the first week
after injury and led to over 2‐fold increases in Arg1, Il13, and Il1rn expression
and dramatic improvements in collogen deposition and organization at 4 weeks after
injury. iEVs also improved mouse ankle movement by up to 45% and 64% at 3 and 4 weeks
after injury and reduced the incidence of postoperative tendon rupture/gap formation
by 35% at 4 weeks after injury. In vitro studies revealed that iEVs blocked TLR4/NF‐κB
signaling in IFNγ+LPS activated macrophages and promoted tendon cell proliferation,
anabolic genes Postn, Scx, Tnmd, and Igf1 expression, and type I collagen release.
The effects of CD9+/CD63+/CD81+ small iEVs were more dramatic than those of bulk iEVs.
Summary/Conclusion: iEVs reduced inflammation and improved tendon structural and functional
recovery after injury via modulating macrophage and tendon cell functions. It is to
be determined if the identified active subgroup is more effective than bulk iEVs in
enhancing tendon repair.
Funding: NIH R21AR075274, WU ICTS/CTRFP4805.
OS27.05
The therapeutic effect of umbilical cord mesenchymal stromal cell extracellular vesicles
in inflammatory arthritis
Rebecca L. Davies
1; Mairead Hyland1; Claire Mennan1; Karina Wright1; Mark Platt2; Oksana Kehoe1
1Keele University, Oswestry, United Kingdom; 2Loughborough University, Loughborough,
United Kingdom
Introduction: Rheumatoid arthritis (RA) is an inflammatory disease of which there
is no cure. Cell therapies using umbilical cord mesenchymal stromal cells (UC‐MSCs)
are becoming a popular possibility for treatment due to their ability to promote immunosuppression.
Extracellular vesicles (EVs) mimic this but offer the advantage of safety (no malignant
transformation or rejection), being easily stored and an extended shelf life. Hence,
we sought to determine the ability of UC‐MSCs, and their derived EVs, to treat RA
using an antigen induced model of arthritis (AIA).
Methods: Mice were injected with 5x105 UC‐MSCs, or equivalent EVs from the same cell
number, 24 hours post‐arthritis induction. Cells were characterised by flow cytometry
and EVs by Tunable Resistive Pulse Sensing (IZON) and cryo‐electron microscopy following
isolation using ultracentrifugation with a 30% sucrose cushion. Joint swelling was
assessed over 72 hours, after which histological analysis was performed.
Results: Cells displayed the expected phenotype markers for MSCs. EVs from 5x105 cells
yielded 2.15x109 particles/ml with a mean size of 166±70nm, of which most particles
displayed an EV‐like morphology of a double lipid membrane bilayer. Joint swelling
decreased for both treatments, in comparison to control, but only MSC‐EV treated mice
achieved significance (P< 0.01) at the 72‐hour timepoint. EV superiority over UC‐MSCs
was reflected in the histological scoring, with EVs achieving a consistently lower
mean score in comparison to controls (improved clinical outcome), whilst cells showed
higher mean scores (worse clinical outcome).
Summary/Conclusion: In this study, EVs appear to be superior to their cell counterparts
when treating an arthritis model. This supports the argument that MSC‐EVs may be a
suitable therapy to treat RA.
Funding: EPSRC/MRC DTC in Regenerative Medicine, The James Richardson Studentship,
Institute of Orthopaedics Ltd., Oswestry and ACORN funding, Keele University.
OS27.06
Facilitate by‐stander effects by EV‐mRNA cargo in AAV gene replacement therapy for
treating MPS IIIC
Tierra A. Bobo
1; Michael Robinson2; Marina Sokolski‐Papkov2; Haiyan Fu2
1UNC‐CH, Mebane, USA; 2UNC‐CH, chapel hill, USA
Introduction: Mucopolysaccharidosis (MPS) IIIC is a devastating neuropathic lysosomal
storage disease, with no treatment currently available. MPS IIIC is caused by autosomal
recessive defects in heparan‐α‐glucosaminide‐N‐acetyltransferase (HGSNAT) gene. HGSNAT
is a non‐secretive, exclusively trans‐lysosomal‐membrane enzyme. AAV gene therapy
offers a great tool for treating neurogenetic diseases. All cells are known to continuously
release extracellular vesicles (EVs) and communicate by exchanging large molecules
via EV trafficking. Targeting the unmet need, we developed a vector with an EV‐mRNA
packaging signal to engender by‐stander effects for the normally non‐secreted HGSNAT
protein.
Methods: We constructed a rAAV vector with an EV‐mRNA packaging zip code (ZC) signal
linked to human HGSNAT cDNA. We tested it in human MPS IIIC skin fibroblasts to determine
rHGSNAT expression, EV packaging of hHGSNAT‐mRNA and the correction of lysosomal GAG
storage. The conditioned media from transduced MPS IIIC cells were processed for EV
purification and characterization. Purified EVs were incubated with non‐infected MPS
IIIC cells to assess the EV‐facilitated hHGSNAT expression and the cross‐correction
of lysosomal GAG storage.
Results: rAAV‐hHGSNATzc vector mediated not only efficient expression of functional
HGSNAT protein, but also the release of abundant EVs containing hHGSNAT mRNA to the
media. Importantly, incubation with purified EVs from transduced cells resulted in
the expression of functional HGSNAT protein and the clearance of GAG contents in non‐treated
recipient cells.
Summary/Conclusion: This study demonstrates that the incorporation of the ZC signal
sequence in rAAV‐hHGSNAT vector mediates EV packaging of hHGSNAT‐mRNA, which can be
transported to recipient cells and translated into functional rHGSNAT protein. Our
data strongly support the therapeutic potential of rAAV gene therapy with EV‐mRNA‐cargo
facilitated by‐stander effects for treating MPS IIIC. It may therefore reduce the
vector dose and potential risks. Further, this technology may also be applicable to
broad disease targets involving transcription factors and proteins that are not secreted.
Funding: R21AI146653
NC Biotech Center #2020‐GTF‐6903
OS28 Late‐Breaking Session: EV Methodology Advances
The other abstracts in this session were late breaking and will be included in a late
breaking journal addendum after the conference.
OS28.01
Therapeutic potential of extracellular vesicles from stromal cells produced by turbulence
stimulation for regenerative medicine: proof‐of‐concept in 5 animal models
Amanda Silva
1; Arthur Berger2; Elise Coffin3; Max Piffoux4; Julien Branchu4; Claire Wilhelm5;
Florence Gazeau6; Gabriel Rahmi3
1Laboratoire Matière et Systèmes Complexes, Paris, France; 2Université de Paris, Paris,
France; 3HEGP, Paris, France; 4EVerZom, Paris, France; 5Institut Curie, Paris, France;
6CNRS Université de Paris, Paris, France
Introduction: Inspired by extracellular vesicle (EV) released by blood flow, we propose
to boost EV release by exerting a controlled turbulence shear stress on adipose stromal
cells (ADSCs) during their culture in bioreactors in an unprecedented approach. We
evidenced that turbulent flow tuning elicited massive EV release (10 times more and
10 times faster than the classical starvation method). We identified turbulence micro‐vortex
size as a physical parameter that ensures consistent and massive EV shedding and process
scalability. The aim of this study was to investigate the regenerative effect of turbulence
EVs.
Methods: The therapeutic potential of turbulence EVs for regenerative medicine was
investigated in 5 animal models: (i) a myocardial infarction in mice; (ii) an inflammatory
perianal fistula in rats; (iii) a post‐surgical colo‐cutaneous fistula in rats; (iv)
a post‐surgical gastro‐cutaneous fistula in pigs and (v) an esophageal stricture in
pigs.
Results: Our results in the myocardial infarction model in mice evidenced that, when
compared to state‐of‐the‐art EVs at the same dose, our turbulence EVs produced the
same therapeutic effect. A healing therapeutic effect was also observed in an inflammatory
perianal fistula model in rats. Our investigation in a post‐surgical colo‐cutaneous
fistula model in rats demonstrated that turbulence EV biodistribution was improved
when EV administration was performed locally combined to a thermo‐responsive hydrogel.
The therapeutic healing effect of this combined therapy was demonstrated in this colo‐cutaneous
fistula rat model as well as in the gastro‐cutaneous fistula model and the esophageal
stricture model, both in pigs.
Summary/Conclusion: The proposed turbulence method is expected to be advantageous
in terms of high yield, cost‐effectiveness, and time‐saving. The therapeutic effect
of turbulence EVs featuring the markers and potency of bona fide EVs was demonstrated
in 5 animal models indicating the robustness and versatility of the turbulence production
method.
Funding: ERC Exocyther (number 852791), ANR Fisther
OS29: EVs and Kidney
Chair: Benedetta Bussolati – Department of Medical Sciences, University of Turin,
10126 Turin, Italy
OS29.01
Biofluid‐derived extracellular vesicles are effectors of immune system dysfunction
in children with Idiopathic Nephrotic Syndrome
Giulia Cricrì1; Linda Bellucci1; Stefania Bruno2; Federico Caicci3; Stefano Turolo1;
William Morello4; Giovanni Montini1; Federica Collino
5
1Laboratory of Translational Research in Paediatric Nephro‐urology, Fondazione Ca'
Granda IRCCS Ospedale Maggiore Policlinico, Milan, Italy., Milano, Italy; 2Department
of medical science, University of Turin, Turin, Italy; 3Department of Biomedical Sciences,
University of Padova, Padua, Italy., Padua, Italy; 4Pediatric Nephrology, Dialysis
and Transplant Unit, Fondazione Ca' Granda IRCCS Ospedale Maggiore Policlinico, Milan,
Italy., Milano, Italy; 5Laboratory of Translational Research in Paediatric Nephro‐urology,
Fondazione Ca' Granda IRCCS Ospedale Maggiore Policlinico, Milan, Italy., Milan, Italy
Introduction: Idiopathic Nephrotic Syndrome (NS) is the most common glomerular disease
in children with immune‐related pathogenesis. Corticosteroids are the first‐line treatment,
but patients not responsive may progress to end‐stage renal disease, requiring dialysis
or kidney transplant. In this context, biofluid‐derived extracellular vesicles (EVs)
can function as carriers of biomarkers for monitoring immune activation and kidney
damage in NS.
Methods: PBMCs, sera and urines were obtained from thirty NS patients (steroid‐sensitive
and resistant) and seven healthy subjects (HS) (approval by local ethical committee).
Immune cell and EV (serum and urine) profile was conducted by multicolour flow cytometry.
EVs concentration, size and structure were analyzed by NTA and transmission electron
microscopy. Filtration/Ultracentrifugation followed by size exclusion chromatography
were used to separate NS‐EVs for molecular analysis.
Results: Total CD19+, naïve, and switched memory B cells in NS patients were increased
compared to HS. Moreover, decreased transitional B cells and increased plasmablasts
and plasma cells were found in NS with active proteinuria compared to therapy‐responsive
patients (remission). We also observed a reduction of Th1 and Th17, an increase of
Th2 cells in NS in respect to HS, and reduced levels of Foxp3+ Treg during remission.
NTA analysis revealed no differences in EV concentrations among groups, with a slight
increase of NS‐EV diameter (mode distribution). Biofluid NS‐EVs expressed Tetraspanins
with a heterogeneous distribution among the patients’ subgroups; the highest expression
was observed in serum EVs from proteinuria patients. Similarly to the cell compartment,
serum NS‐EVs showed abnormal lymphocyte markers (CD4, CD25, CD19 and HLA‐DR). Interestingly,
B/T cell markers were already present in serum EVs at the disease onset. Urine NS‐EVs
were enriched in adhesion, epithelial and leucocyte molecules, and their number positively
correlated with proteinuria levels.
Summary/Conclusion: Change in the biofluid NS‐EV profile might represent the bloodstream
NS immune dysfunctions, and EVs can act as facilitators of kidney damage in NS children.
Funding: This research was supported by Grant P‐0038 from IMPACTsim S.p.A. and by
Fondazione La Nuova Speranza ONLUS ‐lotta alla sclerosi focale.
OS29.02
Extracellular vesicles rescue Alport glomerular endothelial lipid dysfunction
Hasmik Soloyan1; Matthew Thornton2; Paolo Cravedi3; Andrea Angeletti4; Laura Perin5;
Sargis Sedrakyan
6
1Children's Hospital Los Angeles, Los Angeles, USA; 2University of Southern California,
Los Angeles, USA; 3Icahn School of Medicine at Mount Sinai, New York, NY, New York,
USA; 4IRCCS Istituto Giannina Gaslini, Genoa, Italy, Genoa, Italy; 5Children's Hospital
Los Angeles‐University of Southern California, Los Angeles, USA; 6Children's Hospital
Los Angeles ‐ University of Southern California, Los Angeles, USA
Introduction: Glomerular endothelial dysfunction plays a key role in the development
of chronic kidney disease (CKD). We have previously shown that glomerular endothelial
cells (GEC) are damaged in Alport syndrome mice (AS, characterized by mutations in
collagen IVα3α4α5), manifested by enlarged fenestrations and damaged glycocalix in
the early stage of the disease. In the present study we report on the role of altered
fatty acid utilization pathways leading to GEC dysfunction in AS, and the role of
extracellular vesicles derived from amniotic fluid stem cells (AFSC‐EVs) in re‐establish
lipid homeostasis.
Methods: GEC were isolated from tdTomato‐reporter AS and WT mice at 4 months of age
by FACS and transcriptome was analyzed and compared by bulk RNA‐seq. Tissue samples
from patients with AS were used to confirm our findings by immunohistochemistry. In
vitro, silencing experiments using human primary GEC were performed to study the role
of decreased fatty acid synthase (FASN) in GEC dysfunction, and AFSC‐EVs (which contain
FASN in their cargo) were applied as a rescue strategy to normalize FASN level and
restore lipid homeostasis. Data were confirmed using AFSC‐EV FASN‐/‐.
Results: AS GEC were highly enriched for differentially expressed genes (DEG) associated
with cellular metabolism, and lipid metabolism in particular. Genes associated with
fatty acid transport (CD36, FATP‐1, FATP‐2, Fabp3) and synthesis (FASN) among others
were downregulated, which was further associated with glomerular accumulation of lipid
droplets in mice. We observed similar findings in human biopsy samples from AS patients
by histology. In vitro, AFSC‐EVs were able to rescue FASN deficiency and improve GEC
function, unlike AFSC‐EV FASN‐/‐.
Summary/Conclusion: We report for the first time a lipid metabolic dysfunction in
Alport GEC, and the ability of AFSC‐EVs to rescue this phenotype. Therefore, better
understanding of the functional role of GEC in AS could lead to the development of
targeted new therapies for the treatment of this and other forms of CKD.
OS29.03
Large and small urinary extracellular vesicles (uEV): a source of progressive biomarkers
for diabetic nephropathy
Elisabetta AM Verderio
1; Elisa Tonoli1; Melanie Tepus1; Maria Pia Savoca1; Clare Coveney1; David Boocock1;
Stephen Watson2; Dimitris Goumenos3; Timothy Johnson2
1Nottingham Trent University, Nottingham, United Kingdom; 2The University of Sheffield,
Sheffield, United Kingdom; 3University hospital of Patras, Patras, Greece
Introduction: Diagnosis of chronic kidney disease (CKD) progression through urinary
markers could be of great potential to complement renal biopsies and imaging approaches.
We aimed at identifying proteome changes of urinary extracellular vesicles (uEV) in
progressive versus stable diabetic nephropathy (DN).
Methods: Large and small uEV were isolated by differential (ultra‐)centrifugation
(1). DN patients were stratified based on stable (n=17) or progressive pathophysiology
(n=19) (mean GFR change of 1.9±1.8 and ‐9.4±1.2 mL/min per year, respectively), and
cell‐free urines sourced from two CKD‐biorepositories upon ethical approval. Tryptic
peptides were subjected to RP‐HPLC‐ESI‐MS/MS using a TripleTOF6600+ mass spectrometer,
in data dependent (DDA) mode and SWATH®2.0‐data independent acquisition (DIA) (SCIEX‐OneOmics)
mode.
Results: Analysis of uEV via atomic force microscopy, scanning EM and nanoparticle
tracking confirmed size (50‐250 nm), positive EV‐markers (alix, flotillin, TSG101)
and absence of negative markers (TOM20, GS28). Urinary EV proteomics versus full urine
proteomics was firstly investigated by shot gun proteomics (DDA‐MS/MS): the uEV displayed
4‐5 more protein identities (at 1% false discovery rate) compared to the full urine
depleted of abundant serum proteins, showing the advantage of uEV. Next, cohorts of
stable and progressive patients (12 each) were selected for large and small uEV isolation.
Qualitative proteomics of small uEVs led to 1439 protein identities, of which 30%
were uniquely detected in the progressive cohort. However, only a fraction (12%) were
displayed consistently in at least 4‐10/12 progressive patients. Similarly, large
uEV revealed 1323 protein identities, of which 37% were solely present in progressive
patients. Comparative quantitative SWATH‐MS showed that a lysosomal membrane component
and a nephrotic syndrome‐linked lipoprotein are significantly associated with large
uEV of progressive patients (N=11 progressive; N=10 stable; >60% confidence), whereas
proteins regulating filaments dynamics and plasma membrane protrusions are associated
with small progressive uEV (N=12 progressive; N=10 stable; >60% confidence). Validation
of three of these progression markers by immune‐blotting confirmed their differential
expression in the progressive cohort, both in large and small uEV.
Summary/Conclusion: Urinary EV (large and small) have a great potential as a source
of progression biomarkers in alternative to full urine, with possible application
in clinical trials or clinical routine in the future, if their reproducibility can
be ascertained.
Funding: Nottingham Trent University external engagement award and Vice‐Chancellor
studentship.
(1) Furini et al (2018) J Am Soc Nephrol. 29:880‐905.
OS29.04
Extracellular vesicle subsets released during normothermic machine perfusion are associated
with human kidney characteristics
Wouter W. Woud
1; Asel Arykbaeva2; Ian Alwayn2; Carla Baan1; Robert Minee3; Martin Hoogduijn1; Karin
Boer1
1Erasmus MC Transplant Institute, Department of Internal Medicine, University Medical
Center Rotterdam, Rotterdam, The Netherlands, Rotterdam, Netherlands; 2Department
of Surgery, Leiden University Medical Center, Leiden, The Netherlands, Leiden, Netherlands;
3Erasmus MC Transplant Institute, Department of Surgery, Division of Hepato‐Pancreato‐Biliary
and Transplant Surgery, Erasmus MC, University Medical Center Rotterdam, The Netherlands,
Rotterdam, Netherlands
Introduction: Extracellular Vesicles (EVs) represent stable, tissue specific nano‐sized
particles that reflect the conditional state of their tissue of origin. Normothermic
Machine Perfusion (NMP), aimed at restoration of cellular metabolism and function
to organs, offers the possibility to assess graft status prior to transplantation
through analysis of biomarkers in the perfusion fluids. Here, the dynamic release
and phenotype of kidney EVs released during NMP were analyzed to examine whether EVs
could function as a potential biomarker for assessing kidney quality before transplantation.
Methods: Eight discarded kidneys (∼13 ± 5 hours of cold ischemia, age 68 ± 7 (mean
± standard deviation), all male) were perfused in a closed system at 37C for 6 hours.
Perfusates were taken before and at 1, 3 and 6 hours and examined with Nanoparticle
Tracking Analysis (NTA) and Imaging Flow Cytometry (IFCM). For IFCM, perfusates were
stained with the tetraspanin EV markers CD9, CD63 or CD81, or a mix of the three markers
in combination with CFSE to identify, quantify and characterize EVs.
Results: Analysis of perfusates with NTA revealed that the majority of nanoparticles
present in the perfusates are < 300 nm. Using IFCM, we selectively studied these small
nanoparticles. For CFSE and the mix of tetraspanin double‐positive EVs, we observed
a ∼700 / 740 / 560 fold increase compared to EV levels before perfusion at 1, 3 and
6 hours of NMP, respectively. Especially after 1 hour of NMP, double‐positive EV levels
were found to be positively correlated with donor age whilst negative correlations
were found for cold ischemia time. Furthermore, tetraspanin CD81 was found to represent
the majority (∼70%) of the excreted double‐positive EV (CD9: ∼15% / CD63 < 10%).
Summary/Conclusion: EVs are excreted during NMP with highest excretion levels during
the first hour of perfusion. Tetraspanin CD81 is predominantly present on these EVs.
The characterization of the excreted EVs as well as their correlation with clinical
parameters provides a starting point to study their role as potential biomarkers of
kidney quality.
Funding: The authors declare no funding‐related or other conflicts of interest.
OS29.05
Novel avenue of allograft monitoring: direct measurement of donor‐derived extracellular
vesicles in human plasma
Wouter W. Woud; Dennis Hesselink; Martin Hoogduijn; Carla Baan; Karin Boer
Erasmus MC Transplant Institute, Department of Internal Medicine, University Medical
Center Rotterdam, Rotterdam, The Netherlands, Rotterdam, Netherlands
Introduction: Extracellular Vesicles (EV) ‐ regarded as “snapshots” of their cell
of origin ‐ represent promising liquid biomarkers to monitor allograft function post
transplantation. Recently, we developed an imaging flow cytometry (IFCM) based protocol
to identify and characterize EV ≤ 400 nm in molecularly complex samples such as human
plasma without prior isolation of EV. Using this protocol, we measure allograft derived
EV based on HLA phenotype as a first step to detect allograft specific EV in the circulation
of kidney transplant (KTx) recipients.
Methods: EDTA blood samples from kidney transplant donors (HLA‐A2+, n=21) and recipients
(HLA‐A2‐, n=33) were collected before transplantation as well as 3 days, 7 days, 6
months and during ‘for‐cause’ biopsies (recipients only) after transplantation. Platelet‐poor
plasma (PPP) was stained with a donor‐specific HLA antibody (HLA‐A2) in combination
with a common EV marker (tetraspanin CD9) and measured using standardized IFCM.
Results: Quantification and comparison of CD9+/HLA‐A2+ double‐positive EV showed 1.1E7
± 8.9E6 vs 3.5E5 ± 2.5E5 objects/mL for donor and recipient (pre‐KTx) EV respectively,
with recipients A2‐ EV concentrations representing background level of the machine.
CV values for inter‐ and intra‐assay variability were 16% and 11%, respectively. Serial
dilution of A2+ PPP in A2‐ PPP (n=5) showed a linear reduction in the numbers of CD9+/HLA‐A2+
EV according to the dilution rate whilst total CD9+ EV levels remained unchanged.
The lower limit of detection of our protocol was defined as the dilution at which
point CD9+/HLA‐A2+ EV dropped below baseline (A2‐ PPP), and was determined to be ∼1%
of the concentrations measured in undiluted A2+ PPP. Measurement of longitudinally
collected recipient samples revealed the detection of allograft derived EV as soon
as 3 days – but up to at least 6 months – after KTx.
Summary/Conclusion: Here we demonstrate for the first time the detection of allograft
derived EV in the circulation of KTx recipients in unprocessed human plasma samples.
Identification, quantification and characterization of these EV opens up the possibility
to monitor these EV over time after transplantation, and may prove to be a minimally‐invasive
biomarker.
Funding: The authors declare no funding‐related or other conflicts of interest.
OS30: EVs as Early Biomarkers of Tumors
Chair: Susana Garcia‐Silva – Spanish National Cancer Research Centre (CNIO)
Chair: Irina Nazarenko – Institute for Infection Prevention and Hospital Epidemiology,
Faculty of Medicine, University Medical Center Freiburg, Freiburg, Germany
OS30.01
Small extracellular vesicles (sEVs) as biomarkers in head and neck squamous cell carcinoma
(HNSCC)
My Mahoney
1; Brianna L. Hill1; Joseph P. Flemming1; Sydney L. Gilmore1; Alban Linnenbach2; Larry
A. Harshyne1; Andrew South1; Joseph Curry1; Adam Luginbuhl1
1Thomas Jefferson University, Philadelphia, USA; 2Thomas Jefferson University, philadelphia,
USA
Introduction: HNSCC is the sixth most common cancer worldwide, often caused by chronic
alcohol and tobacco use or human papilloma virus (HPV) infection. Despite this prevalence,
there are no clinical biomarkers to delineate early disease, HPV status, and immune
checkpoint inhibitor (ICI) response. sEVs are emerging as potential cancer biomarkers
due to their critical roles in cell‐to‐cell communication and cancer development.
Methods: Circulating plasma of HNSCC patients and control volunteers was used to isolate
CD9, CD63, or CD81 positive sEVs by the immunoaffinity ExoRelease method. The sEVs
were characterized by Western blot and quantified by Nanoparticle Tracking Analysis.
sEV samples were subjected to bead‐based Multiplex profiling of 12 cancer‐specific
antigens (Luminex) as sEV surface markers, and results were compared to corresponding
total plasma. Machine learning (Weka Explorer) and pathway analysis (miRNet) were
then performed.
Results: Analysis of the Luminex data demonstrated that several known cancer biomarkers
were detected on the surface of HNSCC sEVs, with statistically significant differences
between HPV‐ and HPV+ patients. Weka analysis demonstrated that multiple cancer antigens
had a moderate correlation with HPV status, including HE4, b‐HCG, AFP, SCF, CEA, CA124,
and HGF. Of interest, HE4, a serine protease inhibitor that may protect sEVs from
degradation, was elevated in HPV‐ patients. miRNet target analysis revealed that miR‐155‐5p,
miR‐374a‐5p, miR‐1343‐3p, and miR‐146a‐5p target HE4. KEGG pathway analysis determined
that these miRNAs had the highest number of shared targets in pathways in cancer and
focal adhesion. Additional GO:BP pathway analysis showed that these miRNAs also had
numerous shared targets in the regulation of DNA binding. Using qPCR, it has been
demonstrated that sEVs from HPV‐ patients have lower levels of miR‐146a‐5p, as compared
to normal healthy donors. As HPV‐ patients appear to have high HE4 and low miR146a
while HPV+ patients have less HE4 and more miR146a, this data may demonstrate a correlation
between HE4 levels and the aggressiveness of HPV‐ HNSCC.
Summary/Conclusion: These combined studies suggest the potential for identifiable
cancer biomarkers, such as HE4, in HNSCC that could provide improvements in diagnosis
and treatment.
Funding: This work was supported by a NIAMS‐R01‐AR074314 to MGM, T32‐AA007463 to BLH
(trainee), and the Sidney Kimmel Cancer Center (Thomas Jefferson University) Support
grant 5P30CA056036‐20.
OS30.02
Plasma extracellular vesicles‐based liquid biopsy for Glioblastoma diagnosis and personalization
of care
Elena Zaccheroni
1; Sofia Fallo2; Stefania Faletti2; Daniela Osti2; Massimiliano Del Bene3; Francesco
DiMeco3; Giuliana Pelicci2
11. Department of Experimental Oncology, European Institute of Oncology (IEO), IRCCS,
Milan, Italy, Milano, Italy; 21. Department of Experimental Oncology, European Institute
of Oncology (IEO), IRCCS, Milan, Italy, Milan, Italy; 32. Department of Neurosurgery,
Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy, Milan, Italy
Introduction: Glioblastoma (GBM) is a lethal tumor of the Central Nervous System.
Diagnosis relies on MRI and brain biopsy which are challenged by low specificity,
sensitivity, invasive nature, and high cost. The molecular dynamism of GBM hampers
longitudinal monitoring of patients that can't face continual brain surgery to tailor
the therapy to the different stages of the disease.
Liquid biopsy is a promising bedside‐friendly procedure for early cancer diagnostics
and routine evaluation of the tumor status, and blood carries a plethora of tumor‐derived
molecules of which EVs hold potential as circulating biomarkers.
Methods: We separate EVs from soluble plasma components (proteins and HDL) by Size
Exclusion Chromatography (SEC), starting from 1ml of pre‐operative, platelet‐free
plasma.
EVs are characterized by (i) immunoblot and FACS for the presence of known EV markers;
(ii) TEM for morphology and size; (iii) Tunable Resistive Pulse Sensing (TRPS) for
size, concentration, and surface charge; (iv) RNAseq for RNA cargo profiling.
Results: SEC‐derived EVs express CD9, CD81, and Flotillin1 as EV‐related markers and
lack Cal‐nexin as a non‐EV marker. We probed ApoA1 and Albumin to assess contamination
of plasma proteins and found a different degree of positivity for the two contamination
markers in EVs from different patients.
EVs quantification by TRPS confirms their enrichment in the plasma from GBM patients.
We extracted EV‐RNA: its size is < 200nt and the total yield ranges between 1 and
10 ng among different samples, which is suitable for RNAseq to identify mutations,
splicing isoforms, translocations, fused mRNAs, and levels of GBM‐specific mRNAs.
Summary/Conclusion: Increased plasma‐EVs concentration is a reliable biomarker for
GBM presence and can be assessed by a clinically applicable protocol that pairs SEC
and TRPS.
The study of EV‐associated RNA will permit tumor profiling with a focus on the actionable
targets for a personalized approach.
Funding: This project is funded by the ERAPerMed grant.
OS30.04
Identification of an inflammatory biomarker signature in plasma‐derived extracellular
vesicles of glioblastoma patients
Chiara Cilibrasi1; Thomas Simon2; Marian Vintu1; Christos Tolias1; Mark Samuels1;
Nektarios K. Mazarakis3; Murat Eravci1; Nicolas Stewart4; Giles Critchley5; Georgios
Giamas
1
1Department of Biochemistry and Biomedicine, School of Life Sciences, University of
Sussex, Brighton, BN1 9QG, UK, Brighton, United Kingdom; 2Department of Biochemistry
and Biomedicine, School of Life Sciences, University of Sussex, Brighton, BN1 9QG,
UK, Los Angeles, USA; 3Department of Neurosurgery, Beaumont Hospital, Dublin, D09
V2N0, Ireland, Dublin, Ireland; 4Centre for Stress and Age Related Diseases, School
of Applied Sciences, University of Brighton, Brighton, BN2 4GJ, UK, Brighton, United
Kingdom; 5Department of Neurosurgery, University Hospitals Sussex, Brighton, BN2 5BE,
UK, Brighton, United Kingdom
Introduction: Diagnosis of Glioblastoma (GBM), an aggressive type of brain tumour,
remains a clinical challenge, currently relying on symptomatic presentation of the
tumour, brain imaging and invasive biopsy. Description of effective biomarkers in
biofluids could therefore prove invaluable in GBM diagnosis. Extracellular vesicles
(EVs) are essential to intercellular crosstalk in the tumour bulk and circulating
EVs have been described as a potential reservoir of GBM biomarkers. Therefore, EV‐based
liquid biopsies have been suggested as a promising tool for GBM diagnosis and follow
up.
Methods: Healthy donors and consenting GBM patients were enrolled at the Royal Sussex
County Hospital (Brighton, UK) and an ethical approval was obtained for a prospective
laboratory study. To identify GBM specific proteins, small EVs (sEVs) were isolated
from plasma samples using differential ultracentrifugation and validated through Nanoparticles
tracking analysis, transmission electron microscopy and detection of known sEVs markers
such as CD9, CD63, CD81 and HSP70. sEVs content was characterised through mass spectrometry
and bioinformatic tools.
Results: Our data indicate the presence of a GBM inflammatory biomarker signature
comprising members of the complement and regulators of inflammation and coagulation
including VWF, FCGBP, C3, PROS1, and SERPINA1. Bioinformatic analysis highlighted
that all potential markers exclusively identified in patient samples had already been
linked with either GBM diagnosis, prognosis or associated signalling, suggesting that
sEVs protein cargo could mirror the landscape of the original tumour and that selective
circulating sEV‐derived proteins might be used as hallmarks for GBM patients.
Summary/Conclusion: Overall, this study is a step forward in the development of a
non‐invasive liquid biopsy approach for the identification of valuable biomarkers
that could significantly improve GBM diagnosis and, consequently, patients’ prognosis
and quality of life.
Funding: This research was funded by Action Against Cancer, grant number ID6758/G1867
OS30.06
Vesicular IL‐8 and miR‐146a Correlate with Response to Immunotherapy in Head and Neck
Squamous Cell Carcinoma
Brianna L. Hill1; Alyssa N. Calder2; Joseph Flemming2; Larry Harshyne2; Sydney Gilmore2;
Melissa Trofa2; Sean Daniels3; Alban Linnenbach3; Ulbaldo Martinez‐Outshoorn3; Andrew
South2; Joseph Curry2; Adam Luginbuhl2; My Mahoney
2
1Thomas Jefferson University, Mohrsville, USA; 2Thomas Jefferson University, Philadelphia,
USA; 3Thomas Jefferson University, philadelphia, USA
Introduction: HNSCC tumors harbor distinct genetic, immunogenic, and clinical characteristics.
Anti‐programmed‐death‐1 (aPD1) immune checkpoint inhibition (ICI) has triggered a
recent paradigm shift in treatment; yet, only a fraction of patients respond and there
is a critical lack of biomarkers. Small extracellular vesicles (sEVs) are emerging
as important sources of biomarkers; however, the isolation and purification of sEVs
from patient plasma poses a major challenge.
Methods: The Immunoaffinity ExoRelease™ method was used to isolate CD9, CD63 or CD81
positive sEVs from the pretreatment plasma of previously untreated HNSCC patients
undergoing neoadjuvant aPD1 ICI with nivolumab in a clinical trial. These sEVs were
characterized using Nanoparticle Tracking Analysis and Western blot. The miRNA content
of sEVs was analyzed by miRNAseq (Aligned to Genome Reference Consortium Human Build
38 (GRCh38)) and machine learning (Weka Explorer) was used to identify miRNAs including
miR‐146a, that strongly correlated with response to treatment. To investigate the
impact of miR‐146a in vitro, HNSCC UMSCC1 cells were transduced using the XMIRXpress
system to overexpress miR‐146a and target them for loading into sEVs. Proliferation
was assessed by WST‐1 assay.
Results: Profiling by miRNAseq and analysis by Weka Explorer revealed that 12 miRNAs
were very strongly correlated with response prior to treatment. Reactome Pathway analysis
of the targets of the miRNAs that were correlated with response were involved in immune‐related
pathways. While the levels of miRNAs did not change in response to treatment, there
was a statistically higher level of anti‐inflammatory miRNAs, including miR‐146a,
which secondarily targets the pro‐inflammatory cytokine IL‐8 in responders vs non‐responders.
Circulating IL‐8 was also down‐regulated in HPV(+) responders. In response to mir‐146a,
UMSCC1 cells showed decreased proliferation and down‐regulation of the miR‐146a target
IRAK1, a kinase that leads to the NFkB‐mediated expression of IL‐8. UMSCC1 cells treated
with miR‐146a‐loaded sEVs lead to a dramatic reduction in IL‐8.
Summary/Conclusion: Pretreatment peripheral blood sEV miR‐146a correlated with clinical
and pathologic response to neoadjuvant aPD1 ICI in HNSCC patients. This novel finding
may suggest promise for both mechanistic understanding of therapeutic response and
biomarker potential.
Funding: This work was supported by a NIAMS‐R01‐AR074314 to MGM and T32‐ AA007463
to BLH (trainee).
Poster Presentations
PT01: Physiology and Pathology: Stem Cells and Tissue Injury Repair
Chair: Dirk Strunk – Cell Therapy Institute, Spinal Cord Injury and Tissue Regeneration
Center Salzburg (SCI ‐ TReCS), Paracelsus Medical University (PMU), Salzburg, Austria
Chair: Daniel W Hagey – Department of Laboratory Medicine, Karolinska Institutet,
Stockholm, Sweden
PT01.01
A comparison of anti‐inflammatory properties of different preparations of IL‐1β primed
mesenchymal stromal cells conditioned medium
Marianne DEDIER1; Muriel NIVET2; Juliette Peltzer2; Sylvie Goulinet3; Philippe Mauduit3;
Sébastien Banzet2; Marina Trouillas2
1Institut de Recherche Biomédicale des Armées / INSERM UMR‐MD 1197, CLAMART, France;
2Institut de Recherche Biomédicale des Armées / INSERM UMR‐MD 1197, Clamart, France;
3Inserm UMR‐MD 1197, Villejuif, France
Introduction: Mesenchymal Stromal Cells (MSC) have become an emerging therapeutic
option in the field of tissue repair and especially for wound healing through their
immunomodulatory and remodeling properties. These last years, these properties seem
to be closely linked to their secretory products, also called conditioned medium (CM),
composed of free bioactive molecules but also extracellular vesicles (EV) containing
lipids, proteins and small RNAs. The discovery of their plasticity with regard to
various environmental stimuli has more recently opened up new therapeutic perspectives,
such as priming strategies. Our team previously showed that IL‐1β primed MSCs CM can
improve wound healing, but entities which carry MSC's potency are not clearly established.
The aim of the present study was to compare the anti‐inflammatory efficacy of free
bioactive molecules or EV concentrated from MSC secretome with an in vitro test.
Methods: CM were collected after 48h of IL‐1β primed MSC secretion in MEMα medium.
Tangential flow filtration was used to isolate and concentrate interesting products
contained in CM. 500 or 10 KD cut‐off mPES filter allowed to respectively isolate
EV, EV and soluble molecules or soluble molecules alone when associated with a successive
10KD filtration. CM were characterized by NTA, protein quantification and ELISA analysis
before and after filtration. These different preparations were added to LPS‐challenged
THP‐1 cell line at different concentration of protein or EV. After 24H, TNFα and IL1‐RA
secretions were analyzed by ELISA.
Results: These different preparations reduced similarly the inflammatory response
of LPS‐challenged THP‐1 cell line as represented by a strong decrease of TNF‐α and
an increase of IL‐1RA secretions at the minimal dose of 10 μg/ml of proteins or 1x108
particles/ml.
Summary/Conclusion: Overall, this study underlines the importance of the process on
product's efficacy and would benefit for future clinical wound healing applications.
Funding: PhD scholarship is funded by "Agence Innovation Défense" and "Direction Générale
de l'Armement".
PT01.02
ADSC‐EVs and macrophage polarisation in fat grafting for post‐mastectomy breast reconstruction
Emma Symonds1; Kathryn Hally1; Alexander Brown2; Margaret Currie3; Elizabeth Dennett1;
Ineke Meredith4; Kirsty M. Danielson1
1Department of Surgery and Anaesthesia, University of Otago, Wellington, New Zealand,
Wellington, New Zealand; 2Department of Surgery, Wellington Regional Hospital, Wellington,
New Zealand, Wellington, New Zealand; 3Mackenzie Cancer Research Group, University
of Otago, Christchurch, New Zealand, Wellington, New Zealand; 4Department of General
Surgery, Wakefield Hospital, Wellington, New Zealand, Wellington, New Zealand
Introduction: Despite autologous fat grafting (AFG) being a favourable post‐mastectomy
breast reconstruction option, graft retention rates are variable. Enriching the grafted
tissue with extracellular vesicles (EVs) released from adipose derived stem cells
(ADSCs) may promote retention. However, we need to understand the immunogenic effect
of ADSC‐EVs on resident cells in the breast cavity, such as macrophages. We aimed
to characterise the immune effect of ADSC‐EVs on macrophages in vitro.
Methods: Following written informed consent, fat samples were collected from three
women undergoing AFG in Wellington, New Zealand. ADSCs were isolated enzymatically
and cultured in EV‐depleted media. ADSC‐EVs were isolated from media using size exclusion
columns on an automated fraction collector (qEV35, Izon) and characterised by qNano,
Cryo‐TEM and Western Blotting. Monocytes were isolated from whole blood of two healthy
volunteers and cultured towards M0 (unpolarised), M1‐like (pro‐inflammatory) or M2‐like
(anti‐inflammatory) phenotypes. ADSC‐EVs were added to cultures for 48hrs to achieve
a “high” (10:1 of ADSC‐EVs:macrophages) or “low” (1:1) exposure. Macrophages±EVs were
examined using a flow cytometry panel interrogating antigen presentation (CD86, CD80,
HLA‐DR), adhesion (CD11b), pattern recognition (TLR4, CD14) and scavenger receptor
expression (CD36, CD163).
Results: High exposure of ADSC‐EVs significantly reduced expression of markers associated
with antigen presentation, adhesion and scavenging on all macrophage phenotypes. M0
and M2‐like phenotypes were unaltered by low EV exposure although, M1‐like macrophages
increased expression of CD86, HLA‐DR and CD36 (20‐64% increase in marker expression,
p< 0.05). Pattern recognition receptor expression was unaffected by ADSC‐EVs at either
exposure.
Summary/Conclusion: ADSC‐EVs appear to be complex regulators of macrophage function
that, dependant on exposure, potentially dampen traditional pro‐inflammatory pathways.
Funding: This study was funded by the Marsden Fund and HRC NZ.
PT01.03
An organoid‐based kidney‐liver Multi‐Organ‐on‐a‐Chip model to study the therapeutic
effects and bio‐distribution of mesenchymal stromal cell‐derived extracellular vesicles
Vivian V. Nguyen1; Shicheng Ye2; Vasiliki Gkouzioti1; Dennis Melkert1; Sofia Siti1;
Bart de Jong1; Bart Spee2; Reyk Horland3; Luc van der Laan4; Marianne Verhaar1; Bas
W. van Balkom1
1UMC Utrecht, Utrecht, Netherlands; 2Utrecht University, Utrecht, Netherlands; 3TissUse
GmbH, Berlin, Germany; 4Erasmus Medical Center, Rotterdan, Netherlands
Introduction: Mesenchymal stromal cell (MSC)‐derived small EVs (sEVs) show therapeutic
potential in multiple disease models, including kidney injury. Clinical translation
of sEVs requires further preclinical and regulatory developments, like elucidation
of the mode of action (MoA) and formulation of safety and release criteria. sEVs tend
to accumulate in the liver and at sites of injury. Biodistribution knowledge is crucial
to assess MoA, efficacy and safety, and can be obtained using labelled sEVs in animal
models, which come with ethical concerns, are time‐consuming and expensive, and do
not represent all human physiological processes equally well. We hypothesized that,
based on developments in microfluidics and human organoid biology, in vitro multi‐organ‐on‐a‐chip
(MOC) models allow to study effects of sEVs in human organs in a semi‐systemic manner.
Methods: Human kidney‐ and liver organoids were combined by microfluidics. Barrier
integrity, transport (kidney) and transport and glycogen storage (liver) were assessed.
A kidney injury model was established. MSC‐sEVs were isolated via sequential ultracentrifugation
and characterized by sucrose density gradient analysis, immunoblotting and nanoparticle
tracking analysis. PKH67‐labelled sEVs were applied in the kidney injury model and
recovery and biodistribution were analyzed.
Results: In our MOC, kidney‐ and liver‐ organoids maintained physiological functions.
The renal epithelium showed barrier and transport function, and liver organoids showed
transport and glycogen storage capability. Upon H2O2 treatment, renal barrier function
declined, and recovered when MSC‐sEVs were applied. Microscopic analysis show increased
sEV accumulation in liver‐ and kidney cells after injury versus healthy control condition.
Summary/Conclusion: Our MOC model recapitulates the efficacy and biodistribution of
MSC‐sEVs as observed in animal models. Its human background allows for in‐depth analysis
of the MoA and identification of potential side effects.
Funding: This research was funded by Health∼Holland TKI‐LSH, the Dutch Heart Foundation,
the EU H2020 research and innovation programme under Marie S. Curie Cofund RESCUE
grant agreement No 801540 (to M.C.V.), Gravitation Program “Materials Driven Regeneration”,
funded by the Netherlands Organization for Scientific Research, the Dutch Kidney Foundation,
the Dutch Society for the Replacement of Animal Testing, ZonMW/SGF
PT01.04
Bioderived therapeutics in chronic liver diseases
Aymar A. Ganguin1; Cristina Zivko2; Paola Luciani3
1University of Bern, Bern, Switzerland; 2Johns Hopkins, Baltimore, USA; 3University
of Bern DCBP, Bern, Switzerland
Introduction: Hepatic stellate cells (HSCs) play a key role in liver fibrosis, a pathological
phenomenon often associated with the progression of various chronic liver diseases,
including viral hepatitis, alcoholic liver disease, and metabolic associated fatty
liver disease (MAFLD), conditions which together account for >1.3 million worldwide
yearly deaths. Following liver injury, HSCs may transdifferentiate from a quiescent
(anti‐fibrotic) into a myofibroblast‐like pro‐fibrotic (activated) state, which, if
unresolved, leads to fibrosis.1 C. Zivko et al. showed that extracellular vesicles
(EVs) shed by quiescent LX‐2 (human HSC cell line) cells can trigger an anti‐fibrotic
effect on naïve LX‐2 cells.2 Therefore, we hypothesised that LX‐2 produced cell‐ derived
nanovesicles (cdNVs) will preserve the fibrosis‐resolving features of EVs and additionally
increase the therapeutic applicability due to higher yield and better scaling potential
compared to standard EVs.
Methods: CdNVs were produced by serial extrusion3 of confluent LX‐2 and purified by
an iodixanol gradient, followed either by size exclusion chromatography (SEC) and
ultracentrifugation (UC), or by UC only. LX‐2 cells were either treated with polyenylphosphatidylcholines‐rich
lipid S80 (anti‐fibrotic) or with transforming growth factor β1 (TGF‐β1, pro‐fibrotic)
prior to cdNV production. The formed particles were characterized by concentration
and size using nanoparticle tracking analysis, as well as by their protein content
using a micro bicinchoninic acid (BCA) assay. The effect of cdNVs from differently
treated LX‐2 cells on seeded LX‐2 (untreated) cells was investigated with fluorescent
microscopy4, AdipoRedTM assay and qPCR.
Results: CdNVs from differently treated LX‐2 yielded similar yields, protein amounts,
size distribution, and zeta potential values. The yield for UC purified cdNVs was
2.20 to 8.20‐fold higher than that of EVs, while purification via SEC + UC cdNVs led
to a 1.04 to 6.10‐fold increase. Fluorescent microscopy as well as AdipoRed assay
results revealed an increase in cytosolic lipid droplets in LX‐2 upon cdNV administration,
which is directly correlated with fibrosis resolution.
Summary/Conclusion: Our results suggest an anti‐fibrotic potential in cdNVs which
could lead to the development of cell‐derived therapeutics against liver fibrosis.
Funding: C.Z. and P.L. gratefully acknowledge the Phospholipid Research Centre for
the financial support (Grant ID: PLU‐2017‐ 056/2‐1).
PT01.05
Effect of extracellular vesicles derived from platelets and from mesenchymal stromal
cells on an in vitro model of osteoarthritis‐induced cartilage explants
Maria Antònia Forteza‐Genestra1; Miquel Antich‐Rosselló2; Guillem Ramis‐Munar3; Javier
Calvo4; Antoni Gayà4; Marta Monjo5; Joana Maria Ramis5
1Institut d'investigació Sanitària de les Illes Balears, Palma, Spain; 2Institut d'investigació
Sanitària de les Illes Balears, Palma De Mallorca, Spain; 3Cellomics Unit, Institut
Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic
Islands, Palma, Spain; 4Banc de Sang i Teixits de les Illes Balears, Palma, Spain;
5Universitat de les Illes Balears, Palma, Spain
Introduction: Extracellular vesicles (EVs) are being explored for regenerative medicine,
and one of the target diseases is osteoarthritis (OA), whose current treatments present
secondary effects and limited efficacy. Since platelet rich plasma (PRP) has shown
promising effects in OA and platelet lysate (PL) is being studied as its alternative
since it presents some advantages compared to PRP, specifically EVs present in PL
seem to be responsible for its regenerative effect. However, EVs from other sources
such as mesenchymal stromal cells (MSCs) are also being studied as a possible treatment
for OA. Thus, we aimed at evaluating the effectiveness of PL‐derived EVs (pEVs) as
a new treatment for OA in an in vitro OA‐induced model using human cartilage explants
compared to EVs derived from conditioned media of human umbilical cord MSC (hUC‐MSCs).
Methods: EVs isolated by size exclusion chromatography from PL or conditioned media
of hUC‐MSCs were characterized in terms of size and particle concentration by transmission
electron microscopy, nanoparticle tracking analysis and in terms of protein content
by total protein quantification and western blot. After the inflammation of human
cartilage explants was established (OA‐induced in vitro model), the explants were
treated with PL‐derived EVs (pEVs) or conditioned media of hUC‐MSCs derived EVs (cEVs)
for 14 days. Then, DNA, glycosaminoglycans and collagen content was quantified. Moreover,
an histological study was performed with toluidine blue and Sirius red staining. Finally,
EVs uptake was monitored through a 5‐hour study using PKH‐26 labelled EVs.
Results: pEVs and cEVs presented typical tetraspanin markers and no differences were
found in terms of size and particle concentration. pEVs treated cartilage explants
presented statistically significant higher content of collagen compared to control
and cEVs treated groups. Higher DNA content was also found for the pEVs treated group
compared to the OA group without treatment. However, no differences were found in
GAG quantification nor in the in vitro uptake within any group.
Summary/Conclusion: Higher collagen content on the extracellular matrix of inflamed
cartilage explants was observed when treatment with pEVs was used, showing better
results than cEVs. However, further studies using different models are needed in order
to verify if pEVs are good candidates for OA treatment.
Funding: This research was funded by Instituto de Salud Carlos III, Ministerio de
Economía y Competitividad, co‐funded by the ESF European Social Fund and the ERDF
European Regional Development Fund (MS16/00124; CP16/00124), PROGRAMA JUNIOR del proyecto
TALENT PLUS, construyendo SALUD, generando VALOR (JUNIOR01/18), financed by the sustainable
tourism tax of the Balearic Islands, and the Direcció General d'Investigació and Conselleria
d'Investigació, Govern Balear (FPI/2046/2017).
PT01.06
Extracellular Vesicles: Novel Mediators of Peritoneal Adhesions Formation?
Miriam Sandanusová1; Anna Kocurková1; Michaela Kerberová1; Kristýna Turková2; Lukáš
Kubala1; Gabriela Ambrožová3
1Department of Experimental Biology, Faculty of Science, Masaryk University, Brno,
Czech Republic, Brno, Czech Republic; 2Institute of Biophysics of the Czech Academy
of Sciences, Kralovopolska 135, 61265 Brno, Czech Republic, Brno, Czech Republic;
3Institute of Biophysics, Academy of Sciences of the Czech Republic, Brno, Czech Republic,
Brno, Czech Republic
Introduction: Peritoneal adhesions (PAs) represent one of the major complications
following abdominal surgery leading to symptoms such as chronic pain and infertility.
PA development is primarily caused by activation of the mesothelial layer in the peritoneal
membrane, resulting in the transition of mesothelial cells and fibroblasts to pro‐fibrotic
phenotype. PA formation is an intricate process where inflammation, hypoxia, and deregulated
fibrinolysis take place, all accompanied by extensive intercellular communication.
Here, we aimed to provide a novel insight into the mechanism of PA formation by describing
the involvement of EVs in the process.
Methods: Two subpopulations of EVs (small and large) were isolated by multistep ultracentrifugation
from peritoneal fluid of healthy C57Bl/6J mice and mice with induced PAs. Changes
in EVs production were evaluated 1, 3 and 10 days after PA induction. EVs analyses
included determination of total protein concentration, characterization of protein
expression by western blotting, particle number assessment by MADLS®, and visualization
by cryo‐EM.
Results: The production of EVs was increased in the peritoneum of fibrotic mice, especially
1 and 3 days after PA induction. Besides, the pro‐fibrotic marker TGF‐beta was detected
in the EVs fractions isolated from mice 1 and 3 days after PA induction; the increase
being statistically significant in the 1‐day PA group when compared to healthy controls.
Moreover, mesothelin was present in the peritoneal EVs, suggesting mesothelial origin
of the EVs.
Summary/Conclusion: Our results provide the first evidence that EVs play role in PA
formation. Understanding the exact involvement of EVs in the peritoneal fibrosis development
may advance therapeutic strategies targeting the protection of physiological functions
of the peritoneal membrane.
Funding: European Regional Development Fund ‐ Project INBIO (CZ.02.1.01/0.0/0.0/16_026/0008451);
GAMU (MUNI/C/0023/2020).
PT01.07
Extracellular vesicle and modulation of miR‐93 in kidney disease
Charmi Dedhia1; Paolo Neviani1; Hasmik Soloyan1; Benedetta Bussolati2; Sargis Sedrakyan3;
Laura Perin4
1Children's Hospital Los Angeles, Los Angeles, USA; 2Department of Medical Sciences,
University of Turin, 10126 Turin, Italy, Torino, Italy; 3Children's Hospital Los Angeles
‐ University of Southern California, Los Angeles, USA; 4Children's Hospital Los Angeles‐University
of Southern California, Los Angeles, USA
Introduction: Modulation of miRNAs in cells of the glomerular filtration barrier is
associated with renal diseases. Our data indicate that miR‐93, a potent regulator
of glomerular damage, is down‐regulated in glomeruli of mice with Alport syndrome
(AS, our model of the renal disease characterized by a mutation in coll4a5) as well
as in glomeruli of AS patients. Here, we investigated the role of hEVs derived from
human amniotic fluid stem cells (hAFSC) in disease‐modifying activity in vitro and
in vivo by regulation of miR‐93.
Methods: hEVs were isolated by differential ultracentrifugation (from multiple consented
donors), characterized by Guava easyCyte cytometry, Exoview, immune‐modulatory activity
(Mixed Lymphocyte Culture), RNA‐seq, and proteomics. KO hEVs for miR‐93 (hEVsmir‐93‐/‐)
were generated; transfer and modulation of miR‐93 (and its targets) in damaged human
glomerular was evaluated in vitro. hEV therapeutic effect was also evaluated in Alport
mice by biodistribution, RNA‐seq, spatial transcriptomics, renal function, and survival.
Results: hEV (∼170nm) yield is ∼2.8x1010EVs/1x106cells/24hrs. hEVs express CD9, CD63
and CD81, VEGFR1, CD73, CD44, and CD90. hEVs do not initiate activation PBMC and downregulate
their response after activation. Proteomics identified 675 proteins and RNA‐seq 2,535
miRs, with miR‐93 higher expressed. In vitro, hEVsmir‐93‐/‐ did not rescue damage
in glomerular cells vs hEVsmir‐93+/+. The rescue was confirmed by direct transfer
of miR‐93 by hEVs to the targeted cells. When injected in AS mice, hEVs localized
in the kidney, corrected proteinuria and prolong the lifespan. No side effects were
noted. RNA‐seq of glomeruli from injected mice showed similar gene expression patterns
to WT, by cluster analysis. Spatial transcriptomics data indicated that hEVs modulated
pathways involved glomerular cell survival and remodeling (such as) VEGF, FGF, TNF,
and preserved glomerular cell structure and function.
Summary/Conclusion: hAFSC‐EVs modulated pathways that are central to glomerular homeostasis
and preserved glomeruli structure with improved kidney function through the transfer
of miR‐93. This suggests the possibility of using hAFSC‐EVs as a new therapeutic option
for treating AS.
Funding: NIH R01 R01DK121037
PT01.08
Large‐scale expansion of induced pluripotent stem cell (iPSC) using bioreactors to
produce therapeutically active extracellular vesicles (EVs)
André Cronemberger Andrade1; Martin Wolf1; Heide‐Marie Binder1; Fausto Gueths Gomes1;
Felix Manstein2; Patrica Ebner Peking1; Rodolphe W. Poupardin1; Robert Zweigerd2;
Katharina Schllmoser3; Dirk Strunk1
1Cell Therapy Institute, Spinal Cord Injury and Tissue Regeneration Center Salzburg
(SCI ‐ TReCS), Paracelsus Medical University (PMU), Salzburg, Austria, Salzburg, Austria;
2Department of Cardiac, Thoracic, Transplantation and Vascular surgery, Leibniz Research
Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover Medical School,
Hannover, Germany, Hannover, Germany; 3Department of Transfusion Medicine and SCI‐TReCS,
PMU, Salzburg, Austria, Salzburg, Austria
Introduction: Improvement of protocols and methods using bioreactors for extracellular
vesicles isolation is essential to produce vesicles with good quality and quantity.
We choose to obtain vesicles from stem cells that secrete several paracrine factors
including EVs that are important in cellular communication and can support the regeneration
of injured tissues. A strategy to improve the function of the EVs derived from steam
cells was preconditioning them using reduced oxygen conditions (hypoxia). As hypoxia
is a key regulator in development and regeneration it may be an important factor influencing
cellular communication via EVs. Here we investigated whether hypoxic pre‐conditioning
and cultivation in bioreactors can influence iPSC‐EV EV quantity, quality and, EV‐based
angiogenic potential.
Methods: We cultivated iPSC in bioreactor or cell factories to produce iPSC EVs isolating
using tangential flow filtration (TFF) from iPSC conditioned media from different
oxygen level conditions, with further subsequent concentration by ultracentrifugation
(TUCF). We quantified EVs by tunable resistive pulse sensing (TRPS). We characterized
the EVs by immunoblotting for EV markers and using super‐resolution microscopy (dSTORM).
To check the functionality of the EVs derived from different oxygen conditions we
performed an ECFC network formation assay on matrigel.
Results: EV quantity did not differ significantly at different oxygen conditions,
but we also observed a higher yield of EVs when the cells were cultivated in bioreactors.
In immunoblots, we found enrichment of the tetraspanins and Alix for the Ev purifications
and not for Calnexin. We observed an elevated angiogenic potential on iPSC‐EVs derived
from 1% oxygen culture by TFF compared with iPSC‐EVs from 5% and 18% conditions and
soluble factors. An extended purification method to further concentrate the EVs by
ultracentrifugation (TUCF) after TFF reduced the pro‐angiogenic effect and showed
a reduced amount of growth factor (VEGF) on the EVs.
Summary/Conclusion: We conclude that selecting a good strategy together with an improved
protocol method can increase the production and function of iPSC‐EVs from large‐scale
iPSC cultures (bioreactor) by TFF and concentrated by TUCF.
Funding: This research was funded by the European Union's Horizon 2020 research and
innovation program and by Land Salzburg in the framework of EV‐TT, EV‐TT – Bpro, and
Cancer Cluster Salzburg. R.Z. received funding from the German Research Foundation,
the German Ministry for Education and Science, and the European Union H2020 project
TECHNOBEAT.
PT01.09
MSCs can restore the extracellular vesicles regenerative potential after in vitro
damage
Nataliya Basalova1; Olga Grigorieva1; Maxim Vigovskiy2; Uliana Dyachkova3; Natalia
Aleksandrushkina1; Mikhail Arbatskiy3; Anastasia Efimenko2
1Institute for Regenerative Medicine, Medical Research and Education Center, Lomonosov
Moscow State University, Moscow, Russia, Moscow, Russia; 2Institute for Regenerative
medicine, Medical Research and Education Center, Lomonosov Moscow State University,
Moscow, Russia; Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia,
Moscow, Russia; 3Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia,
Moscow, Russia
Introduction: MSCs are one of the most important cell types that regulate tissue regeneration.
Еxtracellular vesicles (EV) secretion are one of the key process mediating this MSC
effects. However, MSC may change secretory phenotype in response to damage. Are these
changes preserved when the normal tissue structure is restored? Using several in vitro
models of damage, we have evaluated the changing and recovery of the EV regenerative
potential.
Methods: To creating damaging conditions, we used a models of cellular aging (under
the influence of free radicals from H2O2), chronic inflammation (using M2‐macrophages
conditioned medium) or profibrotic conditions (using decellularized fibroblasts extracellular
matrix with TGFβ). EV were isolated from MSCs conditioned medium immediately after
influence of damaging stimuli and 2 weeks later to assess the recovery of the regenerative
potential. The regenerative potential was evaluated using an in vitro models of angiogenesis,
TGFb‐induced transdifferentiation fibroblasts to myofibroblasts and the ability of
EV to maintain cells (spermatogonial stem cells) stemness.
Results: Thus, we have shown that immediately after injury, there is a tendency to
a decrease in the angiogenic potential of EV. The antifibrotic and stemness‐supporting
potentials of EV dramatically decreases to the level of the corresponding controls.
However, after removal of the action of matrix and TGFb or H2O2, MSC are able to restore
the EV antifibrotic potential to the level of EV from normal MSC. Only EV, after exposure
to M2 conditioned medium, restore their stemness‐supporting potential.
Summary/Conclusion: Thus, we have shown that after various damaging effects, EV lose
their regenerative potential. This potential can be partisially restored when cells
return to normal conditions. Apparently, the possibility and degree of the EV‐MSC
regenerative potential restoration largely depends on the type of damaging effect.
Further studies are needed to understand the dynamics of this process in vitro and
in vivo.
Funding: The study was supported by RFBR # 19‐29‐04172.
PT01.10
Mesenchymal Stem/Stromal Cells‐derived EVs neuroprotection: which is the responsible
cargo?
Elisa Tonoli; Maria Pia Savoca; Elvina Chrysanthou; Gareth Cave; Elisabetta AM Verderio
Nottingham Trent University, Nottingham, United Kingdom
Introduction: Mesenchymal Stem/Stromal Cells (MSCs) are multipotent progenitor cells
able to mediate anti‐inflammatory and cytoprotective effects in several pathologies,
such as Alzheimer's Disease (AD). An important fraction of the MSCs secretome is carried
by Extracellular Vesicles (EVs), which act as shuttles to deliver neuroprotective
molecules to the brain. However, the mechanism leading to MSCs‐EVs neuroprotection
is poorly known. The aim of this study is to identify neuroprotective EVs‐cargo, using
an in vitro AD model as initial validation system.
Methods: MSCs were purchased (ATCC, n=1) or established from human cord tissues (n=3)
provided by the Anthony Nolan Cell Therapy Centre following approval from their Ethical
Committee. MSCs at passage 3 (p3) were characterized for specific markers by Flow
cytometry and small EVs isolated by serial centrifugation after 24 h incubation in
serum‐free medium (p4‐8). EVs were characterized by western blotting (positive markers:
ALIX, FLOT‐2, CD63; negative markers: TOM20, GS28), ZetaView, ExoView and TEM. EVs
cargo from MSCs and control human dermal fibroblasts (HDF) was analyzed by comparative
SWATH‐MS proteomics and digital transcriptomics (nanoString). EVs were also evaluated
for cytokine content by 27‐plex ELISA.
Results: SWATH‐MS led to the identification of 47 proteins consistently changed in
MSCs‐EVs compared to HDF (confidence ≥ 65%, n=4), of which 9 were enriched (log2FC≥1).
Gene Ontology revealed that the majority has cell adhesion functions or is involved
in adhesion/survival signaling. Transcriptomic analysis by nanoString led to the quantification
of ∼351 miRNA, of which 97 were increased in MSCs‐EVs compared to HDF (FC≥1.5), including
miRNAs related to anti‐inflammatory processes. Multi‐plex ELISA showed an enrichment
of immunoregulatory cytokines (p≤0.05).
Summary/Conclusion: Adhesion‐related signaling and delivery of anti‐inflammatory miRNAs
might concur to the mechanism mediating MSCs‐EVs neuroprotection. The neuroprotective
capability of relevant molecules is under validation using an in vitro AD model based
on primary mouse hippocampal neurons treated with amyloid‐β.
Funding: Marmont Foundation and the Health and Wellbeing Talent Fellowship (Nottingham
Trent University).
PT01.11
Scalable production of small extracellular vesicles (sEV) for immune therapy: integrating
management of cellular stress in upstream processing
Laurence De Beaurepaire1; Thibaud Dauphin2; Claire Boursier2; Claire Nouguier2; Mathilde
Laubert2; Mailys Le Devehat2; Lucie Grare2; Quentin Le Yondre2; Quentin Pruvost2;
Eugénie Lahet2; Dominique Jegou2; Philippe Courcoux3; Aurélien Dupont4; Julien Pichon5;
Laurence Dubreil5; Mayeul Collot6; Blandine Lieubeau2; Grégoire Mignot2; Jean‐Marie
Bach2; Steffi Bosch2; Mathilde Mosser2
1IECM, ONIRIS, INRAE, USC1383, Nantes, France, Nantes, France; 2IECM, Oniris, INRAE,
USC1383, Nantes, France, Nantes, France; 3StatSC, Oniris, INRAE, USC 1381, Nantes,
France, Nantes, France; 4MRic, Biosit, UMS3480 CNRS, University of Rennes 1, Rennes,
France, Rennes, France; 5PAnTher, INRAE, Oniris, F‐44307 Nantes France, Nantes, France;
6Laboratoire de Biophotonique et Pharmacologie, UMR CNRS 7213, Université de Strasbourg,
Illkirch, France, Strasbourg, France
Introduction: Current advances in the development of sEV‐based therapeutics highlight
the need for scalable production. Stirred tank bioreactors allow culturing adherent
cells on microcarriers or in aggregates at large scale, but potentially engender cellular
stress responses due to shearing forces and serum starvation that may affect sEV immune
properties. Hence, alleviating cellular stress upstream is key to streamline robust
manufacturing of therapeutic EV.
Methods: We here describe a generic framework for the identification and management
of critical sources of stress in culture including the medium formulation (w/ or w/o
serum, glucose control), the mode of culture (monolayer/ aggregates) and the process
parameters (stirring, duration, cell density). The response variables were cell viability
(Trypan blue, LDH), stress markers (CHOP, GRP94, XBP1), cell function (metabolic response)
and sEV production. sEV were isolated by a method combing differential centrifugation,
tangential flow filtration and size exclusion chromatography and compared for yield
and purity.
Results: First, our data show the potential of aggregate cultures to promote cell
maturation, without changing the quantity of sEV produced or their size distribution.
However, both stirring and serum starvation significantly increase the expression
of cellular stress markers and decrease cell viability. As these conditions are both
required to design a GMP scalable process, a Response Surface Methodology was conducted
to minimize cellular stress by tuning the impellor speed, the seeding cell density
and the duration of culture. Interestingly, this optimization step in stirred tank,
allowed reaching a similar level of the cell stress that was measured in the static
two‐dimensional standard culture.
Summary/Conclusion: The proposed workflow should instruct rational management of cellular
stress upstream in sEV‐manufacturing bioprocesses for therapy.
Funding: This work has been funded by the French National Agency of the Research AAPG2021
JCJC Bioprod‐sEVforT1D.
PT01.13
Secretion of small extracellular vesicles by myogenic cells: altered secretory rate
and function in different cellular states
Prabhavathy Devan1; Ananga Ghosh2; Himadri D3; Pallavi Kshetrapal3; Jyotsna Dhawan2
1CSIR ‐ Centre for Cellular and Molecular Biology, Uppal Road, Hyderabad ‐500007,
India., Hyderabad, India; 2CSIR ‐ Centre for Cellular and Molecular Biology, Uppal
Road, Hyderabad ‐500007, India. Academy of Scientific and Innovative Research (AcSIR),
Ghaziabad ‐ 201002, India., Hyderabad, India; 3Translational Health Science and Technology
Institute, NCR Biotech Science Cluster, Faridabad, 121001, India., Gurugram, India
Introduction: Quiescence is an actively maintained, reversible cell cycle arrest from
which adult skeletal muscle stem cells (MuSCs) are activated to facilitate muscle
regeneration and homeostasis. Signals that activate proliferation and differentiation
of MuSCs are well studied, but the mechanisms used to attain and maintain the quiescent
state are still poorly known. We have used a synchronized myoblast culture model that
can be induced to enter either reversible or terminal cell cycle arrest, characteristic
of quiescent MuSC vs differentiated myofibers. In this study, we have determined the
secretory rates and signaling functions of small extracellular vesicles (sEVs) from
different cellular states.
Methods: sEVs were isolated from conditioned media of cultured C2C12 cells using differential
ultracentrifugation. Validation of sEVs from the quiescent, proliferating and differentiated
cells were performed using bonafide sEV marker proteins by western blot, for size
and number by NTA and TEM. The uptake of PKH26 labeled sEVs from donor cells was evaluated
by confocal microscopy of recipient cells cultured in different conditions, and uptake
pathways defined by inhibitor analysis.
Results: Equivalent numbers of proliferating myoblasts (MB), quiescent myoblasts (G0),
reactivated myoblasts (R24), and differentiated myotubes (MT) showed marked quantitative
differences in the secretion of sEVs of mean diameter of 140‐180 nm. Interestingly,
G0 cells produced significantly more (4 fold) sEVs compared to MB, despite a substantially
lower global metabolic rate. As G0 cells re‐entered the cell cycle, the sEV release
returned to lower rates characteristic of MB. Using western blotting, sEVs from all
states were found positive for markers such as Alix, TSG101 which were further enriched
in G0 derived sEVs. Interestingly, the expression of Kibra, a known positive regulator
of EV biogenesis, is higher in G0 cells than in other cellular states. Over‐expression
or knock‐down of Kibra in MB, led to significantly enhanced or reduced sEV secretion,
respectively. In experiments designed to measure uptake and function, we found that
sEVs from different cellular states showed different uptake potential, and that G0
derived sEVs could facilitate better differentiation than those derived from other
states.
Summary/Conclusion: Taken together, we provide evidence that quiescence in myogenic
cells is associated with quantitative alterations in the amount of sEVs secreted,
and that these sEVs have distinct signaling functions. Our studies suggest that cross‐talk
between quiescent and differentiated cells in tissue homeostasis may involve sEV‐associated
functions.
Funding: This work was funded by MUSTER‐Indo Danish grant from the Govt of India Dept
of Biotechnology to JD.
PT01.15
Therapeutic testing of optic nerve head‐derived exosomes for the survival of retinal
ganglion cells after optic nerve crush
Esmahan Durmaz1; Zara Mehrabyan2; Steven Bernstein2; Marcela Votruba1; Ben Mead1
1Cardiff University, Cardiff, United Kingdom; 2University of Maryland, Baltimore,
USA
Introduction: Retinal ganglion cells (RGCs) form the innermost layer of the retina,
which is responsible for transmitting visual information received from photoreceptors
to the brain through the optic nerve. Therefore, the impairment or loss of RGCs can
cause retinal diseases and even irreversible blindness. According to World Health
Organization, 1 billion people suffer from blindness, of which 7.7 million of those
are due to glaucoma. Progressive RGC loss due to elevation in intraocular pressure
is a characteristic of glaucoma. Despite the decrease in IOP by current lowering agents,
they are inefficient for neuroprotection in glaucoma. Therefore, there is need for
neuroprotective treatment in clinical usage.
Small extracellular vesicles (sEV) are nanosized (50‐150 nm) vesicles secreted from
all cells and found in all body fluids, providing cell to cell communication through
their composition such as mRNA, miRNA and proteins. Recent evidence shows that bone
marrow mesenchymal stem cells (MSCs)‐derived exosomes, human embryonic stem cells‐derived
exosomes, and umbilical cord MSCs‐derived exosomes promoted the survival of RGCs.
Since different stem cell‐derived sEVs offer varying levels of efficacy, we hypothesised
that stem cells isolated from the eye and surrounding tissues would produce the most
therapeutically efficacious exosomes. This study aims to test optic nerve head (ONH)
derived‐sEV in a rat optic nerve crush model.
Methods: In this project, we used ONH‐derived sEVs as a novel source that might be
neuroprotective for RGC. To test therapeutic efficiency, we dissected rodent retinae,
cultured and treated them with sEV. Lastly, RGC numbers and neurite regeneration were
analysed through immunohistochemistry and microscopy.
Results: ONH‐derived sEV promoted survival of RGC and neuritogenesis of RGC in primary
culture.
Summary/Conclusion: According to the findings, optic nerve head derived sEV have therapeutic
potential to the RGC protection as a cell‐free therapy for degenerative eye diseases
including glaucoma.
PT02: Technology and Methods: EV Separation from biological sources (not blood)
Chair: Rossella Crescitelli – Sahlgrenska Center for Cancer Research and Wallenberg
Centre for Molecular and Translational Medicine, Department of Surgery, Institute
of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Chair: Maja Kosanović
PT01.16
Clonal Immortalized Mesenchymal Stromal Cells appear as an ideal cell source for the
production of therapeutic extracellular vesicles
Yanis Mouloud1; Nicole Labusek2; Chen Wang3; Helmut Hanenberg4; Dirk Hermann3; Josephine
Herz2; Bernd Giebel5
1Institute for Transfusion Medicine, University Hospital Essen, University of Duisburg‐Essen,
Essen, Germany, essen, Germany; 2Department of Pediatrics I, Neonatology & Experimental
Perinatal Neurosciences, University Hospital Essen, University Duisburg‐Essen, Essen,
Germany, Essen, Germany; 3Department of Neurology, University Hospital Essen, University
of Duisburg‐Essen, Essen, Germany., Essen, Germany; 4Department of Pediatrics III,
University Children's Hospital Essen, University of Duisburg‐Essen, Essen, Germany,
Essen, Germany; 5Institute for Transfusion Medicine, University Hospital Essen, University
of Duisburg‐Essen, Essen, Germany, Essen, Germany
Introduction: Connected to their immunomodulatory properties mesenchymal stromal cells
(MSCs) are considered as therapeutic agent for a variety of different diseases. Mechanistically,
MSC exert a large proportion of their therapeutic effects via extracellular vesicles
(EVs), which they also secrete in vitro. Indeed, we demonstrated therapeutic potentials
of EVs prepared from conditioned media of cultured bone marrow‐derived MSCs in a treatment‐resistant
GvHD patient and in several animal models, including mouse models for ischemic stroke
and hypoxia induced neonatal encephalopathy (HIE). Aiming to set up scaled production
strategies and to standardize the production as much as possible, we have compared
various strategies for immortalizing primary MSCs and evaluated the immunomodulatory
potential of their EVs in vitro and in vivo.
Methods: Upon applying an hTERT‐based lentiviral transduction strategy, we were able
to efficiently immortalize MSCs and to expand them at the single cell level to obtain
clonal immortalized MSC lines (ciMSCs). ciMSCs still fulfil bona fide MSC characteristics
and secrete EVs with immunomodulatory properties.
Results: ciMSC‐EVs retain the capability to supress T cell activation in a multi‐donor
mixed lymphocyte reaction assay. Furthermore, comparably to EVs from primary MSCs
they suppress disease symptoms in ischemic stroke and HIE models.
Summary/Conclusion: Thus, we conclude, EVs from ciMSCs contain therapeutic potentials
and ciMSCs appear as an ideal cell source for the scaled manufacturing of MSC‐EV‐based
therapeutics.
Funding: We were able to efficiently immortalized MSCs that retains their bona fide
characterisitics. The secreted EVs retains their immunomodulatory capabilities in
vitro in a multi donor mixed lymphocyte reaction assay and in vivo in ischemic stroke
and HIE models.
PT01.17
Human liver stem cell‐derived extracellular vesicles improve fibrosis in an in vivo
model of non‐alcoholic steatohepatitis and modulate lncRNA expression profile
Elena Ceccotti1; Stefania Bruno2; Giulia Chiabotto2; Chiara Pasquino3; Massimo Cedrino4;
Giovanni Camussi5
1Department of medical science, University of Turin, Torino, Italy; 2Department of
medical science, University of Turin, Turin, Italy; 3Molecular Biotechnology Center,
Turin, Turin, Italy; 4Unicyte, Torino, Italy; 5Department of Medical Sciences, Torino,
Italy
Introduction: We recently demonstrated that fibrosis and inflammation associated with
non‐alcoholic steatohepatitis (NASH) are improved by treatment with human liver stem
cells (HLSCs) and their EVs. We are now investigating the molecular mechanisms involved
in the regulation of hepatic fibrosis by EVs, focusing our attention on lncRNAs modulated
by EVs
Methods: EVs were purified by ultracentrifugation and characterized in accordance
with ISEV guidelines, by transmission electron microscopy, flow cytometry and Western
Blot.
NASH has been induced in SCID mice through a methionine‐choline‐deficient diet. EVs
(2.5 x 109) were i.v. administered twice a week, starting at week 2 and ending at
week 4. To evaluate liver fibrosis and inflammation, histological and molecular analyses
were performed using specific staining and real time PCR analysis. PCR array was used
to screen 84 inflammation‐related lncRNAs on liver RNA and 14 lncRNAs were validated
through real time PCR analysis. The expression of lncRNA‐Meg3 was further evaluated
in activated human hepatic stellate cells (LX‐2) treated with EVs
Results: EV‐treatment significantly reduced liver fibrosis and inflammation, at both
morphological and molecular levels. Liver RNA screening with lncRNA array indicated
that both NASH and EV‐treatment influenced the lncRNA expression profile.
Real time PCR validation of 14 selected lncRNAs showed that the expression of 10 lncRNAs
was increased by NASH and partially restored to baseline levels by EV‐treatment. Moreover,
the expression of 4 lncRNAs was not reduced by NASH but by EV‐treatment.
EV regulation of lncRNA‐Meg3 expression in activated LX‐2 showed a similar trend to
that observed in NASH
Summary/Conclusion: HLSC‐derived EVs exert anti‐fibrotic and anti‐inflammatory effects
in NASH. EV‐treatment may restore baseline levels of several lncRNAs deregulated in
NASH and in activated LX‐2, indicating their possible contribution to the anti‐inflammatory
and anti‐fibrotic effect of EVs
PT02.01
Proof of concept of using a membrane sensing peptide for sEVs affinity‐based isolation
Beatriz Benayas1; Joaquín Morales1; Alessandro Gori2; Alessandro Strada2; Pilar Armisen3;
Carolina Egea3; Marina Cretich2; María Yáñez‐Mó1
1Universidad Autónoma de Madrid (UAM), Madrid, Spain, Madrid, Spain; 2Consiglio Nazionale
delle Ricerche, Istituto di Scienze e Tecnologie Chimiche “Giulio Natta” (SCITEC),
Milan, Italy, Milano, Italy; 3Agarose Bead Technologies (ABT), Spain, Madrid, Spain
Introduction: Differential ultracentrifugation and size exclusion chromatography are
the mostly used EVs isolating methods, but none of them can efficiently purify EVs
from all contaminants present in a complex biofluid sample. Until now, affinity‐based
methods may not be a good option as there is no a known universal marker of EVs, leading
to the selection of a given subpopulation depending on the capture antibody and membrane
protein composition of EVs. Recently, a membrane‐sensing peptide, derived from bradykinin
and that selectively binds to highly curved membranes was reported and applied in
a microchip‐based method to analyse small EVs (sEVs) (Gori et al., 2020).
Our objective is to study the capacity of this peptide to work in selectively isolating
sEVs from conditioned media through an affinity chromatographic method.
Methods: To address it, the peptide was modified with a poli‐His tag to allow binding
to divalent cations‐carrying agaroses. After peptide‐agarose binding under rotation,
concentrated conditioned medium from melanoma SKMEL‐147 cell line was incubated ON
at 4°C under rotation. We used different antibodies to estimate peptide (anti poli‐His)
and sEVs (anti‐CD81) binding. We also used anti‐ApoB antibody to analyse lipoprotein
contamination.
Results: Firstly, we observed that cobalt agarose was the most efficient cation in
peptide binding. We have optimized the amount of peptide and incubation time necessary
for a proper EV attachment, and we did not observe unspecific binding of lipoproteins.
A modified agarose with a longer spacer arm resulted in better peptide and EVs binding.
A branched peptide was also tested. Finally, we did some EV recovery test, and binding
and elution conditions were set up.
Summary/Conclusion: In conclusion, bradykinin‐derived peptide is a promising method
for sEVs isolation, which allows proper purification without any bias for a given
protein marker.
PT02.02
Assessment of extracellular vesicle isolation methods from human stool supernatant
Emmalee J. Northrop‐Albrecht; William R. Taylor; Bing Huang; John Kisiel; Fabrice
Lucien
Mayo Clinic, Rochester, USA
Introduction: Colorectal cancer (CRC) is the 2nd most fatal cancer in the U.S. but
is preventable with screening, including non‐invasive stool testing. The contents
of host and/or microbiome‐derived extracellular vesicles (EVs) may provide complimentary
biomarkers that augment the sensitivity for detection of CRC precursors. In this study,
we assessed the quality and efficiency of different EV separation methods in stool.
Methods: Stool specimens from healthy individuals were obtained after IRB approval.
EV separation methods (ultracentrifugation [UC], precipitation [EQ], size exclusion
chromatography [SEC], and ultrafiltration [UF]) were applied to stool supernatant
(n=5). Transmission electron microscopy (TEM) was used to confirm the presence of
EVs and contaminants. Particle recovery was evaluated using nanoscale flow cytometry.
RNA composition was assessed both pre/post‐ enzymatic treatment with an Agilent Bioanalyzer.
RT‐qPCR assays were designed for 16s and 18s ribosomal transcripts, and western blot
was used to characterize human, bacterial and contaminating proteins.
Results: TEM confirmed the presence of EVs in stool specimens. Ultrafiltration had
the highest particle recovery (mean± SEM; %; UF: 56.0 ± 7.9, SEC: 47.5 ± 5.6, UC:
30.0 ± 6.1, EQ: 28.6 ± 6.1), RNA (mean± SEM; ng; UF: 84.1 ± 20.2, UC: 169.5 ± 55.8,
EQ: 15.4 ±1.8, SEC: 5.7 ± 2.0), and protein yield (mean± SEM; ug; UF: 199.1 ± 36.1,
EQ: 44.8±15.4, UC: 29.1 ± 10.3, SEC: 13.6 ± 3.7). SEC was the most pure method based
on TEM, protein and RNA evaluation. Bacterial rRNA was 1097x more abundant than human
rRNA, and enzyme treatment prior to extraction revealed most RNA is non‐vesicular.
TSG101, CD63, and ompA proteins were present in EV fractions from all methods except
UC.
Summary/Conclusion: SEC is the ideal separation method for stool based on multiple
EV characterization techniques. It can be applied in future studies that use high
throughput omics technologies to aid in the identification of novel biomarkers for
early CRC detection.
Funding: This work was supported by the National Cancer Institute under CA214679 to
JBK.
PT02.03
Development of an easy, cost‐effective methodology for isolation of small extracellular
vesicles for obtainment of better yield and mass spectrometric compatibility
SIMRAN RASTOGI1; Komal Rani2; Saroj Kumar3
1DEPARTMENT OF BIOPHYSICS, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA,
NEW DELHI, India; 2ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, India; 3All
India Institute of Medical Sciences, New Delhi, New Delhi, India
Introduction: Numerous techniques are present for the isolation of small‐sized extracellular
vesicles (sEVs) like ultracentrifugation (UC), chemical‐based precipitation methods.
Although they have their set of disadvantages and sometimes prove to not match the
suitability criteria with patient samples. The present invention focuses on the development
of a protocol that ensures efficient isolation from lower sample volumes has reduced
processing time, requires minimal instrumentation, and possesses mass spectrometric
compatibility.
Methods: The sEVs were isolated from the biofluid (saliva, blood plasma) using many
combinations of crowding reagents. Nanoparticle tracking analysis aided in the primary
selection of combinations based on the mean size of sEVs and the size distribution
of sEVs sub‐populations. The fluorescence NTA using CMDR lipid‐binding dye and CD63‐antibody
AlexaFluor 488 were used for quantification. Isolated sEVs from biofluids were validated
against anti‐CD63 and anti‐TSG101 antibodies via western blotting. The comparative
profiling with existing methodologies like UC, SEC, and PEG‐based precipitation was
done to prove the utility of the current invention.
Results: In the present invention, we formulated two new chemical precipitant combinations
COM X1 and COM X2 (patent under filing) that could efficiently isolate sEVs (30‐150nm)
with 98% purity, utilizing only 200‐300μl of sample volume. The obtained combinations
are compatible with mass spectrometry, unlike the PEG‐based precipitation that led
to ion suppression and interfered with target ions.
Summary/Conclusion: In an aspect, the present invention provides a method for sEVs
isolation especially from a biological sample (saliva, blood plasma) using different
chemical combinations, that are easy to make, available in every laboratory, and does
not require any additional equipment. The present invention is cost‐effective and
could pave way for better sEVs based‐biomarker discovery.
Funding: The funding for the work was provided by ICMR, India.
PT02.04
Efficient freeze drier‐based protocol to deplete extracellular vesicles from fetal
bovine serum
Mohammad Ali Gholampour
Department of Medicine, Lung Biology Center, Cardiovascular Research Institute, University
of California, San Francisco, CA, USA, San Francisco, USA
Introduction: One of the major concerns is to deplete contaminating EVs present in
FBS. EVs present in FBS are co‐isolated with cell‐derived EVs and therefore act as
contaminants that, affect any quantitative and/or qualitative assessments of EVs derived
from the cultured cells.
Methods: For preparation of Freeze drier EV‐depleted FBS (FD‐dFBS), the directions
below was followed to deplete EVs from FBS:
1‐ 4 mL FBS was loaded onto 50 mL falcon tube and stored at −80°C overnight.
2‐ The falcon tube containing frozen FBS was put in a freeze‐drier machine and processed
for 6 hours. In this step, the water was evaporated and precipitation of FBS was sedimented
in falcon tube.
• Critical step: Do not close the door of falcon tube, just seal the door with sterile
aluminum foil and make some pore by piercing the aluminum foil to exchange the temperature
and vacuum.
3‐ The precipitation collected and dropped in a clean porcelain mortar. Then, it was
rubbed at least for 2 minutes to completely become powder. 500 μL of PBS or media
was added to soft powder of FBS and rubbed again at least 2 minutes. Finally, additional
3.5 mL of PBS or media added. Pipette it or use vortex until it dissolves completely.
4‐ The dissolved FBS was centrifuged for 30 minutes at 10,000 g in 4°C to remove debris
and aggregate proteins.
• Hint: A portion of the FBS proteins may not dissolve very fast, therefore before
centrifugation, it is better to incubate it 4‐6 hours in 4°C.
Ultrafiltration EV‐depleted FBS (UF‐dFBS) was done. Briefly, FBS was loaded onto Amicon
Ultra‐15 Centrifugal Filter Units, and spun for 55 min at 3,000 g. Ultracentrifugation
EV‐depleted FBS (UC‐dFBS) was subjected to centrifugation for 19 hours at 100,000×
g at 4 ◦C.
Results: Analysis of the different EV‐depleted FBS
Based on DLS analysis, while untreated FBS contained a heterogeneous population of
EVs, with sizes ranging from < 50 nm to >500 nm, no vesicles could be detected in
FD‐dFBS. After an 18‐h UC of the FBS, a small population of vesicles structures and
protein aggregates persists in UC‐dFBS, which may indicate low efficiency of ultracentrifugation.
The UF‐dFBS also displayed scarce vesicle‐like structures. Characterization of the
EV samples by TEM mostly supported the DLS analysis. While FD‐dFBS had no EVs, UF‐dFBS
still contained some EVs or other EV‐like particles that were mainly small. The diameter
of most membrane vesicles was between 30 and 120 nm, with the spherical shape typical
of EVs. The morphological analysis of UC‐dFBS also displayed EVs population and protein
aggregates. As expected, regular FBS contained both large and small EVs.
Summary/Conclusion: In this study, we have developed a novel, cost‐ and time‐effective,
standardized and simple protocol based on freeze drying to deplete EVs from FBS, and
addressed the purity of this freeze drying EV‐depleted FBS in comparison with ultrafiltration,
ultracentrifugation, and regular FBS.
PT02.06
Optimization of the isolation of extracellular vesicles from human‐induced pluripotent
stem cells
Hala Saneh1; Christine Finck2; Joanne Walker3; Heather Wanczyk3
1University of Connecticut / Connecticut Children's, Farmington, USA; 2Connecticut
Children's Medical Center, Hartford, USA; 3UConn Health, Department of Pediatrics,
Farmington, USA
Introduction: Extracellular vesicles (EVs) derived from stem cells have the potential
to serve as vehicles for the treatment of various diseases such as neonatal hyperoxia‐induced
lung injury. Currently, their isolation and characterization are challenging, as no
standardized protocols are available. This study focuses on determining the most efficient
and effective technique for the isolation of EVs from human‐induced pluripotent stem
cells (hiPSCs) in terms of sample purity and yield, as well as preserved in‐vitro
functional characteristics. Herein we describe a standardized protocol that can be
used to maximize the therapeutic potential of hiPSCs‐derived EVs in future clinical
applications.
Methods: Different methods were investigated for the isolation of EVs from hiPSCs‐conditioned
media. These included ultracentrifugation (classic differential and density‐gradient),
precipitation, immuno‐magnetic capture, size‐exclusion chromatography (SEC), and precipitation
followed by SEC. The yield and purity of the isolated EVs were assessed by transmission
electron microscopy, imaging flow cytometry, and nanoparticle tracking analysis. Additionally,
in‐vitro functionality was assessed by culturing A549 cells with isolated EVs for
48 hours following exposure to 50 μM of Hydrogen Peroxide. Cell viability was quantified
using an Adenosine Tri‐Phosphate detection assay.
Results: Vesicles isolated using SEC and precipitation techniques showed the best
results in terms of yield and purity compared to the other methods. On imaging flow
cytometry, SEC consistently yielded the highest rate of tetraspanins CD63 and CD81
positivity (49% and 67% respectively), followed by the combined precipitation/SEC
technique (32% and 43% respectively). Lastly, the viability of A549 cells exposed
to Hydrogen Peroxide was improved by 44% following treatment with EVs isolated by
SEC. EVs recovered by the other techniques were less effective in improving cell viability.
Summary/Conclusion: Our data demonstrate that SEC is a promising and reproducible
method that results in high yield, purity, and functionality of EVs isolated from
hiPSCs. This project may pave the way for stem‐cell free translational therapeutic
applications in premature lung diseases.
PT02.07
Identification of storage conditions stabilizing EV preparations
André Görgens1; Giulia Corso1; Daniel W Hagey1; Rim Jawad Wiklander1; Ulrika Felldin1;
Yi Lee1; Beklem Bostancioglu1; Helena Sork1; Xiuming Liang2; Wenyi Zheng2; Dara Mohammad1;
Simonides I. van de Wakker3; Pieter Vader4; Antje Zickler1; Oscar Wiklander1; Samir
El Andaloussi2
1Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Stockholm,
Sweden; 2Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden,
Huddinge, Sweden; 3Department of Experimental Cardiology, University Medical Center
Utrecht, Utrecht University, The Netherlands, Utrecht, Netherlands; 4CDL research,
University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands
Introduction: Extracellular vesicles (EVs) play a key role in many physiological and
pathophysiological processes and hold great potential for therapeutic and diagnostic
use. Despite significant advances within the last decade, the key issue of EV storage
stability remains unresolved and under investigated. Here, we aimed to identify storage
conditions stabilizing EVs and comprehensively compared the impact of various storage
buffer formulations at different temperatures on EVs derived from different cellular
sources for up to two years.
Methods: EV features including concentration, diameter, surface protein profile and
nucleic acid contents were assessed by complementary methods, and engineered EVs containing
fluorophores or functionalized surface proteins were utilized to compare cellular
uptake and ligand binding.
Results: We show that storing EVs in PBS over time leads to drastically reduced recovery
particularly for pure EV samples at all temperatures tested, starting already within
days. We further report that using PBS as diluent was found to result in severely
reduced EV recovery rates already within minutes. Several of the tested new buffer
conditions largely prevented the observed effects, the lead candidate being PBS supplemented
with human albumin and trehalose (PBS‐HAT).
Summary/Conclusion: We report that PBS‐HAT buffer facilitates clearly improved short‐term
and long‐term EV preservation for samples stored at ‐80°C, stability throughout several
freeze‐thaw cycles, and drastically improved EV recovery when using a diluent for
EV samples for downstream applications.
PT02.08
Defining an optimal methodology for the efficient isolation of EVs from skeletal muscle
myoblasts
Maria F. Fernandez Rhodes; Soraya Williams; Bahman Adlou; Mark P. P. Lewis; Owen G.
Davies
Loughborough University, Loughborough, United Kingdom
Introduction: Optimising effective skeletal muscle extracellular vesicle (SM‐EV) isolation
methods offering high levels of purity will be important to appreciate their composition
and functionality in physiological and pathophysiological systems. Size‐exclusion
chromatography (SEC) is a ubiquitously applied method for the isolation of EV‐enriched
fractions that can be combined with ultrafiltration (UF) to increase sample throughput
and allow for scalable and selective EV isolation. However, SEC has not previously
been optimised from SM‐EV isolation and the impact of UF column choice on recovery
remains undefined.
Methods: Murine myoblast cultures were collected after 48 hours differentiation, pre‐concentrated
using Amicon® Ultra 15, 100KDa or Vivaspin®20, 100KDa UF columns and processed by
SEC (IZON). Thirty individual fractions were collected and individually analysed using
nanoparticle tracking analysis (NTA) and bicinchoninic acid (BCA) assay to calculate
particle number and particle to protein (PTP) ratio. Transmission Electron Microscopy
(TEM), western blotting (WB) and NanoFCM were applied to validate the presence of
EVs.
Results: Differential patterns of EV markers were identified following pre‐concentration
with Amicon and Vivaspin UF columns. Alix and TSG101 could be detected up to fraction
13, while CD9 and Annexin A2 until fraction 6. The presence of high‐density lipoproteins
(ApoA+) was detected from fraction 6 onwards for both protocols by WB. Pooling identical
fractions (2‐10) to maximise EV recovery led to qualitative and quantitative variations
in EV marker profiles and PTP ratios of 129 (Amicon) and 60 (Vivaspin). CD63+ and
CD81+ particles were quantitatively (NanoFCM) increased following Amicon pre‐concentration
(CD63: 7.21x108 vs 4.35x108 and CD81: 6.5x108 vs 4.14x108 for Amicon and Vivaspin
respectively; p< 0.05). Eliminating lipoprotein co‐isolation by reducing the fraction
window (1‐5) resulted in a net loss of particles (32%). However, an increase in PTP
ratio (8%) and significantly increased CD81+ particle recovery was observed (5.64x108
vs 4.14x108 for Amicon and Vivaspin respectively; p< 0.05).
Summary/Conclusion: Caution should be taken when pre‐concentrating samples for SEC
due to observed variations in EV outputs. The isolation of fractions 2‐10 was tested
to maximise EV recovery at the expense of sample purity but resulted in no significant
increase in quantitative measures of EV tetraspanins. Reducing the fraction window
(fractions 1‐5) eliminated lipoprotein contamination while having no significant impact
on EV recovery.
Funding: OGD acknowledges funding from the Academy of Medical Sciences, Wellcome Trust,
Government Department of Business, Energy and Industrial Strategy, British Heart Foundation,
Diabetes UK (SBF004∖1090) and the EPSRC/MRC Doctoral Training Centre in Regenerative
Medicine
PT02.09
Comparison of extracellular vesicle isolation processes for therapeutic applications
Soraya Williams1; Maria F. Fernandez Rhodes1; Alice Law2; Ben Peacock3; Mark P. P.
Lewis1; Owen G. Davies1
1Loughborough University, Loughborough, United Kingdom; 2NanoFCM, Nottingham, United
Kingdom; 3NanoFCM Co., Ltd., Nottingham, United Kingdom
Introduction: Extracellular vesicles (EVs) continue to gain interest for therapeutic
applications. However, progression to clinical translation is limited by the diversity
of EV isolation methods and their compatibility with downstream analysis.
Methods: We compared EV recovery from C2C12 mouse myoblast conditioned media, isolating
by ultracentrifugation (UC), polyethylene glycol precipitation (PEG), Total Exosome
Isolation Reagent (TEIR), an aqueous two‐phase system with and without repeat washes
(ATPS and ATPS/R) and size exclusion chromatography (SEC). Additionally, to understand
parameters governing method implementation (e.g. cost and scalability), we distributed
an international survey using Qualtrics.
Results: Data collected by nanoparticle tracking analysis and a BCA protein assay
indicated the highest particle and protein concentration was obtained with TEIR (1.15E+09)
and SEC (4066μg/ml) respectively. Purity was measured by particle to protein ratio,
with ATPS/R and UC displaying the highest purity and SEC the lowest. EV tetraspanin
markers (CD63, CD9 and CD81) were analysed by western blot, ExoELISA and nano flow
cytometry, indicating EV‐enriched fractions isolated by all methods but with variable
profiles across both isolation and analysis methods. However, evidence showed the
potential interference of reagents with methods such as ATPS. To evaluate our collective
findings, data was normalised to the highest output to plot radar charts. Outputs
highlighted that although SEC displayed low purity, it provided the highest marker
presence overall, followed by UC. Data also indicated a significant increase in CD81
when isolating by UC. When observing parameters governing implementation, SEC and
UC were found to be favoured by respondents due to their overall efficiency. However,
limitations in the scalability of SEC were reported.
Summary/Conclusion: Overall, all methods isolated EV‐enriched fractions but with variable
outputs that could impact downstream biological functions and therapeutic utility.
Funding: OGD acknowledges funding from the Academy of Medical Sciences, Wellcome Trust,
Government Department of Business, Energy and Industrial Strategy, British Heart Foundation,
Diabetes UK (SBF004∖1090) and the EPSRC/MRC Doctoral Training Centre in Regenerative
Medicine
PT02.10
Development of a protocol to isolate extracellular vesicles from 3D cultures
Giuseppina Poppa1; Letizia Esposito1; Sandra D'Ascenzo1; Vincenza Dolo2; Ilaria Giusti2
1Department of Life, Health and Environmental Sciences‐ University of L'Aquila‐ 67100,
L'Aquila‐ Italy, L'Aquila, Italy; 2Department of Life, Health and Environmental Sciences‐
University of L'Aquila, L'Aquila‐ Italy, L'Aquila, Italy
Introduction: Even if the 3D cultures reflect the tumor's architecture more realistically,
there are currently no standardized protocols to isolate extracellular vesicles (EVs)
from tumor cell lines cultured in 3D models. Thus, the goal of our study was to develop
a simple, practical, reproducible, and economical protocol to isolate EVs from 3D
cell cultures.
Methods: Human ovarian cancer CABA I cells were cultured in RPMI+5% FBS (40 nm‐filtered)
by hanging drop to form tumor spheroids (30000 cells/spheroid). Spheroids were moved
to and cultured (1 ml medium/10 spheroids) in Petri dishes coated with an anti‐adhesion
solution, commercially available. The supernatant was collected twice daily for 5
days, centrifuged at 4°C at 600xg (15 min), 1,500xg (30 min), and 100,000xg (Rotor
70Ti, Quick‐Seal Ultra‐Clear tubes, kadj 221, brake 9, Optima XPN‐110 Beckman Ultracentrifuge)
for 90 min. Isolated EVs were resuspended in PBS, quantified by measuring the EV‐associated
proteins level (by Bradford method), and analyzed by Transmission Electron Microscopy
(TEM), Nanosight (NTA), Western Blots. Scanning Electron Microscopy (SEM) imaged EVs'
release from spheroids. Cell viability in spheroids was evaluated by XTT.
Results: CABA I cultured by hanging drop form compact and proliferating spheroids
(334% viability at 48h vs 100% attributed to 24h); SEM revealed the release of many
EVs from their surface. Indeed, the supernatant of cultured spheroids contained EVs;
the TEM morphological analysis showed spherical and intact particles, which for the
most part have a size attributable to sEVs (size range 55‐120 nm), as confirmed by
NTA. The identity of EVs was further confirmed by positivity for specific EV markers
(CD63, CD9, CD81). The amount of released EVs was 0,17‐0,53 μg/spheroid.
Summary/Conclusion: Taking advantage of an anti‐adhesion solution, compatible with
EVs release and collection, we have set a simple method to isolate EVs from 3D spheroids
in an effective and reproducible way.
PT02.11
An optimized workflow for magnetic bead‐based separation of extracellular vesicles
enables studies on EV subpopulation functionality
Bella Monica1; Casper S. Triesscheijn1; Rowan Frunt1; Ioanna Paspali1; Mark Tielemans1;
Olivier G de Jong2; Raymond M. Schiffelers1; Pieter Vader3; Sander A. Kooijmans4
1University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands;
2Utrecht University, Utrecht, The Netherlands, Utrecht, Netherlands; 3CDL research,
University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands;
4CDL Research, University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht,
Netherlands
Introduction: The molecular content of extracellular vesicles (EVs) is highly heterogeneous.
Given that EV surface molecules determine their interactions with their environment,
it is conceivable that EV functionality varies between EV subpopulations with different
surface profiles. However, it is as of yet challenging to test this hypothesis as
methods to isolate intact EV subpopulations based on surface markers are lacking.
Here, we demonstrate recovery of intact and functional EV subpopulations from antibody‐coated
magnetic beads using an optimized release protocol.
Methods: EVs from HEK293T, MDA‐MB‐231 and cardiac progenitor cells (CPCs) were isolated
using tangential flow filtration and size exclusion chromatography (SEC). EV subpopulations
were captured on antibody‐coated magnetic beads targeting tetraspanins or phosphatidylserine
(PS). Design‐of‐experiments (DoE)‐based statistical modeling was applied to optimize
an elution buffer to release EVs from the beads. EV release and integrity were monitored
using flow cytometry and proteinase protection assays, respectively. Released EV subpopulations
were further characterized by transmission electron microscopy (TEM), Nanoparticle
Tracking Analysis (NTA) and western blotting. EV functionality was assessed in cellular
uptake and scratch wound migration assays.
Results: A DoE‐based library of elution conditions was applied to magnetic beads which
had captured MDA‐MB‐231 EVs via CD9 or CD81 antibodies. EV elution and integrity analyses
revealed that pH of the elution buffer was the most critical factor affecting both
EV elution efficiency for both antibodies and EV integrity. A second round of optimization
was performed to identify optimal elution conditions to release EV subpopulations
enriched for CD9, CD63, CD81 or PS from various cell sources. Released EVs appeared
intact by TEM and NTA and lacked typical contaminants observed in the original SEC‐derived
EV isolates. Uptake experiments in various recipient cell types revealed differences
in cell‐type specificity and uptake efficiency between EV subpopulations. Furthermore,
the regenerative capacity of CPC‐derived EVs in scratch wound assays differed among
EV subpopulations.
Summary/Conclusion: Using DoE methodology, we readily optimized a protocol to recover
intact EV subpopulations from magnetic beads based on their surface marker expression,
and revealed functional differences among them. This universal capture‐and‐release
platform can be used to study EV surface‐functionality relationships, and holds the
potential to enrich EVs with desirable characteristics for therapeutic purposes.
Funding: This work was supported by a VENI grant (no. 17296) of the Dutch Research
Council (NWO).
PT02.12
Collection and Characterization of extracellular vesicles from mouse brain interstitial
fluid
Nicholas Fitz; Mary Ann Ostach; Yi Lu; Radosveta koldamova; Iliya Lefterov
University of Pittsburgh, Pittsburgh, USA
Introduction: The collection and characterization of extracellular vesicles (EVs)
in the brain interstitial fluid is an important advancement in better understanding
the communication between neurons and glia. Furthermore, changes in the cargo of these
EVs could modulate pathological progression, impact preclinical treatments or serve
as biomarkers for neurodegenerative diseases.
Methods: Cerebral open flow microperfusion (cOFM) was refined in awake freely moving
mouse models for collection of brain interstitial fluid. EVs were isolated and concentrated
utilizing the Norgen Bioteck Exosome Purification kits. Isolated brain interstitial
fluid EVs were then further characterized based on size and concentration with nanoparticle
tracking analysis and electron microscopy and protein composition of EV markers by
Western blot. Finally, following RNA isolation we utilized RNA‐seq to profile different
classes of noncoding RNAs.
Results: We report in both ex vivo and in vivo that cOFM can be a vital tool in the
collection of brain interstitial fluid EVs. We were able to collect EVs with a size
of ∼120 nm at a concentration 2.3x107 particles/ml. These EVs were enriched in CD63,
CD81 and flotillin and lacked cellular markers. Following RNA isolation, we observed
enrichment in brain specific noncoding RNAs: SNORD115 and SNORD116 utilizing PCR.
Using RNA‐seq, we profiled four significant classes of noncoding RNAs: miRNAs, snoRNAs,
tRNAs, and piRNAs from the isolated brain interstitial fluid EVs which had unique
profiles.
Summary/Conclusion: The results from our study outline a new in vivo technique for
the recovery and characterization of EVs from the brain interstitial fluid of mice.
The cOFM allows for continuous sampling of interstitial fluid in brain tissue and
could be used to monitor changes in EV cargo associated with development and progression
of neurodegenerative diseases or the impact of therapeutics. With the ability to simultaneously
collect large molecules with cOFM, there is the potential to correlate changes in
EV profiles with changes in pathological extracellular proteins associated with different
diseases or neuroinflammation states.
Funding: This work was funded by NIH: AG057565, AG056371, AG066198 and AG075069.
PT02.13
Evaluation of four size‐exclusion chromatographies to separate extracellular vesicles
from human intracranial cerebrospinal fluid
Vedrana Krušić Alić1; Mladenka Malenica1; Siniša Zrna2; Maša Biberić2; Lara Valenčić3;
Lada Kalagac Fabris2; Aleksandar Šuput2; Karmen Wechtersbach4; Nika Kojc4; Mario Kurtjak5;
Natalia Kučić1; Kristina Grabušić1
1University of Rijeka, Faculty of Medicine, Rijeka, Croatia, Rijeka, Croatia; 2Pula
General Hospital, Pula, Croatia, Pula, Croatia; 3Clinical Hospital Centre Rijeka,
Rijeka, Croatia, Rijeka, Croatia; 4Institute of Pathology, Faculty of Medicine, University
of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia; 5Advanced Materials Department,
Jožef Stefan Institute, Ljubljana, Slovenia, Ljubljana, Slovenia
Introduction: Size‐exclusion chromatography (SEC) is emerging as a possibly preferential
method for isolation of extracellular vesicles (EVs). This is because SEC separates
EVs from soluble proteins, and preserves the EV structure. The method is based on
sieving the sample through a porous stationary phase enabling faster migration and
thus quicker elution of larger particles like EVs. Various materials can be used as
stationary phase, whereby Sepharose‐based SEC was already shown to be successful in
EV separation. However, efficiency of different stationary phases in SEC separation
of EVs has not been evaluated. This study compared Superose 6 PG, Sephacryl S‐400,
Sepharose CL‐6B and commercial SEC column in separating EVs from human cerebrospinal
fluid (CSF).
Methods: Three severe traumatic brain injury patients were included into the study
after obtaining informed consent from family. CSF samples were collected during external
drainage for monitoring intracranial pressure at days 1‐3 after injury and analysed
by immunoblot for albumin, EV protein markers CD9 and CD81, and lipoprotein markers
ApoE and ApoAI. Pool of 9 CSF samples in volume of 2.8 ml per experiment was separated
by four SECs: columns packed with Superose 6 PG, Sephacryl S‐400 or Sepharose CL‐6B
(S6B), and a commercial column for EV separation. 46 fractions were collected and
analysed by slot‐blot followed by Ponceau staining and immunodetection for albumin,
CD9, CD81, ApoE and ApoAI. Size and concentration of nanoparticles in fractions were
determined by tunable resistive pulse sensing. Selected fractions were analysed by
transmission electron microscope and western blot.
Results: All CSFs contained EVs, lipoproteins and high level of albumin. All SECs
provided separation of nanoparticles from soluble proteins and lipoproteins, but S6B
with its mean 1.08E+09 of total isolated nanoparticles provided the highest enrichment
of nanoparticles which also included CD9+ and CD81+ EVs.
Summary/Conclusion: S6B is suitable for separation of EVs from CSF.
Funding: This work was supported by the Croatian Science Foundation IP‐2019‐04‐1511
to KG, University of Rijeka grant uniri‐biomed‐18‐5‐1131 to KG and University of Rijeka
grant uniri‐biomed‐18‐279 to MM. Slovenian Research Agency Program No P3‐0054 (Pathology
and Molecular Genetics) funded the research.
PT02.14
PDMS – free microfluidic device fabrication and testing for high throughput extracellular
vesicle separation
Roberts Rimsa1; Miks Priedols2; Janis Cipa1; Antons Miscenko2; Beate Bekere2; Gatis
Mozolevskis1; Arturs Abols2
1Institute of Solid‐State Physics University of Latvia, Riga, Latvia; 2Latvian Biomedical
Research and Study Centre, Riga, Latvia
Introduction: Currently standard EV isolation methods have issues with purity, efficiency,
and EV functionality. More advanced strategies include alteration of streamlines within
microfluidic channels; thus, utilizating differential lateral displacement of differently
sized particles. Most available microfluidic systems use small volumes of sample and
typically have low flow rates. Such low volumes and flow rates are not feasible if
the goal is to extract EVs from bioreactor media and urine. Additionally, these devices
predominantly are fabricated from PDMS (Polydimethylsiloxane), while it is well known
to absorb and interact with lipophilic molecules. Therefore, new methods and devices
for EV isolation from high volume samples are necessary.
Methods: As the first step we evaluated two PDMS alternatives – OSTE (Off‐stoichiometry
thiol‐ene polymer) and SEBS (styrene‐ethylene‐butylene‐styrene) materials with respect
to their optical, fat‐soluble molecule, EV absorption properties and RT‐qPCR inhibition.
Next, we microfabricated EV separation devices from OSTE polymer based on asymmetric
flow field flow fractionation (A4F) principle and optimised them with standard EV
sample produced within bioreactor, isolated with SEC and characterised by NTA, WB
and TEM by applying in‐house developed pressure system. Finally, the devices currently
are tested for EV isolation directly from bioreactor media and compared with EV isolated
from media by SEC and UC.
Results: Our results showed that OSTE have superior characteristics for EV isolation
in comparison to PDMS and SEBS. Next, optimisation experiments showed that volume
flow rate within the channel system should be below 100 μl/min since higher volume
flow rates result in EV losses. Meanwhile, EV isolation directly from bioreactor media
is ongoing and will be presented at the conference.
Summary/Conclusion: A4F devices fabricated from OSTE for EV isolation are more suitable
than PDMS devices.
Funding: Nr. lzp‐2019/1‐0142
PT02.16
A novel method for isolation of spontaneously‐released small extracellular vesicles
from mouse and human brain
Ioannis Sotiropoulos1; Patrícia P. Gomes2; Cristian Bodo3; Carlos J. Nogueras‐Ortiz4;
Martina Samiotaki5; Minghao Chen6; Carina Soares‐Cunha7; Joana Silva7; Bárbara Coimbra7;
George Stamatakis8; Liliana Santos7; George Panayotou5; Clarissa Waites9; Christos
Gatsogiannis6; Nuno Sousa7; Dimitrios Kapogiannis10; Bruno Costa‐Silva11
1ICVS Institute, Medical School, University of Minho, Braga, Portugal; 2ICVS ‐ School
of Medicine, University of Minho, Braga, Portugal; 3Champalimaud Center for the Unkown,
Lisbon, Portugal; 4Laboratory of Clinical Investigation, National Institute on Aging,
Baltimore, USA; 5Institute for Bioinnovation, Biomedical Sciences Research Center
“Alexander Fleming”, Athens, Greece; 6Department of Structural Biochemistry, Max Planck
Institute of Molecular Physiology, Dortmund, Germany; 7Life and Health Sciences Research
Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal; 8Institute
for Bioinnovation, Biomedical Sciences Research Center “Alexander Fleming”, Vari,
Greece; 9Department of Pathology and Cell Biology, Taub Institute for Research on
Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, New York,
USA; 10National Institutes of Health, Baltimore, USA; 11Champalimaud Center for the
Unknown, Lisbon, Portugal
Introduction: Extracellular vesicles (EVs), particularly exosomes, exhibit great potential
for the diagnosis, prognosis and treatment of brain disorders such as Alzheimer's
disease, representing an advantageous tool for Precision medicine; the latter demands
high‐quality biomarkers, especially for complex brain disorders, where pathological
heterogeneity and diverse clinical presentations complicate the development of precise
patient‐tailored treatments. Thus, the collection and characterization of physiologically
relevant exosomes are of the utmost importance. However, it is still challenging to
identify, isolate and quantify exosomes efficiently, accurately, and selectively.
For instance, current approaches for exosome isolation from brain rely on tissue dissociation,
which may contaminate the exosome fraction by cellular disruption/damage leading to
purer/contaminated EVs yield and thus, conflicting, incongruent or inaccurate characterization
of exosome profile.
Methods: Overcoming this drawback, we developed a novel method to isolate exosome‐enriched
EVs from mouse and human brain, relying on their spontaneous release.
Results: To confirm the efficacy of the release method and its advantages over the
existing, digestion‐based approaches, we have utilized different state‐of‐the‐art
and innovative analytical platforms and approaches (e.g., Cryogenic electron microscopy,
High‐sensitivity flow cytometry, proteomic analysis, ExoView analysis) that help us
to structurally, biochemically and functionally characterize the captured EVs in in
vitro and in vivo studies. Based on the above multiscale analytical platforms, we
hereby present an efficient purification method that captures a more physiologically
relevant, sEVs‐enriched population spontaneously released by mouse and human brain
tissue.
Summary/Conclusion: This spontaneous release method may contribute to the characterization
and biomarker profile of physiologically relevant brain‐derived exosomes in brain
function and pathology.
PT02.17
A simple microfluidics approach for the isolation of brain‐derived extracellular vesicles
Mehdi Kabani1; Luc Bousset1; Han Wei Hou2; Hong Boon Ong3; Marc Dhenain1
1CNRS, Fontenay aux Roses, France; 2School of Mechanical and Aerospace Engineering,
Nanyang Technological University, Singapore 639798, Singapore, Singapore, Singapore;
3School of Mechanical and Aerospace Engineering, Nanyang Technological University,
Singapore, Singapore
Introduction: The development of methods to isolate intact and biologically relevant
extracellular vesicles (EVs) from brain tissues is of great interest given the wide
range of physiological and pathological roles they play in the central nervous system.
Dissociating the brain tissue without damaging the cells and releasing intracellular
content, minimizing contamination by non‐EV and lipoprotein particles, avoiding protein
degradation and EVs aggregation are some of the many technical challenges that need
to be overcome. The aim of this study is to assess, both quantitatively and qualitatively,
the advantages of isolating brain‐derived EVs by inertial microfluidics as compared
to standard ultracentrifugation‐based approaches.
Methods: EVs were isolated from enzymatically dissociated adult mouse brains either
by ultracentrifugation at 100,000 x g and iodixanol density gradients (Hurwitz et al.,
J Neurosci Methods 2018) or by using an inertial‐based microfluidic device (Tay et al.,
Lab Chip 2021). EVs characterization by Western blot, nanoparticle tracking analysis,
transmission electron microscopy (TEM) and cryo‐electron microscopy is currently underway.
Results: While brain‐derived EVs were successfully isolated using both ultracentrifugation
and microfluidic approaches, the latter allowed for an improved yield, simpler and
less laborious operation, and a much shorter processing time. TEM analysis showed
that the size distributions and morphologies of EVs obtained by both methods were
similar. We will present the results from ongoing quantitative and qualitative assays.
Summary/Conclusion: Microfluidic approaches are a useful alternative to isolate EVs
from brain (or other) tissues while avoiding some issues such as the ultracentrifugation‐induced
aggregation of EVs. We will test this methodology to isolate EVs from human brain
tissues and devise functional assays to assess their quality.
PT02.18
A new improved method for the isolation of bacterial extracellular vesicles by the
depletion of “extracellular vesicle like particles” in bacteriological culture medium
Lena Hoang My Le1; Joel R. Steele2; Ralf B. Schittenhelm2; Richard L. Ferrero3
1Hudson Institute of Medical Research, Monash University, Springvale, Australia; 2Monash
Proteomics and Metabolomics Facility, Department of Biochemistry and Molecular Biology,
Monash University, Australia, Clayton, Australia; 3Centre for Innate Immunity and
Infectious Diseases, Hudson Institute of Medical Research, Australia, Clayton, Australia
Introduction: Bacterial extracellular vesicles (BEVs) are isolated from microorganisms
that have been grown in culture media containing animal‐derived products. Consequently,
these media are likely to contain animal EVs that may have an effect on downstream
analyses. Preliminary data showed that Brain Heart Infusion (BHI) broth, a bacteriological
culture media, contained particles that were similar in size to bacterial and eukaryotic
EVs, thereby suggesting that BHI broth may contain animal‐derived EVs. Here, we developed
an optimised protocol for BEV purification that would eliminate animal‐derived EVs
from the bacteriological culture medium. Furthermore, we compared the properties of
BEVs isolated using this new protocol with those isolated from bacteria grown in standard
medium.
Methods: To deplete BHI broth of animal‐derived “extracellular vesicle‐like particles”
(EVLPs), we used tangential flow filtration with a Vivaflow membrane (50,000 MWCO).
The filtrate was used to cultivate Helicobacter pylori. BEVs isolated from this new
protocol with those isolated from bacteria grown in standard medium was then subjected
to Nanoparticle tracking analysis (NTA), proteomics and biochemical analysis for comparison.
Results: NTA results showed that BEVs prepared from the non‐depleted BHI medium contained
greater particle numbers. EVLPs within BHI did not react with any eukaryotic EV marker
antibodies (Epcam, Alix, CD9 and CD69), suggesting that these are not true eukaryotic
EVs. Despite BEVs isolated from the two methods inducing similar interleukin‐8 responses
in mammalian cells, proteomic data suggested differences in their protein composition.
While 399 H. pylori proteins were common to BEVs purified by both methods, 57 were
unique to BEVs isolated from H. pylori grown in depleted BHI. Five were uncharacterised
H. pylori proteins. Furthermore, there were 10x less bovine proteins and 3.4x more
H. pylori proteins in BEVs prepared from non‐depleted BHI. The decrease in bovine
protein improved the quality of the sample for Mass spectrometry analysis.
Summary/Conclusion: Collectively, we showed that EVLPs present within BHI broth are
not true EVs but may still interfere with downstream analyses, such as with proteomic
studies where these hinder the full characterisation of BEV proteins. Furthermore,
we have successfully described an optimised method for BEV isolation that increases
the purity of isolated BEVs and reduces potential confounding effects of EVLPs.
PT02.19
A GMP compliant chemically‐defined culture medium sustains increased production of
small extracellular vesicles while conserving their main properties and functions
Aliosha I. Figueroa‐Valdés1; Catalina de la Fuente2; Ana María Vega‐Letter3; Yessia
Hidalgo4; Maroun Khoury4; Francisca Alcayaga‐Miranda5
1Laboratory of Nano‐Regenerative Medicine, Centro de Investigación e Innovación Biomédica
(CiiB), Universidad de los Andes, Santiago, Chile, Santiago, Chile; 2Consorcio Regenero,
Chilean Consortium for Regenerative Medicine, Santiago, Chile, Santiago, Chile; 3Laboratory
of Molecular and Cellular Immunology, Faculty of Medicine, Universidad de los Andes,
Santiago, Chile, Santiago, Chile; 4IMPACT, Center of Interventional Medicine for Precision
and Advanced Cellular Therapy, Santiago, Chile, Santiago, Chile; 5Universidad de los
Andes, Santiago, Chile
Introduction: small Extracellular Vesicles (sEV) are acquiring a major interest in
the cell therapy field. However, their successful translation will rely ultimately
on their large‐scale production necessary to achieve the doses‐required quantities.
Methods: We aimed to compare the sEV production from various types of cells including
mesenchymal stromal cells (MSCs) in several harvest time points (2, 4 and 6 days)
using Oxium®EXO, standard DMEM and a commercially available medium developed specifically
for sEV production. Phenotype and cell viability analyses of parental cells were performed
after the sEV production cycle. sEV secretion rate to the supernatant was evaluated
by nanoparticle tracking analysis (NTA). sEV isolation by ultracentrifugation allowed
characterization by NTA, flow cytometry and in vitro cell uptake assays, a in mice
in vivo biodistribution study and a comparison of sEV's miRNA cargo profile.
Results: MSC's phenotype and differentiation capacity was maintained in the three
mediums after sEV production cycle. Oxium®EXO allowed a better cell viability after
6 days of production, as well as a 3‐fold increase in total particle secretion to
the supernatant and a 4‐fold increase in those particles sized between 50 to 200nm,
compared to DMEM or the commercial medium. The isolated‐sEV characterization showed
the presence of CD63, CD9 and CD81 on the three isolated types of sEV. No differences
were observed as well in the in vitro cell uptake assay nor the in mice in vivo biodistribution
pattern. The miRNA cargo profile will be discussed.
Summary/Conclusion: Oxium®EXO allowed an increased particle secretion rate while conserving
the classic sEV functional properties of internalization into acceptor target cells
and biodistribution in vivo, supplying the amount and quality of sEV for the development
of potentially cell‐free therapies.
Funding: In part by Chilean National Agency for Research and Development (ANID) FONDECYT
Regular project #1190411, by Consorcio Regenero S. A., Chile and by Cells for Cells
S. A., Chile.
PT02.20
Characterization of EVs isolated by a novel magnetic bead‐based method utilizing automated
western blotting
Martin Schlumpberger1; Rachel Talis2; Francisco Ramirez2; Karolin Spitzer1; Caroline
Metzen1; Nike Bahlmann1; Chris Heger2; Markus Sprenger‐Haussels1
1QIAGEN GmbH, Hilden, Germany; 2Bio‐Techne, Analytical Solutions Division, San Jose,
USA
Introduction: The study of extracellular vesicles (EVs) not only keeps producing new
insights into fundamental biologic processes, but also continues to provide new opportunities
in the diagnosis and treatment of a wide range of diseases. Despite that, the field
is still lacking methods for isolation of EVs that provide not only the required efficiency
and specificity, but also standardization, scalability, short processing time and
potential for full automation, required for routine use. Here we present a novel,
magnetic bead‐based workflow, utilizing biochemical affinity, followed by characterization
of the isolated EVs according to MISEV criteria using an automated analytical platform.
Methods: Total EVs were isolated by magnetic beads from different volumes of pre‐filtered
plasma or cell culture supernatant. Intact vesicles were eluted from the beads and
the EV‐depleted biofluid fraction retained for parallel analysis. Each fraction (3
μL) was analyzed for the presence or absence of MISEV‐recommended protein markers
by Simple Western, an automated capillary electrophoresis‐based western platform.
Isolated EVs were further characterized using Nanoparticle Tracking Analysis (NTA),
and by their RNA content.
Results: In comparison to EVs isolated by a commercially available biochemical affinity
column‐based workflow, eluates obtained by the new magnetic bead‐based process showed
highly similar enrichment of EV marker proteins, and depletion of contaminating non‐EV
proteins, as well as similar size profiles and RNA content.
Summary/Conclusion: The novel method presented provides new options for EV isolation,
including future automation, and is expected to be particularly useful for routine
applications.
PT02.21
Easy and consistent purification of CD9, CD63, and CD81 positive functional extracellular
vesicles
Tom Krol; Curtis Yingling; Joy Hayden; Tess Swope
Clara Biotech, Lawrence, USA
Introduction: The lack of a standardized tool that supports an efficient method for
the isolation of extracellular vesicles (EVs) by subtype, with consistency between
users, has limited potential research outcomes in the EV field. One solution to this
barrier is the use of novel magnetic “Nano Poms” beads which combine immunoaffinity
and photo‐release technology. The magnetic beads contain graphene “Nano Poms” which
increase surface area, which allow for simple isolation of EVs from a variety of samples
such as plasma, cell culture medium, urine, and milk. The technology is also capable
of using a variety of antibodies to isolate different subtypes of EVs.
Methods: The novel magnetic “Nano Poms” beads use antibodies to three tetraspanins
(CD9, CD63, and CD81), allowing capture of EVs expressing those markers. For isolating
EVs from plasma, 1 mL of plasma is centrifuged at 10,000 x g for 15 minutes at 4°C.
The supernatant is mixed with the “Nano Poms” beads and incubated at 4°C overnight
on a rotator. The next morning the magnetic “Nano Poms” beads are washed with PBS
and moved to a glass vial. EVs are released under UV light during a 20‐minute incubation
while shaking at 100 rpm at 4°C. Magnetic “Nano Poms” beads are separated, and supernatant
is transferred to 0.65 mL microtube for downstream analysis.
Results: This method consistently provided 1 x 109 CD9, CD63, and CD81 positive EVs
with a narrow peak around 100 nm in size, as shown by nanoparticle tracking analysis.
The results were consistent regardless of the user.
Summary/Conclusion: The novel magnetic “Nano Poms” beads are capable of isolating
pure EVs by avoiding non‐specific binding through the use of a photo‐release peptide.
The platform is capable of aiding in research and development, diagnosis, and therapeutics
by isolating specific intact EVs subtypes, which opens the door to isolate more EVs
subtypes. Ease and consistency between users are the strengths of this isolation method
demonstrated by this study.
Funding: This work was sponsored by Clara Biotech.
PT02.22
Müller cells are a potential source of EVs within the retina
Melanie Schwämmle1; Xu Cheng2; Günther Schlunck1; Hansjürgen Agostini1; Irina Nazarenko3;
Felicitas Bucher1
1Eye Center, Medical Center, Faculty of Medicine, University Medical Center Freiburg,
Freiburg, Germany, Freiburg, Germany; 2Institute for Infection Prevention and Hospital
Epidemiology, Faculty of Medicine, University Medical Center Freiburg, Freiburg, Germany;
Xiangya Hospital Affiliated To Central South University, Changsha, Hunan Province,
PR China, Changsha, China (People's Republic); 3Institute for Infection Prevention
and Hospital Epidemiology, Faculty of Medicine, University Medical Center Freiburg,
Freiburg, Germany, Freiburg, Germany
Introduction: Müller cells (MCs) are the major macroglia cell type in the retina.
By spanning all retinal layers, MCs can interact with almost every retinal cell. However,
the communication of MCs with surrounding neuronal and vascular cells is insufficiently
understood. Two intercellular communication mechanisms have been described for MCs:
direct interaction via gap junctions and indirect paracrine communication. Nevertheless,
increasing evidence points to a communication via extracellular vesicles (EVs). This
project aims to assess the possible existence of murine MC‐derived EVs by establishing
an EV‐isolation protocol from a primary MC culture and by characterizing the isolated
EVs.
Methods: Culturing of murine MCs was started at P11/P12 by retina isolation, tissue
homogenization and cell incubation in growth medium. At passage 2, medium was changed
to differentiation medium for 7 days. To optimize MC differentiation and EV isolation,
MCs were cultured under different media conditions including EV‐depleted media gained
by ultracentrifugation. MC identity under different cell culture conditions was confirmed
using ICC. EV‐isolation from MC‐conditioned media, produced for 72h, was performed
using tangential flow filtration and size exclusion chromatography. Characterization
was conducted by NTA, TEM, ELISA, WB and MicroBCA.
Results: Characterization of MCs cultured in EV‐depleted medium for different time
periods were consistent with MCs in standard MC culture expressing GS and Kir4.1,
markers used to label MCs in vivo. We were able to isolate MC‐derived EVs if EV‐depleted
media were being used at early stages of MC cultivation. The isolated particles were
positive for the EV‐specific markers CD9 and CD81 as well as for the MC‐specific marker
AQP4. Moreover, nanosized structures enclosed by a lipid‐bilayer could be visualized
by TEM.
Summary/Conclusion: We successfully established a method for the isolation of MC‐derived
EVs. Using our protocol further analyses can now be performed.
Funding: MS, FB: Else‐Kröner‐Fresenius Stiftung; FB: DFG BU3135/3‐1, Berta‐Ottenstein‐Fellowship
PT02.23
SubXTM Technology for Isolation of Virus‐Free Exosomes
Andrei Malykh1; Andrey Pavlov1; Vladimir Evtushenko2
1CAPITAL BIOSCIENCES, INC., Gaithersburg, USA; 2A.M. Granov Russian State Center of
Radiology and Surgery Technologies, Saint Petersburg, Russian Federation, St. Petersburg,
Russia
Introduction: Overlapping size between viruses and exosomes (extracellular vesicle;
EV) is the major obstacle for the isolation of pure EVs by most popular commercial
kits based on EV precipitation by ultracentrifugation, PEG salting‐out, hydrophobic
binding with silicon carbide, or size exclusion chromatography. Historically, these
methods have been employed for viral isolation, so one can expect co‐isolation of
viruses with EVs, especially from virus‐containing liquids. Earlier we demonstrated
that SubX technology is appropriate for isolation of both cfDNA and EVs from the same
bioliquid sample. The different affinity of the SubX molecules to EV membrane phospholipids
and phosphate residues of nucleic acids allows for the efficient separation of EVs
from cfDNA. Due to the high affinity to nucleic acids, SubX squeezes out proteins
from the nucleoprotein complexes and forms SubX‐DNA/RNA pellet insoluble in the exosome
reconstitution buffer (ERB). Based on this observation we suggested that EVs can be
purified of the viruses since viral proteins are substituted by SubX and viral DNA/RNA
will remain in pellets.
Methods: Cell line B95‐8 shedding Epstein‐Barr Virus (EBV) was used as to develop
the protocol for exosomes and viral DNA isolation from culture medium utilizing SubX
Exo‐DNA isolation kit. RNA‐carrying recombinant lentiviruses were used as spikes in
different bioliquids. EBV DNA quantity was determined by qPCR with primers for EBNA
1 gene. Extracellular genomic DNA released by B95‐8 cells was detected using primers
for 36B4 gene. RNA quantity was determined by RT‐qPCR using primers specific for lentivirus
used. Detection of SubX‐DNA and exosomes binding was done by measurement of particle
sizes using Zetasizer Nano ZS and Nanosight NS300.
Results: SubX molecules bind exosomes and form micron‐size aggregates that are easily
pelleted in a brief 14K x g centrifugation step. SubX‐DNA/RNA complexes also precipitate
at the same centrifugation force. Exosomes are easily solubilized in ERB from the
pellet, while tightly bound DNA/RNA remains insoluble. Less than 0.5% of viral DNA
was associated with exosome fraction, while post‐exosome pellet contained >99% DNA.
This is over 200‐fold purification of exosomes from viruses. Thus, we separate two
distinct types of extracellular material – intact exosomes and mixture of viral plus
cfDNA in a single protocol from the same sample. Also, less than 0.25% of B95‐8 genomic
cfDNA is detected in exosome fraction. Current results suggest that the EV‐associated
DNA measured after application of the SubX technology does not contain cf‐ or viral
DNA.
Summary/Conclusion: SubX technology based on specific capture of phosphate‐clusters
permits isolation of exosomes free of non‐ phospholipid vesicles, protein aggregates,
DNP/RNP, as well as viral contamination. It also appears efficient for isolation of
viral DNA or RNA from bioliquids (plasma, urine, cell culture medium).
PT03: Physiology and pathology: Central and peripheral nervous systems
Chair: Tiana F. Koukoulis – The Florey Institute of Neuroscience and Mental Health,
The University of Melbourne, Parkville, Australia
Chair: Hargita Hegyesi, Semmelweis University Department of Genetics, Cell and Immunobiology
PT03.01
Cerebrospinal fluid extracellular vesicles and miRNA cargo as disease specific biomarkers
for Alzheimer's disease
Julie A. Saugstad1; Ursula S. Sandau1; Trevor J. McFarland2; Erika Duggan3; John P.
Nolan3; Joseph F. Quinn2
1Oregon Health & Science University, PORTLAND, USA; 2Oregon Health & Science University,
Portland, USA; 3Scintillion Institute, San Diego, USA
Introduction: Alzheimer's disease (AD) is the most common cause of dementia, and the
sixth leading cause of death in the US. Given that brain changes in AD begin 10‐20
years before symptoms appear, it is essential to identify brain changes that occur
early in AD and to develop effective therapies to stop or slow AD progression. We
previously identified miRNA biomarkers for AD in human cerebrospinal fluid (CSF).
Here our study assessed the specificity of extracellular vesicles (EVs) and their
miRNAs as biomarkers for AD vs. Parkinson's disease (PD), a related neurodegenerative
disorder.
Methods: EVs from human AD, PD, and controls (CTL) (n=10/group) were isolated from
lumbar CSF using ultrafiltration combined with size exclusion chromatography. EV concentrations
and sizes were determined by vesicle flow cytometry. MiRNAs were quantied using a
custom TaqMan array with probes for 36 previously established AD miRNAs.
Results: There was no effect on the total number of EVs in CSF in the AD and PD groups
vs. CTL. However, we did observe an increase in EV size in AD and PD vs. CTL. The
arrays detected 30 miRNAs in total CSF, and 25 miRNAs in the CSF EVs. Four of the
25 CSF EV miRNAs were detected in both AD and PD with a 1.5 fold decrease in expression,
and an area under the curve (AUC) > 0.7 for classifying either AD or PD from CTL.
Five of the CSF EV miRNAs had a 1.5 fold change in expression only in AD, relative
to CTL. These five miRNAs performed well individually and in combination to classify
AD, but not PD, from CTL. Furthermore, the expression levels of CSF EV miRNAs generally
performed better at classifying AD than the total CSF miRNAs.
Summary/Conclusion: Human CSF EV miRNAs can classify AD from PD, and show better performance
than total CSF miRNAs.
PT03.02
Characterization of extracellular vesicles produced by astrocytes from the spinal
cord of SOD1G93A late symptomatic mice
Roberta arianna Zerbo1; Carola Torazza1; Fabrizio Fabbiano2; Marco Milanese1; Vito
Giuseppe D'Agostino3; Giambattista Bonanno1
1Department of Pharmacy, Pharmacology and Toxicology Unit, University of Genoa, Genoa,
Italy, Genoa, Italy; 2Department of Cellular, Computational and Integrative Biology,
University of Trento, Trento, Italy, Trento, Italy; 3Department of Cellular, Computational
and Integrative Biology (CIBIO), University of Trento, Trento, Italy
Introduction: Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease
that affects upper and lower motor neurons (MNs), leading to muscle atrophy and paralysis.
ALS is a non‐cell autonomous disease, astrocytes playing a central role in clinical
progression.
Since extracellular vesicles (EVs) own a key role in cell‐to‐cell communication, we
compared EVs derived from SOD1G93A (an ALS animal model) and WT mouse astrocytes.
We also studied the effect of EVs from SOD1G93A astrocytes on WT MN viability.
Methods: Astrocytes were prepared from 120‐day‐old spinal cord SOD1G93A and WT mice.
The tissue was mechanically dissociated in DMEM medium + N2 factor and astrocytes
were cultured at 37°C and 5% CO2 for 20 DIV before experiments.
EVs were isolated by nickel‐based isolation (NBI) from the supernatant of astrocytes
by using positively charged agarose beads and eluted by means of EDTA‐NaCl elution
buffer.
MNs were isolated by gradient from the spinal cord of E13,5 SOD1WT embryos and cultured.
MNs were counted for viability from day 8 to day 14 after seeding.
EV‐RNA was extracted from NBI‐isolated EVs using the Single Cell RNA extraction kit
(Norgen Biotek) and analyzed by RNA sequencing.
Results: The amount of EV recovered from SOD1G93A and WT astrocyte was 6,73x105 and
1,78x106 respectively (cell number: SOD1G93A 6.37x105; WT 1.61x105). We did not detect
EV size or Z potential differences.
We completed the RNA sequencing to define the microRNA repertoire of SOD1G93A and
WT astrocyte‐derived EVs. Data are underwenting bioinformatic analysis.
MN viability was significantly reduced when MNs were exposed to EV from SOD1G93A astrocytes
compared to untreated MNs
Summary/Conclusion: Our results indicate that pathological astrocytes influence MN
viability in ALS via EV secretion and suggest that EVs from SOD1G93A astrocytes may
retain a unique signature defining their neurotoxic activity. Data from RNA sequencing
should straightly shape EV characteristics.
Funding: MUR‐PRIN, grant n. 2017F2A2C5
PT03.03
Conventional dendritic cells reprogrammed by extracellular vesicles from amniotic
fluid stem cells rescue autoimmune neuroinflammation
Giorgia Manni1; Marco Gargaro1; Eleonora Padiglioni1; Simona Fontana2; Alessandra
Di Veroli3; Gabriele Cruciani3; Marco Cipolloni4; Alessandro Di Michele5; Vincenzo
Nicola Talesa1; Rita Romani1; Francesca Fallarino1
1Department of Medicine and Surgery, University of Perugia, Perugia, Italy; 2University
of Palermo, Dep. of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D.),
Palermo, Italy; 3Department of Chemistry, Biology and Biotechnology, University of
Perugia, Perugia, Italy; 4TESPharma S.R.L., Corciano, Perugia, Italy; 5Department
of Physic and Geology, University of Perugia, Perugia, Italy
Introduction: Dendritic cells (DCs) are potent antigen‐presenting cells that control
adaptive immunity and balance effector and regulatory components of the immune response.
Extracellular vesicles (EVs), released from human amniotic fluid stem cells (HAFSCs),
are characterized by important immunoregulatory properties. In this study, we investigated
the potential of HAFSC‐EVs to promote tolerogenic effects on specific subsets of murine
DCs.
Methods: We first produced EVs from HAFSCs cultured in serum‐free medium. Ultracentrifugation
of HAFSC‐conditioned cell medium allowed isolation of EVs that were characterized
by scanning electron microscopy (SEM). Nanoparticle tracking analysis (NTA) distribution
plots showed vesicle size.Western blot analysis confirmed that the isolated fraction
contained EVs and exosomes markers. Lipidomic, proteomic and miRNA analysis were used
to completely characterize EVs. Murine DCs and T cells were isolated from bone marrow
and spleen respectively. Confocal microscopy and cytofluorimetric analysis were used
to evaluate EV uptake to cells. Experimental autoimmune encephalomyelitis (EAE) model
was induced in C57BL/6 female mice immunized with MOG35–55 peptide.
Results: We demonstrated that HAFSC‐EVs are preferentially internalized by conventional
dendritic cell type 2 (cDC2), but not by other cDCs, both in vitro and in vivo. Protein
and miRNA cargo analysis revealed the enrichment of several immunoregulatory pathways
in HAFSC‐EVs. Indeed, immunogenic cDC2 conditioned with HAFSC‐EVs acquired strong
tolerogenic functions. Transfer of cDC2 conditioned with HAFSC‐EVs in vivo resulted
in suppression of autoimmune responses and significant improvement in the clinical
score of EAE.
Summary/Conclusion: These results demonstrate that HAFSC‐EVs, which are naturally
loaded with immunoregulatory mediators, contribute to reprogram inflammatory cDC2
to tolerogenic functions, leading to the control of autoimmune responses.
PT03.04
EVs derived from CSC‐exposed myeloid lineage cells increase IL‐1β levels in CNS cells
Sunitha Kodidela1; Asit Kumar1; Namita Sinha2; Santosh kumar1
1UTHSC, Memphis, USA; 2UTHSC, Mrmphis, USA
Introduction: Cigarette smoke condensate (CSC), a component of cigarette/tobacco smoking,
increases pro‐inflammatory molecules in myeloid lineage cells. However, the cellular
mechanism by which CSC contributes to CNS inflammation is unclear. We have recently
demonstrated that long‐term exposure of CSC to HIV ‐uninfected(U937) and infected
(U1) macrophages are known to induce packaging of pro‐inflammatory molecules, particularly
IL‐1β, in extracellular vesicles(EVs). Therefore, we hypothesize that exposure of
EVs derived from CSC‐treated monocyte/macrophages to CNS cells can increase their
IL‐1β levels, contributing to neuroinflammation.
Methods: The U937 and U1 differentiated macrophages were treated once‐daily with CSC
(10μg/ml) for 7‐days. After 7 days of treatment, we collected the media, isolated
EVs, and characterized those according to the ISEV guidelines. The EVs isolated from
1ml of media from above U937 and U1 cells were treated to 1ml of media containing
human astrocytic and neuronal cells (0.1million cells/well; 12 well plate) once daily
for three days and two days respectively in the presence of CSC. At the end of the
treatment, the cells were harvested and examined for protein levels superoxide dismutase‐1
(SOD1), catalase (CAT), IL‐1β, and Glial fibrillary acidic protein (GFAP) using western
blot. The differences in the relative expression of protein levels between groups
were compared using ANOVA and p< 0.05 is considered significant.
Results: We observed that the U937 cells have lower expression of IL‐1β compared to
their respective EVS, confirming that most of the produced IL‐1β get packaged into
EVs. Our results suggest that the astrocytic and neuronal cell lines which received
EVs derived from CSC exposed macrophages (U937 and U1 cell lines) showed increased
expression of IL‐1β levels (∼500 folds) compared to the control and CSC groups alone.
In addition, the expression of IL‐1β was furthermore high in the group that received
the exposure of both EVs and the CSC.
Summary/Conclusion: These results suggest that CSC might contribute to neuroinflammation
by EV‐mediated transfer of increasing IL‐1β in astrocytic and neuronal cells
Funding: This study is supported by funding from the NIH grant DA047178 (Santosh Kumar)
PT03.05
Neuronal primary cilia in morphine tolerance
Rong Ma1; Naseer Kutchy2; Guoku Hu1
1University of Nebraska Medical Center, Omaha, USA; 2St. George's University, True
Blue, Grenada
Introduction: Tolerance leads to not only limited use of opioids, including morphine,
as analgesics but also increased risk of overdose and death. Critical features of
morphine tolerance involve both neurons and astrocyte functions. There is little understanding
of how astrocyte‐neuron communication that can normally provide the essential networks
underlying brain function is modified by morphine and contribute to morphine tolerance.
Recent studies by others and us have demonstrated that pharmacological inhibition
of extracellular vesicle (EV) release prevents morphine tolerance.
Methods: C57/B6 mice were administered morphine for five days to develop tolerance,
determined using the tail‐flick. Mouse primary astrocyte‐derived EVs (ADEVs) were
isolated using both size exclusion chromatography (SEC) and ultracentrifugation approaches
followed by characterization of EVs using zetaview for EV size distribution and number,
and Western blotting for EV markers as well as electron microscopy for EV morphology.
Mouse primary neurons were treated with either control‐ADEVs or morphine‐ADEVs for
48h followed by assessment of primary cilia. Pharmacological and genetic approaches
were used to determine the role of EVs in primary ciliogenesis. Primary cilia were
assessed by fluorescent immunostaining for primary cilia markers.
Results: We found that morphine‐stimulated astrocyte‐derived EVs (morphine‐ADEVs)
can be taken up by neurons and promote neuronal primary ciliogenesis. Moreover, we
also found that SHH was increased on morphine‐ADEVs that can activate SHH signaling
in neurons. Our in vivo results demonstrate that inhibiting primary cilia in neurons
prevents morphine tolerance in mice.
Summary/Conclusion: ADEV‐mediated neuronal primary ciliogenesis and SHH activation
contribute to the development of morphine tolerance.
Funding: NIH‐ R21DA046831, R21DA042704 and MH112848
PT03.06
Neuron‐to‐neuron of polyGR transmission through extracellular vesicles causes degeneration
in receiving cells
Maria Elena Cicardi1; Davide Trotti2
1thomas jefferson university, Philadelphia, USA; 2thomas Jefferson Univesrity, Philadelphia,
USA
Introduction: Amyotrophic lateral sclerosis (ALS) and fronto‐temporal dementia (FTD)
are two neurodegenerative disease which belong to the same disease spectrum. The most
common genetic cause of ALS‐FTD is a hexanucleotide repetition (G4C2) present in the
intron 1 of the C9orf72 gene. This mutation results in three main toxic events: C9orf72
protein reduction, RNA foci formation and aberrant repeat associated non‐AUG translation
(RAN‐T). The products of RAN‐T are five dipeptide repeat proteins (DPRs: polyGA, polyGP,
polyGR, polyPA and polyPR).
Methods: Extracellular vesicles extraction from mouse blood/cell culture media by
UC and size exclusion chromatography (IZON columns)
Analysis of EVs by NTA, Cytoflex, proteomic,
Bioactivity of extracellular vesicles through live imaging of neurons
Bioactivity of extracellular vesicles through in vivo injections is mice
Primary cortical nuerons, hiPSCS
Results: Employing a mouse model which conditionally expresses polyGR we found that
a fraction of the extracellular vesicles (EVs) present in the serum encloses polyGR.
We thus analyzed whether neurons produce EVs loaded with RAN‐T products. Indeed, DPRs
were detected in neuronal EVs and glutamate stimulation was able to increase the number
of polyDPR+ EVs. Interestingly, we found higher percentage of polyGR+ EVs compared
to other DPRs. We then investigate if the internalization of polyGR+ EVs elicited
toxicity in recipient neurons. We treated cortical neurons with polyGR+ EVs and by
live imaging we found a significant reduction in cell viability compared to control
EVs treated neurons paralleled by TDP‐43 nuclear depletion which is hallmark of ALS‐FTD
pathology. When we performed in vivo experiments injecting polyGR+ EVs in mouse spinal
cord we observed loss of NeuN positive cells, paralleled by astrocytes and microglial
recruitment at the injection site. Treating human derived motor neurons (MNs) with
polyGR+ EVs and we found that only C9‐ALS derived MNs show increased neuro‐degeneration
possibly owing to polyGR+ EVs induced RAN‐T which we were able to measure thanks to
a luciferase RAN‐T reporter.
Summary/Conclusion: In conclusion we demonstrated that polyGR reception into neurons
was able to cause neuronal toxicity, TDP‐43 nuclear depletion and increase in RAN‐T
substantiating the hypothesis that EVs mediated neuron‐to‐neuron spreading of polyDPRs
is one of the possible pathways in which neurodegeneration spreads across the central
nervous system during ALS or FTD.
Funding: NIH ‐ R01 to DT
DoD post doctoral fellowship to MEC
PT03.07
Osteopontin mRNA transferred via extracellular vesicles: a repair mechanism after
stroke?
Paul Kügler1; Santra Brenna2; Clemens Falker‐Gieske3; Yuqi Gui1; Hermann Altmeppen4;
Tim Magnus4; Berta Puig5
1UKE, HAMBURG, Germany; 2Department of Neurology, Experimental Research in Stroke
and Inflammation (ERSI), University Medical Center Hamburg‐Eppendorf, Hamburg, Germany.,
HAMBURG, Germany; 3Georg‐August‐Universität, Göttingen, Germany; 4UKE, Hamburg, Germany;
5Department of Neurology, Experimental Research in Stroke and Inflammation (ERSI),
University Medical Center Hamburg‐Eppendorf, Hamburg, Germany., Hamburg, Germany
Introduction: After ischemic stroke, where blockage of a brain artery impedes the
supply of glucose and oxygen, the directly affected neurons die by necrosis, whereas
brain cells surrounding the ischemic area (penumbra) remain metabolically active and
can potentially be rescued. Several extracellular signals, including those received
via extracellular vesicles (EVs), will influence the fate of brain cells at the penumbra
in the hours/days following the ischemic insult. To decipher the nature of these critical
extracellular stimuli, is fundamental to understand the pathophysiology of stroke.
Methods: The aim of the present study was to analyse the mRNA cargo of brain‐derived
EVs (BDEVs) at two time‐points, 24h (acute phase) and 7 days (recovery phase), after
transient Middle Cerebral Artery Occlusion (tMCAO, a widely used mouse model of stroke)
to gain insight into their potential participation in brain recovery processes. In
a previous study, we proved that a commercially available mRNA expression panel allowing
for multiplexed assessment of 770 genes is suitable to analyze BDEV mRNAs without
the need for previous RNA isolation, thus simplifying the protocol and limiting sample/information
loss. We here applied the same targeted approach together with an improved BDEVs isolation
protocol using a iodixanol gradient.
Results: Nanoparticle Tracking Analysis (NTA) showed that the amount of BDEVs is significantly
increased at 7 days after reperfusion, together with the presence of more mRNAs being
significantly upregulated (160 mRNAs) compared to 24h after stroke (with 78 mRNAs
significantly increased). The analysis of gene ontology (GO) pathways for biological
processes indicated a decrease in the “inflammatory response” (GO:0006954) and an
increase in “immune system process” (GO:0002376) and “immune response” (GO:0006955)
at 7 days compared to 24h. Fittingly, many highly overexpressed mRNAs at 7 days can
be ascribed to microglia, the resident immune cells of the brain. Lastly, we detected
that the most upregulated mRNA in BDEVs at 7 days after stroke is Spp1, which encodes
for osteopontin (OPN), a phospho‐glycoprotein secreted by macrophages and microglia
and acting protective after stroke. By immunofluorescence analysis, we observed that
OPN is upregulated at the cortical penumbral area.
Summary/Conclusion: The results presented here point to a possible contribution of
BDEVs loaded with Spp1 mRNA to the mechanisms of survival/recovery of neurons after
stroke.
PT03.08
Study of deregulated microRNA and their targets in small extracellular vesicles of
Fronto‐temporal Dementia patients
maria Garofalo; Daisy Sproviero; Francesca Dragoni; Eleonora Corridori; Alfredo Costa;
Giulia Perini; Matteo Cotta Ramusino; Orietta Pansarasa; Stella Gagliardi
IRCCS Mondino Foundation, Pavia, Italy
Introduction: Fronto‐Temporal Dementia (FTD) is characterized by aggregation of proteins
(TDP‐43 and Tau) in the frontal and temporal lobes with microvacuolation and relevant
deregulation of RNA‐binding proteins (RBPs).
We investigated miRNA cargo of small Extracellular Vesicles (SEVs) derived from plasma
of FTD patients and healthy controls. The purpose was to evaluate deregulated microRNAs
in patients to identify new peripheral biomarkers. Moreover, we aimed to identify
mRNA targets involved in FTD pathogenesis.
Methods: SEVs were isolated from plasma of 9 FTD patients and 9 healthy volunteers
by differential centrifugation and characterized by Nanosight. MicroRNA libraries
were generated using Small RNA‐Seq Library Prep Kit (Lexogen) and sequenced on a NextSeq
500 (Illumina). Interaction prediction was carried out on TarBase v.8 database.
Results: We found a total of 197 Differentially Expressed microRNAs, 99 up‐regulated
and 98 down‐regulated. Then, we looked for directly validated mRNA targets of the
most deregulated microRNAs in our analysis. Interestingly, hsa‐miR‐522‐5p, down‐regulated
in our profiling, targets RTN3 that in turn interacts with and modulates BACE1, and
the up‐regulation of hsa‐miR‐203a‐3p may impact on TNF and IL‐12 levels. Moreover,
hsa‐miR‐181c‐5p was up‐regulated and its role was already linked to a negative feedback
network of TDP43. We also found a down‐regulated microRNA in common with Alzheimer's
disease, hsa‐miR‐1260b, involved in Wnt pathway.
Summary/Conclusion: In conclusion, our data highlight the importance of microRNAs
cargo examination in EVs of FTD patients. In fact, their potential is exploitable
both for biomarkers discovery and for study of gene expression alteration in FTD pathogenesis.
Funding: This research was funded by Italian Ministry of Health (Grant N°5*1000 anno
2016, Ricerca Corrente 2018–2020, Young research project GR‐2016‐02361552, AIFA‐co‐ALS);
EuroNanoMed III JTC 2018; Fondazione Regionale per la Ricerca Biomedica for TRANS–ALS
(FRRB 2015‐0023); Fondazione Cariplo 2017 (Extracellular vesicles in the pathogenesis
of Frontotemporal Dementia 2017‐0747; Association between frailty trajectories and
biological markers of aging 2017‐0557).
PT03.09
The effect of serum on human astrocyte reactivity and their extracellular vesicles
in vitro
Katherine E. White1; Robert Layfield1; Daniel Scott1; Robert Markus1; Raquel Mesquita‐Ribeiro2;
Zubair Ahmed Nizamudeen3; Denise McLean1; Kenton P. Arkill1; Sebastien Serres4
1University of Nottingham, Nottingham, United Kingdom; 2School of Life Sciences, University
of Nottingham, Nottingham, United Kingdom; 3University of Nottingham, Oxford, United
Kingdom; 4Life Sciences Nottingham university, Nottingham, United Kingdom
Introduction: Astrocytes are abundant glial cells in the central nervous system (CNS)
that undergo phenotypic and functional changes in response to injury and disease.
Whilst not fully understood, these changes can be used to classify astrocytes as quiescent
or reactive to study astrocyte‐derived extracellular vesicles (ADEVs). Reactive astrocytes
are more common in neurodegenerative disease so ADEVs could act as biomarkers for
CNS disease and may be involved in disease transmission. Current in vitro models typically
use serum such as fetal bovine serum (FBS) to culture healthy astrocytes; however
serum may induce astrocyte reactivity. This project therefore aims to investigate
the effect of FBS on the morphology and gene expression of human astrocytes and ADEVs
by developing a serum‐free model.
Methods: Primary human astrocytes were cultured in serum‐free or serum media and characterised
using ICC, qPCR and RNA‐SEQ. ADEVs were collected in 40ml of serum‐free media either
from a serum‐free model over 2 weeks, or for 72 hours in the serum model. Ultrafiltration
was completed to concentrate the media, followed by size exclusion chromatography
using qEVorignal 70nm columns to isolate ADEVs. ADEVs were then characterised using
western blotting, TEM and dSTORM. Finally, proteomic analysis was completed on EVs
and cell lysates from each model using mass spectrometry (LC‐MS/MS).
Results: Serum‐cultured astrocytes showed morphological changes and were associated
with upregulated markers of astrocyte reactivity compared to serum‐free culture (n=3).
RNA‐SEQ found 1474 unique protein‐coding RNA exclusive to serum‐free cultures (n=4).
Gene ontology analysis found 577 significantly upregulated pathways in serum‐free
astrocytes including cell‐adhesion pathways, axon and synapse development and ion
channel activity. Proteomic analysis found distinct differences in EV protein cargo
and cell lysates in both models with ∼200 unique proteins identified in EV samples
(n=3).
Summary/Conclusion: These findings suggest that there are clear differences in astrocyte
phenotype when using serum‐containing media and therefore serum should not be used
to study quiescent astrocytes and their ADEVs. Instead, we recommend serum‐free cultures
whilst serum‐based cultures could still be used as a model of reactive astrocytes.
Funding: Funded by the BBSRC doctoral training program.
PT03.10
The Protective Effects of miR‐210 Modified Endothelial Progenitor Cells Released Exosomes
in Hypoxia/Reoxygenation Injured Neurons
Ji Bihl1; Sri Yerrapragada2; Harshal Sawant1
1Marshall University, Huntington, USA; 2Wright State University, Dayton, USA
Introduction: We have previously demonstrated that endothelial progenitor cells (EPCs)
provide beneficial effects on ischemic stroke by reducing oxidative stress, which
could be through EPCs‐released exosomes (EPC‐EXs). EXs are emerging as a bioagent
for mediating cell‐cell communications via their carried microRNAs (miR). miR‐210
is shown to provide a neuroprotection effect against ischemic stroke. Here, we aimed
to determine whether the combination of EPC‐EXs and miR‐210 would provide an enhanced
protective effect on neurons.
Methods: The hypoxia and reoxygenation (H/R) model were applied to neurons to mimic
the ischemic injury of neurons. EPCs were transfected with miR‐210 mimic to elevate
the level of miR‐210 in cells and EPC‐EXs (miR210‐EPC‐EXs). For functional studies,
EPC‐EXs were co‐incubated with H/R‐injured neurons, then the cell viability and reactive
oxygen species (ROS) production were determined.
Results: The results showed 1) H/R induced apoptosis and ROS overproduction in neurons;
2) miR‐210 mimic increased the level of miR‐210 in both EPCs and EPC‐EXs; 3) EPCs
cultured in serum‐free medium released more exosomes in comparison with cells grown
in complete growth media, suggesting serum starving induce the release of EXs; 4)
After transfection, EPCs grown in complete media had almost 50 times higher miR‐210
level than EPCs had in serum‐free media, while the EPCs‐EXs isolated from the complete
media has lower miR‐210 expression than from the serum‐free media in a time‐dependent
manner, suggesting the transfer of miR‐210 through EXs; 5) After co‐incubation, EPC‐EXs
and miR210‐EPC‐EXs could be uptaken by neurons, miR210‐EPC‐EXs could elevate the miR‐210
level in neurons; 6) miR210‐EPC‐EXs were more effective in promoting cell viability
and decreasing apoptosis and ROS production.
Summary/Conclusion: The present study demonstrated that EPCs‐carried miR‐210 could
be released and transferred to neurons in a time‐dependent manner and that miR‐210
loading can enhance the protective effects of EPC‐EXs on H/R‐induced neuron apoptosis,
oxidative stress, and decreased viability.
Funding: This work was supported by the National Institute of Neurological Disorders
and Stroke (1R01NS102720).
PT03.11
Understanding the role of extracellular vesicles in the pathophysiology of Alzheimer's
disease
Mohsin Shafiq1; Ladan Amin2; Andreu Matamoros‐Angles1; Alexander Hartmann3; Stefano
Da Vela4; Ilka Egger1; Emina Karadjuzovic1; Ayesha Zafar1; Behnam Mohammadi1; Carolin
Seuring5; Bente Siebels6; Hannah Voß6; Minna Holopainen7; Reijo T Käkelä7; Hartmut
Schlüter6; Hermann Altmeppen8; David A Harris2; Dmitri Svergun4; Markus Glatzel1
1Institute of Neuropathology, University Medical Center Hamburg‐Eppendorf, Hamburg,
Germany, Hamburg, Germany; 2Department of Biochemistry, Boston University School of
Medicine, Boston, MA, USA., Boston, USA; 3Institute of Neuropathology, University
Medical Center Hamburg‐Eppendorf, Hamburg, Germany, hamburg, Germany; 4EMBL European
Molecular Biology Laboratory Hamburg, Germany, Hamburg, Germany; 5Multi‐User CryoEM
facility, Centre for Structural Systems Biology (CSSB) Hamburg, Germany, Hamburg,
Germany; 6Institute of Clinical Chemistry and Laboratory Medicine, University Medical
Center Hamburg‐Eppendorf, Hamburg, Germany, Hamburg, Germany; 7Helsinki University
Lipidomics Unit (HiLIPID), Helsinki Institute for Life Science (HiLIFE) and Biocenter
Finland, Helsinki, Finland, Helsinki, Finland; 8UKE, Hamburg, Germany
Introduction: Cellular prion protein (PrPC) is a GPI‐anchored receptor glycoprotein
with highest expression in the nervous and the immune system. It is also abundantly
expressed on surface of the extracellular vesicles (EVs). In Alzheimer's disease (AD),
although a decline in brain PrPC levels is reported but EV‐expressed PrPC, along with
shed extracellular PrPC forms, is suggested to sequester Aβ oligomers (Aβo) and to
accelerate Aβ fibrillation, yet formal evidence is still lacking. Effects of PrPC
decline on the EV compositions also lack comprehensive studies. Here, we aim to study
the role of PrPC expressing EVs in Aβ fibrillization and to highlight physiological
alterations associated with EV levels of PrPC.
Methods: PrPC‐containing (WT) and PrPC‐deficient (KO) EVs were obtained from WT and
PrPC‐KO Neuro‐2a (N2a) cells, respectively. After achieving ∼70% confluency in DMEM
(+ 10% FBS), cells were incubated (∼16h) with serum‐free DMEM. EVs pellets were prepared
from conditioned DMEM by differential centrifugation steps (1500xg, 15min; 10,000xg,
30min; and 100,000xg, 1h10min). EVs were characterized using NTA, immunoblotting,
and cryo‐EM. Small angle X‐ray scattering (SAXS), super‐resolution microscopy (SRM),
Cryo‐EM, proteomic and lipidomic profiling, and associative biochemical and biophysical
methods were employed to further the study objectives.
Results: SAXS studies helped us to identify potent Aβo‐sequestering properties of
WT‐EVs, which were further confirmed by SRM and aggregation assays. Lipidomic and
proteomic profiling of WT‐ and KO‐EVs pointed towards marked differences in the lipid
and protein make‐up (i.e., higher abundance of certain kinases, RNA‐ and DNA‐binding
proteins) of the WT‐ and KO‐EVs.
Summary/Conclusion: Our findings provide new evidence for crucial roles carried out
by PrPC expressing EVs in the pathophysiology of AD, i.e., their involvement in Aβ
aggregation, and their potential involvement in AD‐specific intercellular communication
in the brain.
Funding: The experimental work has been funded by Joachim Herz foundation, University
of Hamburg [PIER Hamburg / Boston seed grant (project ID: PHM‐2019‐03), PIER seed
project (project ID: PIF‐2020‐10)] and the Forschungsförderungsfonds der Medizinischen
Fakultät, University medical center Hamburg‐Eppendorf.
PT04: Therapeutics: Pre‐clinical in vivo studies and clinical trials
Chair: Eva Rohde – SCI‐TReCS GMP Unit at Paracelsus Medical University, Salzburg,
AUSTRIA
Chair: Sébastien Banzet – Institut de Recherche Biomédicale des Armées / INSERM UMR‐MD
1197
PT04.01
Antirheumatic therapy is associated with changes in extracellular vesicles proteomic
profiles in patients with rheumatoid arthritis
Reidun Øvstebø1; Thao Nguyen2; Tuula Nyman3; Maria Stensland3; Trude Aspelin1; Anne‐Marie
Siebke Trøseid4; Mark W. Feinberg5; Morten W. Fagerland6; Ivana Hollan7; Stefan Agewall8
1The Blood Cell Research Group, Department of Medical Biochemistry, Oslo University
Hospital, Ullevaal, Norway, Oslo, Norway; 2Lillehammer Hospital for Rheumatic Diseases,
Lillehammer, Norway and University of Oslo, Faculty of Medicine, Institute of Clinical
Medicine, Oslo, Norway, Lillehammer, Norway; 3Department of Immunology, University
of Oslo and Oslo University Hospital, Norway, Oslo, Norway; 4The Blood Cell Research
Group, Department of Biochemistry, Oslo University Hospital Ullevaal, Oslo, Norway,
Oslo, Norway; 5Harvard Medical School, Boston, USA and Division of Cardiology, Brigham
and Women´s Hospital, Boston, USA, Boston, USA; 6Oslo Centre for Biostatistics and
Epidemiology, Research Support Services, Oslo University Hospital, Norway, Oslo, Norway;
7Beitostølen Health and Sport Centre, Beitostølen, Norway and Norwegian University
of Science and Technology, Gjøvik, Norway, Lillehammer, Norway; 8University of Oslo,
Faculty of Medicine, Institute of Clinical Medicine, Oslo, Norway and Department of
Cardiology, Oslo University Hospital, Ullevål, Norway, Oslo, Norway
Introduction: Extracellular vesicles (EVs) are associated with inflammation and cardiovascular
diseases (CVD). However, the role of EVs in rheumatoid arthritis (RA) and their impact
on CVD in RA, as well as EVs response to treatment is far less studied. Therefore,
we investigated whether qualitative and quantitative characteristics of circulating
EVs differ between RA patients and healthy controls (HC), and whether they are influenced
by antirheumatic therapy.
Methods: We assessed 20 RA patients before and after using methotrexate alone (MTX,
n=10) or Adalimumab with MTX co‐medication (ADA+MTX, n=10) for six weeks, in addition
to 8 age‐ and sex‐matched HC. All patients starting with ADA had been previously unsuccessfully
treated with MTX. Plasma EVs were isolated by size exclusion chromatography (0.5 mL
fractions, fractions 7‐9), and characterized by nanoparticle tracking analysis, NanoDrop
One, western blot, transmission electron microscopy, and label‐free quantitative proteomics
combined with Ingenuity Pathway Analysis of the proteomics data.
Results: Plasma EV numbers, sizes and total protein concentrations did not differ
between patients and HC, and were unaffected by antirheumatic therapy. Proteomic analysis
identified 1513 proteins, wherein 169 proteins had significantly different baseline
levels between patients and HC (FDR p < 0.05). These proteins were mostly related
to cardiometabolic disease and upstream regulation of inflammatory pathways linked
to RA, such as integrins, interleukin‐8, actin cytoskeleton signaling. From patient
samples, 317 proteins were significantly affected after 6 weeks on antirheumatic treatment.
115 proteins changed in response to MTX, whereas ADA+MTX had no significant impact
on these proteins. Among them there were several upstream regulator proteins involved
in pathogenesis of RA, including downregulation of vascular endothelial growth factor
(p=0.012) and MYC (p=0.0003), and upregulation of CD437 (p < 0.0001).
Summary/Conclusion: EV proteins differed between RA patients and HC, and were affected
by antirheumatic treatment within six weeks. Surprisingly ADA+MTX had no significant
impact on EV proteins compared to MTX monotherapy. EVs proteomic content may indicate
a contributing role in pathogenesis of RA and CVD development.
Funding: The study was funded by The Norwegian Women´s Public Health Association.
Financial support to the EV analyses was provided by Lillehammer Hospital for Rheumatic
Diseases
PT04.02
EVs isolation from Trypanosoma cruzi generates intense tissue parasitism and inflammation
in the experimental model in Chagas disease
Nicholy Lozano1; SOFIA OLIVEIRA MIGUEL2; Ana Claudia Torrecilhas3
1UNIFESP, Sao Paulo, Brazil; 2UNIFESP, São Paulo, Brazil; 3Federal University of Sao
Paulo, Sao Paulo, Brazil
Introduction: Trypomastigotes of T. cruzi release EVs enriched in gp85/Trans‐sialidase
superfamily and alpha‐galactosyl‐containing glycoconjugates. EVs induce potent inflammatory
immune response and host cell invasion of macrophages in vitro The aim of our research
project is analysis the effect of EVs in animal infection with Chagas Disease
Methods: BALB/c female mice (8‐10 week‐old) were obtained from the animal facility
at the UNIFESP. BALB/c mice pretreated with EVs (108 particles/ animal) followed by
trypomastigote (500 parasites/ animal via intra peritoneal). The heart, spleen, bladder,
lung, skeletal muscle and intestine were obtained from the animal pretreatment with
EVs and infection with T. cruzi and controls (T.cruzi infection). One half was fixed
in neutral buffered formalin, embedded by routine technique in paraffin wax and sectioned
at 5 um for hemmatoxylin and eosin (H&E) staining
Results: All organs of infected mice submitted to previous treatment with PBS or EVs
were removed 15 days after infection, fixed, embedded in paraffin, and sectioned for
hemmatoxylin and eosin (H&E) staining. The heart, spleen, bladder, lung, skeletal
muscle and intestine of the animals pre‐inoculated with EVs showed an intense parasitism
with an extensive inflammatory reaction, when compared to the control. Approximately
10 or more amastigote nests were found in the infected animal pre‐inoculated with
EVs.
Summary/Conclusion: The results indicate that vesicles released by trypomastigotes
of T. cruzi can modulate the infection in vivo by inducing cytokines, and might play
a role during the acute phase of the disease. These findings suggest that pre‐inoculation
of EVs produces an exacerbated inflammatory reaction in the animal all organs maybe
by modulation cytokine production
Funding: FAPESP, CAPES and CNPq
PT04.03
Exercise‐Derived Exosomes Prevent Diabetes‐Associated Osteoporosis
Neetu Tyagi; Jyotirmaya Behera; Yu‐Ting Zheng; Rubens P. Homme
UNIVERSITY OF LOUISVILLE, Louisville, USA
Introduction: Recent evidence suggests that physical exercise released exosomes have
been identified as novel players to mediate cell‐to‐cell communication in promoting
skeletal development. However, the impact of EX on the progression of bone loss and
deterioration of mechanical strength/quality in diabetic mice, induced by a high‐fat
diet and streptozotocin (HFD/STZ), remains unexplained. Hypothesis: In the present
study, we investigate the effect of physical exercise released exosomes (Ex‐EVs) on
bone mass and mechanical quality using a diabetes mice model. Micro‐CT scans and mechanical
testing revealed that trabecular bone microarchitecture and bone mechanical properties
were improved upon EX in diabetic mice.
Methods: Circulating exosomes were isolated from the plasma of with or without exercise
training 10‐12 weeks old mice subjected to 15‐weeks treadmill exercise. Using the
standard differential ultracentrifugation method and characterized by transmission
electron microscopy, NanoSight & western blot analyses. Micro‐CT scans and mechanical
testing were used to test trabecular bone microarchitecture and bone mechanical properties.
Results: Treatment of EX‐EVs restored the bone mechanical quality in diabetic mice
by preventing inflammasome‐associated pyroptosis response and promoting osteogenesis.
Using miScript miRNA array‐based screening, we discovered a particular miRNA, miR‐218,
as a novel target of EX‐EVs induced Fndc5/irisin expression. Mechanistically, the
data found that diabetes upregulated miR‐218 via oxidative stress‐dependent action
and suppressed the Fndc5/irisin expression by binding to its 3’‐UTR. Indeed, the decreased
level of irisin expression further triggers the expression of pyroptosis‐associated
proteins‐NLRP3, Caspase‐1, and GSDMD in diabetic bone tissue.
Summary/Conclusion: This study demonstrates an understanding of the previously undefined
role of exercise‐induced skeletal irisin in ameliorating diabetes‐associated bone
loss via inhibiting the miR‐129‐FNDC5/pyroptosis axis. It possibly provides a mechanism
for a therapeutic effect on metabolic osteoporosis.
Funding: National Institute of Health (NIH) gran: t AR‐067667
PT04.04
Impact of mesenchymal stromal/stem cell isolation strategies on functional activities
of their extracellular vesicles
Oumaima Stambouli1; Robin Dittrich1; Fabiola Nardi Bauer1; Tobias Tertel1; Peter A
A. Horn2; Bernd Giebel1
1Institute for Transfusion Medicine, University Hospital Essen, University of Duisburg‐Essen,
Essen, Germany, Essen, Germany; 2University Hospital Essen, Essen, Germany
Introduction: Mesenchymal stromal cell (MSC)‐derived extracellular vesicles (EVs)
are increasingly considered as therapeutic agents. Remarkably, as monitored in a multi‐donor
mixed lymphocyte reaction (mdMLR) assay, and in different animal models, including
ischemic stroke and acute Graft‐versus‐Host Disease models, only a proportion of our
MSC‐EV products, all of which have similar EV and protein concentrations, reveal immunomodulatory
activities. Coupled to our experience that some MSC stocks reproducibly allow manufacturing
of EV products with and others without detectable immunomodulatory capabilities, we
hypothesize the differences derive from heterogeneities in parental MSC populations.
Aiming to understand the heterogeneity of MSC‐EV products, we explored whether initial
human bone marrow (BM) seeding procedures have any impact on obtained MSCs or their
EV products, respectively.
Methods: MSCs were raised from unprocessed BM aspirates and from mononuclear cells
(MNCs) harvested thereof, originally either seeded into human platelet lysate (hPL)
supplemented DMEM low media or in cytokine and hPL supplemented EBM media. After 24h,
non‐adherent cells were removed and remaining cells continuously cultured in hPL supplemented
DMEM low media in all four settings. Growth rates of obtained MSCs including their
senescence status, their cell surface phenotypes and osteogenic and adipogenic differentiation
capabilities were analyzed. Furthermore, their EVs were prepared, phenotypically characterized
and investigated for their immunomodulatory and proangiogenic activities.
Results: Overall, aspirate‐derived MSCs, especially those from the DMEM seedings,
appear more mature then MNC‐derived MSCs. They grew slower and reached senescence
quicker than MNC‐derived MSCs. Furthermore, MSCs obtained from EBM seedings revealed
higher expansion capacities than those obtained from DMEM seedings. Despite these
differences, all EV products obtained from early MSC passages revealed comparable
immunomodulatory activities in the mdMLR assay. In contrast, EV preparations obtained
from the aspirate‐EBM seeding promoted tube formation of endothelial cells in Matrigel
more efficiently than those obtained from the other MSCs.
Summary/Conclusion: Our data imply, initial seeding strategies impact the characteristics
of obtained MSCs as well as that of their EVs.
PT04.05
Placenta EV‐associated regulation of the Toll‐like Receptor 4 (TLR4) pathway, a key
mechanism in delaying aging
Jisook Moon1; Yuri choi2; Chul Kim2; Jin Woo Hwang2; Chang Hun Huh3; Moonbeom Choi4;
Jin Young Lee2; Ji‐Min Park5
1College of Life Science, Department of Biotechnology, CHA University, Seongnam, Republic
of Korea; 2CHA University, seoul, Republic of Korea; 3Seoul National University Bundnag
Hospital, seoul, Republic of Korea; 4CHA University, Seoul, Republic of Korea; 5TS
Cell Bio, seoul, Republic of Korea
Introduction: Extracellular vesicles (EVs) can modulate a myriad of biological phenomenon
as well as disease development through cell‐cell communication, and both the naïve
and the modified EVs have showed prospects as therapeutic interventions. However,
the EV mediated modulation of normal aging has not been studies detailed yet.
Methods: In this study, we tested the regulation of aging process by human placenta
derived mesenchymal stem cells (hpMSCs), which already showed the recovery potentials
of hpMSCs in the degenerative disease models in our studies, and the human placenta
derived EVs. We first intravenously infused hpMSCs into the aged mice from18‐19 month
old and repeated three times at every six weeks followed by assessment of diverse
behavioral and molecular analyses.
Results: Compared to the age matched controls, we observed in the multiply treated
mice significant improvement of the cognitive and locomotive activities, enhancement
of genes related neuronal activities, and suppression of aging associated genes including
p16INK4a in their hippocampi. In addition, the hpMSCs delayed the cellular senescence
of the cocultured human cells, such as primary fetal neural progenitor cells (hfNPCs)
and lung fibroblast cells in a transwell system, indicating that the hpMSC mediated
effects are systemic and consequences of secreted materials including EVs. Through
the comprehensive analysis with the total RNAs from hippocampi of the treated mice
and the placenta EV containing microRNA, we identified the TLR4 signlaing targeting
several microRNAs, such as miR 92a, miR‐150, miR ‐22 and miR‐122, that are able to
modulate normal aging and aging related decline of cognitive function. Both the EVs
and the target miRNA mimics partially delayed the cellular senescence and protected
the hfNPCs against Aβ42 toxicity.
Summary/Conclusion: Here we first report that the hpMSCs are able to modulate aging
process systemically in aged mice and the outcomes are at least consequences of the
placenta EV associated modulation of Toll‐like Receptor 4 (TLR4) pathway.
Funding: This research was financially supported by the Ministry of Trade, Industry,
and Energy (MOTIE), Korea, under the “Regional Innovation Cluster Development Program
(OpenLab, P0004793)” supervised by the Korea Institute for Advancement of Technology
(KIAT) and the Bio & Medical Technology Development Program of the National Research
Foundation (NRF) 2019M3A9H1103765.
PT04.06
Pre‐clinical efficacy of intra‐articular administration of mesenchymal stromal cells‐derived
small extracellular vesicles for the treatment of knee osteoarthrosis
Aliosha I. Figueroa‐Valdés1; Ana María Vega‐Letter2; Cynthia García2; Catalina de
la Fuente3; Yessia Hidalgo4; Nicolas Georges5; Patricia Luz‐Crawford6; Maroun Khoury4;
Francisca Alcayaga‐Miranda5
1Laboratory of Nano‐Regenerative Medicine, Centro de Investigación e Innovación Biomédica
(CiiB), Universidad de los Andes, Santiago, Chile, Santiago, Chile; 2Laboratory of
Molecular and Cellular Immunology, Faculty of Medicine, Universidad de los Andes,
Santiago, Chile, Santiago, Chile; 3Consorcio Regenero, Chilean Consortium for Regenerative
Medicine, Santiago, Chile, Santiago, Chile; 4IMPACT, Center of Interventional Medicine
for Precision and Advanced Cellular Therapy, Santiago, Chile, Santiago, Chile; 5Universidad
de los Andes, Santiago, Chile; 6Laboratorio de Inmunología Celular y Molecular, Centro
de Investigación Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago,
Chile; IMPACT, Center of Interventional Medicine for Precision and Advanced Cellular
Therapy, Santiago, Chile, Santiago, Chile
Introduction: Knee osteoarthrosis (OA) is a leading cause of pain and disability.
Our group developed a stem cell‐based therapy with umbilical cord‐derived mesenchymal
stromal cells (UC‐MSC) showing significant pain and function improvements in treated
patients. The clinical need for a “ready‐to‐use” approach and in consideration of
the advantages of the use of small extracellular vesicles (sEV), a preclinical study
was performed to assess the potential of UC‐MSC‐derived sEV in a mouse model of OA.
Methods: sEV were produced and isolated by differential centrifugation and characterized
following MISEV 2018 guidelines by nanoparticle tracking analysis, flow cytometry,
western blot & transmission electron microscopy. An HTG/EdgeSeq profiling array to
characterize sEV's‐miRNAs and bioinformatic analyses to look for OA‐related targets
were performed. Finally, a collagenase‐induced OA murine model was established and
analyzed by microcomputed tomography, histopathology and histomorphometry techniques.
Results: sEV featured a size of ∼150nm, classical cup‐shape morphology, presence of
CD63, CD9, CD81, Flotillin‐1 and Syntenin‐1 and absence of Calnexin and TOMM20. The
sEV‐miRNA cargo profiles were nearly identical among three UC‐MSC donors; notably,
three of the detected miRNAs constituted almost ∼70% of the total miRNA's reads, with
putative targets associated to immune system, angiogenesis and extracellular matrix‐related
genes. In the murine OA model, tissue analysis showed a decrease in OA progression
in sEV‐treated mice as evidenced by a lower bone mineral density index and specific
bone surface ratio compared to sham control. Histological analyses showed partial
joint regeneration.
Summary/Conclusion: sEV treatment inhibits cartilage matrix degradation and promotes
regeneration with no need for invasive surgical procedures. These findings support
a cell‐free sEV‐based treatment for OA.
Funding: Cells for Cells S.A., Chile & Consorcio Regenero S.A., Chile.
PT04.08
Scalability of Production and Activity of Amniotic Fluid Stem Cell Extracellular Vesicles
from 3D Hollow Fiber Bioreactor and 2D culture
Charmi Dedhia1; Paolo Neviani1; John js. Cadwell2; Sargis Sedrakyan3; Laura Perin4
1Children's Hospital Los Angeles, Los Angeles, USA; 2Fibercellsystem, New Market,
USA; 3Children's Hospital Los Angeles ‐ University of Southern California, Los Angeles,
USA; 4Children's Hospital Los Angeles‐University of Southern California, Los Angeles,
USA
Introduction: EV clinical translation is inhibited by limitations in the scale‐up
of EVs production. Hollow fiber bioreactors (HFBR) support culture of large numbers
of cells, at high densities, with concentrated EVs. Culture conditions may affect
EV composition and potency. Here we compare the production, potency, identity, and
therapeutic potential of EVs collected from cells grown in culture dish (2D) vs a
small and medium‐sized HFBR (3D).
Methods: 1 × 10e6 human clonal stem cells from amniotic fluid (hAFSC from consented
donors) were seeded in 2D (145cm2), 1.6 × 10e7 hAFSC were seeded on a small cartridge
(FiberCell C2025D; 450cm2), and 1.8 × 10e8 hAFSC on medium cartridge (FiberCell C2011;
4,000cm2) with fibronectin coating. All cultures used Chang medium with 20% of ES‐FBS,
starved for 24hr and then EVs collected. The effect of harvest frequency was tested
(8hr, 24hr, 72hr). 2D‐EVs and 3D‐EVs were compared by Nanosight, potency assay (by
WB), identity (by Exoview), and therapeutic effect (in vivo injections in an animal
model of chronic kidney disease, Alport Syndrome).
Results: 2D production was ∼5.5 × 10e9EV/ml/24hrs while 3D was ∼2.8 × 10e10EV/ml (first
four 24hrs) and ∼4.4 × 10e10EV/ml (two days of hourly harvests). The medium cartridge
produced similar concentrations of EVs but at 10X harvest volume indicating linear
scalability.
Very little difference in EV concentration was observed during harvest intervals,
with a very similar size distribution. This could indicate either significant EV re‐uptake
or inhibition of EV secretion dependent upon free EV in the supernatant. Both 3D‐EVs
trapped VEGF in vitro (an in vitro established potency assay) and expressed CD9, CD81,
CD63, CD80, CD86, and VEGFR1 as 2D‐EVs. 3D‐EVs ameliorated proteinuria and histology
when injected into Alport mice and also trapped VEGF in vivo as 2D‐EVs.
Summary/Conclusion: 3D‐EVs had comparable properties and bio‐activity to 2D‐EVs, but
the HFBR produced 10x to 100X more EVs. Cell culture conditions for hAFSC still need
optimization in the HFBR, however, a currently available 1.2m2 cartridge provides
a 50X scale‐up potential. The HFBR is a closed system that can be cGMP compliant.
In conclusion, the HFBR can produce a sufficient number of EVs to support pre‐clinical
and clinical applications of EVs with at least similar properties to EVs produced
in 2D methods.
PT04.09
Small Extracellular Vesicle are Responsible for Bystander Immunity in Targeted Radiotherapy
Julie Constanzo1; Soumaya Turpault2; Isabelle Vila3; Jihad Karam2; Stanislas Du Manoir2;
Nathalie Bonnefoy2; Nadine Laguette3; Marie Morille4; Jean‐Pierre Pouget1
1IRCM, Inserm U1194, Université de Montpellier, Institut Régional du Cancer de Montpellier
(ICM), Montpellier, F‐34298 France, Montpellier, France; 2Inserm U1194, Montpellier,
France; 3IGH, UMR 9002, Montpellier, France; 4ICGM, Montpellier University, CNRS,
ENSCM, Montpellier, France, Montpellier, France
Introduction: Beside conventional radiotherapy using X‐rays dedicated to localized
tumors or oligometastasis, targeted radionuclide therapy (TRT) allows to specifically
irradiate diffuse and metastatic tumors. TRT consists of the administration of radiopharmaceuticals
made of monoclonal antibodies or peptides coupled to a radionuclide emitting alpha,
beta and Auger particles. We already demonstrated that TRT induces anti‐tumor immunity
at low activity. Here, we investigate the role of small extracellular vesicles (sEVs)
released by irradiated cells in triggering anti‐tumor immunity.
Methods: B16F10 melanoma cells were subcutaneously injected in C57BL/6J and athymic
mice, or in cGAS‐/‐ and in STING‐/‐ mice. Mice received intraperitoneal injections
of TA99 mAb targeting TYRP‐1/gp75 tumor antigen radiolabeled with 5MBq 177Lu‐TA99
(beta TRT), or intratumor injection of sEVs purified from cells exposed to 2MBq/ml
177Lu‐TA99 (TRT‐sEVs) or from non‐treated cells (NT‐sEVs). Macrophages and DC were
exposed in vitro to sEVs purified from B16F10 CRISPR ctrl, B16F10 cGAS‐/‐ and B16F10
STING‐/‐ exposed to beta TRT.
Results: In vivo, Beta TRT efficacy was shown to require T‐cells for adaptive immunity,
with a factor 3 in tumor growth delay (**p = 0.001) compared to non‐treated (NT),
and no difference between TRT and NT was observed in athymic nude mice. Then, we focused
on sEVs as a second messenger released by cancer cells that may activate an antitumor
immune response through the STING pathway. EVs purified from beta‐TRT exposed cells
demonstrated a strong tumor growth delay and survival (***p = 0.0007). The dsDNA content
between NT‐sEVs and TRT‐sEVs was comparable, which suggest that dsDNA was not responsible
for the observed in vivo effect. Also, we demonstrated using TCGA database analysis
in vivo that cGAS gene expression is required in cancer cells to obtain a significant
therapeutic efficacy of radiotherapy, while STING is not. In addition, knocked‐out
cGAS genes in host immune cells did not affect TRT response, while knocked‐out STING
genes did, suggesting that cGAMP is an extracellular messenger involved in activation
of immune cells. Finally, compared to TRT purified sEVs‐CTRL, sEVs‐cGAS‐/‐ do not
activate macrophages nor DC in vitro, demonstrating that sEVS may carry cGAMP.
Summary/Conclusion: sEVs contribute to TRT efficacy by mediating an antitumor immune
response in vivo.
PT04.10
Towards continuous production of extracellular vesicles: productivity of batch‐refeed
cell cultures
Carolina Paganini1; Hannah Boyce1; Mauro Manno2; Antonella Bongiovanni3; Paolo Arosio1
1Institute for Chemical and Bioengineering, ETH Zurich, Zurich, Switzerland, Zurich,
Switzerland; 2Cell‐Tech HUB at Institute of Biophysics (IBF), National Research Council
of Italy (CNR), Palermo, Italy, Palermo, Italy; 3Cell‐Tech HUB at Institute for Research
and Biomedical Innovation (IRIB), National Research Council of Italy (CNR), Palermo,
Italy, Palermo, Italy
Introduction: The low yields of production of extracellular vesicles (EVs) seriously
challenge research and clinical application of successful products (Paganini et al,
Biotech. J., 1800528, 2019). Until now, few efforts have been done to increase upstream
yields of EVs. Examples include switching the cell cultivation from flasks to hollow
fiber bioreactors and stirred tank bioreactors operated in batch mode. Moreover, little
is known about how these changes in the upstream operations impact the rate of EV
production and the properties of the final EV mixtures. Here, we simulate perfusion
cultures with batch‐refeed cultures, evaluate their productivity and compare them
with batch cultures.
Methods: 293F cells are cultured in shake flasks and maintained at two different cell
densities for 14 days. The medium is collected and replaced daily. EVs are separated
by immuno‐magnetic isolation, quantified and the productivities of the two batch‐refeed
cultures and of a batch culture are measured.
Results: With our experimental setup we can determine the rate at which the EVs are
produced in batch and batch‐re‐feed systems. In addition, proteomic analysis of EVs
isolated by SEC reveals the biochemical characteristics of the EVs produced by the
same culture at different days.
Summary/Conclusion: We present important information on the productivity of EVs in
different cultivation modes. These results indicate a promising strategy to increase
the upstream yield of EVs and hence obtain more material for research and clinical
trials.
Funding: H2020‐EU.1.2.1‐FET Open programme via the VES4US Grant agreement 801338
H2020‐EU.1.2.2‐FET Proactive programme via the BOW Grant agreement 952183
PT04.13
Serum Derived Extracellular Vesicles Promote Recovery of Diabetic Nephropathy Damaged
Kidneys in NSG mice
Cristina Grange1; Massimo Cedrino2; Giovanni Camussi3; Maria Felice MF Brizzi4
1Department of Medical Sciences, University of Turin, Turin, Italy; 2Unicyte, Torino,
Italy; 3Department of Medical Sciences, Torino, Italy; 4Deaprtment of Medical Sciences,
Torino, Italy
Introduction: Extracellular Vesicles (EVs) released by stem cells carry several bioactive
molecules such as proteins and RNA (mRNAs and miRNAs) that could be transferred to
target cells inducing phenotypic changes. EVs can reprogram injured cells by activating
regenerative processes in acute tissue injury. The aim of this study was to evaluate
whether serum derived EVs inhibit the progression of chronic kidney injury in a mouse
model of diabetic nephropathy (DN).
Methods: To develop DN, NSG mice were injected with 35 mg/Kg of streptozotocin for
4 consecutive days. All treated mice developed diabetes (glycaemia > 250 mg/ml) within
10 days, and DN within 1 month. Mice were intravenously treated with serum derived
EVs once a week for 4 weeks, from the onset of diabetes. Kidney function were evaluated
by analysing blood and urine for physiological parameters and tissues for morphological
studies.
Results: EV treatments resulted in significant amelioration of physiological parameters
such as reduction of albumin/creatinine excretion ratio and plasma creatinine compared
to control DN mice. Histological analyses revealed a significant reduction of glomerular
and interstitial fibrosis, Bowman's space enlargement and tubular damage. At variance,
when serum derived EVs were administered after the development of diabetic nephropathy,
1 month after the onset of diabetes, they resulted ineffective in the reversion of
renal damage and fibrosis.
Summary/Conclusion: This study demonstrate that serum derived‐EVs inhibit the progression
of DN, when EVs are administered as soon as the onset of diabetes. This effect likely
relies on EV slowdown of renal damage and signs of diabetic nephropathy.
Funding: Unicyte AG and 2i3T, Incubatore d'Imprese of the University of Turin, Turin,
Italy.
PT04.14
The Combination Treatment of Umbilical Cord Mesenchymal Stem Cells (UC‐MSCs) and Secretome
for Diabetic Foot Ulcer
Arif T. Prasetyo1; Reiva F. Dwiyana2; Cynthia R. Sartika3; Rima Haifa4; Nadya Karina3;
Nabilla F. Naura3; Ditta K. Devi3; Adina N.P. Putri3
1Tivaza Clinic, 40171 Bandung, West Java, Indonesia, Bandung, Indonesia; 2Division
of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of
Medicine Universitas Padjajaran, 45363 Bandung, West Java, Indonesia, Department of
Dermatology and Venerology, Faculty of Medicine Universitas Padjadjaran, 45363 Bandung,
West Java, Indonesia, Bandung, Indonesia; 3PT. Prodia StemCell Indonesia, Kramat VII
No. 11, 10430 Senen, Central Jakarta, Indonesia, Jakarta Pusat, Indonesia; 4Prodia
StemCell Indonesia, Jakarta, Indonesia
Introduction: Diabetic foot ulcer (DFU) is a chronic disease that can lead to subsequent
limb amputation. The standard treatment for diabetic foot ulcer includes wound debridement,
wound dressing, management of infection, control of ischemia, revascularization, and
off‐loading pressure to promote healing. Even though DFU requires a long‐term treatment
for successful healing, most of its sufferers fail to recover resulting in limb amputation.
An alternative and effective treatment is required to accelerate the healing process
of diabetic foot ulcer (DFU). Stem cell therapy is one of the regenerative medicines
that has emerged as a promising treatment for DFU. It can repair and even replace
damaged tissues or organ. In this study, mesenchymal stem cells (MSCs) are chosen
over other stem cell populations due to their outstanding advantages such as ability
to differentiate into various cell types (multipotent), cytokines and growth factor
secretion, homing ability, and modulation of anti‐inflammatory response.
Methods: A 65‐years‐old male patient presented with diabetic ulcer on the left foot
since September 2020. Diagnosed with type 2 diabetes mellitus in the last 5 years,
the patient has been controlling his blood sugar levels. The patient has undergone
3 times surgery, 2 times wound debridement, and defect closure through skin graft
and flap. The surface areas of the back lower calf and outer ankle ulcers were 7 cm
x 1 cm and 2 cm x 2 cm, respectively. The depth of the outer ankle ulcers was 3 cm
with exudation and pus around the area, swelling and pain of the tissue were also
observed. Umbilical cord‐derived mesenchymal stem cells (UC‐MSCs) and their Secretome
was given as a treatment. Ten million of UC‐MSCs was injected directly into the ulcers
followed by Secretome spraying all over the area once in 3 days when changing wound
dressing.
Results: Based on the Picture 1 & 2, the ulcer size was reduced within a few weeks.
The ulcer size on back lower calf (Picture 1) were gradually reduced from A) 7x1cm
into B) 5x1cm, C) 5x1cm and D) 3x1cm. On the outer ankle, the size of ulcer is also
gradually decreased during the observation (Picture 2). The size become smaller from
the baseline were 2x2 cm into 0.5x0.5 cm at the last observation.
As shown on Table 1, the yellowish pigmentation or slough around the ulcer also improved.
This is also supported by the moisture of the skin which became moist at the last
observation. The presence of epithelialization and necrotic tissue was examined clinically.
Necrotic tissue can be seen as blackening of the ulcer, whereas the epithelialization
seen as red pigmentation. Another improvement shown from this therapy was the depth
of ulcer is significantly reduced from 3 cm to 0.5 cm.
Summary/Conclusion: In conclusion, this current report is one of the available evidence
that confirmed the use of UC‐MSCs and Secretome as a promising treatment for diabetic
foot ulcer patients.
PT04.15
Therapeutic effect of MSC‐NTF exosomes in experimental bleomycin‐induced lung injury
Haggai Kaspi1; Chen Dekel1; Ralph Kern2; Stacy Lindborg2; Chaim Lebovits2; Revital
Aricha1
1Brainstorm cell therapeutics, Petach Tikva, Israel; 2Brainstorm cell therapeutics,
New York, USA
Introduction: Mesenchymal stem cell (MSC)‐derived small extracellular vesicles (sEVs)
have been proposed as a potential therapy for pulmonary disorders associated with
inflammation and fibrosis, due to their significant immunomodulatory and regenerative
properties. We have previously demonstrated that in LPS‐induced mice ALI/ARDS model,
sEVs from MSCs induced to secrete increased levels of regenerative and immunomodulatory
factors (Exo MSC‐NTF), had a superior effect over treatment with naïve MSC‐derived
sEVs (Exo MSC). In this study we aimed to examine the advantage of Exo MSC‐NTF over
Exo MSC focusing on different lung injury.
Methods: Using the bleomycin model, we compared the effect of the two types of sEVs:
Exo MSC and Exo MSC‐NTF. Treatment was administered intratracheally 1 and 5 days after
bleomycin instillation, and experimental observations were made through day 14. Analysis
of mRNA in the lungs was performed using NanoString technology. EVs cargo analysis
was performed by mass spectrometry and validated by ELISA.
Results: Exo MSC‐NTF showed greater improvements compared to Exo MSC in multiple parameters,
including increased blood oxygen saturation, reduction in lung pathology including
fibrosis and inflammatory cell infiltrates, regulation of proinflammatory cytokines
in bronchoalveolar lavage fluid, as well as regulation of gene expression related
to multiple pathways in the lung. Cargo analysis of proteins in Exo MSC and Exo MSC‐NTF
demonstrated higher expression of regenerative factors, including amphiregulin (AREG)
and leukemia inhibitory factor (LIF) in Exo MSC‐NTF.
Summary/Conclusion: We observed positive preclinical results suggesting that intratracheal
administration of Exo MSC‐NTF may have potential as a clinical therapy for pulmonary
pathologies associated with inflammation and fibrosis and may be more effective at
modifying physiological, pathological, and biochemical outcomes than sEVs isolated
from naïve MSCs.
PT05: Stem cells EVs
Chair: Marta Monguió‐Tortajada – 1. IVECAT, REMAR‐IGTP Group & Nephrology Service,
“Germans Trias i Pujol” Health Science Research Institute & University Hospital, Can
Ruti Campus, Badalona, Spain 2. Department of Cell Biology, Physiology and Immunology,
Universitat Autònoma de Barcelona, Bellaterra, Spain 4. ICREC Research Program, Health
Science Research Institute Germans Trias i Pujol, Can Ruti Campus, Badalona, Spain
5. CIBERCV, Instituto de Salud Carlos III, Madrid, Spain
Chair: Wolfgang Holnthoner – Ludwig Boltzmann Institute for Traumatology
PT05.01
A look into the neuro‐regenerative potential of miRNAs in Wharton's jelly‐derived
small extracellular vesicles (sEV)
Vera Tscherrig1; Valérie Haesler2; Patricia Renz1; Sophie Cottagnoud2; Daniel Surbek2;
Andreina Schoeberlein2; Marianne Jörger‐Messerli2
11) Department of Obstetrics and Feto‐maternal Medicine, University Women's Hospital,
Inselspital, Bern University Hospital, Bern, Switzerland and Department for BioMedical
Research (DBMR), University of Bern, Switzerland; 2) Graduate School for Cellular
and Biomedical Sciences (GCB), University of Bern, Bern, Switzerland, Bern, Switzerland;
2Department of Obstetrics and Feto‐maternal Medicine, University Women's Hospital,
Inselspital, Bern University Hospital, Bern, Switzerland and Department for BioMedical
Research (DBMR), University of Bern, Switzerland, Bern, Switzerland
Introduction: In the past, our research group and others have shown promising results
on the use of mesenchymal stromal cell‐derived small extracellular vesicles (MSC‐sEV)
as a therapeutic approach for neuronal injuries. MSC‐sEV carry small non‐coding RNAs
such as microRNAs (miRNAs), which are predicted to target mRNAs encoding for proteins
that are involved in premature birth‐related white matter injury (WMI). We hypothesize
that miRNAs, released by sEV upon uptake in their target cells have a key function
in the observed beneficial effects of MSC‐sEV.
Methods: We isolated MSC from the connective tissue of human umbilical cords, the
Wharton's jelly. The cells were stained for typical MSC‐markers by immunohistochemistry.
sEV were purified from the conditioned cell medium by serial ultracentrifugation followed
by size exclusion chromatography (SEC). The protein and RNA contents of each SEC fraction
were measured with a NanoVue Plus™. The fractions with the highest protein content
were characterised by proteomics, western blot, ImageStream and ZetaView analyses.
The miRNA content of the sEV was measured by quantitative PCR. Pathway enrichment
of the miRNAs was analysed following Next Generation Sequencing.
Results: The SEC fractions were positive for the sEV markers CD81, CD63 and syntenin‐1,
and the MSC markers CD73, CD90 and CD105. Further, they contained high amounts of
miRNAs, such as miR‐21‐5p, miR‐22‐5p, miR‐27b‐3p, and members of the let‐7 family.
The targets of the highly abundant miRNAs in the sEV fractions are involved in apoptotic
and inflammatory processes and drive oligodendrocyte differentiation.
Summary/Conclusion: The miRNAs released by MSC‐SEV might influence WMI outcomes. The
regulatory potential of miRNAs in gene expression are currently analysed using agomir
/ antagomir assays in an in vitro model of WMI, as well as dual luciferase assays.
To analyse the integrity of the sEV we will check for the CD73 enzyme activity.
PT05.02
“Wharton's Jelly MSCs derived exosomes as cell‐free therapeutic strategy for intervertebral
disc regeneration”
Veronica Tilotta1; Cicione Claudia2; Giuseppina Di Giacomo2; Luca Ambrosio2; Fabrizio
Russo2; Rocco Papalia2; Gianluca Vadalà2; Vincenzo Denaro2
1Campus Bio‐Medico University(UCBM), Rome, Italy; 2Campus Bio‐Medico University of
Rome, Rome, Italy
Introduction: Intervertebral disc degeneration (IDD) affects more than 80% of the
population. Current approaches to treat IDD are based on conservative or surgical
procedures relieving the pain. Studies reported as paracrine factors as extracellular
vesicles released by mesenchymal stem cells (MSCs) may regenerate IVD. The aim of
this study is to investigate the therapeutic effects of Wharton's Jelly MSCs derived
exosomes on human nucleus pulposus cells (hNPCs) in an in vitro.
Methods: Exosomes were isolated by tangent filtration of Wharton's Jelly derived MSCs
conditioned media. The exosomes were quantified by bicinchoninic acid assay, exosomal
morphology was characterized by transmission electron microscope, western blot analysis
was performed for markers expression and nanoparticles tracking analysis for vesicular
size and quantification.
hNPCs were treated with growth medium (control) and MSCs‐exosomes at 10 ug/ml, 50
ug/ml and 100 ug/ml. At different time points each group was analyzed for: cell proliferation
[flow cytometry]; nitrate [Griess] and glycosaminoglycan (GAG) production [DMBB];
histological staining for extracellular matrix (ECM) analysis; gene expression levels
of catabolic and anabolic genes [real time‐polymerase chain reaction, qPCR]. Furthermore,
exosomes were labeled with PKH26 and the uptake was detected by confocal microscopy.
Results: An increase of hNPCs proliferation was reported in exos 10 μg/ml sample group.
Nitrate production was significantly reduced at 100 μg/ml. GAG content was enhanced
in a dose dependent‐manner by all exos concentrations under study. Histological analysis
suggested that there is not a significant difference between treated and untreated
hNPCs’ ECM synthesis. Gene expression levels were modulated by exosomes compared to
the control.
Summary/Conclusion: Our preliminary results supported the potential use of exosomes
as cell‐free treatment of IDD. MSC‐ exosomes ameliorate hNPCs growth, attenuate ECM
degradation and oxidative stress‐related IDD progression. These findings offer new
opportunities for the potential use of exosomes as an attractive alternative strategy
to the effects of cell‐therapy. compromised by the harsh microenvironment of the disc.
Funding: Financial support was received from the Horizon 2020 research and innovation
program “iPSpine” # 825925 and “RESPINE”ID:NCT03737461.ClinicaTrials.gov
PT05.04
Development of senomorphics based on intercellular communication through sEV to rejuvenate
senescent mesenchymal stem cells
Rocío Mato‐Basalo1; Sergio Lucio‐Gallego1; Marta Sacristán‐Santos1; María Del Pilar
Miranda‐Quintana1; Miriam Morente‐López1; María C. Arufe2; Juan Antonio Fafián Labora1
1Grupo de investigación en Terapia Celular y Medicina Regenerativa, Departamento de
Fisioterapia, Medicina y Ciencias Biomédicas, Facultad de Ciencias de la Salud, Universidade
da Coruña, INIBIC‐ Complejo Hospitalario Universitario A Coruña (CHUAC), CICA, A Coruña,
Spain, A Coruña, Spain; 2University of La Coruña, A Coruña, Spain
Introduction: Higher life expectancy of population brings health problems associated
with age. Enhance our knowledge on the aging process mechanisms is essential to develop
new therapies to palliate this health problems and improve quality life in people.
Mesenchymal stem cells (MSCs) have a high therapeutic potential facing age‐related
diseases. Senescent MSCs enter in a stage characterized by loss of proliferation and
pluripotency capacities, related with the deterious of the tissues and organs. These
senescent MSCs produce a secretoma called senescence‐associated secretory phenotype
(SASP) formed by chemokines, interleukins, lipid mediator and extracellular vesicles.
Our group, it was discovery that the intercellular communication through small extracellular
vesicles (sEV) influence on the propagation of senescence and a proinflammatory message,
main characteristics of inflamm‐aging by activation of non‐classical SASP through
sEV. The senomorphics are drugs with interesting tool to modulate functionality senescent
sEV to paracrine senescence transmission. Because of that, we wanted to know how three
pharmacological inhibitors of p65 pathway (JSH‐23, MG132 and curcumin) could modulate
the functionality of non‐classical SASP mediated by sEV.
Methods: For that, we induced senescence into mesenchymal stem cells. After that,
the cells were treated with the pharmacological inhibitor of p65 (JSH‐23, MG‐132 and
Curcumin). The sEV were isolated by ultracentrifugation. The size and production were
evaluated using NTA. With respect to the functionality, the isolated sEV from senescent
MSC‐treated with pharmacological inhibitors of p65, were used to treat non‐senescent
and senescent MSCs using the same concentration of particles for 6 days. Later, it
was evaluated the paracrine transmission and the rejuvenation capacities by evaluation
of cell proliferation and senescence phenotype using crystal violet staining and b‐galactosidase
assay.
Results: Our data shown that inhibition of p65 pathway decreased the production of
sEV in the MSC‐treated with the three compounds. Besides, the sEV from MSC‐treated
with JSH‐23, MG‐132 and Curcumin loss the capacity paracrine senescence transmission
on non‐senescent MSCs. Otherwise, they can rejuvenate senescent MSCs.
Summary/Conclusion: The pharmacological inhibitor of p65 have a high potential to
change the functionality of non‐classical SASP mediated by sEV. Because of that, we
proposed JSH‐23, MG‐132 and Curcumin as senomorphics drugs to rejuvenated senescent
MSCs. These three senomorphics could use to treat age‐related diseases and help to
improve elderly people's quality of life.
Funding: JFL was funded Xunta de Galicia (ED481D‐2021‐020). MCA was granted by the
Spanish National Health ISCIII(PI20/00497)
PT05.05
Evaluation of local vs. systemic biodistribution of mesenchymal stromal cell‐derived
extracellular vesicles for the treatment of pulmonary diseases
Anna Maria Tolomeo1; Gaia Zuccolotto2; Alessandro Penna2; Ricardo Malvicini3; Giada
De lazzari4; Chiara Franco5; Michele Grassi6; FABIO MAGAROTTO7; Michela Pozzobon8;
Antonio Rosato2; Maurizio Muraca6; Federica Collino9
1Department of Cardiac, Thoracic and Vascular Science and Public Health, University
of Padova, Padua, Italy, Padova, Italy; 2Istituto Oncologico Veneto IOV‐IRCCS, Padova,
Italy, Padova, Italy; 3Instituto de medicina traslacional, trasplante y bioingeniería
(IMeTTyB‐CONICET), buenos Aires, Argentina; 4Department of Women's and Children's
Health, University of Padova, Padua, Italy., padova, Italy; 5Department of Medicine
(DIMED), Rheumatology Unit, University of Padova, Padova, Italy; 6Department of Women's
and Children's Health, University of Padova, Padua, Italy., Padova, Italy; 7Department
of Women and Children Health, Università di Padova, Italy, PADUA, Italy; 8Department
of Women's and Children's Health, University of Padova, Padua, Italy. Fondazione Istituto
di Ricerca Pediatrica Città della Speranza, Padua, Italy, Padova, Italy; 9Laboratory
of Translational Research in Paediatric Nephro‐urology, Department of Clinical Sciences
and Community Health, University of Milano, Milan, Italy., Milan, Italy
Introduction: Mesenchymal stromal cell‐derived extracellular vesicles (MSC‐EV) are
extensively studied as therapeutic tools in pulmonary diseases, including COVID‐19.
Local MSC‐EV administration, intratracheal (IT) or by aerosol, is being used in ongoing
clinical trials. Even if EV biodistribution is a critical determinant of therapeutic
activity, it has never been evaluated following local vs. systemic administration
for the treatment of lung diseases.
Methods: We set up a method in which MSC‐EV were labelled with a common fluorescent
lipophilic dye, DiR (1,1‐dioctadecyl‐3,3,3,3‐tetramethy‐lindotricarbocyanine iodide),
and then were extensively washed with PBS using 100kDa Amicon filters. Two different
administration routes were tested in vivo, intravenous (IV) and intratracheal (IT).
DiR‐EV were administered in Balb/C mice (2.0x1010 EV/mice) and monitored at 1, 3 and
24h. A negative control group receiving the dye alone was included to correct for
non‐EV specific signal.
Results: Whole body analysis, after 3h from IV injection, showed accumulation of EV
in the spleen and liver, compared to IT EV injection, where EVs localized in lungs
and trachea. After 24h mice treated with IV EV injection showed a stronger positivity
in the abdominal region of the body and a low signal in the low posterior region.
The analyses of isolated organs confirmed the accumulation of EV in spleen, liver,
and lungs. A positive signal was also detected in lymph nodes, heart, intestine and
kidney. After 24h from IT EV injection a stronger positivity was detected selectively
in the isolated lungs. Heart, intestine and kidney were characterized by low positive
signals
Summary/Conclusion: Analysis of the in vivo imaging data, highlights a selective delivery
and permanence of EV cargo in specific organs based on their route of administration.
In particular, these results show that IT administration can increase the concentration
of MSC‐EV in the target organ, limiting their systemic biodistribution and possibly
extra‐pulmonary effects. This data can help both selecting the most appropriate way
of administration of MSC‐EV and understanding their mechanism of action for the treatment
of lung diseases
PT05.06
Evaluation of secretome enriched in human MSC‐EV: characteristic's and immunomodulatory
effects
Guillaume Valade1; Bileyle Lorenzini2; Marion Grosbot3; Bastien Rival3; Sylvie Goulinet4;
Philippe Mauduit4; Marina Trouillas3; Sébastien Banzet3; Juliette Peltzer3
1Institut de Recherche Biomédicale des Armées ‐ INSERM UMR‐MD 1197, Clamart ‐ (92140),
France; 2INSERM UMR‐MD 1197, Villejuif, France; 3Institut de Recherche Biomédicale
des Armées / INSERM UMR‐MD 1197, Clamart, France; 4Inserm UMR‐MD 1197, Villejuif,
France
Introduction: Hemorrhagic shock can lead to immediate death by bleeding or later by
organ failure. The early administration of mesenchymal stromal cells (MSC) moderates
the immune response and reduces organ dysfunction. Here, we explore the therapeutic
potential of biological products based on MSC‐derived extracellular vesicles (MSC‐EVs).
Such products, easily stored and available immediately, would be very convenient for
emergency use. Our aim is to explore in vitro, the anti‐inflammatory and immunomodulatory
potential of MSC secretome, more or less enriched in EV, and to evaluate the effects
of the culture conditions on secretome characteristic's.
Methods: The conditioned medium (CM) enriched in MSC‐EVs was obtained after 72h, from
a pool of 9 donors of human bone marrow MSCs, either in depleted medium (α‐MEM only)
or in association with EV‐free platelet lysate. The secretomes were purified by Tangential
Flow Filtration (TFF) +/‐ size‐exclusion chromatography (SEC). Three types of enrichments
were evaluated, depending on filtration conditions: i) purified EVs fraction, ii)
soluble proteins fraction and iii) the association of EV and soluble proteins. Their
immunomodulatory properties were evaluated in vitro by mixed leucocyte reaction (MLR)
and anti‐inflammatory assay.
Results: In EV free platelet lysate condition, we found a better cell survival and
MSC‐EVs secretion than in α‐MEM only. Preliminary results showed a dose‐dependent
immunosuppressive effect in MLR and an anti‐inflammatory activity of EVs fraction.
Functional activity of the other different fractions is in progress.
Summary/Conclusion: These preliminary results show an improvement in the production
of secretomes enriched in MSC‐EVs, by reducing production times and by increasing
the amount of EVs produced and ultimately, by reducing costs. We are now trying to
find out which fraction would be the most efficient in our applications.
PT05.07
EVs from Trichinella spiralis muscle larvae exert immunomodulatory potential in chronic
inflammatory Th2 disorders
Sofija Glamočlija1; Anna Schmid2; Nataša Ilić1; Alisa Gruden‐Movsesijan1; Saša Vasilev1;
Irma Schabussova2; Maja Kosanović1
1Institute for the Application of Nuclear Energy, INEP, University of Belgrade, Belgrade,
Serbia; 2Medical University of Vienna, Vienna, Austria
Introduction: Excretory‐secretory products of Trichinella spiralis muscle larvae (ES
L1) have immunomodulatory properties i.e. reduce hypersensitivity to both allergens
and autoantigens. Recently, we have shown that extracellular vesicles isolated from
ES L1 (TsEVs) exert immunomodulatory properties on human monocyte derived dendritic
cells. Now, we aim to investigate whether TsEVs can also exert beneficial immunomodulatory
effects in murine model of ovalbumin (OVA)‐induced allergy.
Methods: TsEVs were enriched from ES L1 by differential centrifugation and ultrafiltration.
Experimental allergic airway inflammation was induced in BALB/c mice by intraperitoneal
injection of OVA in alum on days 1 and 14. On days 21‐24 mice were challenged with
intranasal application of OVA, 30 min after intranasal administration of TsEVs or
PBS and sacrificed two days later. Blood samples were taken for serum IgE determination.
Lungs and spleens were extracted for the isolation of immune cells. Phenotype of immune
cells was determined by flow cytometry and their cytokine production by ELISA assays.
Results: TsEVs treatment of allergic mice lead to diminished numbers of alveolar macrophage
and CD103+ dendritic cells (DC) in lungs compared to allergic control while numbers
of CD11b+ DCs and their Ly6C+ subset was increased, along with CD8+ and CD19+ T cells.
Upon restimulation with OVA, splenocytes and lung immune cells of TsEVs‐treated mice
produced lower levels of Th2 cytokines, while the production of IFN‐g was elevated
only in lung immune cells. Lower IgE levels were found in TsEVs‐treated mice compared
to sham‐treated controls.
Summary/Conclusion: TsEVs exert immunomodulatory properties in murine model of allergic
airway inflammation by diminishing inflammation and thus they may represent the basis
for novel allergen‐independent therapeutics in treatment of respiratory allergies.
PT05.08
Exploring the potential of mesenchymal stem cell extracellular vesicles as novel therapeutics
for inflammatory bowel disease
Mona Belaid1; Giorgia Pastorin2; Driton Vllasaliu3
1King's College London (KCL) and National University of Singapore (NUS), London, United
Kingdom; 2National University of Singapore, Singapore, Singapore; 3King's College
London, London, United Kingdom
Introduction: Mesenchymal stem cell (MSC) extracellular vesicles (EVs) show great
promise for repair and regeneration of injured tissues and their immunomodulatory
effect makes them strong potential therapeutics for inflammatory bowel disease (IBD),
which was the focus of this work.
Methods: Conditioned medium (CM) was harvested from cultured human bone marrow MSCs
to isolate EVs. CM was pre‐cleared of dead cells and cellular debris by differential
centrifugation at 4°C at 500g for 5 min twice then 2000g for 15 min. The recovered
supernatant was filtered through 0.22 μm filters and subjected to ultracentrifugation
onto a 25% (w/w) sucrose cushion prepared in deuterium oxide. After centrifugation
at 100,000g at 4°C for 1.5 h, the sucrose layer was resuspended in phosphate‐buffered
saline (PBS) and washed by ultracentrifugation at 100,000g at 4°C for 1.5 h to pellet
the EVs. The EVs were then resuspended in PBS and stored at − 80°C for further use.
Isolated MSC EVs were characterised for yield, size and protein marker expression
using bicinchoninic acid assay, nanoparticle tracking analysis and the Exo‐Check antibody
array kit, respectively. A wound healing (scratch) assay evaluated the effect of MSC
EVs on the proliferation of intestinal epithelial Caco‐2 cells, while the anti‐inflammatory
activity of MSC EVs was determined in LPS‐activated macrophages via nitrite quantitation.
Results: MSC EVs were < 200 nm in diameter and EV protein marker expression was confirmed
by the presence of tetraspanins CD63 and CD81 and cytosolic proteins TSG101 and ALIX.
The scratch assay showed that Caco‐2 cells treated with MSC EVs demonstrated accelerated
wound closure over time compared to control. Furthermore, an effect of MSC EVs on
nitrite concentrations in activated macrophages was apparent.
Summary/Conclusion: In conclusion, MSC EVs exhibit wound repair and anti‐inflammatory
activity which could have potential therapeutic applications in IBD.
PT05.09
Extracellular vesicles from senescent mesenchymal stromal cells preserve their senoprotective
effect in osteoarthritis
Jérémy Boulestreau1; Marie Maumus2; Christian Jorgensen3; Daniele Noël1
1Inserm, Montpellier, France; 2Bauerfeind, Montpellier, France; 3University of Montpellier,
Montpellier, France
Introduction: Osteoarthritis (OA) is the most prevalent rheumatic disease characterized
by progressive loss of cartilage and alterations in all compartments within joints.
The highest risk factor in this degenerative disease is age and an accumulation of
senescent cells in cartilage and synovium has been shown to contribute to the functional
decline of joints. We previously demonstrated that extracellular vesicles (EVs) from
mesenchymal stromal cells (MSCs) largely mediate the therapeutic effect of parental
cells in OA. Here, we investigated whether EVs from adipose tissue‐derived MSCs (ASC‐EVs)
possess senoprotective effects in a new model of induced senescence in OA chondrocytes.
Methods: Human chondrocytes isolated from OA patients and ASCs from healthy donors
were induced to senescence using 25μM etoposide for 24 hours. Senescence was assessed
by quantifying proliferation rate, SA‐βGal activity, nuclear γH2AX foci number, phalloidin
staining and expression of cyclin dependent kinase inhibitors (CDKI) by RT‐qPCR. ASC‐EVs
were isolated by differential ultracentrifugation and characterized by size, concentration,
total protein content, structure (cryo‐TEM) and immunophenotype at day 7 and 12. OA
chondrocytes were cultured with ASCs or ASC‐EVs for 7 days after senescence induction.
Expression of senescent, chondrocytic and inflammatory markers was quantified by RT‐qPCR
and SASP factors were quantified by ELISA in supernatants.
Results: Etoposide‐induced senescence in chondrocytes was characterized by growth
arrest, increase of SA‐βGal+ cell number, increase of p15, p21, p27 expression, of
nuclear γH2AX foci, of stress fibers and cell surface confirming the induction of
main senescence features even though secretion of SASP factors was not significantly
up‐regulated. The addition of ASCs or different doses of ASC‐EVs at the time of senescence
induction prevented the increase of SA‐βGal+ cell number and significantly reduced
the number of γH2AX+ chondrocytes as well as their nucleus surface. No effect of ASC‐EVs
was found on CDKI expression whereas the secretion of several SASP factors (IL6, IL8,
MMP3, MMP13, HGF, VEGF) was decreased. Interestingly, ASC‐EVs slightly up‐regulated
the anabolic markers of chondrocytes (AGG and type II COLLAGEN) and decreased the
expression of catabolic markers (MMP13, AP). Of note, a similar protective effect
was observed using senescent ASC‐EVs.
Summary/Conclusion: Our results demonstrate that ASC‐EVs, produced by either healthy
or senescent ASCs, exert a senoprotective and chondroprotective effect in OA chondrocytes.
Further studies are warranted to investigate their effect on other cell compartments,
notably synoviocytes, in the joints.
Funding: Study was supported by a research grant from FOREUM, Foundation for Research
in Rheumatology.
PT05.11
Neuroprotective of nasally administered human adipose tissue mesenchymal stem cell
(hAT‐MSC)‐derived extracellular vesicles (EVs) 24h after stroke in normotensive and
differences to hypertensive rats
Francieli Rohden1; Luciele Varaschini Teixeira1; Luis Pedro Bernardi2; João Victos
Matos e moreira3; Fernanda Dos Santos De Oliveira4; Elizabeth Obino Cirne Lima4; Fátima
Guma3; Diogo Onofre souza3
1Universidade Federal do Rio Grande do Sul and Instituto de Cardiologia de Porto Alegre,
Porto Alegre, Brazil; 2UFRGS and UFCSPA, Porto Alegre, Brazil; 3Universidade Federal
do Rio Grande do Sul, Porto Alegre, Brazil; 4Hospital de Clínicas de Porto Alegre
‐ HCPA, Porto Alegre, Brazil
Introduction: Ischemic stroke is a major cause of death and disability, intensely
demanding innovative and accessible therapeutic strategies. To propose an approach,
using extracellular vesicles (EV) secreted from human mesenchymal stem cells isolated
from adipose tissue (hAT‐MSC), with a prolonged period for therapeutic intervention
and a non‐invasive route for administering the treatment of stroke in normotensive
and hipertensive rats.
Methods: Wistar rats (90‐120 days) were subjected to focal permanent ischemic stroke
(IS), 24 hours after, were treated intranasally with EV (200 μg/kg) secreted by hAT‐MSC.
We analyzed front paws symmetry (Cylinder Task), short‐ and long‐term memory (Open
Field and Novel Object Recognition Task) and angiogenesis. Evaluation of the interaction
of EVs with cells in the peri‐infarct region was performed 18h after intranasal administration
of EVs labeled with fluorescence, cells were labeled with antibody NeuN, GFAP and
to label Hoescht nucleus. Wistar Kyoto Spontaneously hypertensive rats (SHR) (90‐120
days) were subjected to IS and we analyzed front paws symmetry (Cylinder Task).
Results: In Wistar rats, EV treatment recovered front paws symmetry and short‐ and
long‐term memory induced by ischemic stroke. Additionally, we observed stimulation
of angiogenesis in the peri‐infarction region in animals treated with EVs. In the
peri‐infarct region there is a greater number of EVs and in this region the EVs seem
to have a preference for neurons (preliminary results). For SHR rats, we have preliminary
results, where we can observe that the outcome of ischemia induction is very different
and with a chronic effect and without spontaneous recovery in the symmetry of the
forepaws. We are performing the EV dose and time curve for SHR rats.
Summary/Conclusion: In line with these findings, our work highlights hAT‐MSC‐derived
EVs as a promising therapeutic strategy for stroke.
Funding: Instituto Nacional de Ciência e Tecnologia‐INCT‐EN (2014‐465671/2014‐4),
Conselho Nacional de Desenvolvimento Científico e Tecnológico‐CNPq, Ministério da
Saúde, Coordenação de Aperfeiçoamento de pessoal de Nível Superior‐CAPES, Fundação
de Amparo à pesquisa do Estado do Rio Grande do Sul‐FAPERGS, Universidade Federal
do Rio Grande do Sul‐UFRGS.
PT05.12
Proliferation‐promoting effect of stachys geobombycis derived nanovesicles (SDNVs)
in human keratinocytes
Tingting Chen1; Bingxiang Ma2; Shi Lu1; Yaokun Xia1; Lupeng Zeng3; Huaying Wang4;
Wanhua Shi5; Xi Zhang6; Jing Zhang7; Jinghua Chen1
1Fujian Medical University, Fuzhou, China (People's Republic); 2Fujian Medical University,
Longyan, China (People's Republic); 3Fujian Medical University, Zhangzhou, China (People's
Republic); 4Fujian Medical University, Sanming, China (People's Republic); 5Fujian
Medical University, Quanzhou, China (People's Republic); 6Fujian Medical University,
Ningde, China (People's Republic); 7Fujian Agriculture and Forestry University, Fuzhou,
China (People's Republic)
Introduction: In recent years, plant derived nanovesicles (PDNVs) have attracted much
attention due to their simple preparation, high biosafety and biocompatibility. In
this study, we isolated Stachys geobombycis derived nanovesicles (SDNVs), and found
that they could significantly promote the proliferation of human keratinocytes (HaCaT),
which has not been reported in previous researches.
Methods: SDNVs were obtained by juicing and centrifugation. Their morphology, diameters
and zeta potentials were characterized by transmission electron microscope (TEM) and
laser particle size analyzer (LPSA). In addition, 3‐(4,5‐dimethyl‐2‐thiazolyl)‐2,5‐diphenyl‐2‐H‐tetrazolium
bromide (MTT) assay was used to determine the effect of SDNVs on HaCaT cell proliferation.
Cells were incubated with different concentrations of SDNVs (0‐1.56 μg/mL protein,
determined by bicinchoninic acid assay) for 12 h, and cell viability was then calculated
according to the absorbance of samples at wavelength of 490 nm.
Results: The obtained SDNVs showed a typical cup‐shaped like structure with high monodispersity.
The LPSA result showed that the average size of SDNVs was 133.8 nm, which was consistent
with the TEM result. In addition, the average zeta potential of SDNVs was ‐6.9 mV,
in accordance with negatively charged PDNVs. We also found that SDNVs could significantly
promote HaCaT cell proliferation in a dose‐dependent manner.
Summary/Conclusion: The above results showed the potential of SDNVs as a drug for
wound healing. And, SDNVs can also serve as nanocarriers to load other agents for
synergistic treatment for skin regeneration.
Funding: The work is supported by the innovation of science and Technology, Fujian
province (2019Y9008)
PT05.13
Protective effects of extracellular vesicles derived from mesenchymal stem cells against
ischemia‐reperfusion injury of hearts donated after circulatory death: study in a
pig model
Anna Maria Tolomeo1; Assunta Fabozzo2; Domenico Ventrella3; Valentina Lombardi2; Fabio
Zanella2; Alberto Elmi3; Marco Andreis4; Giulia Todeschini5; Ricardo Malvicini6; Camilla
Aniballi3; Marco Ruggeri7; Giuseppe Astori7; Gianfranco Santovito8; Maurizio Muraca9;
Maria Laura Bacci3; Gino Gerosa4
1Department of Cardiac, Thoracic and Vascular Science and Public Health, University
of Padova, Padua, Italy, Padova, Italy; 2Cardiac Surgery Unit, Hospital University
of Padova, Padua, Italy, Padua, Italy; 3Department of Veterinary Medical Sciences,
University of Bologna, Bologna, Italy, Bologna, Italy; 4Department of Cardiac, Thoracic
and Vascular Science and Public Health, University of Padova, Padua, Italy, Padua,
Italy; 5L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto
Region, Padua, Italy, Padua, Italy; 6Instituto de medicina traslacional, trasplante
y bioingeniería (IMeTTyB‐CONICET), buenos Aires, Argentina; 7Hematology Vicenza General
Hospital, Vicenza, Italy; 8Department of Biology, University of Padova, Padua, Italy,
Padua, Italy; 9Department of Women's and Children's Health, University of Padova,
Padua, Italy, Padua, Italy
Introduction: Insufficient supply of cardiac grafts represents a severe obstacle in
heart transplantation. Donation after Circulatory Death (DCD), in addition to conventional
donation after brain death, is one promising option to overcome the organ shortage.
However, DCD organs undergo an inevitable longer period of warm unprotected ischemia
between circulatory arrest and graft procurement. Mesenchymal stromal cell‐derived
extracellular vesicles (MSC‐EVs) have shown remarkable protective effects against
ischemia‐reperfusion injury. We thus aimed at improving the quality of grafts from
DCD donors by treatment of MSC‐EVs.
Methods: Pig were euthanized upon barbiturate overdose and after 20 min of a flat
EKG (no touch period), the chest was opened, the heart harvested and subsequently
connected to the extracorporeal machine perfusion. MSC‐ EVs, isolated by ion exchange
chromatography, were added to the perfusion solution (1E+11 particles) and the heart
was perfused for 2 hours. Then, heart tissue biopsies were taken to assess mitochondrial
morphology, antioxidant enzyme activity and lipid peroxidation. Biochemical parameters
of myocardial viability and function were assessed in the perfusate.
Results: The treatment with MSC‐EVs significatively prevented mitochondria swelling,
mitochondrial cristae loss and oxidative stress in myocardiocytes. The protective
effect of MSC‐EVs was confirmed by the delayed increase of the cardiac enzymes CK
and TnC in the perfusate.
Summary/Conclusion: We showed that MSC‐EVs can improve graft quality by protecting
the myocardium against oxidative stress. Further studies are ongoing to identify the
most effective dose and to assess the effects of these nanoparticles on heart function.
PT05.14
The secretome of equine bone marrow mesenchymal stem cells enhanced regenerative phenotype
of equine articular chondrocytes
Manon Jammes1; Romain Contentin1; Frédéric Cassé1; Bastien Bourdon2; Arnaud Bianchi3;
Fabrice Audigié4; Thomas Branly1; Emilie Velot5; Philippe Galéra1
1Normandie Univ, UNICAEN, BIOTARGEN, F‐14000 Caen, France, Caen, France; 2Normandie
Univ, UNICAEN, BIOTARGEN, F‐14000 Caen, France, Rennes, France; 3Université de Lorraine,
CNRS, IMoPA, F‐54000 Nancy, France, Nancy, France; 4Center of Imaging and Research
on Locomotor Affections on Equines (CIRALE), Unit Under Contract 957 Equine Biomechanics
and Locomotor Disorders (USC 957 BPLC), French National Research Institute for Agriculture
Food and Environment (INRAE), Ecole Nationale Vétérinaire d'Alfort, F‐94700 Maisons‐Alfort,
France, Goustranville, France; 5Assistant Professor, Université de Lorraine, CNRS,
IMoPA, F‐54000 Nancy, France, Nancy, France
Introduction: Equine osteoarthritis (OA) leads to cartilage degradation, impaired
animal well‐being, premature cessation of sportive activity and financial losses.
Mesenchymal stem cells (MSC)‐based therapies are promising for cartilage repair, but
face limitations inherent to cell itself. The use of MSC secretome enables to overcome
those limitations while keeping MSC properties.
Methods: The effect of equine bone marrow MSC secretome on equine articular chondrocytes
(eAC) (monolayers or organoids) was evaluated with indirect co‐culture or MSC‐conditioned
media (CM). The proliferation and migration of eAC, and the organoid quality were
assessed through the expression healthy/OA markers of chondrocytes. To isolate exosomes
from secretome, CM were filtered, concentrated and precipitated with polyethylene
glycol and protamine sulfate. Exosome characterization was performed through western‐blot
and transmission electron microscopy. In addition, immunomodulatory effectors after
MSC priming with interleukin (IL)1‐β were evaluated to optimize immunomodulation properties
of MSC secretome for future experiments.
Results: eAC co‐cultured with MSC expressed higher proliferation associated molecules
and collagen mRNA levels. MSC‐CM did not affect eAC proliferation, while they induced
an increase of collagen II and I protein amounts, particularly after IL‐1β priming.
We also showed the absence of MSC‐CM cytotoxicity on eAC and an increase in eAC migratory
capacities in in vitro repair. Further characterization of the MSC secretome confirmed
the presence of exosomes and their involvement in the observed effects. Exosome functions
on eAC regenerative phenotype remain under investigation.
Summary/Conclusion: These results demonstrate that MSC secretome influences eAC phenotype
and could relieve OA symptoms or delay OA outcomes. Moreover, MSC secretome contains
exosomes which need further investigation to better understand the mechanisms underlying
MSC secretome beneficial effects on eAC.
PT05.15
Treatment of hepatic fibrosis by using human stem cell‐derived extracellular vesicles
Van Dat Bui1; Jae Hyung Park2; Hwa Seung Han3
1Sungkyunkwan University, Suwon‐si, Republic of Korea; 2Sungkyunkwan Universtiy, Suwon‐si,
Republic of Korea; 3KIST, Suwon‐si, Republic of Korea
Introduction: Liver fibrosis is one of the major causes of morbidity and mortality
worldwide. Until now, there are no effective therapies or FDA‐approved antifibrogenic
agents, making liver transplantation the only curative treatment for decompensated
cirrhotic liver disease. Mesenchymal stem cell (MSC) therapy has emerged as a potential
way for treating chronic diseases due to its regenerative capability. Though, it has
significant limitations such as cell moving, transforming into unexpected cell types,
or growth of cancers. In order to overcome these concerns, a novel cell‐free therapy
was developed in this study to treat hepatic fibrosis, by using human adipose stem
cell‐derived extracellular vesicles (hADSC‐EVs)
Methods: The hADSC‐EVs were isolated from conditioned media of ADSCs using tangential
flow filtration (TFF) method, then were dispersed in PBS and stored at ‐80°C. There
are several in vitro experiments were conducted to confirm characteristics of the
EVs and check whether these EVs could have effects on eliminating fibrotic signals
in vitro. Next steps, we intravenously injected hADSC‐EVs into the liver‐fibrotic
mice to confirm their in vivo therapeutic effects
Results: The hADSC‐EVs had spherical shape with medium size around 100 nm and their
Zeta potential was about ‐23.70 mV. There were some biomarkers of EVs such as CD9
and CD63 indicated that hADSC‐EVs also expressed such biomarkers. The α‐SMA was overexpressed
in TGF‐β1 treated group and significantly down‐regulated in hADSC‐EVs (1x108 particles)
treated groups. Besides that, two different types of fibrosis‐associated markers (COL‐1),
and MMP‐2) in the activated LX‐2 cells were analyzed and their obtained results were
similar with α‐SMA results. We labeled hADSC‐EVs with Cy5.5 dye to explore hADSC‐EVs
after administrating into mice. We found that hADSC‐EVs mostly accumulated in liver
in post 3h or 24h. The serum levels of AST, ALT, and ALP in the hADSC‐EVs treated
group were similar with control group, implying that the mice model of liver fibrosis
was successfully established. The morphologies of livers were different between hADSC‐EVs
untreated groups and hADSC‐EVs treated groups. Moreover, the hADSC‐EVs treated groups
showed similar liver surface to normal mouse groups. These results were further supported
by the histo‐pathological examination after H&E, MT, and α‐SMA staining and western
blot
Summary/Conclusion: After intravenous injected into the liver‐fibrotic mice, hADSC‐EVs
preferred to maintain inside the livers, especially in damaged liver tissue, notably
suppressed fibrogenic markers and finally restored hepatic functions. In conclusion,
exosomes derived from hADSC have a dramatic potential to treat chronic hepatic fibrosis
Funding: Ministry of Science and ICT (2017R1D1A1B03034888 and 2015R1A6A3A04059033)
PT06: Cancer: I (Lessons learned from cell lines)
Chair: Marco Falasca – Curtin University
PT06.01
CD20 expression, TrkB activation and functional activity of Diffuse Large B Cell Lymphoma‐derived
small extracellular vesicles
Hafidha Bentayeb1; Marine Aitamar2; AKIL Hussein2; Vignoles Chantal2; Branchaud Maud3;
Julie Abraham4; Nathalie Guachard2; Jean Feuillard4; Marie‐odil Jaubertaud4; Hamasseh
Chirvani5; Danielle Troutaud2
1Centre George François Leclerc Dijon france, Dijon, France; 2Limoges university,
Limoges, France; 3Limoges university, Rouen, France; 4Chu de limoges, Limoges, France;
5Institut ROCH, Paris, France
Introduction: Diffuse Large B‐cell Lymphoma (DLBCL) is an aggressive non‐Hodgkin lymphoma
and a clinically and biologically heterogeneous disease with two main sub‐groups (ABC
and GCB). Among these,
ABC DLBCL is associated with substantially worse outcomes. Standard treatment is based
on combination of chemotherapy (CHOP) with immunotherapy (anti‐CD20, i.e: rituximab,
R‐CHOP). Despite therapeutic
advances, approximately 10‐15% of patients exhibit primary refractory disease and
20‐25% relapse after initial response to therapy. Small extracellular vesicles (sEVs)
including exosomes, carrying the CD20, could
be involved in immunotherapy resistance in diffuse large B cell lymphoma (DLBCL).
We have reported endogenous brain‐derived neurotrophic factor/TrkB (tropomyosin‐related
kinase B) survival axis in DLBCL.
Here, we performed a comparative study of sEV production by germinal center B cell
(GCB) and activated B cell (ABC)‐DLBCL cell lines, and analysed TrkB activation on
this process.
Methods: GCB (SUDHL4 and SUDHL6) and ABC (OCI‐LY3, OCI‐LY10 and U2932) cell lines
were used. sEVs were characterised using nanoparticle tracking analysis technology
and western blot. CD20 content was
also analysed by enzyme‐linked immunoassay, and complement‐dependent cytotoxicity
of rituximab was investigated. 7,8‐Dihydroxyflavone (7,8‐DHF) was used as a TrkB agonist.
In vivo role of sEVs was evaluated in a xenograft model.
Results: sEVs production varied significantly between DLBCL cells, independently of
subtype. CD20 level was consistent with that of parental cells. Higher CD20 expression
was found in sEVs after TrkB activation, with a trend in increasing their concentration.
sEVs determined in vitro and in vivo protection from rituximab, which seemed CD20
level‐dependent; the protection was enhanced when sEVs were produced by 7,8‐DHF‐treated
cells.
Summary/Conclusion: DLBCL‐derived sEVs have the differential capacity to interfere
with immunotherapy, which could be enhanced by growth factors like neurotrophins.
Evaluating the sEV CD20 level could be useful for disease monitoring.
PT06.02
Development of EV‐based cancer vaccination using transcription‐induced chimeric RNA
as a neoantigen
Xiao Xiong1; Xiurong Ke1; Lu Wang1; Yusheng Lin2; Shuhong Wang1; Jingfang Liu1; Kai
Li1; Yichen Luo1; Fan Liu1; Hao Zhang1
1Institute of Precision Cancer Medicine and Pathology, Department of Pathology, School
of Medicine, Jinan University, Guangzhou, China (People's Republic); 2Department of
Hematology, University Medical Center Groningen, University of Groningen, Groningen,
the Netherlands., Groningen, Netherlands
Introduction: Esophageal squamous cell carcinoma (ESCC) is an extremely aggressive
malignancy with a dismal prognosis, indicating urgent need for development of alternate
and/or complementary immunotherapeutic treatment options in advanced ESCC. Although
somatic mutations are important sources of cancer‐specific neoepitopes to generate
cancer vaccine, recent studies revealed that somatic mutations commonly occur in many
normal tissues, particularly in aging normal esophageal tissues. Transcription‐induced
chimeric RNAs (chiRNAs) are fused transcripts from unrelated genes generated through
aberrant ‘read‐through/splicing’ or ‘trans‐splicing’. These chiRNAs may be suitable
to serve as targets in cancer vaccines for cancer types known to have low mutation
burden and in which mutation‐based immunogenic neoantigens are rare or even non‐existent.
Furthermore, a cell‐free extracellular vesicle (EV)‐based vaccine approach offers
several practical advantages over a cell‐based vaccine, including long shelf‐life
when frozen, scalability and genetic modifiability. Previously, we reported a group
of chiRNAs in enriched in human ESCC. We wondered whether the ESCC‐enriched chiRNAs
could be exploited for the development of EV‐based therapeutic vaccine.
Methods: We developed a novel cell‐free anticancer vaccine based on EVs from the chiRNA‐transduced
dendritic cells (DC). EVs were purified using ultracentrifugation and characterized
by transmission electron microscope, western blot and nanoparticle tracking analysis.
Survival and tumor growth were monitored in mice bearing syngeneic chiRNA‐expressing
ESCC.
Results: We confirmed that chiRNA specifically expressed in cancer, suggesting it
may be developed into an immunogenic neoantigen. Vaccination of immunocompetent mice
bearing syngeneic chiRNA‐expressing ESCC with EV‐based vaccine potently inhibited
tumor growth and prolonged survival.
Summary/Conclusion: Our data demonstrate that transcription‐induced chiRNA can be
used as a source of cancer‐specific neoantigen for cancer types known to have low
mutation burden and in which mutation‐based immunogenic neoantigens are rare or even
non‐existent. Moreover, the result showed that EV‐based vaccines have stable immunomodulatory
capacity and can induce anticancer immunity.
Funding: National Natural Science Foundation of China (82072683, 81773087, 81071736,
81572876 and 30973508 to H.Z.);
Flagship specialty construction project General surgery (Funding no.: 711003)
Natural Science Foundation of Guangdong Province of China (2021A1515012522 and 9151018004000000
to H.Z.);
Science and Technology Planning Project of Guangdong Province of China (2019A030317024
to H.Z.);
Special Project on the Integration of Industry, Education and Research of Guangdong
Province (2011A090100024 to H.Z.).
PT06.03
Different expression of integrins in ganglioside‐remodeling melanoma EVs
Kei Kaneko1; Yuhsuke Ohmi2; Mariko Kambe2; Farhana Yesmin3; Momoka Momoka2; Yoko Kitaura2;
Takako Ito4; Orie Tajima2; Koichi Furukawa2; Keiko Furukawa5
1Chubu University, kasugai, Japan; 2Chubu University, Kasugai, Japan; 3Nagoya University,
Kasugai, Japan; 4Chubu University, KAsugai, Japan; 5Chuvu University, Kasugai, Japan
Introduction: Gangliosides, sialic acid‐containing glycosphingolipids, are known as
a regulator of cell proliferation, and human malignant melanomas express high levels
of ganglioside GD3. To analyze the roles of GD3, we established GD3‐over expressing
cells (GD3+) from a GD3‐lacking mutant cell line (GD3‐) by introducing GD3 synthase
cDNA. Using these cell lines, we demonstrated that GD3 enhances tumor malignancy such
as cell proliferation and invasion activities, and upregulates phosphorylation levels
of focal adhesion kinase (FAK), p130Cas and paxillin. We also reported integrin b1
localizes in glycolipid‐enriched microdomain (GEM)/rafts of GD3+ melanomas. The aim
of this study is to clarify the behaviors and roles of GD3 and integrins in the extracellular
vesicles (EVs) from ganglioside‐remodeling melanomas.
Methods: EVs were isolated by ultracentrifugation from the culture medium of GD3+/GD3‐
melanoma cells. Isolated EVs were analyzed by using Western blotting. GD3‐ melanoma
cells were incubated with GD3+ melanoma‐derived EVs. After incubation, cells were
lysed and analyzed by Western blotting.
Results: Among integrin family members, some integrins (alpha 4, alpha V, beta 1,
beta 1) were highly expressed in GD3+ EVs. Addition of GD3+ melanoma‐derived EVs to
cultured cells resulted in the induction of activation of ERK1/2 and Akt, suggesting
that GD3 on EVs might play important roles in the regulation of tumor environments.
Function of integrins in ganglioside‐remodeling cell‐derived EVs are now under investigation.
Summary/Conclusion: We analyzed expression patterns of integrins in EVs, and verified
that they were different between GD3+ and GD3‐ melanoma cell lines. Gangliosides may
contribute to selective packaging of integrins into EVs.
PT06.04
Differential “barcoding” of extracellular vesicles from diverse cellular origins and
its implication for therapeutics in ovarian cancer
Johnny Nguyen
Honours Student, Brisbane, Australia
Introduction: Johnny Nguyen BSc, Carlos Salomon PhD, Andreas Moller PhD, Andrew Lai
PhD, Priyakshi Kalita de Croft PhD
UQ Centre for Clinical Research – Exosome Biology Laboratory, The University of Queensland,
St Lucia, Australia, School of Biomedical Sciences
Ovarian cancer is an important health issue with a lasting impact on the whole population.
It is the sixth most reported cancer and the fifth leading cause of cancer‐related
deaths in women. EV's have the greatest potential in cancer therapeutics as a natural
carrier due to their organotrophic qualities.
A major gap in the field is understanding the predetermined pathway of EVs. We believe
the protein composition (“barcode”) on the surface of EV is the signal that allows
the EVs to interact with different target cells affecting EV biodistribution and kinetic
parameters. We aimed to profile surface proteins of ovarian cancer derived EVs to
identify potential targets of EV and determine their kinetic distribution on varying
ovarian cell lines.
Methods: Ovarian cancer EV's were isolated from SKOV‐3, OVCAR‐3 and Met‐5a cell lines.
CM was centrifuged at 500g and the supernatant was further processed for EV isolation
via ultracentrifugation at 100,00g. EV surface proteins were marked and isolated using
a biotinylating and isolation kit. Mass spectrometry was used to analyse the peptides
which provided a list of isolated surface proteins. Using NTA we measured the uptake
and kinetics of Ovarian Cancer EV's with differential membrane profiles on target
cells.
Results: This investigation explored the characterisation of extracellular vesicles
from diverse cellular origins.
Summary/Conclusion: We were able to identify membrane proteins in ovarian cancer‐derived
EVs and successfully perform uptake experiments to determine EV/Cell kinetics.
PT06.05
Extracellular vesicles carrying miRNA‐195‐5p sensitizes melanoma cells to MAPK inhibitors
Nathalia L. Santos1; Silvina Bustos2; Patrícia Reis3; Tainara Francini Felix4; Roger
Chammas5; Luciana Nogueira de Sousa Andrade6
1Cancer Institute of São Paulo State, Faculdade de Medicina da Universidade de São
Paulo, São Paulo, Brazil; 2ICESP, Sao Paulo, Brazil; 3Department of Surgery and Orthopedics,
Faculdade de Medicina, Universidade Estadual de São Paulo (UNESP), Botucatu ‐ SP,
Brazil., Botucatu, Brazil; 4Department of Surgery and Orthopedics, Faculty of Medicine,
São Paulo State University (UNESP), Botucatu, SP, Brazil, São Paulo, Brazil; 5Center
for Translational Research in Oncology (LIM24), Instituto do Cancer do Estado de Sao
Paulo (ICESP), Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao
Paulo (HCFMUSP), Sao Paulo CEP 01246‐000, SP, Brazil, Sao Paulo, Brazil; 6Center for
Translational Research in Oncology (LIM24), Instituto do Câncer do Estado de São Paulo
(ICESP), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
(HCFMUSP), São Paulo, Brazil, São Paulo, Brazil
Introduction: Despite the significant improvements achieved by MAPK inhibitors treatment,
the majority of melanoma patients with metastatic disease relapse within few months
after treatment initiation. The presence of antitumoral molecules within Extracellular
Vesicles (EVs) is commonly related to increased response rates and better prognosis.
Hsa‐miR‐195‐5p is down‐regulated in melanoma, favoring cell proliferation and drug
resistance, as recently shown by our group. We aimed to analyze whether restoring
miR‐195‐5p expression could modulate EVs cargo and the role of these particles in
naïve cells drug response.
Methods: The BRAF mutated A375, SKMel‐5 and SKMel‐28 cells were transfected with miR‐195‐5p
or control mimic (10nM). After 72 hours EVs were isolated by differential ultracentrifugation,
resuspended in PBS and characterized by NTA analysis, electron microscopy and by the
presence of common EVs markers through western blot. Prior to functional experiments
EVs were treated with RNAse A to eliminate non‐vesicular RNAs.
Results: MiR‐195‐5p overexpression resulted in increased EVs release by melanoma cells,
which presented 150‐220 nm diameter range. Characterization of EVs miRNA profile was
performed by digital barcode technology and showed that EVs derived from cells overexpressing
miR‐195‐5p presented a higher content of this miRNA, along with increased levels of
the tumor suppressors hsa‐miR‐152‐3p and hsa‐miR‐202‐3p. Uptake of miR‐195 EVs by
naïve tumor cells resulted in decreased proliferation and viability. Upon MAPK inhibitors
treatment, miR‐195 EVs resulted in increased cell death and decreased clonogenic potential.
Moreover, EVs electroporated with miR‐195 impaired in vivo tumor growth and reduced
the repopulation capacity of cells previously exposed to MAPK inhibitors.
Summary/Conclusion: Restoring miR‐195‐5p expression represents a promising strategy
to sensitize melanoma cells to targeted therapy.
Funding: This work was supported by FAPESP (process number 2019/07278‐0).
PT06.06
Extracellular vesicles derived from CAR‐T Cells: A potential therapy for cancer
Anat Aharon; Galit Horn; Tali Hana Bar‐Lev; Einav Zagagi Yohay; Tova Waks; Maya Levin;
Naamit Deshet Unger; Irit Avivi; Anat Globerson Levin
Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Introduction: Chimeric antigen receptor (CAR)‐T cells are genetically engineered T
cells, directed against a tumor associated antigen (TAA). Extracellular‐vesicles (EVs)
derived from CAR‐T cells (CAR‐T EVs) may preserve CAR‐T activity and overcome one
of the major obstacles responsible for CAR‐T cell failure in patients with solid tumors.
This study aimed to compare CAR‐T EVs to their parental cells and explore their cell
penetration and cytotoxic activity.
Methods: Anti‐HER‐2 CARs were stimulated with specific target cells. EVs were isolated
from the cell media and characterized for their content and functions.
Results: We found that CAR‐T EVs contained a mixture of small and large EVs. Stimulated
Anti‐HER‐2+CAR‐T EVs expressed lower cytokines levels compared to their parental CAR‐T
cells (such as IFN). Higher levels of Granzyme B were found in CAR‐T EVs (≥20×) compared
to EVs from unstimulated cells (p< 0.001). Anti‐HER‐2+ CAR‐T EVs bound and penetrated
specifically into HER‐2 expressing target cells. Similar cytotoxic effects measured
by Caspase‐3/7 activity were found in CAR‐T cells and their derived EVs. However,
while the CAR‐T cells induced massive apoptosis during the first 24 hours, CAR‐T EVs
required 60−90 hours.
Summary/Conclusion: In summary, HER‐2‐expressing CAR‐T EVs provide a novel and potent
immunotherapy approach that may be effective against solid tumors.
Funding: KAMIN grant from the Israel Innovation Authority.
PT06.07
Ganglioside GD2 enhances malignant properties of melanoma by co‐operating with integrin
Farhana Yesmin1; Robiul Hasan Bhuiyan2; Yuhsuke Ohmi3; Momoka Momoka3; Tetsuya Okajima3;
Kei Kaneko4; Keiko Furukawa5; koichi Furukawa3
1Nagoya University, Kasugai, Japan; 2Chubu Unoversity, Kasugai, Japan; 3Chubu University,
Kasugai, Japan; 4Chubu University, kasugai, Japan; 5Chuvu University, Kasugai, Japan
Introduction: Cancer‐associated gangliosides have been used in cancer diagnosis and
therapy. To clarify mechanisms by which gangliosides enhance tumor properties, we
analyzed roles of GD2 and GD2‐carrying exosomes by identifying GD2‐associated molecules.
Methods: EMARS/MS using anti‐GD2 antibody revealed that integrin β1 was one of GD2‐associated
molecules on the membrane. Their association was verified by IP/IB, immunocytochemistry
as well as PLA. RT‐CES revealed that GD2 expression strongly enhanced adhesion activity
of melanoma cells. Addition of anti‐GD2 antibody during RT‐CES resulted in definite
suppression of the cell adhesion.
Results: Immunoblotting with PY20 showed stronger bands at 180, 130, and 100 kDa in
GD2+ cells than in GD2‐ cells, and they disappeared after knock‐down of integrin β1.
MS analysis using the bands detected in IP/IB with PY20 revealed that EGFR and FAK
exist. Knock‐down of integrin β1 resulted in decreased proliferation, invasion and
cell adhesion of GD2+ cells. Integrins shifted to the raft fraction from non‐raft
fraction in GD2+ cells but not in GD2‐ cells. To clarify the roles of exosomes in
GD2 functions, addition of GD2+ cell‐derived exosomes to GD2‐ cells was tried, showing
increase of cell adhesion.
Summary/Conclusion: Now, involvement of exosomes in the roles GD2 and integrins in
the malignant properties of melanomas such as cell adhesion, proliferation and metastasis
is under investigation.
Funding: This study was supported by the Grants‐in‐Aids from the Ministry of Education,
Culture,
Sports and Technology of Japan (MEXT) (15H04696, 17K19616, 18H02628, 19K22518, 19K07393,
21K06828, 21H02699), and by JST‐CREST (Grant Number: JPMJCR17H2).
PT06.08
HPV‐positive head and neck squamous cell carcinoma cells release small extracellular
vesicles carrying immunoregulatory proteins and HPV peptides
Lukasz Skoczylas1; Marta Gawin2; Mateusz Smolarz3; Sonja Ludwig4; Nils Ludwig5; Piotr
Widlak6; Theresa L. Whiteside7; Monika Pietrowska2
1Maria Sklodowska‐Curie Memorial Cancer Center and Instytute of Oncology, Gliwice,
Poland; 2Maria Skłodowska‐Curie National Research Institute of Oncology, Gliwice,
Poland;, Gliwice, Poland; 3Maria Sklodowska‐Curie National Research Institute of Oncology,
Gliwice Branch, Gliwice, Poland; 4Department of Otorhinolaryngology, Head and Neck
Cancer Surgery, University Hospital Mannheim, Mannheim, Germany;, Mannheim, Germany;
5Department of Oral and Maxillofacial Surgery, University Hospital Regensburg, Regensburg,
Germany;, Regensburg, Germany; 6Medical University of Gdansk, Gdansk, Poland; 7UPMC
Hillman Cancer Center, University of Pittsburgh, Cancer Institute Pittsburgh, Pennsylvania,
USA, Pittsburgh, USA
Introduction: Human papillomavirus (HPV) is a risk factor for head and neck squamous
cell carcinoma (HNSCC) associated with a favorable response to therapy. We hypothesized
that tumor‐derived exosomes (TEX) produced by HPV(+) or HPV(‐) HNSCCs differentially
modulate anti‐tumor immune responses, which may be mediated in part by the presence
of viral antigens in HPV(+) TEX.
Methods: TEX isolated from supernatants of HPV(+) SCC‐90 or HPV(‐) PCI‐30 HNSCC cells
by size exclusion chromatography were characterized according to the recent MISEV2018
guidelines. A comparison of proteome profiles was performed by high‐resolution mass
spectrometry (HRMS). Selected immunoregulatory proteins were analyzed by flow cytometry.
Further, fluorescence microscopy with labeled antibodies was employed to verify the
presence of selected viral proteins (E7 and E2) in TEX (co‐staining with CD63).
Results: TEX produced by SCC‐90 and PCI‐30 cells contained 711 proteins overall, including
80 proteins specific for HPV(+)‐derived vesicles and 77 proteins specific for HPV(‐)‐derived
vesicles. Only HPV(+) TEX were enriched in immune effector cell‐reactive CD47 and
CD276 antigens, while only HPV(‐) TEX contained tumor‐protective/growth‐promoting
antigens, MUC‐1 and HLA‐DA. The proteome of HPV(+) TEX determined by HRMS contained
three viral peptides derived from three different HPV proteins: Minor Capsid Protein
L2, Replication Protein E1 and Probable Protein E5.
Summary/Conclusion: The distinct proteomic cargo composition of HPV(+) and HPV(‐)
TEX might contribute to forming the characteristic immune landscape of HPV(+) and
HPV(‐) HNSCC. Recent reports indicate that E2/E5 viral proteins, unlike E7/E6, are
immunogenic and induce antigen‐specific T cell responses in HPV(+) individuals. Therefore,
TEX carrying immunogenic viral proteins as well as tumor‐associated antigens may mediate
anti‐viral and anti‐tumor immune responses in HPV(+) HNSCC patients.
Funding: This research has been financed from Preludium Bis grant, NCN Poland, grant
no. UMO‐2020/39/O/NZ4/02838 (LS, MP) and NIH grant U01‐DE029754 (TLW).
PT06.09
Identified distinctive miRNA profile of Menstrual Stem Cells‐derived sEV repress angiogenesis‐associated
gene expression in breast cancer and endothelial cells
Hugo E Tobar1; Nicolas Georges1; Leonie Rosenberger1; Fernando Lillo‐Vera1; Monica
Kurte1; Dario Donoso Meneses1; Yessia Hidalgo2; Aliosha I. Figueroa‐Valdés3; Francisca
Alcayaga‐Miranda1
1Universidad de los Andes, Santiago, Chile; 2IMPACT, Center of Interventional Medicine
for Precision and Advanced Cellular Therapy, Santiago, Chile, Santiago, Chile; 3Laboratory
of Nano‐Regenerative Medicine, Centro de Investigación e Innovación Biomédica (CiiB),
Universidad de los Andes, Santiago, Chile, Santiago, Chile
Introduction: Angiogenesis represents a rational therapeutic target critical for solid
tumor growth. We isolated small extracellular vesicles (sEV) secreted by cultured
menstrual stromal cells (MenSC) that act as inhibitory agents of tumor cell‐ and endothelial
cell‐derived angiogenic‐secretome in prostate, breast, and head and neck cancer. Here,
we identify the unique miRNA signature in MenSC‐sEV compared to other tissue sources.
We also profile the miRNA cargo implicated in the anti‐angiogenic effect and identify
the underlying pathways. Besides, we single out the putative gene targets of the
selected miRNAs within the host cells.
Methods: MenSC‐sEV were isolated by differential centrifugation, characterized following
MISEV 2018 guidelines, and their miRNA profile was obtained using HTG EdgeSeq miRNA
whole transcriptome assay. To assess the functional impact of MenSC‐sEV treatment
on human breast cancer cell lines and endothelial cells, we performed whole transcriptome
RNA sequencing. The miRNA signature of sEV secreted by bone marrow (BM) and adipose
tissue (AT) MSC was collected from public databases.
Results: The identity and purity of sEV were confirmed by the presence of CD63, CD9,
CD81, Flotillin‐1, Syntenin‐1, and the absence of Calnexin and TOMM20. The miRNA signature
of MenSC‐sEV revealed that the top 15 common miRNAs enriched in MenSC‐sEV regulate
tumor growth by targeting multiple key oncogenic signaling pathways. Bioinformatic
analysis of host cells treated with MenSC‐sEV identified changes in the mRNA expression
profile associated with various anti‐tumor pathways, including angiogenesis. Besides,
MenSC‐sEV possesses a unique miRNA profile that differs qualitatively from the other
MSC sources as BM and AT.
Summary/Conclusion: This analysis confers the first evidence to strongly support the
data that miRNAs enriched in MenSC‐sEV play a crucial role in the regulation of angiogenesis.
Funding: FONDECYT 1190411, IMPACT #FB210024, ANID, Chile.
PT06.10
New strategies based on the use of protein‐based drugs into sEVs to overcome resistance
to BRAF/MEK inhibitors in tumours with a mutation in BRAF
Amanda Guitián‐Caamaño1; Adrián Varela‐Vázquez1; Paula Carpintero‐Fernández1; Alexander
Carneiro‐Figueira1; Marta Varela‐Eirín2; Susana B. Bravo3; Teresa Calleja‐Chuclá4;
María Varela‐Quindós5; David Santamaría6; Eduardo Fonseca7; María D. Mayán1
1CellCOM Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Servizo
Galego de Saúde (SERGAS), A Coruña, Spain; 2European Research Institute for the Biology
of Ageing (ERIBA);, University Medical Center Groningen (UMCG), University of Groningen,
Antonius Deusinglaan, Groningen, Netherlands; 3Instituto de Investigación Sanitaria
de Santiago de Compostela IDIS, Proteomics laboratory, Santiago de Compostela, Spain;
4Hospital Pharmacy Service. CH‐Universitario A Coruña (XXIAC). Servizo Galego de Saúde
(SERGAS), A Coruña, Spain; 5Translational Cancer Research Group, Instituto de Investigación
Biomédica de A Coruña (INIBIC). CH‐Universitario A Coruña (XXIAC). Servizo Galego
de Saúde (SERGAS), A Coruña, Spain; 6University of Bordeaux, INSERM U1218, ACTION
Laboratory, Bordeaux, France; 7Dermatology Deparment, University Hospital of A Coruña,
CellCOM group, Servizo Galego de Saúde (SERGAS), A Coruña, Spain
Introduction: The channel protein connexin43 (Cx43) shows tumour suppressive roles
in melanoma. On the other hand, BRAF/MEK inhibitors (BRAF/MEKi) have become the standard
therapy in patients with BRAF‐mutated melanoma. However resistance to targeted agents
is a frequent cause of therapy failure. Cx43 is a complex protein that has channel‐dependent
and channel‐independent roles. This protein is also found in small extracellular vesicles
(sEVs) but it is role in sEVs in cancer has not been explored yet.
Methods: Different human BRAF‐mutated cell lines were used in this study. Expression
vectors and sEVs‐enriched in Cx43 were used to target tumor cells. sEVs were isolated
by ultracentrifugation and characterized by NTA, electron microscopy and WB. IP was
performed to study protein interactions and samples were analyzed by LC‐MS/MS. RNA‐seq
was used to identified sRNAs in sEVs. Standard methods were used to study cellular
senescence, cell proliferation and cell death by apoptosis.
Results: Cx43 overactivity, using a vector or sEVs containing Cx43, significantly
decreases cell growth and proliferation and increases senescence and apoptosis in
BRAF‐mutant cell lines. The presence of Cx43 in sEVs changes their function and the
content of proteins and sRNA detected by MS/MS and RNA‐seq. In addition, restoration
of Cx43 using sEVs for its delivery, increases the efficacy of the BRAF/MEKi and prevents
drug resistance by reenforcing cellular senescence and enhancing cell death by apoptosis,
alone and in combination with the senolytic drug navitoclax. These results were confirmed
in ex vivo a in vivo models using xenotransplant of human melanoma cell lines and
under BRA/MEK inhibitors treatments combined with sEVs enriched in Cx43.
Summary/Conclusion: Our results indicate that Cx43 radically changes the protein and
RNA content of sEVs changing their function. In this study we have develop a new strategy
based on the use of sEVs as drug delivery system to transport a transmembrane protein
that increases the efficacy of the BRAF/MEK inhibitors and prevents drug resistance
in BRAF mutated positive tumours. These results have been protected in one European
patent and could impact in the manage and treatment of metastatic tumors with a potential
clinical benefit in patients with a metastatic disease.
PT06.12
Tissue factor‐dependent and ‐independent blood coagulation activities of ovarian clear
cell carcinoma cells and their extracellular vesicles
Hiroko Tadokoro; Shiro Koizume; Mitsuyo Yoshihara; Yukihide Ota; Shinya Sato; Yohei
Miyagi
Molecular Pathology and Genetics Division, Kanagawa Cancer Center Research Institute,
Yokohama‐shi, Japan
Introduction: Cancer‐associated thromboembolism (CAT) is the second leading cause
of death after progression of tumors in cancer patients. Blood coagulation produces
thrombin, which converts fibrinogen to fibrin, via independently activated endogenous
and extrinsic pathways. Tissue factor (TF) is a type I membrane protein with a transmembrane
domain and a short cytoplasmic domain and initiates the extrinsic coagulation pathway.
TF is incorporated in extracellular vesicles (EVs) secreted by pancreatic cancer cells
and believed as a major cause of CAT in the patients. Although ovarian clear cell
carcinoma (OCCC) patients are prone to complicate CAT, it is not yet clarified the
implication of TF, which is reported to be overexpressed in OCCC cells. Therefore,
we aimed to investigate the effect of TF on the coagulation‐promoting activity of
OCCC cells and their EVs.
Methods: TF expression in human OCCC cell lines, ES‐2, RMG‐1, and TOV21G was examined
by western blotting. TF‐knockout (TF‐KO) cell lines were prepared by the CRISPR‐Cas9
genome editing approach. Effect of TF‐KO on cell proliferation and EV production itself
was evaluated, and then TF procoagulant activity (TF‐PCA) of cells was accessed by
factor Xa generation assay. EVs were prepared by ultracentrifugation of serum‐free
culture medium of cells. In addition, whole coagulation activity of cells and EVs
was evaluated by an optical fibrin generation assay using human plasma.
Results: TF protein was identified in ES‐2 and RMG‐1 cells and in their EVs. TF was
not identified in TOV‐21G cells and EVs. Expectedly, TF‐PCA was detected in ES‐2 and
RMG‐1 cells but not TOV21G cells. TF‐KO did not affect cell proliferation and EV production
of ES‐2 and RMG‐1 cells. However, unexpectedly, optical fibrin generation assay revealed
that all three cells and their EVs have fibrin generation activity.
Summary/Conclusion: Our data suggest that OCCC cells and their EVs have both TF‐dependent
and ‐independent coagulation activity, potentially contributing to OCCC‐CAT.
PT06.13
Proteomic profiles of small extracellular vesicles released by colon cancer cell line
HCT116 with different p53 status
Monika Pietrowska1; Mateusz Smolarz1; Marta Gawin1; Urszula Strybel2; Marek Rusin3;
Piotr Widlak4; Anna Wojakowska2
1Maria Sklodowska‐Curie National Research Institute of Oncology, Gliwice Branch, Gliwice,
Poland; 2Institute of Bioorganic Chemistry Polish Academy of Sciences, Poznan, Poland;
3Maria Sklodowska‐Curie National Research of Oncology, Gliwice Branch, Gliwice, Poland;
4Medical University of Gdansk, Gdansk, Poland, Gdansk, Poland
Introduction: Extracellular vesicles (EV) are important components of cellular secretome
that play a key role in cell‐cell communication, including immune signaling, angiogenesis,
stress response, senescence, proliferation, and cell differentiation. p53 controls
the expression and secretion of numerous extracellular factors, either soluble or
contained within EVs. It has been postulated that p53 is responsible for the composition
of small EVs (sEV), primarily exosomes, released by cancer cells. For example, a p53‐dependent
increase in EV secretion was observed and p53 protein was implicated in the upregulation
of RAB27b (a key component of EV secretory pathways). Here we aimed to compare directly
proteome profiles of sEV released by a colon cancer cell line with different p53 statuses.
Methods: sEV were isolated from supernatants of p53‐proficient (wild‐type) and p53‐deficient
(homozygous deletion) variants of HCT116 cell line. sEV were purified using size exclusion
chromatography and characterized according to the recent MISEV2018 guidelines. Cell
lysates were prepared by extraction with RIPA buffer. Proteins present in purified
sEV and corresponding cell lysates were analyzed by high‐resolution mass spectrometry
(HRMS). The raw data obtained for each dataset (EV and cell lysates) were imported
into Proteome Discoverer v.1.4 (Thermo Fisher Scientific) for protein identification
and quantification.
Results: There were 374 proteins detected in sEV, including 44 proteins specific for
HCT116p53(+) and 3 proteins specific for HPVp53(‐) vesicles. The gene ontology analysis
of 227 proteins upregulated in HCT116p53(+) vesicles revealed that over‐represented
processes associated with p53‐upregulated sEV proteins included (i) viral process,
(ii) symbiotic process, and (iii) translational initiation.
Summary/Conclusion: We identified the protein profile of EVs that discriminates vesicles
released by cells with different p53 statuses.
Funding: This study was supported by the National Science Centre, Poland, Grant 2017/26/D/NZ2/00964
(for MP, US, AW).
PT06.14
Pro‐inflammatory role of EV in transplant lung rejection signaling
Alessandra M. Storaci1; Alessandro Palleschi2; Sara Franzi2; Valeria Musso2; Rodolfo
Bruschi2; Letizia Corinna Morlacchi2; Valeria Rossetti2; Francesco Blasi2; Mario Nosotti2;
Silvano Bosari3; Stefano Ferrero2; Valentina Vaira3
1Università degli studi di Milano, Milan, Italy; 2Fondazione IRCCS Ca' Granda Ospedale
Maggiore Policlinico, Milan, Italy; 3Università degli Studi di Milano, Milan, Italy
Introduction: Lung transplantation (LT) is a life‐saving treatment for patients (pt)
with end‐stage lung diseases. However, the survival is threatened by acute rejection
(AR) that favours the onset of chronic lung allograft dysfunction (CLAD). Further,
no early accurate biomarkers of graft rejection currently are known and its molecular
signaling is unclear. Therefore, we study AR and CLAD lung microenvironment through
a profiling of extracellular vesicles (EV) purified from broncho‐alveolar lavage fluids
(BAL) from LT pt.
Methods: EV were isolated from the BAL fluid (500ul) of pt with AR, CLAD and no rejection
event (CTRL; n=3, 3, 6).
BAL were centrifuged 20min at 1000g to remove debris; supernatants were centrifuged
for 30min at 10000g.
The expression of EV specific markers (presence of TSG101, ARF6, CD63 and absence
of Calnexin, Ago2) was analysed by western blot.
Nanoparticles tracking analysis was used to assess size and concentration of EVBAL
and PKH26 labelling for internalization assay. After the co‐culture with Human epithelial
bronchial cells, supernatants (48 and 72h) and cell lysates (72h) were collected and
the cyto/chemokine contents were assessed using a cytokine array.
EVAR/CLAD array signals are compared to matched CTRL.
Results: Cells supernatant, after co‐culture with MVCLAD showed the increase of 7
cytokines at 72h. EVAR, instead, induced a transient up‐modulation at 48h, with 16
cytokines that remained higher than CTRL at 72h.
In cell lysates at 72h only 3 cytokines resulted as up‐modulated after EVCLAD co‐culture;
on the contrary, EVAR induced a general up‐modulation of the analysed cytokines.
KEGG analysis of up‐modulated cytokines indicated their involvement in allograft rejection
(IL10, IL12), pro‐inflammatory processes (IL32) and IL17 signalling pathway (CXCL1,
CXCL8, CSF), known to promote the damage of donor graft.
Summary/Conclusion: These preliminary data indicate that EVCLAD/AR are functional
and carry molecules with a role in the onset and perpetuation of inflammatory processes.
Further, targeting the pro‐inflammatory IL32 might prevent the onset of an unfavourable
environment for the lung allograft. This study could provide new information about
the pathways involved in rejection events and potential therapeutic targets.
PT06.15
Effects of tumor derived exosomes on T cells expression
Shahid Hussain; Shaukat Iqbal Malik
Cust islamabad, Islamabad, Pakistan
Introduction: Exosomes are 30‐120nm bio particles transferred from donor to recipient
cells leading to modification in their regulatory mechanisms depending upon the coded
message in the form of loaded biomolecule. Cancer cells derived exosomes the true
representatives of the parent cells have been found to modify the tumor surrounding/distinct
regions and participate in metastasis, angiogenesis and immune suppression.
Methods: The current study was aimed to study the effects of tumor mice derived exosomes
on the normal mice spleen isolated T cells by using co‐culture experiments and flow
cytometer analysis. We mainly focused on some of the T cells population and cytokines
including IFN‐γ, FOXP3+ regulatory T (Treg) cells and KI67 (proliferation marker).
Results: Overall results indicated random changes in different set of experiments
where the cancer derived exosomes reduced the IFN‐γ expression in both CD4 and CD8
T cells, similarly the Treg cells were also found decreased in the presence of cancer
exosomes. No significant changes were observed on the Ki67 marker expression.
Summary/Conclusion: Such studies are helpful in understanding the role of cancer exosomes
in immune cells suppression in tumor microenvironment. That needs further in vivo
and in vitro validation on molecular level to provide a potential uses of exosomes
clinically, in the development of vaccines, in targeting tumors, and in diagnosis
and/or early detection.
PT07: Physiology and pathology: Cancer immunology and immunotherapy
Chair: Christian Preußer – Institute for Tumor Immunology, Center for Tumor Biology
and Immunology (ZTI), Philipps University of Marburg, Marburg, Germany
Chair: Elke Pogge von Strandmann – Institute for Tumor Immunology, Center for Tumor
Biology and Immunology (ZTI), Philipps University of Marburg, Marburg, Germany
PT07.01
B cell targeting of extracellular vesicles by a novel fusion protein
Annemarijn Offens1; Loes Teeuwen2; Sander A. Kooijmans3; Gözde Güclüler Akpinar2;
Hannah Weissinger2; Maria Eldh1; Pieter Vader4; Susanne Gabrielsson1
1Division of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet,
Stockholm, Sweden, Stockholm, Sweden; 2Division of Immunology and Allergy, Department
of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, Solna, Sweden; 3CDL Research,
University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands;
4CDL research, University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht,
Netherlands
Introduction: Allogeneic extracellular vesicles (EVs) loaded with ovalbumin (Ova)
can induce an anti‐tumor immune response in mice with Ova‐expressing melanoma tumors.
This anti‐tumor immunity of Ova‐loaded EVs relies on the activation of T cells, a
response that is dependent on B cells. Additionally, previous research showed that
EBV‐derived GP350‐containing EVs target human CD21 present on B cells. We hypothesized
that EVs targeting B cells would induce stronger T cell responses to EVs. Therefore,
we aim to examine if decorating Ova‐loaded allogeneic EVs with a fusion protein that
binds CD21 target the EVs to B cells and thereby improve antigen‐specific immune responses.
Methods: A fusion protein containing the phosphatidylserine‐binding domain (C1C2)
of lactadherin and CD21‐binding domain (D123) of GP350 was designed. Ultracentrifugation‐isolated
macrophage‐like RAW264.7 EVs were dyed with cell tracker deep red, washed by size
exclusion and incubated with fusion protein C1C2‐D123. Fusion protein‐decorated EVs
were incubated with splenocytes of human CD21+ mice or human PBMCs. In vitro targeting
was assessed by flow cytometry.
Results: The results show that, depending on the amount of EVs used, the percentage
of B cells that are positive for C1C2‐D123 fusion protein‐decorated EVs increased
by more than 50% in mouse splenocytes and by more than 90% in human PBMCs compared
to EVs in absence of the fusion protein.
Summary/Conclusion: In conclusion, C1C2‐D123 fusion protein‐decorated EVs improves
B cell targeting in vitro. Future in vivo experiments will assess if Ova‐loaded B
cell targeted EVs improve antigen‐specific immune responses as compared to non‐targeted
EVs.
Funding: This work was supported by grants from the Swedish Research Council Medicine,
The Swedish Cancer Foundation, The Cancer Research Foundations of Radiumhemmet, The
Swedish Heart‐Lung Foundation, the Centre for Allergy Research Karolinska Institutet,
and the KID grants of the Karolinska Institutet.
PT07.02
Correlation between the immunological cell profile, clinical data, and the extracellular
vesicle content in non‐small cell lung cancer patients
Magdalena Dlugolecka1; Lukasz Zareba1; Joanna Domagala‐Kulawik2; Malgorzata Polubiec‐Kownacka3;
Malgorzata Czystowska‐Kuzmicz4
1Doctoral School, Chair and Department of Biochemistry, Medical University of Warsaw,
Warsaw, Poland; 2Department of Internal Medicine, Pulmonary Diseases and Allergy,
Medical University of Warsaw, Warsaw, Poland; 3Department of Surgery, Institute of
Tuberculosis and Lung Diseases, Warsaw, Poland; 4Medical University of Warsaw, Warsaw,
Poland
Introduction: Establishing the connection between the patients’ immunological profile
and the extracellular vesicle (EV) profile and patients’ clinical data is of great
scientific interest and may help to choose the best therapy regimen and to monitor
immune response during therapy. Here we investigated associations between the immunological
cell profile, EV content, and clinical data of non‐small cell lung cancer (NSCLC)
patients.
Methods: Immune cells and EVs obtained from blood and bronchoalveolar lavage fluid
(BALF) of 82 NSCLC patients were analyzed. Immune cells from the cancerous (cBALF)
and the opposite lung (oBALF) as well as from blood were phenotyped by flow cytometry,
to check their activation potential and immunosuppressive content. In parallel, EVs
were isolated from the same samples. Plasma EVs were obtained from the patients’ blood
by centrifugation, filtration, and size‐exclusion chromatography (SEC). The BALF EVs
were isolated by ultracentrifugation (UC). The EVs were characterized by several methods
following the MISEV2018 guidelines. The EV concentration, size, and tetraspanin content
were measured by nanoparticle tracking analysis (NTA).
Results: Our analysis showed the association between tumor stage and the concentration
of EVs in our patients’ cohort. In the case of cBALF, we observed an increase in the
total EV count along with tumor development at the early tumor stage (IA2, IA3, IB,
IIB, IIA, IIIA). In addition, this increase was also visible in the amount of cBALF
EVs labeled with membrane dye and some tetraspanin markers (CD63, CD9). Interestingly,
in tumor stage IIB, the concentration of EVs was lower than in IIA and IIIA. We did
not observe such association in the case of oBALF and plasma EVs. Additionally, there
was a moderate correlation between the presence of some immunosuppressive markers
on lymphocytes and the EV profile.
Summary/Conclusion: We have provided first hints that the molecular profile of BALF
EVs may be a marker of immune suppression in lung cancer patients and that there is
an association between tumor stage and the amount of EVs from the cancerous lung.
However, its clinical impact still needs to be validated.
Funding: National Science Center ‐ OPUS 14 2017/27/B/NZ6/01990; NAWA – PPI/APM/2019/1/00051/V/00001
PT07.03
Ex vivo expansion and activation of Natural Killer cells by co‐culture with exosomes
derived from engineered K562 cells
Tayler J. Croom‐Perez1; Jeremiah L. Oyer1; Robert Y. Igarashi2; Deborah A. Altomare3;
Alicja J. Copik1
1University of Central Florida, College of Medicine, Orlando, USA; 2Kiadis pharma,
a Sanofi Company, Amsterdam, Netherlands; 3Univeristy of Central Florida, College
of Medicine, Orlando, USA
Introduction: Natural Killer (NK) cells are cytotoxic effector lymphocytes important
in the anti‐tumor response of the innate immune system and are of great interest as
an emerging cellular therapy. However, NK cells are in low abundance in blood and
to become feasible in adoptive immunotherapy, novel methods to enhance anti‐tumor
activity and expand numbers of NK cells ex vivo are needed. Our group developed a
NK cell expansion method that utilizes plasma membrane nanoparticles derived from
engineered K562 cells (CSTX‐002) expressing 41BBL and membrane‐bound IL21 (PM21).
In this study, we investigate the use of exosomes derived from these cells to expand
NK cells as they are amenable to engineering for further enhancement of the proliferation
and activation of NK cells and could be used to deliver agents to genetically engineer
NK cells themselves.
Methods: Exosomes derived from CSTX‐002 cells (EX21‐exosomes) were isolated by ultrafiltration
and characterized by Nanosight and TRPS Measurement. The presence of exosomal markers
was confirmed by Western blot and flow cytometry. In vitro cytotoxicity of the NK
cells was determined and comparative in vivo efficacy of EX21‐NK and PM21‐NK cells
was assessed in SKOV‐3Luc ovarian tumor‐bearing mice. Mice were treated with vehicle,
EX21‐NK cells or PM21‐NK cells and monitored for survival.
Results: CD3‐depleted PBMCs cultured with EX21‐exosomes expanded 530‐fold over 14
days compared to a 735‐fold change in the presence of PM21‐particles. EX21‐NK and
PM21‐NK cells had comparable in vitro cytotoxicity against K562 cells. Treatment of
SKOV engrafted NSG mice with either EX21‐NK cells or with PM21‐NK cells allowed significantly
(p< 0.0001) increased survival compared to untreated animals (41–44 vs 29 days post
treatment).
Summary/Conclusion: EX21‐exosomes efficiently expand NK cells in vitro, and are equally
as effective as PM21‐NK cell at anti‐tumor activity, both in vitro and in vivo.
Funding: Florida Department of Health James and Ester King Program (Grant No. 9JK04),
The Guillot‐Henley Family AML Research Fund in loving memory of William L. Guillot,
the University of Central Florida Preeminent Postdoctoral Program, and Kiadis pharma,
a Sanofi Company.
PT07.04
Extracellular vesicles transfer the NKG2D ligand MICA on multiple myeloma cells and
increase their susceptibility to NK cell‐mediated killing: role of two distinct MICA
allelic variants
Luisa Loconte1; Elisabetta Vulpis1; Laura Masuelli2; Giulio Caracciolo3; Angela Santoni1;
Alessandra Zingoni1
11Laboratory affiliated to Istituto Pasteur Italia‐Fondazione Cenci Bolognetti, Department
of Molecular Medicine, "Sapienza" University of Rome, Italy, Rome, Italy; 2Department
of Experimental Medicine, "sapienza" University of Rome, Rome, Italy; 3Department
of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy
Introduction: Natural Killer (NK) cells are innate cytotoxic lymphoid cells that play
a crucial role in cancer immunosurveillance. NKG2D is an activating receptor that
binds to MIC and ULBP molecules typically induced on damaged, transformed or infected
cells. The secretion of NKG2D ligands (NKG2DLs) through protease‐mediated cleavage
or by extracellular vesicle (EV) is a mode to control their cell surface expression
and a mechanism used by cancer cells to evade NKG2D‐mediated immunosurveillance. The
NKG2DL MICA is characterized by a high grade of polymorphism that could influence
its biological properties.
Methods: Medium‐size EV (mEVs) were isolated by ultracentrifugation from a MM cell
line transfected with
two different MICA allelic variants namely MICA*008 (GPI‐anchored prototype) and MICA*019
(transmembrane prototype). mEVs were characterized by dynamic light scattering (DLS)
and transmission electron microscopy (TEM). The expression of MICA and other markers
was evaluated by flow cytometry, western blot and ELISA. Polyclonal cultures of NK
cells were obtained from PBMCs and used in functional assays.
Results: The MICA allelic variants, MICA*008 and MICA*019, were expressed on the surface
of mEVs and were transferred from vesicle to target MM cells with different kinetics
and efficacy suggesting a different transfer mechanism on the target cell plasma membrane.
Interestingly, EV‐treated target cells that had acquired MICA were able to downmodulate
NKG2D on NK cells. We provide evidence that the EV‐derived MICA on MM cells rendered
those cells more susceptible to NK cell recognition and killing.
Summary/Conclusion: Our findings shed light on the role of EV‐associated MICA allelic
variants in the modulation of NKG2D‐mediated NK cell immunesurveillance in the tumor
microenvironment. Moreover, the EV‐mediated transfer of MICA could suggest a novel
therapeutic approach based on the usage of engineered nanoparticles aimed at increasing
cancer cell immunogenicity
Funding: This work was supported by grants from AIRC and “Sapienza” University of
Rome.
PT07.05
Macitentan attenuate extracellular vesicle PD‐L1 mediated immunosuppression
Chan‐Hyeong Lee1; Ju‐Hyun Bae1; Eun‐Ji Choe1; Ju‐Mi Park1; Seong‐Sik Park1; Hee Jin
Cho2; Byoung‐Joon Song3; Moon‐Chang Baek1
1Kyungpook National University School of Medicine, Daegu, Republic of Korea; 2Department
of Biomedical Convergence Science and Technology, Kyungpook National University, Daegu,
Republic of Korea; 3National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda,
USA
Introduction: Extracellular vesicles (EVs) carrying tumor cell‐derived programmed
death‐ligand 1 (PD‐L1) interact with programmed death 1 (PD‐1)‐producing T cells,
thus significantly lowering a patient's response to immune checkpoint blockade drugs.
No drug that reinvigorate CD8+ T cells by suppressing EV PD‐L1 has been approved for
clinical usage. Here we have identified macitentan (MAC), an FDA‐approved oral drug,
as a robust booster of antitumor responses in CD8+ T cells by suppressing tumor cell‐derived
EV PD‐L1.
Methods: EV was analyzed by the data from nanoparticle tracking, immunoblotting analyses,
and nano‐flow cytometry. Antitumor immunity were evaluated by luciferase assay and
immune phenotyping using flow cytometry. Clinical relevance was analyzed using the
cancer genome atlas database.
Results: MAC inhibited secretion of tumor‐derived EV PD‐L1 by targeting the endothelin
receptor A (ETA) in breast cancer cells and xenograft models. MAC enhanced CD8+ T
cell‐mediated tumor killing by decreasing the binding of PD‐1 to the EV PD‐L1 and
thus synergizing the effects of the anti‐PD‐L1 antibody. MAC also showed an anticancer
effect in triple‐negative breast cancer (TNBC)‐bearing immunocompetent mice but not
in nude mice. The combination therapy of MAC and anti‐PD‐L1 antibody significantly
improved antitumor efficacy by increasing CD8+ T cell number and activity with decreasing
Treg number in the tumors and draining lymph nodes in TNBC, colon, and lung syngeneic
tumor models. The antitumor effect of MAC was reversed by injecting exogenous EV PD‐L1.
Notably, ETA level was strongly associated with the innate anti‐PD‐1 resistance gene
signature and the low response to the PD‐1/PD‐L1 blockade.
Summary/Conclusion: These findings strongly demonstrate that MAC, already approved
for clinical applications, can be used to improve and/or overcome the inadequate response
to PD‐1/PD‐L1 blockade therapy.
PT07.06
Macrophage education by melanoma cells‐vesicles after radiotherapy
Silvina Odete Bustos1; Luciana Nogueira de Sousa Andrade2; Tiphany Coralie De Bessa3;
André Zelanis4; Murilo Salardani5; Cristiane Damas Gil6; Francisco Laurindo3; Roger
Chammas7
1Center for Translational Research in Oncology (LIM24), Instituto do Cancer do Estado
de Sao Paulo (ICESP), Hospital das Clinicas da Faculdade de Medicina da Universidade
de Sao Paulo (HCFMUSP), Sao Paulo CEP 01246‐000, SP, Brazil, São Paulo, Brazil; 2Center
for Translational Research in Oncology (LIM24), Instituto do Câncer do Estado de São
Paulo (ICESP), Hospital das Clínicas da Faculdade de Medicina da Universidade de São
Paulo (HCFMUSP), São Paulo, Brazil, São Paulo, Brazil; 3Laboratório de Biologia Vascular,
LIM‐64 (Biologia Cardiovascular Translacional), Instituto do Coração (InCor), Hospital
das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo,
Brazil., São Paulo, Brazil; 4Functional Proteomics Laboratory, Department of Science
and Technology, Universidade Federal de São Paulo (ICT‐UNIFESP), São José dos Campos,
SP, Brazil., São José dos Campos, Brazil; 5Functional Proteomics Laboratory, Department
of Science and Technology, Universidade Federal de São Paulo (ICT‐UNIFESP), São José
dos Campos, SP, Brazil., São Jose dos Campos, Brazil; 6Department of Morphology and
Genetics, Federal University of São Paulo (UNIFESP), São Paulo 04023‐900, Brazil,
São Paulo, Brazil; 7Center for Translational Research in Oncology (LIM24), Instituto
do Cancer do Estado de Sao Paulo (ICESP), Hospital das Clinicas da Faculdade de Medicina
da Universidade de Sao Paulo (HCFMUSP), Sao Paulo CEP 01246‐000, SP, Brazil, Sao Paulo,
Brazil
Introduction: Cutaneous melanoma is the most aggressive skin cancer that harbors a
high mutational burden and potential to form metastases which is associated with acquired
resistance. In this regard, tumor extracellular vesicles (TEVs) have become critical
components in the melanoma microenvironment promoting drug resistance. TEVs can transfer
their cargo to stromal cells, such as macrophages, modulating several processes influencing
tumor progression. Herein, we investigated whether TEVs secreted by melanoma cells
submitted to radiotherapy modulate tumor response through macrophage reprogramming.
Methods: B16F10 melanoma cells were irradiated and, after 24h, TEVs were isolated
from cell culture media by differential ultracentrifugation and resuspended in filtered
PBS. TEVs were characterized by nanoparticle tracking analysis, transmission electron
microscopy and the detection of EVs markers by western blot. For proteomics, RIPA
buffer was added to TEVs samples followed by sonication and digestion.
Results: A single irradiation dose caused an increase in TEVs secretion by melanoma
cells after 24 hours. These TEVs were taken up by bone marrow‐derived macrophages
modulating their redox state through SOD2 and PDIA1 downregulation, which was accompanied
by an increase in reactive oxygen species like H2O2. Moreover, the uptake of irradiated
TEV by macrophages resulted in increased VEGF secretion and, after co‐culture with
B16F10 cells, we observed an increase in tumor cell migration. Proteomics analysis
of TEVs released by non‐irradiated and irradiated melanoma cells showed a different
protein cargo between these 2 groups and an enrichment in proteins related to cell
migration was found in TEVs from irradiated cells.
Summary/Conclusion: Our preliminary data indicates that the uptake of TEVs released
by irradiated melanoma cells are able to reprogram macrophages towards a pro‐tumoral
phenotype characterized by altered redox state.
Funding: CNPq (305700/2017).
PT07.07
Salinomycin‐induced actin reorganization limits the presence of CD20 antigen on extracellular
vesicles and augments the efficacy of lymphoma immunotherapy
Anna Torun1; Abdessamad Zerrouqi1; Andrzej Ciechanowicz1; Tony Ng2; Malgorzata Czystowska‐Kuzmicz1;
Beata Pyrzynska1
1Medical University of Warsaw, Warsaw, Poland; 2King's College London, London, United
Kingdom
Introduction: We discovered that salinomycin (previously shown to eradicate the breast
cancer stem cells) strongly upregulated the surface levels of CD20 antigen on B‐cell‐derived
malignancies, including a variety of non‐Hodgkin lymphoma cell lines and patients‐derived
primary malignant cells. Consequently, the efficacy of therapeutic anti‐CD20 antibody,
rituximab, was significantly increased by salinomycin, both in vitro and in a xenograft
mouse model. Here, we further tested the effect of lymphoma‐derived extracellular
vesicles (EVs) on the therapeutic efficacy of rituximab.
Methods: EVs obtained by ultracentrifugation from either wild‐type or CD20‐null (CRISPR/Cas9‐modified)
Burkitt's lymphoma cells were further characterized by Western blotting, nanoparticle
tracking analysis and flow cytometry. The effect of EVs on rituximab efficacy was
estimated in cytotoxicity assays. Additionally, proteomic analysis of EVs was performed
and results were validated using Western blotting as well as CytoFlex and ImageStream
analyzers.
Results: Lymphoma‐derived EVs carried the CD20 antigen and therefore limited the efficacy
of rituximab toward malignant cells. Surprisingly, the EVs deriving from salinomycin‐treated
tumor cells carried lowered levels of CD20 antigen and exhibited a less negative effect
on rituximab efficacy. To understand the molecular mechanisms of this unexpected effect,
we carried out a proteomic analysis of EVs deriving from salinomycin‐treated tumor
cells. The analysis revealed a dramatic drop in the levels of actin and proteins involved
in actin nucleation and reorganization, such as WAVE2, cofilin, ezrin, and moesin.
The drop in levels of b‐actin and cofilin was detected only in EVs, but not in total
cell extracts and correlated well with the drop in levels of CD20.
Summary/Conclusion: Salinomycin‐induced actin reorganization limits the availability
of CD20 antigen in EVs derived from lymphoma cells and positively influences efficacy
of anti‐CD20 therapeutic antibodies.
Funding: Polish National Agency For Academic Exchange (NAWA), grant no PI/APM/2019/1/00051/U/001;
National Science Centre (NCN, Poland), grant no 2019/35/B/NZ5/01445.
PT07.08
Stimulation of PD‐L1 expression on renal cell carcinoma‐derived extracellular vesicles
and its effect on CD8+ T cells
Greta Jaschkowitz1; Dirk Himbert1; Angela Zaccagnino1; Elfriede Noessner2; Michael
Stöckle1; Kerstin Junker1; Philip Zeuschner1
1Department of Urology and Pediatric Urology, Saarland University, Homburg/Saar, Germany;
2Helmholtz Center Munich, German Research Center for Environmental Health, IMA Immunoanalytics,
Munich, Germany
Introduction: The expression of PD‐L1 on EVs has been shown to carry prognostic, diagnostic
and predictive value in various cancers. However, its role as an important target
of checkpoint inhibition in renal cell carcinoma (RCC) is not yet well understood.
This study aims to evaluate the PD‐L1 expression on EVs secreted by RCC cell lines
and the putative immunomodulatory effects of these EVs on CD8+ T cells.
Methods: We isolated EVs from cell culture supernatant of 6 RCC cell lines by serial
ultracentrifugation. The cells had been repetitively stimulated with interferon γ
(IFNγ) on day 5 and 3 before harvest of the supernatant. Quality and quantity of EVs
were verified by nanoparticle tracking analysis, transmission electron microscopy
and western blot. PD‐L1 expression was analyzed semi‐quantitatively by western blot.
CD8+ T cells were isolated from blood of healthy donors, activated and co‐cultured
with RCC‐derived EVs for 3 days. Proliferation and PD‐1 expression were assessed by
flow cytometry.
Results: All 6 cell lines expressed PD‐L1 at low levels. Repetitive stimulation with
IFNγ led to increased PD‐L1 expression on cells and EVs of 4/6 cell lines. Highest
PD‐L1 expression occurred in RCC53 cells after stimulation, the upregulation was most
successful in cell line KTCTL26. First results of co‐cultures of CD8+ T cells with
RCC‐derived small EVs suggest an anti‐proliferative effect on T cell proliferation
and inhibition of early T cell activation. These effects appeared to be stronger with
EVs from IFNγ‐stimulated cells.
Summary/Conclusion: RCC cell lines show low PD‐L1 expression in cells and EVs. IFNγ
stimulation upregulates the PD‐L1 expression in cells and EVs in a cell line dependent
manner. First results of co‐cultures suggest that RCC‐derived small EVs could affect
early CD8+ T cell proliferation and activation patterns, and therefore seem to be
involved in immunomodulation.
Funding: This project was funded by HOMFORexzellent (2020‐2023), Medical Faculty of
Saarland University.
PT07.09
T‐cell derived extracellular vesicles prime the STING pathway in macrophages by a
DNA independent mechanism
Aida S. Hansen1; Lea S. Jensen2; Anders Etzerodt2; Kristoffer G. Ryttersgaard2; Christian
Krapp2; Yan Yan3; Jesper Just2; Kasper L. Jønsson2; Bent W. Deleuran2; Martin R. Jakobsen2
1Aarhus University, Slagelse, Denmark; 2Aarhus University, Aarhus, Denmark; 3Interdisciplinary
Nanoscience Center, Aarhus University, Aarhus, Denmark
Introduction: Extracellular vesicles (EVs) are key players in shaping immune responses.
It is believed that EVs can prime antigen‐presenting cells for a more robust immune
activation. T‐cell derived EVs have been shown to provide a danger signal to dendritic
cells by carrying mitochondrial DNA, but little is known about the DNA independent
function of these EVs on antigen‐presenting cells. Here, we hypothesize that CD4+
T‐cell derived EVs enhance macrophage function by priming the signaling pathway regulated
by STING independent of DNA.
Methods: We purified EVs from anti‐CD3/anti‐CD28 stimulated CD4+ T cells by differential
ultracentrifugation and pre‐treated macrophages with these prior to stimulation with
the STING ligand cGAMP. Subsequent activation was measured by induction of type I
Interferon and phosphorylation of signaling molecules within the STING pathway.
Results: Here, we demonstrate that EVs collected from activated T cells sensitize
macrophages to respond more potently to STING ligands. Importantly, this is independent
on both surface‐associated and intravesicular DNA. Intriguingly, we find the EVs activate
the NFkB pathway in macrophages dependent on TBK1. Furthermore, we show that EVs from
activated T cells carry pro‐inflammatory cytokines capable of enhancing type I IFN
production in macrophages upon STING activation.
Summary/Conclusion: We propose that activated CD4+ T cells enhance macrophage function
by releasing EVs containing a “package” of pro‐inflammatory molecules that leads to
pre‐activation of TBK1 and NFkB signaling pathways. This results in a potent immune
response towards STING activation and we speculate this could be exploited therapeutically
to increase macrophage activation in cancer.
Funding: Independent Research Fund Denmark, Grant 8026‐00018B
Danish Cancer Society, Grant R149‐A10167‐16‐S47
Novo Nordic Foundation, Innovation Fellowship Program 1‐2020
PT07.10
Temsirolimus enhances anti‐cancer immunity by inhibiting the secretion of small extracellular
vesicles containing PD‐L1
Seong‐Sik Park; Chan‐Hyeong Lee; Ju‐Hyun Bae; Eun‐Ji Choe; Moon‐Chang Baek
Kyungpook National University School of Medicine, Daegu, Republic of Korea
Introduction: In immune checkpoint blockade therapy (ICBT), monoclonal antibodies
such as Anti‐PD‐L1 and Anti‐PD‐1 are used to inhibit the binding of programmed death‐ligand
1 (PD‐L1) in tumor cells to programmed death‐1 (PD‐1) in immune cell. However, tumor‐derived
small extracellular vesicle (sEV) includes an immune checkpoint such as PD‐L1 expressed
within the tumor. Thus, inhibiting the biogenesis and secretion of tumor‐derived sEV
is important because it can increase the reactivity of ICBT. Here, we found temsirolimus
(TEM), a drug that inhibits sEV containing PD‐L1 secreted from MDA‐MB‐231 breast cancer
cell line.
Methods: Temsirolimus was purchased from MedChemExpress and used for in‐vitro and
in‐vivo study, All in‐vivo experiments were conducted in accordance with the Declaration
of Helsinki.
Results: We confirmed that TEM inhibits mTOR and activates autophagy inside tumor
cells. Also, it was confirmed by immunocytochemistry that the synthesis of sEV is
inhibited through fusion with autophagosome or lysosome in autophagy in where multivesicular
bodies are activated during the sEV biosynthesis process. In addition, it was investigated
that TEM suppressed the secretion of sEV containing PD‐L1 and PD‐L1 expressed in sEV.
TEM showed an increase in the number of CD8+ T cells in tumor‐infilterating lymphocytes
and draining lymph nodes of 4T1 tumor model. In particular, it was confirmed that
interferon‐gamma indicating the activity of CD8+ T cells was increased in the combined
administration of TEM and Anti‐PD‐L1. The anti‐cancer effect by TEM showed a phenomenon
of reversal when artificially injected with tumor‐derived sEV from the outside.
Summary/Conclusion: TEM has the potential to be used not only as a known target anticancer
agent, but also as an immune checkpoint inhibitor by increasing the activity of CD8+
T cells through inhibition of sEV secretion containing PD‐L1 and inhibition of PD‐L1
expressed in sEV.
PT07.11
The Role of Extracellular Vesicles in Radiation‐induced Myelopoiesis in Glioblastoma
Subhajit Ghosh1; Dennis Hallahan2; Jiayi Huang2; Dinesh Thotala2
1Washington University in saint louis, MO, USA, Saint Louis, USA; 2Washington University
in saint louis, Saint Louis, USA
Introduction: Severe and prolonged lymphopenia frequently occurs in glioblastoma (GBM)
patients after standard chemoradiotherapy and has been associated with significantly
worse survival. The radiation‐induced lymphopenia is associated with increased circulating
myeloid cell, but the underlying mechanism for the increased myelopoiesis is not well
understood. This study evaluated the role of extracellular vesicles (EV) in radiation‐induced
myelopoiesis in GBM.
Methods: GBM patient plasma was collected before, and during the chemoradiotherapy
and the EV was isolated using ultracentrifugation. The lymphopenic patients were those
who developed systemic lymphopenia within 12 weeks of the start of chemoradiotherapy.
The EV were characterized using western immunoblotting, flowcytometry, and nano particle
tracking assay. The cytokines in the EV were evaluated using a multiplex beads array.
The hematopoietic stem and progenitor cell (HSPC) differentiation assay is analyzed
using standard methylcellulose media in presence of EV. Orthotopic GL261 and CT2A
glioma mouse models were used to evaluate the effects of EV on HSPC from the bone
marrow.
Results: We found the elevated level of myelopoiesis‐specific cytokines including
interleukin (IL)‐1β, IL‐33, IL‐10, IL‐6, and IL‐3 in the EV of lymphopenic patients
when compared to non‐lymphopenic patients. The EV from lymphopenic patients were able
to induce more HSPC myelopoiesis to produce myeloid cells when compared to non‐lymphopenic
EV in‐vitro. Similar to human GBM patients, we found a significant increase of myelopoiesis‐specific
cytokines in the EV isolated from GBM‐bearing mice and control mice after cranial
irradiation. The murine EV after irradiation also induced HSPC to differentiate into
myeloid cells in naïve mice.
Summary/Conclusion: Irradiation of GBM tumor and normal tissue appears to release
EV that contain cytokines that would activate emergency myelopoiesis.
PT07.12
Tumor‐Derived Exosomes: Hidden Players in PD‐1/PD‐L1 Resistance
Jessica Gobbo1; Carmen Garrido2; Aude Chavanton2; Valentin Vautrot3
1CGFL/ INSERM1231, dijon, France; 2INSERM1231, dijon, France; 3CGFL, dijon, France
Introduction: Immunotherapy has garnered increasing importance in cancer therapy,
leading to substantial improvements in patient care and survival. However, while patients
generally respond well to immunotherapy such as anti‐PD‐1/PD‐L1, a proportion of patients
present tumors that resist these treatments. Exosomes, small nanovesicles secreted
by tumor cells, could be key actors in this resistance. We identified immunosuppressive
molecules (IM) expressed by tumor‐derived exosomes (TEX) in different types of cancer
(melanoma, lymphoma, lung and colon cancer).
Methods: Exosomes were isolated by ultracentrifugation and evaluated by nanoparticle
tracking analysis (NTA technology) and TEM. Isolated exosomes were tested for the
expression of exosomal markers (TSG101, CD9, CD63, CD81, Alix, Grp94). IM concentration
in exosomes were measured using an ELISA. T‐cell and MDSC activation/ proliferation
were observed by flow cytometry.
Results: First, we explored in vitro and in vivo the action of exosomal molecules
on the immune system. We found that TEX have immunosuppressive properties like the
cancer cell from which they are derived at inhibiting T‐cell activation determined
by the expression of PD‐1, Ki67, granzyme B and IFNϒ.
In addition, we observe that TEX can also activate myeloid‐derived suppressor cells
(MDSCs). MDSCs activation leads to global immunosuppression of immune cells (T‐cell,
macrophages, and dendritic cells) independent of the PD‐1/PD‐L1 pathway. We have developed
an inhibitor of this TEX/ MDSC pathway and demonstrate in mouse models that the decrease
in MDSC was associated with tumor regression and with intratumor infiltration of immune
cells (T cells, dendritic cells and macrophages).
Finally, we conducted a clinical trial to observe these immunosuppressive TEX in cancerous
patients.
Summary/Conclusion: Altogether, these results show that exosomes derived from cancer
cells are able to mediate immunosuppression. Further study of TEX is needed to better
understand resistance under anti‐PD‐1/PD‐L1 therapy.
PT07.13
Tumor‐derived extracellular vesicle uptake by PBMCs
Davinia Arguedas1; Luisa Loconte2; Lea guyonnet3; Coralie Guerin3; Clotilde Théry4;
Lorena Martin‐Jaular4
1INSERM U932, Institut Curie Centre de Recherche, PSL Research University, Paris,
France, Paris, France; 21Laboratory affiliated to Istituto Pasteur Italia‐Fondazione
Cenci Bolognetti, Department of Molecular Medicine, "Sapienza" University of Rome,
Italy, Rome, Italy; 3Institut Curie, Cytometry Core, 75005, Paris, France, Paris,
France; 4Institut Curie, PSL Research University, INSERM U932, Paris, France
Introduction: Tumor‐derived extracellular vesicles (TD‐EVs) can modulate diverse immune
responses, both suppressing and activating the immune system. This work aims to discern
the role of EVs in immune regulation by first determining which immune cells preferentially
uptake the TD‐EVs and consequently what are the induced phenotypic changes in the
selected immune cell subpopulations.
Methods: EV uptake by the different immune cell types within human PBMCs has been
evaluated using two EV sources: MDA‐MB‐231 (triple negative breast carcinoma) and
Jurkat (T lymphoma) and compared to the uptake of fluorescent beads. To track EV capture
by the recipient cells, lipophilic MemGlow 488 was selected due to its ability to
fluoresce only when incorporated in membranes. Multicolor spectral flow cytometry
has been used to identify several immune cell populations. Identification of the immune
cells uptaking EVs has been evaluated in 1) the whole population of immune cells or2)
the specific cell types that uptake the TD‐EV at different time points.
Results: EVs are uptaken to different levels by all immune cells whereas beads are
only uptaken by CD14+ monocytes. We have identified the CD14+ population (including
classical and intermediate monocytes) as the major uptaking cell type followed by
dendritic cells, B‐cells, non‐conventional monocytes, NK cells, NKT cells and finally
cytotoxic and helper T cells. Interestingly, incubation of PBMCs with TD‐EVs, as opposed
to beads, resulted in the appearance of an FSC‐low CD14+ population with phosphatidylserine
exposure
Summary/Conclusion: Although EVs and beads are mainly uptaken by CD14+ cells they
lead to different effects on these cells. Moreover, we observed differences of some
immune preferred cells for EVs from distinct sources Understanding the aspects and
mechanisms involved in the EVs and immune system interactions will provide significant
insights into immune modulation by cancer cells and the role of EVs in the tumor microenvironment.
Funding: This work was supported by the H2020‐MSCA‐ITN (722148, TRAIN‐EV).
PT07.14
Tumor‐derived extracellular vesicles boost melanoma response to oncolytic therapy
Darshak Bhatt1; Silvina Bustos2; Toos Daemen3; Roger Chammas4; Luciana Nogueira de
Sousa Andrade4
1University of Groningen/University of Sao Paulo, Groningen, Netherlands; 2ICESP,
Sao Paulo, Brazil; 3University Medical Center Groningen/University of Groningen, Groningen,
Netherlands; 4Center for Translational Research in Oncology (LIM24), Instituto do
Cancer do Estado de Sao Paulo (ICESP), Hospital das Clinicas da Faculdade de Medicina
da Universidade de Sao Paulo (HCFMUSP), Sao Paulo CEP 01246‐000, SP, Brazil, Sao Paulo,
Brazil
Introduction: Tumor‐derived extracellular vesicles (TEVs) are active players in cancer
establishment, progression and therapeutic resistance. Recently, we demonstrated that
TEVs released by melanoma cells upon chemotherapy promote tumor outgrowth through
nuclear reprogramming of both tumor and immune cells. Based on this, we hypothesized
that the biological action of TEVs may predict treatment outcome. Thus, our goal was
to evaluate the possible pro‐ or anti‐tumoral effects of melanoma TEVs secreted during
the oncolytic virotherapy based on Semliki Forest Virus (SFV) replicons.
Methods: B16F10 murine melanoma cells were infected with SFV (MOI 10 of non‐replicating
virus replicons). After 24hs, TEVs were isolated by differential ultracentrifugation,
according to Théry et al (2006), and characterized by the presence of CD9, CD63 and
flotillin through WB, TEM and nanoparticle tracking analysis. TEVs uptake by naïve
tumor cells was determined by fluorescent microscopy after PKH26 vesicle labeling.
Splenocytes were extracted from mouse spleens and stimulated with PMA and ionomycin
in the presence of TEVs from infected tumor cells.
Results: In response to SFV infection, we observed a significant increase in TEVs
secretion by B16F10 cells which presented 150 to 350 nm diameter range. These vesicles
were taken up by naïve tumor cells enhancing their clonogenic ability. Interestingly,
the infectivity of SFV was augmented when naïve cells were pretreated with these TEVs.
Concerning their role in immune cells, TEVs from infected cells promoted an enhancement
in lymphocyte proliferation.
Summary/Conclusion: Our results suggest that TEVs released upon SFV infection can
boost the oncolytic therapy promoting viral infectivity in naïve tumor cells and lymphocyte
proliferation, remodeling the tumor microenvironment towards an antitumor state.
Funding: FAPESP (process n° 2020/09176‐8).
PT08: Cancer II (Lessons Learned from Blood Samples)
Chair: Daniel Bachurski – University of Cologne, Faculty of Medicine and University
Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology
Aachen Bonn Cologne Duesseldorf, Mildred Scheel School of Oncology Aachen Bonn Cologne
Düsseldorf, Center for Molecular Medicine Cologne, CECAD Center of Excellence on Cellular
Stress Responses in Aging‐Associated Diseases, Cologne, Germany
PT08.01
A novel serum extracellular vesicle protein signature to monitor glioblastoma tumor
progression
Katrin S. Reiners1; Theophilos Tzaridis2; Johannes Weller3; Daniel Bachurski4; Farhad
Shakheri5; Christina Schaub3; Peter Hau6; Andreas Buness5; Uwe Schlegel7; Joachim‐Peter
Steinbach8; Clemens Seidel9; Roland Goldbrunner10; Niklas Schaefer3; Robert J. Wechsler‐Reya2;
Bjoern Scheffler11; Martin Glas12; Lothar Haeberle13; Ulrich Herrlinger3; Christoph
Coch1; Gunther Hartmann1
1Institute of Clinical Chemistry and Clinical Pharmacology, University Hospital, University
of Bonn, Germany, Bonn, Germany; 2Tumor Initiation & Maintenance Program, Sanford
Burnham Prebys Medical Discovery Institute, La Jolla, USA, La Jolla, San Diego, USA;
3Division of Clinical Neurooncology, Department of Neurology, Center of Integrated
Oncology Aachen‐Bonn‐Cologne‐Düsseldorf, Partner Site Bonn, University of Bonn, Germany,
Bonn, Germany; 4University of Cologne, Faculty of Medicine and University Hospital
Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen
Bonn Cologne Duesseldorf, Mildred Scheel School of Oncology Aachen Bonn Cologne Düsseldorf,
Center for Molecular Medicine Cologne, CECAD Center of Excellence on Cellular Stress
Responses in Aging‐Associated Diseases, Cologne, Germany, Cologne, Germany; 5Institute
for Medical Biometry, Informatics and Epidemiology, Institute for Genomic Statistics
and Bioinformatics, Medical Faculty, University of Bonn, Germany, Bonn, Germany; 6Department
of Neurology and Wilhelm Sander NeuroOncology Unit, University Hospital Regensburg,
Germany, Bonn, Germany; 7Department of Neurology, University Hospital Knappschaftskrankenhaus,
Ruhr–University Bochum, Germany, Bochum, Germany; 8Dr. Senckenberg Institute of Neurooncology,
University of Frankfurt, Germany, Frankfurt, Germany; 9Department of Radiation Oncology,
University of Leipzig, Germany, Leipzig, Germany; 10Center for Neurosurgery, University
of Cologne, Cologne, Germany, Cologne, Germany; 11DKFZ‐Division Translational Neurooncology
at the West German Cancer Center, German Cancer Consortium, DKFZ Heidelberg & Partner
Site University Hospital Essen, Germany, Essen, Germany; 12Division of Clinical Neurooncology,
Department of Neurology and West German Cancer Center, German Cancer Consortium, University
Hospital Essen, Germany, Essen, Germany; 13Erlangen University Hospital, Department
of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen‐EMN, Friedrich
Alexander University of Erlangen–Nuremberg, Germany, Erlangen, Germany
Introduction: Detection of tumor progression in glioblastoma patients remains a major
challenge for clinicians due to equivocal MRI results. Extracellular vesicles (EVs)
are potential biomarkers and can be detected in the blood of tumor patients. In this
study, we evaluated the potential of serum‐derived EVs from glioblastoma patients
to serve as a marker for tumor progression in adjunction with MRI assessment.
Methods: Glioblastoma patients from two independent cohorts, one from the multicenter
Phase III CeTeG/NOA‐09 trial (n=36) and the other from patients treated at the University
of Bonn (n=31), were included in this study. EVs from serum of GB patients and healthy
volunteers were separated by size exclusion chromatography and ultracentrifugation.
EVs were characterized by multiple methods in accordance with MISEV2018. (EV Track
ID: EV200097). Putative glioblastoma EV markers were defined by using a proximity‐extension
assay and bead‐based flow cytometry. Tumor progression was defined according to modified
RANO criteria.
Results: EVs from the serum of glioblastoma patients (n=67) showed an upregulation
of CD29 (p=0.08), CD44 (p< 0.0001), CD81 (p< 0.0001), CD146 (p< 0.0001), C1QA (p=0.003),
and histone H3 (p< 0.0001) as compared to serum EVs from healthy volunteers. For both
independent cohorts of glioblastoma patients, we noted upregulation of C1QA, CD44,
and histone H3 upon tumor progression, but not in patients with stable disease. Notably,
six patients with worse survival compared to the median survival of the cohort did
not fulfill RANO criteria at the time of suspected progression, yet showed an elevation
of at least one out of these three markers. In a multivariable logistic regression
analysis, a combination of CD29, CD44, CD81, C1QA, and histone H3 correlated with
RANO‐defined tumor progression with an AUC of 0.76.
Summary/Conclusion: Measurement of CD29, CD44, CD81, C1QA, and histone H3 in serum‐derived
EVs of glioblastoma patients, along with standard MRI assessment, could improve detection
of true tumor progression and thus be a useful tool for clinical decision making.
Funding: This research was funded by the University of Bonn (scholarship awarded to
TT) and the German Research Foundation (DFG) under Germany's Excellence Strategy,
of which GH is a member.
PT08.03
Effects of exercise‐induced EVs on the progression of cancer
Aija Linē1; Lilite Sadovska2; Jānis Auders3; Laura Keiša3; Pawel Zayakn3; Alicia Llorente4;
Zane Kalniņa3
1Latvian Biomedical Research and Study Centre, Riga, Latvia; 2Latvian Biomedical Research
and Study Centre, Riga, Latvia, Riga, Latvia; 3Latvian Biomedical Research and Study
Centre (BMC), Riga, Latvia; 4Institute for Cancer Research, Oslo University Hospital,
Oslo, Norway, Oslo, Norway
Introduction: Increasing evidence suggests that regular physical exercise not only
reduces the risk of cancer but also improves functional capacity, treatment efficacy
and disease outcome in cancer patients. We hypothesized that exercise‐induced EVs
may directly interact with cancer cells and alter their behavior and/or change the
functional phenotype of circulating and tumor‐infiltrating immune cells. Here, we
report a pilot study investigating the effects of exercise‐induced EVs on the progression
of cancer in an F344 rat model of metastatic prostate cancer.
Methods: Plasma samples were collected before and after the exercise from rats subjected
to regular forced wheel running exercise and sedentary rats. EVs were isolated using
SEC and characterized by TEM and NTA. RNA content of EVs was studied by RNA sequencing
analysis. The effects of exercise‐induced EVs on the progression of cancer were studied
in a syngeneic orthotopic prostate cancer model in rats.
Results: We did not observe a consistent increase in the circulating EV levels after
the exercise, however, the RNA sequencing analysis demonstrated substantial changes
in the RNA content of EVs collected before and immediately after forced wheel running
exercise as well as differences between EVs from runners at resting state and sedentary
rats. The major RNA biotype in EVs was mRNA, followed by miRNA and rRNA. Molecular
functions of differentially expressed RNAs reflected various physiological processes
including protein folding, metabolism and regulation of immune responses triggered
by the exercise in the parental cells. Intravenous administration of exercise‐induced
EVs into F344 rats with orthotopically injected syngeneic prostate cancer cells PLS10,
demonstrated reduction of the primary tumor volume by 35% and possibly – attenuation
of lung metastases.
Summary/Conclusion: Our data provide the first evidence that exercise‐induced EVs
may modulate tumor physiology and delay the progression of cancer.
Funding: EEA and Norway Grant No. EEA‐RESEARCH‐164.
PT08.04
Extracellular Vesicles GCC2 in Tumor‐Draining Pulmonary Blood Plasma as an Informative
Biomarker in Patients underwent Lung Cancer Surgery
Byeong Hyeon Choi1; Yu Hua Quan2; Jiyun Rho2; Kyungsu Kim2; Jun Hee Lee2; Yeonho Choi3;
Yong Park4; Ji‐Ho Park5; Sunghoi Hong6; Hyun Koo Kim2
1Korea Artificial Organ Center, Korea University, Seoul, Republic of Korea; 2Department
of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, College of
Medicine, Korea University, Seoul, Republic of Korea; 3Department of Bio‐convergence
Engineering, Korea University, Seoul, Republic of Korea; 4Division of Hematology‐Oncology,
Department of Internal Medicine, Korea University College of Medicine, Korea University,
Seoul, Republic of Korea; 5Department of Bio and Brain Engineering, Korea Advanced
Institute of Science and Technology (KAIST), Daejeon, Republic of Korea; 6School of
Biosystems and Biomedical Sciences, College of Health Science, Korea University, Seoul,
Republic of Korea
Introduction: Early diagnosis is associated with a better prognosis and improved survival
rates for lung cancer patients. Extracellular vesicles (EVs) of liquid biopsy are
rapidly introduced in clinical practice, providing possibilities to offer accurate
information. We previously reported that tumor‐draining pulmonary vein blood (TDVP)
derived EVs were increased than the periphery, and GRIP and coiled‐coil domain containing
2 (GCC2) in EVs act as potential lung adenocarcinoma biomarkers. The purpose of this
study is to evaluate the diagnostic value of EVs GCC2 in peripheral blood and TDPV
in patients with lung cancer who underwent surgery.
Methods: The utilization of EVs GCC2 in the TDPV of lung cancer for clinically informative
diagnosis was investigated using the rabbit lung cancer model (n = 4), healthy control
rabbits (n = 4), patients with surgically resected lung adenocarcinoma (n = 70), and
healthy controls (n = 30). EVs GCC2 levels were measured using an ELISA with ROC analysis
were used to calculate the diagnostic efficiency of carcinoembryonic antigen (CEA),
EVs CD63, plasma GCC2, and EVs GCC2.
Results: In the rabbit lung cancer model, the expression of EVs GCC2 from the TDPV
significantly increased compared with that in the periphery, as determined by western
blotting. The AUC values of CEA according to the blood sampling sites were not significant
(all p > 0.05). By contrast, the AUC values of CD63 were 80.0% for TDPV (p < 0.0001)
and 55.0% for the periphery (p = 0.42), respectively. The AUC values of plasma GCC2
in the periphery and TDPV were 68.0% (p > 0.05) and 74.0% (p < 0.0001), respectively.
Importantly, the diagnostic accuracy values of EVs GCC2 in the periphery and TDPV
were 81.0% (p < 0.0001) and 90.0% (p < 0.0001), respectively. Moreover, EVs GCC2 in
the TDPV was associated with pathological stage (p < 0.001), lymph node metastasis
(p < 0.01), and lymphatic invasion (p < 0.05).
Summary/Conclusion: EVs GCC2 in the TDPV were significantly correlated with pathological
stages and accurate AUL value than that in the periphery. EVs GCC2 in TDPV may be
a promising and clinically informative biomarker for patients with lung cancer who
have undergone surgery.
Funding: This research was supported by the Korea Health Technology R&D Project (Grant
No. HR14C0007) through the Korea Health Industry Development Institute, funded by
the Ministry of Health & Welfare.
PT08.05
Extracellular vesicles isolated from plasma of multiple myeloma patients treated with
daratumumab express the myeloma marker CD38, the complement inhibitory proteins CD55
and CD59 and programmed dead ligand‐1 (PD‐L1)
kieran brennan1; Katrine Fladeland Iversen2; Alfonso Blanco3; Torben Plesner2; margaret
mc Gee4
1University College Dublin, Dublin, Ireland; 2Vejle Hospital, Vejle, Denmark; 3Flow
Cytometry Core Facility, Conway Institute, University College Dublin, Ireland, Dublin,
Ireland; 4University College Dublin, dublin, Ireland
Introduction: Extracellular vesicles (EVs) represent promising non‐invasive biomarkers
that may aid in the diagnosis and risk‐stratification of multiple myeloma (MM), an
incurable malignancy characterized by monoclonal expansion of plasma cells in the
bone marrow. Daratumumab (DARA) is a CD38 antibody approved for treatment of MM, and
despite the anti‐tumour effects of DARA, the majority of patients eventually relapse.
One mechanism of DARA resistance is the upregulation of complement inhibitory proteins
CD55 and CD59, and programmed dead ligand‐1 (PD‐L1) on plasma cells. The aim of this
study was to determine if EVs from peripheral blood plasma (PB) and bone marrow aspirates
(BM) from patients treated with DARA also contained these resistance markers.
Methods: MM patients treated with DARA at Vejle Hospital or Odense University Hospital,
Denmark participated in the study (n=50). EV isolation was performed on platelet free
PB and BM samples by density gradient ultracentrifugation using a 50nm cut off for
ultracentrifugations and collecting fractions within a density range of 1.08‐1.2g/ml.
EV size and number was determined by Cytoflex flow cytometry and expression of EV
markers, the myeloma marker CD38, CD55 and CD59 and PD‐L1 was determined by EV bead
conjugated flow cytometry.
Results: Results reveal that all patient EV samples contain the EV markers and CD38,
PD‐L1, CD55 and CD59. The complement inhibitory proteins CD55 and CD59 are present
at higher levels in MM EVs relative to healthy patient EVs. Moreover, patients with
matched bone marrow samples had similar CD38 levels on their bone marrow and plasma
EVs suggesting that peripheral blood EVs reflect MM bone marrow plasma cells following
DARA treatment.
Summary/Conclusion: Overall, this study provides proof of concept that blood plasma
EVs represent a minimally invasive approach for monitoring patient response to Daratumumab
and contributes towards the implementation of liquid biopsy for personalised patient
care.
PT08.06
Fucosylated integrins expressed on serum derived‐EVs enable detection of bladder cancer
Misba Khan; Khirul Islam; Janne Leivo; Urpo Lamminmäki
University of Turku, Turku, Finland
Introduction: Bladder cancer (BlCa) is the fifth most commonly occurring cancer in
European countries. The current diagnosis of BlCa relies upon cytology and cystoscopy.
However, these methods have low sensitivity and specificity to low‐grade tumors. Therefore,
there is a need for new and improved diagnostic tools that could help in the prognosis
and management of BlCa. Extracellular vesicles (EVs) have the potential to act as
a source of novel biomarkers for various malignancies. However, isolation of EVs from
body fluids and their characterization is difficult and time‐consuming. The aim of
our study was to develop a simple EV‐based assay for non‐invasive detection of BlCa
using a highly sensitive nanoparticle‐aided time‐resolved fluorescence immunoassay
(TRFIA).
Methods: EVs from the serum of bladder cancer (BlCa), benign and healthy samples were
captured with biotinylated anti‐integrin‐antibody (ITGA3) immobilized on streptavidin
coated microtiter wells. The captured EVs were detected using europium doped nanoparticles
(polysterene beads packed with ∼30,000 Eu3+ chelates) conjugated with anti‐integrin‐antibody
(ITGA3) and fucose binding lectin (UEA). Isolated EVs‐derived from cancer cell lines
were used as analytical standards in the TRFIA. Serum samples from BlCa (n=58), benign
(n=53), and healthy (n=14) individuals were analyzed. This study was conducted following
the guidelines of Helsinki Declaration.
Results: After profiling of several integrin antibodies and our lectin library, we
have found that integrin (ITGA3) and fucose binding lectin (UEA) were most prominently
expressed on cancer cell‐lines derived EVs. The sensitivity of glycovariant ITGA3‐UEA
assay for the detection of EVs was 2‐fold higher compared to total ITGA3‐ITGA3 assay.
Eventually, ITGA3‐UEA assay enabled significant discrimination of BlCa patients from
benign (2.3‐fold, p= 0.0001) and healthy controls (70‐fold, p= 0.00001).
Summary/Conclusion: This study suggests that TRFIA based ITGA3‐UEA assay may help
to discriminate BlCa patients from patients with clinically challenging benign conditions
in a non‐invasive manner directly from human serum. However, further studies with
larger cohort of samples need to be conducted to validate the results.
PT08.07
Multiplex phenotyping of extracellular vesicles for analysis of potential biomarkers
in glioblastoma patients
Amanda Salviano‐Silva; Kathrin Wollmann; Cecile Maire; Katharina Kolbe; Katrin Lamszus;
Franz Lennard. Ricklefs
Department of Neurosurgery, University Medical Center Hamburg‐Eppendorf, Hamburg,
Germany
Introduction: Extracellular vesicles (EVs) carry biological information from their
cell of origin that is useful for non‐invasive detection of tumor biomarkers and disease
monitoring. In glioblastoma (GBM), blood circulating EVs are elevated and carry GBM‐associated
proteins. However, it is still challenging to analyze tumor derived EVs for translational
purposes. Here, we used imaging flow cytometry (IFCM) as a robust strategy to perform
phenotyping of EVs with GBM related surface markers in human plasma.
Methods: EVs were isolated via differential ultracentrifugation from plasma of (a)
40 GBM patients, pre‐ and post‐surgery, (b) 11 matched GBM relapses and (c) 12 healthy
donors (HD). EV sizes and concentrations were evaluated by NTA. EV markers (CD9, CD63
and CD81) together with glioma‐related markers (integrin beta‐1 [ITGB1], tenascin
C [TNC], Profilin‐1 [PFN1], CD44, GPNMB, SPARC, HLA‐II or CD133) were analyzed by
IFCM. EV percentages and objects/mL plasma were compared among the groups and correlated
with clinical parameters.
Results: CD9 was the predominant tetraspanin in all groups (15‐96%), while CD63 had
the lowest levels (0‐33%) and the strongest decrease in GBM patients after surgery
(fold change [FC] = ‐5.4, p < 0.01). Among the glioma‐related markers, ITGB1 and TNC
displayed the most significant differences between the analyzed groups, especially
the double positives ITGB1+/CD63+ and TNC+/CD63+, which decreased in patients after
tumor removal (FC = ‐3.5 and ‐12, respectively; p < 0.001). Meanwhile, ITGB1+/CD9+
and TNC+/CD9+ EVs exhibited the highest levels in GBM when compared to HD subjects
(FC = 8.6 and 17.4; p < 0.001) and upon tumor recurrence (FC = 3.7 and 10.9, respectively;
p < 0.01).
Summary/Conclusion: We identified EV surface antigens with potential clinical utility
as GBM biomarkers. Among them, we highlight ITGB1 and TNC as the most promising markers,
which are currently being further investigated by our group.
Funding: Deutsche Forschungsgemeinschaft.
PT08.08
Quantitative proteomic analysis of pancreatic cancer tissue‐derived extracellular
vesicles to identify biomarker candidates
Nasibeh Karimi1; Caroline Vilhav2; Cecilia Lässer1; Jan Lötvall1
1Krefting Research Centre, Institute of Medicine at Sahlgrenska Academy, University
of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden; 2Department of Surgery, Institute
of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska
University Hospital, Gothenburg, Sweden., Gothenburg, Sweden
Introduction: Proteomic analysis of tissue‐derived extracellular vesicles (EVs) has
shown promising results in identifying biomarkers and in uncovering mechanisms of
cell‐cell communication in cancerous tissues. Our aim was therefore to firstly determine
whether EVs could also be isolated from pancreatic tissue and if so secondly to determine
the proteome of tissue‐derived vesicles from pancreatic cancer (PC) patients.
Methods: EVs were isolated from both tumor and non‐tumor tissue of eleven PC patients,
undergoing pancreatic cancer surgery according to our previously published protocol
(Crescitelli et al JEV 2020). EVs were further characterized by Nanoparticle Tracking
Analysis (NTA) and Western blotting (Wb). Proteomics analysis was then performed on
tissue‐derived EV samples (a total of 22 samples divided into two sets; set 1 (6 samples)
and set 2 (16 samples) by quantitative mass spectrometry analysis to identify potential
biomarkers for PC. To identify pathways and functional annotation of differentially
expressed proteins, pathway enrichment analysis using Gene Ontology, Kyoto Encyclopedia
of Genes and Genomes, and Gene Set Enrichment Analysis was performed.
Results: The NTA analysis revealed a 1.5‐fold higher concentration of particles in
tumor tissue‐derived EVs compared to non‐tumor tissue‐derived EVs, even though the
size of the particles appeared to be similar. Western blot confirmed expression of
the EV‐specific markers CD63, CD81, CD9, and TSG101. A total of 6113 and 4331 proteins
were quantified in set 1 and set 2, respectively. The GO analysis for cellular colocalization
indicated that “Extracellular Exosome” was the top GO term associated with the proteins
identified in both set 1 and set 2. In total, 1010 and 399 were differentially expressed
between tumor tissue‐derived EVs and non‐tumor tissue‐derived EVs in set 1 and set
2, respectively (p < 0.05; fold change > 1.5). KEGG pathway analysis indicated that
“Metabolic pathways” was the top pathway associated with the proteins quantified in
both non‐tumor tissue‐derived EVs and tumor tissue‐derived EVs in set 1 and set 2.
Summary/Conclusion: As a result of the comprehensive proteomic analysis, several potential
protein PC‐biomarkers have been identified. However, further validation in clinical
trials is needed.
PT08.09
Characterization of EV RNA cargo from primary and telomerase immortalized MSCs using
a novel small RNA‐seq workflow enabling absolute RNA quantification
Marianne Pultar1; Matthias Wieser2; Zahra Mazidi2; Johanna Gamauf2; Andreas Diendorfer1;
Johannes Grillari3; Regina Grillari2; Matthias Hackl1
1TAmiRNA GmbH, Vienna, Austria; 2Evercyte GmbH, Vienna, Austria; 3Ludwig Boltzmann
Institute of Traumatology in Cooperation With AUVA, Vienna, Austria., Vienna, Austria
Introduction: EVs released from MSCs can elicit anti‐inflammatory effects and are
therefore of high interest for therapeutic use. The production of therapeutic EVs
requires well‐characterized, robust and reproducible host cells. Telomerase‐immortalized
MSCs have the advantage to fulfill these criteria by continuous growth and maintenance
of cell type specific characteristics. Small ncRNAs including miRNAs control gene
expression and are required to maintain cell differentiation status. Small RNAs are
loaded into EVs resulting in distinct EV‐RNA profiles representative of their cellular
origin and status. It is unclear whether telomerase immortalization elicits significant
changes in EV‐RNA profiles indicating divergent cellular or EV status. Here, we used
a novel small RNA‐seq assay for genome‐wide characterization of the EV small RNA cargo
of 2D cultivated Wharton´s Jelly derived primary and the corresponding telomerized
MSCs (WJ‐MSC/TERT273).
Methods: MSCs (n=3 per group) were cultivated in MesencultTM medium on ACF coating
(StemCell Technologies) and EV sized particles were harvested after 48 hours followed
by TFF enrichment. Exactly 109 particles were used for total RNA extraction. Small
RNA‐seq libraries were generated from 8.5 μl RNA to which a set of 7 spike‐in oligonucleotides
harboring a unique 13mer core and 4N‐randomized ends was added at defined attomolar
concentrations (0.01 – 20 amol) to enable extensive quality control and absolute normalization.
Results: On average 25 Mio reads were generated per MSC EV‐sized particle sample.
Read classification identified similar EV‐RNA profiles for primary and hTERT MSCs
(∼1% miRNA, ∼10% tRNA, ∼2% piRNA, ∼20% rRNA, ∼1% lncRNA, ∼3% mRNA, ∼8% other small
RNAs). On average 500 distinct miRNAs were detected per sample and copy numbers per
1000 particles were calculated using the spike‐in calibrator. A similar distribution
of miRNA copy numbers was observed in primary and hTERT MSC EV‐sized particles (p>0.05).
Differential expression analysis (edgeR, FDR< 0.05) was performed on 214 miRNAs that
passed independent filtering (DESeq2). Eight up‐regulated miRNAs were identified in
hTERT MSC EVs, including miR‐138 and miR‐424‐5p, which target hTERT and act as tumor
suppressors.
Summary/Conclusion: Using small RNA‐seq we established that the EV‐RNA profiles between
primary and hTERT‐MSCs are highly similar suggesting comparable cellular state and
EV identity. We identified two miRNAs to be elevated in hTERT‐MSC EVs that are capable
of silencing hTERT expression.
PT08.10
Exosome gene expression technology to understand human health risks in space exploration:
applications for SANS
Dulaney L. Miller1; Sudipto K. Chakrabortty1; Yevgenia L. Khodor1; Steven P. Lang2;
Robert R. Kitchen3; Seth Yu1; Eric Bershad4; Johan Skog5; Susana Zanello6
1Exosome Diagnostics, a Bio‐Techne brand, Waltham, USA; 2Exosome Diagnostics, a Bio‐Techne
brand, Boston, USA; 3Massachusetts General Hospital, Boston, USA; 4Department of Neurology,
Baylor College of Medicine, Houston, USA; 5Exosome Diagnostics, a Bio‐techne brand,
Waltham, MA, Waltham, USA; 6Johnson Space Center, National Aeronautics and Space Administration,
Houston, USA
Introduction: Spaceflight‐Associated Neuro‐ocular Syndrome (SANS) consists of a set
of ocular structural and visual manifestations associated with prolonged exposure
to microgravity. While it has been hypothesized that elevation of intracranial pressure
(ICP) may be associated with SANS, ICP has not been fully examined in astronauts.
We performed a transcriptome‐wide profiling of exosomal RNA obtained from high‐ICP
patients to uncover the underlying processes possibly associated with SANS.
Methods: Plasma, PAXgene whole blood, CSF, and urine were obtained from a group of
high‐ICP patients, in sample volumes of 2, 2.5, 3, and 20mL, respectively, for the
isolation of EV RNA using an optimized ExosomeDx Exolution platform. Total RNA‐seq
library construction and sequencing were performed with a proprietary EV long RNA‐seq
workflow. A DEX analysis was conducted alongside a GSEA to see whether these genes
could be grouped for further investigation.
Results: Between high‐ICP and healthy control samples, three differentially expressed
genes were detected in PAXgene whole blood and 185 genes were detected in plasma,
likely due to more diversity of RNA targets in plasma EVs. We found 826 genes expressed
at higher levels in healthy CSF and 143 more highly expressed in high‐ICP CSF. In
urine, 120 genes were over‐expressed and 89 genes under‐expressed in controls versus
post‐treatment high‐ICP patient samples.
Summary/Conclusion: Profiling of the exosomal RNA in four biofluids revealed plasma
as the most informative from a diversity of physiological systems, while urine and
CSF carry a gene enrichment in the urinary tract and nervous and immune systems, respectively.
Biological processes for genes highly expressed in CSF of high‐ICP patients are heavily
implicated in immune responses, suggesting that high‐ICP patients have a significant
involvement of immune‐associated gene products. A greater sampling of subjects is
underway to better understand the significance of these gene sets and their implication
in SANS.
PT08.11
Small RNA sequencing of amniotic fluid‐derived extracellular vesicle cargo reveals
diverse RNA types
Michael A. Bellio1; Cassie Bennett2; Maria Ines Mitrani1
1Organicell Regenerative Medicine, Miami, USA; 2Organicell Regenerative Medicine,
Inc., Miami, USA
Introduction: Amniotic fluid (AF) has recently been characterized to contain a reserve
of extracellular vesicles (EVs) with anti‐inflammatory properties. AF derived‐EVs
are actively under investigation in the clinic as a therapeutic for inflammatory diseases.
Therefore, the identification of the molecular cargo of EVs is important to understand
their mechanism of action(s) and thus clinical potential. Here we present the results
of a small RNA sequencing experiment that identified several subclasses of RNA present
in this EV type.
Methods: AF was collected from consenting adults during planned, full term cesarean
sections. Raw AF was filtered and ultracentrifuged to precipitate the EV population.
Small RNA sequencing was performed by SBI's EXO‐NGS exosomal RNA sequencing service
(SBI, Palo Alto, CA.). Quality assessment, read alignment, and abundance determination
was performed using the Banana Slug Genomics center analysis. EVs isolated from 3
donors were sequenced in replicates (n=3) to determine the expressed RNA types and
IDs. The total read counts of each RNA type were calculated to determine their proportion
relative to the total read counts of that sample. The proportions of each RNA type
were calculated from the mean proportions (n=3) calculated from each 3 unique donors.
Results: The RNA sequencing analysis identified 21 different classes or types of RNA,
such as miRNA, lnRNA, tRNA, rRNA, and piRNA. The tope 4 most abundant types of RNA
included RefSeq introns (14.9%), miRNA (14.3%), anti‐sense to introns (14.2%), and
anti‐sense to repeat elements (13.9%). Smaller proportions of RNA types included tRNA
(3.6%), rRNA (1.0%), and piRNA (0.7%). Examples of top expressing miRNA include miR‐30d‐5p,
let7a‐5p, and miR‐26a‐5p.
Summary/Conclusion: AF‐derived EVs contain different RNA types that could contribute
to its mechanism(s) of action. Further research is underway to determine the primary
RNA molecules involved in its anti‐inflammatory properties.
PT09: Therapeutics: EVs for drug delivery/EV production
Chair: Dimitrios Tsiapalis – School of Pharmacy and Pharmaceutical Sciences & Trinity
Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland
Chair: Alex Forterre, EVORA Biosciences
PT09.01
Biodistribution of colostrum exosomes and tumor targeting of exosomal‐paclitaxel formulation
against lung cancer
Farrukh Aqil1; Raghuram Kandimalla2; Jeyaprakash Jeyabalan3; Disha Moholkar2; Wendy
Spencer3; Ramesh C. Gupta4
1University of Louisville, Louisville, USA; 2University of Louisville, Louisville,
KY 40202, Louisville, USA; 33P biotechnologies Inc., Louisville, KY 40202, Louisville,
USA; 43P biotechnologies and Department of Pharmecology & Toxicology and Brown Cancer
Center, University of Louisville, Louisville, KY 40202, Louisville, USA
Introduction: Bovine milk and colostrum contain abundant exosomes and these small
extracellular vesicles have been used for oral delivery of small molecules and nucleic
acids. In this report, we demonstrate biodistribution and targeting of orthotopic
lung tumors by folic acid‐functionalized (FA) colostrum exosomes, enhanced sensitivity
of drug‐resistant lung cancer cells to exosomal formulation of paclitaxel (ExoPAC),
and inhibition of lung tumors by oral administration of FA‐functionalized ExoPAC.
Methods: Exosomes were isolated from bovine colostrum powder by rehydration and differential
centrifugation and characterized for size by Zetasizer and TEM and hallmark protein
markers by Western blot. For biodistribution, orthotopic lung tumor‐bearing mice were
treated orally with exosomes and FA‐exosomes labeled with Alexa Fluor‐750 dye and
various tissues were imaged ex vivo. Drug‐sensitive and drug‐resistant A549 lung cancer
cells were treated with ExoPAC and free PAC and cell survival was measured by MTT
assay. For antitumor activity, orthotopic lung tumor‐bearing mice were treated orally
with three doses a week of ExoPAC, FA‐ExoPAC or vehicle; free PAC was given intravenously
once weekly. Tumor growth was monitored weekly.
Results: We found 1) AF750 signals in all tissues including the lung embedded with
the tumors; however, a significantly higher (>2‐fold) accumulation occurred in the
tumor‐bearing lung tissue with the functionalized exosomes compared with non‐functionalized
exosomes; 2) while the drug‐sensitive A549 lung cancer cells were equally sensitive
to free PAC and ExoPAC, the drug‐resistant A549 cells showed sensitivity only to ExoPAC;
and 3) the lung tumor growth inhibition was in the following descending order: FA‐ExoPAC
(55%; p< 0.001), ExoPAC (36%) and PAC (24%).
Summary/Conclusion: Orally delivered FA‐functionalized exosomes accumulate in lung
tumors and FA‐ExoPAC formulation given orally exhibit significantly higher inhibition
of lung tumors compared with non‐functionalized ExoPAC and free drug. Thus, oral delivery
of paclitaxel, a widely used chemotherapeutic drug against various cancers, provides
a user‐friendly, cost‐effective alternative of the traditional bolus dose intravenous
therapy which carries severe side effects.
Funding: Supported from the USPHS grant CA221487‐01.
PT09.02
Breast cancer extracellular vesicles transfer immune cargo following oncolytic virotherapy
Hyfa Alzahrani; munitta Muthana
university of sheffield, Sheffield, United Kingdom
Introduction: Breast cancer (BC) is the most common type of cancer in females in the
UK. Novel treatments are required to treat radio‐/chemo‐resistant BC as well as advanced
disease. Oncolytic viruses (OV) are naturally cytotoxic and infect and kill tumour
cells whilst sparing healthy tissues. The full mechanism by which this occurs remains
to be elucidated, but it may in part be mediated by extracellular vesicles (EVs).
EVs are nanosized, membrane‐enclosed vesicles that contain molecular cargo. EVs can
be taken up by cells, for instance immune cells, at local or distant sites, causing
phenotypic changes in the recipient cells.
Methods: The breast cancer cells lines MCF‐7 and MDA‐MB‐231 were infected with the
herpes simplex virus (HSV1716). EVs were isolated from the OV conditioned medium of
infected cells and control cells by differential centrifugation. Nanoparticle tracking
analysis (NTA) was used to detect the overall size and concentration of EVs. Transmission
electron microscopy (TEM) was used to confirm the size and shape of the EVs and western
blotting to detect well known EV protein markers as well as oncolytic viral cargo.
Results: So far, our study revealed that exposure of the BC cell lines to HSV1716
resulted in increased release of EVs in comparison to the control untreated cells
as detected by NTA. Released EVs were typically 50‐150nm in diameter and appeared
to be typically cup‐shaped structures as revealed by TEM. Western blotting showed
the presence of the EV biomarkers, CD9 and CD63 in both the untreated and HSV1716
treated cells, whilst the presence of HSV released antigens was only detected in the
EVs from infected cells.
Summary/Conclusion: In summary, HSV1716 induced increased EV release from infected
breast cancer cells suggesting OV influences EV shuttling. Current studies are aimed
at characterising the contents of the EVs by real time PCR and mass spectrometry.
This will help identify the presence of immunological and viral cargo. Future studies
will aim to investigate the antitumour properties of EVs of from infected cells.
PT09.03
Defining the effects of electroporation drug loading protocols on extracellular vesicle
integrity
Malika Singh; Ghazaleh Mazaheri‐Tehrani; Ignacio Martin‐Fabiani; Mark P. P. Lewis;
Owen G. Davies
Loughborough University, Loughborough, United Kingdom
Introduction: Extracellular vesicles (EVs) are potentially efficient drug delivery
systems. Electroporation has been applied for active EV‐drug loading. However, protocols
applied often lack standardisation and their effects on EV integrity is unknown. Defining
these effects may determine the effectiveness of electroporation for EV loading and
identify optimal protocols.
This study investigated the effects of varying electroporation parameters (voltage,
pulse number and width) on zeta potential, total and surface protein concentration
and EV morphology. This study aimed to optimise an effective EV‐drug loading protocol
whilst maintaining particle integrity.
Methods: EVs were isolated from C2C12 murine myoblasts using ultracentrifugation.
EV recovery was validated per MISEV guidelines using Nanoparticle Tracking Analysis
(NTA), Bicinchoninic Protein Assay (BCA), transmission electron microscopy and Western
Blotting. The Neon Transfection System (Thermo Fisher Scientific) was used to electroporate
EVs at voltages 500V and 1000V for 20 milliseconds using 3 pulses. Varied pulse numbers
and pulse widths were also explored. Zeta potential was measured to identify surface
charge variations. Surface and internal protein concentrations were measured using
the BCA assay. Nano flow cytometry was applied to determine changes in surface tetraspanins.
Results: Preliminary results suggest a charge increase from ‐12.97mV (control) to
‐6.06mV and ‐4.75mV for voltages 500V and 1000V, respectively. Surface protein concentration
variations suggest an average 59% decline from 1281.49μg/mL, to 515.87μg/mL and 516.37μg/mL
for voltages 500Vand 1000V, respectively.
Summary/Conclusion: These results suggest that electroporation has a negative impact
on common EV parameters which may affect the downstream capacity of EV‐drug complexes
to induce a therapeutic response. Hence, identifying a need for optimising effective
exogenous loading protocols and evaluating EV integrity following electroporation.
PT09.04
Development of a red blood cell nanoparticle ‐derived drug delivery platform
Juha Prittinen1; Kai Härkönen2; Heikki Saari2; Ulla Impola2; Petra Ilvonen3; Saara
Laitinen2
1University of Eastern Finland, Finnish Red Cross Blood Service, Helsinki, Finland;
2Finnish Red Cross Blood Service, Helsinki, Finland; 3Finnish Red Cross Blood Service,
University of Helsinki, Helsinki, Finland
Introduction: The use of artificial EV‐like particles instead of natural EVs offers
an easier way to gain enough material for drug‐delivery purposes. We are utilizing
red blood cells (RBCs), which provide a plentiful and easily processable starting
material for EV‐like nanoparticle production. EV‐like nanoparticles combined with
peptide targeting ligands could serve as an efficient tool for drug delivery. The
main goal is to develop a biocompatible RBC‐based drug carrier product with a homing
ability through the vascular endothelium to specific tissues and cancer types.
Methods: Ghosted RBCs are isolated by centrifugation. The nanoparticles are produced
by 200 nm extrusion and analysed with NTA and CryoEM. Nanoparticles are loaded by
either hypotonic explosion or electroporation. Peptides will be linked with copper‐free
click chemistry to the nanoparticle surface. Surface modifications will be analysed
with thin layer chromatography, Raman spectroscopy and flow cytometry.
Results: Extrusion seems to be better than sonication for generation of uniform nanoparticles
out of ghosted and non‐ghosted RBCs. Loaded RBCs with lumen specific fluorescent probes
are retained through extrusion. Unmodified RBC‐derived nanoparticles do not readily
penetrate the blood‐brain barrier (BBB) in vitro.
Summary/Conclusion: RBC nanoparticles could be utilized for drug delivery, but it
seems that surface modification of RBC nanoparticles will be necessary for penetrating
the vascular endothelium and the BBB. RBC membrane could potentially protect delicate
cargo from degradation. RBC nanoparticles may be a more biocompatible system for drug
delivery than current alternatives.
Funding: Business Finland ecosystem funded project EVE – Ecosystem Consortium with
four research organizations and nine companies
Academy of Finland – GeneCellNano Flagship
Orion Research Foundation – Production and systemic effect mechanisms of red blood
cell derived vesicles
PT09.06
Engineering nanoexosomes for targeted drug delivery for ovarian cancer
Aayushi Ghodasara1; Carlos Salomon Gallo2; Amirali Popat1
1School of Pharmacy, University of Queensland, Brisbane, Australia; 2The University
of Queensland, Brisbane, Australia
Introduction: Ovarian cancer is the 8th most common cause of cancer mortality in women
globally, the high mortality rate owing to unfavourable biodistribution, low penetration
and rapid clearance of therapeutics. Biomimetic extracellular vesicle (EV)‐encapsulated
mesoporous silica nanoparticles (MSNs) can be ideal therapeutics by combining target‐homing
capacity of EVs with high drug loading capacity of MSNs. Here, we propose construction
of EV‐coated MSNs as drug carriers for ovarian cancer therapy.
Methods: EVs were derived from SKOV‐3 cell lines using differential ultracentrifugation.
SKOV‐3 cells were subjected to serum starvation and the serum‐free cell conditioned
media was collected after 24 hours. The cell conditioned media was subjected to differential
centrifugation at increasing speeds for prolonged duration, i.e. 2000xg for 20 minutes
to remove cell debris, 10000xg for 40 minutes to remove larger vesicles and apoptotic
bodies, and finally at 100000xg for 90 minutes to pellet the EVs.
Amino‐functionalized mesoporous silica nanoparticles (MSNs); in three different sizes
(50 nm, 85 nm , and 100 nm); were synthesized using previously established methods.
The MSNs were loaded into the EVs using three different methods, double extrusion,
extrusion followed by incubation: and sonication. The morphology of the EV‐coated
MSNs was observed with transmission electron microscopy (TEM) and the physical properties
were characterized using Nanoparticle tracking analysis (NTA), zeta potential measurement.
Biomarker analysis of EVs, MSNs and EV‐coated MSNs was performed using Exoview.
Results: EV‐coated amino functionalized MSNs were successfully synthesized using the
stated methods. Double extrusion improved the association of EVs with NPs compared
to sonication of extrusion followed by incubation, resulting in more evenly sized
EV‐associated amino functionalised silica NPs, as evidenced from NTA measurements.
TEM images showed complete association of the EVs around the nanoparticles. Zeta potential
measurements demonstrated the reversal of positive charge of amino‐functionalized
MSNs to a negative charge imparted by the associated EV membrane. Exoview analysis
showed that the EV‐coated MSNs were CD63 positive indicating EV association around
the MSNs.
Summary/Conclusion: We report the successful synthesis of EV‐coated amino‐functionalized
mesoporous silica nanoparticles using three different methods. These biomimetic particles
could significantly enhance the delivery of therapeutics to ovarian cancer tumours
owing to their low immunogenicity, biocompatibility, and target homing capacity. Future
studies will assess their gene delivery potential and efficacy of the particles in
vitro.
Funding: Funding from Medical Research Future Fund (MRFF), under the National Health
and Medical Research Council (NHMRC), Australia
PT09.07
EV isolated from human dental stem cells as drug delivery vehicles for neurological
diseases
Anne des Rieux1; Viridiane Gratpain1; Ludovic d'Auria1; Pauline Bottemanne1; Romano
Terrasi1; Vincent van Pesch2; Giulio G. Muccioli1
1UCLouvain, Bruxelles, Belgium; 2UCLouvain_Saint Luc Hospital, Bruxelles, Belgium
Introduction: Most central nervous system (CNS) affections are unmet medical needs,
one reason being the limited accumulation of drugs in the CNS. Nose‐to‐Brain administration
provides a direct access to the brain while encapsulation in nanomedicines protects
drugs and increases their half‐live. As drug delivery systems, EV are able to cross
epithelial barriers, are non‐immunogenic and have an intrinsic activity. In this work,
our objective was to isolate and characterize EV from human dental mesenchymal stem
cells (SCAP) to later use them as nanomedicines in the scope of multiple sclerosis.
Methods: EV were isolated from SCAP culture medium by centrifugation, ultrafiltration
and size exclusion chromatography (SEC). Impact of ultrafiltration unit cut‐off (30
and 100 kDa) and SEC (Izon qEV 70 and 35 nm) on EV yield (NTA, ZetaView) and separation
from proteins (DELFIA immunoassay) was evaluated. MiRNA content (small RNAseq) and
lipid composition (HPLC‐MS) of EV produced by SCAP in pro‐inflammatory condition (activated
SCAP) vs steady‐state were compared. Finally, the influence of EV on pro‐inflammatory
marker gene expression of microglial cells (BV2 cells) was evaluated (RT‐qPCR).
Results: Using a cut‐off of 30 kDa and the qEV 35 nm SEC provided the highest number
of EV while eliminating most of the contaminating proteins. EV were negative for calnexin
and positive for CD9, CD63, CD81 and flotillin. 236 miRNAs, associated mainly with
MAPK, neurotrophins and cancer pathways, were identified in steady‐state EV while
44 miRNAs were significantly affected in EV produced by activated SCAP. Lipidomic
analysis is ongoing. EV obtained from activated SCAP induced a slight reduction of
IL‐6 and iNOS in LPS‐treated BV2 cells. Incorporation of bioactive drugs in SCAP EV
is ongoing.
Summary/Conclusion: We optimized the isolation of EV from SCAP, analyzed how their
composition was influenced by the activation state of SCAP, and studied their impact
on neuroinflammation. Then, bioactive molecules will be encapsulated in these EV and
delivered to the CNS.
Funding: This work has been funded by the FNRS, the Fondation Charcot Stichting and
by the Belgian French Community (ARC; EViMS).
PT09.10
Isolation of extracellular vesicles from the HEK293F cell line using CD81 affinity
for their future use as nanodrug carriers
Berglind E. Benediktsdóttir1; Einar Gunnlaugsson2; Jens G. Hjörleifsson3
1Faculty of Pharmaceutical Science, School of Health Sciences, University of Iceland,
Reykjavík, Iceland; 2Industrial Biotechnology, School of Engineering and Natural Sciences
and School of Health Sciences, University of Iceland, Reykjavik, Iceland; 3Industrial
Biotechnology, School of´Engineering and Natural Sciences and School of Health Sciences,
University of Iceland, Reykjavik, Iceland
Introduction: Extracellular vesicles (EVs) have attractive properties as nanodrug
carriers, namely the ability to carry labile molecules and relatively long circulation
half‐life. Additionally, their parent cell line can be engineered to express surface
ligands for active targeting in cancer therapies, subsequently conveyed to their EVs.
The suspension adapted HEK293F cell line is interresting for EV isolation, as it can
be engineered to express desired surface ligands and cultured in serum free medium.
The aim of this study was to determine if CD81 Fab‐TACS affinity capture was applicable
in isolating nanocarrier‐grade EVs from this cell line
Methods: The HEK293F cells were cultured in serum free medium (FreeStyle™ 293) supplemented
with antibiotics in tubespin bioreactors. EVs were isolated with CD81 Fab‐TACS affinity
capture (IBA) according to manufacturers protocol. NanoSight (NS300) was used for
particle concentration and size determination: pump speed 100, camera level 15, 60
sec capture, four repeats. The sample was then concentrated with an Amicon filter
(10 kDa) for subsequent capillary western blotting (WB) analysis with anti‐Alix (1:50,
Novus NBP1‐49701).
Results: Media originating from 1.04*10^8 cells (viability 93%) was collected and
isolated via the CD81 affinity column. This resulted in 1,2 ml of medium containing
particles with mean size of 131.0 ± 1.5 nm and 3.34 ± 0.20 * 10^8 particles/ml. WB
of the particles showed a band at 62 kDa corresponding with the EV protein marker
Alix, suggesting positive isolation of EVs.
Summary/Conclusion: The affinity‐based capture of EV based sample is promising although
quantification of impurities from the elution stage in the affinity capture needs
to be carried out for downstream use. Yet, this cell line and this isolation strategy
will be useful in future work isolating engineered EVs as nanosized drug delivery
vesicles.
Funding: University of Iceland Research Fund and "Göngum saman" Research Fund is gratefully
acknowledged.
PT09.11
mRNA cancer vaccines based on monocytes extracellular vesicles exogenously loaded
with antigen mRNA
Cristina Fornaguera1; Cristina P R Xavier2; Mònica Guarro3; Sara Peixoto da Silva4;
Martí Lecina i Veciana5; Salvador Borrós6; M. Helena Vasconcelos7
1GEMAT‐ Grup Enginyeria de Materials. Institut Químic de Sarrià. Universitat Ramon
Llull; Cancer Drug Resistance Group, IPATIMUP—Institute of Molecular Pathology and
Immunology and i3S—Instituto de Investigação e Inovação em Saúde, Universidade do
Porto, Barcelona, Spain; 2Cancer Drug Resistance Group, IPATIMUP—Institute of Molecular
Pathology and Immunology and i3S—Instituto de Investigação e Inovação em Saúde, Universidade
do Porto, Porto, Portugal; 31Grup d'Enginyeria de Materials (Gemat), Institut Químic
de Sarrià (IQS), Universitat Ramon Llull (URL), Barcelona, Spain; 4Cancer Drug Resistance
Group, IPATIMUP—Institute of Molecular Pathology and Immunology, and i3S—Instituto
de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal; 5GEMAT‐
Grup d'Enginyeria de Materials, Institut Químic de Sarrià, Universitat Ramon Llull,
Barcelona, Spain; 6GEMAT‐ Grup Enginyeria de Materials. Institut Químic de Sarrià.
Universitat Ramon Llull, Barcelona, Spain; 7Cancer Drug Resistance Group, IPATIMUP—Institute
of Molecular Pathology and Immunology, i3S—Instituto de Investigação e Inovação em
Saúde, and Department of Biological Sciences, FFUP—Faculty of Pharmacy of the University
of Porto, Porto, Portugal
Introduction: In addition to prophylaxis of infectious diseases, vaccines could play
a role in cancer immunotherapy. Our work proposes the design of mRNA therapeutic cancer
vaccines based on extracellular vesicles (EVs) from monocytes. EVs have advantages
over synthetic carriers: they occur naturally; transfer their cargo to recipient cells;
and are naturally loaded with biological molecules.
Methods: EVs were isolated from human and murine monocyte cell lines, by differential
centrifugation, and characterized by transmission electron microscopy (TEM), Western
blot (WB), and nanoparticle tracking analysis (NTA). EVs were loaded with two model
mRNAs (GFP as a reporter or with a model antigen) by passive diffusion. The mRNAs
loading and stability, after EVs incubation with RNases, were assessed by fluorescence
measurement of labelled mRNA. Finally, in vitro preliminary studies to evaluate the
uptake of EVs and mRNA expression by recipient cells were performed, by flow cytometry
and fluorescence microscopy.
Results: EVs were characterized using three techniques. NTA and TEM confirmed EVs
sizes below 200 nm. TEM showed an EVs homogeneous population, with the expected morphology.
WB confirmed the presence of EV‐related proteins. Importantly, mRNA loading efficiencies
into EVs higher than 75% were found, which enabled stable mRNA levels for longer than
6h, in the presence of nucleases. Finally, in vitro experiments confirmed that fluorescently‐labelled
mRNAs loaded into EVs can penetrate and be expressed in recipient cells.
Summary/Conclusion: Preliminary results support the idea of using EVs as mRNA vaccines,
given the ability of mRNA artificially‐loaded EVs to penetrate recipient cells, which
can then express the delivered mRNAs.
Funding: European COST Action‐ STRATAGEM CA17104 (short‐term mission fellowship) and
Grupo Español de Investigación en Vesículas Extracelulares (GEIVEX mobility fellowship)
allowed CF's work at i3S, Portugal.The MHV group is supported by FEDER through COMPETE
2020 and by FCT (POCI‐01‐0145‐FEDER‐030457).
PT09.12
Sorafenib‐Loaded MSC‐Derived Exosomes as a Versatile Platform to Target Breast Cancer
Spheroids
zahrasadat hashemi1; Mahlegha Ghavami Nodeh2; Ramin sarrami forooshani1
11. ATMP Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR,
Tehran, Iran, tehran, Iran; 2Slovac academy of sciences, Bratislava, Slovakia
Introduction: Mesenchymal stromal cells (MSC) are the most professional source of
extracellular vesicles in addition to their regenerative potency. The properties of
MSC‐derived exosomes are considered as their parent cells. Exosomes (Exos), the natural
nanovesicles, have gained tremendous interest recently due to their ability to deliver
drugs. On the other hand, chemotherapeutic agents for breast cancer, such as sorafenib,
have significant negative side effects on other organs.
Methods: MSC cells were isolated from Wharton's jelly. MSC exos were isolated and
their morphology, particle size, zeta potential, and expression of specific markers
were evaluated. Sor‐MSC exos were prepared by incubation. The cytotoxic effect of
exos in human breast cancer spheroids (3D culture) was monitored by MTT, AO /EtBr,
DAPI, Annexin/ PI, scratch and migration assays, colony formation and real‐time PCR
for P53, VEGF‐A and caspase 3.
Results: The loading efficiency was 35.6% and the release rate was 14.7% after 24
hours. Uptake of PKH‐67‐labeled Sor‐MSC exos was detected by flow cytometry at 74.6%.
All viability assays confirmed the inhibitory effect of Sor‐MSC‐Exos compared with
free sorafenib. The results indicate that Sor‐MSC‐Exos selectively reduces tumor cell
viability and spare fibroblasts and MCF ‐10A as non‐cancerous cells. The remarkable
effect of Sor‐MSC‐Exos was maintained for a long time after spheroid treatment.
Summary/Conclusion: Sor‐MSC‐Exos showed a potent inhibitory effect on proliferation
and induced apoptosis in human breast cancer mass (tumor mimic) compared to the same
dose of free sorafenib. Thus, the exosomes containing the cargo showed significantly
higher uptake than the free drug in both 2D and 3D. Thus, they can be used as drug
carriers with selective toxicity to the normal cells to reduce the side effects of
chemotherapeutic drugs.
PT09.13
Surface modifications of extracellular vesicles for plasma stabilization
Marie Morille1; Laurianne Simon2; Vincent Lapinte1; Tarek Benkhaled1; Farida Djouab3;
Claudia Terraza3; Céline Elie‐Caille4; Geetika Raizada5; Jai Prakash6; Kunal Pednekar6;
Julie Constanzo7; Jean‐Pierre Pouget7; Jade Berthelot1; Jean‐Marie Devoisselle1; Joel
Chopineau1
1ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France, Montpellier, France;
2Montpellier University, montpellier, France; 3IRMB, INSERM U475, Montpellier, France,
Montpellier, France; 4Institut FEMTO‐ST, UMR 6174 CNRS, 25030 Besancon cedex, France,
Besancon, France; 5Institut FEMTO‐ST, UMR 6174 CNRS, 25044 Besancon cedex, France,
Besancon, France; 6Department of Biomaterials Science and Technology Targeted Therapeutics
Section Technical Medical Centre University of Twente7500 AE Enschede, the Netherland,
Twente, Netherlands; 7IRCM, Inserm U1194, Université de Montpellier, Institut Régional
du Cancer de Montpellier (ICM), Montpellier, F‐34298 France, Montpellier, France
Introduction: Despite the proof of concept of their efficiency as drug delivery systems
(DDS) compared to synthetic nanoparticles, the rationale of using extracellular vesicles
(EVs) in therapy still requires improvements. Among them, their plasma instability
(t1/2=4 min) when intravenous administration in a non‐autologous host is a major issue
avoiding reaching targeted organs by passive accumulation. In this context, our team
aims at overcoming this hurdle by transiently functionalizing EVs surface to increase
their plasma stability while maintaining their cell internalization capacity. Our
strategy relies on the post‐insertion of fine tuned bio‐inspired polymers: the poly(2‐oxazoline)s
(POx). Known for their excellent biocompatible properties, POx also constituted an
excellent alternative to poly(ethylene glycol) (PEG) as clinical awareness has risen
around its overuse (e.g. anti‐PEG Abs). Therefore, we designed amphiphilic POx with
different lipid anchors to insert in EVs membrane: cholesterol hemisuccinate (CHEMS)
and hexadecane (C16).
Methods: EVs were produced from murine MSC, isolated and characterized by nanoparticle
tracking analysis. EVs were extruded through a membrane of 50 nm to obtain narrower
sizes, as a reproducible basis for evaluation of surface modification. The two POx
were synthesized by cationic ring‐opening polymerization, purified by membrane dialysis
and fully characterized as CHEMS(POx)52 and C16(POx)54. Different conditions (time,
buffer, temperature) were screened to obtain both POx association onto extruded EVs.
Non associated chains were discarded by ultrafiltration. Thus obtained EVs were thereafter
characterized at the physico‐chemical (size, charge, SPR‐AFM) and biological level
(macrophage uptake, complement activation, internalization in complex organoids composed
of pancreatic cancer cells, in vivo administration in mice).
Results: The conditions of post‐insertion were first determined on liposomes as synthetic
model and then transposed to EVs. Overall, the grafting density was determined of
respectively 0.5 for C16(POx) and 1 POx/nm2 for CHEMS(POx) and confirmed by SPR and
AFM measurements. The macrophages uptake of EVs was evaluated on primary mice cells
and we demonstrated a decrease of 50% with post‐inserted species compared to non modified
species. To verify the transient functionalization, both EVs species were tested on
organoids cells to measure their penetration capacity. The preliminary results indicated
no difference in cell internalization and identical penetration to the organoids core
from non‐extruded EVs to extruded one and with or without POxylation and significantly
higher than with liposomes.
Summary/Conclusion: With these promising results, we are currently evaluating the
behavior of the post‐inserted EVs in vivo after IV injection in mice. We propose here
to expose our latest results concerning the interest of EV surface functionalization.
PT09.14
This abstract is about engineering extracellular vesicles for the treatment of viral
diseases
rui zhang1; zhiwei Wu2
1NanJing university, Nanjing, China (People's Republic); 2Nanjing university, Nanjing,
China (People's Republic)
Introduction: Zika virus (ZIKV), a flavivirus associated with neurological disorders,
constitutes a global health threat. During pregnancy, ZIKV traverses the placenta
and causes congenital diseases such as microcephaly and Guillain‐Barré syndrome in
newborns. To develop a specific antiviral therapy against ZIKV‐induced microcephaly
that could cross placental and blood‐brain barriers, we designed targeted small extracellular
vesicles (EVs) encapsulating antiviral siRNA (small interfering RNA) to inhibit ZIKV.
The neuro‐specific targeting was achieved by engineering EVs membrane protein lamp2b
fused with a neuron‐specific rabies virus glycoprotein derived peptide (RVG). Intravenous
administration of the RVG‐engineered EVs loaded with siRNA (ZIKV‐specific siRNA) protected
pregnant AG6 mice against vertical transmission of ZIKV. Particularly, sEVsRVG‐siRNA
traversed placental and blood‐brain barriers and suppressed ZIKV infection in fetal
brains. Moreover, sEVsRVG‐siRNA alleviated the neuroinflammation and neurological
damage caused by ZIKV in the fetal mouse model. In general, we developed a EVs‐based
targeted system of antiviral therapy for brain and fetal brain infections
Methods: Isolation of sEVs、 EVs encapsulation of siRNA by electroporation、 Quantification
of siRNA loading into EVs by electroporation、Flow cytometry、Western blot analysis、Nanoparticle
tracking analysis
Results: By expressing a neurotropic RVG peptide sequence on the surface of EVs, the
current study demonstrated that the antiviral siRNA‐loaded sEVsRVG was selectively
targeted to brain tissues and inhibited virus in fetuses. This therapeutic approach
expanded the application of EVs to treat a viral infection of brains by intravenous
injection of sEVsRVG‐siRNA
Summary/Conclusion: we engineered EVs expressing RVG on the surface and demonstrated
that intravenous administration of RVG‐modified EVs loaded with siRNA (ZIKV‐specific
siRNA) protected pregnant AG6 mice against the vertical transmission of ZIKV. Moreover,
sEVsRVG‐siRNA protected the fetuses from ZIKV infection and alleviated the neuroinflammation
and neurological damage caused by ZIKV. Therefore, sEVsRVG‐encapsulated siRNA can
provide an ideal method to enhance the delivery of cargo such as nucleic acids, achieving
targeted treatment of brain viral infection and control of related neurological damage
PT09.16
Efficient Production of Extracellular Vesicles using Cell Spheroids
Seokhwan Yun1; sang‐Hyun An2; Young Cheol Kim3; Keunsun Ahn4
1Sphebio Co.Ltd, Seoul, Republic of Korea; 2Daegu‐Gyeongbuk Medical Innovation Foundation,
Seoul, Republic of Korea; 3Kyungpook National University, Seoul, Republic of Korea;
4Sphebio, Seoul, Republic of Korea
Introduction: Cell‐derived extracellular vesicles(EVs) contain miRNA, mRNA, and various
proteins, and many studies have been conducted on the therapeutic potential due to
their intracellular communication capabilities. However, for commercial use, it is
necessary to improve the production efficiency and quality control standards of existing
EV production technology.
Methods: Here, we have developed EV production technology using cell aggregates/spheroids
to improve EV production efficiency. Since the EV production environment changes according
to the size of the cell spheroid used for EV production, we developed cell spheroid
production automation technology to produce uniform cell spheroids. The production
of EVs derived from cell spheroids significantly increased the production index of
number of EVs per cell(# of EVs/cell) compared to the conventional 2D cell culture.
Results: The results of this study could suggest mass production technology for EV
commercialization. We used mesenchymal stem cells in out experiments. There was no
morphological difference between 2D cell culture derived exosomes and Cell spheroids
derived exosomes. Exosomal biomarkers(CD63, CD9, HSP90) showed no difference between
2D cell culture derived exosomes and Cell spheroids derived exosomes. However, exosome
production per cell was increased. In addition, in Cell spheroid derived exosomes
showed enhanced angiogenesis ability compared to 2D cell culture derived exosomes
in vitro.
Summary/Conclusion: 3D Cell spheroid secret exosomes export more exosomes compared
to conventional 2D culture. There are no significant difference in morphology and
biological marker expression of exosomes. However, the ability of exosomes apprear
to be different. We expect this to be a difference in exosomal cargo such as miRNA
or proteins. Further, NGs for microRNA and LC‐MS/MS proteomics for protein will be
performed to elucidate the substance and its mechanism of therapeutic effect of 3D
Cell spheroid derived exosomes.
PT09.17
Targeting extracellular vesicles to heart
Alena Ivanova1; Andreia M. Silva2; Niek Dekker2
1Discovery Biology, Discovery Sciences, BioPharmaceuticals R&D AstraZeneca, Gothenburg,
Sweden, Mölndal, Sweden; 2Discovery Biology, Discovery Sciences, BioPharmaceuticals
R&D AstraZeneca, Gothenburg, Sweden, Molndal, Sweden
Introduction: Extracellular vesicles (EVs) have come into focus of extensive research
during the last decade, because of their broad biological functions and roles in various
diseases. Myocardial infarction is a leading cause of death worldwide. Following injury,
the organ function is impaired, and the adult human heart is lacking regenerative
capability. EVs offer an exciting, novel therapeutic approach for treatment of heart
failure.
Methods: In our studies as a first step we are developing gene engineering technologies
to engineer the surface composition of EVs to guide these nanomedicines to the infarcted
heart tissues.
Results: We have developed methods to put antibodies against cardiac target candidates
on the surface of EVs. We have screened of range of anchor proteins and identified:
nanobody against kappa chain of IgG antibody, Protein A and Protein G as successful
candidates for antibodies EV display. Additionally, we developed EV based nanomedicines
decorated with cardiac targeting peptides. We have optimized the fusion protein for
functional display of these peptides at the surface of EV in the presence of blood
plasma.
Summary/Conclusion: Our data demonstrate that we can display both antibodies and peptides
on EVs surface, that these are available for interaction with their binding partners
in presence of the blood serum. This opens the possibilities to use targeting potential
of the designed EVs for delivery of therapeutic molecules to the heart tissues.
PT09.18
Well controlled cell mechanical stimulation in bioreactors by a turbulent flow induces
massive extracellular vesicles production
Julien Branchu1; Camille Simon1; Shony Lemieux1; Max Piffoux1; Jeanne Volatron1; Amanda
Silva2
1EVerZom, Paris, France; 2Laboratoire Matière et Systèmes Complexes, Paris, France
Introduction: Extracellular Vesicles (EVs) are one of the most interesting alternatives
to cell therapy in regenerative medicine. However, large scale EV manufacturing methods
are costly and time consuming. We discovered that shear stress induces massive EV
production and transformed this unexpected discovery in an industry‐compatible and
easy to scale‐up technology to achieve large scale EV production. Shear stress is
exerted on cells after their 3D culture in bioreactors thanks to well controlled turbulent
flows. This method was proven to be effective for all tested cell types (>10) with
both adherent and suspended cells.
Methods: As an example, adherent cells like human adipose derived stem cell (hASC)
may be cultivated in bioreactors on microcarriers (MC), 200 μm polymer beads that
have a high surface/volume ratio and can be handled easily. This old and well‐described
technology allows to culture adherent cells just like if they were in suspension.
Bioreactors may be viewed as bottles of cell culture media agitated by an impeller
where parameters like temperature, pH, metabolic activity or gas input are controlled.
When the desired cell‐confluence on MC is reached, a precise mechanical stimulation
in a serum‐free media is applied for a few hours to induce high yield vesiculation.
Results: On overall, this process achieves a ≈10‐fold increase in yield in 4 hours
compared to classical production by starvation in 2D our 3D. Using this technology,
hASC in a bioreactor produce approximately 20,000 EVs/cell in 4 hours compared to
about 4,000 EVs/cell in 2D starvation for 72 hours. This method preserves a good cell
viability at the end of the process (>90%) when monitored by both Nucleocounter and
immunostaining. EVs are produced within a culture media free of any contaminating
human or animal protein, limiting the need for complex purification. The batches may
be clarified by centrifugation or filtration and concentrated by tangential flow filtration
with a global harvesting yield above 70%. Furthermore, the turbulence‐generated EVs
conserve the regenerative properties of their parental cells and have been shown to
be effective in various small and large animal models of regenerative medicine or
drug delivery.
Summary/Conclusion: We describe a GMP/clinical grade EV production and purification
platform to bring EV therapeutics to patients and are open to collaboration on this
subject.
PT09.19
Therapeutic extracellular vesicles: from drug discovery to manufacturing process design
Olga Shatnyeva1; Simone Strauch1; Nora Olszok1; Denise Hartung1; Farah Aqel1; Philipp
Themann1; Jonas Vogt1; Anna J. Vesting1; Katrin Ridders1; Julia D. Knopf1; Alexandra
Schmitter1; Alfia Latfullina1; Andrei Shchebet1; Susann Santag1; Christoph Weber2;
Carleen Kluger2; Mandy Richter1; Stefanie Pfaender1; Gregory Antonios1; Melanie Pichery3;
Michael Esquerre3; Audrey Hotzinger1; Matthias Austen1; Andreas Scheel1; Cord Dohrmann1
1Evotec International GMBH, Göttingen, Germany; 2Evotec International GMBH, Munich,
Germany; 3Evotec (France) SAS, Toulouse, France
Introduction: Extracellular vesicles (EV) are emerging as a safe alternative to cell
therapeutics. Full realization of their potential requires a new paradigm where technology
development and future large‐scale manufacturing are considered already during the
earliest stages of research. Our approach aims to combine optimization of culturing
conditions for efficient EV production, purification, quality control and design of
the manufacturing process. During our study, we focus on 1) use of cell lines and
iPSC‐derived cells for EV production and 2) detailed quality control analysis of purified
vesicles.
Methods: Expi293 and different iPSC derived cells were used for EV production. We
developed optimal cell culture protocols and differentiation protocols for cell types
of interest. Tangential flow filtration (TFF) in combination with differential ultracentrifugation
were used for EV purification. EVs were characterized by nanoparticle flow cytometry
(NanoFCM), Exoview, transmission electron microscopy, western blotting and mass spectrometry
(MS). EV functionality was analyzed in Incucyte‐based cellular assays (e.g. viability,
proliferation and functional uptake)
Results: We found GMP compatible cultivation conditions for efficient EV production
for all cell types analyzed. During the development of our set of EV characterization
procedures, we found that a combination of “state‐of‐the‐art” methods, such as NanoFCM,
TEM, MS in combination with cell based assays provides extensive and reproducible
information about quality and functionality of EV batches.
Summary/Conclusion: Overall, using EVs produced by Expi293 and iPSC‐derived cells,
we could generate proof of principle data to demonstrate that our established EV platform
supports identification of optimal EV production conditions along with in depth qualitative,
quantitative and functional characterization of EV production batches. We envision
that this platform will be useful for a variety of therapeutic applications.
PT09.20
Bead to bead transfer as scale‐up method for mesenchymal stem cells expansion
Bastien Thauvin1; Camille Simon2; Julien Branchu2; Latifa Chebil3; Eric Olmos3
1EVerZom, Nancy, France; 2EVerZom, Paris, France; 3Laboratoire Réactions et Génie
des Procédés, Nancy, France
Introduction: Extracellular vesicles (EVs) are nano‐sized subcellar particles involved
in intercellular communication. Because they reflect their parental cell phenotype,
EVs produced by mesenchymal stem cells (MSC) have regenerative properties and are
promising as cell‐free therapy to repair damaged tissues. However, lack of large‐scale
GMP compatible EVs production processes limits clinical translation. EV production
yield can be improved by mechanical stress induced by turbulence but a large number
of cells is still required. Conventional 2‐Dimensional systems are time consuming
and allows insufficient control of cell culture parameters. Development of 3D culture
systems tend to give interesting solutions to these issues. We designed a microcarrier‐based
(MC) cell culture process in stirred tank bioreactors using cell bead‐to‐bead transfer
(Btb, i.e. adding fresh MC in the media) as a scale‐up method for EV production without
the need for enzymatic detachment step.
Methods: The effect of MC addition on Human adipose derived stem cells (hADSC) cultivated
on MCs in spinner flasks was evaluated based on daily cell count and metabolites analysis.
After each addition, an intermittent agitation was applied to promote cell migration.
Results: Cells can migrate on newly added MC thanks to intermittent agitation. Btb
lead to prolong cell expansion, delay aggregate apparition and increase final harvest
compared to control. Nevertheless, drop of mean cell/bead ratio below 3 inhibit cell
growth and late addition of MC when cell/bead ratio is above 7 leads to aggregate
formation which cannot be dissociated.
Summary/Conclusion: BtB is a promising scale‐up method for MSC large‐scale production
but the optimal cell per bead ratio and time addition need to be precised to maintain
a high expansion rate.
Funding: Private, European, ANRT fundings.
PT09.21
High‐throughput media screening for EV production
Ken Naruse1; Cassandra Bellver1; Alison Fujii1; Aaron Fulton1; Richard A. Festa1;
Matthew Tenorio1; David T. Ho1; Nisa Renault2; Michele Hamrick2; Jacquelyn Wong2;
Robert Newman1
1FUJIFILM Irvine Scientific, Santa Ana, USA; 2Fujifilm Cellular Dynamics, Madison,
USA
Introduction: Extracellular vesicles (EVs) such as exosomes and microvesicles serve
as messengers of an intercellular network, allowing exchange of cellular components
between cells. EVs carry lipids, proteins, and RNAs derived from their producing cells,
and have a potential to be used as a cell‐free therapy for a variety of diseases including
cancer, heart disease and inflammation. However, there are major challenges to applying
EVs in these areas: overcoming low yields of EVs from producing cells and the lack
of established production and purification processes for therapeutic EVs. Here, we
report the establishment of a process to optimize the formulation of chemically‐defined
EV production media.
Methods: We have developed semi‐automated high‐throughput cell culture and EV ELISA
methods with a automated liquid handler to allow us to test more media conditions
simultaneously and reduce experiment time. Single EV characterization was performed
with super resolution microscopy to characterize subtypes of EVs.
Results: Using iPSC‐derived cells as a model, we identified prototype media that promote
cell growth and stimulate EV secretion. By utilizing our media development and EV
characterization capability, we have demonstrated a platform by which we can implement
high‐throughput approaches to study media effects on EVs and subsequently optimize
media.
Summary/Conclusion: This study underscores the powerful influence cell culture media
has on a cell's microenvironment. Demonstrated here by its effect was on not only
cell expansion and quality, but also EV yield, quality and purity. Our high throughput
compatible approach for media development will enable us to develop specialized EV
production media for a variety of cell types.
PT09.22
A human‐cell‐based potency assay for the screening, development, and final product
release of small extracellular vesicle‐enriched compositions for therapeutic use
Michele Hamrick; Megan K. Livingston; Coby Carlson; Jacquelyn Wong; Nisa Renault
Fujifilm Cellular Dynamics, Madison, USA
Introduction: To advance novel extracellular vesicle (EV)‐based therapeutics, there
is a need for screening tools and functional release assays that are small‐scale,
reproducible, human‐relevant, and have a meaningful product dosing strategy with appropriate
controls. We have developed a cell survival assay using human induced pluripotent
stem cell (hiPSC)‐derived cardiomyocytes (CM) to assess the potency of therapeutic
candidates containing small EV‐enriched (sEV) compositions.
Methods: Cardio‐protective sEV candidates were isolated by ultracentrifugation from
primary and iPSC‐derived cell types. Media without cells were “cultured” and ultracentrifuged
for “virgin media” (MV) negative controls. CM were plated, chemically stressed, and
treated with sEV or MV in standard or serum‐free media. Dosing strategies based on
particle number (nanoparticle tracking analysis) or the number of secreting cells
producing the conditioned media were assessed. Assay controls were unstressed or stressed
CM, each treated with DPBS only (vehicle control). Cell survival was assessed by quantifying
viable cell number (imaging / microscopy), ATP (chemiluminescence), and cell adherence
(electrical impedance).
Results: Our assay consistently displayed a dose‐dependent improvement in survival
of CM with the addition of therapeutic sEV over controls for all readout methods.
Potency results with CM paralleled data from human endothelial cells in scratch wound
healing assays when using the same dosing strategies. Dosing by mother cell number
was a superior strategy for product development for both assays, in part due to highly
variable particle counts in sEV compositions from different donors or culture methods.
Summary/Conclusion: We have developed a useful dosing strategy for product screening
and development of sEV‐containing compositions featuring a reproducible, human cell‐based,
CM‐survival assay relevant to the testing, development, and final product release
of sEV‐containing compositions for the treatment of cardiac diseases.
Funding: FUJIFILM Cellular Dynamics, Inc.
FUJIFILM
PF01: Technologies and methods: EV separation from blood
Chair: Marija Holcar – Institute of Biochemistry and Molecular Genetics, Faculty of
Medicine, University of Ljubljana, Ljubljana, Slovenia
Chair: Olivier P. BLANC‐BRUDE – Paris Center for Cardiovascular Research, Institut
National de la Santé et de la Recherche Médicale U970, Université de Paris, France
PF01.02
Applying the MISEV guidelines (2018) to EVs from feline plasma: A “comparative medicine”
approach to EV isolation and characterisation
Jane Howard1; Kieran Wynne2; Evelin Moldenhauer3; Paul Clarke4; Ciaran Maguire5; Stephanie
Bollard6; Xiaofei Yin6; Lorraine Brennan6; Louise Mooney6; Stephen Fitzsimons6; Melinda
Halasz6; Ester Rani Aluri6; Dermot F. Brougham6; Walter Kolch6; Róisín M. Dwyer7;
Shirley Potter6; Pamela Kelly6; Amanda McCann6
1UCD School of Medicine, University College Dublin., Dublin 4, Ireland; 2Systems Biology
Ireland, Dublin 4, Ireland; 3Postnova Analytics GmbH, Landsberg, Germany; 4Postnova
Analytics UK Ltd, Worcestershire, United Kingdom; 5Particular Sciences Ltd, Dublin,
Ireland; 6University College Dublin, Dublin, Ireland; 7University College Galway,
Galway, Ireland
Introduction: Extracellular vesicles (EVs) are nanoparticles found in all biological
fluids, capable of transporting biological material around the body. Research into
the physiological role of EVs has led to the MISEV framework in 2018 guiding the standardisation
of protocols in the EV field. To date, these guidelines have focused on EVs of human
origin. As the importance of comparative medicine progresses, there has been a drive
to study similarities between diseases in humans and animals. To research EVs in felines
with pathologies, we must initially validate the application of the MISEV guidelines
in this group.
Methods: EVs were isolated from the plasma of healthy humans and healthy felines by
size exclusion chromatography and characterised according to the MISEV guidelines.
Nanoparticle tracking analysis, total protein concentration, western blot analysis
of known EV markers and transmission electron microscopy were carried out. Further
EV characterisation by mass spectrometry, asymmetrical flow field blow fractionation
and metabolomic profiling was also undertaken.
Results: Human and feline plasma showed a similar concentration of EVs, comparable
expression of EV markers and analogous particle to protein ratios. Mass spectrometry
analyses showed a similar proteomic signature of EVs from humans and felines. Asymmetrical‐flow
field flow fractionation showed two distinct subpopulations of EVs isolated from human
plasma, whereas one subpopulation was isolated from feline plasma. The EVs from humans
and felines were metabolically similar.
Summary/Conclusion: Isolation and characterisation of EVs from humans and felines
show that MISEV2018 guidelines may also be applied to EVs from felines. Potential
comparative medicine studies of EVs provide a model for studying naturally occurring
diseases in both species.
Funding: Work was supported by the UCD PhD Advance Core Funding Scheme, and the Mater
Foundation, Mater Misericordiae University Hospital (MUUH) Dublin, Ireland.
PF01.03
Asymmetric flow field‐flow fractionation for blood plasma extracellular vesicle and
other extracellular particle separation
Olesia Gololobova1; Wyatt Vreeland2; Kenneth W. Witwer1
1Johns Hopkins University School of Medicine, Department of Molecular and Comparative
Pathobiology, Baltimore, USA; 2NIST, Gaithersburg, USA
Introduction: Circulating extracellular vesicles (EVs) are potentially promising biomarkers
for many diseases and pathological conditions. However, EVs are in very low abundance
compared with non‐vesicular extracellular particles (EPs) such as lipoprotein particles
(LPP) and protein complexes, and some of these non‐EV components overlap in size and
density with EVs. Therefore, the separation of vesicles from blood is challenging.
Currently, the most used plasma EV separation methods are ultracentrifugation (UC,
with or without density gradient), size exclusion chromatography (SEC), and combinations
thereof. However, alone, these methods do not fully purify EVs. Here, we apply SEC
and asymmetric flow field‐flow fractionation (AF4) to plasma EV separation.
Methods: Gel size separation with IZON qEV70 original columns was used to deplete
abundant plasma proteins such as albumin and the very small high‐density lipoprotein
particles (HDL) from 0.5 mL of platelet‐depleted plasma. EV‐containing fractions were
pooled together and concentrated with Amicon 10 kDa filters. Concentrated fractions
were separated using asymmetric flow field flow fractionation (AF4) with the long
channel which allows separating large particles at low crossflow to minimize membrane
(10 kDa) interaction. Collected fractions were probed by Western blot (WB) for lipoprotein
markers ApoB100, ApoE, and ApoA1, as well as free proteins such as albumin, fibrinogen,
and transferrin, and EV markers such as CD9 and CD81. Single‐particle analyses were
performed with nano‐flow cytometry and single‐particle interferometric reflectance
imaging sensing (SP‐IRIS).
Results: Even after SEC, EV‐containing fractions analyzed via WB showed high abundant
low‐density lipoprotein (LDL) and HDL markers and sizing peaks corresponding with
these particles (AF4 fractogram). Following AF4, a separate population particle with
a size greater than 30 nm was observed. WB and SP‐IRIS confirmed the separation of
LDL and HDL from EVs.
Summary/Conclusion: AF4 is a powerful tool to isolate highly pure extracellular vesicles
from blood plasma with minimal time and input requirements.
Funding: This work was supported by the National Cancer Institute (NCI) and the Office
of the Director (UG3/UH3CA241694).
PF01.04
Automated proteomics sample preparation of Extracellular vesicles from human plasma
and serum
Jun Adachi1; Satoshi Muraoka2; Masayo Hirano1; Junko Isoyama1; Satoshi Nagayama3;
Takeshi Tomonaga4
1National Institute of Biomedical Innovation, Health and Nutrition, Ibaraki, Japan;
2National Institutes of Biomedical Innovation, Health and Nutrition, Ibaraki, Japan;
3The Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo,
Japan; 4National Institute of Biomedical Innovation, Health and Nutrition, ibaraki,
Japan
Introduction: Extracellular vesicles (EVs) are ubiquitously secreted by almost every
cell type and present in all body fluids. The blood‐derived EVs can be used as a promising
source for biomarker monitoring in disease. Current development in EVs proteomics
have analyzed in clinical subjects. To date, researcher have developed the EV isolation
methods, including differential centrifugation, sucrose gradient ultracentrifugation,
size exclusion chromatography, affinity capture and asymmetric‐flow field‐flow fractionation.
However, their isolation methods are limited in throughput for human subjects. Here,
we introduced a novel automated EV isolation and sample preparation method for EV
proteomics analysis that can be started with low volume of multiple clinical samples.
Methods: EVs were automatically separated from both EDTA plasma and serum of six healthy
subjects (n=3) by an affinity capture isolation method using Magcapture isolation
kit, and we applied them in Mass spectrometry, data‐independent acquisition. In addition,
the sample preparation for EV proteomics performed using combination single‐pot, solid‐phase‐enhanced
sample‐preparation (SP3) technology with Flex system in 96 well format.
Results: The automation of EV purification and protein digestion made it possible
to complete the pretreatment of 96 samples within one day. In particular, the automation
of EV purification reduced the variability of protein identification by 70% compared
to manual purification, enabling the quantification of 1400 proteins in one hour of
MS analysis.
Summary/Conclusion: We have successfully isolated EVs from blood using an automated
isolation method and developed an automated method for EV proteomic sample preparation.
This method is attractive for processing large cohort samples for biomarker development,
validation and routine testing.
PF01.05
Development of chromatographic methods to isolate Extracellular Vesicles (EV) from
blood products
Reetta Pusa1; Heikki Saari2; Heli Marttila3; Petra Ilvonen1; Kai Härkönen2; Ulla Impola2;
Hanna Oksanen3; Minna Poranen3; Saara Laitinen2
1Finnish Red Cross Blood Service, University of Helsinki, Helsinki, Finland; 2Finnish
Red Cross Blood Service, Helsinki, Finland; 3University of Helsinki, Helsinki, Finland
Introduction: The requirements for the EV isolation methods for materials poor or
rich in contaminating particles such as protein complexes or lipoproteins are not
the same. Well‐accepted isolation method, size exclusion chromatography (SEC) separates
impurities smaller in size by porous matrix. This is not an optimal choice to separate
pure EVs from donated whole blood rich in EV‐sized lipoproteins: chylomicrons, VLDL
and LDL. Hence development of alternative or combinatory chromatographic techniques
are needed to isolate large quantities of pure EVs. Here we report results from different
chromatographic techniques: SEC and ion exchange chromatography with material derived
from platelet concentrates (PC).
Methods: Standard leukocyte‐reduced PCs were derived from buffy coats of four anonymous
ABO RhD‐matched whole blood donations, were obtained from the FRC Blood Service as
accepted by the Finnish Supervisory Authority for Welfare and Health. Isolations were
done using selected anionic/cationic ion exchange and size exclusion chromatographic
techniques. Yield and purity were estimated by NTA, imaging flowcytometry, SDS PAGE,
WB, Agarose electrophoresis of lipoproteins and EM.
Results: Our results show that a simple SEC column is not enough for separating larger
lipoproteins from EVs. With anion exchange methods, enhanced separation of EVs from
lipoproteins was possible with the addition of chaotropic, but the yield was poor
due to loss of EVs into the column. Cation exchange methods seem to result in similar
purity and yield as with anion exchange.
Summary/Conclusion: While chromatographic EV‐purification is a promising scalable
approach, lipoproteins pose a particularly challenging contaminant for such methods.
Nevertheless, our results show that lipoproteins and EVs can be separated with carefully
selected chromatographic approaches for large‐scale blood derived EV purification.
Funding: Business Finland ecosystem funded project EVE – Ecosystem Consortium
Orion Research Foundation
PF01.06
Electrochemical detection and EMT evaluation of extracellular vesicles from whole
blood by using an integrated microfluidic device
Kyung‐A Hyun1; Gurudatt NG1; Hogyeong Gwak2; Kyungyeon Lee1; Sunyoung Park2; Seong‐Eun
Kim3; Hyo‐Il Jung2
1Yonsei University, Seoul, Republic of Korea; 2School of Mechanical Engineering, Yonsei
University, Republic of Korea, Seoul, Republic of Korea; 3Korea Electronics Technology
Institute, Seoul, Republic of Korea
Introduction: Tumor‐derived extracellular vesicles (tdEVs) are one of the most promising
biomarkers for liquid biopsy‐based cancer diagnostics due to the expression of specific
membrane proteins of their cellular origin. The investigation of Epithelial‐to‐mesenchymal
transition (EMT) in cancer using tdEVs is an alternative way of evaluating the metastatic
risk. An ultra‐sensitive selection and detection methodology is an essential step
to develop a tdEVs‐based cancer diagnostic device.
Methods: In this study, we developed an electrochemical sensor integrated microfluidic
chip, consisting of a multi‐orifice flow fractionation (MOFF) channel for eliminating
blood cells and a micro‐vortex for enhancing the collision between tdEVs and ITO electrodes.
The transparent ITO electrodes provide an advantage for dual electrochemical and fluorescent
monitoring of the tdEVs interaction. The micro‐vortex and the ITO sensors are assembled
with a 3D printed magnetic housing to prevent sample leakage and to attach/detach
the sensors into the microfluidic channel.
Results: The tdEVs were successfully captured on the specific antibody modified ITO
surfaces in the integrated microfluidic channel. The integrated sensors showed an
excellent linear response between 103 and 109 tdEVs/mL. Simultaneous evaluation of
the epithelial and mesenchymal markers on the tdEV surfaces successfully revealed
the EMT index of the corresponding cancer cells.
Summary/Conclusion: Our microfluidic device‐integrated ITO sensors show excellent
detection in the clinically relevant concentration range for tdEV detection in blood.
Hence, this system is expected to open a new avenue for the liquid biopsy‐based cancer
diagnostics.
Funding: This work was supported by the National Research Foundation of Korea (NRF)
grant funded by the Korea government (MSIT) (No.2020R1A5A1018052) and (No. 2021R1A2C301125411)
and the Technology Innovation Program (20008829) funded By the Ministry A1A01067448of
Trade, Industry & Energy (MOTIE, Korea).
PF01.07
EV preparation from plasma and serum by size exclusion chromatography: 35 nm qEV columns
allow higher EV recoveries than 70 nm qEV columns
Oumaima Stambouli1; Monika Wolny2; Tobias Tertel1; Simon Staubach1; Ingvild Birschmann2;
Bernd Giebel1
1Institute for Transfusion Medicine, University Hospital Essen, University of Duisburg‐Essen,
Essen, Germany, Essen, Germany; 2Institut für Laboratoriums‐ und Transfusionsmedizin,
Herz‐ und Diabeteszentrum Nordrhein‐Westfalen, Universitätsklinik der Ruhr‐Universität
Bochum, Bad Oeynhausen, Deutschland, Bad Oeynhausen, Germany
Introduction: Extracellular vesicles (EVs) residing in various body fluids including
plasma represent promising biomarkers for several diseases. However, EV preparation
with fair purities in short time intervals remains challenging. Plasma and serum samples
for example contain a high load of lipoprotein particles such as high density (HDL)
and low density lipoproteins (LDL) that are often co‐isolated with EVs. In recent
years, size exclusion chromatography (SEC) emerged as a frequently used method for
EV preparation. In fact, SEC efficiently allows separation of EVs from a high proportion
of soluble components. In addition to self‐loaded SEC columns, commercially available
qEV columns (IZON) are frequently used. Originally, qEV columns were provided being
filled with 70 nm pore‐sized resin, more recently, qEV columns being filled with 35
nm pore‐sized resin, were introduced to the market.
Methods: Here, we compared the performance of both qEV column types in preparing EVs
from plasma and serum of healthy donors. EVs were prepared according to the manufacturer's
instructions. The particles and protein concentration were determined by nanoparticle
tracking analysis (NTA) and the bicinchoninic acid assay, respectively. LDL and albumin
were measured using Clinical Chemistry Analyser Architect C8000 by photometric determination
method and immunoturbidimetry assay, respectively . In addition, fractions were investigated
by imaging flow cytometry (IFCM) and by western blot, which we also probed for the
lipoprotein ApoB.
Results: According to our analysis, 35 nm qEV columns provided higher EV yields but
did not separate plasma‐derived EVs and ApoB as efficiently as the 70 nm qEV columns.
Noteworthy, both columns failed to efficiently separate EVs and ApoB from serum samples.
Furthermore, our data confirm our published findings that NTA detects far more particles
than just EVs and that in its traditional form NTA should not be considered as an
appropriate method for the reliable evaluation of given EV preparation protocols.
Summary/Conclusion: To conclude, 35 nm qEV column have an increased EV yield compared
to 70 nm for both plasma and serum. However, both columns were not able to separate
EVs and LDL for sera samples. Moreover, our data further confirm our recent publication
that NTA is insufficient for EV characterization as its measures other particles in
addition to EVs.
PF01.08
Heat inactivation of fetal bovine serum increases protein contamination of extracellular
vesicles
Marta Moschetti1; Cecilia Lässer2; Roger Olofsson Bagge3; Rossella Crescitelli4
1University of Palermo, Dep. of Biomedicine, Neuroscience and Advanced Diagnostics
(Bi.N.D.), palermo, Italy; 2Krefting Research Centre, Institute of Medicine at Sahlgrenska
Academy, University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden; 3Sahlgrenska
Center for Cancer Research and Wallenberg Centre for Molecular and Translational Medicine,
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University
of Gothenburg, Gothenburg, Sweden; 4Sahlgrenska Center for Cancer Research and Wallenberg
Centre for Molecular and Translational Medicine, Department of Surgery, Institute
of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,
Gothenburg, Sweden
Introduction: Extracellular vesicles (EVs) released in cell cultures are influenced
by the cell culture conditions, such as the use of fetal bovine serum (FBS). FBS contains
EVs and it is usually depleted of EVs by ultracentrifugation (UC) and/or heat inactivated
(HI). Several studies have evaluated the effect of different UC protocols for FBS
by evaluating both cells and EVs. However, less is known about the effect of HI on
the cells and the released EVs. The aim of this study was therefore to evaluate the
effect of HI on EV purity.
Methods: To determine the effect of heat inactivation, three different protocols were
applied based on different combinations of: 1) UC at 118,000 × g for 18h and 2) HI
at 56°C for 30 min. The three conditions tested were: FBS ultracentrifuged but not
heat inactivated (no‐HI), FBS heat inactivated before UC (HI‐before EV‐dep), and FBS
heat inactivated after EV depletion (HI‐after EV‐dep). The FBS was add to the media
of three melanoma cell lines (MML1, UM22Ctr and UM22BAP1) at a final concentration
of 10%. After 72h, large and small EVs were isolated by differential UC. The EV purity
was determined by protein quantity, electron microscopy (EM) and nanoparticle tracking
analysis (NTA).
Results: The protein quantity (μg/μl) of large EVs was similar in the three conditions
analyzed. On the contrary for small EVs, the protein amount was higher when the HI
was performed after EV depletion as compared to HI before the UC and UC alone. However,
significantly more particles were not detected in the HI‐after EV‐dep which resulted
in a lower purity of small EVs in HI‐after EV‐dep illustrated by calculating the ratio
of number of particles/μg proteins. Presence of contaminants (indicated by strong
background) was observed in EM pictures of small EVs isolated in HI‐after EV‐dep condition
differently from large EV samples.
Summary/Conclusion: The HI of FBS induces release of contaminating elements that end
up in small EV pellets if not previously removed.
PF01.09
Hydrophobic effects in membrane sensing peptide for small extracellular vesicle isolation
and analysis
Roberto Frigerio1; Alessandro Strada2; Greta Bergamaschi3; Lucio Barile4; Gabriella
Andriolo4; Alfonso Gautieri5; Alessandro Gori2; Marina Cretich2
1Consiglio Nazionale delle Ricerche, Istituto di Scienze e Tecnologie Chimiche "Giulio
Natta" (SCITEC), Milan, Italy, Milano, Italy; 2Consiglio Nazionale delle Ricerche,
Istituto di Scienze e Tecnologie Chimiche “Giulio Natta” (SCITEC), Milan, Italy, Milano,
Italy; 3SCITEC‐CNR, milano, Italy; 4Istituto Cardiocentro Ticino, Ente Ospedaliero
Cantonale, Lugano, Switzerland; 5Politecnico di Milano, Milano, Italy
Introduction: Small extracellular vesicles (sEV) present distinctive lipid membrane
features in the extracellular environment. These include high curvature, lipid‐packing
defects and lipids composition. sEV membrane could be then considered as a “universal”
marker, alternative to traditional surface proteins. Our recent work has identified
a class of membrane‐sensing peptide, derived from Bradykinin protein, as a class of
molecular ligands for integrated small EV. The membrane recognition and binding mechanisms
are based on complementary electrostatic interactions between the peptide and the
phospholipids on the outer membrane leaflet, that subsequently can lead to the insertion
of hydrophobic residues into the membrane defects.
Methods: In the present work, we investigate the role of hydrophobic aminoacids on
the membrane recognition efficiency. To achieve this aim, we synthetized a small library
of membrane sensing peptide derived from Bradykinin protein by replacing phenylalanine
with residues with different hydrophobicity. Phenylalanine residues were replaced
by halogen‐aminoacids (Phe‐I, Phe‐Br, Phe‐Cl), isoleucine and alanine; to evaluate
the contribute of hydrophobic effects of Phe in membrane sensing peptides. To assess
peptide binding capacity, we used peptide microarray for capturing EV‐mimicking liposomes
and EVs isolated by cell culture.
Results: These substitutions showed how the hydrophobic component of peptide sequence
play an important role in membrane sensing. In addition, the same profile of binding
for both types of particles demonstrated the possibility to use synthetic liposomes
as model for biological extracellular vesicles. Finally, a preliminary computational
approach was used to determine the free‐energy profile of these peptides in order
to assess the interaction with the phospholipid bilayer.
Summary/Conclusion: These results represent a step forward to the development of a
new generation of membrane‐sensing peptides for EV isolation and analysis.
Funding: Supported by European Union's Horizon 2020 research and innovation program
under grant agreements No. 951768 (project MARVEL).
PF01.10
Parallel characterization of total extracellular vesicle populations with current
technologies
Johanna Puutio1; Petteri Parkkila2; Saara Laitinen3; Tapani Viitala4; Mari Palviainen4;
Pia Siljander4
1University of Helsinki, helsinki, Finland; 2Chalmers University, Gothenburg, Sweden;
3Finnish Red Cross Blood Service, Helsinki, Finland; 4University of Helsinki, Helsinki,
Finland
Introduction: Human cells release heterogenous extracellular vesicles (EVs) into the
bloodstream as a response to pathophysiological stimuli. Due to a lack of technologies
capable of detecting all EVs, accurate quantification of the total EVome (size and
surface markers) remains a challenge. We selected a panel of current technologies
and measured the total platelet EVome to investigate their strengths and limitations
in EV detection.
Methods: Human platelets were collected from clinical grade platelet concentrates
and EVs were generated and fractionated with differential ultracentrifugation, ultrafiltration
and asymmetric flow field‐flow fractionation (AF4). The presence of EVs was confirmed
by electron microscopy (EM) and subpopulation enrichment by western blotting and Single
particle interferometric reflectance imaging sensing (SP‐IRIS). EV sizing was carried
out with light scatter (LS, e.g. UV, MALS, DLS and NTA), capture methods (surface
plasmon resonance (SPR) and SP‐IRIS), and resistive pulse sensing (RPS) to determine
their effective detection ranges.
Results: Western blotting and SP‐IRIS showed that fractions enriched in large EVs
(>150 nm) and small EVs (sEVs, 100‐150 nm) displayed EV markers (Hsp‐70, Alix, CD9,
CD63) and platelet marker CD41, whereas those enriched with very small EVs (< 80 nm)
carried markers associated with exomeres. The reference size range and morphology
of the total EVome was confirmed with EM and multi‐detector AF4. LS‐based techniques
failed to find EVs below 100 nm, whereas capture methods became saturated with sEVs,
leaving EVs above 150 nm underrepresented. Combining “bridge methods”, such as EM
and AF4, with LS, RPS and capture techniques improved the characterization and quantification
of the total EVome.
Summary/Conclusion: A systematic combination of the current technologies comprising
LS, RPS and surface‐capture methods is essential for capturing the total EVome. Knowledge
of the detection limits and analytical range of each technology needs to be established.
Funding: This project is funded by the EVE consortium of Business Finland.
PF01.11
Polyethylene Glycol Precipitation is the Best Method to Obtain Extracellular Vesicles
Depleted Fetal Bovine Serum for stem‐cell culture
Peng Wang1; Onno Arntz2; Fons van de Loo2
1Experimental Rheumatology, Radboud university medical center, Nijmegen, Netherlands;
2RadboudUMC, Nijmegen, Netherlands
Introduction: Stem cell‐EVs are therapeutics having immunoregulatory and anti‐inflammatory
properties. To maintain growth of stem cells the culture medium must contain FCS but
free of EVs, so pure stem cell‐EVs can be obtained. In this study, we used three EV
depletion techniques: ultracentrifugation, polyethylene glycol precipitation, and
ultrafiltration to obtain EV depleted FBS (EVdFBS) and compared them to untreated
(UT) FBS and commercial EVdFBS (Com) on in vitro stem cell growth, differentiation,
and EV‐production.
Methods: EVs were depleted from FBS in parallel by, 18‐hour ultracentrifugation at
100,000g (UC), 100kda centrifugal filtration (UF), or o/n 10% PEG precipitation (PEG).
In all isolated batches, the amount of EVs and their protein content were determined
by NTA and micro‐BCA. Loss of serum growth factor TGFb, was determined by CAGA‐LUC
reporter assay. By western blot, CD81 and HSP‐70 were detected in the isolated FBS
EVs. Next, differentiation (alizarin red staining), proliferation (XTT), and EV release
(NTA) of cultured human adipose stem cell (hADSCs) in the EVdFBS (5%) batches was
studied
Results: Compared to UT FBS, the amount of EV depletion was almost comparable between
UC (82%), PEG (95.6%), and UF (96.6%) but the protein loss was markedly different
between UC (51%), PEG (47%), and UF (87%). Only in the PEG precipitated FBS EVs, CD81
and HSP‐70 were detectable by WB does showing the highest selectivity of EV depletion.
By UF, a significantly reduction of TGFb was observed, showing the lowest selectivity
of all techniques. Culturing hADSCs in the five different EVdFBS batches for 96 hours,
had no obvious influence on cell differentiation, but remarkable, proliferation was
the lowest in UF and Com EVdFBS, but not in UC and PEG EVdFBS. Moreover, the EV release
of hADSC was highest when cells were cultured in PEG EVdFBS.
Summary/Conclusion: This study showed that PEG precipitation is the most optimal method
to obtain EVdFBS for support of growth and EV production by hADSCs.
PF01.12
Proteomic and metabolomic composition of serum‐derived small extracellular vesicles
could discriminate rectal cancer patients with different responses to neoadjuvant
radiotherapy
Urszula Strybel1; Lukasz Marczak1; Marcin Zeman2; Krzysztof Polański3; Łukasz Mielańczyk4;
Mateusz Smolarz2; Piotr Widlak5; Monika Pietrowska2; Anna Wojakowska1
1Institute of Bioorganic Chemistry Polish Academy of Sciences, Poznan, Poland; 2Maria
Sklodowska‐Curie National Research Institute of Oncology, Gliwice Branch, Gliwice,
Poland; 3Wellcome Sanger Institute, Hinxton, United Kingdom; 43 Department of Histology
and Cell Pathology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia,
Katowice, Poland, Katowice, Poland; 5Medical University of Gdansk, Gdansk, Poland
Introduction: Molecular predictors of the response to neoadjuvant radiotherapy (neo‐RT)
in locally advanced rectal cancer are not known yet. Here we used a combined proteomic
and metabolomic approach aimed to search for such potential biomarkers among molecular
components of small extracellular vesicle (sEV) present in serum.
Methods: Blood samples were collected directly before surgery from 40 rectal cancer
patients treated with neo‐RT. Patients were classified as good and poor responders
based on tumor regression grading. sEV were isolated from serum using SEC and characterized
according to MISEV2018 criteria. Proteomic and metabolomic profiling was performed
using LC‐MS/MS and GC‐MS approaches, respectively. Furthermore, the composition of
serum‐derived sEV and a whole plasma was analyzed in parallel to assess the biomarker
potential of both specimens.
Results: Applied multi‐omics approach allowed to reveal several proteins and metabolites,
which levels discriminated patients with different responses to neo‐RT. These molecules
were associated with a few common pathways relevant to response to the treatment,
including immune system response, complement activation cascade, platelet functions,
metabolism of lipids, and cancer‐related signaling pathways. Moreover, the proteome
component of sEV has the highest capacity to discriminate samples of good and poor
responders (compared to the metabolome of sEV and both components of the whole serum).
Summary/Conclusion: Molecular components of sEV are associated with the response of
rectal cancer patients to neo‐RT and could be used for the prediction of such response.
Besides, the integration of metabolomic and proteomic data reveals novel insights
into the role of sEV in the response to cancer treatment.
Funding: This study was supported by the National Science Centre, Poland, Grant 2017/26/D/NZ2/00964
(for US, LM, MP, AW).
PF01.13
Purity of plasma EVs isolated by size exclusion chromatography is affected by column
length and resin
Jillian Bracht1; Mandy Los1; Edwin van der Pol2; Rienk Nieuwland3
1Department of Clinical Chemistry, Vesicle Observation Center, Amsterdam UMC, University
of Amsterdam, Amsterdam, the Netherlands, Amsterdam, Netherlands; 2Department of Clinical
Chemistry, Vesicle Observation Center, Department of Biomedical Engineering and Physics,
Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands, Amsterdam, Netherlands;
3Department of Clinical Chemistry; Vesicle Observation Center; Amsterdam University
Medical Center, University of Amsterdam, Amsterdam, Netherlands
Introduction: Extracellular vesicles (EVs) are a promising source of biomarkers. Size
exclusion chromatography (SEC) is now the second most used EV isolation method. SEC
isolates particles based on size, but when blood plasma is used as a starting material,
platelets, lipoproteins (LPPs) and chylomicrons co‐migrate with EVs and thus are confounders
for downstream analyses. SEC columns can differ in pore size, cross‐linking ability,
column length, etc. The aim of this study was to compare the EV yield and purity of
different SEC columns.
Methods: We tested four SEC‐2B (70 nm cut‐off) and four SEC‐4B (35 nm cut‐off) columns,
including home‐made‐, commercially available 10 mL‐ (IZON, generation 1 and 2) and
commercially available 14 mL (IZON, generation 2) columns. The starting material for
each column was 1 mL platelet‐free human pooled plasma. Per column, the three fractions
(each 0.5 mL) containing the highest concentration of EVs were selected by flow cytometry
(Apogee A60; size detection range: 150‐1,000 nm), and pooled. We compared the EV yield,
LPPs (ApoB ELISA) and protein concentration (Bradford Assay) in the pooled fractions.
Results: The EV yield of SEC‐4B was up to 1.8‐fold higher compared to SEC‐2B, but
at the expense of purity, since up to 30‐fold higher concentrations of LPPs and proteins
were detected. The EV enriched fractions of the generation 2 columns have a lower
concentration of proteins and LPPs (up to 2.4‐ and 17‐fold, respectively) compared
to the generation 1 columns, but also a 12% lower EV concentration.
Summary/Conclusion: There is a trade‐off between EV yield and purity when enriching
for EVs, and the most appropriate SEC column for EV purification depends on the downstream
application. The generation 1 SEC‐4B (10 mL) column has the highest EV yield, whereas
the generation 2 SEC‐2B (14mL) column yields the purest EVs (1.7‐ and 1.5‐fold higher
EV to protein‐ and EV to LPP ratio compared to SEC‐4B, respectively).
Funding: This study was funded by Health Holland (AQrate project)
PF01.14
Quantitative and reproducible EV immuno‐enrichment and depletion
Erika Duggan; John P. Nolan
Scintillion Institute, San Diego, USA
Introduction: Introduction. EVs released from cells are heterogeneous and this can
challenge conventional bulk biochemical analysis. Immunofractionation is useful to
enrich (or deplete) particular EV sub‐sets, but most protocols lack quantitative rigor,
and even qualitative assessments of reproducibility are rare. We aim to develop EV
immunocapture protocols that are both quantitatively rigorous and reproducible by
incorporating single vesicle flow cytometry and bead‐based flow cytometry into an
optimized immunocapture protocol.
Methods: Methods. EVs preparations were obtained from cell culture supernatants or
citrated plasma by pelleting cells (2x 2500xg, 15’) and concentration by ultrafiltration
where necessary. EV concentration, size and surface cargo expression were measured
by single vesicle flow cytometry (vFC). Magnetic beads bearing validated capture antibodies
were used to capture EVs bearing specific surface markers. Bead and vesicle fluorescence
was measured using qualified and calibrated commercial flow cytometers.
Results: Results. EVs in plasma were measured using vFC to determine the concentration
of PLT‐derived (CD41 positive) and RBC‐derived (CD235ab positive) EVs. Magnetic beads
bearing anti‐CD41 were used to capture PLT‐derived EVs from plasma, and vFC was used
to confirm the quantitative depletion of CD41‐positive EVs from the plasma. The beads
bearing the captured EVs are analyzed directly measured by flow cytometry after staining
for CD41 and additional surface markers, provide additional characterization of the
immuno‐enriched fraction. The combination of pre‐ and post‐immunocapture vFC analysis
and direct analysis of the captured EVs on‐bead allows the input to downstream molecular
or biochemical analyses to be quantitatively defined.
Summary/Conclusion: Conclusions. EV immunocapture can be a useful approach to simplify
sample composition for bulk biochemical or molecular analysis, but demonstrating quantitative
and reproducible EV capture is generally lacking. Here, we combine immunomagnetic
beads with quantitative single vesicle and single bead measurements to provide efficient
and scalable EV immunoisolation of EV sub‐sets that is both rigorously quantitative
and reproducible. Current efforts are directed towards release and recovery of EVs
from immunocapture supports in an unperturbed form to downstream functional studies.
PF01.15
Reproducible automated isolation of extracellular vesicles using high‐performance
liquid chromatography (HPLC) for clinical applications
Andrew Lai1; Dominic Guanzon2; Flavio Carrion3; Andreas Obermair2; Andreas Moller4;
Carlos Salomon Gallo2
1Exosome Biology Laboratory, University of Queensland Centre for Clinical Research,
The University of Queensland, Brisbane, Australia; 2The University of Queensland,
Brisbane, Australia; 3Universidad del Alba, Santiago, Chile; 4QIMR Berghofer Medical
Research Institute, Brisbane, Australia
Introduction: Current method of isolating extracellular vesicles, such as ultracentrifugation,
can be time‐consuming, requiring specialised equipment, labour intensive, and quality
control can be challenging to achieve. Here we describe the development of a reproducible,
automated method to isolate extracellular vesicles using high‐performance liquid chromatography
(HPLC) without human intervention, targeted for clinical use for which high‐throughput
and reproducibility are essential.
Methods: A modular HPLC system with a fraction collector coupled with either a multimodal
chromatography or size‐exclusion column was used for this study. To optimise the HPLC
method, multiple replicates of fetal bovine serum or human serum were processed (200
μL), with multiple elution fractions collected from each starting sample. Reproducibility
was calculated based on Nanoparticle Tracking Analysis (NTA) and protein quantification
data. To further demonstrate the utility of this isolation platform, the isolated
EVs from human plasma were subjected to both next‐generation sequencing (NGS) and
mass‐spectrometry proteomic analysis.
Results: A highly reproducible method of isolating extracellular vesicles from bovine
and human serum was achieved. The average inter CV for among the technical replicate
was below 10% for the particle mean (3.75 %), mode (7.68 %) and protein concentration
(8.45 %). This suggests that this method is reproducible with low technical variations.
In addition, from one biological sample, using the optimised automated method, most
of the total vesicles can be purified into only one tube. Furthermore, the purity
of the isolated vesicles was comparable to current isolation techniques and can be
used for downstream analyses such as NGS and proteomics.
Summary/Conclusion: The use of automated systems to isolate extracellular vesicles
could have important implications in the field of diagnostics, where high‐throughput
and reproducibility is essential.
Funding: This research was funded by The Lions Medical Research Foundation (2015001964),
The Medical Research Future Fund (MRF1199984), National Health and Medical Research
Council (NHMRC 1195451), The Donald & Joan Wilson Foundation Ltd (2020000323), and
Ovarian Cancer Research Foundation (OCRF, 2018001167).
PF01.17
Microfluidic Size Exclusion Chromatography (μSEC) for Automated Extracellular Vesicles
Purification from Human Plasma
Sheng Yuan Leong1; Hong Boon Ong2; Jia Jia Lim3; Hui Min Tay4; Fang Kong5; Megha Upadya5;
Lingyan Gong3; Ming Dao6; Rinkoo Dalan7; Han Wei Hou8
1School of Mechanical and Aerospace Engineering, Nanyang technological University,
Singapore, Singapore; 2School of Mechanical and Aerospace Engineering, Nanyang Technological
University, Singapore, Singapore; 3School of Mechanical and Aerospace Engineering,
Nanyang technological University, singapore, Singapore; 4School of Mechanical and
Aerospace Engineering, Nanyang Technological University, singapore, Singapore; 5School
of Biological Science, Nanyang Technological University, singapore, Singapore; 6Department
of Material Science and Engineering, Massachusetts Institute of Technology, Cambridge,
USA; 7Endocrine and Diabetes, Tan Tock Seng Hospital, Singapore, Singapore; 8School
of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore
639798, Singapore, Singapore, Singapore
Introduction: Extracellular vesicles (EVs) are recognized as next generation diagnostic
biomarkers due to their importance in cell‐cell communications and the presence of
disease‐specific biomolecular cargoes. A major bottleneck in EV sample preparation
is the inefficient and laborious isolation of EVs from biological samples. Herein,
we report an automatable microfluidic platform for EVs purification from human plasma
based on the principle of size exclusion chromatography (SEC).
Methods: Using a novel rapid (∼20 min) replica molding technique, an fritless microfluidic
SEC device (μSEC) with on‐chip sample injector was fabricated using commercial UV
glue (NOA81) and resin extracted from commercial SEC columns (IZON, cutoff: 75 nm).
Sample and sheath flow were introduced into μSEC using two syringe pumps and a simple
3‐way valve for sample plug generation.
Results: We first demonstrated on‐chip nanoliter sample plug injection (600 nL) with
rapid response time ( < 1.5 s) using a modified T‐junction sample injector. Device
performance was validated using fluorescent nanoparticles (50, 200, 500 nm), FITC‐albumin,
and breast cancer cells (MCF‐7)‐derived EVs. As a proof‐of‐concept for clinical applications,
we directly isolated EVs (∼50 to 200 nm) from undiluted human platelet‐poor plasma
using μSEC, and showed distinct elution profiles between EVs and proteins based on
nanoparticle particle analysis, western blot, bicinchoninic acid protein assays and
flow cytometry analysis. The miniaturised μSEC reduced sample volume in commercial
SEC from ∼100 μL to ∼5 μL, and EV elution volume from ∼600 μL to ∼10 μL.
Summary/Conclusion: We have developed a novel μSEC device for EVs isolation from human
plasma. With its modular design and continuous‐flow processing, the μSEC device enables
easy coupling with downstream EV‐based assays for “sample in‐answer out” EV profiling
or real‐time EV screening applications (e.g. EV cargo).
Funding: SMART Innovation Centre (ING‐000539 BIO IGN and ING‐001058 BIO IGN)
Nanyang Technological University Startup grant and Research Scholarship
PF01.18
Electrokinetic Isolation of Extracellular Vesicles from Pancreatic, Ovarian and Bladder
Cancers Enables Early Detection
Juan P. Hinestrosa; Jean M. Lewis; David Searson; Heath Balcer; Gregor Schroeder
Biological Dynamics, San Diego, USA
Introduction: Extracellular vesicles (EVs) carry cancer biomarkers and are central
to emerging liquid biopsy technologies; however, current EV isolation methods balance
purity against efficiency. We investigated an alternating current electrokinetic (ACE)
method to isolate EVs directly from plasma. We compared the ACE method against differential
ultracentrifugation (DU) to study yield, purity and utility. EVs isolated by ACE were
then used for detection of early‐stage pancreatic, ovarian, and bladder cancers.
Methods: Plasma from control donors (N=532, 54.5% female) and stage I‐II cancer patients
(N=224, 55.3% female, pancreatic N=78, ovarian N=70, bladder N=76) were obtained from
a biorepository. For ACE, EVs were captured onto microarray chips, plasma contaminants
washed away, then the current stopped to release purified EVs. For UC, plasma underwent
3 low‐speed, then 2 high‐speed spins (100,000 g, 70 min). EV particle size and concentration
(nanoparticle tracking analysis) and total protein content (bioanalyzer, qubit) were
compared. Concentrations of cancer‐related proteins were measured using bead‐based
immunoassay kits, and EV expression patterns analyzed using a machine learning approach
for selection of relevant biomarkers that can distinguish cases from controls.
Results: DU had similar particle characteristics (138 nm, ACE; DU, 120 nm), but ACE‐purified
EVs had less plasma protein contamination. Analysis of biomarker levels (CA19‐9, CA125)
for ACE EVs showed discrimination between a subset of cancers and controls unlike
DU EVs. Expression patterns for ACE EVs were analyzed for all samples, and the multi‐cancer
classifier had an overall area under the curve (AUC) of 0.93 (95% CI: 0.89‐0.97) with
an overall sensitivity of 52.2% at a 99.1% specificity. The stage I sensitivity was
42.9% and the stage II sensitivity was 62.9% at the same specificity.
Summary/Conclusion: ACE isolation of EVs is streamlined and provides greater separation
from blood proteins than DU. EVs isolated via ACE may facilitate detection of biomarkers
and enhance their utility for liquid biopsy assays.
Funding: Funding provided by Biological Dynamics
PF01.19
Strategies using plasma extracellular vesicles for the discovery of non‐invasive biomarkers
for neurodegenerative diseases
Hubert Aviolat1; David Holzinger1; Christoph Kleinert2; Liang Jin3; Xue Wang3; Astrid
Wachter1; Ameya Kulkarni4; Simone Giaisi1; Bryan Frey1; Chenqi Hu3; Michael Schulz2;
Janina Ried1; Yu Tian3; Stefan Barghorn1; Roland Heym1
1AbbVie Deutschland GmbH & Co. KG, Neuroscience Discovery, Knollstrasse, Ludwigshafen,
Germany, Ludwigshafen, Germany; 2AbbVie Deutschland GmbH & Co. KG, Drug Metabolism
and Pharmacokinetic, Knollstrasse, Ludwigshafen, Germany, Ludwigshafen, Germany; 3AbbVie
Inc., AbbVie Bioresearch Center, 100 Research Drive, Worcester, MA, United States
of America, Worcester, USA; 4AbbVie Inc., Genomics Research Center, 1 N Waukegan Road,
Lake County, IL, United States of America, Lake County, USA
Introduction: Analysis of cargo from blood circulating extracellular vesicles (EVs)
originating from the central nervous system (CNS) has recently gained great interest
for biomarker discovery for neurodegenerative diseases (NDD). Here, we present methods
for purifying (1) total EVs and (2) neuron‐, astrocyte‐ and oligodendrocyte‐derived
EVs from plasma and preview their clinical utility as disease biomarker for Alzheimer's
(AD) and Parkinson's disease (PD).
Methods: We developed and validated (1) a workflow for total EV purification from
human plasma using size‐exclusion chromatography (SEC) followed by EV marker detection,
particle size and concentration measurement (TRPS), and lipoprotein contamination
assessment. Detection of CNS‐enriched or NDD‐related protein cargo were achieved by
high‐throughput, multiplex immunoassays (Olink® Explore) in AD and PD. Deeper analysis
was done on α‐synuclein (αSyn) in PD to characterize its inside or outside location
by protease protection assay, and separation by ultrafiltration (UF) and ultracentrifugation
(UC).
We also developed (2) a workflow combining in‐silico and mass spectrometry analysis
of CSF EVs for the identification of membrane CNS‐enriched protein present on EV surface
for their immunoprecipitation (IP).
Results: We show (1) that targeted proteomics identified potential biomarker candidates
only detectable in EV fraction and not in crude plasma and that a small fraction of
αSyn in human plasma mirror EV markers profile elution during SEC. Protease protection
assay indicated that the majority of αSyn in the plasma EV fraction is present outside
of EVs. UC as well as UF of SEC‐purified plasma EVs separated αSyn from EV markers
suggesting no or transient interaction between αSyn and plasma EVs. Quantification
of αSyn levels in the plasma EV fraction showed no significant difference between
25 PD and 25 healthy control individuals, even after normalization to different EV
markers. Finally, αSyn was significantly correlated with CD9 and Flotillin‐1 and with
αSyn in raw plasma.
In parallel, we also show (2) that our workflow identified two new promising candidates
for IP of plasma EVs of neuron‐ and astrocyte‐ and one of oligodendrocyte‐origin.
Summary/Conclusion: EVs may have great potential as NDD biomarkers but careful characterization
is required. Moreover, by the identification and validation of CNS‐enriched membrane
protein candidates, IP of cell‐type specific EVs appears as promising and feasible
strategy.
Funding: All authors are employees of AbbVie. The design, study conduct, and financial
support for this research were provided by AbbVie. AbbVie participated in the interpretation
of data, review, and approval of the publication.
PF01.20
Isolation of Tim4‐reactive EVs from cell culture medium of bone marrow derived MSCs
and their biological activities
Vi Tran1; Takamasa Ishidome2; Yuki Marutani2; Masayuki Yamane2; Sadamu Ozaki3; Kodai
Sasamoto4; Naoko Imawaka2; Ryo Ukekawa2; Takahiro Nishibu2
1FUJIFILM Wako Chemicals Europe GmbH, Neuss, Germany; 2FUJIFILM Corporation, Amagasaki‐shi,
Japan; 3FUJIFILM Corporation, Minato‐ku, Japan; 4FUJIFILM Wako Pure Chemical Corporation,
Amagasaki‐shi, Japan
Introduction: Extracellular vesicles (EVs) released from mesenchymal stem cells (MSCs)
are expected to be used for the treatment of various diseases. Ultracentrifugation
and size exclusion chromatography (SEC) are commonly used for EV purification. However,
these methods are not suitable for mass purification of EVs. The phosphatidylserine
(PS)‐Tim4 affinity method enables to purify PS‐positive EVs with high purity and minimum
damage. In this study, we verified the usefulness of the PS affinity method for the
isolation of EVs from MSCs by using the PS affinity method and evaluated their biological
activities. We also developed a Tim4 column‐based mass purification method.
Methods: Bone marrow MSC‐derived EVs were recovered with Tim4 protein‐immobilized
magnetic beads and then eluted with buffer containing EDTA. The amount of EVs was
evaluated by using ELISA capturing and detecting the EV markers CD9, CD63, or CD81.
The anti‐inflammatory and anti‐fibrotic activities of the EVs were evaluated by the
in vitro system. Tim4 column was prepared by immobilizing Tim4 on the resin and packed
in a column.
Results: More than 80% of EVs secreted in the medium of the MSCs was reactive to Tim4
beads and were isolated in high purity. Only a smaller portion (c.a. 10%) of the EVs
were detected in the Tim4 non‐reactive fraction. The anti‐inflammatory and anti‐fibrotic
activities of the Tim4 reactive EVs fraction was higher than those of the EVs obtained
by the ultracentrifugation method. The column purification technique also recovered
EVs with a similar efficiency as the magnetic bead‐based technique.
Summary/Conclusion: The Tim4 protein based PS affinity method was a convenient and
effective technique to isolate biologically active EVs from MSC culture supernatant.
We are aiming to apply it to the purification of EVs derived from therapeutic MSCs
in a larger scale.
PF02: Immune diseases or viral infection
Chair: Maja Kosanović – Institute for the Application of Nuclear Energy, INEP, University
of Belgrade
PF02.01
Detection of inflammatory cytokines released by in vitro 3D cultures of human monocytes
stimulated with SARS‐CoV‐2 spike protein
Alexandra Van Driessche1; An Jacobs1; Jeroen Sajdak2; Pascale berckmans1; Inge Nelissen1
1Flemish Institute for Technological Research (VITO), Health Unit, Boeretang 200,
2400 Mol, Belgium, Mol, Belgium; 2VITO, Mol, Belgium
Introduction: The most severe outcome of SARS‐CoV‐2 infection causing COVID‐19 lies
in its ability to trigger a cytokine storm leading to acute respiratory distress syndrome
(ARDS) with high mortality. Timely detection of the onset of this syndrome could significantly
impact the treatment and clinical outcome of critically ill patients. Cytokines can
be released in soluble form and/or associated with extracellular vesicles (EVs), which
might interfere with accurate detection. In this in vitro study, we aimed to mimic
a time‐kinetic cytokine release response induced by COVID‐19, and evaluate the detection
of relevant cytokines that are present in different formats.
Methods: We grew a 3D culture of the human Mono Mac 6 cell line in a FiberCell hollow‐fiber
bioreactor and stimulated these monocytes with SARS‐CoV‐2 S1 spike protein. Spike
protein is responsible for cell entry and inflammatory response of the SARS‐CoV‐2
virus via ACE2 and TLR4 receptors, which were confirmed to be highly expressed on
the cell membrane using flow cytometry. After stimulation, conditioned cell medium
(CCM) was harvested at regular intervals for 48 hours, and partially used for EV isolation
using size exclusion chromatography. The EV fractions were characterized for their
size, concentration, and protein markers using fluorescent NTA, high‐sensitivity flow
cytometry and western blotting. We determined the concentration of TNF‐α, IL‐1β and
IL‐6 in full CCM, EV‐depleted CCM, on isolated EVs’ membranes and in the lysate of
isolated EVs via an MSD V‐PLEX Human Pro‐Inflammatory Panel assay.
Results: The bioreactor system allowed us to cultivate a dense cell culture and generate
CCM rich in EVs and cytokines at levels suitable for detection and quantification.
Quantification using the MSD assay revealed stark contrast between the release formats
of the different cytokines, and their levels in unprocessed CCM.
Summary/Conclusion: This research highlights the possibilities of bioreactor systems
in EV research and the challenges related to accurate quantification of EV associated
cytokines.
Funding: This research was funded by the European Union's H2020 Safe‐N‐Medtech project
(grant number 814607) and VITO nv.
PF02.02
Differential exosome profiles impact on T cell function in COVID‐19
Anna Schurich1; Molly George2; Jenifer Sanchez2; Katie Flaherty2; Christina Rollings3;
Matthew Fish2; David Fear2; Manu Shankar Hari2; Linda Sinclair3; Peter Irving2
1King's College London, School of Immunobiology and Microbial Sciences, London, United
Kingdom; 2King's College London, School of Immunology and Microbial Sciences, London,
United Kingdom; 3University of Dundee, Division of Cell Signalling and Immunology,
Dundee, United Kingdom
Introduction: As important mediators of intercellular communication alterations in
exosomes have been reported in various diseases, including in cancer and viral infections.
Here we explore the profile of COVID‐19 patient‐derived exosomes and their possible
impact on the crucial T cell mediated immune response.
Methods: Our cohort included healthy donors, patients with severe acute infection
requiring hospitalisation and donors recovered from mild or severe COVID‐19. Cell
free plasma was used to purify exosomes by Miltenyi MACS exosome isolation kit for
CD63+ selection. Exosome origin was established by staining exosomes for more than
30 cell‐specific surface markers and profiles were assessed by flowcytometry. For
functional experiments human T cells from healthy donors were pre‐activated, rested
and co‐cultured with 2.5ug patient‐derived exosome on two consecutive days, before
restimulation for assessment of phenotypic, metabolic and functional changes.
Results: Exosome profiles related to disease severity, indicating that different subsets
of cells were contributing to the anti‐viral response in mild and severe infection,
while vaccination mimicked aspects of viral infection. Changes were maintained for
several weeks post recovery and after vaccination. Interestingly, alterations in CD8
T cell‐derived exosomes were amongst the most pronounced detected. Patient‐derived
exosomes influenced cytokine production, activation status and metabolic profile of
T cells in vitro, with exosomes derived from patients recovered from mild disease
overall inducing immune suppression, while those from patients recovered from severe
disease led to increased T cell activation and corresponding metabolic reprogramming.
Summary/Conclusion: We find that exosomes in the circulation sustain distinct profiles
both post vaccination and during an immune response, making them interesting candidates
as biomarkers. Furthermore we show that patient derived exosomes influence T cell
function indicating their contribution to shaping anti‐viral immunity and clinical
outcome.
Funding: British Society of Antimicrobial Chemotherapy (BSAC) and Miltenyi Biotec
PF02.03
Proteomic characterization of extracellular vesicles recovered from plasma and bone
marrow from a patient with active leishmaniasis in the context of HIV co‐infection
Inês Costa1; Ana Isabel Pinto1; Sofia S. Esteves2; Nuno Santarém1; Cátia Caldas3;
Carmen Fernandez Becerra4; Anabela Cordeiro‐da‐Silva1
1Parasite Disease Group, Institute for Molecular and Cell Biology, Instituto de Investigação
e Inovação em Saúde, Universidade do Porto & Serviço de Microbiologia, Departamento
de Ciências Biológicas, Faculdade de Farmácia da Universidade do Porto, Portugal,
Porto, Portugal; 2Parasite Disease Group, Institute for Molecular and Cell Biology,
Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal & Serviço
de Microbiologia, Departamento de Ciências Biológicas, Faculdade de Farmácia da Universidade
do Porto, Porto, Portugal; 3Serviço de Doenças Infeciosas do Centro Hospitalar Universitário
de São João, Porto, Portugal e Faculdade de Medicina da Universidade do Porto., Porto,
Portugal; 4ISGlobal IGTP, Barcelona, Spain
Introduction: Leishmania‐HIV co‐infection has been an emergent problem in the last
twenty years and has been reported in 35 endemic countries. HIV‐infected people are
especially vulnerable to visceral leishmaniasis (VL), and VL accelerates HIV replication
and advancement to AIDS. VL and HIV co‐infection is characterized by significantly
lower cure rates, higher relapse risk and mortality when compared with HIV‐negative
VL patients. The current disease management options are limited and require improvement
to control infection progression. Therefore, new biomarkers are required to address
complex situations like asymptomatic disease, co‐infection and treatment assessment.
In this context, extracellular vesicles (EVs) are still an untapped resource with
great potential for biomarker development. Thus, EVs from an HIV+ patient with active
Leishmania infection for more than 8 years were recovered from plasma and bone marrow,
characterized by proteomics and compared to non‐infected patients, six healthy samples
and five HIV+ samples.
Methods: The purification and characterization of EVs were performed by SEC. EVs were
characterized by bead‐based flow cytometry assay, using specific EVs markers, such
as CD5L, CD71 and CD9. The proteins present in these EVs were compared against databases
for HIV, Homo sapiens sapiens and Leishmania infantum.
Results: The proteomic analysis confirmed the presence of several EVs biomarkers,
in all samples, confirming the capacity to detect exosomal content. Two peptides matching
Leishmania proteins were detected only in the infected patient and absent in non‐infected
controls. An uncharacterized Leishmania protein and tubulin beta chain were detected
in the EVs recovered from plasma and bone marrow, respectively.
Summary/Conclusion: The potential of these proteins as biomarkers is undergoing evaluation.
We will be following up and analysing further plasma and bone marrow samples recovered
from this patient at the same time point.
Funding: This work was financed by the Portuguese Foundation for Science and Technology
(FCT) through the PhD scholarships SFRH/BD/140177/2018, SFRH/BD/140119/2018 and by
Individual Support Grant CEECIND/04304/2017 awarded to Inês Costa, Sofia Esteves,
and Ana Pinto, respectively.
The full legal and ethical requirements have been considered in close collaboration
with the Research Integrity Unit of i3S. The participants consents were designed to
cover the potential usage of theirs samples and data in other Biomedical studies,
the participants can withdraw at any moment, the data is anonymized and treated in
compliance with the data protection measures imposed by European data protection legislation
constituted, namely, by the Regulation (EU) 2016/679, already implemented in i3S.
PF02.04
Evaluation of extracellular vesicles (EVs) and antibodies from chronic Chagas disease
patients after infection reactivation
Rafael Madeira Madeira1; Paula Meneghetti1; Nicholy Lozano1; Vera Lucia Pereira‐Chioccola2;
Ana Claudia Torrecilhas3
1UNIFESP, Sao Paulo, Brazil; 2Instituto Adolfo Lutz (IAL), Sao Paulo, Brazil; 3Federal
University of Sao Paulo, Sao Paulo, Brazil
Introduction: Chagas disease is a neglected zoonosis characterized as a tropical infection
caused by Trypanosoma cruzi. This infection is widely distributed in the Americas,
with an estimated 7 million people infected worldwide. The immigration of infected
people from endemic countries contributes to the spread of Chagas disease in non‐endemic
continents. The research for biomarkers using extracellular vesicles (EVs) circulating
in samples of chronic chagasic patients is still incipient. Our aim was to evaluate
and characterization of the specific markers express in circulating EVs isolated from
the blood of chagasic patients with immunosuppressive treatment after transplantation,
cancer or patients with HIV co‐infection
Methods: Patients' blood samples were collected using EDTA (ethylenediamine tetraacetic
acid). Then, it was centrifuged for 15 minutes and PCR (polymerase chain reaction)
was performed to detect the parasites. This was followed by the purification of EVs
for the analysis by NTA, chemiluminescent enzyme immunoassay (CL‐ELISA) to detect
the parasite‐specific glycoconjugate, such as Transialidase (TS), alpha‐Gal epitopes.
Results: The cohort of chronic chagasic patients (PCC) were composed the according
to clinical forms; Group I was composed of 52% patients with recurrence of infection
by immunosuppressive treatment after transplantation or cancer; Group II consisted
of 40% patients with the chronic cardiac form of Chagas disease; Group III consisted
8% of the patients with HIV/Chagas disease co‐infection. The EVs mean size were 150
nm for all patients samples. The concentration of EVs was around 1x108 to 1x109 particles/mL
for all samples. The CL‐ELISA results showed an increase of α‐Gal epitopes than TS
in samples from EVs isolated from CCP
Summary/Conclusion: The isolation of the total circulating extracellular vesicles
from CCP can serve as an important basis for further studies on biomarker research
Funding: FAPESP2020/07870‐4; FAPESP2019/15909‐0 and CNPq Universal 408186/2018‐6
PF02.05
Analysis of Extracellular Vesicles isolated from patients with SARS‐CoV‐2
Jaques Novaes de Carvalho1; Flávio Freitas2; Reinaldo Salomão1; Ana Claudia Torrecilhas3
1UNIFESP, Sao Paulo, Brazil; 2UNIFESP and Setor de Medicina Intensiva, Hospital Sepaco,
Sao Paulo, Brazil; 3Federal University of Sao Paulo, Sao Paulo, Brazil
Introduction: In Brazil, 22,246,276 cases of COVID‐19 were confirmed with 619,000
deaths with this having an unprecedented economic and public health impact of the
COVID‐19 pandemic. The virus causes severe acute respiratory syndrome 2 (SARS‐CoV‐2)
and infected host cells by binding the spike protein (S) to its receptor angiotensin‐2
converting enzyme (ACE2) and subsequent membrane fusion. The EVs transfer of viral
components and contributing in the spread of the human infection, but little research
has been done on the role of EVs during viral infection. Our aim is to analyze the
EVs released in the blood of patients infected with SARS‐CoV‐2 and characterization
this particles in the role in the human infection
Methods: We analyzed plasma samples from 42 patients with COVID‐19 from Hospital Sepaco
in São Paulo, Brazil (positive RT‐PCR tests for SARS‐CoV‐2) and 19 controls samples
healthy individuals. The EVS were isolated by ultracentrifugation at 100,000x g for
16 hours. The EVs were analyzed using the Nanoparticle Tracking Analysis (NTA) to
verify the size and the concentration, correlating them with the conditions of the
patients with a COVID‐19.
Results: NTA analyses showed that EVs from patients and controls are of similar size,
200nm diameter. In the other hand, EVs concentrations were 3.6+109 particles/mL(COVID
patients) and controls 1.5+1010 particles/mL. The age of patients older than 60 years
had a higher concentration of 1.7 + 1010 particles/mL. the group of the 40 years and
59 years with 1.62 + 1010 particles / mL and those under 39 years of age 9, 9 +109
particles/mL. Regarding outcome, those who died because of COVID‐19 had the highest
concentration of EVs 1.6 + 1010 particles/mL and those who were discharged from hospital
1.5 + 1010
Summary/Conclusion: EVs isolated from patients with COVID‐19 may be a new candidate
biomarker during virus infection openning a new perspective for the prognosis and
diagnosis of human infections
Funding: FAPESP, CAPES and CNPq
PF02.06
Extracellular vesicles released by picornavirus‐infected cells trigger an antiviral
response in immune cells
Xinyi Pei1; Kyra A.Y. Defourny1; Frank J.M. Van Kuppeveld2; Esther N.M Nolte‐'t Hoen1
1Division of Cell Biology, Metabolism & Cancer, Department of Biomolecular Health
Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands;
2Virology Section, Division Infectious Diseases & Immunology, Department of Biomolecular
Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
Introduction: Naked viruses of the picornaviridae family commonly spread via lysis
of infected cells. However, recent studies indicate that, prior to cell lysis, naked
viruses can be packaged and released inside extracellular vesicles (EVs). The EV membrane
protects enclosed virus particles against neutralizing antibodies, thereby facilitating
virus spread. However, it is unknown how immune cells respond to virus‐induced EVs.
Previously, we demonstrated that the picornavirus Encephalomyocarditis virus (EMCV)
induces the release of various virus‐carrying and other EV subsets. Here, we investigated
how virus‐induced EVs affect the antiviral response of immune cells.
Methods: EVs were isolated and purified from the supernatant of EMCV‐infected cells,
via differential ultracentrifugation and Optiprep density gradient. EVs were characterized
by western blot, high resolution flow cytometry and TCID50 assay. Human peripheral
blood mononuclear cells (PBMC) were incubated with EVs from (non‐)infected cells or
with naked virus, after which cytokine production was assessed by RT‐qPCR, ELISA,
and flow cytometry.
Results: EVs from EMCV‐infected cells, but not those from non‐infected cells, stimulated
the immune cells to produce the antiviral cytokines IFN type I, II, III IP‐10 and
inflammatory cytokines IL‐6, IL‐8 and TNF‐a. Intriguingly, we observed that EVs from
infected cells, of which a subset contained naked virus, were more potent in triggering
overall IFN type I production and IP‐10 production in CD14+ monocytes than a similar
amount of naked virus.
Summary/Conclusion: Although EVs can function as pro‐viral factor by protecting enclosed
naked virus particles from neutralizing antibodies, our data indicates that virus‐induced
EVs may also alarm the immune system by triggering the production of antiviral/inflammatory
cytokines. These findings shed light on the diverse effects of virus‐induced EVs on
the antiviral immune response.
Funding: This work was funded by The Netherlands Organisation for Scientific Research
(NWO‐ALW grant number ALWOP.351) and China Scholarship Council.
PF02.07
MSC‐EV preparations with and without immunomodulatory capabilities reveal comparable,
detergent resistant Ecto‐5'‐nucleotidase (CD73) activities
Fabiola Nardi Bauer1; Tobias Tertel1; Oumaima Stambouli1; Robin Dittrich1; Simon Staubach1;
Verena Börger1; Sven Brandau2; Bernd Giebel1
1Institute for Transfusion Medicine, University Hospital Essen, University of Duisburg‐Essen,
Essen, Germany, Essen, Germany; 2Department of Otorhinolaryngology, University Hospital
Essen, University of Duisburg‐Essen, Essen, Germany, Essen, Germany
Introduction: Extracellular vesicles (EVs) derived from conditioned media of human
mesenchymal stem/stromal cells (MSCs) reveal immunomodulatory capabilities in a number
of different in vitro assays and preclinical models. Recently, we compared the immunomodulatory
potential of independent MSC‐EV preparations in a multi‐donor mixed lymphocyte reaction
(mdMLR) assay and in an optimized steroid refractory acute Graft‐versus‐Host Disease
(aGvHD) mouse model. We observed, only a proportion of our applied MSC‐EV preparations
revealed immunomodulatory capabilities. In more detail, only MSC‐EV preparations with
mdMLR immunomodulating activities were able to suppress GvHD symptoms in vivo and
vice versa. Since the mdMLR assay is quite complex and depends on primary human cells
of different donors, we sought to establish a quantitative assay that is much easier
to standardize and fulfills requirements for becoming qualified as a potency assay.
Methods: To this end, we adopted an enzymatic assay that monitors the 5’ ectonucleotidase
activity of CD73, one of the bona fide MSC marker proteins that is also prominently
recovered on MSC‐EVs. The enzymatic activity of CD73 was evaluated by the quantification
of free phosphate that is formed upon CD73‐mediated cleavage of adenosine‐monophosophat
into adenosine and free phosphate.
Results: Here, we report that that recorded 5’ ectonucleotidase activities of different
MSC‐EV preparations does not correlate with the immunomodulatory capabilities of the
MSC‐EV preparations that had been monitored in the mdMLR assay or the aGvHD mice,
respectively. Furthermore, this activity is hardly affected by EV‐destroying detergents.
Summary/Conclusion: Thus, for the evaluation of the immunomodulatory activities of
independent MSC‐EV preparations produced under our standardized procedure, including
their integrity, the CD73 enzyme activity is not indicative. Defining, setting up
and validating an appropriate assay as potency assay for the evaluation of independent
MSC‐EV products remains challenging.
PF02.08
Extracellular vesicles isolated from human plasma as potential diagnostic tool for
osteoarthritis
Jana Janockova1; Jana Matejova2; Marko Moravek1; Lucia Slovinska1; Denisa Harvanova1;
Timea Spakova1; Jan Rosocha1
1Associated Tissue Bank, Faculty of Medicine, P. J. Šafárik University in Košice,
Slovakia, Kosice, Slovakia; 2Associated Tissue Bank, Faculty of Medicine, P. J. Šafárik
University in Košice, Slovakia, Košice, Slovakia
Introduction: Extracellular vesicles (EVs) are membranous structures derived from
cells and play an essential role in intercellular communication via transfer of bioactive
proteins, lipids and RNAs. Both, normal and pathological cells are able to release
various types of EVs with different physiological properties, functions and composition.
In general, EVs are classified based on their biogenesis to the three main classes
– apoptotic bodies, microvesicles and exosomes, which have different size and biogenesis.
The proper definition and characterization of the subtypes of EVs varies in the literature,
therefore in this study the collective term EVs is used. One of the great sources
of EVs is peripheral blood plasma, as it is easily collected and does not usually
cause excessive discomfort for patients. However, blood plasma contains large amounts
of soluble proteins and aggregates which may cause a problem concerning of clinical
grade EVs production in sufficient quantity, high efficiency and without impurities.
This work is focused on the isolation of EVs from human plasma from healthy donors
and osteoarthritis patients. Osteoarthritis (OA) is a disease of the entire joint
including structural changes in articular cartilage, subchondral bone, synovial membrane
and muscles around the joint. It is known that EVs reflect the physiological and pathological
condition of cells and may operate as an effective tool for biomarkers diagnosis of
OA.
Methods: qEV Izon columns based on size exclusion chromatography were used for EVs
isolation. Isolated exosomes were further identified by vesicle size using NTA analysis.
Subsequent qualitative and quantitative analysis using flow cytometry, western blotting
and ELISA methods were applied for identification of typically surface markers (CD63,
CD9, CD81, TSG101, HSP70) expression.
Results: Results showed the successful preparation and characterization of EVs from
human plasma which were confirmed in terms of their size and protein components. NTA
analysis showed isolated particles in the size range of 30–150 nm. The presence of
EVs markers was different between studied groups.
Summary/Conclusion: Obtained results suggested potential usage of EVs in the OA diagnostic.
Funding: Acknowledgment: This publication is the result of the project implementation:
“Open scientific community for modern interdisciplinary research in medicine (OPENMED)”,
ITMS2014+: 313011V455 supported by the Operational Programme Integrated Infrastructure,
funded by the ERDF. This research was also supported by the Slovak Research and Development
Agency under the contract No. APVV‐17‐0118 and the Scientific Grant Agency of the
Ministry of Education, Science, Research and Sport of the Slovak Republic and Slovak
Academy of Sciences (VEGA, No. 1/0229/20).
PF02.09
Phenotypic characterization of small extracellular vesicles in synovial fluid of osteoarthritic
patients
Álvaro Compañ Bertomeu1; María Isabel Guillén1; María Luisa Ferrándiz1; María José
Alcaraz1; Ignacio Muñoz2
1Instituto Interuniversitario de Investigación de Reconocimiento Molecular y Desarrollo
Tecnológico (IDM), Universitat Politècnica de València, Universitat de València, Valencia,
Spain; 2Instituto Musculoesquelético Europeo (IMSKE), Valencia, Spain
Introduction: Osteoarthritis (OA) is the most common joint problem. In OA, oxidative
stress and inflammation occur, which causes destruction of the articular cartilage
with an increase in the volume of synovial fluid (SF). Extracellular vesicles (EV)
are lipid vesicles which contain a bioactive cargo of RNAs, proteins and lipids. In
OA, EV have immunomodulatory functionality and chondroprotective effect. However,
much remains to be discovered about the contributions of SF EV to OA pathophysiology.
Our objective was to characterise small EV contained in SF of OA patients as a possible
biomarker.
Methods: The SF was obtained from 25 patients diagnosed with OA undergoing knee replacement
with ages between 50 and 79 years old. SF is processed following the differential
centrifugation standard to get rid of intact cells, debris, and organelles. For small
EV isolation we used Exo‐spinTM midi columns Purification Kit, and IZON's qNano to
quantify them. Finally, for the phenotypic characterisation we used CD9 and CD81,
as transmembrane markers, PDCD6IP (ALIX) and ESCRT‐I/II/III (TSG101) as cytosolic
protein markers and Calnexin (CNX) as a negative control.
Results: All patients presented leukocyte values and sedimentation rate within normal
ranges, indicating that there is no inflammation due to other causes. The colorimetric
study of the SF indicated that all the samples had a similar appearance: yellowish
colour and the same viscosity. The results of qNano study showed a mean size of 185,44±34,26
nm of particle and a raw concentration of 7,71E+8±1,87E+8 EV/mL. The phenotypic study
showed that isolated EV were positive for CD9, CD81, ALIX, TSG101 and negative for
CNX.
Summary/Conclusion: This preliminary study indicates that small EV of OA SF have phenotypic
markers characteristic of this type of EV. These small EV could be a diagnostic tool
to know the severity and evolution of OA.
Funding: Projects SAF2017‐85806‐R (Ministerio de Economía, Industria y Competitividad).
PF02.10
Biomarkers analysis of extracellular vesicles (EVs) derived from Peripheral Blood
Mononuclear Cells (PBMCs) of patients with Inflammatory Bowel Disease (IBD)
Emilia Emilia Scharrig; Claudio Giraudo
Thomas Jefferson University, Philadelphia, USA
Introduction: IBD is a hyperinflammatory disorder that manifests with a severely compromised
intestine, combined with dysregulation of the immune system. Although several factors
have been associated with the disease, the pathophysiological mechanism is still not
well‐understood. Recent research suggests that EVs may be involved in the progression
of IBD inflammation, still little is known about the contribution of immune cells‐derived
EVs to this pathology.
Methods: To inquire about potential biomarkers of IBD we evaluate the protein composition
of PBMCs‐derived EVs. They were obtained by differential ultracentrifugation, filtration,
and washing from the supernatant of PBMCs (3 IBD Patients and 3 Healthy Controls ‐HC‐)
cultured in serum‐free media. Size and concentration were analyzed using a NanoSight
instrument. The presence of EVs markers (CD63, CD81, Hsp70) was analyzed by immunoblotting.
The proteomic profile was executed by MS/MS. Bioinformatics analysis was performed
using Perseus. String database was used to predict relations between proteins, and
functional‐enrichment analysis was done with FunRich.
Results: More than 820 proteins were identified in each sample. The patient EVs shared
a core of 754 proteins. Several proteins were under‐expressed in patients like SLC1A5,
SHMT2, ARF3, SAR1A, and others were more abundant than in controls: VIM, ORM1, RPL6,
A1BG. Interestingly, the absent proteins in patients were implicated in lipid metabolism
(HADH) and proteosome (PSMA4) between others. The unique ones were implicated in cell
adhesion (FLG2) and others.
Summary/Conclusion: In conclusion, our studies show that the EVs from PBMCs of IBD
patients contain a specific protein composition that differs from those of HC, having
the potential to be used as a biomarker for diagnostics and progression of the disease.
Additionally, these data provide new insights into our understanding of the cellular
pathways that might be involved in the pathogenesis of IBD. The studies were performed
with corresponding IRB approvals.
PF02.11
Protein Analysis of Plasma Extracellular Vesicles Isolated by Optimized Size Exclusion
Chromatography Revealed ADAM10 as an EV‐marker for Rheumatoid Arthritis
Onno Arntz1; Rogier Thurlings1; Michiel Vermeulen2; Peter van der Kraan1; Marije Koenders1;
Fons van de Loo1
1RadboudUMC, Nijmegen, Netherlands; 2Radboud Institute for Molecular Life Sciences,
Nijmegen, Netherlands
Introduction: Isolation of pure extracellular vesicles (EVs) from plasma is still
a challenge. Size exclusion chromatography (SEC) has become the common method to isolate
EVs from plasma but recently, we discovered that conventional SEC columns does lead
to impure plasma EVs (pEVs)(1). In this study, protein profiles of optimized SEC isolated
pEVs from rheumatoid arthritis (RA), osteoarthritis (OA) patients, and healthy controls
(HC) were determined to discover potential pEV biomarkers.
1. Arntz O.J. PLoS One. 2020
Methods: pEVs were isolated from well‐defined RA‐ and OA‐patients, and HC by optimized
SEC. After characterization by Nanosight‐track‐analysis, exosome markers were determined
by western blot (WB) and protein content and composition by respectively, microBCA
and mass spectrometry (MS).
Results: Concentration, size, and protein content of RA‐ (9.63 x109 particles/ml,
120 nm, 0.30 fg protein/particle), OA‐ ( 9.25 x109 particles/ml, 114 nm, 0.31 fg protein/particle),
and HC‐pEVs (9.30x109 particles/ml, 114 nm, 0.26 fg protein/particle) donors were
similar. Exosome markers CD9, ALIX, and HSP‐70 were present on isolated pEVs, determined
by WB. Other exosome markers like CD81, CD63 were detected by MS. The proteomic profile
of pEVs revealed high overlap (417 proteins, 76% of total), while 12 proteins seems
unique for RA‐pEVs and 4 proteins for OA‐pEVs. Eight proteins were only detectable
in HC‐pEVs. One protein was significantly present in RA‐pEVs (ADAM10) and of three
proteins (SPN, AQP1, COL6A2), the levels were statistically significant higher. No
significant differences were observed in OA‐pEVs compared to RA and HC. The significant
RA‐pEV proteins were linked to muscle diseases by FunRich proteomics software analysis,
with ADAM10 as central protein in the functional interaction network.
Summary/Conclusion: The observed different protein profile in RA‐pEVs compared to
HC and OA patients, could serve as a fingerprint for this disease and ADAM10 seems
to be a specific pEV marker for RA.
PF02.12
Characterisation of Circulating Extracellular Vesicles from Rivaroxaban‐Treated VTE
Patients Reveals an Altered Inflammatory State
Luisa Weiss1; Paulina Szklanna1; Tadhg Prendiville2; Karl Egan1; Sarah Kelliher2;
Áine Lennon2; Eugene Dillon3; Alfonso Blanco4; Barry Kevane2; Seán Murphy5; Fionnuala
Ní Áinle2; Patricia Maguire1
1UCD Conway SPHERE Research Group, Conway Institute, University College Dublin, Ireland,
Dublin, Ireland; 2Department for Haematology, Mater Misericordiae University Hospital,
Ireland, Dublin, Ireland; 3Mass Spectrometry Core Facility, Conway Institute, University
College Dublin, Ireland, Dublin, Ireland; 4Flow Cytometry Core Facility, Conway Institute,
University College Dublin, Ireland, Dublin, Ireland; 5Department for Stroke Medicine,
Mater Misericordiae University Hospital, Ireland, Dublin, Ireland
Introduction: Venous Thromboembolism (VTE) remains a significant cause of morbidity
and mortality worldwide. Rivaroxaban, a direct oral factor Xa inhibitor, mediates
anti‐inflammatory and cardioprotective effects besides its well‐established anticoagulant
properties; yet these remain poorly characterized. Extracellular vesicles (EVs) are
important messengers regulating a myriad of (patho)physiological processes and, as
considered proinflammatory entities, may be highly relevant to the pathophysiology
of VTE. The effects of rivaroxaban on circulating EVs in VTE patients remain unknown
and we hypothesized that its anti‐inflammatory properties are reflected upon differential
molecular profiles of circulating EVs.
Methods: VTE patients anticoagulated with either Rivaroxaban or warfarin were recruited
following informed written consent. We used single vesicle analysis by nanoparticle
tracking and flow cytometry to comprehensively characterise the concentration and
size of small (0‐200nm) and large (200‐1000nm) EVs, respectively. Proteomic cargoes
of enriched vesicular fractions were assessed using a label‐free quantification mass
spectrometry approach.
Results: While total small and large EV counts did not differ, we found a statistically
significant, selective reduction in the proportion of 400‐700nm large EVs in Rivaroxaban‐treated
patients. Proteomic profiling of circulating EV cargoes from these patients robustly
quantified 182 proteins, with a cluster of proteins involved in negative feedback
regulation of inflammatory and coagulation pathways found to be enriched in Rivaroxaban‐treated
patients.
Summary/Conclusion: Our results indicate an ameliorated baseline pro‐inflammatory
state of VTE patients anticoagulated with Rivaroxaban and establish that EV proteomic
signatures may be powerful biological sensors of rivaroxaban's anti‐inflammatory potential.
These findings are of translational relevance towards characterizing the underlying
anti‐inflammatory and cardioprotective mechanisms associated with this therapy.
Funding: Bayer AG
PF02.13
Anti‐viral Effect of MSC‐derived Extracellular Vesicles in models of Virus Induced
Acute Respiratory Distress Syndrome
Byong Seung Cho; Jun Ho Lee; So Jeong Kim; Hyeong Tae Yu; Yong‐In Yoo; Hyungtaek Jeon
ExoCoBio Inc., Seoul, Republic of Korea
Introduction: Both corona‐ and influenza viruses have the capacity to induce severe
respiratory symptoms, and even lung injury with significant mortality, as illustrated
by the current COVID‐19 pandemic. In this study, we aimed to determine whether adipose
tissue‐derived mesenchymal stem cell EVs (ASC‐EVs) can attenuate acute lung injury
(ALI) induced by either H1N1 influenza A virus and SARS‐CoV‐2, and by which mechanisms
this may occur.
Methods: EVs were isolated from ASC conditioned media by tangential flow filtration,
and were characterized according to MISEV recommendation. Influenza A/Puerto Rico/08/1934
(H1N1) and SARS‐CoV‐2 (NCCP43326) were used to model highly pathogenic human influenza
A and SARS‐CoV‐2 virus infection, respectively, in mice and Syrian hamsters respectively.
All animal experiments were performed under animal biosafety level 2 or 3 conditions.
Results: Treatment of ASC‐EVs, from 0.15 x 10^9 to 5.0 x 10^9 particles/mL, showed
inhibitory activities on cytopathic effects and replication of H1N1 and SARS‐CoV‐2
in MDCK cells and Vero E6 cells, respectively. In the mouse H1N1 influenza A virus
induced acute lung injury (ALI) model, total of 4 daily injections of 1 x 10^10 particles
of ASC‐EVs administration resulted in significantly increased survival rate by 30
– 40%, recovery of body weight, and improved clinical disease score from 9 dpi. In
the Syrian hamster SARS‐CoV‐2 induced ALI model, total of 4 daily injections of ASC‐EVs
at a dose of 3 x 10^10 or 1 x 10^10 particles resulted recovery of body weights from
5 dpi, in a dose‐dependent manner, by 9.7% ‐ 12.75%. Further, ASC‐EV treatment resulted
in significant downregulation of viral genes in lung tissue. To elucidate the molecular
mechanisms of the observed anti‐viral effects of ASC‐EVs, the role of multiple miRNAs
and proteins present in the ASC‐EVs were assessed in vitro. We identified one specific
protein that conveyed anti‐viral efficacy against the two studied viruses including
SARS‐CoV‐2. Loss and gain of function studies revealed that this protein may be involved
in the anti‐viral efficacy of the ASC‐EVs.
Summary/Conclusion: Our findings support the concept that that ASC‐EVs have anti‐viral
effects against virus induced ALI, which may have implications for the treatment of
not only treatment COVID‐19, but also future ALI‐inducing virus diseases.
PF02.14
Plant polyphenolics as potential antiviral candidates against SARS‐CoV‐2
Farrukh Aqil1; Raghuram Kandimalla2; Divyasha Saxena3; Margaret Wallen4; Disha Moholkar2;
Jeyaprakash Jeyabalan4; Wendy Spencer4; Jon Gabbard3; Kenneth Palmer3; Ramesh C. Gupta5
1University of Louisville, Louisville, USA; 2University of Louisville, Louisville,
KY 40202, Louisville, USA; 3Center for Predictive Medicine, University of Louisville,
Louisville, KY 40202, USA, Louisville, USA; 43P biotechnologies Inc., Louisville,
KY 40202, Louisville, USA; 53P biotechnologies and Department of Pharmecology & Toxicology
and Brown Cancer Center, University of Louisville, Louisville, KY 40202, Louisville,
USA
Introduction: The incidence of viral pandemics has been one of many side effects of
increased international commerce and travel. The most recent outbreak, caused by severe
acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), started in late 2019. The threat
of this virus has not waned as mutations continue to produce new variants capable
of evading immunity acquired through vaccines and infection. Limited efficacious antiviral
drugs and continued evolution of vaccine‐resistant strains underscores the need for
development of effective antiviral therapeutics. Here, we develop an easy‐to‐use BSL2
system to screen potential antiviral drugs against SARS‐CoV‐2. We show significant
antiviral effects of plant polyphenolics in vitro. Select polyphenolics were advanced
for testing against the live virus.
Methods: Exosomes were isolated from bovine colostrum powder by rehydration and differential
centrifugation. We first established the exosome‐PEI matrix (EPM)‐based system to
express key SARS‐CoV‐2 proteins, a subunit of the spike glycoprotein (S1), nucleocapsid
(N), and replicase (RdRp) using expression plasmids. HEK293T cells were transfected
with all three plasmids simultaneously and treated with test polyphenolics for 48
h and analyzed by Western blot. To determine potential antiviral activity, Vero E6
cells (20,000 cells/well) were seeded in 96‐well plate and co‐treated with putative
antiviral polyphenolics and SARS‐CoV‐2 (200 pfu/well, USA/WA1/2020 strain). After
72 h incubation, cells were imaged for cytopathic effect (CPE) and cell viability
measured using MTT assay.
Results: Our data show the EPM system efficiently introduced all three SARS‐CoV‐2
proteins (S1, N and RdRp) in HEK293T cells. Systematic screening of numerous compounds
showed varying ability to inhibit their expression. Two agents – pomegranate‐derived
punicalagins (PC) and bilberry‐derived anthocyanidins (Anthos) ‐ dose dependently
inhibited expression of all the three proteins. Co‐treatment with PC and Anthos reduced
virus induced cell death in Vero E6 cells with an EC50 value of 18 μM and EC50 73
μM, respectively. The antiviral activity of PC was confirmed by cell imaging for CPE
where the viral replication was completely inhibited at a higher concentration (EC90;
77 μM). No cytotoxicity was observed in Vero E6 cells up to a concentration of 200
μM.
Summary/Conclusion: The EPM vector introduces plasmids for high expression of viral
proteins and provides an alternative model for screening antiviral therapeutics. Two
potential antiviral polyphenolics were identified that have strong antiviral effects
in live virus challenge assays. Animal studies in virus‐specific animal modelare warranted
for the further validation of the model system and plant therapeutics.
Funding: Supported from 3P Biotechnologies & from the Duggan Endowment.
PF03: Technologies and methods: Engineering and loading EVs and other particles
Chair: Dhanu Gupta – Department of laboratory medicine, Karolinska Institutet
PF03.01
A facile method for PEGylation of plant‐derived nanovesicles using PEG precipitation
Hyeyeon Joo1; Van Quy Nguyen2; Wooram Um1; Yong Woo Cho3; Jae Hyung Park1
1Sungkyunkwan Universtiy, Suwon‐si, Republic of Korea; 2Sungkyunkwan University, Suwon‐si,
Republic of Korea; 3ExoStemTech Inc., Seongdong‐gu, Republic of Korea
Introduction: Extracellular vesicles (EVs) are extracellular membrane vesicles which
are endogenously released from cells. Dependent on their origin, EVs contain various
bioactive components such as RNAs, lipids and proteins, representing unique biological
functions. Therefore, EVs have been identified as mediators in cell‐to‐cell communications.
Especially, plant‐derived nanovesicles (PVs) have been introduced as a novel strategy
due to its safety, cost‐effectiveness and clinical favorability since they are derived
from natural sources. However, the poor stability and rapid clearance have restricted
the in vivo clinical applications. Here, we developed a highly versatile method to
control the in vivo bioavailability by modifying their surfaces with poly(ethylene
glycol) (PEG). PEGylated PVs (P‐PVs) improved their stability by reducing their aggregation
through physicochemical interactions.
Methods: Extracellular nanovesicles were originated from sprouts of Brassica oleracea,
known to have abundant antioxidants and anti‐inflammatory phytochemicals. When excessive
amount of PEG was introduced, the hydrophobic exclusion allowed PEG to preferentially
precipitate PVs. Physicochemical properties were investigated by assessing size distribution,
surface zeta potential and transmission electron microscopy (TEM). Finally, internal
protein concentrations of PVs and P‐PVs were quantitatively compared to explore the
bioactivity loss of PVs.
Results: To optimize the proper PEG contents, three different concentrations (8, 10,
and 12 wt%) were prepared. The results of size analysis and zeta potential exhibited
that PEG has successfully attached to the PVs surface depending on the concentration
levels. Additionally, we assessed antioxidant activity as a representative function
of PVs and P‐PVs and no remarkable differences were found in 8 and 10% samples, implying
the internal content and its activities can be preserved in lower concentration than
12 wt%.
Summary/Conclusion: In summary, we introduced the PEG precipitation as a facile method
for surface editing of PVs. Especially, PEGylation process by hydrophobic exclusion
showed a highest yield under 10 wt% PEG. Size and zeta potential results were maintained
for 24 hours, and TEM images confirmed the size stability in presence of 10 wt% PEG.
Additionally, the protein concentration and antioxidant activity test exhibited that
this method does not affect to the quantity and quality of internal contents. Overall,
it is evident that PEGylation of PVs may be highly useful methodology for modulating
PVs with improved stability.
Funding: This research was supported by the Korean Fund for Regenerative Medicine(KFRM)
grant funded by the Korea government(the Ministry of Science and ICT, the Ministry
of Health & Welfare). (21A0503L1‐11)
PF03.02
Biophysical studies of the interaction of TNAP with the lipid membrane during biomineralization
Bruno Z. Favarin1; Heitor G. Sebinelli2; Thierry Azaïs3; Nadine Nassif3; Ana Paula
Ramos4; Massimo Bottini5; José Luis Millán6; Antonio josé da Costa‐Filho7; Pietro
Ciancaglini8
1¹Molecular Biophysics Laboratory, Department of Physics, Faculty of Philosophy, Sciences
and Letters of Ribeirão Preto, University of São Paulo 2Dept. Chemistry, FFCLRP‐USP,
SP, Brazil 3 Sorbonne Université, CNRS, Collège de France, Laboratoire de Chimie de
la Matière Condensée de Paris (LCMCP), F‐75005 Paris, France, paris, France; 2Faculdade
de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) ‐ Universidade de São Paulo
(USP), Ribeirão Preto, Brazil; 3Sorbonne Université, CNRS, Collège de France, Laboratoire
de Chimie de la Matière Condensée de Paris (LCMCP), F‐75005 Paris, France, Paris,
France; 4Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) da Univeridade
de São Paulo (USP), Av. Bandeirantes, 3900, Brazil; 5University of Rome Tor Vergata,
Roma, Italy; 6Sanford Burnham Prebys, La Jolla, CA, USA, La Jolla, USA; 7Molecular
Biophysics Laboratory, Department of Physics, Faculty of Philosophy, Sciences and
Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil; 8Faculdade
de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) da Univeridade de São Paulo
(USP), Ribeirão Preto, Brazil
Introduction: Endochondral calcification is mediated by matrix vesicles (MVs), a special
class of extracellular vesicles responsible for the initial precipitation of calcium
phosphates. The MV membrane has higher levels of Tissue‐Nonspecific Alkaline Phosphatase
(TNAP) than the plasma membrane. TNAP is a the glycosylphosphatidylinositol (GPI)‐anchored
phosphomonohydrolase capable of generating inorganic phosphate (Pi) from ATP and inorganic
pyrophosphate (PPi) hydrolysis, therefore initiating biomineralization. The lipid
composition of membranes can modulate TNAP activity, but little is known about the
mechanics of this process. Here we propose that the lipid composition influences the
distance between the enzyme and the membrane resulting in different activity and mineralization
characteristics. TNAP mutants were designed for use of EPR spin probes in Cys aminoacids
to be able to map the proximity of the enzyme to the membrane. Two mutants, Pro307Cys
and Ala420Cys, are particularly close in the structure to the GPI anchor motif
Methods: The mutant enzymes were reconstituted into dipalmitoyl‐sn‐glycero‐3‐phosphocholine
(DPPC) and dimyristoyl‐sn‐glycero‐3‐phosphocholine (DMPC) liposomes. Catalytic activity
and in vitro mineralization assays were performed. Minerals were analyzed by ATR‐FTIR
(Pi/CO band ratio).
Results: The TNAP mutants in DPPC were shown to be active: TNAP Pro307Cys (1.6x103
M‐1.s‐1) and TNAP Ala420Cys (9.2x102 M‐1.s‐1). There was a decrease in catalytic efficiency
of approximately 1.7 times may be due to the presence of Cys in a position close to
the site catalytic, thus making interaction with substrate difficult. A Attenuated
Total Reflectance fourier transformed infrared spectroscopy (ATR‐FTIR) results show
an Pi/CO band ratio of 2.16 for TNAP Pro307Cys and a ratio 2.19 for TNAP Ala420Cys,
similar values of mineral forming. In more fluid lipids (DMPC) the catalytic efficiency
of DMPC‐TNAP Pro307Cys was 1.7x103 M‐1.s‐1 and DMPC‐TNAP Ala420Cys was 1.1x103 M‐1.s‐1.
Regarding the ATR‐FTIR Pi/CO ratio, it was found lower value for TNAP Pro307Cys (1.79)
than to TNAP Ala420Cys (2.10).
Summary/Conclusion: The results show that greater catalytic efficiency factors are
not always the main causes of mineral formation, and that the type of lipid (phase
state) seems to cause greater effects in the biomineralization process. In order to
have more information, further investigations are in process using ssNMR and Cryo‐EM.
Funding: Supported by FAPESP: (2019/08568‐2; 2021/02768‐0); CNPq (304021/2017‐2)
PF03.03
Characterizing the impact of cell culture conditions in hollow fiber bioreactors on
cells and EVs
Brianna Huszti1; Erika Duggan2; Thomas Maslanik1; John P. Nolan2
1Cellarcus Biosciences, La Jolla, USA; 2Scintillion Institute, San Diego, USA
Introduction: Introduction: Translation of EV research from the bench to the clinic
requires transition from small‐scale flask‐based EV production to large‐scale EV production
in bioreactors. Culture conditions vary between these systems which may affect the
composition and utility of cells and EVs produced. We performed rigorous, quantitative
analysis of cells and EVs from flasks and bioreactors to examine the impact of different
cell culture conditions.
Methods: Methods: HEK239T cells cultures were maintained under standard culture conditions
for either T‐225 flasks or a hollow fiber bioreactor. Cells and EVs were harvested
and analyzed using flow cytometry or a standardized, single vesicle flow cytometry
(vFC) assay, respectively. Tetraspanin (TS) expression was measured using PE‐conjugated
monoclonal antibodies against CD9, CD63, and CD81 and phosphatidylserine was measured
using PE‐conjugated Annexin V.
Results: Results: HEK293T cells from both flasks and bioreactors express high levels
of CD9 and CD81 and dimly express CD63. Expression of these markers is reduced in
cells from bioreactors. EVs from both flask and bioreactor HEK293T culture supernatants
express phosphatidylserine and CD81. CD9 expression was below the limit of detection
of the vFC assay on EVs from flasks (LOD 25 antibodies/EV) but was detectable in a
subpopulation of EVs from a bioreactor. CD63 expression was below the LOD in EVs from
flasks or bioreactors.
Summary/Conclusion: Summary/conclusion: Analysis of TS expression in cells and EVs
from flasks and bioreactors using flow cytometry and vFC reveals altered expression
of cargo important to EV‐physiology. These changes may impact function or suitability
of EVs in downstream applications. Understanding changes elicited by differing culture
conditions is important to assessing the suitability of an EV production method. Transitioning
to large‐scale EV production or making other alterations to cell culture conditions
must be supported by rigorous characterization using standardized, suitable assays.
PF03.04
Customizing the extracellular vesicles release and effect by strategizing surface
functionalization of titanium
Miquel Antich‐Rosselló1; Maria Antònia Forteza‐Genestra2; Javier Calvo3; Antoni Gayà3;
Marta Monjo4; Joana Maria Ramis4
1Institut d'investigació Sanitària de les Illes Balears, Palma De Mallorca, Spain;
2Institut d'investigació Sanitària de les Illes Balears, Palma, Spain; 3Banc de Sang
i Teixits de les Illes Balears, Palma, Spain; 4Universitat de les Illes Balears, Palma,
Spain
Introduction: Metallic material functionalization with Extracellular Vesicles (EVs)
is a desirable therapeutic approach to improve regenerative procedures. EVs are a
heterogeneous population of communication nanovesicles released by cells that are
being intensively investigated for their use in therapeutics.
Methods: Here platelet derived EVs for Ti surface coating were selected due to their
demonstrated osteoinductive properties. Among the different functionalization strategies
available, drop casting on machined Ti surfaces, drop casting on nanostructured TiO2
surfaces and polymeric entrapment with polydopamine were compared.
Results: Our results show that each functionalization strategy leads to differences
in the size of EV populations attached to‐ and released from‐ the metallic implants,
which, in turn, leads to variations in their osteogenic capability measured through
alkaline phosphatase activity and calcium deposition.
Summary/Conclusion: In conclusion, the functionalization strategy used has an important
effect on the resulting implant functionality, probably due to the heterogeneous EVs
nature. Thus, the methodological approach to metallic material functionalization should
be carefully chosen when working with extracellular vesicles in order to obtain the
desired therapeutic application.
Funding: This research was funded by Instituto de Salud Carlos III, co‐funded by the
ESF European Social Fund and the ERDF European Regional Development Fund (contract
to J.M.R; MS16/00124 and and project PI17/01605) and the Direcció General d'Investigació,
Conselleria d'Investigació, Govern Balear (contract to M.A.R.; FPI/2046/2017) and
the Institut d'Investigació Sanitària de les Illes Balears (contract to M.A.F.G; ITS2018‐002‐TALENT
PLUS JUNIOR PROGRAM, JUNIOR18/01).
PF03.05
Development of red blood cell based reference materials for EV studies
Kai Härkönen1; Juha Prittinen2; Ulla Impola1; Petra Ilvonen3; Saara Laitinen1
1Finnish Red Cross Blood Service, Helsinki, Finland; 2University of Eastern Finland,
Finnish Red Cross Blood Service, Helsinki, Finland; 3Finnish Red Cross Blood Service,
University of Helsinki, Helsinki, Finland
Introduction: There is a great need for reference materials for EV analyses i.e for
calibration purposes and comparison of data from different laboratories. One of the
special needs is in clinical flow cytometry in EV therapy development. Most artificial
nanoparticles used for calibration are made from synthetic material such as polystyrene
or latex, having a different refractive index than natural EVs. As red blood cells
(RBC) possess a rich source of microparticles RBC concentrates offers an alternative
to current reference materials.
Methods: RBCs are pelleted and washed from leukocyte reduced erythrocyte concentrates
with gentle centrifugation steps. RBC degradation is performed either with sonication
or extrusion with syringe‐driven single‐use polycarbonate extruders with pore sizes
of 1000 nm to 200 nm. Ghosting of RBCs is done with repeated freeze‐thaw treatment
followed by washing of RBC membranes with centrifugation. CD235a intra‐ and extracellular
fluorescent antibodies have been used for immunostainings of RBCs and RBC nanoparticles.
Results: RBC degradation with sonication seems to produce particles with more variable
size and morphology than extrusion. Production of nanoparticles from ghosted RBCs
may result in a purer end product, but it seems that cytoskeletal proteins, such as
spectrin, may support forming of nanoparticles during degradation. However, the mass
of non‐encapsulated proteins should be removed from the sample afterwards to ensure
high purity of reference material.
Summary/Conclusion: As only a small amount of RBC material from collected whole blood
is required for abundant reference material production, artificial RBC‐EVs may offer
a new product for blood services. The use of RBCs will not only allow the production
of EV‐like particles with natural lipid composition but also offers the possibility
to use RBC specific marker (CD235a) as an internal standard.
Funding: Business Finland ecosystem funded project EVE
Academy of Finland – GeneCellNano Flagship
PF03.06
EV‐inspired Nano Cell‐Vesicle Technologies (nCVTs): fusion between cellular components
and synthetic nanocarriers
Giorgia Pastorin
National University of Singapore, Singapore, Singapore
Introduction: Extracellular vesicles (EVs) are a class of cell‐derived lipid‐bilayer
membrane vesicles secreted by almost all mammalian cells and involved in intercellular
communication by shuttling various biological cargoes.
The imitation of this natural process that enables cells to communicate with both
neighbouring and distant cells has inspired the development of new nanotechnological
strategies to improve the delivery of drugs at their site of action. Scientists have
recently exploited these EVs to either load them with drugs or to develop artificial
EV mimetics that preserve biocompatibility and intrinsic targeting ability towards
diseased cells.
Methods: We have recently conceived a nano‐biohybrid system building on the idea of
“combining the best of two worlds”: these nano‐Cell Vesicle Technology Systems (nCVTs)
are obtained through the fusion of cell‐derived components and conventional synthetic
materials.
More specifically, 2e7 cells were first emptied of intracellular contents to produce
cell ghosts (CGs) according to a modified protocol that preserved the structure and
minimized membrane flipping. Next, 1 × 10e7 cell ghosts were added to a 2 mg lipid
thin film (95 : 5 molar weight of 1,2‐dipalmitoyl‐sn‐glycero‐3‐phosphocholine and
0.05 mg of cholesterol), where the film was subsequently hydrated, encapsulating the
cellular membranes within giant liposomes. The suspension was then extruded to produce
nCVTs that are at the nanoscale and consist of the fusion of both lipid and CG membranes
from the large multi‐lamellar liposomes that originally encapsulated the CGs.
Results: Through this method it is possible to efficiently load small anticancer drugs,
antisense oligonucleotides and/or proteins while retaining the intrinsic ability of
cellular components to be recognized and uptaken by target cells. Hence, by selecting
the starting cells as a source of nCVTs, it is possible to impart both homotypic properties
(as demonstrated by preferential transfection of pre‐adipocytes with pre‐adipocyte‐derived
nCVTs) and heterotypic targeting (as shown between immune cells and cancer cells)
to these bio‐hybrid systems.
Summary/Conclusion: Our nCVTs represent an unreported chimeric drug delivery system
with ideal properties in terms of nano‐size (within 200 nm, which enable them to reach
and accumulate at the diseased area), surface cues (key proteins and lipids that preserve
the targeting properties inherited from their original parent cells) as well as ease
of loading and functionalization (from the synthetic components), which pave the way
towards new advances in the field of nanomedicine.
Funding: This work was supported by the National University of Singapore, NanoNash
Program (R‐148‐000‐296‐114)
PF03.07
Extracellular vesicles at the air liquid interface of bioprinted bovine mammary epithelial
cells
Giulia Silvestrelli1; Markus Rimann2; Susanne E. Ulbrich1; Mara D. Saenz‐de‐Juano1
1ETH Zurich, Zurich, Switzerland; 2Zurich University of Applied Sciences (ZHAW), Wädenswil,
Switzerland
Introduction: Extracellular vesicles (EVs) in the bovine mammary gland are involved
in physiology and pathology. To date, a 3D culture model to investigate their specific
functions and properties in vitro is missing. We cultured bioprinted primary bovine
mammary epithelial cells (pbMEC) grown at the air liquid interface (ALI) to closely
resemble the real tissue and characterize the secreted EV.
Methods: A layer of Geltrex™ followed by a layer of pbMEC were jetted by a 3DDiscovery
bioprinter on top of a Transwell®. Cells were then kept under ALI conditions. Apical
fluid was collected and EVs isolated by differential centrifugation, size exclusion
chromatography and ultracentrifugation. The EVs isolation method was validated by
electron microscopy and western blot. We analysed the EVs by tunable resistive pulse
sensing (TRPS), isolated the EVs RNA and evaluated the RNA fragments length. Finally,
we performed an RT‐qPCR analysis for the mammary epithelial cell‐specific miRNAs bta‐miR‐200c‐3p
and let7a‐5p.
Results: Despite the low initial volume of 20‐30 μL of apical fluid, the number of
particles measured by TRPS was 2.6x10^6 ± 1.6 x10^6. The RNA length of apical EVs
was on the small RNAs range. Furthermore, we detected both miRNAs let7a‐5p and bta‐miR‐200c‐3p.
Summary/Conclusion: Printed pbMEC cultured under ALI conditions produced EVs. Despite
the low input material, the amount of EV in the apical fluid was sufficient for the
detection of mammary epithelial cell‐specific miRNAs. Our results suggest that this
model could be suitable for studying mammary glands EVs in vitro
Funding: ETH Research Grant ETH‐53 16‐1.
PF03.08
Lactococcus lactis can surprisingly produce intracellular caveolin‐enriched vesicles
Anthony Flourieusse1; Emma Schenckbecher1; Pauline Bourgeois1; Déborah Legrand1; Alain
Rouleau2; Clarisse Labbé1; Thomas Bescond1; ANNIE Frelet‐Barrand3
1CNRS, Besançon, France; 2UBFC, Besançon, France; 3CNRS, besancon, France
Introduction: Membrane proteins (MPs) perform a wide variety of functions vital to
the survival of organisms. They are involved in numerous pathologies and are thus
important drug targets. In spite of their functional and biotechnological importance,
their study remains difficult due to their hydrophobicity and low abundance in the
cells. Their overexpression in heterologous systems is mandatory for their detailed
structural and functional characterization. However, this strategy leads to numerous
obstacles such as their toxicity to hosts and the quality of the MP produced in these
systems, especially for structural studies.
Methods: An original approach to produce MP‐enriched vesicles was tested using the
ability of a small membrane protein, caveolin 1β, to generate membrane vesicles within
the cytoplasm when heterologously overexpressed in various hosts including insect
cells and bacteria. Such structures have already been observed in Gram negative bacteria
such as Escherichia coli and were named heterologous caveolae (h‐caveolae) [1]. The
overexpression of caveolin 1β to produce h‐caveolae has been tested in Gram positive
bacteria, Lactococcus lactis, since these bacteria appeared to emerge as a good alternative
to E. coli for MP overexpression [2,3] although they display a very different lipid
composition [4,5].
Results: Biochemical and biophysical studies have been carried out to realize a deeper
characterization of such nanovesicles.
Summary/Conclusion: Surprisingly, h‐caveolae formation was noticed within L. lactis
bacteria and displayed size comparable to E. coli h‐caveolae. These lactoccocal caveolae
could be further used for co‐expression of MPs of pharmaceutical interest.
Funding: This project has been founded by the ANR Caveotank (2017‐2021).
PF03.09
Modified Crispr/Cas9 technology for microRNA elimination from extracellular vesicles
Maxim Karagyaur1; Nataliya Basalova2; Maxim Vigovskiy3; Mariya Skryabina4; Daniyar
Dyikanov4; Maria Illarionova4; Anna Ivaschenko4; Anastasia Efimenko3
1Institute for Regenerative Medicine, Lomonosov Moscow State University, Moscow, Russia;
Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia, Moscow, Russia;
2Institute for Regenerative Medicine, Medical Research and Education Center, Lomonosov
Moscow State University, Moscow, Russia, Moscow, Russia; 3Institute for Regenerative
medicine, Medical Research and Education Center, Lomonosov Moscow State University,
Moscow, Russia; Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia,
Moscow, Russia; 4Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia,
Moscow, Russia
Introduction: Modulation of the extracellular vesicles (EV) composition allows studying
the role of individual components in the EV biological effects. One of the most interesting
class of components are miRNA (miR). Today there are a number of approaches (ExoFect,
saponin..) that help to modify miR amount. However, all of them raise questions about
the preservation of the EV native structure and functions. Therefore, we have offered
an approach based on CRISPR/Cas9 technology to remove miR from EV.
Methods: To edit miR genes (21 or 29c), a modification of the CRISPR/Cas9 technology
named SpCas9‐D10A in a lentiviral vector with a pair of targeting vectors was used.
The transduced cells (MSC) were sorted and cultured, and the interesting DNA regions
from this cells clone were analyzed by Sanger sequencing. A conditioned medium with
subsequently EV isolation by ultrafiltration was obtained from the necessary clones.
The biological properties of EV were analyzed on in vitro model of TGFb‐induced fibroblasts
to myofibroblasts transdifferentiation.
Results: The sequencing results showed a high level of genes editing. However, the
most common outcome of editing was not excision, but the loss of a portion of the
genes arm. Despite this, using real‐time PCR, we have shown that both transduced cells
or appropriate EV had not mature forms of the studied miR in comparison with control
samples. Moreover, EV from transduced cells retain their shape and size, as well as
the expression of markers. Removal of miR21, and to a greater extent miR29c, dramatically
reduces the ability of EV to inhibit fibroblasts to myofibroblasts transdifferentiation,
that correlate with our previous in vitro data.
Summary/Conclusion: Thus, genome editing using modified CRISPR/Cas9 technology might
be used to modulate the amount of miR within EV. It is important that not only complete
removal of the gene miR, but also partial disruption of its structure leads to impaired
expression of mature miR and EV biological function.
Funding: The study was supported by RSF#30007.
PF03.10
NPP1 and TNAP act synergistically and complementarily on ATP hydrolysis during matrix
vesicle‐driven biomineralization
Pietro Ciancaglini1; Luiz Henrique Andrilli1; Bruno Z. Favarin2; Heitor G. Sebinelli3;
Maytê Bolean1; Ana Paula Ramos4; Massimo Bottini5; José Luis Millán6
1Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) da Univeridade
de São Paulo (USP), Ribeirão Preto, Brazil; 2Faculdade de FIlosofia, Ciencias e Letras
de Ribeirao Preto (FFCLRP) da Universidade de Sao Paulo (USP), RIbeirao Preto, Brazil;
3Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) ‐ Universidade
de São Paulo (USP), Ribeirão Preto, Brazil; 4Faculdade de Filosofia, Ciências e Letras
de Ribeirão Preto (FFCLRP) da Univeridade de São Paulo (USP), Av. Bandeirantes, 3900,
Brazil; 5University of Rome Tor Vergata, Roma, Italy; 6Sanford Burnham Prebys, La
Jolla, CA, USA, La Jolla, USA
Introduction: Endochondral ossification is mediated by matrix vesicles (MVs)‐ a special
class of extracellular vesicles responsible for the initial precipitation of calcium
phosphates (CaP). These vesicles are enriched in tissue‐nonspecific alkaline phosphatase
(TNAP), that through its phosphomonohydrolytic activity produces inorganic phosphate
(Pi), from adenosine‐5’‐triphosphate (ATP) and inorganic pyrophosphate (PPi) and ectonucleotide
pyrophosphatase/phosphodiesterase 1 (NPP1), an ATP phosphodiesterase, producing adenosine‐5'‐monophosphate
(AMP) and PPi. In this study, we investigated both the kinetics of ATP hydrolysis
using proteoliposomes containing TNAP and NPP1 as MV‐biomimetic models, and their
combined effects on in vitro biomineralization.
Methods: Liposomes composed by 1,2‐dipalmitoylphosphatidylcholine (DPPC) and carrying
TNAP and/or NPP1 were prepared using different lipid/enzyme molar ratios. Non‐stationary
state kinetics assays of ATP hydrolysis were performed in the absence/presence of
Suramin, a NPP1 inhibitor. In vitro mineralization turbidimetry assay at 340 nm was
used to evaluate the potential of the proteoliposomes in the propagation of CaP precipitation.
ATR‐FTIR and SEM/EDS were used to investigate the chemical composition of the precipitated
minerals.
Results: NPP1‐containing proteoliposomes exhibited both phosphomonohydrolase and pyrophosphohydrolase
activities as revealed by the presence of ADP and AMP, respectively, as by‐products
in all the assays. The presence of 0.5 mM of Suramin reduced by 65% and 75% the amount
of ADP and AMP, respectively, formed after 48 hours of reaction. The presence of TNAP
in NPP1‐containing proteoliposomes decreased Suramin inhibition. All the proteoliposomes
harboring TNAP and NPP1 produced amorphous CaP with a Ca/Pi molar ratio of 0.875 as
revealed by SEM/EDS.
Summary/Conclusion: The formation of PPi in the precipitated minerals in the presence
of NPP1‐containing proteoliposomes was confirmed by ATR‐FTIR as revealed by a decrease
in the intensity of the band related to the Pi stretching (∼1000 cm‐1). Taken together,
the results prove that TNAP:NPP1‐DPPC proteoliposomes support the propagation of CaP,
mimicking the enzymatic processes of MVs. Different proportion of the enzymes in the
presence and absence of a NPP1 inhibitor can be used to elucidate the complex balance
of Pi/PPi homeostasis in biomineralization.
Funding: FAPESP (2019/08568‐2), CNPq (130366/2020‐0 and 304021/2017‐2), Brazil‐France
USP‐COFECUB Uc Sv 184/20 grant
PF03.11
Selective enrichment of extracellular vesicles by bio‐layer interferometry for improved
early biomarker detection
Rebekka Van Hoof1; Alexandra Van Driessche1; An Jacobs1; Pascale berckmans1; Michal
Szymonik1; Patrick Wagner2; Jef Hooyberghs3; Inge Nelissen1
1Flemish Institute for Technological Research (VITO), Health Unit, Boeretang 200,
2400 Mol, Belgium, Mol, Belgium; 2University of Leuven, Laboratory for Soft Matter
and Biophysics, Celestijnenlaan 200D, 3001 Leuven, Belgium, Leuven, Belgium; 3Flemish
Institute for Technological Research (VITO), Data Science Hub, Boeretang 200, 2400
Mol, Belgium, Mol, Belgium
Introduction: The sensitivity of biomarker detection in minimally invasive liquid
biopsies, where only a blood samples is taken, can potentially be improved by selectively
enriching and analyzing extracellular vesicles (EVs). Whereas kits for the analysis
and enrichment of EV populations bearing protein markers such as CD9, CD63, CD81 and
EpCAM exist, the capture of disease related EV populations and subsequent analysis
of additional biomarkers have not been widely studied. Moreover, not many point‐of‐care
applications using EVs for diagnostics exist. In this study, we aimed to demonstrate
the use of bio‐layer interferometry for this purpose. This optical analytical technique
allows for real‐time monitoring of the functionalization of a sensor tip with antibodies
and the specific binding of EVs displaying the targeted epitope.
Methods: Conditioned media were harvested from 3D hollow‐fiber bioreactor culture
of the human monocytic mono‐mac‐6 cell line, and EVs were isolated using size exclusion
chromatography. The EV fractions were analyzed for their concentration, purity and
protein markers using fluorescent nanoparticle tracking analysis, high‐sensitivity
flow cytometry and western blotting. We functionalized streptavidin‐coated sensor
tips with biotinylated antibodies against the well‐known EV surface marker CD63, and
monitored EV binding on the tip in real‐time. Next, the captured EV population was
released and used for genotyping analysis by digital PCR.
Results: We observed that the CD63+ EV binding signal was specific in comparison to
an isotype IgG control, and could be further increased by adding a blocking step after
the functionalization. Furthermore, we demonstrated successful release of the tip‐bound
EVs with sufficient recovery to allow for subsequent digital PCR analysis of the β‐actin
housekeeping gene.
Summary/Conclusion: Our results show that bio‐layer interferometry is a suitable technique
to analyze the capture of sub‐populations of EVs displaying a specific epitope while
also allowing downstream biomarker characterization. Further research may demonstrate
the potential for point‐of‐care applications in diagnostics.
Funding: This work was financed by the Research Foundation Flanders (FWO; Grant agreement
1S69320N), the European Union's H2020 Safe‐N‐Medtech project (Grant agreement N° 814607),
and the Flemish Institute for Technological Research (VITO nv).
PF03.12
Vesicle‐like nanoparticles derived from Pomegranate exert anti‐inflammatory properties
and promote wound healing in vitro: Does industrial processing affect these bioactive
properties?
Christian M. Sánchez‐López1; Claudia Honrubia‐Usina2; Carla Soler2; Pedro Pérez‐Bermúdez3;
ANTONIO MARCILLA4
1Universitat de Valencia, BURJASSOT, Spain; 2Universitat de València, BURJASSOT, Spain;
3Universitat de València, BURJASSOT (VALENCIA), Spain; 4Universitat de Valencia, Burjassot,
Spain
Introduction: Fruits enriched in polyphenols, such as pomegranates, have gained attention
due to their therapeutic properties and promising biological activities. Here, we
report the presence of vesicle‐like nanoparticles in pomegranate juice (PgEVs), confirm
their biomedical potential and test whether pasteurization and lyophilization treatments
affect PgEVs yield and biological functions.
Methods: Juice was obtained manually and stored at ‐80°C. Pasteurization was carried
out at 62°C for 30 min, and lyophilization was carried out for 24 h. PgEVs were isolated
by differential centrifugation followed by SEC, and characterized using NTA and TEM,
and LC‐MS/MS (EV‐Track ID EV220000). Wound‐healing assays were performed in CACO‐2
human intestinal epithelial cell line (ATCC®, HTB‐37TM), and anti‐inflammatory assays
were performed on THP‐1‐XBlue™‐CD14 human macrophages (InvivoGen), using the Quanti‐blueTM
reagent (Invivogen). PgEVs citotoxicity was assessed by MTT assays. All assays were
performed on FBS‐free culture media.
Results: Vesicle‐like nanoparticles were isolated and characterized. PgEVs isolated
from non‐industrial treated juice showed significant higher particle concentrations
than Pasteurized and Lyophilized PgEVs, as confirmed by NTA and TEM. Pasteurization
affected PgEVs integrity, while Lyophilized PgEVs maintained similar morphologies
than non‐treated PgEVs. Proteomic analyses identified 130 proteins in PgEVs, including
suggested Plant‐EV markers such as TET‐8, Vsp proteins and Patellins. PgEVs showed
no citotoxicity and powerful anti‐inflammatory properties in LPS‐stimulated macrophages.
In addition, PgEVs showed significant wound‐healing properties. Both Pasteurized and
Lyophilized treated PgEVs maintained those properties, but the required higher concentration
to achieve those effects.
Summary/Conclusion: Vesicle‐like nanoparticles derived from Pomegranate have anti‐inflammatory
properties and promote wound healing in vitro, demonstrating their important role
in the biological effects related to this fruit juice. Industrial processing of the
juice could affect the yield and integrity of the isolated PgEVs, as well as their
functional properties. The bioactive properties can be maintained increasing the dosage.
Investigations are underway to identify molecules and effectors responsible for those
actions.
Funding: Supported by the Agencia Estatal de Investigación, Ministerio de Ciencia
e Innovación, Spain (Grant PID2019‐105713GB‐I00/AEI /10.13039/501100011033), and Conselleria
d'Educació, Cultura i Esports, Generalitat Valenciana, Valencia, Spain (Grant PROMETEO/2020/071).
C.M.S‐L is the recipient of a predoctoral fellowship (ref. PRE2020‐092458) funded
by AEI /10.13039/501100011033. Part of “Red Traslacional para la Aplicación Clínica
de Vesículas Extracelulares, Tentacles”, (RED2018‐102411‐T, Agencia Estatal de Investigación,
Spain). Patent Nr P202130397.
PF03.13
An extracellular vesicle‐based vaccine platform displaying native viral envelope proteins
to tackle viral emerging diseases
Robert Z. Mamoun1; Katarzyna Polak1; Noémie Greze1; Maëlle Lachat1; Delphine Merle1;
Steve Chiumento1; Christelle Bertrand‐Gaday2; Bernadette Trentin1
1Ciloa SAS, Montpellier, France; 2INRAe, Montpellier, France
Introduction: Extracellular vesicles (EVs) secreted by antigen presenting cells (APCs)
carry accessory proteins like ICAM and major histocompatibility complex (MHC) molecules
loaded with antigenic peptides. Such EVs can trigger humoral and cellular immune responses
against pathogens and can be considered as natural vaccines. On the basis of these
EV properties, combined to a technology to engineer EVs in vivo with native membrane
proteins, we developed several candidate vaccines against different enveloped viruses,
of which, retroviruses, arboviruses and coronaviruses.
Methods: EVs were engineered to present the major membrane antigens of HIV, Chikungunya
and SARS‐CoV‐2 viruses. In order to benefit from the adjuvant properties of EVs, we
used an immunization protocol that combines DNA prime injections with an exosome boost.
The DNAs encode viral membrane proteins that, when injected, are targeted in situ
to the EVs, in order that the viral antigens are presented in an autologous immune
environment. The exosomes of the boost, harbor the viral membrane antigens and are
produced using cell cultures.
Results: Using immunochemical and biochemical tools, we showed that the viral membrane
proteins presented by these EVs are in fully native and mature conformation; thus,
the engineered EVs mimic the shape of the different original viruses.
Mice injected with Chikungunya and Coronavirus candidate vaccines and rabbits injected
with HIV candidate vaccine developed strong humoral and cell mediated immunity with
high levels of neutralizing antibodies.
Summary/Conclusion: Engineered EVs will be the basis for a vaccine platform that will
help fighting future viral pandemics: a simple exchange of the viral membrane protein
antigen for that of the emerging virus will lead to an adapted vaccine.
Funding: French government FUI grants
PF03.14
ATEI™(Antibody‐Targeted Exosome Immuno‐oncology) Technology: Fc Binding Domain‐Engineered
Extracellular Vesicles for Universal Active Targeted Delivery
Hyungtaek Jeon; Kyung Youn Hong; Byong Seung Cho
ExoCoBio Inc., Seoul, Republic of Korea
Introduction: The development of a variety of drug delivery system has been active
to deliver drugs to specific targets to reduce side effects of drugs and maximize
efficacy to deliver the necessary amounts of drugs. EVs that load therapeutic cargos
and deliver them to target cells can be a perfect drug delivery platform. Targeted
anticancer drugs have been developed to adjust specifically on cancer cells, but treatment
effects can be maximized if they can act more selectively on cancer tissues to be
treated when administered in human body. We have developed an innovative ATEI™ platform
technology of EVs engineered with a Fc binding domain which can interact to any kinds
of antibodies and were able to confirm specific delivery to target tumor cells through
co‐administration with antibodies. In addition, it was confirmed that it plays an
effective role as and anti cancer agent by loading drugs into EVs equipped with Fc
domains or fusing various proteins including cytokines to directly target tumor cells
or active immune cells to control the tumor microenvironment. Although the delivery
of EV‐mediated drugs is still in its infancy, it has low toxicity, low immunogenicity,
and high engineering ability, which accelerate the development of targeted immuno‐cancer
drugs using EVs.
Methods: Cells were prepared by transfecting HEK293 cells with a plasmid DNA including
and Fc‐binding domain. Stable cell lines were prepared through monoclonal isolation.
After that, EVs were isolated and purified by our methods and then separated again
through UC. A certain amount of the durgs was loaded into the EVs through incubation
with the target antibody. After that, the results were confirmed through in vitro
and in vivo experiments.
Results: A novel scaffold protein possesses two functions simultaneously. 1) Function
capable of binding to Fc binding region such as antibody(Universal Targeting). 2)
To enable presentation by engineering an protein of interest to the N‐terminal(Protein
Delivery). In addition, it is possible to load chemical anticancer drugs into the
EVs(Drug loading). By combining these three core technologies, it was shown that up
to 44 times more efficient chemical or protein drug delivery become possible.
Summary/Conclusion: Our ATEI™ technology is the world's first to utilize dual function
based on EV delivery system. This platform enables the delivery of specific proteins,
and when combined with antibodies, targeting to specific cells or tissues is possible.
This novel engineered EVs are new concept of universal targeting because it can bind
to proteins and antibodies having all FC‐binding domains. In addition to efficient
delivery using and antibody, additional protein drugs can be engineered to develop
novel immuno‐cancer durgs or immune‐enhancing agents.
PF03.15
Development of a novel EV‐loading cargo protein methodology for therapeutic applications
Etienne Lourdin ‐ De Filippis; Noémie Greze; Maëlle Lachat; Katarzyna Polak; Delphine
Merle; Robert Z. Mamoun; Bernadette Trentin
Ciloa SAS, Montpellier, France
Introduction: Extracellular Vesicles (EVs) can potentially deliver a variety of cargos
to any type of organs. To achieve that, there is a need for EVs customized with chosen
proteins on their surface, for specific organ targeting, and/or with a chosen therapeutic
cargo. However, developing reliable and robust technologies to customize EVs for their
use as therapeutic vectors in vivo is still a challenge.
Methods: Our aim was to evaluate an existing technology (Patent WO2011/036416) that
addresses naturally any protein cargo into the EV lumen. Originally, this technology
targets a protein under the EV membrane. We adapted this technology for the reversible
release of the protein into the EV lumen.
To reach this goal, we use two proteins that interact together in a reversible way.
The first one is a carrier protein (CP, patent in process), the second is the protein
of interest. The CP was inserted in between two peptides i) a Src myristylated peptide
for membrane anchoring and ii) a Pilot Peptide (CilPP) that interacts with ESCRT machinery
and sorts the protein into EVs. Next, the cargo protein of interest, was fused to
a CP interacting peptide (CPIP, patent in process), that allows its encapsulation
inside the EVs.
Results: NanoLuc (nLuc), Antares2 (a fusion of CyOFP1 and nLuc), and Oct4 proteins
were used as cargos. Their targeting inside the EVs was assessed by Western blots,
luminescence, BRET assays and by protection from Proteinase K digestion. The reversibility
of the interaction between CP and CPIP to release the cargo was also tested.
Summary/Conclusion: In conclusion, we demonstrated the robustness of a technology
that addresses efficiently any protein cargo into EVs, either by direct interaction
with EV membrane or by a potentially reversible interaction with a CP protein addressed
under the EV membrane.
The next step of this work will be to combine the cargo loading with specific cell
targeting in order to develop a powerful tool for the EV‐mediated delivery‐based therapeutics.
PF04: Fundamental biology: Cell‐EV interaction, uptake, fusion, and cargo delivery
Chair: Pascale Zimmermann – K. U. Leuven
PF04.01
Characterizing the interactions between cancer derived EVs and neutrophil subsets
and their impact on NETosis and triple negative breast cancer metastasis
Emilie Solymoss1; Molly L. Shen2; Anna Shen3; Sébastien Tabariès4; Matthew G. Annis4;
Peter M. Siegel4
1Goodman Cancer Research Centre of McGill University, Montréal, Canada; 2Department
of Biomedical Engineering, Faculty of Medicine and Health Sciences, McGill University,
Montreal, Canada; 3Goodman Cancer Research Centre of McGill University, Montreal,
Canada; 4Rosalind and Morris Goodman Cancer Research Centre, McGill University, Montreal,
Canada
Introduction: Individually, cancer derived EVs as well as neutrophils and their release
of NETs have been shown to aid in cancer progression and metastasis. Our study aimed
to characterize EV and neutrophil interactions by quantifying neutrophil uptake of
EVs and the subsequent effects EVs had on NETosis across two neutrophil subpopulations.
Methods: Five cell lines were used in our study: non‐transformed mouse mammary epithelial
cells (NMuMG), non‐metastatic (67NR) and metastatic 4T1 TNBC cell lines (parental
(4T1‐P), liver (2776), and lung (526) metastatic 4T1). EVs were isolated from conditioned
media (CM) by ultracentrifugation and the integrity and size was confirmed by NTA.
Immature low‐density (iLDNs) and high‐density neutrophils (HDNs) were isolated from
tumor‐bearing Balb/c mice by density centrifugation. An optimized concentration of
isolated EVs were co‐cultured with either iLDNs or HDNs prior to fixation and immunofluorescent
staining for NETs. NETosis was quantified based on the resulting microscopy images.
Results: In agreement with previous findings, iLDNs showed increased NETosis compared
to HDNs. Indeed, iLDNs cultured with EV‐depleted CM from metastatic cell lines (4T1‐P,
2776, 526) underwent more NETosis than HDNs under the same conditions. For both iLDNs
and HDNs, the highest NETosis incidence was when the neutrophils were primed with
EVs derived from the 2776 and 526 metastatic cell lines. In comparison, CM and EVs
from non‐tumorigenic NMuMG cells did not induce NETosis beyond background levels.
Summary/Conclusion: Our findings suggest metastatic cancer derived EVs can promote
NETosis to a greater extent than EVs from non‐metastatic cells and that iLDNs are
more prone to NETosis in response to metastatic cancer derived factors. Ongoing experiments
aim to quantify neutrophil uptake of EVs derived from cell lines expressing fluorescent
membrane‐localizing proteins.
PF04.02
Effects of X‐ray irradiation on extracellular vesicles isolated from head and neck
cancer cells
Inga S. Juvkam1; Olga Zlygosteva2; Nina Edin2; Eirik Malinen2; Hilde Kanli Galtung1;
Tine Merete Søland3
1Institute of Oral Biology, University of Oslo, Oslo, Norway; 2Department of Physics,
University of Oslo, Oslo, Norway; 3University of Oslo, Oslo, Norway
Introduction: Extracellular vesicles (EVs) are important in cell‐to‐cell communication
and have been found to play a role in modulating non‐targeted effects in tumour and
host cells not directly exposed to ionizing radiation. We aimed to investigate and
compare the proteome of an oral squamous cell carcinoma (OSCC) cell line and their
released EVs after exposure to photon radiation. Furthermore, we aimed to investigate
the effect of these EVs after uptake in non‐irradiated cancer and normal cells.
Methods: Human OSCC cells were irradiated with X‐ray doses of 0, 2 or 5 Gy. 24 hours
after irradiation, EVs were isolated from the irradiated OSCC cells by centrifugation,
ultrafiltration and size‐exclusion chromatography and characterized by nanoparticle
tracking analysis, flow cytometry and transmission electron microscopy. Irradiated
OSCC cells and their associated EVs underwent liquid chromatography‐mass spectrometry
analysis for protein identification. Uptake studies of irradiated OSCC EVs by non‐irradiated
OSCC cells and oral fibroblasts were performed by staining EVs with PKH67 and obtaining
confocal images after incubation with the recipient cells. The influence of EV uptake
on proliferation and migration of the recipient cells were studied.
Results: Proteins involved in mediating apoptosis (CTL2, TR10A, ADA17) were overexpressed
in EVs released by irradiated OSCC cells while proteins involved in DNA repair (PARP1,
APTX, HAT1, among others) were upregulated in irradiated OSCC cells. Uptake of irradiated
OSCC EVs did not alter the proliferation or migration of non‐irradiated OSCC cells
or oral fibroblasts.
Summary/Conclusion: Two different protein profiles, both potentially of importance
for cytoprotection of photon radiation, were identified in irradiated OSCC cells and
their associated EVs. Our results do not exclude that non‐targeted radiation effects
might occur through other signalling channels than EVs released from irradiated cells.
PF04.03
Exosomal miR‐92a‐1‐5p selectively secreted by tumor cells may serve as diagnostic
biomarker and contributes to bone‐metastatic prostate cancer
Lijuan Yu
Krefting Research Centre, Gothenburg, Sweden
Introduction: Prostate cancer (PCa) bone metastasis is the major reason for prostate
cancer‐related death. In PCa bone metastasis, the imbalance in bone homeostasis is
a critical step and osteolysis occur before any invasion. Our previous work has demonstrated
that exosomes secreted from osteoblastic PCa promote osteoclastogenesis and osteolysis.
In this study, we are expecting to identify key osteolytic molecules involved in this
process, which will facilitate the development of novel biomarkers or therapeutic
targets to improve patient outcomes.
Methods: MiR‐92a‐1‐5p was identified from small RNA sequencing from PCa exosomes and
normal exosomes. Stably overexpressing miR‐92a‐1‐5p MDA PCa 2b cells were constructed
by lentivirus and exosomes were isolated by ultracentrifugation. Patient serum collection
was approved by the ethics committee at Air Force Medical University. Serum ALP and
serum exosomal miR‐92a‐1‐5p expression were detected. Osteoclast differentiation induced
by Exo‐miR‐92a‐1‐5p was examined and tumor bone metastasis was performed in a nude
mouse model.
Results: We identified a key osteolytic exosomal molecule, exosomal miR‐92a‐1‐5p,
that was selectively sorted into prostate cancer exosomes naturally or artificially
overexpressed, promoted osteoclast differentiation in vitro and increased osteolysis
in vivo by targeting MAPK1. MAPK1 downregulation and the subsequent inhibition of
FoxO1 promoted osteoclast differentiation. Furthermore, bone metastasis was accelerated
following 4‐week bone marrow education with Exo‐miR‐92a‐1‐5p. More importantly, exosomal
miR‐92a‐1‐5p was negatively associated with the bone metabolic biomarker alkaline
phosphatase and may sever as a diagnostic biomarker for bone‐metastatic PCa with AUC=0.7431.
Summary/Conclusion: Our findings not only identify a role of exosomal miR‐92a‐1‐5p
in prostate cancer bone metastasis, but also suggest exosomal miR‐92a‐1‐5p as a potential
early diagnostic biomarker for bone‐metastatic PCa.
Funding: This work was supported by the China Postdoctoral Science Foundation to L.Y.
[under Grant No. F121NF0020].
PF04.04
Extracellular vesicles from different cell sources yield specific transcriptional
responses primarily at low doses
Daniel W Hagey1; Beklem Bostancioglu1; Jeremy Bost2; André Görgens1; Samir El Andaloussi3
1Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Stockholm,
Sweden; 2Department of laboratory medicine, Karolinska Institutet, Stockholm, Sweden;
3Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Huddinge,
Sweden
Introduction: Extracellular vesicles (EV) have been established to play important
roles in cell‐cell communication and shown promise as therapeutic agents. Although
the majority of the evidence for these functions has come from studies applying EVs
directly to cells in vitro, there has yet to be a comprehensive comparison of the
effects of EVs from different cell sources or at different doses.
Methods: In this work, we derived EVs from twelve different cell lines (Bone marrow,
umbilical cord, and Wharton's Jelly mesenchymal stem cells, BJ‐5ta fibroblasts, HUVEC
endothelial, Panc‐1 epithelial, HEK293T adherent, HEK293 freestyle, AE602 umbilical
cord, CAP amnion, THP1 monocyte and Jurkat T‐cell lines) and applied them to human
fibroblasts at doses between 20 and 200 000 per cell. We analyzed their effects on
the target cell transcriptome by RNA‐sequencing and confirmed these using functional
assays.
Results: Global analysis revealed EV dosage to have a more significant effect than
cell source, with high doses resulting in downregulated exocytosis and upregulated
lysosomal activity regardless of EV cell source. In contrast, low doses of EVs produced
the most cell source‐specific responses, with the greatest number and most distinct
sets of genes differentially expressed. Classifying EV source cells as mesenchymal‐,
HEK‐, endothelial‐, amnion‐ or immune‐derived showed cellular transcriptional responses
and EV‐mRNA to cluster based on the EV source cell type group. Moreover, fibroblast
transcriptional responses were reflective of the EV source cell's niche, such that
mesenchymal‐ and amnion‐derived EVs activated wound healing and proliferation phenotypes,
respectively. Finally, by mapping the abundance of EV‐specific transcripts found in
fibroblasts, we could infer their dosage‐dependent uptake by target cells. This suggested
that immune cell‐derived EVs were uniquely potent in this regard.
Summary/Conclusion: We find that high doses of EVs induce a generalized lysosomal
response, but are required to detect EV‐borne transcripts in target cells. In contrast,
low doses of produce EV cell source‐specific responses that reflect the activity of
their source cell niches. This study provides important insights into the cell biology
of the EV uptake response that should be considered in the design of future EV research.
Funding: The Swedish Cancer Society
PF04.05
β‐adrenergic stimulation accelerates uptake of plasma extracellular vesicle in porcine
coronary artery endothelial cells
Trude Aspelin1; Michael Frisk2; Espen Stang3; Anne‐Marie Siebke Trøseid4; Reidun Øvstebø1
1The Blood Cell Research Group, Department of Medical Biochemistry, Oslo University
Hospital, Ullevaal, Norway, Oslo, Norway; 2Institute for Experimental Medical Research,
Oslo University Hospital and University of Oslo, Oslo, Norway, Oslo, Norway; 3Department
of Pathology, Oslo University Hospital Rikshospitalet, Oslo, Norway, Oslo, Norway;
4The Blood Cell Research Group, Department of Biochemistry, Oslo University Hospital
Ullevaal, Oslo, Norway, Oslo, Norway
Introduction: In coronary pig blood, we have previously demonstrated release of norepinephrine
(βAR agonist) and concurrent reduction in extracellular vesicles (EV) during 3 min
stimulation of sympathetic nerves to the heart ‐ a situation relevant to myocardial
ischemia and stress. We have detected β2AR receptors on plasma EV and they may thus
be involved in acute coronary EV uptake. The aim of this study was to examine acute
EV uptake in porcine coronary endothelial cells (PCAEC) induced by βAR stimulation.
Methods: EV were isolated from pooled citrate plasma (n = 3 pigs) using size exclusion
chromatography (SEC; 0.5 mL fractions). EV in fraction 8+9 were concentrated on 100kDa‐filter,
labelled with MemGlow488 (MG‐EV), re‐isolated on SEC, concentrated on 100kDa‐filter
and stored at ‐80 until analysis. PCAEC were cultured on chambered coverglass to about
50 % confluence. Nuclei were stained with DAPI. Then medium was replaced with 0.2
mL serum‐free medium before βAR agonist (isoprenaline, 10 μM) or vehicle, and 3.5
x 10< sup> 9 MG‐EV were added. Cellular EV uptake was detected by measuring the change
in PCAEC fluorescence using confocal microscope. Recordings (ideally 8 cells/chamber)
were performed before adding MG‐EV, immediately after, and in 5 min intervals for
20 min. Experiments were repeated 3 times for each treatment. EV were characterized
by western blot, nanoparticle tracking analysis and electron microscopy.
Results: Vehicle‐treated cells were able to take up EV and obtained maximum fluorescence
(maxFL) 14.8 ± 1.0 min after EV administration (n = 22 cells). Addition of isoprenaline
accelerated this process and reduced time to maxFL to 8.5 ± 1.4 min (n = 17 cells,
P < 0.001).
Summary/Conclusion: EV are important for intercellular communication by transferring
biomolecules regulating physiological processes in recipient cells. Here, we show
that plasma EV are constitutively taken up by porcine coronary artery endothelial
cells, and β‐adrenergic stimulation (isoprenaline) accelerates the process possibly
via demonstrated β2AR on EV.
Funding: Fondsstiftelsen, Oslo University Hospital
PF04.06
Induction of the NF‐κB signaling pathway by plasma‐derived exosomes from HNSCC patients
Diana Huber1; Linda Hofmann1; Florian von Strachwitz1; Sonja Ludwig2; Ramin Lotfi3;
Cornelia Brunner1; Thomas K. Hoffmann1; Marie‐Nicole Theodoraki1
1Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical
Center, Ulm, Germany, Ulm, Germany; 2Department of Otorhinolaryngology, Head and Neck
Surgery, University Hospital Mannheim, Mannheim, Germany, Mannheim, Germany; 3Institute
of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion
Service, Baden Wuerttemberg‐ Hessian Ulm, Ulm, Germany, Ulm, Germany
Introduction: As one of the most immunosuppressive cancers, head and neck squamous
cell carcinomas (HNSCC) show an increased NF‐κB activation with downstream production
of Treg and MDSC attracting immune suppressive factors. Exosomes are small extracellular
vesicles that mediate cell‐to‐cell communication. Plasma‐derived exosomes from HNSCC
patients contain immune modulatory molecules that can alter the function of immune
cells and contribute to the immunosuppressive tumor microenvironment (TME). We investigate
if plasma‐derived exosomes of HNSCC patients activate NF‐κB signaling and which upstream
signaling pathways are involved.
Methods: Exosomes were isolated from plasma of HNSCC patients by size‐exclusion chromatography.
Plasma‐derived exosomes were incubated with primary macrophage cultures to investigate
the effects on NF‐κB signaling, upstream and downstream signaling pathways. NF‐κB
activation was determined by western blot analysis of IκB and pIκB and by NF‐κB ELISA
using nuclear extracts. Upstream TLR3 dependent signaling pathways were investigated
by immunofluorescence of IRF3 and RIPk1 as well as cytoplasmic helicase dependent
pathways. Downstream signaling was evaluated by CCL5, CXCL11 and CCL22 ELISA and PCR
analysis of immune suppressive factors. T cell attraction was investigated by migration
assays.
Results: The visible exosome dependent NF‐κB activation in macrophages was reversable
by addition of NF‐κB inhibitors Bay, CAPE but mostly by Curcumin. Activated NF‐κB
signaling resulted in production of downstream immune suppressive chemokines and cytokines.
Evaluation of upstream signaling showed mainly a TLR3 dependent activation of NF‐κB.
Summary/Conclusion: The results show that plasma‐derived exosomes from HNSCC patients
interact with macrophages and are able to alter the NF‐κB signaling pathway, leading
to NF‐κB activation. The possible reversion of NF‐κB activation by several inhibitors
may be useful for future clinical therapeutic strategies on modulation of the tumor
microenvironment.
Funding: Deutsche Krebshilfe
PF04.07
Manipulating the uptake of extracellular vesicles in prostate cancer
Ardalan Mansouri1; Pedro Matos Filipe2; Natasja Dits3; Andrea Sacchetti1; Judith Farrés4;
Guido W. W. Jenster3; Martin E. E. van Royen5
1Department of Urology, Erasmus MC, Rotterdam, The Netherlands, Rotterdam, Netherlands;
2Anaxomics Biotech, Barcelona, Spain; 3Department of Urology, Erasmus MC Cancer Institute,
Erasmus University Medical Center, Rotterdam, Netherlands; 4Information Technology
Department, Anaxomics Biotech, Barcelona, Spain, Barcelona, Spain; 5Department of
Pathology, Erasmus MC, Rotterdam, The Netherlands, Rotterdam, Netherlands
Introduction: Prostate cancer is a common cancer with the chance of metastasis among
men. Cell‐cell communication via secreting extracellular vesicles (EVs) has a role
in tumor metastasis (1, 2). Accordingly, developing EV‐uptake inhibitors as research
tools to study the EV‐uptake may lead to developing more efficient anti‐metastasis
therapies. In the current study, we used a drug repurposing approach to identify compounds
that inhibit EV‐internalization.
Methods: PNT2C2 normal prostate epithelial cells were treated with combined more than
2000 compounds from the Prestwick and the LOPAC1280 libraries for 16 h. Subsequently,
EVs derived from the PCa cell line DU145, isolated via several centrifugation and
ultracentrifugation steps and labeled with PKH26, were added to the cells for 3 h.
At the end, EV‐uptake was measured using the Opera Phenix HCS system. For validation,
serial dilution of compounds and two incubation times of 16 h and 30 min were considered.
Flowcytometry (FCM) was additionally used for data validation. Ingenuity Pathway Analysis
(IPA) was performed to explore the mechanism of action of the inhibitory compounds.
Results: From more than 300 effective compounds, 15 inhibitors and 10 inducers were
considered for the validation steps. Four EV‐uptake inhibitors and four inducers were
validated in independent experiments. The inhibitors exhibited a ∼3‐fold decrease
in EV‐uptake as compared to the controls, while inducers caused less than a ∼1.5 folds
increase in EV‐uptake. Interestingly, two inhibitors had an almost immediate effect
on EV‐uptake within 30 min of incubation.
IPA analysis of the protein targets of the inhibitors revealed that EV‐uptake inhibiting
compounds mostly affect the pathways related to regulation of P glycoproteins and
ATPases**.
**The name of the compounds and molecules cannot be mentioned at the moment, because
of patent/publication concerns.
Summary/Conclusion: Compound screening led to discovery of at least two novel EV‐uptake
inhibitors, which will be further evaluated as tools to manipulate the EV‐uptake to
investigate the role of EV cell‐cell communication during tumor growth and metastasis.
Funding: Supported by proEVLifeCycle project funded by the European Union's Horizon
2020 research and innovation program under the Marie Skłodowska‐Curie grant agreement
No 860303.
PF04.09
Role of N‐glycosylations in mesenchymal stromal cell‐derived extracellular vesicles’
uptake and functionality
Marta Clos Sansalvador1; Marta Monguió‐Tortajada2; Charles Williams3; Miriam Moron‐Font4;
Antoni Bayes‐Genis2; Santiago Roura2; Marcella Franquesa4; Francesc E. Borràs4
11. IVECAT, REMAR‐IGTP Group & Nephrology Service, “Germans Trias i Pujol” Health
Science Research Institute & University Hospital, Can Ruti Campus, Badalona, Spain
2. Department of Cell Biology, Physiology and Immunology, Universitat Autònoma de
Barcelona, Bellaterra, Spain, Badalona, Spain; 2ICREC Research Program, Health Science
Research Institute Germans Trias i Pujol, Can Ruti Campus, Badalona, Spain, Badalona,
Spain; 36. Glycotechnology Laboratory, CIC biomaGUNE, San Sebastián, Spain 7. Exosomes
Laboratory, Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research
and Technology Alliance (BRTA). Derio, Bizkaia, Spain, San Sebastián, Spain; 41. IVECAT,
REMAR‐IGTP Group & Nephrology Service, “Germans Trias i Pujol” Health Science Research
Institute & University Hospital, Can Ruti Campus, Badalona, Spain, Badalona, Spain
Introduction: Extracellular vesicles derived from mesenchymal stromal cells (MSC‐EV)
are increasingly considered a powerful cell‐free alternative therapy for the treatment
of various inflammatory disorders. MSC‐EV are safe cargo transporters of molecular
mediators and messengers that have demonstrated to function in a similar way to their
producing cells in terms of immunomodulation and tissue damage repairing. However,
specific mechanisms behind these processes are still not fully understood and results
are often controversial.
Methods: In this study, we focused on the role of EVs’ N‐glycosylations in mediating
EV uptake and MSC‐EV functionalities, such as cell recruitment and angiogenesis promotion.
Immortalized Wharton's Jelly MSC‐derived EVs (iWJ‐MSC‐EV) were isolated by size exclusion
chromatography (SEC), characterized by bead‐based flow cytometry, treated with PNGase‐F
enzyme to remove N‐glycosylations, and functionally analyzed.
Results: Our results showed that iWJ‐MSC‐EV recruited both pro‐angiogenic (endothelial
cells) and pro‐regenerative cells (allogeneic MSC), and induced tube formation capacity
by endothelial cells. Conversely, removal of N‐glycosylation through PNGase‐F treatment
abolished these effects. Lectin microarrays of both types of EV confirmed differences
in the glycosylation pattern of PNGase‐F‐treated EV in some N‐acetylglucosamine binding
lectins, mannose‐binding lectins and fucose binding lectins. We also observed iWJ‐MSC‐EVs’
N‐glycosylations are fundamental for EV‐capture by resting endothelial cells. However,
TNFα‐activated endothelial cells increased capture of PNGase‐F‐treated EV compared
to control endothelial cells, suggesting an alternative capture pathway not affected
by the enzyme treatment. Studies to reveal these receptor/ligand interactions are
underway.
Summary/Conclusion: Overall, these results further stress the importance of glycosylations
in EV biology and function.
PF04.10
TERT mediated interactions between Neuroblastoma cells and non‐cancerous neuronal
cells via extracellular vesicles
Tal Manko1; Ishai Luz1; Meshi Zorsky2; Gad Vatine2; Ester Priel1; Tomer Cooks1
1The Shraga Segal Department of Microbiology and Immunology, Ben Gurion University
of the Negev, beer sheva, Israel; 2The Department of Physiology and Cell Biology,
Ben Gurion University of the Negev, beer sheva, Israel
Introduction: Extracellular vesicles (EVs) play an important role in cell‐to‐cell
communication, particularly in cancerous cells, allowing them to interact with their
microenvironment. Notably, 85%‐90% of cancers use telomerase to achieve immortalization.
Telomerase reverse transcriptase (TERT) is the catalytic unit in telomerase involved
in multiple molecular and cellular mechanisms (attributed to splicing variants) such
as apoptosis prevention, gene regulation, heat shock, Wnt signaling and telomere elongation.
Despite extensive neuroblastoma (NB) research, there are still many gaps in our knowledge
regarding tumorigenesis and its molecular driving forces. Neurons are non‐replicated
cells, thus, the role of TERT is associated with different functions. However, as
the neuron cell becomes cancerous, TERT levels increase and tumor tissues with positive‐telomerase
activity correlate with poor prognosis. Due to the important roles of both EVs and
TERT in cancer, we hypothesized that TERT plays a role in EVs with secretion, cargo,
and effects on non‐cancerous cells.
Methods: NB cell lines from mouse spinal cord representing different onsets were co‐cultured
with mouse motor neuron like cells for rtPCR of splice variants of TERT and neuron
biomarkers. EVs from all cells were extracted according to the MISEV 2018 guidelines.
After treatments with AGS499, a synthetic compound that increase TERT expression and
activity in neuron cells, EVs were measured using Nano tracking analysis. NB cells
were co‐cultured with IPSCs derived endothelial cells for TEER measurement done by
Epithelial Volt/Ohm (TEER) Meter 3.
Results: We have shown that treatment with AGS499, affected the quantitative secretion
of EVs in both cancerous NB cells in different onsets and in non‐cancerous motor‐neuron
cells. In addition, we showed that different TERT levels in the cells were positively
correlated with EVs secretion levels. Finally, we showed that NB cells co‐cultured
with IPSCs derived endothelial cells, cause changes in TEER levels representing tight
junctions in the BBB.
Summary/Conclusion: Our findings indicate that NB cells use TERT‐driven EVs, potentially
promoting tumorigenesis.
PF04.11
Transfection reagent artifact accounts for some reports of extracellular vesicle function
Russell McConnell; Madeleine Youniss; Bhargavee Gnanasambandam; Palak Shah; Jonathan
Finn; Sriram Sathyanarayanan
Codiak BioSciences, Cambridge, USA
Introduction: Extracellular vesicles (EV) are important mediators of cell communication
and physiology. EVs are frequently investigated by transiently transfecting cells
with plasmid DNA to produce EVs modified with protein(s) or nucleic acid(s) of interest.
DNA‐transfection reagent complexes (DTC) are approximately the same size as EVs, raising
the possibility that some purification procedures may fail to separate these two species
and activity arising from transfection may be improperly attributed to EVs.
Methods: EV producing cells were transiently transfected with plasmid DNA encoding
an EV‐targeted Cre recombinase. Differential and density gradient ultracentrifugation
were used to purify EVs from cell culture supernatant or DTC from cell‐free culture
media. Cre localization to EVs was confirmed by Western blot and plasmid DNA detected
by PCR. Cells stably expressing a fluorescent Cre reporter were used to assess functional
enzyme delivery in recipient cells.
Results: Reporter cells treated with ultracentrifuge pellet material (UCP) showed
robust and reproducible signal, however fractionating UCP with an iodixanol density
gradient revealed that reporter activity was not associated with EV‐enriched fractions.
UCP isolated from identical transfection conditions, but lacking cells (and therefore
EVs), showed similar Cre activity levels and distribution in iodixanol gradients,
suggesting that Cre activity was due to contaminating DTC and not EV‐mediated delivery
of Cre protein. Moreover, steps commonly taken to remove plasmid DNA from EV samples,
such as media exchanges and treatment with nucleases, are ineffective at avoiding
this artifact.
Summary/Conclusion: Due to the pernicious nature of DTC in these cellular assays,
some reports of EV function are likely artifacts produced by contaminating DTC and
not EV‐mediated cargo delivery.
PF05: EVs role in physiology and pathology
Chair: Michela Pozzobon, Department of Women's and Children's Health, University of
Padova, Padua, Italy
PF05.01
A protein corona around extracellular vesicles is essential for their function in
aiding angiogenesis and wound healing
Martin Wolf1; Rodolphe W. Poupardin1; Constantin Blöchl2; André Cronemberger Andrade1;
Fausto Gueths Gomes1; Patrica Ebner Peking1; Balazs Vari1; Essi Eminger1; Heide‐Marie
Binder1; Anna M Raninger1; Nicole Maeding1; Gabriele Brachtl1; Andreas Spittler3;
Thomas Heuser4; Astrid Obermayer2; Christian G Huber2; Katharina Schllmoser5; Hans‐Dieter
Volk6; Dirk Strunk1
1Cell Therapy Institute, Spinal Cord Injury and Tissue Regeneration Center Salzburg
(SCI ‐ TReCS), Paracelsus Medical University (PMU), Salzburg, Austria, Salzburg, Austria;
2Dept. of Biosciences, Paris Lodron University Salzburg, Salzburg, Austria; 3Anna
Spiegel Center of Translational Research, Medical University, Vienna, Vienna, Austria;
4Vienna Biocenter Core Facilities, Medical University, Vienna, Vienna, Austria; 5Department
of Transfusion Medicine and SCI‐TReCS, PMU, Salzburg, Austria, Salzburg, Austria;
6BCRT & Institute of Medical Immunology, Charite ‐ Univeritätsmedizin Berlin, Germany,
Berlin, Germany
Introduction: Evidence is accumulating indicating that extracellular vesicles (EVs)
can carry a protein corona comparable to the corona around synthetic nanoparticles
in protein rich environment. We could recently show that EVs derived from therapeutic
grade placental stroma cells (PLX) contribute to their efficacy in aiding re‐vascularization
of ischemic tissue. Here we investigated whether a protein corona around these PLX‐EVs
contributes to their function.
Methods: EVs were enriched from PLX‐conditioned media via tangential flow filtration
(TFF), followed by further purification via size exclusion chromatography (SEC) or
ultracentrifugation. Identity and purity of the different EV preparations was analysed
by immunoblotting, super resolution microscopy and transmission electron microscopy
(TEM). EV functionality was determined during in vitro angiogenesis, modulation of
immune cell proliferation, and in vivo skin wound healing in a humanized mouse model.
Proteomics were used to identify active components in EV fractions. Finally, we re‐established
a functional protein corona with defined factors around naked EVs.
Results: EV identity according to MISEV2018 criteria was confirmed via immunoblots.
With super‐resolution microscopy we found considerable heterogeneity of tetraspanin
(CD9, CD63 and CD81) expression at single EV level. TFF‐purified PLX‐EVs displayed
proangiogenic potential, inhibited T cell proliferation in vitro, and enhanced vessel
density and full thickness skin wound healing in a mouse model. When further purified
via ultracentrifugation or SEC, EVs lost these functions. This effect was accompanied
by a loss of their protein corona as visualized by negative contrast TEM. Re‐establishing
the protein corona with defined factors restored their function.
Summary/Conclusion: TFF‐purified PLX‐EVs carry a functional protein corona. Corona
removal resulted in a loss of function. The guided corona restoration with defined
factors restored their function.
Funding: This work was supported by funding from the European Union's Horizon 2020
research and innovation program (grant agreement no. 733006 to Dirk Strunk), by Land
Salzburg IWB/EFRE 2014 ‐ 2020 P1812596 and WISS 2025 20102‐F1900731‐KZP EV‐TT (to
Dirk Strunk).
PF05.02
Acute effects of interesterified fats on numbers and thrombogenic activity of circulating
extracellular vesicles
Amal Alanzeei1; Shin Soyama1; Aseel Alkoblan2; Pippa Gibson2; Sarah Berry2; Wendy
L Hall2; Parveen Yaqoob1
1University of Reading, Reading, United Kingdom; 2King's College London, London, United
Kingdom
Introduction: Interesterified (IE) fats are used by the food industry, particularly
in spreads, to confer suitable functionality to certain foods without the adverse
health effects of trans fats. However, the effects of these fats on cardiovascular
disease (CVD) risk markers remain to be elucidated. Extracellular vesicles (EVs) are
nano‐sized membrane derived vesicles released by activated or dying cells, reported
to have pathophysiological effects in CVD, and are modified by dietary fat intake,
suggesting their potential as a novel biomarker.
Methods: Samples of 35 healthy subjects were used for EV analysis for this randomized
controlled, double‐blind, crossover study conducted at King's College London (KCL).
Subjects received four test meals in random order containing 50 g test fat (spreadable
butter, IE spread, functionally‐equivalent non‐IE spread, control rapeseed oil), 15
g protein and 85 g carbohydrate. This research was approved by the Research Ethics
Committee at KCL. Blood was sampled at baseline and 3 postprandial time points (2,
4 and 8h) and EV fractions obtained from 500 μL of platelet‐free plasma by size exclusion
chromatography using the IZON qEVOriginal column. EV subtypes and numbers were analysed
using flow cytometry and Nanoparticle Tracking Analysis (NTA) respectively. The thrombogenic
activity of EVs was assessed using tissue factor‐based thrombin generation and fibrinolysis
assays.
Results: There was a pronounced postprandial increase in plasma triglyceride concentrations
and the number and thrombogenic activity of EVs regardless of treatment. There was
no influence of the IE spread relative to non‐IE spread on EV number, thrombin generation
or fibrinolysis, but there were some differences in the mean size of EVs following
consumption of different types of fat.
Summary/Conclusion: There was a pronounced postprandial increase in the number and
thrombogenic activity of circulating EVs following a high‐fat meal, but this is not
altered by replacing the fat source with commercial IE fats.
Funding: This project was supported by BBSRC DRINC grants BB/N021185/1 and BB/N020987/1
PF05.03
Blood‐derived extracellular vesicles change their oxidative properties after myocardial
infarction
Vytautas Žėkas1; Reet Kurg2; Kristiina Kurg2; Daiva Bironaitė3; Mantas Radzevičius4
1Department of Physiology, Biochemistry, Microbiology and Laboratory Medicine, Institute
of the Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania;
2Institute of Technology, Tartu University, Tartu, Estonia; 3Dept. of Regenerative
Medicine, State Research Institute Centre for Regenerative Medicine, Vilnius, Lithuania;
4Dept. of Physiology, Biochemistry, Microbiology and Laboratory Medicine, Institute
of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
Introduction: We investigated the amount and composition of extracellular vesicles
(EVs) derived from male 40‐60‐year‐old healthy controls and same age and sex post‐myocardial
infarction (post‐MI) patients’ blood samples and showed their oxidative‐related properties.
Our study aimed to determine the EV yield and composition differences between both
groups as well as to find out if there were differences between EV mediated oxidative
stress reactions.
Methods: We included 15 post‐MI patients and 25 healthy controls in the study. Local
Vilnius University Bioethics Committee approved the study protocol. Procedures were
in compliance with the Helsinki Declaration. Informed consent was obtained. EVs were
isolated by ultracentrifugation and their concentration and properties were analyzed
using nanotracking analysis (NTA). To characterise EVs TSG101 was detected using western
blot and flotillin‐1 was detected using fluorescent flow cytometry (FFC) in the EVs
samples. CD9 concentration was detected in each EV sample by the FFC method. Thioredoxin,
Nicotinamide adenine dinucleotide phosphate (NADPH) oxidases (NOX), extracellular
signal‐regulated kinases 1/2 (ERK1/2) and protein kinase B (Akt B) was detected by
western blot. H2DCFDA (2',7'‐dichlorodihydrofluorescein diacetate) fluorescence detected
by FFC was used as a marker to measure EV‐induced oxidative stress in the human vein
endothelium cells (HUVEC) culture.
Results: We measured higher EVs concentration in healthy controls than in the post‐MI
group (7.07±3.1 E+10 ml vs 3.1±1.9 E+10 ml, P< 0.001) and a higher level of CD9‐positive
exosomes (MFI 275±39.5 vs 252±13, P< 0.001). Thioredoxin, extracellular signal kinases
1/2 (ERK 1/2) and protein kinase B (Akt B) were detected in all EV samples but at
higher levels in post‐MI EVs samples. Post‐MI patient EVs gave a lower oxidative stress
response in the culture of the HUVEC cells than the EVs of the healthy controls (P<
0.001).
Summary/Conclusion: We conclude that post‐MI patient blood sample EVs have stronger
anti‐ than pro‐oxidative properties and these could help fight against post‐MI consequences.
PF05.04
Exploring the small RNA component of extracellular vesicle populations released from
human saphenous vein vascular smooth muscle cells and investigating their effect on
cell proliferation
Antoniya Pashova1; Lorraine M. Work1; Stuart A. Nicklin2
1University of Glasgow/SNBTS, GLASGOW, United Kingdom; 2Institute of Cardiovascular
& Medical Sciences, University of Glasgow, Glasgow, UK, Glasgow, United Kingdom
Introduction: Vascular smooth muscle cell (VSMC) proliferation is one of the main
drivers of neointimal formation that leads to vein graft occlusion after coronary
artery bypass grafting with autologous saphenous vein (SV). Here, the small RNA content
of EVs secreted by VSMCs under control and pathophysiological stimuli was investigated,
as well as the effects of EVs on proliferation of recipient VSMC.
Methods: SV SMCs were cultured in control media (quiescence) or with media +20ng/mL
platelet‐derived growth factor (PDGF‐BB) as a proliferative stimulus. RNAseq differential
expression analysis of the small RNA component of EVs‐derived from vehicle control
cells (vEVs) or PDGF‐stimulated cells (pEVs) was carried out and validated by qPCR.
Bioinformatics was employed to identify potential miRNA gene targets. Gene set enrichment
analysis was carried out through the ToppGene bioinformatics tool. Recipient quiesced
or PDGF‐stimulated SV SMCs were treated with vEVs or pEVs and the effect on cell proliferation
was measured using bromodeoxyuridine (BrdU) assay.
Results: EVs were successfully isolated from conditioned culture medium and characterised.
RNAseq analysis identified 6 differentially expressed miRNAs between the two groups
(miR‐24, ‐224, ‐1, let‐7A2, ‐21, ‐409), all of which were upregulated in pEVs compared
to vEVs. Three miRNAs were validated by qPCR (miR‐24, ‐224, and ‐409). Gene set enrichment
analysis suggested that all three validated miRNAs might be involved in the regulation
of biological processes relevant to the process of neointimal formation including
cell growth/proliferation/migration/wound healing/apoptosis. No significant difference
in proliferation of recipient quiesced and PDGF‐stimulated SMCs was observed when
treated with vEVs versus pEVs.
Summary/Conclusion: The expression of miR‐24, ‐224, and ‐409 is upregulated in pEVs
suggesting a potential role of this EV population in the regulation of cellular processes
underlying the development of neointimal formation.
Funding: Funded by the British Heart Foundation (FS/16/55/32731) and the College of
Medical, Veterinary and Life Sciences, University of Glasgow
PF05.05
Extracellular matrix attenuation at the ocular drainage system by SMAD7 miRNA loaded
Extracellular Vesicles, an approach for Glaucoma disease
Elie Beit‐Yannai; Saray Tabak; Valeria Feinshtein; Sofia Schreiber‐Avissar
Department of Clinical Biochemistry and Pharmacology, Beer‐Sheva, Israel
Introduction: Failure to regulate elevated IOP is the major risk factor for the development
of primary open‐angle glaucoma (POAG), established by the disruption of trabecular
meshwork (TM) function, which leads to increased resistance to the aqueous humor (AH)
outflow. Extracellular vesicles (EVs) hold immense promise for utilization as drug
delivery agents due to their nature as biological nanoparticles that facilitate intercellular
molecular transport, participating in the communication between the non‐pigmented
ciliary epithelium (NPCE) and the TM tissue in the ocular drainage system. So far,
small interfering RNAs (siRNAs) have been successfully loaded into EVs for a variety
of delivery applications, but the potential use of NPCE derived EVs for siRNA delivery
to TM cells regulating the Wnt‐TGFβ2 signaling has scarcely been explored.
Methods: NPCE derived EVs were isolated by a series of ultra‐centrifugations, their
size and concentration were determined by Tunable Resistive Pulse Sensing (TRPS) technology.
To verify whether engineered EVs are more efficacious on TM cells modulation, anti‐fibrotic
(SMAD7) siRNA was loaded into EVs by electroporation. EV's structural integrity was
evaluated using cryo‐TEM analysis, and the efficiency of the loading process was estimated
by fluorescent principle, including TECAN device and confocal microscopy. Engineered
EVs were added to pre‐cultured TM cells for 24hr. qRT‐PCR was used to verify the transfer
of selected siRNA to TM cells and Western blot analysis was used to evaluate qualitative
effects on Wnt‐TGFβ2 proteins expression.
Results: EVs were successfully loaded with exogenous siRNA, reaching 23% positive
EVs to the fluorescent siRNA (siGLO) marker, avoiding aggregates formation and vesicle
rapture. The therapeutic potential of EVs‐mediated siRNA delivery was demonstrated
by the mRNA (53%) knockdown of SMAD7 in TM cells. Examination of Wnt‐TGFβ2 revealed
a significant elevation in the levels of β‐Catenin, pGSK3β, N‐Cadherin, K‐Cadherin,
and TGFβ2 proteins in TM cells, treated with NPCE EVs loaded with SMAD7 siRNA.
Summary/Conclusion: NPCE derived EVs can overcome the barriers for efficient siRNA
molecule delivery to TM cells, which may be beneficial as a medical intervention for
monitoring the Wnt‐TGFβ2 signaling pathway as a therapeutic target to lower IOP.
Funding: The ISRAEL SCIENCE FOUNDATION (grant No. 1545/20)
PF05.06
Helium conditioning increases cardiac fibroblast migration which effect is not propagated
via soluble factors or extracellular vesicles
Csenger Kovácsházi1; Marek Jelemenský2; Kristína Ferenczyová3; Monika Hofbauerová4;
Bernadett Kiss5; Éva Pállinger6; Ágnes Kittel7; Viktor nabil Sayour5; Anikó Görbe8;
Csilla Pelyhe5; Szabolcs Hambalkó5; Lucia Kindernay2; Miroslav Barančík2; Péter Ferdinandy9;
Monika Barteková10; Zoltán Giricz9
1Semmelweis University, Department of Pharmacology and Pharmacotherapy, Budapest,
Hungary, Budapest, Hungary; 2Institute for Heart Research, Centre of Experimental
Medicine, Slovak Academy of Sciences, 84104 Bratislava, Slovakia;, Bratislava, Slovakia;
3Institute for Heart Research, Centre of Experimental Medicine, Slovak Academy of
Sciences, 84104 Bratislava, Slovakia;, bra, Slovakia; 4Institute of Physics, Slovak
Academy of Sciences, Dúbravska cesta 9, SK‐84511 Bratislava, Slovakia; Centre of excellence
for advanced material application, Slovak Academy of Sciences, Dúbravská cesta 9,
SK‐84511 Bratislava, Slovakia;, Bratislava, Slovakia; 5Semmelweis University, Department
of Pharmacology and Pharmacotherapy, Budapest, Hungary;, Budapest, Hungary; 6Semmelweis
University, Department of Genetics, Cell‐ and Immunobiology, Budapest, Hungary, Budapest,
Hungary; 7Institute of Experimental Medicine, Eötvös Loránd Research Network, Budapest,
Hungary, Budapest, Hungary; 8Semmelweis University, Department of Pharmacology and
Pharmacotherapy, Budapest, Hungary; Pharmahungary ltd., Szeged, Hungary;, Budapest,
Hungary; 9Semmelweis University, Department of Pharmacology and Pharmacotherapy, Budapest,
Hungary; Pharmahungary ltd., Szeged, Hungary, Budapest, Hungary; 10Institute for Heart
Research, Centre of Experimental Medicine, Slovak Academy of Sciences, 84104 Bratislava,
Slovakia; Institute of Physiology, Faculty of Medicine, Comenius University in Bratislava,
81372 Bratislava, Slovakia;, Bratislava, Slovakia
Introduction: Helium inhalation induces cardioprotection against ischemia/reperfusion
injury, of which cellular mechanism is not fully elucidated. Extracellular vesicles
(EVs) mediates cardioprotective mechanisms, but their function in helium‐conditioning
(HeC) is not elucidated yet. Fibroblasts are key regulators of post‐ischemic remodelling,
therefore they may take part in HeC‐induced cardioprotection, as well. Therefore,
we aimed to test, how HeC affects cardiac fibroblasts and if their HeC‐induced EVs
or other secreted factors mediates remodelling of the cardiac tissue.
Methods: Neonatal rat cardiac fibroblasts (NRCF) were exposed to glucose deprivation
and HeC rendered by four cycles of 95% helium + 5% CO2 for one hour, followed by one
hour of normal culturing conditions. 40 hours later, NRCF migration was analyzed and
Western Blot and quantitative PCR were used to analyze the expression of fibroblast
to myofibroblast transformation markers. From serum‐free cell supernatant, medium‐sized
extracellular vesicles (mEVs) were isolated with differential centrifugation and characterised
with WB, transmission electron microscopy and nanoparticle tracking analysis. The
supernatant of HeC‐treated NRCF was transferred to naïve NRCF or immortalized human
umbilical vein endothelial cells (HUVEC/TERT2) and migration and in vitro angiogenesis
assay was performed.
Results: HeC accelerated the migration of NRCF. Meanwhile, HeC did not increase the
expression of myofibroblast markers. HeC tended to decrease mEV secretion of NRCFs,
but supernatant of HeC‐NRCF neither accelerate the migration of naïve NRCF, nor affect
the angiogenic potential of HUVEC/TERT2.
Summary/Conclusion: Since HeC increased the migration of NRCF but HeC‐NRCF mEVs did
not affect the function of remote cells, HeC may exert its cardioprotective effect
via NRCFs, but does not affect cardiac remodelling remotely via NRCF mEVs.
Funding: Project was supported by 2020‐4.1.1.‐TKP2020; VEKOP‐2.3.3‐15‐2016‐00016;
STIA‐KFI‐2019; NKFIA; NVKP‐16‐1‐2016‐0017; K_21‐139105; VEKOP‐2.3.3‐15‐2016‐00016;
STIA‐KFI‐2019. VEGA no. 2/0104/20; APVV‐18‐0548; M.J. and K.F. were supported by National
Scholarship Programme of the Slovak Republic from Slovak Academic Information Agency;
Z.G. is supported by ÚNKP‐18‐4‐E‐17; ÚNKP‐19‐4‐SE‐94 and by the János Bolyai Research
Scholarship of the Hungarian Academy of Sciences. V.N.S was supported by EFOP‐3.6.3‐VEKOP‐16‐2017‐00009
and by the Gedeon Richter Excellence PhD Scholarship. C.K. was supported by NTP‐NFTÖ‐21‐B‐0300.
PF05.07
Podocyte‐specific Extracellular vesicles yield novel insight into intercellular signaling
in the Glomerulus
Annika Pape1; Kilian Teicher1; Inka Homeyer1; Milagros Wong1; Anja Obser1; Kian Deheshwar2;
Nicola Wanner1; Maja Lindenmeyer3; Franz Lennard. Ricklefs4; Catherine Meyer‐Schwesinger2;
Victor Puelles1; Tobias Huber1; Fabian Braun1
1III. Department of Medicine, University Medical Center Hamburg‐Eppendorf, Hamburg,
Germany, Hamburg, Germany; 2Institute of Cellular and Integrative Physiology, University
Medical Center Hamburg‐Eppendorf, Hamburg, Germany, Hamburg, Germany; 3III. Department
of Medicine, University Medical Center Hamburg‐Eppendorf, Hamburg, Germany, III. Department
of Medicine, University Medical Center Hamburg‐Eppendorf, Hamburg, Germany, Germany;
4Department of Neurosurgery, University Medical Center Hamburg‐Eppendorf, Hamburg,
Germany
Introduction: Extracellular vesicles (EVs) have been identified to play an essential
role in basic pathological processes such as malignant, metabolic and autoimmune diseases.
Nevertheless, knowledge about their role in kidney health and disease remains scarce.
A new group of EVs, shed upon cell stress with the ability to induce a proliferative
effect in neighboring cells, was recently identified in cell culture models as well
as experimental glomerulonephritis. This study aimed to characterize these medium
sized EVs (mEVs) shed by glomerular epithelial cells, podocytes, and the signaling
propagated by them.
Methods: Using differential centrifugation (1.500g for 20 minutes, 16.000g for 60
minutes at 4°C in standard plastic 50ml conical tubes) and filtration (5μm) we established
a protocol to separate mEVs from cell culture supernatants, kidney tissue and urine
samples. With Western Blot, immunofluorescence microscopy employing antibody stainings
and pKH membrane dyes as well as image flow cytometry we investigated the release
dynamics of podocyte specific mEVs in different models of murine podocyte damage in
vitro and in vivo. Furthermore, cross culture experiments and life microscopy were
used to determine the effect of podocyte specific mEVs on parietal epithelial cells.
Besides this, proteomic analysis of EVs was performed to investigate the content in
podocyte specific EVs shed upon different stressors.
Results: Podocyte‐specific mEVs were detected in baseline podocyte culture supernatant,
murine kidney tissue as well as the urine of healthy human volunteers. Quantification
revealed a drastic increase of vesicle release upon podocyte damage both in vitro
and in vivo. Interestingly, podocyte‐specific EVs exerted different effects on the
proliferative and migratory behavior of primary parietal epithelial cells depending
on the initial stressor. Proteomics revealed first candidate proteins differentially
abundant in EVs released upon podocyte stress, that could prove responsible for these
different effects.
Summary/Conclusion: Our study represents the first investigation of podocyte‐specific
medium sized extracellular vesicles, their release dynamics, protein containments
and functional implications in health and disease. As these vesicles can be separated
without advanced equipment such as ultracentrifuges, they could also be a valuable
source for biomarker research in various nephropathies.
PF05.08
Potential of podocyte‐derived urinary extracellular vesicles in the display of podocyte
injury in membranous nephropathy
Karen Lahme1; Kian Deheshwar1; Gilliana Gloede1; Stephanie Zielinski1; Oliver Kretz2;
Shuya Liu2; Fabian Braun3; Tobias B. Huber2; Lukas Heintz1; Desiree Loreth1; Wiebke
Sachs1; Catherine Meyer‐Schwesinger1
1Institute of Cellular and Integrative Physiology, University Medical Center Hamburg‐Eppendorf,
Hamburg, Germany, Hamburg, Germany; 2III. Department of Medicine, University Medical
Center Hamburg‐Eppendorf, Hamburg, Hamburg, Germany; 3III. Department of Medicine,
University Medical Center Hamburg‐Eppendorf, Hamburg, Germany, Hamburg, Germany
Introduction: Membranous nephropathy (MN) is an autoimmune glomerulonephritis induced
by circulating autoantibodies directed against podocyte foot process proteins. MN
is characterized by the accumulation of aggregated proteins in injured podocytes.
The upregulation of the ubiquitin‐proteasome system (UPS) occurs during disease progression
and correlates with podocyte injury in rodent models. Here we tested whether the abundance
of podocyte‐derived urinary extracellular vesicles (EVs) changes and whether the content
mirrors podocyte injury.
Methods: EVs were isolated from mouse and human urine by differential ultracentrifugation.
For the human urine, EVs were additionally isolated by ultrafiltration and size exclusion
chromatography. EVs were quantified by nanoparticle tracking analysis, characterized
by electron microscopy and analyzed by immunoblotting. The proteostatic content of
EVs and glomeruli was analyzed in 3 murine models of podocyte injury (experimental
MN, adriamycin nephritis, and type 2 diabetes). Pulldown of podocyte‐derived EVs was
established from human urine via immunoprecipitation and EVs from nephrotic patients
were investigated.
Results: Both human and murine urinary EVs contain UPS components. The amount of podocyte‐derived
EVs increases differentially in murine podocyte injury models: The abundance increases
in a dose‐ and time‐dependent manner in experimental MN, but not in adriamycin nephritis
and diabetic nephropathy. The proteostatic content changes in a disease‐dependent
manner, mirroring the disease‐associated proteostatic situation of podocytes. Human
podocyte‐specific EVs differ in size from total human urinary EVs and, depending on
the nephrotic syndrome, the amount and content of podocyte‐derived EVs differs between
patients.
Summary/Conclusion: Analyses of podocyte‐derived urinary EVs have the potential to
give insight in the proteostatic status of podocytes, possibly reflecting origin (and
prognosis) of the underlying injury.
PF06: Fundamental biology: EV biogenesis (from prokaryotes to eukaryotes), component
loading, and release
Chair: Vincent Hyenne – INSERM / CNRS
Chair: Irma Schabussova, Medical University of Vienna
PF06.01
Aberrant Serine Metabolism in Cancer Cells Promotes Secretion of Extracellular Vesicles
Tomofumi Yamamoto1; Jun Nakayama2; Kagenori Ito2; Yusuke Yamamoto2; Takahiro Ochiya3
1Department of Molecular and Cellular Medicine, Institute of Medical Science, Tokyo
Medical University, Tokyo, Japan., Chuo‐Ku, Japan; 2Labolatory of Integrative Oncology,
National Cancer Center Research Institute, Tokyo, Japan., Chuo‐Ku, Japan; 3Department
of Molecular and Cellular Medicine, Institute of Medical science, Tokyo Medical University,
Shimjuku‐ku, Japan
Introduction: Cancer cells secrete more extracellular vesicles than normal cells and
create their tumor microenvironment. Although we reported several EV secretion mechanisms
so far, the mechanism of cancer EV secretion still remains elusive (Urabe et, al.,
Sci. Adv., 2020). To reveal the universal mechanisms of EV secretion in cancer, we
sought to determine key molecules, combined a microRNA (miRNA) library screen with
high‐throughput EV quantification.
Methods: The amount of EVs was measured by ExoScreen, which is an ultra‐sensitive
detection method of EVs by measuring surface protein of EVs, such as CD9 and CD63
(Yoshioka et al., Nat Commun., 2015). EVs were isolated by ultracentrifugation. We
performed this screen in 2 types of cancer cells (colon and lung). We found an miRNA
and its target genes, which regulated EV secretion in both cell lines. Finally, we
validated the effect of this miRNA and its target genes in other types of cancer (breast,
ovarian, multiple myeloma, head and neck, pancreas, and melanoma).
Results: Here we identified miR‐891b and its direct target gene, phospho‐aminotransferase
1 (PSAT1), which significantly promote EV secretion and cancer metastasis. Loss of
function experiments with PSAT1 pathways showed that serine metabolism is critical
for aberrant EV secretion in cancer. Of note, the miR‐891b/PAST1 axis regulated EV
secretion in multiple types of cancer, suggesting a common mechanisms of cancer EV
secretion. Interestingly, we found overexpression of PSAT1 in metastatic breast cancer
cells (lymph‐node metastasis, lung metastasis, bone metastasis), and enhanced PSAT1
expression remarkably induced bone metastasis in a breast cancer xenograft model by
activating osteoclastogenesis via EVs.
Summary/Conclusion: These data suggested a miR‐891b/PAST1 axis is a universal mechanisms
of cancer EV secretion and enhanced bone metastasis in breast cancer cells.
PF06.02
Bleeding risk in patients with thrombocytopenia: low platelet concentration prevents
aggregation and release of procoagulant extracellular vesicles
Naomi C. Buntsma1; Aleksandra Gasecka2; Sytske Talsma3; Jagoda Rytel4; Krzysztof Mądry4;
Grzegorz Basak4; Edwin van der Pol5; Rienk Nieuwland6
1Department of Neurology, Laboratory of Experimental Clinical Chemistry & Biomedical
Engineering and Physics, Amsterdam UMC, the Netherlands, Amsterdam, Netherlands; 21st
Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland &
Laboratory of Experimental Clinical Chemistry, Amsterdam UMC, Amsterdam, the Netherlands,
Amsterdam, Netherlands; 3Laboratory of Experimental Clinical Chemistry, Amsterdam
UMC, Amsterdam, the Netherlands, Amsterdam, Netherlands; 4Department of Hematology,
Oncology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland, Warsaw,
Poland; 5Department of Clinical Chemistry, Vesicle Observation Center, Department
of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam,
the Netherlands, Amsterdam, Netherlands; 6Department of Clinical Chemistry; Vesicle
Observation Center; Amsterdam University Medical Center, University of Amsterdam,
Amsterdam, Netherlands
Introduction: Aggregation of platelets and the release of procoagulant extracellular
vesicles (EVs) both play a pivotal role in hemostasis. However, why hemostatic processes
only start to fail when platelet concentrations are below 5E7/mL, increasing the bleeding
risk, is yet unknown. We previously demonstrated that platelet‐platelet interaction
is essential for both platelet aggregation and the subsequent release of platelet‐derived
EVs (PEVs). Here, hemostatic mechanisms are investigated in a patient group with low
platelet concentrations, thereby aiming to explain the increased risk of bleeding.
Methods: Blood was collected from idiopathic thrombocytopenia purpura (ITP) patients
(n=10) and healthy controls (n=3). Aggregation of platelets was induced by thrombin‐receptor
activating peptide (TRAP) or saline (control), and measured for 6 minutes in citrate‐anticoagulated
blood (Multiplate). Subsequently, PEV concentrations were measured by flow cytometry
(Apogee A60‐Micro, scatter triggering, EV detection limit 160 nm).
Results: TRAP induced platelet aggregation and a 2.2‐fold increase in PEV concentration
in blood from healthy controls. In contrast, neither platelet aggregation nor an increase
in PEV concentration was observed when TRAP was added to blood from ITP patients.
Summary/Conclusion: In ITP patients, platelet activation does neither result in platelet
aggregation nor in the release of PEVs. This finding supports our hypothesis that
PEVs are mostly released when platelet activation is followed by platelet‐platelet
interaction. In addition, these findings suggest that below a “critical platelet concentration”
multiple hemostatic mechanisms become impaired, being both platelet aggregation and
the release of PEVs, which together contribute to an increased risk of bleeding.
Funding: N. Buntsma acknowledges the Dutch Heart Foundation, research grant CINTICS
2018B031.
A. Gasecka acknowledges funding from the Polish National Science Centre, research
grant PRELUDIUM 2018/31/N/NZ7/02260.
PF06.03
Cigarette smoke extract exposure alters fatty acid profiles and levels of oxidatively
modified proteins in extracellular vesicles released by airway epithelial cells
Sandra Buratta1; Anna Sansone2; Elisabetta Chiaradia3; Lorena Urbanelli1; Roberto
Maria Pellegrino1; Alessia Tognoloni3; Raffaella Latella4; Giada Cerrotti1; Brunella
Tancini4; Carla ferreri2; Carla Emiliani1
1Università di Perugia, Perugia, Italy; 2Consiglio Nazionale delle Ricerche Research
Area of Bologna, Bologna, Italy; 3Department of Veterinary Medicine, University of
Perugia, Perugia, Italy; 4Department of Chemistry, Biology and Biotechnology, University
of Perugia, Perugia, Italy
Introduction: Here, we evaluated levels of oxidized proteins and fatty acid composition
of Extracellular Vesicles (EVs) released by BEAS‐2B cells exposed to cigarette smoke
extract (CSE). No studies have investigated such molecular composition, even if it
has been demonstrated that CSE induces the release of EVs with modified protein and
RNA profiles from airway epithelial cells [Benedikter et al., 2019].
Methods: Viability and intracellular ROS levels in BEAS‐2B cells treated with CSE
were measured by MTT and DCFH‐DA, respectively. EVs, isolated from cell culture media
by a differential centrifugation protocol, were characterized by Scanning Electron
Microscopy and Immunoblotting [Kowal et al., 2016] Levels of carbonylated protein,
which are an early marker for protein oxidation, were measured by Oxyblot. Fatty acid
composition and the identification of positional/geometrical isomers of fatty acids
were identified by GC‐MS [Sansone et al., 2020].
Results: CSE‐EVs presented elevated levels of carbonylated proteins, compared to EVs
from controls. CSE exposure induced only few changes in fatty acid profiles of cells.
Extensive remodeling of phospholipid acyl chains was observed in CSE‐EVs, i.e. high
levels of palmitic (16:0) and arachidic (20:0) acids and decreased levels of sapienic
(6 cis‐16:1 n‐10) and oleic (9 cis‐18:1 n‐9) acids. These changes accounted for the
higher content of saturated fatty acid (SFA) and lower levels of monounsaturated (MUFA)
in CSE‐EVs, compared to controls.
Summary/Conclusion: CSE‐EVs are characterized by 1) high content of carbonylated proteins,
thus suggesting that CSE‐treated cells can remove oxidized proteins via EVs in order
to reduce their harmful effects; 2) high SFA/MUFA ratio, a membrane parameter important
for EV stability, EV uptake and, in part, for EV‐mediated pro‐inflammatory responses.
This study could be a starting point for the utilization of circulating EVs as biomarkers
for the diagnosis of CSE‐induced lung damage and/or cigarette smoke‐related diseases.
PF06.04
Comparison of bacterial cell‐ and extracellular vesicle‐associated small RNAs and
their potential to interact with human transcripts
Kylie I. Krohmaly1; Marcos Perez‐Losada2; Andrea L. Hahn3; Robert Freishtat4
1Center for Genetic Medicine Research, Children's National Hospital, washington, USA;
2Computational Biology Institute, Department of Biostatistics and Bioinformatics,
Milken Institute School of Public Health, The George Washington University, Washington,
USA; 3Children's National Hospital, Washington, USA; 4Center for Genetic Medicine
Research, Children's National Hospital, Washington, USA
Introduction: Characterizing the influence of the microbiome on both acute and chronic
airway conditions is critical to improving their management. Small RNAs (sRNAs), commonly
packaged in extracellular vesicles (EVs), can regulate interspecies gene expression
and potentially facilitate microbiome‐host communication. We aim to identify and compare
bacterial sRNAs in the EV and cytoplasm, and to determine potential microbe‐host interactions.
Methods: We selected four common respiratory microbes, Haemophilus influenzae (Hi),
Moraxella catarrhalis (Mc), M. nonliquefaciens (Mn), and Streptococcus pneumoniae
(Sp) (ATCC). We isolated EVs from cultured bacterial supernatant via precipitation
and SEC. Cell pellet and EV RNA was extracted and sRNA‐sequencing performed on NovaSeq
(Illumina). sRNA sequences were aligned and annotated via Partek, sRNA Detect, ARNold,
and BLAST.
Results: The mean number of reads per sample was about 15 million. Each species was
slightly different, but the majority of sRNAs were unannotated (41‐43%), followed
by tRNAs (6‐52%). The remaining sRNAs were coding RNA (6‐35%), rRNA (0‐4%), and too
short to align (6‐31%). We calculated EV:Cytoplasm abundance ratios for the sRNAs.
Any sRNA two times more abundant in either the EV or the cytoplasm was considered
enriched. Hi and Sp had more EV‐enriched sRNAs compared to Mc and Mn (26%, 20%, 2.6%,
and 0% respectively), while Mc and Mn had more cytoplasm‐enriched sRNAs compared to
Hi and Sp (51%, 31%, 6.6%, and 5.2% respectively). Alignment of bacterial sRNA sequences
to the human genome to determine potential human‐microbe interactions was low (4‐18%
of sRNAs). Realignment incorporating RNA secondary structure with base pairing is
underway.
Summary/Conclusion: We found that Hi and Sp preferentially packaged sRNAs in EVs,
while Mc and Mn preferentially retained sRNAs in the cytoplasm. By incorporating sRNAs
secondary structure, we will be able to identify potential microbe‐host interactions
in the human airway.
PF06.05
Contractile activity of human primary myotubes in culture affects the microRNA and
protein cargo of secreted extracellular vesicles
Kari Bente Foss Foss Haug1; Vigdis Aas2; Berit S. Brusletto1; Trude Aspelin3; Anne‐Marie
Siebke Trøseid4; Saba Qureshi5; Desima SO Eid5; Ole Kristoffer Olstad1; Tuula Nyman6;
Reidun Øvstebø3
1Department of Medical Biochemistry, Oslo University Hospital, Ullevål, Norway, Oslo,
Norway; 2Department of Life Science and Health, Oslo Metropolitan University (OsloMet),
Norway, Oslo, Norway; 3The Blood Cell Research Group, Department of Medical Biochemistry,
Oslo University Hospital, Ullevaal, Norway, Oslo, Norway; 4The Blood Cell Research
Group, Department of Biochemistry, Oslo University Hospital Ullevaal, Oslo, Norway,
Oslo, Norway; 5Department of Life Sciences and Health, Oslo Metropolitan University
(OsloMet), Norway, Oslo, Norway; 6Department of Immunology, University of Oslo and
Oslo University Hospital, Norway, Oslo, Norway
Introduction: Physical activity is important for prevention and treatment of life
style diseases. During exercise, contracting skeletal muscles release bioactive factors
including extracellular vesicles (EVs) that can communicate with other cells and mediate
beneficial effects. In the present study, we have examined how electrical pulse stimulation
(EPS) of primary human myotubes, a model of exercise, affects the microRNA‐ and protein‐cargo
of secreted EVs.
Methods: Muscle biopsies from obese patients with type 2 diabetes (n=6) were used
to isolate, in vitro cultivate, and differentiate satellite cells into mature myotubes.
Low frequency EPS was applied to myotubes for 24 h, and EVs were collected from serum
free media the next 24 h. EVs were isolated, separated and concentrated into microvesicles
(MV) and exosomes by combined centrifugation (17 000g) and filtration (0,22 um and
100 kDa filters). EV size and concentration were revealed by nanoparticle tracking
analysis, tetraspanins analysed by flow cytometry, Hsc70/Hsp70 and calnexin by Western
blotting and morphology visualized by transmission electron microscopy. EV content
was studied by high resolution proteomics (LS‐MS/MS) and transcriptomics (Affymetrix
microarray) combined with bioinformatics using Ingenuity Pathway Analysis (IPA).
Results: Size, concentration and CD63‐ and CD81‐levels of MV and exosomes were unaffected
by EPS. The protein content of MV and exosomes was clearly different, and they both
showed significantly changed protein levels after EPS. Whereas the microRNA content
of MV was basically unchanged by EPS, the exosomes appeared with a significantly altered
microRNA pattern. IPA revealed that pathways involved in cell growth and protein synthesis
were the most affected by EPS.
Summary/Conclusion: EPS clearly changed the microRNA‐ and protein patterns of EVs
secreted from primary myotubes, indicating that physical training of skeletal muscles
may convey beneficial effects to other cells and organs, reflected through the cargo
load of secreted EVs.
Funding: The Norwegian Diabetes Association
PF06.06
Donor cell‐specific aspects of the small extracellular vesicle production
Maria Harmati1; Timea Boroczky2; Matyas Bukva2; Gabriella Dobra3; Edina Gyukity‐Sebestyen1;
Krisztina Buzas4
1Laboratory of Microscopic Image Analysis and Machine Learning, Institute of Biochemistry,
Biological Research Centre, Szeged, Hungary, Szeged, Hungary; 2Laboratory of Microscopic
Image Analysis and Machine Learning, Institute of Biochemistry, Biological Research
Centre, Szeged, Hungary; Doctoral School of Interdisciplinary Medicine, University
of Szeged, Szeged, Hungary; Department of Immunology, Albert Szent‐Györgyi Medical
School, Faculty of Science and Informatics, University of Szeged, Szeged, Hungary,
Szeged, Hungary; 3Laboratory of Microscopic Image Analysis and Machine Learning, Institute
of Biochemistry, Biological Research Centre, Szeged, Hungary; Doctoral School of Interdisciplinary
Medicine, University of Szeged, Szeged, Hungary, Szeged, Hungary; 4Laboratory of Microscopic
Image Analysis and Machine Learning, Institute of Biochemistry, Biological Research
Centre, Szeged, Hungary; Department of Immunology, Albert Szent‐Györgyi Medical School,
Faculty of Science and Informatics, University of Szeged, Szeged, Hungary, Szeged,
Hungary
Introduction: It is widely demonstrated that extracellular vesicle (EV) release depends
on the donor cells and the microenvironmental stimuli. Today, there are several quantitative
methods to measure EV production, but comparative studies are still limited. Here,
we investigated different mammalian cell cultures – as in vitro models of various
healthy cells and tumors – to compare their capacity for EV release and vesicular
protein production.
Methods: We set up a heterogeneous cell culture panel (n=17) paying attention to the
diverse origin, morphology and disease state (normal‐tumor cells). Small EVs (sEVs)
were isolated by differential filtration and ultracentrifugation, then subjected to
nanoparticle tracking analysis and BCA protein assay. Primary mouse mesenchymal stem
cell (MSC) isolation was performed in accordance with the national and European animal
ethics guidelines (clearance no.: XVI./78/2018).
Results: The average number of produced sEVs per cell per unit of time was higher
and more variable in the group of tumor cells compared to the normal cells. In contrast,
the protein content of the tumor cell‐derived sEVs was lower. For instance, THP‐1
human monocytic leukemia cells produced the most sEVs and the primary MSCs released
the highest amount of vesicular protein. In general, the vesicular protein production
correlated with the population doubling time and the cell size. Beside the cell physiology,
culture conditions also influenced the sEV production, as it was significantly higher
in the first 24 h after passage.
Summary/Conclusion: These data further evidence that the ability for EV production
depends on several internal and external parameters providing a unique and continuously
adapting communication route for all cells. At the same time, exploring the quantitative
differences in sEV production between cells may provide valuable information for describing
the pathophysiology of different tumors or assess the efficacy of sEV‐based therapies.
Funding: This study was supported by the following research grants: MEC_R 141434,
GINOP‐2.2.1‐15‐2017‐00052, ÚNKP‐20‐3, University of Szeged, Szent‐Györgyi Albert Research
Fund (2021).
PF06.08
Extracellular vesicles from Vibrio cholerae contain AT‐rich DNA and shorter mRNAs
that do not correlate with their protein products
Petter Langlete1; Anders Krabberoed2; Hanne C. Winther‐Larsen3
1Norwegain Institute of Public Health, Oslo, Norway; 2University of Oslo, Oslo, Norway,
Oslo, Norway; 3University of Oslo, Oslo, Norway
Introduction: Bacterial membrane vesicles (MVs) are found to be secreted from most
bacterial species at all stages of growth and are associated with a range of phenotypes
such as biofilm formation, bacterial communication, phage and antibiotic resistance.
These 50 – 250 nm sized spheres contain DNA, RNA, lipopolysaccharides (LPS) and proteins,
thereby resembling their mother cell but in a non‐replicative form. Membrane vesicles
are found to elicit a protective immune response in a range of host and are currently
used for epidemic control of meningitis in humans. Our research group are exploring
the possibility to use BEV as vaccines in fish for aquaculture. In so doing we need
to ensure their safety for use in food for human consumption. An understanding of
the packaging of their cargo content is therefore of essence.
Methods: We have fully performed proteomics, DNA and RNA sequencing of isolated BEV
and compared that to the contents of the mother cell from which the BEV has been arrived.
We have performed these studies using the bacteria Vibrio cholera as a model.
Results: We found BEV with both singe and double membranes in our isolated BEV fraction.
From the DNA sequencing we found that specific part of the DNA was specifically packaged
into the BEVs, in particular those containing the regulatory ToxR binding protein
sequence AAAAAANATNAAA. Subtracting rRNA from the total RNA content, the mRNA content
of the BEV seen to be depending on size and purine content. There are also a positive
bias for certain noncoding functional RNAs. The proteins of the BEV have no correlation
with protein size, there are a positive selection of the outer membrane proteins OmpK,
OmpT, OmpU, OmpV and the Pencillin binding protein activator YcfM, In addition there
is an enrichment of proteins from Chromosome II compared to Chromosome I (Chr II more
associated with virulence factors).
Summary/Conclusion: Our findings suggest a specific packaged of genetic material into
BEVs is pending on size and sequence. We also have data that propose that this genetic
material does not seem to be translated in the vesicles themselves, which is a central
question in EV biology and function. In accordance with data from other researchers
there is a specific packaging of protein cargo.
Funding: Norwegian Research Council.
University of Oslo.
PF06.09
IL‐8/CXCR1 axis induces biogenesis of small extracellular vesicles from A2780 ovarian
cancer cells with a pro‐tumorigenic profile
Albano Caceres‐Verschae1; Belen Gaete‐Ramirez2; Cristóbal Cerda‐Troncoso3; Jorge Cancino4;
Patricia V. Burgos5; Lara J. Monteiro6; Manuel Varas‐Godoy7
1PhD Program in Biomedicine, Faculty of Medicine, Universidad de los Andes, Av. La
Plaza 2501 Las Condes, Santiago , Chile., LAS CONDES, SANTIAGO, Chile; 2Cancer Cell
Biology Laboratory, Centro de Biología Celular y Biomedicina (CEBICEM), Facultad de
Medicina y Ciencia, Universidad San Sebastián, Lota 2465, Providencia, Santiago, Chile.,
Santiago, Chile; 3Organelle Phagy Lab, Centro de Biología Celular y Biomedicina (CEBICEM),
Facultad de Medicina y Ciencia, Universidad San Sebastián, Lota 2465, Providencia,
Santiago, Chile., Santiago, Chile; 4Centro de Biología Celular y Biomedicina (CEBICEM),
Facultad de Medicina y Ciencia, Universidad San Sebastián, Lota 2465 Providencia,
Santiago, Chile, Santiago, Chile; 5Organelle Phagy Lab, Centro de Biología Celular
y Biomedicina (CEBICEM), Facultad de Medicina y Ciencia, Universidad San Sebastián,
Lota 2465, Providencia,Santiago, Chile, Santiago, Chile; 6Biology of reproduction
Laboratory, Center for Biomedical Research and Innovation (CIIB), Universidad de los
Andes, Avenida La Plaza 2501 Las Condes, Santiago, Chile, Las Condes, Chile; 7Cancer
Cell Biology Laboratory, Centro de Biología Celular y Biomedicina (CEBICEM), Facultad
de Medicina y Ciencia, Universidad San Sebastián, Santiago, Chile., Las Condes, Santiago,
Chile
Introduction: Small extracellular vesicles (sEVs) play an important role in tumor
progression, and sEV of cancer stem‐like cells (CSCs) can contribute to metastasis.
In several tumors CSCs express CXCR1, but its contribution in the biogenesis of metastatic
sEV remains unclear. We hypothesize that IL‐8/CXCR1 activation could modify the production
sEVs with a pro‐tumorigenic activity.
Methods: Ovarian cancer cells A2780 which overexpress CXCR1 were stimulated with IL‐8,
and proteins involved in sEVs biogenesis (Alix, HRS, TSG101 and CD9) were evaluated
by western blot. sEV were characterized measuring proteins enriched in sEVs by western
blot, and their size and concentration were determined by Nanotracking Analysis. The
effect of sEVs in recipient cells was performed in endothelial (HUVEC) and low invasive
ovarian cancer (OVCAR) cells evaluating tube and sphere formation assay, respectively.
The protein content of sEVs was evaluated by Mass‐Spectrometry.
Results: We observed that activation of IL‐8/CXCR1 in A2780 cells increased the level
of proteins related to sEVs biogenesis accompanied with an increase in the sEVs release.
Also, transfer of sEVs released in response to IL‐8/CXCR1 activation induced tube
formation in HUVEC and sphere formation in OVCAR3 cells. Proteins involved in angiogenesis
and cell proliferation (FDZ2, PI3KC2A, among others) were enriched in this sEV and
could be responsible to induce pro‐tumorigenic properties.
Summary/Conclusion: Our findings suggest that the IL‐8/CXCR1 axis could modulate the
biogenesis and release of sEVs with pro‐tumorigenic activity, becoming this axis a
new target to abrogate metastasis mediated by sEVs.
Funding: FONDECYT 1190928, ANID/BASAL/FB210008
PF06.10
Mutated β‐catenin regulates extracellular vesicles machinery in hepatocellular carcinoma
Camille DANTZER1; Aude BRUNEL2; Jean‐Frédéric BLANC1; Mireille VERDIER SAGE2; Barbara
BESSETTE2; Fabrice LALLOUE2; Violaine MOREAU1; Clotilde BILLOTTET1
1UMR1312 Inserm, Bordeaux, France; 2UMR1308 Inserm, Limoges, France
Introduction: Hepatocellular carcinoma (HCC) is the most common primary liver cancer;
it represents the 6th most frequent tumor in the world and the 4th leading cause of
cancer‐related death. Due to the lack of efficient therapies and the difficulty to
detect the pathology during early stages, HCC has a poor prognosis. Today, the immunotherapy
represents the first‐line treatment for advanced HCC with beneficial effect on overall
survival. Despite this therapeutic advance, clinical data suggest that immunotherapy
could be less effective in patients with β‐catenin‐mutated HCC. These tumors are characterized
by an environment devoid of immune infiltrates, leading to resistant‐immunotherapy
tumors. However, the role of ß‐catenin promoting this immune escape and leading to
tumor cells trigger immunosuppressive cascades is not yet fully understood. Our project
focuses on the role of ß‐catenin signaling in tumor/immune cells communication through
extracellular vesicles (EVs).
Methods: Using transcriptomic analysis, we showed an alteration of gene expression
involved in EVs machinery in HepG2 cells upon knock‐down of mutated ß‐catenin. We
also revealed by nanoparticle tracking analysis and flow cytometry, a modulation of
EVs secretion when β‐catenin is mutated.
Results: We further identified two target genes of the EVs machinery, RAB27A and SDC4,
whose expression is ß‐catenin‐dependent. Thus, these results suggest that ß‐catenin
mutations inhibit EVs formation and/or secretion in liver tumor cells. As EVs and
their contents are main factors for intercellular communications, we now hypothesized
that the decrease of EVs production could lead to defective recruitment of leukocytes,
making these tumors poor in immune infiltrates and resistant to immunotherapy.
Summary/Conclusion: Our results provide a new knowledge on the impact of ß‐catenin
mutations on EVs biogenesis. This may allow the development of a new tool from liquid
biopsies to stratify HCC patients for immunotherapy response.
PF06.11
Norovirus interactions with Enterobacter cloacae result in lipidomic and metabolomic
changes in bacterial extracellular vesicles
Chanel Mosby‐Haundrup; Melissa Jones
University of Florida, Gainesville, USA
Introduction: Human noroviruses (HNoVs) are the leading cause of gastroenteritis.
An incomplete understanding of HNoV pathogenesis has hindered development of effective
antivirals. Due to difficulty in culturing HNoV in vitro, murine norovirus (MNV) is
used as a surrogate virus. It was recently shown that the interaction of norovirus
and Enterobacter cloacae (E. cloacae) results in gene expression changes and increased
production of bacterial extracellular vesicles (bEVs). Proteomic analysis of E. cloacae
bEVs saw significant differences in protein content between bEVs produced in the presence
and absence of MNV. Based on these findings, our hypothesis is that the presence of
MNV will result in changes to the bEV lipidomic and metabolomic profiles.
Methods: E. cloacae was incubated with MNV and grown to produce bEVs. Low speed spins
pelleted bacterial cells and the supernatant underwent sequential ultracentrifugation
steps and 0.2μm filtration to recover bEVs. The bEVs were sent off for global lipidomics
and metabolomics.
Results: Significant differences were found in the lipidomic and metabolomic profiles
of the bEVs in the presence of MNV compared to controls. An increased abundance of
lipids in the phosphatidylethanolamine (PE) class are of particular interest as increased
PE lipids have been seen in hypervesiculation mutants and are thus consistent with
previously published data demonstrating that MNV increases vesicle production.
Summary/Conclusion: The changes in the bEVs lipidomic and metabolomic profiles support
changes previously seen in the protein cargo of the bEVs. The data also suggests that
the presence of MNV alters the biogenesis pathway for E. cloacae bEVs whereby bEV
formation shifts from explosive cell lysis to membrane blebbing. These findings will
help to further the understanding of how norovirus interacts with commensal bacteria
and lead to a better understanding of norovirus pathogenesis as well as how commensal
bacteria respond to external stressors through bEV production.
Funding: R21 NIH grant# R21AI140012
Pilot Grant funded by the Southeastern Center for Integrative Metabolomics
PF06.12
Response of blood cells to a Listeriolysin O and its mutant LLO Y406A
Apolonija Bedina‐Zavec1; Rebeka Podgrajšek2; Ana Špilak2; Maja Jamnik2; Matic Kisovec1;
Gašper Šolnič2; Nejc Petrišič2; Veronika Kralj Igič3; Gregor Anderluh2; Marjetka Podobnik1
1National Institute of Chemistry, Department of Molecular Biology and Nanobiotechnology,
Ljubljana, Slovenia, Ljubljana, Slovenia; 2Department of Molecular Biology and Nanobiotechnology,
National Institute of Chemistry, SI‐1000 Ljubljana, Slovenia, Ljubljana, Slovenia;
3Biomedical Research Group, Faculty of Health Sciences, University of Ljubljana, SI‐1000
Ljubljana, Slovenia, Ljubljana, Slovenia
Introduction: Listeriolysin O (LLO) is a toxin of the intracellular pathogen Listeria
monocytogenes, that forms pores in cholesterol‐rich lipid membranes of host cells.
Its action depends on pH. The pH optimum of LLO is pH 5.5, a condition found in late
endosomes, while it can bind to the membrane,form pores and damage cells even at neutral
pH. Our group generated the LLO mutant Y406A whose activity at room temperature is
even more dependent on pH than the activity of the wild type (LLO wt). We compared
the effect of LLO wt and LLO Y406A on various cancer blood cells with the effect on
healthy cells isolated from blood.
Methods: The cell lines K562 and Raji were used. PBMCs were obtained from the blood
of healthy donors (with informed consent and according to the study protocol approved
by the National Medical Ethics Committee (0120‐21/2020/4)). Cells were incubated with
LLO or its mutant Y406A for 30 min at 37°C. Cytotoxicity was measured by quantification
of cellular membrane integrity (propidium iodide and trypan blue staining) and by
cell viability assay (Presto Blue). ROS (reactive oxygen species)‐generation activity
and the amount of ATP in cells were also measured. EVs were isolated by differential
centrifugation. The concentration of larger EVs in the samples was measured by flow
cytometry using Annexin‐FITC. The concentration of smaller EVs in the samples was
measured by DLS.
Results: The results showed that the toxicity of LLO Y406A to cancer and healthy blood
cells was very low at physiological pH (7.4). Treatment with LLO Y406A resulted in
reduced cell viability by 20% at concentrations 300 to 7000 times higher than treatment
with LLO wt. In addition, LLO wt and LLO Y406A were found to be more toxic to cancer
blood cells than to healthy blood cells under physiological conditions. Concentration
of LLO wt needed to kill 20 % of cells is 2 to 20 times higher for healthy cells than
for cancer cells. Concentration of LLO Y406A needed to kill 20 % of cells is 2 times
higher for healthy cells than for cancer cells. As pH decreases, the activity of both
proteins continues to increase. At pH 6.5, concentration of LLO wt needed to kill
20 % of cells is 4 times higher for healthy cells than for cancer cells; and concentration
of LLO Y406A needed to kill 20 % of cells is 3 to 15 times higher for healthy cells
than for cancer cells. Increased extracellular vesiculation in response to LLO wt
and LLO Y406A was detected at protein concentrations 10 to 100 times lower than initial
cell death. LLO wt and LLO Y406A did not cause an increase in ROS, but LLO wt caused
an increase in ATP levels.
Summary/Conclusion: The differences in the toxicity of LLO wt and LLO Y406A to cancer
and healthy cells, as well as the increased activity of proteins at pH 6.5, suggest
that both LLO wt and LLO Y406A are of potential interest for stimuli responsive applications
and cancer treatment.
Funding: Slovenian research agency, P1‐0391.
PF06.13
Syndecans and tetraspanins: partners in the sorting of signaling proteins to small
extracellular vesicles?
Rania Ghossoub1; Raphael Leblanc2; Stéphane Audebert3; Eric Rubinstein4; Guido David5;
Pascale Zimmermann6
1Cancer Research of Marseille ‐ Aix‐Marseille University, Marseille, France; 2CRCM,
Marseille, France; 3Centre de Recherche en Cancérologie de Marseille (CRCM), Aix‐Marseille
Université, Marseille, France; 4Centre d'Immunologie et des Maladies Infectieuses,
Inserm, CNRS, Sorbonne Université, CIMI‐Paris, 75013 Paris, France, paris, France;
5Centre de Recherche en Cancérologie de Marseille, Marseille, France; 6K. U. Leuven,
Leuven, Belgium
Introduction: Exosomes, small extracellular vesicles of endosomal origin, are master
regulators of cell‐to‐cell signaling in physiology and disease. Exosomes are highly
enriched in tetraspanins and syndecans, the latter occurring mainly in proteolytically‐cleaved
form. While both protein families are membrane scaffolds appreciated for their role
in exosome formation, composition and activity, we currently ignore whether tetraspanins
and syndecans work together to control exosome composition. Syndecans can regulate
the compartmentalization of tetraspanins (and associated cargos) into exosome [1].
Methods: Small extracellular vesicles from MCF7 breast cancer cells were isolated
by serial ultracentifugation and analyzed by proteomics and nanoparticle tracking
analysis. The expression of proteins of interest were modulated using loss‐ and gain‐
of function experiments and the
effects were further analyzed by immunoblots, biochemical analysis and confocal microscopy.
Results: We showed that Tetraspanin‐6 associates with syndecan‐4 and acts as a negative
regulator of exosome release by supporting the lysosomal degradation of syndecan‐4
and syntenin [2]. Strikingly, our recent data show that syndecans control the balance
between cellular and exosomal ADAM10, a sheddase regulating a plethora of signaling
receptors implicated in neurodegenerative diseases, inflammation and cancer.
Summary/Conclusion: Our work highlights various mechanisms by which syndecans control
the biology of exosomes. These findings clarify our understanding of the molecular
determinants governing exosome formation, composition and heterogeneity. This would
help to rationalize their use as source of biomarkers and therapeutic tools.
[1] M. F. Baietti et al., « Syndecan‐syntenin‐ALIX regulates the biogenesis of exosomes
», Nat Cell Biol, vol. 14, no 7, p. 677‐685, juill. 2012, doi: 10.1038/ncb2502.
[2] R. Ghossoub et al., « Tetraspanin‐6 negatively regulates exosome production »,
Proc Natl Acad Sci U S A, vol. 117, no 11, p. 5913‐5922, mars 2020, doi: 10.1073/pnas.1922447117.
PF06.14
TP53 mutations correlate with the non‐coding RNA content of small extracellular vesicles
in melanoma
Maureen Labbé1; Estelle Menoret1; Franck Letourneur2; Benjamin Saint‐Pierre2; Laurence
De Beaurepaire3; Joelle Veziers4; Brigitte Drenos5; Marc G Denis6; Nicolas Boisgerault1;
Jean‐François Fonteneau1; Christophe Blanquart1; Delphine Fradin1
1CRCI2NA, INSERM, Nantes Université, Nantes, France, Nantes, France; 2Université de
Paris, Institut Cochin, INSERM, CNRS., 75014 Paris, France, Paris, France; 3IECM,
ONIRIS, INRAE, USC1383, Nantes, France, Nantes, France; 4SC3M, SFR Sante F. Bonamy,
FED 4203, UMS Inserm 016, CNRS 3556, Nantes F‐44042, Nantes, France; 5Dermatology
Department, Director of the Unit of Cell and Gene Therapy CHU Nantes, CIC 1413, CRCI2NA,
University Nantes, Nantes, France; 6Department of Biochemistry, Nantes University
Hospital, Nantes, France, Nantes, France
Introduction: Secretion of RNAs in extracellular vesicles (EV) is a recently recognized
form of cell‐to‐cell communication in which RNAs can change gene expression of recipient
cell. Some RNAs are preferentially enriched into EVs, but mechanisms controlling this
specific sorting remain poorly understood. Here, we investigated the impact of mutations
on NRAS, BRAF, and TP53 genes on the non‐coding RNA content of melanoma small EV (sEV).
Methods: Melanoma cell lines established from local patients with different mutational
status were cultured in EV‐depleted media for 24h. sEV were isolated from culture
supernatant using differential ultracentrifugation and characterized for size and
concentration by transmission electronic microscopy and Tunable Resistive Pulse Sensing
experiments. The expression of sEV marker proteins were assessed by western blot.
Profiling of non‐coding RNAs (ncRNAs) were performed by next‐generation sequencing
for microRNAs (miRNAs), and by micro‐array for long non‐coding RNAs (lncRNAs). Enriched
RNA motifs in sEV and sequences recognized by RNA binding proteins were identified
by bioinformatic analyses. Sam68 protein quantification was performed by western blot.
Results: We showed that TP53‐mutated cells release lncRNAs and miRNAs that are distinct
from those secreted by TP53 wild‐type melanoma cells, whereas BRAF and NRAS mutations
did not modulate the RNA cargo of sEV. Furthermore, we found that long and small ncRNAs
enriched in TP53‐mutated sEV share a common sequence motif, highly similar to the
RNA binding motif of Sam68, a protein interacting with hnRNP proteins. Finally, we
found that Sam68 protein is enriched in TP53‐mutated melanoma cell lines, leading
probably to this selective sorting.
Summary/Conclusion: Our results support the existence of cellular mechanisms for selective
export of different RNA classes into small EVs depending on the TP53 mutational status
of the cell. sEV‐derived nucleic acids could provide clinically relevant information
on cancer progression or other pathophysiological features.
PF07: Technologies and methods: EV quantitation
Chair: Zoltán Varga – Biological Nanochemistry Research Group, Institute of Materials
and Environmental Chemistry, Research Centre for Natural Sciences
Chair: Dario Brambilla, National Research Council of Italy – Institute on Chemical
Sciences and Technology
PF07.01
Comparing digital detection platforms in high sensitivity immune‐phenotyping of Extracellular
Vesicles
Roberto Frigerio1; Angelo Musicò2; Gabriella Andriolo3; Lucio Barile3; Alessandro
Gori4; Marina Cretich4
1Consiglio Nazionale delle Ricerche, Istituto di Scienze e Tecnologie Chimiche "Giulio
Natta" (SCITEC), Milan, Italy, Milano, Italy; 2Istituto di Scienze e Tecnologie Chimiche
"Giulio Natta" (SCITEC), Consiglio Nazionale delle Ricerche, Milano, Italy; 3Istituto
Cardiocentro Ticino, Ente Ospedaliero Cantonale, Lugano, Switzerland; 4Consiglio Nazionale
delle Ricerche, Istituto di Scienze e Tecnologie Chimiche “Giulio Natta” (SCITEC),
Milan, Italy, Milano, Italy
Introduction: Extracellular Vesicles (EVs) based diagnostic practices must comply
with the putative clinical value of low to very low abundant EV sub‐types within complex
media. In this regard, the enormous diagnostic potential of EVs could be unleashed
by the extraordinary sensitivity offered by digital biosensing platforms, namely capable
of reaching the single molecule detection level. As far as immune‐phenotyping of EVs
coupled to digital readout, two platforms are finding their place in the spotlight:
the Single Particle Interferometric Reflectance Imaging Sensing (SP‐IRIS) and the
Single Molecule Array technology (SiMoA).
Methods: EVs from human Cardiac progenitor Cells (CPCs) isolated by Tangential Flow
Filtration were characterized by Western Blotting (WB), Nanoparticle Tracking Analysis
(NTA) and Cryo‐Electron Microscopy. The sample was used to provide a side by side
multiparametric comparison of the two platforms by studying the abundance of CD9/CD63/CD81.
Monoclonal antibodies anti‐CD9, anti‐CD63 and anti‐CD81 were selected for this work
and, for a fair comparison of data, applied to both SP‐IRIS and SiMoA platforms using
custom functionalization protocols of chips and beads respectively.
Results: Calibration curves were generated with different assay schemes. After assessing
that the tetraspanin monoclonal antibodies used in this work are not cross‐reactive
to mouse, to promptly compare the two digital platforms, we mimicked a liquid biopsy
by spiking the human CPCs ‐ EVs into mouse serum. The lowest detectable concentration
of EVs were determined leading to a limit of detection (LOD) of 10^8 EV/mL for the
SP‐IRIS platform and 10^7 EV/mL for the SiMoA instrument showing that both platforms
sensitivity is affected by sample matrix effect (1 order of magnitude higher LODs
compared to spiking in PBS).
Summary/Conclusion: Despite the higher sensitivity demonstrated by SiMoA platform
compared to SP‐IRIS in this assay, careful consideration of multiple features such
as reading time, multiplexing, dedicated software and additional information provided
by SP‐IRIS (size, biomarker co‐localization) have to be considered.
Funding: This work was partially funded from the European Union's Horizon 2020 research
and innovation program under grant agreements No. 951768 (project MARVEL)
PF07.02
Development of an aptamer‐based fluorescence polarisation assay for quantification
and characterisation of extracellular vesicles
Tarlan Esalmi Arshaghi1; Jerry Clifford2; Stephanie J Davies2; Frank Barry3
1Regenerative Medicine Institute , National University of Ireland Galway, Galway,
Ireland, GALWAY, Ireland; 2Valitacell Ltd., Dublin, Ireland, Dublin, Ireland; 3Regenerative
Medicine Institute , National University of Ireland Galway, Galway, Ireland., GALWAY,
Ireland
Introduction: Extracellular vesicles (EVs) have attracted wide interest in recent
years due to their potential applications in regenerative medicine, as biomarkers
for disease, and because of their role in cell‐cell interactions. However, EV isolation,
quantification, and characterisation remain challenging in terms of purity and specificity
as well as time‐ and cost‐effectiveness. This work aims to develop a novel and high‐throughput
EV quantification tool based on the interaction between a fluorescently labeled probe
and a specific EV surface component, using fluorescence polarisation (FP) for detection.
The method analyses the change in the polarisation of emitted light between unbound
and bound probes, with the observed polarisation in a mixture of labeled probe and
target being proportional to the fraction of bound probe. This property of FP allows
its use to quantify the amount of EVs in a sample.
Methods: Two distinct strategies have been investigated, with probes targeting (i)
specific EV surface markers (Tetraspanins e.g., CD63) for EV sub‐population quantification
or (ii) the EV phospholipid bilayer membrane for total EV quantification. Commercially
available fluorescently labeled CD63 binding aptamers and proteins, and lipophilic
dyes have been evaluated. EVs derived from HEK and MSC cultures have been purchased
(HansaBioMed) or isolated through PEG‐precipitation and ultracentrifugation, and particles
quantified through Nano Tracking Analysis (NTA) or Imaging Flow Cytometry. Each probe
candidate was incubated with EVs, and FP was measured over time using a Spark Cyto
plate reader.
Results: Tetraspanin specific (Anti‐CD63) aptamer probes and lipophilic dyes demonstrated
increased fluorescence polarisation in response to increasing EV concentration.
Summary/Conclusion: This initial proof of concept supports the use of FP as a high
throughput EV detection and quantification method, with the ability to provide both
total and CD63+ve particle numbers.
Funding: Marie Curie Career FIT
Enterprise Ireland
PF07.03
Identification of HER2 positive extracellular vesicles from breast cancer cells by
nano‐flow cytometry
Karin Ekström1; Nasibeh Karimi2; Cecilia Lässer3; Roger Olofsson Bagge1
1Sahlgrenska Center for Cancer Research and Wallenberg Centre for Molecular and Translational
Medicine, Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy,
University of Gothenburg, Gothenburg, Sweden; 2Krefting Research Centre, Institute
of Medicine at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,
Gothenburg, Sweden; 3Krefting Research Centre, Institute of Medicine at the Sahlgrenska
Academy, University of Gothenburg, Gothenburg, Sweden., Gothenburg, Sweden
Introduction: Breast cancer is the most common diagnosed cancer and the leading cause
of cancer‐related deaths among females world‐wide. Human epidermal growth factor receptor
2 (HER2) is overexpressed in approximately 20 % of breast cancers, and treatment with
anti‐HER2 therapy improve clinical outcome. HER2 overexpression is evaluated in tumour
tissue for the use as both a predictive and prognostic factor. Recent data suggests
that serum from patients with HER2 positive breast cancer contain HER2 positive extracellular
vesicles (EVs). The aim of this study was to establish a non‐washing protocol to detect
HER2 on individual EVs isolated from a HER2 positive breast cancer cell line using
nano‐flow cytometry (nano‐FCM).
Methods: The HER2 overexpressing breast cancer cell line BT‐474 was cultured and EVs
were isolated from the conditioned media by ultracentrifugation. EV quantification
and characterization was performed by Qubit protein quantification, nanoparticle tracking
analysis, nano‐FCM (using S16M‐Exo size standard) and western blot (EV and non‐EV
markers). BT‐474 EVs were labelled with HER2 antibody (VioBright FITC, 10X‐300X dilution
of antibody) and then diluted to reduce background fluorescence prior to nano‐FCM
analysis. As negative control, EVs from HER2 negative cells were used.
Results: BT‐474 EVs were positive for the common EV markers CD9 and Flotillin, while
the ER marker Grp‐94 was absent in the isolated EVs. Most EVs were in the size range
of 40‐140 nm, as estimated by nano‐FCM. Nano‐FCM analyses of HER2 labelled BT‐474
EVs showed that HER2 can be detected on the membrane of 10‐40 % of the EVs. The HER2
positivity was also verified by Western blot analysis.
Summary/Conclusion: HER2 can be detected on individual EVs from the BT‐474 breast
cancer cell line using nano‐FCM. Potentially, nano‐FCM can be used to detect HER2
positive EVs isolated from breast cancer patients.
Funding: Assar Gabrielsson's foundation. Knut and Alice Wallenberg Foundation, Wallenberg
Centre for Molecular and Translational Medicine, University of Gothenburg, Sweden
PF07.04
Influence of purification and anticoagulant on analysis of plasma‐derived EVs by imaging
flow cytometry
Tobias Tertel1; Monika Wolny2; Oumaima Stambouli1; Ingvild Birschmann2; Bernd Giebel1
1Institute for Transfusion Medicine, University Hospital Essen, University of Duisburg‐Essen,
Essen, Germany, Essen, Germany; 2Institut für Laboratoriums‐ und Transfusionsmedizin,
Herz‐ und Diabeteszentrum Nordrhein‐Westfalen, Universitätsklinik der Ruhr‐Universität
Bochum, Bad Oeynhausen, Deutschland, Bad Oeynhausen, Germany
Introduction: Extracellular vesicles (EVs) are secreted by virtually all cells. Depending
on their origin they appear as promising biomarkers in health and disease, especially
if they can be recovered in plasma samples. However, there are many parameters that
affect the detectability of EVs in given samples. Amongst others the anticoagulants
being used as well as required processing steps in obtaining and preparing plasma
for the EV analysis and especially the EV detection method of choice influence the
diagnostic usability of EVs essentially.
Methods: Recently, we have qualified imaging flow cytometry (IFCM) as a valid method
for the phenotypic characterization of antibody labelled EVs at the single object
level. In contrast to many other novel single EV characterization methods, IFCM does
not require any major pre‐ and post EV labelling processes. Antibodies can be simply
added to EV containing biofluids and analyzed following a typically 60 minutes lasting
incubation period. Using a panel of 20 different antibodies and applying our optimized
IFCM analysis strategy, we now have investigated impacts of conventionally applied
processing steps, i.e. the centrifugation step regularly applied for the cell and
debris clearance of applied plasma samples, as well as that of the eight most frequently
used anticoagulants on the detectability and the phenotypic appearance of EVs within
the plasma of healthy donors.
Results: Our results demonstrate that the speed of the clearance centrifugation step
(2,000, 2,500, 3,800 x g centrifugation, or following Ficoll gradient centrifugation)
do not recognizably affect the composition of detected EV populations. In contrast,
the choice of the anticoagulant significantly impacted the composition of the different
EV populations. While we hardly observed any impact on myeloid cell derived EVs, e.g.
CD16+ or CD71+ EVs, the abundance of CD9+, CD41+ and CD61+ EVs, assumedly platelet‐derived
EVs, was significantly affected. Most CD41+ or CD61+ EVs were recovered in serum or,
when Heparin was used as anticoagulant, the lowest amount was detected in EDTA containing
plasma. In contrast, HLA‐ABC+ and HLA‐DR+ EVs had lowest abundances in serum while
with all other anticoagulants no differences in quantity are detected.
Summary/Conclusion: Thus, our analyses demonstrate significant impacts of anticoagulants
on the detectability of certain EV types, especially on PL‐derived EVs.
PF07.05
MIFlowCyt‐EV reporting of single vesicle flow cytometry methods and results
Thomas Maslanik1; Erika Duggan2; John P. Nolan2
1Cellarcus Biosciences, La Jolla, USA; 2Scintillion Institute, San Diego, USA
Introduction: Introduction. Rigor and reproducibility are major issues for science
in general, and the EV field in particular. It is increasingly appreciated that the
key to data interpretation lies in the details of the methods used to produce the
data. Single vesicle analysis using flow cytometry is a case in point, with literally
hundreds of different ways to prepare and measure a sample using a flow cytometer,
and the details of those methods and validation of their performance are required
for understanding the data. The recent MIFlowCyt‐EV guidelines address this need by
providing a checklist of issues that must be addressed to enable data interpretation
and sharing. Here we illustrate the reporting an EV FC method and results in a MIFlowCyt‐compliant
manner.
Methods: Methods. We measured individual EVs in culture media and plasma by single
vesicle flow cytometry using a commercial flow cytometer and assay kit. Preanalytical
steps included pelleting of cells, dilution, and/or concentration by ultrafiltration.
The flow cytometers were qualified and calibrated using calibration beads to enable
data reporting in standardized units. EV concentration, size, and surface cargo was
measured by single vesicle flow cytometry (vFC) which incorporates validated reagents
reagents, essential controls, and standardized protocols and data analysis.
Results: Results. We report size, concentration, and tetraspanin number per EV in
standard units on EVs from blood and cell culture. Calculation of these parameters
is described within the context of the sample preparation and assay protocols. Example
calibration and control data that might be included in supplementary methods as suggested
by the MIFlowCyt‐EV ISEV position paper is reported. Data analysis protocols with
an example of how to report a gating strategy and resulting data are illustrated.
A walkthrough of the data repository and best practices for use are described.
Summary/Conclusion: Conclusion. Single EV analysis using flow cytometry offers great
potential for understanding the diverse origins and functions of EVs, but only if
performed in a way that allow assay specificity and sensitivity to be transparently
documented. The MIFlowCyt‐EV guidelines provide a framework that enables EV FC measurements
to be reported in the context of essential experimental details, calibrations, and
controls. Many of the concepts and procedures developed for EV FC are extensible to
other single EV counting, sizing, and cargo analysis methods.
PF07.07
Quantitative analysis of molecular cargo transfer from cells to EVs
John P. Nolan; Erika Duggan
Scintillion Institute, San Diego, USA
Introduction: Introduction. EVs carry molecular cargo from their cell of origin, but
the mechanisms of cargo selection and loading into EVs are not well understood. We
used quantitative single cell and vesicle flow cytometry to measure membrane protein
expression on cells and EVs.
Methods: Methods. PC3 cells were cultured, media collected, and EVs concentrated using
ultrafiltration (100K MWCO). Cell surface markers were measured by flow cytometry
(FC). EV concentration, size, and cargo were measured by single vesicle flow cytometry
(vFC). Instruments were calibrated and intensity reported in units of antibodies per
cell or EV.
Results: Results. PC3 cells express surface markers at high (>250K median copies/cell:
CD71, CD29, CD44, CD54), medium (50K‐250K copies: CD9, CD63, CD49f) and low (< 50K
copies: CD81, EPCAM, EGFR, STEAP‐1) abundances. Cell permeabilization reduced staining
for CD9 and CD81 (due to disruption of the plasma membrane), and increased staining
for CD63 and STEAP1 (due to accessibility of internal antigen). EVs expressed detectable
(>∼10 PE MESF) CD9, CD63, CD81 and CD29, with a fraction (∼50%) also staining with
AnnV. Expression was proportional to EV surface area, with surface densities ranging
from a background of ∼10 molecules/um2 to >1000 molecules/um2 for high abundance targets.
Several high abundance markers (CD71, CD44, CD54) were not detectable on EVs, suggesting
differential packaging of cell surface cargo into released EVs. CD63 was expressed
at low abundance overall, but a subset of smaller EVs (< 100 nm) expressed CD63 at
high surface density (∼1000 um2).
Summary/Conclusion: Conclusions. We find that the abundance and surface density of
cargo on vesicles can be higher or lower than on the cell of origin. Some abundant
cell surface molecules (CD71, ICAM, CD44) were undetectable on EVs, while others (CD9,
CD81, CD29) were present at surface density similar to cells. CD63 was present at
high density on smaller EVs, consistent with enrichment of CD63 on small exosomes
formed inside the cell.
PF07.08
Shape prediction of single nanoparticles by on‐chip trajectory tracking and deep learning
analysis
Takanori Ichiki
The University of Tokyo, Bunkyo, Japan
Introduction: We have developed a model for multiparametric analysis of nanoparticles
in liquids that combines single‐particle measurement of scattered light‐imaged nanoparticles
with deep learning analysis. We aimed to obtain more information from the measurement
data of on‐chip Nanoparticle Tracking Analysis (on‐chip NTA), which is a single particle
measurement technology for nanoparticles in liquids, which has enabled us to evaluate
particle size and surface charge. In this study, we developed a deep learning model
to predict the shape of differently shaped nanoparticles using the Brownian motion
trajectories obtained from NTA measurements.
Methods: Development of the shape estimation model consisted of three stages: NTA
measurements for raw data acquisition, creation of a data set for deep learning, and
deep learning. First, the Brownian motion trajectories of spherical gold nanoparticles
(AuNP, 80 nm diameter) and gold nanorods (AuNR, 45 nm in diameter × 180 nm in length)
were measured by NTA. Gold nanoparticles in a microfluidic channel were irradiated
with a laser (405 nm), and the scattered light was imaged (0.01 fps) by dark‐field
laser observation. Then, the center of gravity of the scattered light from each nanoparticle
was tracked, and the time‐series 2D coordinate data for each particle was acquired.
The time series trajectory data were given a correct answer label indicating whether
the trajectory was related to spherical or rod‐shaped particles and was used as the
deep learning data set. The data set was randomly divided into training data, validation
data, and test data. We designed and built deep learning models using implemented
Fully Connected Neural Network (FCNN), Long Short‐Term Memory (LSTM), One‐Dimension
Convolution Neural Network (1DCNN), and Bidirectional Long Short‐Term Memory.
Results: The accuracy of the shape prediction model, using the time series trajectory
data of Brownian motion of spherical and rod‐shaped gold nanoparticles with almost
the same mass and self‐diffusion coefficient, reached 70.8% when the shape prediction
model developed by the combination of 1DCNN and Bi‐LSTM was used.
Summary/Conclusion: In conclusion, the methodological potential for realizing multiparametric
analysis of nanoparticles in liquids has been demonstrated. By the deep learning analysis
of the trajectory of Brownian motion of nanoparticles in liquid, we obtained the information
of the particle shape.
PF07.09
Single‐step approach to prevent swarm detection in extracellular vesicle flow cytometry
Naomi C. Buntsma1; Mona Shahsavari2; Britta A. Bettin3; Chi Hau4; Aleksandra Gasecka5;
Rienk Nieuwland6; Edwin van der Pol3
1Department of Neurology, Laboratory of Experimental Clinical Chemistry & Biomedical
Engineering and Physics, Amsterdam UMC, the Netherlands, Amsterdam, Netherlands; 2Biomedial
Engineering and Physics & Laboratory of Experimental Clinical Chemistry, Amsterdam
UMC, Amsterdam, Netherlands; 3Department of Clinical Chemistry, Vesicle Observation
Center, Department of Biomedical Engineering and Physics, Amsterdam UMC, University
of Amsterdam, Amsterdam, the Netherlands, Amsterdam, Netherlands; 4Department of Clinical
Chemistry; Vesicle Observation Center, Amsterdam University Medical Center, University
of Amsterdam, Amsterdam, Netherlands; 51st Chair and Department of Cardiology, Medical
University of Warsaw, Warsaw, Poland & Laboratory of Experimental Clinical Chemistry,
Amsterdam UMC, Amsterdam, the Netherlands, Amsterdam, Netherlands; 6Department of
Clinical Chemistry; Vesicle Observation Center; Amsterdam University Medical Center,
University of Amsterdam, Amsterdam, Netherlands
Introduction: Flow cytometry (FCM) is commonly used to characterize single extracellular
vesicles (EVs) in biological fluids. However, EV FCM can be hampered by swarm detection.
Swarm detection occurs when multiple particles are simultaneously illuminated. Therefore,
without appropriate dilution, a single event signal might be caused by multiple particles,
leading to meaningless concentration estimates. To find the minimum dilution (to maximize
EV counts) without swarm detection, it is currently recommended to run a dilution
series. However, a dilution series is laborious and unpractical. Here, we aim to find
and validate a single‐step approach, specifically for our assay and FCM, to minimize
sample dilution and prevent swarm detection.
Methods: Five human blood plasma samples from a published study (AFFECT EV) were selected,
of which the total concentration of particles exceeding a side scatter cross section
of 10 nm^2 ranges from 1E9 to 1E11/mL. To systematically investigate the relation
between the count rate and swarm detection, dilution series of each sample were prepared
and measured by FCM (Apogee A60‐Micro) using side scatter triggering.
Results: To avoid swarm detection while optimizing EV counts, samples require a dilution
ranging from 35‐fold to over 650‐fold, resulting in count rates ranging from 4,000
events/s to 10,000 events/s. For all samples, swarm detection is absent for count
rates < 4,000 events/s.
Summary/Conclusion: For our assay and FCM, swarm detection does not occur below count
rates of 4,000 events/s. Based on this maximum count rate, the minimum sample dilution
can be calculated by measuring the total particle concentration of an (over)diluted
sample. This single‐step approach assures that samples in clinical studies can be
measured without swarm detection while maximizing EV counts. It needs yet to be validated
whether this approach can be generalized to other flow cytometers.
Funding: N. Buntsma acknowledges the Dutch Heart Foundation, research grant CINTICS
2018B031.
M. Shahsavari acknowledges funding from the Dutch Research Council (NWO), research
grant P18‐26: Medical Photonics (MEDPHOT)
B.A. Betting acknowledges funding from the EMPIR program, METVESII (project 18HLT01).
A. Gasecka acknowledges funding from the Polish National Science Centre, research
grant PRELUDIUM 2018/31/N/NZ7/02260.
PF07.10
Traceable refractive index measurements of liquids to standardize concentration measurements
of extracellular vesicles
Martine Kuiper1; Richard Koops2; Edwin van der Pol3; Rienk Nieuwland4
1Department of Clinical Chemistry, Vesicle Observation Center, Department of Biomedical
Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands,
Delft, Netherlands; 2VSL, National Metrology Institute, Delft, Netherlands, Delft,
Netherlands; 3Department of Clinical Chemistry, Vesicle Observation Center, Department
of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam,
the Netherlands, Amsterdam, Netherlands; 4Department of Clinical Chemistry; Vesicle
Observation Center; Amsterdam University Medical Center, University of Amsterdam,
Amsterdam, Netherlands
Introduction: The concentration of extracellular vesicles (EVs) in body fluids is
a promising biomarker. When EV concentration measurements by flow cytometry are combined
with Mie theory to relate light scattering signals (of EVs) to diameter, EV concentrations
can be reported within a given size range. A required input variable of Mie theory
is the refractive index (RI) of the liquid surrounding the EVs. This RI, however,
has never been traceably measured. Here, we determine the RI of Dulbecco's phosphate
buffered saline (DPBS) using a metrologically traceable set‐up and show that the previously
assumed RI substantially differs from the actual RI of DPBS.
Methods: We developed a metrological goniometer to measure the RI of liquids with
an expanded uncertainty of 1.3E‐6. We measured the RI of fresh DPBS (Corning) at a
wavelength of 405 nm, which is commonly used in flow cytometry. The measurement was
performed at controlled environmental conditions with a temperature of (19.90 ± 0.03)
°C.
Results: We found that the RI of DPBS is 1.344599, which is 5E‐4 lower than assumed
previously. In daily practice, when the lower size gate of a flow cytometer is set
at 400 nm, this difference in RI results in a gate uncertainty of 11 nm, corresponding
to a 9% uncertainty in measured EV concentrations.
Summary/Conclusion: We determined the actual RI of DPBS, which has practical consequences
for standardizing EV concentration measurements by flow cytometry, because the RI
of DPBS directly affects the accuracy of the size calibration.
Funding: This work is part of the project 18HLT01 METVES II and received funding from
the EMPIR programme co‐financed by the Participating States and from the European
Union's Horizon 2020 research and innovation programme.
PF07.11
Uncertainty in EV concentration determination by nanoparticle tracking analysis (NTA)
Jeff Bodycomb1; Julie Chen Nguyen2
1HORIBA Scientific, Piscataway, USA; 2HORIBA Scientific, Irvine, USA
Introduction: EV concentration is routinely reported and many reports show an expected
variation of results when similar animals are analyzed. This variation has multiple
components, for example variation due to differences between animals and uncertainty
of the final measurement (e.g., NTA). Understanding measurement uncertainty improves
interpretation of experimental data. In addition, understanding how to control uncertainty
can guide experimental design by clarifying the trade‐off between effort and uncertainty.
Methods: Lyophilized exosomes were obtained from Abcam (Lyophilized MCF7 Exosome Standards,
lot GR3401014‐1). These are derived from MCF7 a human cancer cell line and characterized
by Abcam. Exosomes were reconstituted following manufacturer instructions, and diluted
in Dulbeccos phosphate buffered saline (dPBS). NTA was performed with a HORIBA ViewSizer
3000 multi‐laser NTA instrument. Multiple lasers were used to ensure analysis of all
EV sizes in the sample. Laser power settings were 210 mW blue, 12 mW green, 8 mW red
and camera gain was 30 dB.
Results: A single aliquot of diluted exosomes was measured six times in succession.
The overall particle concentration was 2.63e7 p/mL with a standard deviation of 1.13e6
p/mL. This reflects a coefficient of variation of 4.31%. In these measurements, an
average of 1640 particles were observed in each measurement.
Concentration for each size range was obtained and the concentration uncertainty of
each bin estimated from the repeats. Plotting the uncertainty as a function of number
of analyzed particles shows an approximate square root dependence.
Summary/Conclusion: Repeated measurements can be used to estimate measurement uncertainty
for stable dilutions of EV's. The observed coefficient of variation, 4.3% is close
to but somewhat higher than the expected from the number of particles counted and
Poisson statistics. The predicted value is 1/sqrt(1640) or 2.5%. Repeatability for
the concentration in each size class roughly followed Poisson statistics. This indicates
that repeatability improves in proportion to the square root of measurement time.
PF07.12
Towards unbiased and specific staining of EVs allowing for detection in complex particle
isolations
Dimitri Aubert1; Alice Law1; rebecca J. Lees1; Rob Tempest1; Ben Peacock2
1NanoFCM, Nottingham, United Kingdom; 2NanoFCM Co., Ltd., Nottingham, United Kingdom
Introduction: Extracellular vesicles (EVs) are often co‐isolated with other non‐EV
particles of similar density or size, especially when derived from biofluids. Common
characterization of size and/or concentration may provide total particle information
without specificity towards EVs. Many popular advanced techniques for EV characterization
utilize fluorescent labelling to identify subpopulations of EVs.
Methods: Nano‐flow cytometry (nFCM) performed on a NanoAnalyzer has the benefit of
elucidating both the total particle population as well as the total EV and/or specific
EV subpopulations by detecting scattered and fluorescent light. Whilst antibody staining
is an option for identifying specific targets, the use of EV compatible dyes allowing
fast determination of EV concentrations within complex particle isolations will greatly
facilitate research. Dyes used in this study include CFSE, Cell Mask, Memglow, PKH,
and many more.
Results: However, currently there are caveats to be aware of for some commercially
available dyes. nFCM allowed for in depth comparison of the efficacy of several dyes
identifying capabilities such as, high intensity fluorescence, self‐quenching and
low background, even distribution and correlation with size. Several limiting factors
were also identified including, desorption and leeching, micelle formation, and poor
specificity.
Summary/Conclusion: Direct comparison of these commonly available dyes will help to
inform researchers as to the most applicable dyes for specific scenarios, forming
a roadmap for future EV research.
PF08: Reproduction & Metabolism
Chair: Nicole Noren Hooten – National Institute on Aging, U.S. National Institutes
of Health
Chair: Alireza Fazeli – Unit of Reproductive and Developmental Medicine, Department
of Oncology and Metabolism, The Medical School, University of Sheffield, Sheffield,
UK
PF08.01
Early pregnancy adipocyte‐derived small extracellular vesicles microRNAs potentially
impact infant adiposity through adipogenesis related signaling pathways
Laura Cechinel1; Evan Nadler2; Sudha Rao3; Pooja Kunte4; Krishna Sukla4; Chittaranjan
Yajnik4; Robert J. Freishtat5
1Children's National Medical Center, Washington, USA; 2Children's National Hospital
and The George Washington University, Washington, USA; 3Genotypic Technology Pvt Ltd.,
Bangalore, India; 4King Edward Memorial Hospital, Pune, India; 5Children's National
Hospital, Washington, USA
Introduction: Introduction: Maternal nutritional status and other in utero exposures
are associated with infant adiposity, childhood obesity, and adult cardiometabolic
disease. We hypothesize that maternal adipocyte‐derived small extracellular vesicles
(ad‐sEVs) carry miRNAs during early gestation that are associated with high infant
adiposity via enhanced fetal adipogenesis.
Methods: Methods: Ad‐sEVs were isolated from maternal blood at 8 weeks gestation from
a representative subset (n=28) of a maternal‐infant cohort (IndiaGDM cohort, n>330;
the study was approved by the ethics committee). Newborns were classified high (n=12)
or low adiposity (n=16) according to the sum of skinfolds. EV RNA libraries were prepped
and sequenced on Illumina NextSeq for about 10 million reads per sample. Data were
analyzed in Partek™Flow™. Sequences (16–40nt) were aligned and differentially expressed
miRNAs analyzed using DESeq2. Ingenuity Pathway Analysis predicted mRNAs targeted
by these miRNAs.
Results: Results: We identified 8 differentially expressed (FC≥|1.5|; P≤0.05; no FDR)
ad‐sEV miRNAs between mothers of babies with high vs. low adiposity. These included
1 upregulated (i.e., miR‐144‐3p – an upregulator of adipogenesis) and 7 downregulated
miRNAs (e.g., miR‐215‐5p and miR‐486‐5p ‐ associated with childhood obesity). These
miRNAs are predicted to target 922 mRNAs. Among them, adipogenesis signaling pathway
members STAT5B and FGFR3 are predicted to be upregulated. In addition, STAT3 and PTEN
signaling are involved in adipogenesis regulation. Among the differentially regulated
pathways, STAT3 signaling was one of the most upregulated (P < 0.001; z=+3.2) and
PTEN signaling is the second most downregulated (P< 0.001; z=‐1.6).
Summary/Conclusion: Conclusions: Maternal ad‐sEV miRNAs potentially enhance fetal
adipogenesis through several signaling pathways, including STAT3 and PTEN. The findings
provide new insights toward understanding the relationship between early fetal exposures,
childhood obesity, and adult cardiometabolic disease
PF08.02
Extracellular vesicles are stable carriers of adiponectin with insulin‐sensitive properties
Alexia Blandin1; Jérémy Amosse2; Grégory Hilairet3; Maëva Durcin3; Xavier Prieur4;
Luisa Vergori5; Cédric Dray6; Jean‐philippe Pradère7; Séverine Dubois8; Jérôme Boursier8;
Bertrand Cariou9; Soazig Le Lay1
1Inserm U1087 Institut du Thorax Nantes & SFR ICAT Univ Angers, Angers, France; 2IRSET
Laboratory, Inserm, UMR 1085, Rennes, France, Rennes, France; 3Univ Angers SFR ICAT,
Angers, France; 4Université de Nantes, CNRS, INSERM, l'institut du thorax, Nantes,
France; 5Univ Angers, SFR ICAT, Angers, France; 6Restore UMR1301 Inserm, 5070 CNRS,
Université Paul Sabatier,, Toulouse, France; 7Restore UMR1301 Inserm, 5070 CNRS, Université
Paul Sabatier, France, France; 8CHU Angers, Angers, France; 9Université de Nantes,
CHU Nantes, CNRS, INSERM, l'institut du thorax, Nantes, France
Introduction: Adipose tissue (AT) plays a critical role in the metabolic crosstalk
between organs, relayed by adipokines which participate to obesity‐associated complications.
Recent studies evidenced AT‐derived EV (AT‐EV) as important mediators of obesity‐associated
metabolic dysfunctions. We performed AT‐EV adipokine profiling to identify EV‐associated
factors that could relay EV metabolic effects.
Methods: AT‐EV were purified from conditioned media of visceral AT from lean or obese
(ob/ob) mice by differential centrifugation. We isolated large (13K) and small (100K)
AT‐EV that were further characterized by a combination of biochemical, microscopical
and physical methods.
Results: We evidenced the ability of AT to secrete both large (lEV) and small (sEV)
EV subpopulations, a secretion that is enhanced in obese mice compared to lean animals.
Adiponectin was the most enriched adipokine in AT‐EV under its oligomeric active forms.
Adiponectin mainly distributed at the EV external surface for both AT‐EV or plasma
EV, as a result of unspecific adsorption of soluble adiponectin. EV‐associated adiponectin
maintained its insulin‐sensitizing properties on target cells and its injection in
high fat diet‐fed mice prevented the animals from the development of insulin‐resistance.
Summary/Conclusion: Altogether, our results highlight EV as new original carriers
of metabolic forms of adiponectin, that are likely to participate to its beneficial
effects.
Funding: This work was supported by a research grant from Genavie and INSERM
PF08.03
Extracellular vesicles released by steatotic hepatocytes alter adipocyte metabolism
Maria Azparren1; Justyna Mleczko1; Felix Royo1; Juan M. Falcon‐Perez2
1CIC bioGUNE, Derio, Spain; 2Center for Cooperative Research in Biosciences (CIC bioGUNE),
Basque Research and Technology Alliance (BRTA), Exosomes Laboratory, 48160 Derio,
Spain., Derio, Spain
Introduction: The composition of extracellular vesicles (EVs) is altered in many pathological
conditions, and their molecular content provides essential information on features
of parent cells and mechanisms of crosstalk between cells and organs. Metabolic Syndrome
(MetS) is a cluster of clinical manifestations including obesity, insulin resistance,
dyslipidemia and hypertension that increases the risk of cardiovascular disease and
type 2 diabetes mellitus. We investigated the crosstalk between liver and adipocytes
by characterising EVs secreted by primary hepatocytes isolated from Zucker rat model,
and studied the effect they have on 3T3‐L1 adipocytes.
Methods: By using differential ultracentrifugation, density gradient, NTA, cryo‐TEM,
Western‐blotting, Raman spectroscopy, proteomics and lipidomicss we perform a deep
molecular characterisation of EVs secreted by lean and obese primary hepatocytes.
In addition by using radio labelling we analyse the bio distribution of these vesicles,
and by using metabolomics we study the effects that these hepatocytes‐secreted vesicles
produce on adipocytes metabolism.
Results: We found that steatotic hepatocytes secrete EVs with significantly reduced
exosomal markers in comparison with their lean counterpart. Moreover, proteomic analysis
revealed that those EVs reflect the metabolic state of the parent cell in that the
majority of proteins upregulated relate to fat metabolism, fatty acid synthesis, glycolysis,
and pentose phosphate pathway. In addition, hepatocytes‐secreted EVs influenced lipolysis
and insulin sensitivity in recipient 3T3‐L1 adipocytes. Untargeted metabolomic analysis
detected alterations in different adipocyte metabolic pathways in cells treated with
hepatic EVs.
Summary/Conclusion: Our work showed that steatosis has a significant impact in the
amount and composition of EVs secreted by hepatocytes. Moreover, our data point to
the involvement of hepatic‐EVs in the development of pathologies associated with Metabolic
Syndrome.
PF08.04
Infrared spectra signatures of extracellular vesicles derived from endothelial cells
cultured in long‐term hyperglycemic conditions
Carina Rząca1; Andrzej Wróbel1; Paweł Moskal2; Ewa Ł Stępień1
1Department of Medical Physics, M. Smoluchowski Institute of Physics, Faculty of Physics,
Astronomy and Applied Computer Science, Jagiellonian University, Kraków, Poland, Kraków,
Poland; 2Department of Experimental Particle Physics and Applications, Marian Smoluchowski
Institute of Physics, Faculty of Physics, Astronomy and Applied Computer Science,
Kraków, Poland
Introduction: Long‐term hyperglycemic conditions cause changes in endothelial cell
properties: they became stiffer and less motile. These changes promote endothelial
dysfunction and lead to microvessels damage. Extracellular vesicles (EVs) are a heterogeneous
group of small vesicular structures released by different types of cells, including
microvascular endothelial cells. Stress and metabolic conditions are reflected in
the molecular content of endothelial cell‐derived EVs. This study aims to investigate
modifications in endothelial EVs molecular composition under hyperglycemic conditions
using the Attenuated Total Reflectance Fourier Transform Infrared spectroscopy (ATR‐FTIR)
method.
Methods: EV samples were isolated by ultracentrifugation of conditioned media collected
from a telomerase‐immortalized human microvascular endothelium cell line (TIME) cultured
in normoglycemic (NG) and hyperglycemic conditions (HG). For FTIR spectroscopy, a
sample of EVs washed with distilled water was dried at RT directly on the diamond
crystal. Then, 127 scans of the sample were collected in a range of 800–4000 cm−1and
processed at a nominal resolution of 4 cm−1. The secondary structure of proteins was
defined by decomposing the second derivative of the Amide I band (1600 – 1700 cm−1).
Results: FTIR results showed that NG and HG vesicles have different content of protein
and lipid components. Statistically significant differences were found in protein
phosphorylation, acyl chain length, and lipid to protein ratio. We have shown that
HG and NG vesicles also differ in protein secondary structure: side chain, inter β‐sheet,
β‐sheet, random coil, α‐helix, and β‐turn.
Summary/Conclusion: We propose that EVs are a waste fraction to transport or remove
metabolic components from endothelial cells under HG conditions. We have shown that
ATR‐FTIR analysis of EV samples is a fast and simple method to show a metabolic effect
of long‐term hyperglycemia.
Funding: The work was supported by the National Science Centre (Poland) OPUS 17 to
prof. E. Stępień (No. 2019/33/B/NZ3/01004).
PF08.06
Profiling variations in human primary skeletal muscle myoblasts to identify putative
biomarkers of ageing
Maria F. Fernandez Rhodes; Andrew J. Capel; Neil R.W. Martin; Mark P. P. Lewis; Owen
G. Davies
Loughborough University, Loughborough, United Kingdom
Introduction: Sarcopenia (loss of muscle mass and function) affects 5‐50% of population
over the age of 60 and is currently a global public health concern. Skeletal muscle
(SM) has been described as a secretory organ, involved in autocrine and paracrine
activities. SM extracellular vesicles (SM‐EVs) are emerging as key players mediating
effects such as myogenesis, controlling the cell cycle and Wnt signalling pathways
implicated in maintaining Pax3 and Pax7 expression in myogenic precursor cells. Age‐related
changes in cell phenotype (e.g., senescence) are known to have an impact on EV release
and composition. However, the impact of sarcopenia has not been well described. In
this study, we aimed to provide the first comprehensive profile of variations in young
and old human primary skeletal muscle cells (HPMCs) to begin to predict their contribution
to native SM function and begin to identify potential biomarkers of ageing.
Methods: HPMCs were recovered from skeletal muscle biopsies isolated from young (18‐25
years old) and older (>60) participants. Cells were expanded on Matrigel coated flasks
and subsequently sorted using MACS separation for the myoblast marker CD56. CD56+
cells were differentiated in EV‐depleted myogenic medium for a period of 5 days.
Results: Conditioned medium was collected and SM‐EVs isolated using an optimised ultrafiltration
and size exclusion chromatography (SEC) protocol. Differences in particle morphology
(TEM), concentration (NTA), zeta‐potential (Zetasizer) and marker profiles (WB, ExoELISA,
nanoFCM) were evaluated. Raman spectroscopy was applied as a label‐free method to
identify variations in the biochemical signatures of EVs isolated from young and aged
muscle biopsies. Finally, protein profiles were compared using mass spectrometry.
Summary/Conclusion: Variations detected between younger and older individuals related
to their EV composition have the potential to inform strategies for the identification
of biomarkers in current and future models of skeletal muscle ageing and related diseases.
PF08.08
The effect of high‐fat diet on extracellular vesicles of the mouse testis
Ellis K. FOK; Samuel Tin Yu LAW; Kathleen Hoi Kei CHOY; Cyan Sze Yan CHAN; Tingting
ZHENG
School of Biomedical Sciences, The Chinese University of Hong Kong, New Territories,
Hong Kong
Introduction: Environmental stimuli such as stress and diet alter the sperm epigenome,
particularly the small RNAs carried by the sperm that are inherited to the next generation
and mediates paternal epigenetic inheritance. Previous studies have shown that the
extracellular vesicles secreted by the epididymis epithelia convey the small RNAs
to sperms. However, although the sperm that is capable of fertilising an oocyte in
assisted reproduction is produced in the testis, the effect of these stimuli on testicular
EVs (tEVs) and subsequently the sperm epigenome remain unexplored.
Methods: Mice were fed with a high‐fat diet (HFD) or chow diet (SD) for 24‐26 weeks.
The tEVs were isolated from the testes using a recently developed method that involved
a one‐step tissue dissociation followed by an affinity column‐based isolation of the
membraneous vesicles. The physical properties of tEVs were compared by the transmission
electron microscope. The small RNA cargoes of tEVs were investigated by small RNA
sequencing. The uptake of tEVs by sperm was monitored by fluorescence microscopy and
the small RNAs profile in sperm were validated by realtime‐PCR.
Results: Our results showed that tEVs obtained from HFD‐ and SD‐fed mice displayed
similar hallmark cup‐shape morphologies. Interestingly, tEVs isolated from HFD‐fed
mice were significantly larger (HFD 320.5±99.8 nm vs SD 251.9±81.0nm, p< 0.001). The
tEVs carried negligible levels of tRNA that mediates the paternal epigenetic inheritance
of metabolic traits. The tEVs isolated from HFD‐fed mice had lower levels of miRNAs
and snoRNAs. We further identified eight miRNA cargoes that showed differential abundance
in tEVs isolated from HFD‐ and SD‐fed mice. Notably, while the ejaculated sperm took
up the tEVs from HFD‐ and SD‐fed mice with comparable efficiency, the increased miR34b
and miR34c in HFD tEVs did not cause an increase of these two miRNAs in the ejaculated
sperm.
Summary/Conclusion: HFD alters the small RNA profiles of tEVs. However, the differential
abundance of miRNA cargoes in tEVs did not correlate with the levels of miRNAs carried
by the ejaculated sperm.
Funding: This work was supported in part by grants from the Research Grant Council
of Hong Kong (TRS T13‐602/21‐N), Food and Health Bureau of Hong Kong (HMRF 06170476),
and the Lo Kwee Seong Start‐Up Fund.
PF08.09
Type 2 diabetes is associated to low‐grade intravascular hemolysis and smaller extracellular
vesicle shedding from red blood cells
Sylvain Le Jeune1; Sihem Sadoudi2; Dominique Charue2; Salwa Abid2; Jean‐Michel Guigner3;
Dominique Helley4; Hélène Bihan5; Camille Baudry5; Hélène Lelong6; Tritan Mirault7;
Robin Dhote1; Jean‐Jacques Mourad1; Chantal Boulanger2; Olivier P. BLANC‐BRUDE8
1Service de Médecine Interne et d'Hypertension Artérielle, AP‐HP, Hôpital Avicenne,
Bobigny, France, Paris, France; 2Paris Center for Cardiovascular Research, Institut
National de la Santé et de la Recherche Médicale U970, Université de Paris, France,
Paris, France; 3Institut de Minéralogie, de Physique des Matériaux et de Cosmochimie,
IRD ‐ CNRS UMR 7590 ‐ MNHN, Sorbonne Université, Paris, France, P, France; 4Service
d'Hématologie Biologique, AP‐HP, Hôpital Européen Georges Pompidou, Paris, France,
Paris, France; 5Service de Diabétologie, Endocrinologie et Maladies Métaboliques,
AP‐HP, Hôpital Avicenne, Bobigny, France, Bobigny, France; 6Unité HTA, Prévention
et thérapeutiques cardiovasculaires, Hôtel Dieu, AP‐HP, Paris, France, Paris, France;
7Service de Médecine Vasculaire et HTA, Hôpital Européen Georges Pompidou, AH‐HP,
Paris, France, Paris, France; 8Paris Center for Cardiovascular Research, Institut
National de la Santé et de la Recherche Médicale U970, Université de Paris Cité, France,
Paris, France
Introduction: Type 2 diabetes (T2D) involves hyperglycemia, glycated hemoglobin (Hb),
rigid red blood cells (RBC) and altered hemorheology. In T2D, circulating extracellular
vesicles (EV) levels are elevated. And may come from RBC. In hemolytic anemia, intravascular
hemolysis is associated to RBC remodeling, membrane phospholipid shuffling and phosphatidylserine
(PS) expression. These EV can carry Hb, heme, damage the endothelium and alter blood
vessels. In T2D, reports diverge and it remains unclear whether RBC‐derived EV vary
in quantity or in characteristics. We studied intravascular hemolysis and EV shedding
in T2D.
Methods: We collected blood from 109 T2D patients and 65 controls, purified RBC, saved
plasma. We studied RBC contents and membrane fragments. In plasma, we characterized
heme‐related absorbance (Hb, Heme) by spectrophotometry (Soret band) and circulating
EV by cryogenic transmission electron microscopy, nanoparticle tracking (NTA) and
flow cytometry (CD235a). We studied the association of these biomarkers with micro‐
and macro‐vascular complications of T2D. We stimulated RBC vesiculation in vitro by
calcium influx or shear stress. We characterized RBC EV phenotypes and compared their
activity using tests of thrombin activation (adapted CAT assay), and endothelial oxidant
stress stimulation.
Results: Heme‐related absorbance was increased in T2D plasma compared to controls
(+57%) and more in obese diabetic (+27%). However, CD235a+RBC EV observed by FACS
were not increased. T2D plasma EV, or those shed by T2D RBC (both types of stress),
were all smaller (‐27%) and rich in heme‐related absorbance. In T2D, the raise in
absorbance (+30%) was associated specifically to peripheral nerve injury, amongst
all other vascular complication. CD235a+ RBC EV were not associated to any complication.
In vitro, T2D RBC shed more EV then control RBC under the same stress. T2D RBC EV
stimulated oxidant stress in endothelial cultures et thrombin activation in plasma,
more intensely than control EV. Annexine‐A5, a PS inhibitor, and hemopexin, a heme
inhibitor, blocked these effects.
Summary/Conclusion: T2D was associated to low grade intravascular hemolysis, with
more heme and EV in plasma. Heme‐related absorbance could represent a novel circulating
biomarker of peripheral nerve injury, whereas classical flow cytometry, sensitive
to the largest EV, seems ill‐adapted to demonstrate smaller EV in T2D, particularly
those derived from glycated RBC. Therapeutic approaches limiting hemolysis of neutralizing
RBC degradation products, like EV PS‐neutalising molecules, could help protect blood
vessels in T2D.
Funding: Fondation pour la Recherche Médicale
PF08.10
Dynamic changes in Extracellular Vesicle‐associated miRNAs and insulin sensitivity
across gestation in normal and gestational diabetes mellitus pregnancies
Lilian Kessling1; Soumyalekshmi Nair1; Dominic Guanzon1; Andrew Lai2; Katherin Scholz‐Romero1;
David Simmons3; Gernot Desoye4; Mireille Van Poppel5; David McIntyre1; Carlos Salomon
Gallo1
1The University of Queensland, Brisbane, Australia; 2Exosome Biology Laboratory, University
of Queensland Centre for Clinical Research, The University of Queensland, Brisbane,
Australia; 3University of Western Sydney, Sydney, Australia; 4Medical University of
Graz, Graz, Graz, Austria; 5University of Graz, Graz, Austria
Introduction: Extracellular vesicles (EVs) are secreted from many cell types and contain
bioactive molecules, including proteins, messenger (mRNA), and microRNA (miRNA). Notably,
placental EVs from gestational diabetes mellitus (GDM) pregnancies are enriched in
miRNAs that regulate glucose metabolism. GDM placental sEVs decrease insulin‐stimulated
glucose uptake in primary skeletal muscle cells, suggesting that placental EVs regulate
insulin sensitivity during pregnancy. Here, we determine the association between EV‐associated
miRNAs and changes in insulin sensitivity across gestation.
Methods: Samples were obtained from a multicenter randomized controlled trial conducted
from 2012 to 2014 [the DALI (vitamin D and lifestyle intervention for GDM prevention)
lifestyle study]. EV‐associated RNA were isolated from pregnant women (n=179, four
times during pregnancy (716 total samples were analysed), longitudinal study design).
Insulin sensitivity was determined using by Homeostatic model assessment (HOMA) index
four times during gestation. Sequencing libraries were generated using the TruSeq®
SmallRNA Library Prep Kit and processed for cluster generation and sequencing using
NextSeq 500 High Output kit 75 cycles and Illumina NextSeq 500 sequencing platform.
Results: A total of 2822 miRNAs were analyzed using a small RNA library, and a total
of 17 miRNAs that significantly correlates with changes in insulin sensitivity across
gestation. Clustering analysis identified a total of 12 (hsa.let.7a.1.3p, hsa.let.7a.3.3p,
hsa.mir.486.1.3p, hsa.mir.486.2.3p, hsa.mir.185.5p, hsa.mir.30c.1.5p, hsa.mir.30c.2.5p,
hsa.mir.486.2.5p, hsa.mir.486.1.5p, hsa.mir.125b.1.5p, hsa.mir.125b.2.5p, and hsa.mir.183.5p),
and 5 (hsa.mir.1260b, hsa.mir.101.1.3, hsa.mir.101.2.3p, hsa.mir.423.3p, hsa.mir.23b.3p)
EV‐associated miRNAs that positively and negatively correlates with HOMA across gestation,
respectively.
Summary/Conclusion: The mechanisms associated with maternal insulin resistance are
not fully elucidated. We suggest that miRNAs encapsulated in EV might be involved
in this phenomenon. This new information will help us better understand the maternal
metabolic adaptation to pregnancy, critical for normal fetal growth and development.
Funding: Lions Medical Research Foundation, Diabetes Australia, National Health and
Medical Research Council (NHMRC; 1195451), and European Union EU FP7 (242187).
PF08.11
Pig seminal extracellular vesicles (sEVs) load cytokines showing quantitative differences
between sEV subsets
Lorena Padilla1; Isabel Barranco2; Ana Parra1; Xiomara Lucas1; Jordi Roca1
1Department of Medicine and Animal Surgery, Faculty of Veterinary Science, University
of Murcia, Murcia, Spain, Murcia, Spain; 2Department of Veterinary Medical Sciences,
University of Bologna, Ozzano dell'Emilia, Bologna, Italy, Bologna, Italy
Introduction: Seminal plasma (SP) contains cytokines, which are involved in the immunoregulation
of female genital tract environment, a key event for successful embryo development.
This study aimed to (1) evaluate whether pig sEVs load cytokines and (2) assess putative
quantitative differences between sEV subsets.
Methods: sEVs were isolated from five SP pools (three ejaculates per pool) from artificial
insemination boars following the procedure described by Barranco et al. (2021), which
includes SP centrifugation (20,000xg/30 min at 4°C), and SEC of resultant pellets
(large sEVs) and supernatants after ultrafiltration (small sEVs). Fractions (7–10)
were selected, mixed, concentrated and used for sEVs characterization (DLS, TEM and
total protein concentration) and cytokine measurement (Luminex® Technology). Thirteen
cytokines (GMCSF, IFNɣ, IL‐1α, IL‐1β, IL‐1ra, IL‐2, IL‐4, IL‐6, IL‐8, IL‐10, IL‐12,
IL‐18, TNF‐α) were measured on intact and lysed sEVs (0.1% Triton and 0.1% Sodium
Dodecyl Sulfate) and the difference between lysed and intact sEVs was considered the
cytokine load in sEVs. Data are showed as mean±SD.
Results: Isolated structures showed the typical structure of EVs. The diameter and
total protein concentration differed (P˂0.001) between large (237±12.01 nm and 83.96±53.92
μg/mL) and small sEVs (121.6±7.89 nm and 306.9±169 μg/mL). sEVs loaded all 13 cytokines,
with amounts ranging from 2558±505.4 pg/mL for IFNɣ to 0.25±0.08 pg/mL for IL‐12.
Small sEVs loaded higher (P< 0.05) than large sEVs for all cytokines except for IL‐1ra.
Summary/Conclusion: Pig sEVs load cytokines, the amount being higher in small sEVs
than in large ones. Then, pig sEVs would be involved in modulating the immune environment
of the sow genital tract after mating or insemination, a role that would be played
mainly by small sEVs, as they load higher amounts of most cytokines.
Funding: Spanish MCIN/AEI/10.13039/501100011033 (PID2020‐113493RB‐I00) and European
Commission (H2020‐MSCA‐IF‐2019‐891382).
PF08.12
Effects of extracellular vesicles derived from steroids‐primed oviduct epithelial
cells on porcine in vitro embryonic development
Seonggyu Bang; Xun Fang; Bereket Molla Tanga; Gyeonghwan Seong; Islam M. saadeldin;
Sanghoon Lee; Jongki Cho
Chungnam national univ., Daejeon, Republic of Korea
Introduction: Extracellular vesicles (EVs) including exosomes and microvesicles provide
a means of communication for delivering bioactive cargoes between cells. In the past
decade, EVs have been shown to contribute to the transport of proteins, lipids, mRNA,
and microRNA. In vivo, embryos receive nutrients and specific signals through the
oviduct to enhance embryonic development.
Methods: Therefore, we aimed to isolate EVs from porcine oviduct epithelial cell (pOECs)
that were primed with steroid hormones to mimic the in vivo conditions of reproductive
cycle and studied their effects on the in vitro produced embryos development. pOECs
were treated with formulated estardiol (E2) and progesterone (P4) combinations in
two treatment groups: 50 pg/ml E2 + 0.5 ng/ml P4 (group H1), and 10 pg/ml E2 + 35
ng/ml P4 (group H2). The control group was not supplemented with hormones. Embryos
were prepared after in vitro maturation and parthenogenetic activation. Embryos were
randomly distributed into 4 groups: control, non‐primed pOECs‐derived EVs treated
group (EV group), and two primed pOECs‐derived EVs groups (H1 and H2 groups). EVs
were isolated through targeted filtration commercial kits. Data were analyzed by ANOVA
test and P < 0.05 was considered statistically different.
Results: pOECs‐derived EVs were supplemented with embryo culture medium after measuring
the protein concentration (260.6 μ/ml, 284.3 μ/ml, 283 μ/ml, 279.6 μ/ml, for EV, H1
and H2 groups, respectively). The number and concentration of the EVs was measured
through nanoparticles tracking analysis. EVs uptake by the embryos was investigated
after staining of the EVs with lipophilic fluorescent dye, PKH26. Results showed that
EVs from hormone primed pOECs improved the blastocyst formation rate compared to the
control group (20.3 ± 0.5 %, 22.8 ± 0.7, 25.0 ± 0.6, and 25.1 ± 1.1 %, for control,
EV, H1 and H2 groups, respectively, P < 0.05). TUNEL assay showed that EVs‐supplemented
embryos contained less apoptotic cells when compared with the control group (11.8
± 2.7 %, 6.9 ± 2.2 %, 6.09 ± 2.04 %, and 2.4 ± 0.7 %, for control EV, H1 and H2 groups,
respectively, P < 0.05).
Summary/Conclusion: In conclusion, EVs derived from pOECs cultured in hormonal conditions
that simulate the in vivo environment have a positive effect on porcine blastocysts
formation and reduced the embryonic cell apoptosis, which would improve the porcine
in vitro embryo production such as cloned animals.
PF08.13
Extracellular vesicles as an efficient cargo delivery method to sperm cells
Mai Ahmed Mohamed Ibrahim; Alina Ivanova; Marcia Ferraz
Ludwig‐Maximilians University, Munich, Germany
Introduction: A key challenge in editing the male germline is the delivery of gene
editing tools into sperm's tightly packed DNA. To this end, biocompatibility and engineerability
make extracellular vesicles (EVs) potential delivery vehicles. While EV‐sperm interactions
have been studied using dye‐labeled EVs, results have been inconclusive. We thus investigated
if a GFP‐transgenic bovine fibroblast produced GFP‐loaded EVs and whether the contents
were delivered to sperm.
Methods: EVs were collected from conditioned media of bovine GFP‐transgenic fibroblast
or WT‐fibroblast by ultrafiltration using an Amicon Ultra Filter (100kDa). EV isolation
was validated by: (1) nanoparticle tracking analysis; (2) CD9 protein expression;
(3) transmission electron microscopy; and (4) protein concentration. GFP cargo of
EVs was evaluated by plate reader and ELISA. 10μg/mL of WT and GFP EVs were incubated
with sperm and motility and viability were then measured over 90 min. At 90 min sperm
were washed, fixed for confocal imaging, and lysed for ELISA. Data were analysed in
R via linear or mixed‐effects models.
Results: 6.5x109 EVs/mL enriched in CD9 were isolated from WT and GFP cells. We observed
37±19 and 42±33 ng of proteins in 1x106 EVs in GFP (n=11) and WT (n=6), respectively.
GFP fluorescence in 1x106 EVs was higher in GFP (n=11) than WT (n=10) EVs (0.01±0.007
vs 0.006±0.001; p=0.006), which was confirmed by ELISA: 6±0.14 vs 2±0.07 pg/mL GFP
in 1x106 EVs in GFP (n=9) and WT (n=6), respectively (p=0.005). Sperm viability and
motility did not change with incubation nor time. GFP was detected in sperm (20±9.5
pg/mL of GFP in 0.5x106 sperm) incubated with GFP EVs, and not in WT (n=3, p=0.03).
At 90 min all sperm incubated with GFP EVs showed GFP fluorescence by confocal analysis.
Summary/Conclusion: GFP‐transgenic fibroblasts produced EVs with GFP cargo. These
EVs delivered GFP to sperm with no measurable impact on viability and motility. This
work demonstrates the potential of EVs as non‐invasive delivery tools for sperm. We
are now validating methods to load EVs with Cas9‐RNP complexes for testing sperm gene
editing.
Funding: This work was supported by the Alexander von Humboldt Foundation in the framework
of the Sofja Kovalevskaja Award endowed by the German Federal Ministry of Education
and Research
PF08.14
Novel impacts of extracellular vesicles in the prepubertal testes in response to chemotherapy
treatment – a previously unidentified impact of chemotherapy
Michael P. Rimmer1; Christopher D. Gregory2; Rod Mitchell1
1MRC Centre For Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom;
2University of Edinburgh, Edinburgh, United Kingdom
Introduction: Extracellular vesicles (EV) are released from the prepubertal testis
but potential roles in the development of the spermatogonial stem cell (SSC) niche
are poorly characterised. Damage to the SSCs from gonadotoxic compounds, eg the chemotherapeutic
cisplatin, can lead to aberrant spermatogenesis and male infertility. This scenario
would typically occur in a prepubertal boy with cancer, for whom there are no viable
options for fertility preservation, as they do not produce sperm. We hypothesise cisplatin
alters EVs in the testis and these EVs negatively impact the remaining SSCs and the
supporting Sertoli cells.
Methods: EV characterisation from GC1‐spg (mouse prepubertal SSC) and TM4 cells (mouse
prepubertal Sertoli) was undertaken, growing cells in EV‐depleted media, comparing
cisplatin‐treated cells to controls. Change in EV number was quantified using nanoparticle
tracking analysis and impact on treatment‐naïve recipient cells was assessed using
in vivo cell imaging and detection of cleaved caspase‐3. EV uptake and movement within
target cells was examined using super‐resolution microscopy.
Results: Mouse SSCs and Sertoli cells treated with cisplatin release twice as many
EVs as control cells (p=0.004). EVs released by cisplatin‐treated cells have greater
uptake in treatment‐naïve cells (p=0.002) and show peri‐nuclear localisation. We identified
EVs released by cisplatin‐treated Sertoli cells induced higher rates of apoptosis
in treatment‐naïve Sertoli cells vs control EVs. However, when incubated with treatment‐naïve
SSCs, they resulted in lower rates of apoptosis vs control EVs (p= 0.02).
Summary/Conclusion: EVs released from prepubertal SSCs and Sertoli cells were significantly
altered when incubated with cisplatin. Altered release, uptake and impact on treatment‐naïve
cells, are novel findings in the prepubertal testis. Damage to these cells in the
testis may be a contributing factor to future male infertility and represent previously
unidentified off‐target effects of cisplatin.
Funding: MPR is funded by a UK Medical Research Council Centre for Reproductive Health
Grant No: MR/N022556/1.
PF08.15
Uptake of seminal extracellular vesicles (EVs) subsets by cumulus cells‐oocyte complex
in pigs
Yentel Mateo‐Otero1; Marcella Spinaci2; Giovanna Galeati2; Marc Llavanera1; Jordi
Roca3; Marc Yeste1; Diego Bucci2; Isabel Barranco2
1Biotechnology of Animal and Human Reproduction (TechnoSperm), Department of Biology,
Faculty of Sciences, Institute of Food and Agricultural Technology, University of
Girona, Girona, Spain, Girona, Spain; 2Department of Veterinary Medical Sciences,
University of Bologna, Ozzano dell'Emilia, Bologna, Italy, Bologna, Italy; 3Department
of Medicine and Animal Surgery, Faculty of Veterinary Science, University of Murcia,
Murcia, Spain, Murcia, Spain
Introduction: Seminal plasma (SP) is a fluid rich in EVs that act as key modulators
of reproductive processes. While, in pigs, SP supplementation can improve in vitro
fertility outcomes, there are no studies evaluating the effect of SP on in vitro oocyte
maturation (IVM). This study is the first attempt to (1) examine the uptake of seminal
EVs by cumulus‐oocyte complexes (COCs) during IVM and (2) evaluate if they affect
the viability of cumulus cells (CCs).
Methods: SP samples from five ejaculates (one per boar) were pooled and EVs were isolated
by the SEC‐based procedure (Barranco et al., 2021) that allows isolate small (S‐)
and large (L‐) EVs. The EVs were characterized by protein concentration (MicroBCA),
DLS and TEM. The conventional porcine two‐day maturation protocol in the presence
or absence of 0.2 mg/mL S‐EVs and L‐EVs was carried out (groups of 40 COCs). An aliquot
of S‐EVs and L‐EVs was labeled (PKH67; uptake analysis), and another one remained
unlabeled (CCs viability assessment). For uptake analysis of EVs, COCs were assessed
by confocal microscopy and CCs were stained (0.4% Trypan Blue) for viability assessment.
Results: TEM showed that S‐EVs were mostly spherical membranous vesicles (∼30‐130nm),
whereas L‐EVs were morphologically heterogeneous (∼100‐350nm). DLS revealed that S‐EVs
were smaller (P< 0.001) than L‐EVs (124.1±7.7nm vs 303.9±9.6nm, respectively). No
differences in protein concentration were found between EV subsets. S‐EVs and L‐EVs
were able to bound COCs during IVM, as green fluorescent spots were observed in the
membrane of CCs and not observed in control COCs (i.e., absence of EVs). No differences
were found in CCs viability when incubated with S‐EVs and L‐EVs compared to control
(93.78±5.17% and 94.91±6.55% vs. 100%, respectively).
Summary/Conclusion: Seminal EVs can be integrated by CCs, without interfering in their
viability. Further studies are required to evaluate if seminal EVs may influence both
oocyte nuclear and cytoplasmic maturation and further fertilization.
Funding: EC (H2020‐MSCA‐IF‐2019‐891382), MICINN/FEDER (AGL2017‐88329‐R) and MCIN/AEI/10.13039/501100011033
(PID2020‐113493RB‐I00), Spain and AGAUR, Catalonia (2020‐FI‐B‐00412)
PF08.16
MSC‐derived secretome induced GLUT4 translocation in HepG2 insulin resistance model
Cynthia R. Sartika1; Tiana Milanda2; Ahmad Faried3
1PT. Prodia StemCell Indonesia, Kramat VII No. 11, 10430 Senen, Central Jakarta, Indonesia,
Jakarta Pusat, Indonesia; 2Universitas Padjajaran, Jatinangor, Indonesia; 3Universitas
Padjajaran, Bandung, Indonesia
Introduction: Diabetes mellitus (DM) is one of the most common metabolic disorders.
By 2030, it is expected that more than 300 million individuals will be affected by
diabetes. Glucose transporter type 4 (GLUT4) is a transmembrane protein that is involved
in the elimination of glucose from the bloodstream. In addition to GLUT4, several
investigations have shown that interleukin‐6 (IL‐6) plays an important role in DM.
Recent evidence has indicated that IL‐6 is a key regulator that affects glucose homeostasis.
Interleukin‐6 (IL‐6) is a pleiotropic cytokine that can be discovered in the secretome
of MSCs. The aim of this study is to examine whether IL‐6 that was found in the Mesenchymal
Stem Cells (MSC)‐derived secretome could increase the GLUT4 translocation through
AMPK activation in the HepG2‐insulin resistance model.
Methods: MSC‐derived secretome was produced by culturing the umbilical cord mesenchymal
stem cells in a normoxic conditioned until it reach 80% confluency using DMEM High
Glucose and supplemented with 5% Human Platelet Lysate. Upon it reached the confluency,
the growth medium was discarded and changed with serum‐free media, and incubated for
24 hours. The medium was collected and centrifuged for 500xg for 5 minutes and filtered
using a 0.2μm filter membrane. The IL‐6 concentration was confirmed using the MACSPlex
Cytokine 12 kit. The insulin resistance model of HepG2 cells is established by adding
100nM of insulin for 24 hours. To detect the GLUT4 translocation. The insulin resistance
model was fasted for 12 hours prior to the treatment using MSC‐derived secretome for
24 hours. GLUT4 translocation was detected using immunofluorescence. HepG2 insulin‐resistant
model was fixed using methanol and cells were incubated with GLUT4 antibody‐conjugated
with Alexa488.
Results: The treatment of MSC‐derived secretome increased the GLUT4 translocation
in the HepG2 insulin model compared to the control (p < 0.05). This result corresponds
with previous studies that show the expression of the GLUT4 gene is downregulated
in T2DM. The expression of GLUT4 is lowered in diabetic patients due to blood glucose
buildup. IL‐6 plays an essential role in regulating glucose homeostasis by activating
the GLUT4 translocation through AMPK activation. Given the critical roles of IL‐6
that were found in the MSC‐derived secretome, it could be a treatment strategy against
diabetes.
Summary/Conclusion: MSC‐derived secretome could upregulate the GLUT4 translocation.
Funding: The research is funded by Prodia Utama
PS01: Physiology and pathology: Immunity, autoimmunity, and inflammation
Chair: Susanne Gabrielsson – Division of Immunology and Allergy, Department of Medicine
Solna, Karolinska Institutet, Stockholm, Sweden
PS01.01
Cancer cells release A to I edited RNA repeat elements into extracellular vesicles
for reprogramming of the tumor microenvironment
Manideep Chowdary Pachva1; Peter Ruzanov2; Valentina Evdokimova2; Melanie Rouleau1;
Hendrik Gassmann3; Uwe Thiel4; Stefan Burdach4; Lincoln D. Stein5; Laszlo Radvanyi5;
Poul H. Sorensen6
1Department of Molecular Oncology, British Columbia Cancer Research Centre, Vancouver,
Canada, Vancouver, Canada; 2Ontario Institute for Cancer Research, Toronto, ON, Canada,
Toronto, Canada; 3Translational Pediatric Cancer Research Action ‐ Institute of Pathology,
TUM School of Medicine, Munich, Germany, Munich, Germany; 43Translational Pediatric
Cancer Research Action ‐ Institute of Pathology, TUM School of Medicine, Munich, Germany,
Munich, Germany; 5Ontario Institute for Cancer Research, Toronto, ON, Toronto, Canada;
6Department of Molecular Oncology, British Columbia Cancer Research Centre, Vancouver,
Vancouver, Canada
Introduction: Ewing sarcoma (EwS) is a highly aggressive cancer and the second most
common malignant bone tumor in children and young adults with high propensity for
metastasis. Patients with metastasis have a poor long‐term outcome. Novel targeted
therapeutic strategies that are more efficacious and less toxic are therefore desperately
needed. Intercellular communication within the tumor microenvironment (TME) is emerging
as a crucial mechanism for cancer cells to establish immunosuppressive and cancer‐permissive
environment. Extracellular vesicles (EVs) offer a candidate mechanism as they are
actively released by tumor cells and enriched with proteins and RNAs to communicate
with other cells in the TME.
Methods: For EV purification, Conditioned medium (CM) was subjected to sequential
centrifugation at 2000 g for 10 min and 10,000 g for 20 min. CM was then concentrated
using the Tangential Flow Filtration Easy columns, passed through 0.22 μm filter,
diluted with equal volumes of PBS and subjected to ultracentrifugation (UC) at 100,000
g for 4hrs. EV pellets were then re‐suspended in 3 ml of PBS and pelleted again by
UC. Purified EVs were dissolved in 500 μl PBS. EVs were quantified using Nanoparticle
Tracking Analysis. Purified EVs were tested for presence of exosome markers (CD63,
CD9, and CD81) using western blot and using R‐PLEX Human CD63/CD81/CD9 (EV) Antibody
Set. Cytokine response from EwS ADAR1+/‐ cells and their EV treated fibroblasts was
analyzed using the customized U‐plex inflammatory panel (MSD). droplet‐based digital
PCR (ddPCR) and RNA‐seq were used to analyze the expression of repeat elements in
cells and their EVs.
Results: In our recent study involving whole transcriptome RNA sequencing, it was
found that EVs secreted by EwS cell lines as well as those detected in the plasma
of EwS patients are selectively enriched with Adenosine to Inosine (A to I) edited
RNAs. A high proportion of these A‐to‐I edited transcripts are derived from diverse
long and short interspersed retrotransposon elements (LINEs and SINEs), human endogenous
retroviral elements (HERVs) and pericentromeric genomic regions, where their abundance
in plasma was associated with metastatic progression. A to I conversion is catalyzed
by the ADAR1 enzyme. We therefore performed ADAR1 knock‐down (KD) in EwS cells, which
accumulated cellular levels of these repeat RNAs in donor cells and limited their
packaging into EVs. Moreover, we observed secretion of cytokines characteristic of
a type 1 interferon response in ADAR1 KD cells compared to wild‐type cells. Notably,
treatment of fibroblasts with EwS‐derived EVs resulted in intracellular accumulation
of HSAT2 RNAs, but accumulation was reduced when EVs were derived from ADAR1 KD compared
to control EwS cells.
Summary/Conclusion: These results suggest that tumor cells secrete EVs enriched in
A to I edited RNAs derived from various repeat elements that can target non‐tumor
host cells, with functional consequences remaining to be elucidated.
PS01.02
Characterization of neutrophil‐derived ectosomes (NDEs) produced by nitrogen cavitation
and their effects on neutrophil survival and IL‐8 release
Maria J. Hurtado‐Gutierrez1; Frédérick Allard1; Patrick P. McDonald2
1FMSS. Dept of Immunology and Cell Biology. Université de Sherbrooke, Sherbrooke,
Canada; 2FMSS. Université de Sherbrooke, Sherbrooke, Canada
Introduction: Neutrophils, the most abundant circulating leukocytes, influence both
innate and adaptive immunity by modulating their survival and by releasing cytokines
and ectosomes. Neutrophil‐derived ectosomes (NDEs) carry components of the membrane
and cytoplasm of the parent cell that could affect the functional response of the
receiving cell.
Methods: Neutrophils were isolated from healthy donors by a dextran‐Ficoll procedure
under endotoxin‐free conditions. NDEs were produced by nitrogen cavitation (350 psi,
10 min, on ice). Cavitates were submitted to serial centrifugations (1000g and 4000g,
both 15 min, 4°C). The final pellet was resuspended in cold PBS and NDEs were analyzed
by FACS for vesicular integrity (calcein blue AM fluorescence), phosphatidylserine
externalization (Annexin‐V), as well as parent cell identity and plasma membrane origin
(CD66b). Different amounts of NDEs were then incubated with stimulated neutrophils
to investigate their effects on cell survival (by FACS) and release of IL‐8 (ELISA).
Results: Neutrophil exposure to high amounts of NDEs significantly decreased their
survival at 20 h, independently of the presence of GM‐CSF, a pro‐survival stimulus.
The lower dose of NDEs (1 per 5 cells) increased survival as much as the cytokine
alone (positive control).
Co‐incubation of TNFα‐stimulated neutrophils with NDEs for 6h dose‐dependently inhibited
the release of IL‐8.
Summary/Conclusion: We have established reliable methods for NDE production and characterization.
Treatment of neutrophils with NDEs had a mostly anti‐inflammatory effect which might
serve to limit tissue damage.
Funding: MEDTEQ and CIHR.
PS01.03
Differential Secretagogue Function of Extracellular Vesicles Released by Ocular Epithelial
Cells in Health Compared to Inflammation
Changrim Lee; Darlene Dartt
Department of Ophthalmology, Harvard Medical School, Boston, USA
Introduction: Goblet cell functions especially secretion of mucins are relatively
well studied owing to their protective role on the ocular surface; however, little
attention is given to the other secretory products, such as extracellular vesicles
(EVs). The purpose of this study is to examine the function of goblet cell secreted
EVs, especially their secretagogue activity, and test whether EVs produced by vehicle
(health) or inflammatory stimuli (disease) will cause distinct actions on recipient
goblet cells.
Methods: Nanoparticle tracking analyzer and western blotting were used to analyze
the size and the identity of the EVs isolated from conjunctival goblet cells. Serum
starved primary human conjunctival goblet cells (HCGCs) grown from conjunctiva explants
were incubated for 4 h either with the allergic mediator histamine (His, 10‐5 M) to
induce inflammation or HBSS (non‐treated control) to indicate normal cells. EVs isolated
from collected media using Total Exosome Isolation Reagent (Invitrogen) were denoted
as EVs‐His and EVs‐NT, respectively. To examine secretagogue activity, first passage
cells (trypsinized and passaged primary cells) were treated with EVs diluted to 1,
10, 100, 1000 ng/mL) for 4 h in HBSS. The amount of secreted high molecular weight
proteins (HMWP) in the cell culture supernatants was measured using an enzyme‐linked
lectin assay (ELLA).
Results: The median and the mean diameter of isolated EVs was 138.3 and 163.6 nm,
respectively. EVs were positive for CD9, ALIX and CD81 but negative for GM130 (a golgi
marker) and calnexin (an ER marker). HCGCs stimulated with His secreted 4‐fold higher
amount of total EV proteins into the media compared to that of the untreated cells,
which confirmed that the primary cells are effectively stimulated with His. For secretagogue
activity of EVs, addition of 10 ng/mL EVs‐His to HCGCs induced secretion of HMWP by
4.8‐fold. The same concentration of EVs‐NT caused a 1.6‐fold increase. For both EV‐His
and EV‐NT, an increase of 1.0∼1.9‐fold was observed at the other four concentrations;
however, all lower than the activity seen at 10 ng/mL. Fold‐change of secretion in
His treated (positive cntl) and untreated cells (negative cntl) was 2.2 and 1.0, respectively.
Summary/Conclusion: We conclude that HCGCs EVs have differential secretagogue activity
when stimulated with inflammatory mediator compared to under control (healthy). EVs
have an indispensable role in regulating goblet cell secretion at the extracellular
level, which warrants in‐depth investigation into their molecular properties and mechanism
of action.
Funding: NIH R01EY029789, NIH R01EY019470
PS01.06
Heparin‐functionalized adsorbents eliminate platelets and platelet‐derived extracellular
vesicles that carry platelet factor 4 and are mediators of immunothrombosis
Marie Ebeyer‐Masotta1; Tanja Eichhorn1; René Weiss1; Vladislav Semak1; Lucia Lauková1;
Michael B. Fischer2; Viktoria Weber1
1Department for Biomedical Research, Center for Biomedical Technology, Danube University
Krems, Krems, Austria, Krems, Austria; 2Department for Biomedical Research, Center
for Biomedical Technology, Danube University Krems, Krems, Austria; Clinic for Blood
Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria,
Krems, Austria
Introduction: Inflammation and thrombosis are closely linked in numerous disorders,
including sepsis and coronavirus disease 2019 (COVID‐19), where deregulated immunothrombosis
can lead to microthrombus formation and multiple organ failure.
Platelets are effectors of thrombosis and mediators of the innate immune response.
Upon activation, they release extracellular vesicles (pEVs), which support coagulation,
in particular in the presence of tissue factor expressed on activated endothelial
cells, monocytes, and monocyte derived EVs. Next to EVs, activated platelets release
PF4, a strongly cationic chemokine displayed on the surface of activated platelets
and pEVs, which has been shown to trigger immunothrombosis. Due to its positive charge,
PF4 exerts high affinity for heparin. We assessed the ability of heparin‐functionalized
adsorbents to bind PF4+ platelets, PF4+ EVs, as well as soluble PF4.
Methods: Medical grade platelet concentrate was activated with thrombin receptor activated
peptide‐6 and recirculated over cartridges containing Heparin Sepharose for 2 h. Flow
cytometry was used to characterize platelets and pEVs at baseline and after 30, 60
and 120 min (Cytoflex LX; CD41, platelet marker; CD62P and PF4, markers of platelet
activation; Anx5 to detect phosphatidylserine). Calibration was performed with fluorescent
silica beads, the triggering signal for EVs was set to violet side scatter, and the
EV gate was set below the 1μm bead cloud. Platelets were identified as CD41+ cells
and pEVs were identified as CD41+Anx5+ events. Platelets bound to the adsorbent were
visualized using confocal microscopy.
Results: Activated platelets and pEVs were efficiently adsorbed, with preferential
binding of PF4+ platelets and pEVs (66% vs. 10% PF4+ pEVs at 0 vs.120 min). Soluble
PF4 was significantly depleted, as well.
Summary/Conclusion: Extracorporeal therapies using heparinized adsorbents can be a
beneficial intervention to alleviate immunothrombosis in sepsis or COVID‐19.
PS01.07
Increased levels of small extracellular vesicles released upon stimulation of endothelial
cells with antiphospholipid antibodies
Ula Štok1; Marija Holcar2; Metka Lenassi3; Snezna Sodin‐Semrl1; Saša Čučnik1; Polona
Žigon1
1University Medical Centre Ljubljana, Department of Rheumatology, Ljubljana, Slovenia,
Ljubljana, Slovenia; 2Institute of Biochemistry and Molecular Genetics, Faculty of
Medicine, University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia; 3Faculty
of Medicine, University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia
Introduction: Antiphospholipid syndrome (APS) is a systemic autoimmune disorder, characterized
by thrombosis and/or obstetric complications in the presence of antiphospholipid antibodies
(aPL). Extracellular vesicles (EVs) are associated with several thrombotic disorders,
including APS. Very little information on small EVs released upon in vitro stimulation
of endothelial cells with aPL is available. Therefore, we sought to determine levels
of small EVs (sEVs) after stimulation of endothelial cells with aPL, mimicking pathological
conditions of an acute phase of APS.
Methods: Human umbilical vein endothelial cells (HUVEC) were stimulated with lipopolysaccharide
(LPS) in the presence or absence of the IgG fraction from pooled sera of 12 APS patients
or 12 HBDs for 24 hours. HUVEC activation was determined by measuring ICAM‐1 surface
expression by flow cytometry. Cell number and viability was determined using an automated
cell counter and staining with Trypan blue. Small EVs were isolated from cell culture
supernatants by serial centrifugation at 3,000 × g 10 min and 10,000 × g 20 min followed
by size exclusion chromatography. The concentration and size of sEVs were analyzed
by nanoparticle tracking analysis.
Results: HUVEC showed significant activation when treated with pooled IgG from APS
patients (mean MFI +/‐ SD 18.27 +/‐ 3.80) compared to control IgG (mean MFI +/‐ SD
3.45 +/‐ 0.19, p=0.0025). Cell number and viability was not significantly different
between stimulations with apoptosis rates not exceeding 5%. A significantly higher
number of sEVs (mean 1.11 × 10^8 sEVs/mL) was detected in cell supernatant of cells
stimulated with IgG isolated from APS patients than in IgG isolated from HBDs‐stimulated
cells (mean 3.80 × 10^7 sEVs/mL). In comparison, untreated cells and cells treated
with LPS only secreted even lower levels of sEVs in cell surroundings (mean < 1.25
× 10^7 sEVs/mL). The isolated sEVs had similar sizes between stimulations.
Summary/Conclusion: Our study shows that activation of HUVEC with aPL isolated from
APS patients with a history of thrombosis leads not only to an altered adhesion profile
but also to increased cell membrane vesiculation.
PS01.08
Induction of erythroid progenitor cells by melanoma derived extracellular vesicles
Doste Mamand1; Safa Bazaz1; Oscar Wicklander1; Samir El Andaloussi2; Manuchehr Abedi‐Valugerdi3
1Department of laboratory medicine, Karolinska Institutet, Stockholm, Sweden; 2Department
of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden, Huddinge, Sweden;
3Laboratory of medicine, Karolinska Institutet, Stockholm, Sweden
Introduction: Extracellular vesicles (EVs) are lipid enclosed particles containing
various biomolecules and are dynamically released by different cell types including
tumor cells. Tumor cell EVs are shown to exert activities that lead to tumor progression
and metastasis. It has also been suggested that EVs play a pivotal role in the development
of tumor immune escape. Based on this suggestion, the current study was designed to
explore the immunosuppressive potential of EVs derived from melanoma cells.
Methods: EVs from B16F10 melanoma cells were isolated and characterised employing
size exclusion chromatography (SEC), nanoparticle tracking analysis (NTA) and flow
cytometry, respectively. Biomolecular components of the isolated EVs were characterized
using commercially available angiogenesis and cytokine array kits. C57BL/6 mice were
injected (i.p.) with 1011 melanoma cell EVs in PBS every third days for 3 weeks. Control
mice received only PBS. At the end of the experiment, the spleen, bone marrow and
liver were analysed for different immune cell populations and histological alterations
employing flow cytometry H&E staining, respectively.
Results: Our SEC, NTA and flow cytometry analysis on isolated EVs revealed that about
95% EVs were of exosome size (125 nm) and expressed CD63. Moreover, protein array
profiling demonstrated that the isolated EVs contained high levels of angiogenic factors
including ADAMTS1, Endoglin, Fractalkine, Osteopontin, Tissue Factor, TIMP‐1 and VEGF.
Mice receiving melanoma cell derived EVs displayed extramedullary erythropoiesis characterised
by increased number of erythropoietic foci in the spleen and elevated numbers of splenic
CD71+ and CD71+TER119+ cells which are known as potent immunosuppressive cells.
Summary/Conclusion: Our findings clearly show that melanoma cell derived EVs can contribute
to melanoma‐induced immunosuppression by promoting the generation of immunosuppressive
erythroid progenitors.
PS01.09
Study of extracellular vesicles in idiopathic inflammatory myopathies to evaluate
their role as potential disease and treatment response biomarkers
Chiara Franco1; Anna Ghirardello1; Loris Bertazza2; Luca Iaccarino1; Mariele Gatto1;
Andrea Doria1
1Department of Medicine (DIMED), Rheumatology Unit, University of Padova, Padova,
Italy; 2Department of Medicine (DIMED), Endocrinology Unit, University of Padova,
Padova, Italy
Introduction: Idiopathic inflammatory myopathies (IIM) are a heterogeneous group of
autoimmune disorders with distinct phenotypes. Extracellular vesicles (EVs) act in
autoimmune diseases pathogenesis and have been proposed as disease biomarkers. This
study aims at characterizing and investigating EVs as potential biomarkers of IIM.
Methods: EVs were isolated from platelet‐free plasma of 45 IIM patients and 45 age/sex‐matched
healthy donors (HDs) through size exclusion chromatography and ultrafiltration steps.
EVs were observed by transmission electron microscopy (TEM), quantified by nanoparticles
tracking analysis (NanoSight NS300), and immuno‐characterized by imaging flow cytometry
(Amnis ImageStream MkII) for the tetraspanins CD63, CD81, CD9, and integrin CD11c.
Informed consent and local ethics committee approval were obtained.
Results: TEM images showed intact small roundish particles (Ø range: 30‐150 nm). Mean
EV concentration was slightly higher in IIM than in HDs (1.95x10^10 ± 1.47x10^10 SD
[EVs/mL] vs. 1.45x10^10 ± 7.82x10^9, p=0.0478) with mode size of 150.9 ± 19.9 nm and
154.5 ± 14.8 nm, respectively. EV levels were increased in patients with interstitial
lung disease (n=24) (2.20x10^10 ± 1.64x10^10, p=0.0416) and significantly higher in
patients with cancer‐associated myositis (CAM) (n=8) (3.28x10^10 ± 2.84x10^10, p<
0.0001) compared to HDs. Moreover, EVs concentration was higher in IIM patients with
CAM than in those without (n=35) (1.59x10^10 ± 6.12x10^9, p=0.0004). EVs concentration
in pharmacologically untreated patients (n=13) (2.77x10^10 ± 2.36x10^10) was increased
compared to treated ones (n=31) (1.63x10^10 ± 7.12x10^9, p=0.0092) and HDs (p=0.0011).
CD63+ EVs were those most frequently detected both in IIM (n=16) (3.04x10^8 ± 9.67x10^7)
and HDs (n=16) (2.70x10^8 ± 1.19x10^8).
Summary/Conclusion: EVs seem to be increased in IIM and may be associated with some
disease phenotypes. Moreover, IIM therapy seems to normalize their concentration.
These results suggest EVs as useful potential biomarkers of IIM.
PS01.10
Unveiling novel mechanisms of immune tolerance loss through small RNA‐seq of CD4+
T cell‐derived extracellular vesicles in multiple sclerosis
Alessandra Colamatteo1; Silvia Garavelli2; Anna Lise Ferrara3; Antonio Pezone4; Dario
Di Silvestre5; Ilaria Giusti6; Vincenza Dolo6; Fabio Buttari7; Giorgia Maniscalco8;
Giuseppe Matarese9; Diego Centonze10; Veronica De Rosa2; Paola de Candia1
1Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università Degli Studi
di Napoli "Federico II", Naples, Italy, Naples, Italy; 2Laboratorio di Immunologia,
Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale delle Ricerche
(IEOS‐CNR), Naples, Italy, Naples, Italy; 3Dipartimento di Scienze Mediche Traslazionali,
Università degli Studi di Napoli “Federico II”, Naples, Italy, Naples, Italy; 4Dipartimento
di Biologia, Università Degli Studi di Napoli "Federico II", Naples, Italy, Naples,
Italy; 5Istituto di Tecnologie Biomediche, Consiglio Nazionale delle Ricerche (ITB‐CNR),
Milan, Italy, Milano, Italy; 6Department of Life, Health and Environmental Sciences‐
University of L'Aquila, L'Aquila‐ Italy, L'Aquila, Italy; 7Unit of Neurology and Unit
of Neurorehabilitation, IRCCS Istituto Neurologico Mediterraneo (INM) Neuromed, Pozzilli,
Isernia, Italy; 8Dipartimento di Neurologia, Centro Regionale Sclerosi Multipla, Azienda
Ospedaliera “A. Cardarelli”, Naples, Italy, Naples, Italy; 9Treg Cell Lab, Dipartimento
di Medicina Molecolare e Biotecnologie Mediche, Università Degli Studi di Napoli "Federico
II", Naples, Italy, Naples, Italy; 10Unit of Neurology and Unit of Neurorehabilitation,
IRCCS Istituto Neurologico Mediterraneo (INM) Neuromed, Pozzilli, Isernia, Italy,
Rome, Italy
Introduction: An impairment of immune tolerance is a determining factor in relapsing‐remitting
multiple sclerosis (RR‐MS) and defects in CD4+ regulatory T (Treg) cell function are
believed to be a major pathogenic factor. While CD4+ conventional T (Tconv) cells
are known to substantially contribute to the autoimmune and inflammatory processes
occurring in MS, the biological effect of extracellular vesicles released by Tconv
cells (Tconv‐EVs) on the differentiation and function of Treg cells remains uncharacterized.
This study aimed at filling this gap in knowledge.
Methods: Human Tconv cells isolated from blood of naïve to treatment RR‐MS patients
and healthy controls were in vitro stimulated and Tconv‐EVs isolated by size exclusion
chromatography and characterized by electron microscopy, flow cytometry and nanoview's
technology. Small RNA‐seq was used to profile Tconv‐EV RNA cargo. Then, the transcriptome
of human Treg cells in vitro treated with Tconv‐EVs was quantified by RNA‐seq. Relevant
experimental data have been submitted to the EV‐TRACK knowledgebase (EV‐TRACK ID:
EV210300).
Results: Tconv‐EVs from RR‐MS patients demonstrated a significantly different molecular
content in terms of small RNA moieties, compared with healthy controls. Through a
bioinformatic approach, some of these molecules, in particular belonging to the microRNA
family, could be linked to the differential effect of these two types of Tconv‐EVs
on Treg cell transcriptome, in particular on the transcripts involved in Treg cell
growth and regulatory function.
Summary/Conclusion: Our results have unveiled novel molecular mechanisms which may
causally link the Tconv cell dysregulation in MS with a potential suppressive effect
of their released EVs on Treg cell‐mediated maintenance of self‐tolerance in these
patients.
Funding: This work is supported by Fondazione Italiana Sclerosi Multipla (FISM, grant
2018/R/4) to P.d.C. and V.D.R.
PS01.11
Extracellular vesicles as potential clinical markers of mortality
Nicole Noren Hooten; Stephanie Lazo; Nicolle Mode; Alan Zonderman; Ngozi Ezike; Michele
K. Evans
NIA, NIH, Baltimore, USA
Introduction: Despite medical advances and high per capita health care spending in
the United States, life expectancy is lower compared to other high‐income countries.
Disparate health outcomes and premature mortality persist among minority groups and
individuals with low socioeconomic status. Thus, there is substantial clinical interest
in non‐invasive biomarkers that can potentially identify individuals at risk for early
mortality. Extracellular vesicles play key roles as intercellular communicators and
contain bioactive cargo that may provide blood‐based clues to tissue and organ pathophysiology.
Here we examined whether EVs and their associated cargo were associated with mortality.
Methods: We examined the association of EVs and mortality in a prospective, racially,
and socioeconomically diverse middle‐aged cohort. EVs were separated from plasma among
76 African American and White individuals who died within five years and 76 matching
alive individuals. The cohort also was matched on sex and poverty status. We measured
EV characteristics and cargo including EV associated mitochondrial DNA and inflammatory
protein levels.
Results: EV concentration, size, or EV associated mtDNA levels were not significantly
different between individuals that died or their alive counterparts. However, significant
differences were observed in EV inflammatory proteins. We report that mortality was
associated with several of these EV inflammatory proteins including: CCL23, CSF‐1,
CXCL9, GDNF, MCP‐1, STAMBP, and 4E‐BP1. There was a significant association between
mortality status and the presence of IL‐10RB and CDCP1 in EVs. Furthermore, we observed
that EV inflammatory proteins varied with poverty status, race, and sex.
Summary/Conclusion: These data provide evidence that plasma EV inflammatory proteins
may provide information that can differentiate future disparate health outcomes and
mortality.
Funding: Intramural Research Program of the National Institute on Aging, National
Institutes of Health
PS02: Physiology and pathology: Cancer metastasis and tumor angiogenesis
Chair: Hidetoshi Tahara – Department of Cellular and Molecular Biology, Graduate School
of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan
PS02.04
Cancer cell invasion changes the protein content of extracellular vesicles
Jens C. Luoto; Leila S. Coelho Rato; Sara H. Bengs; Jannica Roininen; John E. Eriksson;
Lea Sistonen; Eva Henriksson
Åbo Akademi University, Turku, Finland
Introduction: Extracellular vesicles (EVs) are important in intercellular communication
and mediate local and long‐range signals in cancer metastasis. The onset of invasion
is the key step of the metastatic cascade, but the secretion of EVs at that phase
has remained unexplored due to technical challenges. In this study, we present a platform
to track and characterize EVs over the course of invasive development of tumor spheroids
by utilizing in vivo‐mimicking 3D cultures.
Methods: Human prostate cancer PC3 cells were grown in extracellular matrix based
3D cultures or in standard 2D culture conditions. EVs were isolated with differential
centrifugation or high‐resolution iodixanol gradient centrifugation. The isolated
EVs were characterized with nanoparticle tracking analyses, electron microscopy, immunoblotting
and mass spectrometry (MS). EV‐TRACK ID: EV200156.
Results: Using this ECM‐based cell culture method combined with proteomic profiling,
we show that PC3 human prostate cancer spheroids secrete EVs with previously undefined
protein cargo. Upon invasive transition of the spheroids, an increase in EV amounts
and extensive changes in EV protein composition was detected. Importantly, chemical
inhibition of invasion suppressed these changes.
Summary/Conclusion: Our results demonstrate that novel EV proteins can be identified
with in vivo‐mimicking 3D culture platforms. The use of cancer invasion simulating
platform showed that EV cargo proteins change according to the invasive status of
the prostate cancer organoids. These results highlight the necessity of using in vivo‐mimicking
conditions for the discovery of novel cancer‐derived EV components linked to tumor
invasion and metastasis.
Funding: Åbo Akademi University, Academy of Finland, the Medical Research Foundation
Liv och Hälsa, Sigrid Jusélius Foundation, Cancer Society of Finland, Otto A. Malm
Foundation, Magnus Ehrnrooth Foundation, Swedish Cultural Foundation, K. Albin Johansson
Foundation, and the Victoria Foundation.
PS02.05
Defining the role of prostate cancer‐secreted small EVs in lymph node pre‐metastatic
niche formation
Elena Castellano Sanz1; Vanesa Santos1; Pedro Matos Filipe2; Pilar Ximénez Embún1;
Javier Muñoz1; Lola Martinez1; Lucia R. Languino3; David Olmos1; Arkaitz Carracedo4;
Veronica Torrano4; Judith Farrés2; Héctor Peinado Selgas1
1Spanish National Cancer Research Center (CNIO), Madrid, Spain; 2Anaxomics Biotech,
Barcelona, Spain; 3Thomas Jefferson University, Philadelphia, USA; 4CIC bioGUNE, Vizcaya,
Spain
Introduction: Prostate cancer (PCa) represents a major global health problem. PCa
cells present metastatic organotropism primarily to lymph nodes (LN) and bones. Metastatic
spread accounts for the deadliest phase of cancer progression. Previous studies from
our laboratory have demonstrated a crucial role for melanoma‐derived sEVs in LN and
lung premetastatic niche (PMN) formation. In PCa, the mechanisms underlying early
metastatic dissemination are still poorly understood. We hypothesize that PCa‐derived
sEVs distribute through the lymphatic vasculature promoting the re‐education and reprogramming
of the microenvironment in the LNs and bones, thus favoring early metastatic dissemination.
Methods: To identify protein signatures associated with metastatic progression, mass
spectrometry analysis was performed on tumor‐derived sEVs from a panel of PCa models.
We performed a bioinformatic study to select those candidates that were significantly
enriched and were related to the PMN formation process.
We have analyzed the biodistribution of PCa‐derived sEVs in mice after footpad and
orthotopic injection. SEVs were purified, fluorescently labeled, and then injected
in mice. Biodistribution of sEVs was tracked and measured by multispectral imaging.
We studied the main cell types taking up PCa‐derived sEVs in the LNs by flow cytometry
and immunofluorescence.
In order to define the mechanisms involved in PCa early metastatic dissemination,
we are analyzing the extracellular matrix and immune cell composition of LNs derived
from patients and mouse PCa models by immunohistochemistry and flow cytometry.
Results: We found that PCa‐derived sEVs can reach the sentinel LN and the pelvic bone.
Interestingly, sEVs derived from the LN metastatic model (C4‐2B) reached more efficiently
LNs, while those derived from bone metastasis (PC3) were significantly increased in
the bone. We found that lymphatic endothelial cells (LECs), fibroblastic reticular
cells (FRCs), and macrophages were the main cell types taking up sEVs in the sentinel
LNs.
Proteomic analysis showed around 600 proteins differentially expressed when comparing
sEVs derived from LNCaP and C4‐2B lymph node metastatic models. We are currently analyzing
the signatures associated to the highly metastatic model C4‐2B.
Summary/Conclusion: Our data show that sEVs derived from LN and bone metastatic models
home more efficiently to lymph nodes and bone respectively, suggesting their involvement
in PMN formation in these organs.
Detailed analysis showed that LECs, FRCs, and macrophages are the main cell types
in the sentinel LNs taking up sEVs.
Our results support that PCa‐derived sEVs play a role in PCa lymph node PMN formation.
We are currently analyzing the main signatures associated with LN metastasis and the
main changes in metastatic sentinel LNs.
Funding: ProEVLifeCycle, EU Horizon 2020, Marie Skłodowska‐Curie grant No 860303.
PS02.06
Developing liver spheroids for elucidating the role of colorectal cancer‐derived small
extracellular vesicles in the pre‐metastatic niche formation
Ornella Urzì1; Marzia Pucci1; Marta Moschetti2; Marco Loria1; Alice Conigliaro1; Maria
Cristina Guerrera3; Riccardo Alessandro1; Simona Fontana1
1University of Palermo, Dep. of Biomedicine, Neuroscience and Advanced Diagnostics
(Bi.N.D.), Palermo, Italy; 2University of Palermo, Dep. of Biomedicine, Neuroscience
and Advanced Diagnostics (Bi.N.D.), palermo, Italy; 3University of Messina, Dep. of
Veterinary Sciences, Messina, Italy
Introduction: Colorectal cancer (CRC) is the third most common tumor in the world
frequently associated with liver metastasis causing unfavorable prognosis. A recent
study performed in our laboratory has demonstrated that CRC small extracellular vesicles
(SEVs) induce an epithelial to mesenchymal transition (EMT) of hepatocytes (heps)
driving them to actively participate in the pre‐metastatic niche formation, probably
contributing to form a liver fibrotic microenvironment. Since 2D cell cultures partially
reflect the structural complexity of the in vivo microenvironment to give more power
to our functional model, we switched to use hepatocyte spheroids (HeSPHs), which can
give us more proper information on the consequences of CRC_SEV‐induced hepatocytes
EMT on cell‐cell interactions and extracellular matrix remodelling which can drive
and support the invasion of tumor cells.
Methods: We isolated SEVs from SW480 CRC cells, through differential centrifugation
followed by ultracentrifugation. HeSPHs were obtained by seeding normal human liver
cells (THEL‐2) in ultra‐low attachment 96 well plates. After treating HeSPHs with
CRC_SEVs, we analyzed the modulation of expression of structural and functional hepatocyte
markers. By co‐culturing HeSPHs with SW620‐GFP cells, we evaluated the ability of
CRC_SEV to increase the invasion potential of tumor cells.
Results: Our data on HeSPHs confirmed the ability of CRC_SEVs to alter the expression
of hepatocyte structural and functional markers (ApoE, albumin and cytokeratins 8/18)
observed in the 2D model. Moreover, we found that in CRC‐SEVs‐treated HeSPHs the invasive
capability of tumor cells increased, indicating that injured‐SEV heps can have driving
and supporting tumor liver colonization.
Summary/Conclusion: Overall, the HeSPHs represent a promising model to study the role
that tumor‐derived SEVs can have in rendering heps able to actively drive the formation
of an environment conducive to metastasis.
PS02.07
Electrical Monitoring of Cell Epithelial‐to‐Mesenchymal Transition Induced by Tumor‐Derived
Extracellular Vesicles using Bioelectronic Technologies
Walther Traberg‐Christensen; Roisin Owens
University of Cambridge, Cambridge, United Kingdom
Introduction: Tumor cell‐derived EVs (TDEs) have recently been reported to play an
active role in tumorigenesis and metastasis owing to their ability to transmit oncogenes.
One hypothesis is that TDEs contribute to metastasis by inducing the epithelial‐to‐mesenchymal
transition (EMT), characterized by the loss of barrier function in barrier tissue‐forming
cells.
Methods: This study aims to elucidate the role and mechanisms of TDE uptake by investigating
the process by which TDEs “infect” normal cells inducing EMT prior to metastasis.
Current strategies for investigating the spatial and temporal aspects of EV uptake,
often optical, lack the ability to obtain quantitative data in real time. We have
shown that organic electronic devices based on the conducting polymer poly(3,4‐ethylenedioxythiophene):
poly(styrenesulfonate) (PEDOT:PSS) can be interfaced with biological systems of varying
complexity allowing for quantitative real‐time monitoring of biological interactions.
The optical transparency of our PEDOT:PSS‐based devices provides the unique advantage
of dual transduction increasing the credibility of our platform and enriching the
biological information obtained.
Results: We have shown that CD63‐positive TDEs derived from the triple‐negative breast
cancer cell line MDA‐MB‐231 can induce an EMT‐like process in MCF‐10A non‐tumorogenic
breast epithelial cells as demonstrated by changes to cell morphology, loss of apico‐basal
polarity, reorganization of filamentus actin, and gain of mesenchymal proteins, such
as vimentin and N‐cadherin. An integral feature of EMT is the dissolution of tight
junctions and the consequential loss of lateral cell‐cell adhesion leading to a phenotype
with increased motility and invasiveness. This decrease in barrier integrity of the
cell monolayer was monitored electrically using organic electrochemical transistors,
gaining of truly quantitative insight into TDE‐induced EMT with higher temporal resolution
than conventional, orthogonal methods.
Summary/Conclusion: These combinatorial optical and electrical measurements of TDE
interactions with cell monolayers provide invaluable information for developing strategies
that may inhibit TDE interactions by e.g. blocking specific surface markers, thereby
preventing TDE‐induced EMT with implications for preventing cancer metastasis. Moreover,
the compatibility of electronic devices with microfabrication methods allows for high
throughput studies.
Funding: This work is funded by a research grant from King Abdullah University of
Science and Technology and The Cambridge Trust.
PS02.08
Mesothelial cells‐ derived extracellular vesicles promote angiogenesis via angiopoietin‐2
Shelly Loewenstein1; Fabian Gerstenhaber2; Talya Kalfon2; Stav Leibou2; Osnat Sher2;
Guy Lahat2
1Tel Aviv Sourasky Medical Center, Tel‐Aviv, Israel; 2Tel Aviv Sourasky Medical Center,
Tel Aviv, Israel
Introduction: Peritoneal carcinomatosis is orchestrated by a reciprocal interplay
between invading cancer cells and resident normal peritoneal cells. Within that process,
angiogenesis constitutes an important control point of cancer progression. We investigated
the role of mesothelial cells derived extracellular vesicles (EVs) in angiogenesis.
Methods: Endothelial, mesothelial, and gastric cancer cell lines were used for in
vitro experiments. Gastric cancer and mesothelial extracellular vesicles (EVs) were
produced from cell cultures. Proliferation, migration, and invasion assays were used
to evaluate the phenotypic behavior of treated endothelial cells. Matrigel tube‐ and
plug‐ formation assays were used to demonstrate angiogenesis in vitro and in vivo.
Angiogenesis protein array was used to identify proangiogenic proteins in mesothelial
EVs. Finally, Lenti viral shRNA were used for gain and loss of function experiments
to investigate specific signaling pathways.
Results: Initially, we demonstrate a robust uptake of mesothelial and gastric cancer
EVs by endothelial cells. We show that these vesicles enhance endothelial cell proliferation,
migration and invasion and that mesothelial‐ derived EVs are more effective when compared
with gastric cancer‐ derived EVs. We also demonstrate that mesothelial EVs significantly
augment in vitro and in vivo tube formation. Angiogenesis array identified 43 differently
expressed regulators of angiogenesis within mesothelial EVs. Based on the results
of the array, we specifically investigated Angiopoietin‐2 (Ang2) ‐Tie2 pathways. We
show that the above noted effects of the mesothelial EVs were mediated by Ang2 through
Tie2, PI3K, and Akt activation, whereas inhibition of Ang2 significantly decreased
the pro‐angiogenic effect of mesothelial EVs.
Summary/Conclusion: We demonstrate for the first time uptake of mesothelial EVs by
endothelial cells and the induction of angiogenesis by these EVs. We also demonstrate
that these effects are mediated by Ang2 trough the PI3K/AKT pathway. Taken together,
our data imply that mesothelial EVs are important regulators of angiogenesis, thus
playing an active role in the progression of peritoneal metastasis.
Funding: Cancer Biology Research Center
PS02.09
NFkB activation by hypoxic sEV drives oncogenic reprogramming in a breast cancer microenvironment
Irene Bertolini; Michela Perego; Jagadish Ghosh; Dario Altieri
The Wistar Institute, Philadelphia, USA
Introduction: Small extracellular vesicles (sEV) are produced by all types of cells
and have emerging roles in cell‐to‐cell communication. Cancer cells produce higher
levels of EV compared to normal cells, and this response is further augmented by stress
conditions, such as hypoxia. Intra‐tumoral hypoxia is a common occurrence in advanced
breast cancer, correlating with increased risk of metastasis and poor prognosis. We
have recently demonstrated that sEV produced by cancer cells in hypoxic, but not normoxic
conditions, induce oncogenic changes in normal epithelial cells in vitro. Mechanistically,
hypoxic sEV deliver ILK to recipient normal mammary epithelial cells resulting in
heightened mitochondrial dynamics and increased cell motility and invasion. In this
study, we sought to elucidate the ILK signaling axis activated by hypoxic sEV.
Methods: We isolated sEV from two different human breast cancer cells (MCF7 and MDA‐231)
and one normal mammary epithelial cell (MCF10A) maintained in hypoxic (sEVHYP) or
normoxic (sEVNORM) conditions (1% or 5% O2 respectively for 24 h). sEV were isolated
using differential centrifugation followed by size exclusion chromatography (SEC,
Izon). sEV characterization was carried out according to MISEV guidelines. sEV were
quantified after each isolation using the ZetaView system and the same number of sEV
was applied to recipient MCF10A cells in every co‐culture experiment.
Results: We found that breast cancer‐derived sEVHYP, but not sEVNORM, potently activate
NFκB gene expression in recipient MCF10A cells. In turn, this increases the production
and release of inflammatory cytokines, heightens mitochondrial dynamics and stimulates
cell motility, disrupting epithelial acini morphogenesis in 3D cultures. Mechanistically,
pharmacologic or genetic targeting of ILK or p65 NFkB abolishes the effect of sEVHYP
on recipient mammary cells.
Summary/Conclusion: sEV released by breast cancer cells under hypoxic conditions activate
NFκB in normal mammary recipient cells. This pathway may drive multiple pro‐tumorigenic
steps of heightened inflammation, deregulated mitochondrial dynamics and aberrant
3D epithelial morphogenesis in a breast cancer microenvironment.
PS02.10
Role of CD133‐containing EVs in aggressive cancers
Mireia Gomez Duro1; Graça Raposo2; Sarah Watson3; Gisela D´angelo2
1Institut Curie, PARIS 16, France; 2Institut Curie CNRS, PARIS 05, France; 3Institut
Curie INSERM, PARIS 05, France
Introduction: The spread of cancer cells from the primary tumor into surrounding tissues
and metastasis to distant organs is the primary cause of cancer morbidity and mortality.
Recent data suggest that EVs released by cancer cells may stimulate tissue invasion
and dissemination of tumor cells to target tissues. The invasive and metastatic character
of several cancer types is associated with the presence of CD133 and CD44, which predict
poor outcomes of cancer patients. CD133 is among one of the molecular signatures of
EVs. CD44 has been reported to be associated with EVs, but its role in signal‐mediated
EVs is not known. The major goal is to correlate the expression of CD133 and CD44,
to EV secretion, their EV‐mediated invasive and metastatic properties with a long‐term
goal for the development of innovative EV‐based therapeutic approaches.
Methods: EVs were isolated by size exclusion chromatography (SEC) and by ultracentrifugation
from breast cancer (MDA‐MB468, MCF7) and osteosarcoma (U20S, SAOS) cell lines and
characterized by WB, NTA, and EM to evaluate particle size, EV morphology, and composition.
Results: We found that all EV samples isolated by SEC represent a heterogeneous population
categorized into three prominent sub‐populations non‐vesicular particles (< 50 nm),
and two subpopulations consisting of small‐EVs (50‐100 nm) and large‐EVs (150‐250
nm). Interestingly, in osteosarcoma cell lines, the range and the abundance of EVs
were lower as compared to breast cancer cells lines. EVs specific markers (CD9, CD81,
CD63, Alix, Tsg101) were detected in the four cell lines. Although breast cancer and
osteosarcoma cell lines produce EVs loaded with CD133 and CD44, their expression levels
are higher in the triple‐negative breast cancer cell line (MDA‐MB468).
Summary/Conclusion: Our results thus reveal that the expression of biomarkers of interest
does not occur equally in all cell types, which may influence their metastatic capacity
and the development of the disease.
PS02.11
Role of plasma extracellular vesicles‐miRNAs in lung cancer pre‐metastatic niche formation
Francesca Pontis1; Ilaria Petraroia1; Paola Suatoni2; Ugo Pastorino2; Mattia Boeri1;
Fabio Maiullari3; Roberto Rizzi3; Claudia Bearzi3; Gabriella Sozzi1; Orazio Fortunato1
1Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy, Milan, Italy; 2Fondazione
IRCCS Istituto Nazionale dei Tumori , Milan, Italy, Milan, Italy; 3Istituto Nazionale
Genetica Molecolare INGM "Romeo Ed Enrica Invernizzi", Milan, Italy, Milan, Italy
Introduction: Lung cancer is the deadliest cancer worldwide, mostly due to the metastatic
spread. Extracellular vesicles (EVs) are key players in cancer progression thanks
to their ability to deliver biofunctional molecules as miRNAs and proteins to recipient
cells.
We aim to elucidate the role of patient's plasma‐EVs in lung cancer progression and
identify new prognostic biomarkers.
Methods: Plasma‐EVs were obtained by ultracentrifugation from 20 early stages patients
survived at 5 years (ESA‐EVs) and 20 died within two years (ESD‐EVs). EV's characterization
was performed by Nanoparticles tracking analysis, Flow Cytometry and TEM. For uptake
experiments PKH26‐labeled‐EVs were used. Functional experiments were carried out in
vitro in 2D and 3D‐bioprinting co‐cultures models. Nanostring was used to investigate
the EV's miRNA cargo.
Results: Patient's plasma‐EVs were sized between 100 and 150 nM and possess the EVs
markers (CD9, CD81, CD63). Notably, FC analysis revealed that ESD‐EVs were enriched
in CD31 compared to ESA‐EVs. Moreover, In vitro experiments showed that plasma‐EVs
were mostly incorporated by stromal cells; mainly by endothelial cells followed by
macrophages and fibroblasts rather than epithelial cells. Strikingly, ESD‐EVs treatment
increased endothelial VCAM1, CXCR4 and CXCL1 levels compared to ESA‐EVs in 2D and
in 3D models. Interestingly, in 3D‐bioprinted co‐cultures, ESD‐EVs treatment induced
endothelial activation and increased fibroblast (α‐SMA and CXCL12) and epithelial
(E‐cadherin and EpCAM) gene expression. Furthermore, ESD‐EVs also stimulated the macrophages
phenotypic shift towards M2 polarization in vitro as noted by the increment of IL10
and CD206 levels. Importantly, 90 EV‐miRNAs were detected in plasma‐EVs, 5 of them
differentially expressed between ESA‐ and ESD‐EVs.
Summary/Conclusion: Our findings suggested that ESD‐EVs generate a pre‐metastatic
milieu by endothelial activation and the modulation of stromal cells phenotype. Moreover,
EV‐miRNAs could be used as prognostic biomarkers in early stages lung cancer patients.
Funding: The study was supported by grants from Italian Ministry of Health RF‐2018‐12367824
to G.S.
PS02.12
Transglutaminase‐2, RNA‐binding proteins andmitochondrial proteins selectively traffic
toMDCK cell‐derived microvesicles following H‐Ras‐induced epithelial–mesenchymal transition
Adnan Shafiq
La Trobe University, PRESTON, Australia
Introduction: pithelial–mesenchymal transition (EMT) describes an evolutionary conserved
morphogenic process defined by loss of epithelial characteristics and acquisition
of mesenchymal phenotype, and altered patterns of intercellular communication, leading
to functional changes in cell migration and invasion. In this regard, we have previously
reported that oncogenic H‐Ras induced EMT in Madin‐Darby Canine Kidney (MDCK) cells
(21D1 cells) trigger changes in the protein distribution pattern in cells, exosomes,
and soluble protein factors (secretome) which modulate the tumor microenvironment.
Methods: EVs were isolated using differential centrifugation including OptiPrep density
gradient and characterised by NTA and western blot analysis.
Results: Proteomic analysis revealed that the protein spectra of RNA‐binding proteins
and mitochondrial proteins in 21D1‐sMVs differ profoundly compared to those of exosomes,
likewise proteins associated with suppression of anoikis. We show that 21D1‐sMVs promote
cell migration, confer anchorage independent growth, and induce EMT in parental MDCK
cells. An unexpected and novel finding was the selective sorting of tissue transglutaminase‐2
(TGM2) into 21D1sMVs; there was no evidence of TGM2 in MDCK‐sMVs. Prior treatment
of 21D1‐sMVs with neutralizing anti‐TGM2 or anti‐FN1 antibodies attenuates the invasive
capability of fibroblasts. These finding suggest that microvesicle‐associated TGM2
may play an important contributory role in the EMT process and warrants further investigation
Summary/Conclusion: Collectively, our findings suggest that MDCK‐sMV cargo changes
that occur following oncogenic H‐Ras transformation are sufficient to confer cellular
migration, anchorage‐independent growth capabilities and induce EMT in recipient MDCK
cells. Among the important question for the future will be to better understand how
the cargo of different EV classes (microvesicles and exosomes) along with the secretome
act ina coordinated fashion to mediateEMT. It's also important to explore further
whatthe impacts the sMVmakeonthe cancermicroenvironments as anenablerof cancerprogression.
Harnessing this knowledge will open avenues for future EV studies aimed at furthering
our understanding of the role of sMVs in the EMT program and the targeting of EVs
as potential druggable molecules for therapeutic application.
PS02.13
Tumor‐derived microvesicles are a critical determinant for successful metastatic colonization
in colorectal cancer
Suganja Sivaloganathan1; Raquel Blazquez2; Tobias Pukrop2; Darius Wlochowitz3; Tim
Beißbarth3; Simone König4; Matthias Schulz3; Claudia Binder5; Kerstin Menck6; Annalen
Bleckmann6
1University Hospital Münster, Münster, Germany; 2University Hospital Regensburg, Regensburg,
Germany; 3University Medical Center Göttingen, Göttingen, Germany; 4Core Unit Proteomics,
University of Münster, Münster, Germany; 5University Medical Center Göttingen, Göttingen,
Göttingen, Germany; 6Dept. of Medicine A, Haematology, Oncology, and Pneumology, University
Hospital Münster, Münster, Germany
Introduction: The formation of distant metastases is the major obstacle in treating
cancer. Metastatic spread requires a cancer‐induced modulation of the surrounding
environment, which can be mediated via the release of tumor‐derived extracellular
vesicles (T‐EV). Using a syngeneic mouse model for colorectal cancer (CRC), we identified
two variants of the murine CRC cell line CMT93, which differed significantly in their
metastatic colonization in vivo. The aim of this study was to identify the molecular
mechanisms responsible for the effect.
Methods: The two CMT93 variants were characterized regarding their basic characteristics
using proliferation, invasion, migration and adhesion assays. T‐EV released by the
cells were collected via differential ultracentrifugation at 17,000 g for larger microvesicles
(MV) and 143,000 g for small EV. The obtained EV were characterized by immunoblotting,
nanoparticle tracking analysis, transmission electron microscopy and proteomics.
Results: Analysing the cell‐intrinsic basic characteristics of the cells revealed
no major difference between the two CMT93 variants. Thus, we extended our analysis
to the released secretome, which revealed a major difference in the amount and composition
of released T‐EV. While T‐EV released by the malignant CMT93 variant induced tumor
invasion, this effect was not observed with T‐EV from the less aggressive CMT93 variant.
Intriguingly, this functional difference was more prominent with MV than with small
EV. To identify the molecular characteristics responsible for this difference, the
MV released by both CMT93 variants were compared by proteomic analysis. The results
revealed that the MV released by the malignant CMT93 variant were enriched in proteins
associated with adhesion. Using immunoblotting, we were able to validate an upregulation
of the proteins Itga3 and Fascin1 on MV released by the malignant variant. Analysing
microarray data, we identified that these proteins were upregulated in human primary
and metastatic CRC in contrast to normal colon tissue, highlighting the translational
relevance of our findings.
Summary/Conclusion: Conclusively, we identified MV as the critical determinants for
successful tumor invasion in CRC and attributed this effect to the enrichment of tumor‐supporting
adhesion proteins on the vesicles. These results shed further light on the molecular
mechanisms underlying EV‐mediated metastatic colonization and open new options for
targeted therapy.
PS03: Physiology and pathology: Cancer pathogenesis
Chair: Elena S. Martens‐Uzunova – Department of Urology, Erasmus MC, University Medical
Center Rotterdam
Chair: Marco Falasca – Curtin University
PS03.01
Cancer cells shuttle extracellular vesicles containing oncogenic mutant p53 proteins
to the tumor microenvironment
Bibek Bhatta1; Ishai Luz2; Christian Krueger3; Fanny Xueting Teo3; David P. Lane4;
Kanaga Sabapathy3; Tomer Cooks2
1Ben Gurion University, Beersheva, Israel; 2The Shraga Segal Department of Microbiology
and Immunology, Ben Gurion University of the Negev, beer sheva, Israel; 3Division
of Cellular & Molecular Research, Humphrey Oei Institute of Cancer Research, National
Cancer Centre Singapore, Singapore 169610, Singapore, Singapore, Singapore; 4p53 Laboratory
(p53Lab), Agency for Science, Technology, and Research (A*STAR), Singapore 138648,
Singapore, Singapore, Singapore
Introduction: Most cancers harbor mutations in the TP53 gene (encoding for the p53
tumor suppressor protein). Furthermore, gain‐of‐function (GOF) mutation in p53 imparts
an aggressive traits to the cells when compared to the cancer cells harboring inactivating
mutations or wild‐type (WT)‐p53. Notably, multiple studies have delineated the presence
of GOF‐mutant p53 protein in untransformed cells or in stromal compartments of tumor
microenvironment (TME). In recent years, the involvement of extracellular vesicles
(EVs) in cell‐to‐cell communication has emerged as a major route by which cancer cells
can interact and educate immune, and non‐immune cells in TME to become tumor supportive.
To this end, we hypothesize that mutant p53 protein can be shuttled via EVs to TME
cells thus shedding light on a novel non‐cell autonomous role of mutant p53 cancers
Methods: EVs were isolated from various cancer cell lines (pancreas, lung, colon)
differing by their p53 status and the effect on neighboring cancer cells and TME cells
was studied in vitro and in‐vivo. We also utilized the human colorectal Colo‐320DM
cancer cell xenograft model, which expresses the R248W p53 mutant. FFPE sections of
subcutaneous tumors derived from the Colo‐320DM xenografts were stained for p53 using
the DO‐1 antibody that specifically recognizes human p53.
Results: Our data demonstrated that mutant p53 protein can be selectively sorted into
EVs; that mutant p53 in EVs can be taken up by neighboring cancer cells and macrophages
that do not harbor mutant p53 protein. Evident of macrophage education was seen with
the increased expression and secretion of pro‐inflammatory cytokines. Notably, mutant
p53 expression was also found in non‐tumor cells in both human cancers, and in non‐human
tissues in human xenografts.
Summary/Conclusion: Cancer cells harboring GOF p53 mutants, can package mutant p53
proteins in EVs, and deliver them to neighboring cancer cells and to the TME.
PS03.02
Differential profile analysis of microRNAs in exosomes from prostate cancer cells.
Target prediction
Antonio Altuna Coy1; Silvia Sanchez Martin1; Marina Mendieta Homs1; Xavier Ruiz‐Plazas2;
José Segarra Tomás2; Helena Ascaso‐Til3; Marta Alves Santiago2; Manuel Prados‐Saavedra3;
Matilde R. Chacón1
1Pere Virgili Health Research Institute, Tarragona, Spain; 2Joan XXIII University
Hospital/Pere Virgili Health Research Institute, Tarragona, Spain; 3Joan XXIII University
Hospital, Tarragona, Spain
Introduction: Prostate cancer (PCa) is a commonly diagnosed pathology. A critical
role of cell‐to‐cell communication during tumorigenesis has been proven, allowing
to re‐program the tumor microenvironment to facilitate its progression. In this sense,
exosomes, small extracellular vesicles released to the extracellular and their microRNAs
content (exomiRNAs) has been shown regulate gene expression and PCa development.
Thus, our aim was to investigate a differential exomiRNA cargo in two PCa cell lines
PC‐3 (representing the most aggressive stage) and LNCaP (less aggressive stage) versus
non‐cancerous prostate cell line RWPE‐1, and to identify their putative targets and
their possible role on the PCa development.
Methods: PC‐3, LNCaP and RWPE‐1 cell lines were cultured during 24h in their respective
culture medium. Exosomes were isolated from 8 ml culture medium by exoEasy Maxi Kit
(Qiagen) and characterized by western blot and transmission electron microscopy. ExomiRNAs
were isolated by ExoRNeasy Maxi Kit (Qiagen) and qRT‐PCR was performed by using miRCURY
LNA miRNA miRNome PCR Panel I+II V5 (Qiagen), that included 752 mature human cancer‐related
miRNAs. Pathway and functional enrichment analysis on putative targets of the selected
exomiRNAs was performed by using miRNet, Reactome and STRING softwares.
Results: Microarray analysis revealed a total of 38 exomiRNAs differentially express
in PC‐3 and LNCaP versus RWPE‐1 cell line. MiRNet analysis showed 41 putative genes
regulated, at least, by 20 of the 38 differentially expressed exomiRNAs. Reactome
and STRING analysis demonstrated that MDM2, TNRC6A, TNRC6B and AGO1 were common targets
of the putative miRNA‐regulated pathways with an important role on miRNA expression
regulation.
Summary/Conclusion: PCa secreted exomiRNAs can modulate tumor microenvironment gene
expression and may be crucial to the progression of cancer.
Funding: This study is funded by PI20/00418 Instituto de Salud Carlos III and Co‐founded
by European Union (ERDF/ESF “A way to make Europe/Investing in your future”)
PS03.03
Effects of extracellular vesicles on vemurafenib sensitivity in syngeneic melanoma
cell lines
Afrodité Németh1; Tamás Kós1; Gréta Lilla Bányai1; Zoltán Varga2; Anikó Gaál2; Magdolna
Dank3; István Takács3; Attila Marcell Szász3; Tamás Garay1
1Pázmány Péter Catholic University Faculty of Information Technology and Bionics,
Budapest, Hungary; 2Biological Nanochemistry Research Group, Institute of Materials
and Environmental Chemistry, Research Centre for Natural Sciences, Budapest, Hungary;
3Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University,
Budapest, Hungary
Introduction: Recently, more and more evidence is found that extracellular vesicles
(EVs) are linked to therapy resistance. The majority of malignant melanoma cases harbor
oncogenic BRAF mutations. BRAF inhibitors, like vemurafenib, show remarkable initial
responses, however, resistance emerges in almost all patients. Our aim was to investigate
the role of EVs in the evolvement and spread of therapy resistance in an in vitro
setting using sensitive‐resistant syngeneic melanoma cell pairs, which were isolated
before and after the vemurafenib treatment from each patient.
Methods: Melanoma cells were kept in DMEM supplemented with 1% EV‐depleted FBS for
at least three days before collecting media. ExoQuick exosome precipitation reagent
was used to isolate EVs. Total protein content was analyzed using the Qubit Protein
Assay Kit. EVs’ size distribution and concentration were determined using Microfluidic
Resistive Pulse Sensing (MRPS). Baseline vemurafenib sensitivity and EVs capacity
to transfer therapy‐resistance were evaluated by SRB viability assay and videomicroscopy,
cell proliferation and migration were quantified.
Results: Treatment with the EVs produced by the resistant syngeneic cell line diminished
the effect of vemurafenib treatment. Similarly, treatment with self‐produced EVs showed
a tumor‐promoting effect. However, the observed effects were cell line dependent.
Summary/Conclusion: Our result indicates that the effects of extracellular vesicles
on vemurafenib sensitivity, proliferation and migration are cell line dependent. EVs
potentially contribute to resistance against the BRAF inhibitor vemurafenib.
Funding: Supported by the ÚNKP‐21‐3 New National Excellence Program of the Ministry
for Innovation and Technology from the source of the National Research, Development
and Innovation Fund.
PS03.04
Effects of small extracellular vesicles derived from prostate cancer cells on a salivary
gland epithelium barrier model
Ana Špilak; Andreas Brachner; Ulrike Kegler; Christa Nöhammer; Winfried Neuhaus
AIT Austrian Institute of Technology, Vienna, Austria
Introduction: Besides potentially having a major role in cancer metastasis, small
extracellular vesicles (sEVs) released by cancer cells can serve as liquid biopsy
biomarkers for detection in bodily fluids such as saliva (PMID: 34087328). However,
the mechanisms of how sEVs interact with biological barriers are not clarified. We
investigated the effects of prostate cancer (PCa) sEVs on a human submandibular salivary
gland barrier (SSGB) model in vitro.
Methods: sEVs were isolated from conditioned serum‐free medium after 48h collection
with size exclusion chromatography from PCa DU145 cell line in normoxic and hypoxic
conditions and characterized with NTA for particle count, size distribution and zeta
potential, microBCA and western blots for CD81, CD9, ALIX and GM130. sEVs were applied
to the basolateral (blood) side of a SSGB Transwell model based on HTB‐41 B2 cells
(PMID: 32842479) and barrier integrity was assessed with the transepithelial electrical
resistance (TEER) measuring CellZscope device in one‐hour intervals. After 40 hours
apical and basolateral media as well as HTB‐41 B2 lysates were collected. sEVs in
media were measured with NTA, mRNA of 96 barrier relevant targets were quantified
by high‐throughput qPCR (Fluidigm).
Results: Experiments with PCa sEV in serum‐containing or serum‐free SSGB medium revealed
serum dependent effects on TEER over time, highlighting the importance of optimized
experimental settings for sEV/barrier interaction studies. sEVs showed minor effects
on TEER compared to controls, but addition of hypoxia PCa sEVs resulted in an increase
of apically found sEV particles in comparison to sEVs from normoxic conditions. The
found effects correlated to mRNA regulation of selected barrier targets in HTB‐41
B2 cells.
Summary/Conclusion: Our results indicated that the different PCa sEV fractions influenced
either the sEV secretion of SSGB cells or possessed different permeation properties.
Current studies aim to elucidate the origin of the apically found sEVs and the underlying
mechanisms for these differences.
Funding: The project is a part of ProEVLifeCycle network, funded by the European Union's
Horizon 2020 research and innovation programme under the Marie Skłodowska‐Curie grant
agreement No 860303.
PS03.05
EVs secreted by AML cells mediate suppression of immune effector cell function
Nicole Maeding1; Heide‐Marie Binder1; Balazs Vari2; Anna Raninger3; Martin Wolf1;
André Cronemberger Andrade1; Thomas Heuser4; Astrid Obermayer5; Gabriele Brachtl1;
Lisa Pleyer6; Richard Greil6; Katharina Schllmoser7; Dirk Strunk1
1Cell Therapy Institute, Spinal Cord Injury and Tissue Regeneration Center Salzburg
(SCI ‐ TReCS), Paracelsus Medical University (PMU), Salzburg, Austria, Salzburg, Austria;
2Experimental and Clinical Cell Therapy, Spinal Cord Injury and Tissue Regeneration
Center Salzburg (SCITReCS), Paracelsus Medical University, Salzburg, Austria, Salzburg,
Austria; 3Cell Therapy Institute, Spinal Cord Injury and Tissue Regeneration Center
Salzburg (SCI‐TReCS), Paracelsus Medical University, Salzburg, Austria, Salzburg,
Austria; 4Vienna Biocenter Core Facilities, Medical University, Vienna, Vienna, Austria;
5Dept. of Biosciences, Paris Lodron University Salzburg, Salzburg, Austria; 63rd Medical
Dept. with Hematology, Medical Oncology, Rheumatology and Infectiology, Paracelsus
Medical University, Salzburg, Salzburg, Austria; 7Department of Transfusion Medicine
and SCI‐TReCS, PMU, Salzburg, Austria, Salzburg, Austria
Introduction: Extracellular vesicles (EV) are enriched in leukemia patients and were
found to promote migration, invasion and chemoresistance of acute myeloid leukemia
(AML) cells, and quiescence of hematopoietic stem cells. We asked if AML‐EVs can also
target immune cell functions to facilitate immune escape and/or disease progression.
Methods: AML cell lines HL‐60, KG‐1, OCI‐AML3 and MOLM‐14 were cultured in particle‐free
medium under large‐scale culture conditions to obtain EV‐conditioned medium. AML‐EVs
were purified and enriched using two sequential rounds of tangential flow filtration
(TFF) and characterized by electron microscopy, western blotting and bead‐based flow
cytometry, confirming double‐membrane morphology, purity and identity. AML patient
plasma‐derived EVs were isolated by size exclusion chromatography. Purified AML‐EVs
were used to modulate T cell proliferation and NK cell‐dependent cytotoxicity.
Results: Purified AML‐EVs showed a significant dose‐dependent inhibition of PHA‐stimulated
T cell proliferation. Furthermore, primary AML patient and cell line‐derived EVs reduced
NK cell‐mediated lysis of K‐562 target cells in a dose‐dependent manner. Also, osteogenic
differentiation capacity of bone marrow stromal cells was increased by AML‐EVs. Analysis
of EV surface marker expression by MACSPlex compared to flow cytometry for AML cells
showed a comparable pattern reflecting the AML cell origin. RNA cargo analysis of
AML‐EVs revealed small RNA species (e.g. miRNAs) as well as longer RNA molecules,
albeit to a lesser extent.
Summary/Conclusion: We show that AML‐EVs inhibit T cell proliferation and NK cell
functionality while enhancing osteogenic differentiation capacity of bone marrow stroma.
These effects could contribute to the creation of a leukemia‐permissive niche and
immune escape of AML mediated by their EVs. The underlying molecular mechanisms need
further investigation.
Funding: The presented work received funding from the European Union's Horizon 2020
research and innovation program and by Land Salzburg in the framework of EV‐TT, EV‐TT
– Bpro, and Cancer Cluster Salzburg.
PS03.07
Extracellular vesicles orchestrate prostate cancer progression by modulating a complex
interaction network with adipocytes
Fabrizio Fontana1; Monica Marzagalli1; Martina Anselmi1; Emanuela Carollo2; Patrizia
Sartori1; Patrizia Procacci1; David R F. Carter2; Patrizia Limonta1
1University of Milan, Milan, Italy; 2Oxford Brookes University, Oxford, United Kingdom
Introduction: It is known that an association exists between obesity and risk of prostate
cancer (PCa). A crosstalk between adipocytes and PCa has been demonstrated; however,
the study of this dialog has been limited to soluble factors, although emerging evidence
points to a key role of extracellular vesicles (EVs) in the control of tumor progression.
Methods: After isolation by SEC, EVs were characterized by NTA, TEM and Western blot
analysis (TSG101, Hsc70, Alix, calnexin and cytochrome c). In 3T3‐L1 adipocytes, the
effects of PCa EVs on lipolysis were assessed by flowcytometry and colorimetric assay,
while changes in adipokine production were determined by ELISA assay; Akt and MAPK
phosphorylation was analyzed by Western Blot. In PC3 and DU145 PCa cells, the effects
of EV‐treated adipocyte conditioned media on tumor proliferation and survival were
evaluated by Trypan blue exclusion assay, while cell metastatic potential was investigated
by scratch test and Boyden chamber assay.
Results: We demonstrated that PCa EVs can promote both lipolysis and adipokine (interleukin
6, MCP‐1 and TNFα) production in adipocytes, accompanied by Akt, ERK1/2 and p38 activation.
Interestingly, conditioned media from EV‐treated adipocytes stimulated PC3 and DU145
cell growth, migration/invasion and docetaxel resistance.
Summary/Conclusion: Overall, these data indicate that an EV‐mediated crosstalk exists
between PCa and adipocytes, endowing the latter with pro‐tumor properties. Further
studies will be performed to confirm this evidence in vivo and to identify the EV
molecular cargo responsible for the modulation of the interactions between adipose
tissue and PCa.
Funding: Fabrizio Fontana was awarded with an AIRC Fellowship for italy.
PS03.08
Extracellular vesicles released by differentiating colorectal cancer stem cells induce
a switch from oxidative to glycolytic metabolism in cancer‐associated fibroblasts
Giulia Artemi1; Donatella Lucchetti2; Filomena Colella2; Claudio Ricciardi‐Tenore2;
Federica Calapà3; Giacomo Lazzarino4; Micol Eleonora Fiori3; Federica Vincenzoni5;
Andrea Urbani6; Barbara Tavazzi6; Ruggero De‐Maria7; Alessandro Sgambato8
1Department of Translational Medicine and Surgery, Faculty of Medicine, Catholic University
of the Sacred Heart, Rome, Italy, Celleno, Italy; 2Department of Translational Medicine
and Surgery, Faculty of Medicine, Catholic University of the Sacred Heart, Rome, Italy,
Roma, Italy; 3Department of Oncology and Molecular Medicine, IstitutoSuperiore di
Sanità, Rome, Italy, Roma, Italy; 4UniCamillus‐Saint Camillus International University
of Health Sciences, 00131 Rome, Italy, Roma, Italy; 5Department of Basic Biotechnological
Sciences, Intensive and Perioperative Clinics, Catholic, Roma, Italy; 6Department
of Basic Biotechnological Sciences, Intensive and Perioperative Clinics, Catholic
University of the Sacred Heart of Rome, 00168 Rome, Italy;Fondazione Policlinico Universitario
"A. Gemelli"‐IRCCS, 00168 Rome, Italy, Roma, Italy; 7Department of Translational Medicine
and Surgery, Faculty of Medicine, Catholic University of the Sacred Heart, Rome, Italy;
Fondazione Policlinico Universitario "A. Gemelli"‐IRCCS, 00168 Rome, Italy, Roma,
Italy; 8Department of Translational Medicine and Surgery, Faculty of Medicine, Catholic
University of the Sacred Heart, Rome, Italy;IRCCS‐Centro di Riferimento Oncologico
della Basilicata (CROB), Rionero in Vulture (PZ), Italy, Roma, Italy
Introduction: Reciprocal relationships between cancer cells and the surrounding non‐neoplastic
cells are critical important in several aspects of tumor development. It has been
known,for a while, that cancer cells are metabolically distinct from other non‐transformed
cells. This metabolic phenotype is not peculiar to cancer cells but reflects tumor
microenvironment characteristics. Recently, it has been shown that Extracellular Vesicles
(EVs) are involved in the metabolic switch occurring in cancer and tumor‐stroma cells
and sustain the growth of tumor cells. Our previous studies showed that differentiation
process affects the content of EVs released by Colorectal Cancer Stem Cells (CR‐CSCs).
In this regard, this study aims to analyze the effects of EVs on Cancer Associated
Fibroblast (CAFs) metabolism reprogramming.
Methods: Proteomic profile of EVs content was performed by a classical bottom‐up platform
followed by high‐resolution nano‐HPLC‐ESI‐MS/MS (VelosOrbitrap‐Elite). Metabolomic
content was analyzed by the ion‐pairing HPLC method in recipient cells (CAFs). Evaluation
of glycolytic‐related genes and proteins, lactate production and glucose uptake was
investigated by RT‐PCR, western blot (WB), lactate and glucose assays respectively,
to confirm metabolomic data.
Results: Proteomic analyses demonstrate that EVs released by CRC cells (HT29 cell
line) treated with sodium butyrate differentiating agent are enriched in glycolytic
enzymes related to cancer metabolism compared to undifferentiated counterpart. Moreover,
we showed by metabolomic analysis that CAFs treated with EVs released by differentiated
CRC‐CSCs switch from oxidative to glycolytic metabolism. RT‐qPCR and WB analyses confirmed
the increase of significant genes and proteins involved in glycolytic metabolism.
Summary/Conclusion: This study revealed that EVs released by CR‐CSCs, subjected to
differentiation, induce a metabolic reprogramming of CAFs. This process triggers a
metabolic change of stromal cells in support of CR‐CSCs and tumor progression that
could explain the failure of differentiated cancer therapies.
PS03.09
Melanoma‐derived extracellular vesicles mediate chemokine production in the tumour
microenvironment
Stephanie Bollard1; Cristina Casalou2; Jane Howard3; Desmond J. Tobin2; Pamela Kelly1;
Amanda McCann1; Shirley M. Potter4
1University College Dublin, Dublin, Ireland; 2Charles Institute of Dermatology, University
College Dublin, Belfield, Dublin 4, Ireland, Dublin, Ireland; 3UCD School of Medicine,
University College Dublin., Dublin 4, Ireland; 4School of Medicine & UCD Conway Institute
of Biomolecular & Biomedical Research, University College Dublin, Belfield, Dublin
4, Ireland, Dublin, Ireland
Introduction: Extracellular Vesicles (EVs) are tiny lipid bilayer bound nanoparticles,
known to play a role in melanoma progression. Their cargo can drive several specialised
functions in cancer, including the control of tumour proliferation and pre‐metastatic
niche formation. In other malignancies, EVs have been shown to alter chemokine secretion
in the tumour microenvironment (TME) favouring tumour progression. This study aims
to assess the EV‐mediated interaction between melanoma cells and fibroblasts within
the TME.
Methods: Metastatic melanoma (A375, RPMI‐7951) and normal dermal fibroblast (Malme‐3)
cell lines were maintained in culture. EVs were harvested from melanoma cell lines
using differential ultracentrifugation and characterised according to MISEV2018 guidelines.
A co‐culture experiment in which EVs derived from melanoma cell lines were applied
to Malme‐3 was performed, and the resulting secretome was analysed after 48 hours
using a chemokine array (Abcam, ab169812). Data were analysed using GraphPad Prism
v.9 for macOS. Welch t‐test was used for comparison between secretion profiles, p<
0.05.
Results: The secretion of several chemokines was increased significantly with the
addition of EVs in comparison to Malme‐3 cells alone. When Malme‐3 fibroblasts were
co‐cultured with EV's from A375 melanoma cells there was a significant increase in
the secretion of CCL5 (36.20‐fold, p=0.001), CXCL1 (6.41‐fold, p< 0.001), CXCL10 (3.03‐fold,
p=0.007), CXCL11 (1.96‐fold, p=0.001), CXCL8 (13.25‐fold, 0.004) and CXCL9 (1.05‐fold,
p=0.002). Similarly, when co‐cultured with EV's from RPMI‐7951 melanoma cells, there
was an increased secretion of CCL2 (1.42‐fold, p=0.018), CXCL1+2+3 (0.25‐fold, p=0.029),
CXCL10 (0.80‐fold) and CXCL8 (1.71‐fold) by Malme‐3 dermal fibroblasts.
Summary/Conclusion: The EVs derived from metastatic melanoma cell lines significantly
altered the secretome of normal dermal fibroblasts when co‐cultured. These results
give insights into the mechanisms of paracrine signalling between cell populations
in the melanoma TME and highlight potential targets for further study to investigate
the mechanisms of melanoma progression within the TME.
Funding: This work was performed within the Irish Clinical Academic Training (ICAT)
Programme, supported by the Wellcome Trust and the Health Research Board (Grant Number
203930/B/16/Z), the Health Service Executive National Doctors Training and Planning
and the Health and Social Care, Research and Development Division, Northern Ireland,
and was also supported by Science Foundation Ireland (19/FFP/6752).
PS03.11
Periprostatic adipose tissue exomicroRNA profile in prostate cancer patients with
different degree of aggressiveness
Silvia Sanchez Martin1; Antonio Altuna Coy1; Xavier Ruiz‐Plazas2; José Segarra Tomás2;
Helena Ascaso‐Til3; Marta Alves Santiago2; Manuel Prados‐Saavedra3; Joan Francesc
Garcia Fontgivell3; Xana Bernal Escoté3; Matilde R. Chacón1
1Pere Virgili Health Research Institute, Tarragona, Spain; 2Joan XXIII University
Hospital/Pere Virgili Health Research Institute, Tarragona, Spain; 3Joan XXIII University
Hospital, Tarragona, Spain
Introduction: From the first steps of prostate cancer (PCa) initiation, tumours are
in contact with the most‐proximal adipose tissue called periprostatic adipose tissue
(PPAT). The secretion of extracellular vesicles by PPAT may provide new evidence for
the understanding of the interactions between adipocytes and tumours. Extracellular
vesicles, in particular exosomes, are important carriers of non‐coding RNA such miRNAS
(exomiRNAS) that are crucial for cellular communication. Analyzing the exomiRNA‐PPAT
content can be of importance for the understanding of its progression and aggressiveness.
Methods: A total of 24 samples of human PPAT and abdominal adipose tissue (ABAT) were
used. Explants (2.5 g) were cultured 24 h on M199 media and exosomes were isolated
by using the exoEasy Kit (Qiagen). Exosomes were characterized by western blot and
transmission electron microscopy (TEM). ExomiRNAs were extracted, and expression profiling
of n=4 samples of PPAT and 4 samples of ABAT tissue was performed by using miRCURY
LNA miRNA miRNome PCR Panel, that included 752 mature human cancer‐related miRNAs.
Deregulated exomiRNAS were validated the 24 AT samples. Pathway and functional enrichment
analysis on putative targets of the selected exomiRNAs was performed.
Results: Western blot and TEM revealed characteristics of exosomes in AT samples.
Nine miRNAs were found in the pilot study to be differentially express between PPAT
and ABAT samples. Validation analysis showed that hsa‐miR‐18a‐5p, ‐20a‐5p, ‐18b‐5p,
‐93‐5p, ‐17‐5p,160b‐5p, ‐126‐3p were increased in low‐risk PCa PPAT when compared
with ABAT, while when comparing PPAT regarding aggressiveness, only miR‐18a‐5p was
significantly altered. The RORA gene (a RAR Related Orphan Receptor A) was identified
as a common target of the putative miRNA‐regulated pathways.
Summary/Conclusion: PPAT microRNA content is linked with PCa and could be envisage
as new possibility to be addressed for therapeutic strategies.
Funding: This study is funded by PI20/00418 Instituto de Salud Carlos III and Co‐founded
by European Union (ERDF/ESF “A way to make Europe/Investing in your future”)
PS04: Biomarkers: EV nucliec acids II (other diseases)
PS04.01
Alpha‐1 acid glycoprotein and microRNA miR‐21‐5p in urinary extracellular vesicles
as potentials biomarkers of primary aldosteronism
Cristian A. Carvajal; Jorge A. Pérez; Alejandra Tapia‐Castillo; Carlos E. Fardella
Pontificia Universidad Catolica de Chile, Santiago, Chile
Introduction: Primary aldosteronism (PA) is the most common cause of secondary arterial
hypertension (HTN), reaching a prevalence of 6‐10%. Several efforts have been done
in order to identify novel PA biomarkers to support its early detection and other
reported effects (inflammation, endothelial dysfunction, kidney damage and oxidative
stress) by the aldosterone excess, which can modify the levels and expression of specific
proteins (eg lipocalins NGAL and Alpha‐1 acid glycoprotein (AGP1)), miRNAs (eg miRNA‐21,
Let‐7i), and the concentration and content of extracellular vesicles (EVs). The current
aim is to evaluate the lipocalins AGP1 and NGAL, as well the miRNAs miR‐21‐5p and
Let‐7i‐5p associated to urinary EVs as potential biomarkers of PA.
Methods: A cross‐sectional cohort study in 41 adult subjects with similar age, gender,
and BMI, classified as normotensive controls (CTL), essential hypertensives (EH) and
subjects with positive screening of PA. Plasma aldosterone levels, plasma renin activity
(PRA) and the aldosterone to renin ratio (ARR). Inflammatory parameters such as C‐reactive
protein were evaluated ultrasensitive PCR (usPCR), PAI‐1, MMP9, IL‐6, and also lipocalins
AGP1 and NGAL by immunoassay. Urinary EVs were isolated of all subjects by ultracentrifugation
and characterized by nanotracking analysis (NTA), transmission electron microscopy
(TEM) and western blot (CD63). The expression of miR‐21 and Let‐7i in uEVs by qPCR‐Taqman.
Statistical analyzes and ROC curves were performed using SPSS v15 and Graphpad Prism
v9.
Results: We observed an increase in AGP1 levels in PA subjects with respect to the
EH and CTL group (p < 0.05). We did not observe significant differences in usPCR,
PAI‐1, MMP9, IL‐6 and NGAL. We detected significant associations of AGP1 with aldosterone
(rho = 0.34 p < 0.05), PRA (rho = ‐0.44 p < 0.01) and with ARR (rho = 0.38 p < 0.05).
We did not observe differences in both the concentration of uEVs and the expression
of Let‐7i‐5p between groups. We detected lower levels of miR‐21‐5p in the uEVs of
PA subjects (p < 0.05). The ROC curve analysis showed that AGP1 (AUC 0.90; CI 95 [0.79‐1.00];
p < 0.0001) and AGP1 + miR‐21‐5p (AUC 0.94; CI 95 [0.85 ‐ 1.00]; p < 0.001) can discriminate
PA.
Summary/Conclusion: We observed a higher concentration of circulating AGP1 and lower
levels of miR‐21‐5p in uEVs in PA subjects. The associations of AGP1 with aldosterone,
PRA and ARR together with the discriminatory ability of AGP1 and miR‐21‐5p to identify
the PA, suggesting a potential role as biomarkers of PA.
Funding: Partially supported by grants ANID‐FONDECYT 1212006 and 3200646; CONICYT‐FONDEQUIP
EQM150023; ANID–Millennium Science Initiative Program‐IMII P09/016‐F, ICN09_016; SOCHED
2019‐09.
PS04.02
APOE genotype differentially effects the microRNA cargo of cerebrospinal fluid extracellular
vesicles in females with Alzheimer's disease compared to males
Ursula S. Sandau1; Trevor J. McFarland2; Sierra J. Smith2; Douglas R. Galasko3; Joseph
F. Quinn2; Julie A. Saugstad1
1Oregon Health & Science University, PORTLAND, USA; 2Oregon Health & Science University,
Portland, USA; 3University of California, San Diego, San Diego, USA
Introduction: Multiple biological factors including age, sex, genetics, and family
history influence Alzheimer's disease (AD) risk. Of the 6.2 million Americans living
with Alzheimer's dementia, 3.8 million are women and 2.4 million are men. The strongest
genetic risk factor for sporadic AD is apolipoprotein E‐e4 (APOE‐e4). Female APOE‐e4
carriers develop AD more frequently than age matched males, and have more brain atrophy
and memory loss. Consequently, biomarkers that are sensitive to biological risk factors
may improve AD diagnostics and provide insight to underlying mechanistic changes that
could drive disease progression. Here we assessed the effects of sex‐ and APOE‐e4‐dependent
on the miRNA cargo of cerebrospinal fluid (CSF) extracellular vesicles (EVs) in AD.
Methods: Ultrafiltration combined with size exclusion chromatography was used to enrich
for CSF EVs (e.g., Flotillin+, but depleted for proteins and lipoproteins not associated
with EVs). CSF EVs were isolated from females and males AD or controls (CTLs) that
were either APOE‐e3,4 or ‐e3,3 positive (n=7/group, 56 total). MiRNA expression levels
were quantified using a custom TaqMan array that assayed 190 miRNAs previously found
in CSF, including 25 miRNAs that we previously validated as candidate AD biomarkers.
Results: We identified changes in the EV miRNA cargo that were affected by both AD
and sex. Four miRNAs (miR‐454‐3p, ‐409‐3p, ‐331‐3p, ‐16‐5p) were significantly increased
in AD vs. CTL and three miRNAs (miR‐150‐5p, ‐342‐3p, ‐146b‐5p) were significantly
increased in females vs. males. Furthermore, we found that APOE‐e4 status affects
different subsets of CSF EV miRNAs in females vs. males. The predicted gene targets
of the four miRNAs increased in AD identified highly relevant pathways (e.g., senescence
and autophagy).
Summary/Conclusion: These studies demonstrate the complexity of the biological factors
associated with AD risk, and their impact on EV cargo, which may play a role in AD
pathophysiology.
Funding: Oregon Health & Science University Center for Women's Health Circle of Giving
PS04.03
Association of decreased microRNA‐93 expression from neuronal‐enriched extracellular
vesicles and dysregulated brain interoceptive processing in major depressive disorder
Kaiping Burrows1; Jennifer L. Stewart1; Leandra K. Figueroa‐Hall1; Rayus Kuplicki1;
Ahlam M. Alarbi2; Chibing Tan2; Victoria B. Risbrough3; Brett A. McKinney4; Rajagopal
Ramesh5; Jonathan B. Savitz1; T. Kent Teague2; Sahib S. Khalsa1; Martin P. Paulus1
1Laureate Institute for Brain Research, TULSA, USA; 2University of Oklahoma, TULSA,
USA; 3University of California, San Diego, La Jolla, USA; 4University of Tulsa, TULSA,
USA; 5University of Oklahoma, Oklahoma City, USA
Introduction: This investigation combined functional Magnetic Resonance Imaging (fMRI)
and Neuronally Enriched (NE) Extracellular Vesicle (EV) technology to identify cellular
processes underlying insula dysfunction during interoception in major depressive disorder
(MDD). MicroRNA‐93‐5p (miR‐93) is a putative depression biomarker targeting genes
highly expressed in the brain that regulate neuronal axogenesis. We investigated whether:
1) MDD patients differed from healthy comparisons (HC) in NEEV miR‐93 expression and
2) groups differed in associations between brain activation and NEEV miR‐93 expression.
Methods: The study was approved by the Western Institutional Review Board, performed
in accordance with the Declaration of Helsinki, and participants provided informed
consent. 41 MDD and 35 HC completed an interoceptive attention task during fMRI and
provided blood. EV were separated from plasma using a polymer‐based kit. NEEV were
enriched by a magnetic streptavidin bead immunocapture kit against the neural adhesion
marker biotinylated antibody. NEEV specificities were confirmed by flow cytometry
and western blot; size and concentration were determined by nanoparticle tracking
analysis. NEEV small RNAs were purified and sequenced. EV‐TRACK ID EV210507.
Results: MDD exhibited lower NEEV miR‐93 expression than HC (p=.037, d=.48). Groups
differed in bilateral insula‐NEEV correlations (left: F1,71 = 6.34, p=.014; z=2.57,
p=.010; right: F1,71=9.75, p=.003; z=3.49, p<.001), such that within HC but not MDD,
miR‐93 expression was positively correlated with left (r =.34, p=.047) and right (r
=.54, p=.001) insula signal.
Summary/Conclusion: MDD is associated with decreased miR‐93 expression but this expression
is unrelated to insula activation, raising the possibility of abnormal NEEV regulation
in depression. Neuroimaging‐EV integration provides an exciting opportunity to discover
novel cellular disease targets for depression.
Funding: This work was supported by The William K. Warren Foundation, and the National
Institute of General Medical Sciences Center Grant Award (P20GM121312).
PS04.04
Combined exosomal and plasma non‐coding RNA signature associated with urinary albumin
excretion in hypertension
Olga Martinez‐Arroyo1; Ana Ortega1; Angela Riffo‐Campos2; Javier Perez‐Hernandez3;
Ana Flores‐Chova1; Josep Redon1; Raquel Cortes4
1Cardiometabolic and Renal Risk Research Group, Biomedical Research Group Clinic Hospital
‐ INCLIVA, Valencia, Spain; 2Millennium Nucleus on Sociomedicine (SocioMed); and Vicerrectoría
Académica, Universidad de La Frontera,, Temuco, Chile; 3T‐cell tolerance, Biomarkers
and Therapies in Type 1 Diabetes Team, Université de Paris, Institut Co‐chin, CNRS,
INSERM,, Paris, France; 4Cardiometabolic and Renal Risk Research Group, Biomedical
Research Institute Clinic Hospital ‐ INCLIVA, Valencia, Spain
Introduction: Non‐coding RNA (ncRNA), released into circulation or packaged into exosomes,
play important roles in many biological processes in the kidney. The purpose of the
present study is to identify a common ncRNA signature from exosomes, urine and plasma
associated with early renal damage and its related molecular pathways by constructing
a RNA‐based transcriptional network.
Methods: This is an observational case‐control study which included twenty‐one patients
with essential hypertension (n=21) and twenty‐two without persistent elevated urinary
albuminuria (UAE) (≥30 mg/g urinary creatinine). Three individual libraries (plasma
and urinary exosomes and total plasma) were prepared from each hypertensive patient
for ncRNA sequencing analysis. Next, a RNA‐based transcriptional regulatory network
was constructed.
Results: The three RNA biotypes with the greatest number of differentially expressed
transcripts were long‐ncRNA (lncRNA), microRNA (miRNA) and piwi‐interacting RNA (piRNA).
We identified a common 24 ncRNA molecular signature related to hypertension‐associated
albuminuria, of which lncRNA was the most representative. In addition, the transcriptional
regulatory network analysis showed five lncRNA (LINC02614, BAALC‐AS1, FAM230B, LOC100505824
and LINC01484), and the miR‐301a‐3p to play a significant role in network organization
and to target critical pathways regulating filtration barrier integrity, tubule reabsorption
and systemic endothelial dysfunction.
Summary/Conclusion: Our study found a combined ncRNA signature associated with albuminuria,
independently of biofluid origin (urine or plasma, circulating or in exosomes) that
identifies a handful of potential targets involved in filtration barrier, tubule reabsorption
and endothelial function that may be utilized to treating hypertension‐associated
albuminuria and cardiovascular damage progression
Funding: “Fondo de Investigaciones Sanitarias del Instituto de Salud Carlos III” [PI12/02615;
PI18/01405; PI19/01796 (FIS Projects for J.R. and R.C.), CD18/00166 (Sara Borrell
A.O.), “Ministerio de Ciencia e Innovación” (PID2020‐117114GB‐I00 for A.L.R.‐C.),
Maria Zam‐brano grant for the requalification of the Spanish University system ‐ NextGeneration
EU for A.L.R.‐C., ANID ‐ Millennium Science Initiative Program (NCS2021_013 – SocioMed
for A.L.R.‐C.) and the European Regional Development Fund (ERDF).
PS04.05
EVs DNA from different biological fluids
Alisa Petkevich1; Aleksandr Abramov1; Vadim Pospelov2
1Peoples' Friendship University of Russia (RUDN), Moscow, Russia; 2RUDN University,
Moscow, Russia
Introduction: Extracellular vesicles (EVs) and its molecular cargo may serve as a
valuable predictive and prognostic biomarker for cancer. Apparently, there are four
main informative molecules containing in EVs – proteins, microRNA, mRNA and DNA. In
some researches, it is assumed, that EV DNA may be a more sensitive and informative
option in terms of cancer prognosis and prediction compare to cell free circulating
DNA despite isolation of the latter may be more yielded than of EV DNA. The aim of
this study was to compare the sequencing data and quantity of double‐stranded DNA
isolated from EVs of different human biological fluids – blood serum, plasma and urine.
Methods: Biological fluids were obtained from healthy volunteers (n=17, male=9, female=8,
mean age=45 (30 ‐ 61)). Blood was taken to EDTA K2 tubes (4 ml) and centrifugated
immediately after collection (15 minutes, 2000 g, 4°C) to get plasma, blood was taken
to SiO2 tubes (4 ml) and centrifugated immediately after collection (15 minutes, 2000
g, 4°C) to get serum, 20 ml of “mid‐stream” urine was centrifugated immediately after
collection (30 minutes, 2000 g, 4°C); all samples were stored at +4°C for around 24
hours before EVs isolations. Samples were filtered 0,45 μm and then EVs were isolated
with differential ultracentrifugation protocol. Size of isolated EVs was measured
with NTA, samples were treated with DNAse before DNA isolation, DNA was isolated with
DNeasy (Qiagen, Germany), DNA was eluted in 50 mcl of AE buffer and stored at ‐20°C.
DNA quantity was determined with Nanodrop® 1000 (Thermo Fisher Scientific). Double‐stranded
DNA (ds DNA) was determined with Agilent 7500 DNA Kit (Agilent Technologies). Library
preparation was performed with TruSight Tumor 170, sequencing was performed with HiSeq™
4000, data processing was performed with Illumina software.
Results: Size of isolated EVs ranged from 150 nm to 350 nm, DNA quantity after DNAse
treatment was more than 10 ng in every sample. The least quantity of ds DNA was 8
ng and was identified in EVs from urine. Sequencing error rate varied from 0,2x10‐5
to 6 x10‐5, median coverage rate for allele variant of 0,6% frequency was at least
1200x in all samples types.
Summary/Conclusion: There is a slight difference in ds DNA concentration and length
from EVs of different biological fluids. Working with DNA from EVs of cancer patients
it is may be reasonable to perform normalization depending on the source of EVs.
PS04.06
Exhaled small‐EVs provide a unique and valuable resource to assess microRNAs representative
of deep lung pathologies non‐invasively
Megan I. Mitchell1; Miao Shi2; Ali Sadoughi2; Chirag Shah2; Taha Siddiqui2; Ahamefule
Okorozo2; Kenny Ye2; Simon Spivack2; Olivier Loudig1
1Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, USA; 2Albert
Einstein College of Medicine, Bronx, USA
Introduction: The development and validation of surrogate tissue assays for non‐invasive
evaluation of the lung could provide a practical means for routine assessment of lung
pathologies, as well as for early detection of disease pathogenesis/risk. We have
developed a method for precisely evaluating and enriching deep lung tissue microRNA
signals from exhaled breath condensate (EBC), which we compared to miRNA signatures
from four different upper and lower airway levels, collected simultaneously during
routine care, or clinically indicated (bronchoscopy) from the same patients.
Methods: Eighteen individuals undergoing routine bronchoscopy for various clinical
reasons had non‐invasive upper airway specimens collected; namely, mouth rinse (MR),
buccal brushings (BuBr), and EBC, followed by the collection of lower airway bronchial
brushings (BrBr) and bronchioalveolar lavage (BAL). Bronchial brushings and lavages
were accomplished at mainstem and lobar standard locations, remote from any focal
pathology, such as a nodule, or an infiltrate. Small‐EV isolations from both BAL and
EBC samples were performed using our ultra‐sensitive anti‐CD63‐based small‐EV purification
assay (EV‐CATCHER). Small‐RNA next‐generation sequencing (NGS) was then performed
on MR, BuBr, whole EBC, EBC‐small‐EVs, BrBr, whole BAL and BAL‐small‐EVs.
Results: Small EV isolations from whole EBC samples increased the EBC microRNA read
count depth by 10‐fold (p< 0.01) when compared to whole EBC read counts. We observed
the strongest correlation in miRNA signatures between EBC and deep lung specimens
(BAL and BrBr) when compared with those of upper airway (MR, BuBr).
Summary/Conclusion: Exhaled microRNAs encapsulated within small‐EVs provide a robust
representation of deep lung tissue processes. Targeted isolation of exhaled lung tissue
small‐EVs enhances microRNA NGS quantitation and provides a novel avenue for non‐invasive
biomarker identification of deep lung pathologies.
Funding: NIH‐R33HL156279
PS04.07
Identifying Biomarkers for Inflammatory Bowel Disease using Extracellular Vesicles
from Intestinal Fluid
Kanchana K. Ayyar1; Ria Shah2; Jean Mendez3; Sharmeel K. Wasan2; Alan C. Moss4
1Boston Medical Center, East Boston, USA; 2Boston Medical Center, Boston, USA; 3Massachusetts
General Hospital, Boston, USA; 4Boston Medical Center, boston, USA
Introduction: The incidence of Inflammatory Bowel Disease (IBD) is increasing since
2000, 1 in 200 individual suffers from IBD. Diagnosis of IBD involves endoscopy, colonoscopy,
CT, MRI. Early detection and treatment can help patients as IBD is a progressive and
destructive disease which strongly affects the quality of life. There is a need for
novel measures that can assess disease severity with minimal risk and inconvenience
to patients. Extracellular vesicles (EV) are tiny packets of protein and nucleic acids
that are released by most cell types, including inflamed intestinal epithelial cells.
EVs can be found in most biological fluids including intestinal fluid. We sought to
characterize these signals in patients with IBD.
Methods: Intestinal fluid was collected from healthy individuals and IBD patients
during colonoscopy. EVs were isolated by differential ultracentrifugation. Isolated
EVs were characterized using nanoparticle tracking analysis on the Nanosight NS300
instrument. Tetraspanin markers were identified on isolated EVs using Exoview platform.
RNA was extracted from 1011 EVs and converted to cDNA. A Taqman array plate containing
96 different genes was used to quantify gene expression using qRT‐PCR.
Results: The mean and mode size of particles isolated from intestinal fluid was 171.9nm
and 111.7nm (n=111). The average concentration of EVs isolated from intestinal fluid
was 2.52x1012 particles/ml (n=111). EVs isolated from intestinal fluid express CD63
and Syntenin. CD81 and CD9 expression is moderate to low. qPCR identified 14 genes
that were differentially expressed between healthy and IBD group, including CCL2,
IFN‐γ and TNF. Most of the differentially expressed genes are involved in the Th17
pathway and play a role in inflammation.
Summary/Conclusion: Intestinal fluid contains abundant EVs, with RNA cargo. Gene expression
studies illustrate differences in RNA profile between controls and patients with IBD.
Further studies to identify IBD biomarkers are warranted.
Funding: This study is funded by the Helmsley Charitable Trust.
PS04.08
In‐depth characterization of human brain pericyte‐derived small extracellular vesicles
and their modified composition after exposure to pro‐inflammatory cytokines
Camille Menaceur1; Paulo Marcelo2; Andreas Karner3; Ricardo Figueiredo4; Giulio G.
Muccioli5; Rémi Chassagnon6; Ioannis Karamanos7; Yasuteru Sano8; Fumitaka Shimizu8;
Takashi Kanda8; Nadine Millot6; Björn Rotter4; Jaroslaw Jacak3; Fabien Gosselet7;
Laurence Fenart7; Julien Saint‐Pol7
1Laboratoire de la Barrière Hémato‐Encéphalique (LBHE), Univ. Artois, UR2465, LENS,
France; 2ICAP Platform, Centre Universitaire de Recherche en Santé (CURS), Amiens,
France; 3Institute of Applied Physics, Upper Austrian University of Applied Sciences,
Linz, Austria; 4GenXPro GmbH, Frankfurt am Main, Germany; 5UCLouvain, Bruxelles, Belgium;
6Laboratoire Interdisciplinaire Carnot de Bourgogne, UMR 6303 CNRS, site uB, Université
Bourgogne Franche‐Comté, Dijon, France; 7Laboratoire de la Barrière Hémato‐Encéphalique
(LBHE), Univ. Artois, UR2465, Lens, France; 8Department of Neurology and Clinical
Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan
Introduction: The brain homeostasis is maintained by the blood‐brain barrier (BBB)
located in brain microvessel endothelial cells (ECs). This barrier is formed during
brain development and matures after birth thanks to cell‐cell communications between
ECs and neighbor cells particularly brain pericytes (BPs). Indeed, they (i) induce
the pro‐angiogenic mechanisms in ECs and promote barriergenesis, (ii) structure the
junctional complexes between the ECs, (iii) restrict aspecific vesicular transport,
and (iv) are essential for the maintenance of the BBB main features after birth and
throughout life. An extracellular vesicle (EV)‐mediated cell‐cell communication between
ECs and BPs is hypothesized as observed in bone marrow where BP‐derived EVs promote
the ECs differentiation. The objectives of this study are to characterize in depth
the composition of BPs‐derived EVs and particularly the small EVs (sEV) composition,
and to study their modifications once exposed to pro‐inflammatory cytokines such as
TNF‐α, IL‐1ß and IFN‐γ, mimicking a neurodegenerative context.
Methods: EVs features are evaluated by microscopy approaches (transmission electronic
microscopy (TEM), atomic force microscope (AFM)), dynamic light scattering (DLS) and
ζ potential measurements once isolated by differential ultracentrifugation (2K, 10K
and 100K fractions). Protein and lipid compositions are checked by mass spectrometry,
completed by a large nucleic acids sequencing (miRNAs, long non‐coding RNAs, …). Impact
of cytokines (10 ng/mL each) on BP‐derived small EVs is evaluated in terms of (i)
concentration of EVs/mL and (ii) protein composition by mass spectrometry.
Results: Expected size and shape of BP‐derived sEV (diameter of 100nm, and ζ potential
around ‐20mV) have been validated by AFM and TEM. BP‐derived sEV lipid composition
is close to the multivesicular body endomembrane and is enriched in ceramides. Their
protein composition (i) presents “exosome‐related markers” such as CD9, CD81, CD63,
syntenin‐1 and the absence of calnexin and (ii) is modified in pro‐inflammatory conditions
and (iii) seems to be cytokine‐dependent.
Summary/Conclusion: This study opens discussions about the role of these sEV in (i)
establishing and maintaining the BBB main features and (ii) their pathological impact
on ECs in pro‐inflammatory conditions.
Funding: Camille Menaceur is a recipient of a doctoral grant from the Hauts‐de‐France
Region and the University of Artois. This work is financed by the Agence Nationale
de la Recherche (ANR‐21‐CE14‐0002) and by the Hauts‐de‐France Region (CPER, MOSOPS).
PS04.10
Role of miR‐21 on MSC‐derived EV and their paracrine effect
Miriam Morente‐López1; Rocío Mato‐Basalo1; María Del Pilar Miranda‐Quintana1; Sergio
Lucio‐Gallego1; Juan Antonio Fafián Labora1; María C. Arufe2
1Grupo de investigación en Terapia Celular y Medicina Regenerativa, Departamento de
Fisioterapia, Medicina y Ciencias Biomédicas, Facultad de Ciencias de la Salud, Universidade
da Coruña, INIBIC‐ Complejo Hospitalario Universitario A Coruña (CHUAC), CICA, A Coruña,
Spain, A Coruña, Spain; 2University of La Coruña, A Coruña, Spain
Introduction: Mesenchymal stem cell‐derived extracellular vesicles have significant
age‐dependent differences in their immune profiles and the miR‐21‐5p has been shown
to play a key role in the regulation of immune and inflammatory responses. The senescence‐associated
secretory phenotype (SASP) is being seen to offer a new perspective as a marker for
the progression of many age‐related diseases. Being able to give us an idea of the
state of inflammation and complexity of multiple diseases associated with age from
multiple pathologies.
For this reason, in this work we studied the paracrine function of miR‐21‐5p on extracellular
vesicles behaviour and SASP. Understanding all these properties of extracellular vesicles
makes them especially attractive for the development of new therapeutic approaches
based on gene therapy
Methods: Stable and transient transfections of mesenchymal stem cells were performed
to inhibit or overexpress miR‐21‐5p respectively. Their extracellular vesicles were
then extracted using ultracentrifugation. The concentration and density of EV in the
transfected mesenchymal stem cells as well as the expression of different SASP markers
using NTA and RT‐PCR respectively. Finally, these extracellular vesicles from the
transfected cells were used to treat mesenchymal stem cells and to verify the paracrine
effect of miR‐21‐5p through evaluation of SASP components using RT‐PCR in the the
recipient mesenchymal stem cells.
Results: The inhibition of miR‐21‐5p produced a significant decrease in the amount
of extracellular vesicles produced and its overexpression produced the opposite effect
in cells. Inhibition of miR‐21‐5p significantly decreased the expression of SASP (IL‐6;
HMGB1; S100A4; S100A6; IL‐1B). Furthermore, this effect on SASP transmission was significative
increased in the mesenchymal stem cells treated with extracellular vesicles from overexpression
miR‐21‐5p mesenchymal stem cells and the opposite effect in the extracellular vesicles
from MSCs with the inhibition of miR‐21‐5p.
Summary/Conclusion: The immunomodulatory properties of mesenchymal stem cells and
their ability to release extracellular vesicles has been modified by miR‐21‐5p. Extracellular
vesicles would be acting as a vehicle for cell‐cell communication to influence cellular
activities in receptor cells, regulating the expression of your target genes related
with SASP.
Funding: JFL was funded Xunta de Galicia, grant number ED481D‐2021‐020. MCA was granted
by the Spanish National Health InstituteCarlos III (PI20/00497)
PS05: Biomarkers EV proteins
Chair: Alicia Llorente – Department of Molecular Cell Biology, Institute of Cancer
Research, Oslo University Hospital, The Norwegian Radium Hospital
PS05.01
“Characterization of podocyte‐derived microparticles in IgA nephropathy”
Negin Farzamikia
Kidney Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;, Tabriz,
Iran
Introduction: Microparticles(MP) are plasma membrane‐originated vesicles formed in
conditions like cell activation, stress, and apoptosis and released into the extracellular
environment. The size of MPs is 100–1000 nm globular‐like structures, contains different
bioactive molecules such as proteins, lipids, signaling molecules, mRNA, microRNA,
long non‐coding RNAs, and even DNA.MPs are released by most cell types and they can
be found in all biological fluids. Urine is the source of podocyte‐derived MPs, the
contents and the amount of them changed in renal injury conditions. So they have been
considered as biomarkers in many Kidney diseases with podocyte injury like IgA nephropathy.
In this study, we have isolated and characterized the podocyte‐derived MPs in the
urine of patients with IgAN to use them as diagnostic biomarkers as a noninvasive
method versus invasive renal biopsy
Methods: In this study, 15 biopsy‐proven IgAN patients and 15 healthy people participated.
Early morning urine was collected, The samples were centrifuged by differential centrifugation.
First, centrifuge at 300g for 10 minutes to remove all live cells and second the collected
supernatant of first step centrifuge at 25000g for 20 minutes at 4°C, the MP‐containing
pellet was resuspended in 4X PBS before characterization. To size the isolated MPs,
they are visualized by scanning electron microscope (SEM). Then we use the western
blot method to quantify the 6 podocyte‐specific protein markers Nephrin, Podocalyxin,
flotillin, CD‐9, TSG101, ALiX, and HIST1H as a negative marker in both IgAN patients
and healthy group.
Results: the Images of SEM indicate that the mean size of MPs isolated from urine
sample of IgAN patients is 125.8 nm and by western‐blot, we had observed that the
5 podocyte‐specific proteins Nephrin, Podocalyxin, flotillin, TSG101, and ALiX present
in two groups but the density of them are higher in IgAN patients versus healthy group
but the density of CD19 was almost the same in two IgAN positive IgAN negative samples.
The absence of protein HIST1H as a negative marker confirms the presence of podocyte‐derived
MPs in samples.
Summary/Conclusion: Characterization of MPs indicates that podocyte‐derived MPs exist
in the urine of IgAN patients. This investigation provides the study of early IgAN
diagnosis with specific biomarkers as a noninvasive method in the future.
PS05.02
Circulating GLAST+ Extracellular Vesicles (EVs) are new biomarker for Amyotrophic
Lateral Sclerosis (ALS)
Beatrice Vilardo1; Davide Raineri2; Fabiola De Marchi3; Letizia Mazzini4; Giuseppe
Cappellano5; Annalisa Chiocchetti6
1Università del Piemonte Orientale ‐ Immunomics Laboratory, Novara, Italy; 2Università
del Piemonte Orientale, Novara, Italy; 3Ospedale Maggiore della Carità Novara, novara,
Italy; 4Ospedale Maggiore della Carità ‐ Novara, Novara, Italy; 5Università del Piemonte
Orientale, novara, Italy; 6Università del Piemone Orientale, Novara, Italy
Introduction: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative
disease whose triggering factors are still poorly understood. ALS is a ‘’silent’’
disease compared to other neurodegenerative disorders, manifesting earlier cognitive
defects or postural instability. No reliable biomarker is available either for ALS
diagnosis, for the monitoring of disease progression or assessment of response to
therapy. Literature showed that astrocytes derived‐extracellular vesicles (EVs) carrying
on the surface GLAST (GLAST+ EVs) were increased in ALS preclinical model but not
data were available in the humans. Nowadays, EVs are recognized as biomarker of several
human diseases, and they transfer their cargo to the recipient cells by affecting
their functions. GLAST is the transporter of glutamate, the main neurotransmitter
in the central nervous system. An excessive accumulation of glutamate is responsible
for neuronal death. The aim of this pilot project was to search for GLAST+ EVs in
ALS patients.
Methods: We enrolled 25 ALS patients at the Hospital Maggiore della Carità and 17
healthy age‐matched controls. GLAST‐EVs were quantified in plasma by flow cytometry
using a fast (1hr) method, recently validated by our laboratory.
Results: We found that GLAST+ EV counts were significantly higher in ALS patients
compared to HC. Importantly, by stratifying ALS patients in fast and slow progressors,
we found that GLAST‐EVs counts were even higher in fast patients compared with slow
ones.
Summary/Conclusion: We identified for the first time a neuronal tissue specific EV
in ALS patients which allows, from the clinical point of view to discriminate fast
and slow progressor patients. We applied a method which can be easily transferred
to the hospitals, already equipped with a flow cytometer, thus entering the diagnostic
process. Our results are preliminary and will be validated in a larger cohort.
Funding: This project is funded by Italian Ministry of Education, University and Research
(MIUR) program “Departments of Excellence 2018–2022” (MINDFUL and AGING Project).
PS05.03
Investigation of metabolic changes by EVs derived from endothelial and beta‐cells
under hyperglycemic conditions
Ewa Ł Stępień1; Magdalena E. Marzec2; Carina Rząca1; Andrzej Wróbel1; Julia Nizioł3;
Mariusz Kępczyński4; Agata Żak4; Paweł Moskal5
1Department of Medical Physics, M. Smoluchowski Institute of Physics, Faculty of Physics,
Astronomy and Applied Computer Science, Jagiellonian University, Kraków, Poland, Kraków,
Poland; 2Department of Medical Physics, M. Smoluchowski Institute of Physics, Faculty
of Physics, Astronomy and Applied Computer Science, Jagiellonian University in Krakow,
Poland, Krakow, Poland; 3Department of Experimental Particle Physics and Applications,
Marian Smoluchowski Institute of Physics, Faculty of Physics, Astronomy and Applied
Computer Science, Jagiellonian University, Krakow, Poland; 4Faculty of Chemistry,
Jagiellonian University, Krakow Poland, Kraków, Poland; 5Department of Experimental
Particle Physics and Applications, Marian Smoluchowski Institute of Physics, Faculty
of Physics, Astronomy and Applied Computer Science, Kraków, Poland
Introduction: Hyperglycemia causes a deleterious effect on vascular cells and stimulates
pancreatic beta‐cells to insulin secretion. Dyslipidemia is a significant manifestation
of a persistently elevated glucose concentration in diabetic patients. Extracellular
vesicles are lipid and protein rich entities and their molecular content reflect cell
metabolism, structure and membrane composition. We aimed to collect and in‐depth analyze
data on the quantitative and qualitative composition of proteins and lipids transported
by EVs.
Methods: We applied novel techniques, developed in material science and nanotechnology,
to characterize EVs content: SIMS – Secondary Ion Mass Spectrometry, PALS ‐ Positronium
Annihilation Lifetime Spectroscopy with the 22Na isotope as a positron emitter, and
TRAMS ‐ time‐resolved fluorescence anisotropy measurements with DPH probes. Exosomes
and larger subpopulations of EVs were isolated from preconditioned media of human
microvascular endothelial and beta‐cells for our investigation.
Results: SIMS allowed us to define lipids including sterols, prenols, and sphingomyelins,
and characterize the abundance of amino acids in different subpopulations of EVs.
We observed altered lipid composition of EVs under hyperglycemic conditions, in both
cell lines and different EV subpopulations. Such changes were associated with lower
lipid membrane fluidity in EVs obtained from hyperglycemic cells, which was investigated
by PALS and TRAMs.
Summary/Conclusion: We conclude that hyperglycemic conditions have an impact on EV
formation and their molecular content. Such metabolic alterations can be characterized
on the molecular level to define molecular content and structure combining complementary
information obtainable by SIMS, PALS, and TRAMs methods.
Funding: Study supported by the National Science Centre grant OPUS 17 to E. Stępień
No. 2019/33/B/NZ3/01004 and the Jagiellonian University via project CRP/0641.221.2020.
PS05.04
L1CAM is associated with neuron derived extracellular vesicles
Dimitrios Kapogiannis1; Erden Eren2; Carlos J. Nogueras‐Ortiz2; Maja Mustapic2
1National Institutes of Health, Baltimore, USA; 2Laboratory of Clinical Investigation,
National Institute on Aging, Baltimore, USA
Introduction: Isolating neuronal‐derived extracellular vesicles (NDEV) in blood and
studying their cargo may help us understand cellular processes and follow their evolution
during neurological disorders. Recent publications have challenged the claims that
neuronal cell adhesion molecule L1CAM is EV‐associated and that targeting it with
immunocapture effectively isolates NDEVs from human plasma. Here we provide evidence
that some plasma EVs carry L1CAM on their surface and, therefore, L1CAM may be utilized
for isolation of NDEVs from plasma.
Methods: We isolated EVs from 10 ml of plasma of three healthy individuals using qEV10
70 nm size‐exclusion chromatography columns and collected 13 fractions. We replicated
the published SIMOA assay for L1CAM developed by Norman et. al. and measured L1CAM
levels in each fraction. This assay uses L1CAM (5G3) as capture antibody and L1CAM
(UJ127) as detector. We also developed a novel homebrew SIMOA assay to detect L1CAM
on intact EVs (NDEV assay) in each fraction. We used L1CAM (5G3) as capture antibody,
mixed biotinylated CD9, CD81 and CD63 antibodies as detectors and human iPSC‐derived
neuronal EVs as calibrator during assay development.
Results: In agreement with findings of Norman et. al., using the L1CAM SIMOA assay,
we detected L1CAM levels close to LLOQ in fractions 1‐4 but detected increasing levels
of L1CAM from fraction 5 to 10; L1CAM levels declined gradually between fractions
11 and 13. However, using our novel homebrew NDEV SIMOA assay in the same fractions,
we found that L1CAM+ EVs were present in highest levels in fractions 1 to 5 and in
declining levels in fractions 6 to 13
Summary/Conclusion: Our study provides evidence that L1CAM is a surface marker of
EVs of variable size, making it plausible that L1CAM may be used for immunocapture
of an EV sub‐population of neuronal origin.
Funding: This research was supported by the Intramural Research Program of the National
Institute on Aging, NIH.
PS05.05
Matrix metalloproteinase‐7 in urinary extracellular vesicles predicts disease progression
in polycystic kidney disease
Martijn H. van Heugten; Charles J. Blijdorp; Hester van Willigenburg; Mahdi Salih;
Ewout J. Hoorn
Erasmus Medical Center, Rotterdam, Netherlands
Introduction: Autosomal dominant polycystic kidney disease (ADPKD) is the most common
inherited form of kidney disease and often leads to kidney failure. However, disease
progression is highly variable and unpredictable. Here, our aim was to identify a
protein biomarker in urinary extracellular vesicles (uEVs) to differentiate rapid
from slow disease progression.
Methods: Patients were selected from the clinical DIPAK trial (informed consent, medical
ethics approval). We created a discovery (n=10) and confirmation cohort (n=10) including
patients with rapid and slow disease progression (eGFR decline ≥4 or < 2 mL/min/1.73
m2/year). uEVs were isolated from 50 mL spot urines by a three‐step differential ultracentrifuge
protocol, and uEV‐proteins were mass tag labeled before tandem mass spectrometry.
A third validation cohort (n=24) was created to validate the mass spectrometry findings
with immunoblotting. All patients were matched for established risk factors for disease
progression, including age, sex, baseline eGFR, and genetic mutation, and had equal
total kidney volume.
Results: We identified 2,727 and 1,115 unique uEV‐proteins with over 60% annotated
for the extracellular exosome (Benjamini < 0.01). In the discovery and confirmation
cohort, a significantly different uEV‐protein abundance was found for 65 and 36 proteins,
respectively. Matrix metalloproteinase 7 (MMP‐7), a protein previously implicated
in kidney disease progression, was consistently higher by 47% and 64% in patients
with rapid disease progression in both cohorts (p < 0.05). Pathway analysis showed
enrichment of Wnt‐signaling (q‐value < 0.05) of which MMP‐7 is a downstream mediator.
In the validation cohort, MMP‐7 was also higher by 120% in uEVs of patients with rapid
disease progression (p < 0.05).
Summary/Conclusion: uEV‐associated MMP‐7 distinguishes patients with slow or rapid
ADPKD progression independently of established disease progression markers. MMP‐7
is a novel and biologically plausible urinary biomarker for ADPKD which we are currently
validating in a larger cohort of patients using a high‐throughput assay.
Funding: Dutch Kidney Foundation.
PS05.06
Proteomic analysis of EVs derived from 3D trophoblast cells spheroids improves understanding
of EVs mediated trophoblast endometrial communication
Norhayati Liaqat Ali Khan1; Keerthie Dissanayake2; Kasun Godakumara2; Getnet B. Midekessa2;
Subhashini Muhandiram3; Aneta Andronowska4; Paul R. Heath5; Alireza Fazeli6
1Academic Unit of Reproductive and Developmental Medicine, Department of Oncology
and Metabolism, The Medical School, University of Sheffield, Sheffield, UK, Sheffield,
United Kingdom; 2Department of Pathophysiology, Institute of Biomedicine and Translational
Medicine, Faculty of Medicine, University of Tartu, 14B Ravila, 50411 Tartu, Estonia,
Tartu, Estonia; 3Institute of Veterinary Medicine and Animal Sciences, Estonian University
of Life Sciences, Tartu, Estonia, Tartu, Estonia; 4Department of Hormonal Action Mechanisms,
Institute of Animal Reproduction and Food Research, Polish Academy of Sciences, Olsztyn,
Poland, Olsztyn, Poland; 5Sheffield Institute for Translational Neuroscience (SITRAN),
University of Sheffield, Sheffield, UK, Sheffield, United Kingdom; 6Unit of Reproductive
and Developmental Medicine, Department of Oncology and Metabolism, The Medical School,
University of Sheffield, Sheffield, UK, Sheffield, United Kingdom, United Kingdom
Introduction: Extracellular vesicles (EVs) are involved in cell to cell communication.
In vitro, JAr (human choriocarcinoma cell line) cell spheroids (3D) are used as mimics
of embryo trophoblasts when studying EV mediated trophoblast‐endometrial communications.
However, the differences of the proteomic profile EVs from 3D JAr spheroids compared
to 2D JAr monolayer cultures are unknown. Therefore, we investigated the proteomic
profiles of EVs derived from 3D compared to 2D in vitro trophoblast cell culture systems.
Methods: JAr cells were cultured and trophoblast spheroids (3D) were formed. JAr monolayer
cultures were used as 2D cell culture system. FBS‐free culture media conditioned by
these JAr 2D cultures or 3D spheroids for 6 hours were collected. Following the sequential
centrifugation to remove cells and cell debris, EVs were isolated by size exclusion
chromatography and subsequently characterized by nanoparticle tracking analysis (NTA),
electron microscopy and mass spectrometry shot‐gun based quantitative proteomics.
Differential enrichment of proteins in EVs from 3D spheroids compared to 2D JAr cultures
and pathway enrichment analysis were performed.
Results: EVs enrichment in our purified samples were verified with all the methods,
including enrichment of EV markers such as CD9, CD63 and CD81 in the samples. 1509
proteins were identified. 65 of proteins, including LAMB1, LAMC1, COL4A2, LAMA1, HSPG2,
LAMA5 and VWF were differentially abundant in 3D culture samples. KEGG pathway analysis
showed the enrichment of Extracellular matrix receptor interaction and focal adhesion
pathways in 3D JAr cell culture system.
Summary/Conclusion: EVs derived from 3D JAr cell culture system provide a different
proteomic profile compared to the 2D cultures. Hence, the culture system affects the
biological function of these cells in vitro.
Funding: This work was supported by the Ministry of Education (Higher education Malaysia)
and Universiti Teknologi MARA (UiTM), Malaysia and the European Union's Horizon 2020
research and innovation program under grant agreement No 857418 (COMBIVET)
PS05.07
Proteomic profiling of microglial derived exosomes in Alzheimer's disease
Charisse N. Winston1; Sonia Podvin2; Vivian Hook2; Robert Rissman2
1UC San Diego, Lemon Grove, USA; 2UC San Diego, La Jolla, USA
Introduction: Introduction: Recent studies suggest neuronal and astrocyte‐derived
exosomes may serve as the source of biomarkers for many neurodegenerative diseases,
include AD. However very few studies have characterized the biomarker potential of
microglial derived exosomes (MDEs). Here, we employed the use of unbiased mass spectrometry
(MS) to characterize the molecular composition of MDEs derived from healthy controls
and pathologically confirmed Alzheimer's disease patients.
Methods: Methods: Plasma exosomes were extracted, precipitated, and enriched against
a microglial source (TMEM119) using magnetic immunocapture and fluorescence‐activated
cell sorting (FACS) sorting. MDEs were characterized by size (Nanosight) and shape
(TEM). Exosome marker profiling was done by western blot. Proteomic profiling was
conducted for novel biomarker identification.
Results: Result: Blood‐based MDEs demonstrate similar size distributions and shape
to previously reported exosome preparations. Western Blot demonstrated that MDEs were
positive for exosome marker Flotilin‐1; microglial markers CD68 and IBA1 and negative
for astrocyte marker, GLAST. Out of 143 total proteins identified by MS, only 1 protein,
thrombospondin, was unique to the control group as compared to the AD group.
Summary/Conclusion: Conclusion: MDEs can be successfully isolated from human blood.
MDE cargo are associated with lipid metabolism (APOE), the complement cascade (Clusterin,
C3, C5), and DNA translation and repair (CDK12). Further characterization is required
to determine functional protein network analyses of MDE cargo and to determine the
biomarker potential of MDE cargo in AD.
Funding: MOSAIC K99AG070390‐02
PS05.08
Raman spectral signatures of plasma‐derived extracellular vesicle‐enriched isolates
may support the diagnosis of different cancerous diseases
Matyas Bukva1; Edina Gyukity‐Sebestyen2; Timea Boroczky1; Yasmin Ranjous3; Maria Harmati2;
Gabriella Dobra4; Adrienn Jenei5; Laszlo Szivos6; Katalin Hideghety7; Krisztina Budai8;
Judit Olah9; Peter Horvath2; Gyorgy Lazar8; Tamas Biro10; Zoltan Konya3; Pal Barzo6;
Almos Klekner5; Krisztina Buzas11
1Laboratory of Microscopic Image Analysis and Machine Learning, Institute of Biochemistry,
Biological Research Centre, Szeged, Hungary; Doctoral School of Interdisciplinary
Medicine, University of Szeged, Szeged, Hungary; Department of Immunology, Albert
Szent‐Györgyi Medical School, Faculty of Science and Informatics, University of Szeged,
Szeged, Hungary, Szeged, Hungary; 2Laboratory of Microscopic Image Analysis and Machine
Learning, Institute of Biochemistry, Biological Research Centre, Szeged, Hungary,
Szeged, Hungary; 3Department of Applied and Environmental Chemistry, University of
Szeged, Szeged, Hungary, Szeged, Hungary; 4Laboratory of Microscopic Image Analysis
and Machine Learning, Institute of Biochemistry, Biological Research Centre, Szeged,
Hungary; Doctoral School of Interdisciplinary Medicine, University of Szeged, Szeged,
Hungary, Szeged, Hungary; 5Department of Neurosurgery, Clinical Centre, University
of Debrecen, Debrecen, Hungary, Debrecen, Hungary; 6Department of Neurosurgery, Albert
Szent‐Györgyi Medical School, University of Szeged, Szeged, Hungary, Szeged, Hungary;
7ELI‐ALPS, ELI‐HU Non‐Profit Ltd., Szeged, Hungary; University of Szeged, Albert Szent‐Györgyi
Medical School, Department of Oncotherapy, Szeged, Hungary, Szeged, Hungary; 8Department
of Surgery, Albert Szent‐Györgyi Medical School, University of Szeged, Szeged, Hungary,
Szeged, Hungary; 9University of Szeged, Albert Szent‐Györgyi Medical School, Department
of Oncotherapy, Szeged, Hungary, Szeged, Hungary; 10Department of Immunology, Faculty
of Medicine, University of Debrecen, Debrecen, Hungary; Monasterium Laboratory, Münster,
Germany, Debrecen, Hungary; 11Laboratory of Microscopic Image Analysis and Machine
Learning, Institute of Biochemistry, Biological Research Centre, Szeged, Hungary;
Department of Immunology, Albert Szent‐Györgyi Medical School, Faculty of Science
and Informatics, University of Szeged, Szeged, Hungary, Szeged, Hungary
Introduction: Thorough examination of the molecular composition of small extracellular
vesicles (sEVs) by spectroscopic methods is a promising but hitherto barely explored
approach for diagnosing cancerous diseases, especially central nervous system tumors.
We attempt to reveal the potential role of plasma‐derived sEVs in diagnosing seven
different patient groups through Raman spectroscopic analyses using a relevant number
of clinical samples.
Methods: The study is conducted in accordance with the Declaration of Helsinki, informed
consent forms are collected and the study was approved by a national ethics committee.
Up to 490 plasma samples will be obtained from seven patient groups (glioblastoma
multiforme, meningioma, melanoma and non‐melanoma brain metastasis, colorectal tumors,
melanoma and a control group). SEV isolation is performed through differential centrifugation.
The isolates are characterized by Western Blot, transmission electron microscopy and
nanoparticle tracking analysis. Principal Component Analysis–Support Vector Machine
algorithm is performed on the Raman spectra for classifications. Classification accuracy,
sensitivity, specificity and the Area Under the Curve (AUC) value are used to evaluate
the classification performance.
Results: According to preliminary results, the patient groups are distinguishable
with 80–95% sensitivity and 80–90% specificity. AUC scores of 0.82–0.9 suggest excellent
classification performance.
Summary/Conclusion: Our results support that Raman spectroscopic analysis of sEV‐enriched
isolates from plasma is a promising approach for developing non‐invasive, cost‐effective
methods for the clinical diagnosis of different cancerous diseases.
Funding: Supported by GINOP‐2.2.1–15‐2017–00052, ÚNKP‐20–3‐New National Excellence
Program of the Ministry for Innovation and Technology from the National Research,
Development and Innovation Fund; University of Szeged, Faculty of Medicine, Szent‐Györgyi
Albert Research Fund (2021); MEC‐R 141410, MEC‐R 141412.
PS05.09
Urinary extracellular vesicles as early predictive biomarkers in urinary bladder cancer
Loïc Steiner1; Rosanne E. Veerman1; Maria Eldh1; Amir Sherif2; Susanne Gabrielsson1
1Division of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet,
Stockholm, Sweden, Stockholm, Sweden; 2Umeå University, Umea, Sweden
Introduction: Urinary Bladder Cancer (UBC) is the 4th most common cancer type in men
and associated with a poor survival rate and a bad prognostic. At the time of diagnosis,
one third of detected cancers are already muscle‐invasive and start invading other
organs. Due to their abundance in urine, Extracellular Vesicles (EVs) make ideal biomarker
candidates for early diagnosis of UBC. Thus, we characterized the protein content
of urinary EVs to determine an EV protein signature of UBC and link it to some clinical
features.
Methods: Urine was collected from 40 bladder cancer patient at different stages and
5 age‐matched healthy controls. EVs were enriched from urine by centrifugation (300g,
3000g and 10 000g), followed by tangential flow filtration (100kDa column) and a final
ultracentrifugation step at 120 000g. After characterization of EVs by nanoparticle
tracking analysis, bead‐based flow cytometry and western blot, the vesicles were lysed
and their protein content was analyzed by proximity elongation assay (Olink, immuno‐oncology
panel).
Results: The proteomic analysis highlighted important changes in the protein composition
of EVs. Firstly, urinary EVs from UBC patients greatly differed from healthy controls
establishing an EV protein signature of urinary bladder cancer. We also compared matched
samples of urinary EVs and bulk urine (not EV‐enriched) from UBC patient and discovered
a set of proteins exclusively found on purified EVs, strengthening our rationale for
focusing on isolated EVs for biomarker discovery. Additionally, the protein profile
was correlated with clinical data such as invasiveness or response to chemotherapy
and sets of proteins were identified as predictors of such features.
Summary/Conclusion: Taken together, these results suggest the great potential of using
isolated urinary EVs as a biomarker for UBC that can then be employed to predict clinical
markers and better orient the care of the patients at an early stage of the disease.
PS05.10
Highly sensitive system for FACS profiling of histological markers on EVs
Victoria O. Shender1; Polina V. V. Shnaider1; Vassili N. Lazarev1; Irina Yu. Petrushanko2;
Elena Khomyakova3
1Federal Research and Clinical Center of Physical‐Chemical Medicine of Federal Medical
Biological Agency, Moscow, Russia; 2Engelhardt Institute of Molecular Biology, Russian
Academy of Sciences, Moscow, Russia; 3Exosome Analytics, Evry‐Courcouronnes Cedex,
France
Introduction: Cancer takes the lives of hundreds of thousands of people every year.
Most cancer deaths result from the metastatic propagation of drug‐ resistant cells,
thus the biomarkers capable of predicting tumor progression and therapeutic response
are required. A major cause of chemotherapy failure is attributed to subpopulation
of self‐renewing, drug‐resistant cells suspected to originate from the stem cells.
Liquid biopsy is a promising approach to characterize tumor phenotype. EVs are potential
sources of tumor biomarkers since they carry the same membrane histological markers
as a tumor. However, a major challenge faced while analyzing histological and particularly
stem cell markers on EVs is their low quantity compared to CD81/CD9/CD63 antigens
that make them difficultly detectable since the signal is often under the limit of
detection of commonly used techniques.
We develop a highly sensitive system for FACS profiling of low‐represented EVs membrane
markers. The system was validated by analysis of EpCAM, CD166 and CD117 expression
on EVs isolated from cell culture supernatants and biological fluids of cancer patients.
Methods: EVs were isolated from HT29 and SK‐OV‐3 cell cultures by ultrafiltration.
EVs from clinical samples of ovarian cancer patients were isolated using the adapted
procedure of ultrafiltration. Pre‐purified EVs were incubated with CD9 beads followed
by CD81, EpCam, CD166 and CD117 staining and flow analysis.
Results: Limit of detection (LOD) of the system was determined on HT29 and SK‐OV‐3
derived EVs and estimated to be 1e+5 for CD81, 5e+5 for EpCam (HT29), 2e+8 for CD166
(HT29), and 1e+8 for CD117 (SK‐OV‐3). Signal calibration method was proposed for evaluation
of tumor differentiation degree and validated using forced HT29 cells differentiation
and clinical samples of cancer patients.
Summary/Conclusion: A highly sensitive system for profiling of low‐represented small
EVs isolated from cell cultures and physiological fluids has been developed.
PS05.11
Multi‐omic analysis of extracellular vesicles in plasma following an acute bout of
exercise
Lone Peijs1; Naja Z Jespersen2; Sarah Heywood2; Diana Samodova1; Bente K Pedersen2;
Atul S Deshmukh1
1Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen,
Denmark, Copenhagen, Denmark; 2Trygfondens Centre for Physical Activity Research,
Rigshospitalet, Denmark, Copenhagen, Denmark
Introduction: Exercise facilitates beneficial effects on peripheral tissues, and extracellular
vesicles (EVs) may play an important role in mediating these effects.
In this study, we aim to map the circulating cargo of EVs in plasma following an acute
bout of exercise using a multi‐omic approach. We will use liquid chromatography mass
spectrometry (LC‐MS/MS) for characterization of EV‐associated proteins and small‐RNA
sequencing for analysis of miRNAs.
Methods: Twenty‐five healthy males undertook a 45 min acute exercise bike intervention.
Blood plasma samples were collected at just prior to, and immediately after cessation
of the exercise intervention. Moreover, blood samples were collected 1 hrs and 3 hrs
into recovery as well as 24 hrs after the exercise intervention. As an initial test,
plasma samples were pooled from all individuals at each timepoint and EVs were isolated
in technical triplicates using size‐exclusion chromatography (SEC) with a 70 nm pore
size. The EV isolation protocol was qualitatively evaluated using transmission electron
microscopy (TEM) and quantitatively evaluated using nanoparticle tracking analysis
(NTA). Protein cargo analysis was performed using LC‐MS/MS
Results: TEM images showed successful isolation of intact rounds vesicles in size
ranges ∼30‐200 nm. Preliminary NTA analysis showed increased concentration of EVs
in the recovery period. Mass spectrometry‐based EV preliminary proteome analysis led
to quantification of 834 protein, among these were known protein EV‐markers such as
CD9, CD63 and CD81.
Summary/Conclusion: The preliminary NTA and MS‐based analysis emphasizes that acute
exercise triggers release of EVs that might convey important signals to multiple organs.
The upcoming experiments directed at using integrative approach of multi‐omics data
may enhance the understanding of the molecular dynamics of systemic beneficial effects
mediated by exercise.
Funding: This project was supported by EFSD/Novo Nordisk Foundation Future Leaders
Awards Programme to A.S.D. (NNF19SA058976)
PS06: Biomarkers: EV nucleic acids I (Cancer)
Chair: Charlotte Proudhon, Institut Curie / INSERM U934
PS06.01
Age‐related vesicular miRNA comparison proposes potential biomarkers for triple‐negative
young breast cancer in a Brazilian cohort
Alexis Germán Murillo Carrasco1; Silvina Odete Bustos2; Tainara Francini Felix3; Patricia
Pintor Dos Reis3; Luciana Nogueira de Sousa Andrade1; Roger Chammas1
1Center for Translational Research in Oncology (LIM24), Instituto do Cancer do Estado
de Sao Paulo (ICESP), Hospital das Clinicas da Faculdade de Medicina da Universidade
de Sao Paulo (HCFMUSP), Sao Paulo CEP 01246‐000, SP, Brazil, Sao Paulo, Brazil; 2Center
for Translational Research in Oncology (LIM24), Instituto do Cancer do Estado de Sao
Paulo (ICESP), Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao
Paulo (HCFMUSP), Sao Paulo CEP 01246‐000, SP, Brazil, São Paulo, Brazil; 3Department
of Surgery and Orthopedics, Faculty of Medicine, São Paulo State University (UNESP),
Botucatu, SP, Brazil, São Paulo, Brazil
Introduction: Triple‐negative breast cancer (TNBC) is the most aggressive subtype
of breast cancer. Since young TBNC patients (< 40 years) show a shorter survival time,
this age‐related group could have different molecular behavior promoted by microRNAs
(miRNAs). Then extracellular vesicles (EVs) arise as a minimally invasive option for
searching disease biomarkers. Herein, we compared vesicular miRNA levels from plasma
of young (n=5) and elderly (n=6) Brazilian TNBC patients.
Methods: All samples were retrieved from the Academic Biobank for Cancer Research
at the University of São Paulo. The informed consent and an epidemiological questionnaire
(Ethics Committee Approval N° 3.007.737/18) were obtained from all patients enrolled
in the study. EVs were collected from plasma samples (1mL) using size‐exclusion chromatography,
quantified by nanoparticle tracking analysis, and characterized by transmission electron
microscopy as well as the expression of CD63, CD9 and/or flotillin by western blot.
EVs were treated with proteinase K and RNase A before RNA extraction using a silica
column method. Finally, vesicular miRNA content was detected and quantified through
a digital barcode technology.
Results: We did not find statistical differences in EVs plasma concentration between
young and elderly patients with TNBC (p=0.792). However, we found 37 differentially
expressed miRNAs (DEmiRs) between these groups (p< 0.05 and |fold change (FC)| > 1.2).
Among these DEmiRs, hsa‐miR‐409‐3p (FC=2.2, p=0.004), hsa‐miR‐3180‐5p (FC=1.9, p=0.002),
hsa‐miR‐10a‐5p (FC=1.9, p=0.008), hsa‐miR‐933 (FC=1.9, p=0.008), hsa‐miR‐367‐3p (FC=1.7,
p=0.009), and hsa‐miR‐133b (FC=‐2.7, p=0.001) showed remarkable differences.
Summary/Conclusion: Our preliminary study indicates that vesicular miRNAs show the
potential to identify new biomarkers and therapeutic targets in an age‐related manner
in TNBC patients.
Funding: Grant #2019/05583‐0, São Paulo Research Foundation (FAPESP); Grant # 25000.069252/2015‐79,
Programa Nacional de Apoio à Atenção Oncológica (PRONON).
PS06.03
Combination of tissue biopsy and EV‐based liquid biopsy achieves improved prognosis
in melanoma
Susana Garcia‐Silva1; Cristina Vico‐Alonso2; Lisa Meyer3; Mikkel Noerholm3; Johan
Skog4; José‐Luis Rodríguez‐Peralto5; Pablo L. Ortiz‐Romero2; Héctor Peinado Selgas6
1Spanish National Cancer Research Centre (CNIO), Madrid, Spain; 2Department of Dermatology,
Medical school, Universidad Complutense de Madrid, Instituto i+12, Hospital Universitario
12 de Octubre, Madrid, Spain, Madrid, Spain; 3Exosome Diagnostics, a Bio‐techne brand,
Martinsried, Germany., Martinsried, Germany; 4Exosome Diagnostics, a Bio‐techne brand,
Waltham, MA, Waltham, USA; 5Department of Pathology, Medical school, Universidad Complutense
de Madrid, Instituto i+12, Hospital Universitario 12 de Octubre, Madrid, Spain, Madrid,
Spain; 6Spanish National Cancer Research Center (CNIO), Madrid, Spain
Introduction: Liquid biopsy provides a suitable option with progressively improved
sensitivity and specificity to complement or to substitute the information obtained
by regular biopsy. Extracellular vesicles (EVs) are emerging as powerful tools for
providing information about the tumor and its microenvironment. The detection of specific
mutations in EV‐loaded nucleic acids has shown similar or improved sensitivity and
specificity compared to cell free DNA analysis. Our group has shown that detection
of BRAFV600E mutation in EV‐associated nucleic acids (EV‐NAs) isolated from lymphatic
drainage from melanoma patients has prognostic significance. In this work, we have
determined BRAF status (BRAFV600E mutation or BRAF wild type) in melanoma patients
using an EV‐NA‐based liquid biopsy test in plasma and compared it to tissue biopsy
information.
Methods: Plasma was collected from a cohort of 18 melanoma patients (stages II‐IV).
Samples were collected in EDTA tubes, inverted several times, spun at 500 xg and frozen
until subsequent analysis. BRAF status in tissue samples was determined using Cobas
assay (Roche). Plasma samples were analyzed using the ExoDx BRAF V600E/K test by Exosome
Diagnostics. Co‐isolation of EV RNA and DNA along with any cfDNA present (EV‐NA) was
purified using the ExoLution Plus extraction technology (Exosome Diagnostics). Samples
were subjected to reverse transcription and a highly sensitive quantitative PCR for
determination of BRAF wt and BRAFV600E alleles.
Results: From 18 patients, 5 were detected as BRAF mutant carriers by tissue biopsy.
In two of those, BRAF mutation was detected also in plasma. Additionally, in 2 more
patients, BRAF mutation was present in the plasma but not detected in the original
tissue. The mutant allele frequency spanned between 0.01‐3.43%. Twelve patients developed
distant metastasis and presence of BRAFV600E mutation in either tissue or liquid biopsy
predicted a shorter overall survival (log rank test, p= 0.0411). BRAF mutation analysis
only in tissue biopsy or in liquid biopsy tests did not stratified patients adequately
(p=0.5786 and p=0.3373).
Summary/Conclusion: Combination of information from tissue and EV‐NA‐based liquid
biopsy analyzing BRAF mutational status achieves prognostic significance whereas only
tissue biopsy is not informative enough. This study also adds evidence about the relevance
of the analysis of BRAF in melanoma patients in their visit to the dermatologist to
improve their prognosis.
Funding: LABAE19027PEIN Fundación AECC, Beca Leonardo 2021 Fundación BBVA, Severo
Ochoa Excellence Center grant.
PS06.04
Detection of circulating extracellular vesicle‐associated mutant DNA in the plasma
of metastatic colorectal cancer patients
Thupten Tsering1; Alexander Laskaris1; Amélie Nadeau1; Stephanie Petrillo1; Anthoula
Lazaris1; Peter Metrakos1; Julia Burnier2
1RIMUHC, Montreal, Canada; 2RI‐MUHC/McGill University, Montreal, Canada
Introduction: Liquid biopsy is a non‐invasive approach for early detection of cancer
and to monitor real‐time tumor evolution and treatment response. Circulating tumor
(ct)DNA Recently, extracellular vesicles (EVs) have attracted tremendous interest
as biomarkers in many pathological diseases including cancer. EVs are a highly heterogenous
population of naturally occurring vesicles released by all cell types. EVs act as
a messenger between cells by carrying biomolecules (DNA, RNA, lipids and proteins).
We embarked on this study to explore EVs as a liquid biopsy approach to detect tumor‐derived
DNA in the blood of metastatic colorectal cancer patients.
Methods: Informed consent was obtained from all the participants and the study was
approved by a ethics committee.
EVs were isolated from plasma of metastatic colorectal cancer (mCRC) patients (n=5)
and patients with no disease (n=10) using ultracentrifugation and size exclusion chromatography.
EVs were further characterized using nanoparticle tracking analysis, transmission
electron microscopy and western blots. EV‐associated DNA (EV‐DNA) was isolated using
ethanol precipitation methods. We employed droplet digital PCR (ddPCR) to detect single
nucleotide polymorphism in the KRAS genes. Data was processed using QuantaSoft v.1.6
(Bio‐Rad). The tumour mutations were verified using next generation sequencing.
Results: The total EV‐DNA of mCRC patients was significantly higher compared to healthy
controls (P< 0.005). In addition, we successfully detected KRAS G12D mutant copies
in the plasma of one of the five mCRC patients. Interestingly, the patient who was
positive for mutant KRAS EV‐DNA showed tumour allele frequencies (AF) of 60%, whereas
the remaining four patient had AF below 20%. We further demonstrated that the majority
of double stranded (ds) DNA was present on the surface of EVs by using DNAse I treatment
and confocal microscopy.
Summary/Conclusion: We showed higher levels of total EV‐DNA in all cancer patients
compared to the control cohort. The data supports the use of EV‐DNA measured by ddPCR
to detect tumour‐specific DNA in clinical samples.
PS06.05
Exosomal miR‐1246 promotes rhabdomyosarcoma tumor progression through paracrine signaling
Farah Ramadan1; Nader Hussein2; Farah Ghamloush3; Pascale Cohen4; Philippe Clezardin4;
Bassam Badran2; Rita Khoueiry5; Zdenko Herceg5; Raya saab3; Sandra Ghayad6
1University of Lyon Claude Bernard, INSERM, UMR1033 LYOS, Lyon, France., Saida, Lebanon;
2Department of Cancer Biology Stem Cells and Molecular Immunology, Faculty of Science
I, Lebanese University, Hadath, Lebanon., Beirut, Lebanon; 3Department of Pediatric
and Adolescent Medicine, American University of Beirut, Beirut, Lebanon., Beirut,
Lebanon; 4University of Lyon Claude Bernard, INSERM, UMR1033 LYOS, Lyon, France.,
Lyon, France; 5Epigenetics Group, International Agency for Research on Cancer (IARC),
69372 Lyon Cedex 08, France., Lyon, France; 6Aix‐Marseille Université, C2VN (Centre
de recherche en CardioVasculaire et Nutrition), Inserm 1263, INRAe 1260, Marseille,
France., Marseille, France
Introduction: Rhabdomyosarcoma (RMS) is a pediatric soft‐tissue sarcoma classified
into two major histologic subtypes: alveolar (ARMS) and embryonal (ERMS). Exosomes
are extracellular vesicles that carry and deliver protein and nucleic acid cargo capable
of modulating recipient cell function and influencing cancer progression. Previously,
we identified miR‐1246 as a commonly enriched miRNAs within all RMS‐derived exosomes
based on microarray results. Cellular and exosomal miR‐1246 have been implicated in
promoting cancer metastasis and can therefore contribute to RMS progression.
Methods: We downregulated miR‐1246 in RMS cells and subsequently isolated their corresponding
exosomes. To explore the paracrine signaling induced after cellular miR‐1246 knockdown
we treated normal fibroblasts with these exosomes and investigated their proliferation,
invasive and metastatic ability and by Hoechst staining and transwell migration and
invasion assays.
Results: Consistent with our previous results, treatment with RMS‐derived exosomes
resulted in a significant increase in recipient fibroblasts proliferation, migration,
and invasion. Knockdown of cellular miR‐1246 in RMS cells and subsequent treatment
of fibroblasts with the exosomes reversed these effects indicating a potentiating
role of exosomal miR‐1246 in promoting progression of RMS through modulating recipient
cell functional behavior. Analysis of miR‐1246 targets expression level revealed an
upregulation of GSK3b and JARID2 following miR‐1246 inhibition, indicating possible
roles in promoting Wnt signaling pathway and epigenetic regulation of recipient cells.
Summary/Conclusion: Our results demonstrate pro‐tumorigenic effects of miR‐1246 in
RMS cells that can be mediated through paracrine signaling via exosomes. miR‐1246
is therefore a promising biomarker and possible therapeutic target in RMS that should
be further studied.
Funding: This work was funded by a research grant from the Lebanese University, a
research grant from PHC‐Cedre and by a Ligue Contre le Cancer grant.
PS06.06
Exosomal miRNA and mRNA signatures as biomarker for head and neck cancer (HNSCC)
Linda Hofmann1; Jasmin Ezic1; Simon Laban1; Patrick J. Schuler1; Beate Niesler2; Cornelia
Brunner1; Thomas K. Hoffmann1; Marie‐Nicole Theodoraki1
1Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical
Center, Ulm, Germany, Ulm, Germany; 2nCounter Core Facility, Institute of Human Genetics,
University of Heidelberg, Heidelberg, Germany, Heidelberg, Germany
Introduction: Head and neck squamous cell carcinomas (HNSCC) are highly immunosuppressive.
Exosomes are small extracellular vesicles that mediate intercellular communication.
HNSCC patient's plasma is enriched in immunomodulatory exosomes which correlate with
clinical parameters. We investigate the miRNA and mRNA signatures of plasma‐derived
exosomes as potential biomarkers for HNSCC.
Methods: Exosomes were isolated from plasma of 16 HNSCC patients and 12 healthy donors
(HD) by ultrafiltration and differential (ultra)centrifugation (EV‐Track ID 210344).
Primary tumor cells were obtained from the same HNSCC patients. Total exosomal and
tumor RNA was used for targeted profiling of 798 miRNAs and 730 mRNAs. Differential
presence and discriminatory potential of exosomal RNAs between HNSCC and HD were analyzed
by multiple Mann‐Whitney test and unsupervised hierarchical clustering. Ingenuity
pathway analysis was applied to predict downstream effects of miRNAs and identify
related pathways.
Results: Of all detected exosomal RNAs, 55 % of miRNAs and 31 % of mRNAs were HNSCC‐exclusive,
while 8 % of miRNAs and 48 % of mRNAs were HD‐exclusive. 91 miRNAs and 347 mRNAs were
significantly differentially present between HNSCC and HD exosomes. Both exosomal
RNA signatures could successfully assign samples to “Tumor” or “Healthy”. 165 miRNAs
and 146 mRNAs overlapped between corresponding tumor and exosomes and were considered
as tumor‐originating RNAs. These were filtered to 23 miRNAs inversely targeting 17
mRNAs, e.g. upregulated miR‐421‐3p targeting downregulated anti‐tumor IL15. Identified
core hubs of tumor‐originating RNAs were related to TLR, NF‐κB and IFN signaling.
Summary/Conclusion: Exosomal miRNA and mRNA signatures have high discriminatory potential
between HNSCC patients and HD. Final RNA candidates are currently validated in an
independent cohort. Identified RNAs were related to pathways of immune regulation,
inflammatory response and cellular development which highlights their relevance for
disease pathogenesis.
Funding: Deutsche Forschungsgemeinschaft (DFG) grant TH 2172/2–1
PS06.07
Extracellular vesicles profiling for the identification of circulating prostate cancer
biomarkers
Vera Mugoni1; Yari Ciani2; Federico Vannuccini2; Orsetta Quaini2; Simone Tomasini2;
Angela Martinelli2; Antonello Veccia3; Vito Giuseppe D'Agostino4; Orazio Caffo3; Gerhardt
Attard5; Dolores Di Vizio6; Caterina Nardella2; Francesca Demichelis2
1Department of Cellular, Computational and Integrative Biology ‐ CIBIO; UNIVERSITY
OF TRENTO, Trento (Italy), Italy; 2Department of Cellular, Computational and Integrative
Biology (CIBIO), University of Trento, 38123 Trento, Italy, Trento, Italy; 3Department
of Medical Oncology, Santa Chiara Hospital, Trento, Italy, Trento, Italy; 4Department
of Cellular, Computational and Integrative Biology (CIBIO), University of Trento,
Trento, Italy; 5University College London Cancer Institute, London, United Kingdom,
London, United Kingdom; 6Department of Surgery, Division of Cancer Biology and Therapeutics,
Cedars‐Sinai Medical Center, Los Angeles, CA, USA, Los Angeles, USA
Introduction: A growing body of evidence supports the hypothesis that extracellular
vesicles (EVs) and their associated RNAs (EV‐RNAs) represent informative circulating
material for liquid biopsies in prostate cancer (PCa) patients. However, details on
the EVs populations specifically released by PCa into the blood, as well as on the
PCa‐related EVs‐associated transcripts have not been fully elucidated yet.
Methods: We evaluated the detection of PCa biomarkers in EVs samples isolated through
three methodological approaches. Specifically, EVs were isolated from cancer cell
lines as well as from the plasma of healthy donors and PCa patients (from the PRIME
consortium study) by using ultracentrifugation, size exclusion chromatography, and
a charge–based isolation method. We profiled the EVs by nanoparticle tracking analysis
technology, imaging flow cytometry, and western blotting analysis to characterize
the heterogeneity of their size distribution and the expression of protein markers.
Finally, we performed RNA‐Seq to investigate whether the detection of PCa‐specific
EV‐RNAs was dependent on the EV isolation method.
Results: By imaging flow cytometry and western blotting analysis, we observed similar
EV subpopulations and PCa biomarkers (i.e. AR and PSMA) on EVs isolated from both
cell lines and plasma. Furthermore, for all sequenced EV‐RNAs we identified fragments
of coding transcripts (i.e. mRNA) as well as of non‐coding transcripts (including
miRNAs, lncRNA and a variety of miscellaneous small RNA) with comparable composition
of RNA species. Furthermore, by ddPCR we were able to detect PCa‐associated transcripts
(such as MYC) on EV‐RNAs derived from PRIME PCa patients.
Summary/Conclusion: The evaluated EVs isolation methods represent valid approaches
to investigate PCa biomarkers towards the exploitation of EV‐RNA in liquid biopsies.
Funding: Accelerator Award 2018 (AIRC; ID 22792, CRUK; ID A26822); Fondazione Caritro;
Prostate Cancer SPORE grant P50 CA211024‐01A1.
PS06.08
Investigation of cancer‐specific mutations in DNA isolated from human melanoma tissue‐derived
extracellular vesicles
Rossella Crescitelli1; Stefan Filges2; Nasibeh Karimi3; Tamara Alonso Agudo1; Anders
Ståhlberg2; Jan Lötvall3; Cecilia Lässer3; Roger Olofsson Bagge1
1Sahlgrenska Center for Cancer Research and Wallenberg Centre for Molecular and Translational
Medicine, Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy,
University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden; 2Sahlgrenska Center
for Cancer Research and Wallenberg Centre for Molecular and Translational Medicine,
Department of Laboratory Medicine, Institute of Biomedicine, Sahlgrenska Academy at
University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden; 3Krefting Research
Centre, Institute of Medicine at Sahlgrenska Academy, University of Gothenburg, Gothenburg,
Sweden, Gothenburg, Sweden
Introduction: Liquid biopsies in patients with cancer have recently emerged as a tool
for early detection and residual disease monitoring. The most studied source has been
total circulating DNA where cancer‐specific mutations or profiles have been analyzed.
However, extracellular vesicles (EVs) containing tumor‐derived materials could potentially
be used as source of cancer‐specific DNA. The aim of this study was to investigate
and compare DNA from human melanoma‐derived EVs and total circulating plasma DNA.
Methods: EVs were isolated from human melanoma metastatic tissues (n=6) using enzymatic
treatment followed by ultracentrifugation. Both large and small EVs were pooled and
bottom loaded on a density cushion. Tissue‐derived EVs were characterized by transmission
electron microscopy (TEM) and EV markers analysis using ExoView™ and Western blot.
Using the ultra‐sensitive SiMSen‐seq technique and a panel of 34 melanoma‐related
genes, DNA from the patients’ tumors as well as DNA from corresponding tumor‐derived
EVs and patient plasma was isolated and investigated.
Results: TEM pictures showed presence of round elements with typical EV size (80‐200
nm). Western blot and ExoView™ analysis confirmed the presence of CD63, CD9, CD81,
Flotillin‐1 as well as ADAM10 and Mitofilin. Moreover, a total of six mutations were
identified (in BRAF, NRAS, CDKN2A, STK19, PPP6C and RAC genes) and one or more were
detectable in all tumors, tumor‐derived EVs and patient plasma. Interestingly, the
allele mutation frequency was higher in the tumor‐derived EVs compared to both tumors
and plasma (tumor mean: 34.9%, tumour‐derived EVs mean: 39.9% and plasma mean: 6.7%).
Summary/Conclusion: The allele mutation frequency was higher when analyzing tissue‐derived
EVs compared to total circulating plasma DNA, suggesting a potential role of EVs as
future biomarkers in melanoma.
PS06.09
Multi‐omic approach for studying molecular components of serum‐derived sEV and tumor
tissue of rectal cancer patients with different response to neoadjuvant radiotherapy
Urszula Strybel1; Lukasz Marczak1; Marcin Zeman2; Mykola Chekan3; Ewa Zembala‐Nozynska4;
Łukasz Mielańczyk5; Monika Pietrowska2; Anna Wojakowska1
1Institute of Bioorganic Chemistry Polish Academy of Sciences, Poznan, Poland; 2Maria
Sklodowska‐Curie National Research Institute of Oncology, Gliwice Branch, Gliwice,
Poland; 3Maria Sklodowska‐Curie National Research Institute of Oncology, Gliwice Branch,
Gliwice, Poland;, Gliwice, Poland; 4Maria Sklodowska‐Curie National Research Institute
of Oncology, Gliwice Branch, Gliwice, Poland, Gliwice, Poland; 53 Department of Histology
and Cell Pathology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia,
Katowice, Poland, Katowice, Poland
Introduction: Molecular composition of small extracellular vesicles (sEV) could be
used as biomarkers for the prediction and monitoring of response to radiotherapy,
yet knowledge about proteomic and metabolomic components of such vesicles is very
limited in locally advanced rectal cancer. Here we applied a combined proteomic and
metabolomic MS‐based approach for studding molecular components of serum‐derived sEV
and tumor tissue to reveal pathways connected with different response to neoadjuvant
radiotherapy (neo‐RT) in rectal cancer patients.
Methods: Tissue and serum samples were collected from 20 rectal cancer patients treated
with neo‐RT (study approved by the local Ethics Committee; approval no. KB/430‐50/12).
Samples were divided into two groups, depending on their TRG scale and according to
the percentage of cancer cells in resected tumor specimens. sEV were isolated from
serum using SEC and characterized according MISEV2018 criteria. LC‐MS/MS‐based approach
was used for proteomic profiling, while metabolites were analyzed by the GC‐MS.
Results: Proteomic approach allowed identification of nearly 4,000 proteins in rectal
tumor and 300 in serum‐derived sEV, 233 of which were common. We found a few differentially
expressed proteins common for sEV and tumor, which could be potential candidates for
rectal cancer‐specific molecules present on tumor‐derived EVs. GC–MS‐based approach
allowed the identification of 160 and 50 metabolites in tumor tissue and sEV, respectively.
Multi‐omic profiling showed common pathways connected with response to neo‐RT in rectal
cancer, including complement and coagulation cascade, platelet activation, immune
response and energy metabolism.
Summary/Conclusion: This study revealed a specific pattern of proteins and metabolites
in serum‐derived sEV and tumor tissue, which could discriminate rectal cancer patients
with different response to neo‐RT.
Funding: This study was supported by the NCN, Poland, Grant 2017/26/D/NZ2/00964 (for
US, LM, MP, AW).
PS06.10
PD‐L1‐positive exosome‐derived microRNAs in human hepatocellular carcinoma
Hagyeong Lee1; Yu Rim Lee2; Gyeonghwa Kim1; Se Young Jang2; Min Kyu Kang3; Jung Gil
Park3; Hye Won Lee4; Ji‐Min Kim5; Won Young Tak2; Soo Young Park2; Keun Hur1
1Department of Biochemistry and Cell Biology, School of Medicine, Kyungpook National
University, Daegu, Republic of Korea; 2Department of Internal Medicine, Kyungpook
National University Hospital, Daegu, Republic of Korea; 3Department of Internal Medicine,
Yeungnam University Medical Center, Daegu, Republic of Korea; 4Department of Pathology,
Dongsan Medical Center, School of Medicine, Keimyung University, Daegu, Republic of
Korea; 5Division of Rheumatology, Department of Internal Medicine, Keimyung University
Dongsan Medical Center, Keimyung University College of Medicine, Daegu, Republic of
Korea
Introduction: Hepatocellular carcinoma (HCC) is one of the most aggressive cancer
and the third leading cause of cancer‐related death worldwide. Recently, PD‐1 and
PD‐L1 inhibitors, monoclonal antibodies that target either PD‐1 or PD‐L1, have been
widely used in patients with advanced stage HCC. However, response rate of the PD‐1/PD‐L1
inhibitors is not certain in overall patients, which limits the application in clinical
practice. Cancer cell derived exosomes have been evaluated as biomarkers for diagnosis
and prognosis in cancers. The aim of this study was to investigate exosomes from high
PD‐L1‐expressing cancer cells and their containing microRNAs (miRNAs) in HCC.
Methods: Five HCC cell lines (HepG2, Hep3B, Huh7, SK‐Hep‐1, and SNU‐398) and serum
samples from HCC patients were analyzed. Exosomes were isolated from cell culture
medium and serum samples using ExoQuick, and it was confirmed by expression of exosome
markers (CD9, CD63, and ALIX) based on immunoblotting. PD‐L1 protein expression was
determined by western blot analysis using anti‐PD‐L1 antibody. Expression of PD‐L1
mRNA and miRNAs were determined by quantitative real‐time PCR (qRT‐PCR).
Results: We found strong PD‐L1 expressing cell lines group (Hep3B, SK‐Hep‐1, and SNU‐398)
and weak PD‐L1 expressing cell lines group (HepG2 and Huh7). The two cell lines (SK‐Hep‐1
and HepG2) displayed consistent PD‐L1 expression status in mRNA as well as protein.
In further analysis of PD‐L1 related miRNAs, 3 exosomal‐miRNAs (miR‐15a, ‐16, and
‐203) were positively correlated and 2 exosomal‐miRNAs (miR‐21 and ‐34a) were negatively
correlated with PD‐L1 expression. We also found significant correlations between PD‐L1
expressing exosome numbers and clinicopathological features in serum samples of HCC
patients.
Summary/Conclusion: We provided the evidence for the potential of exosomal‐miRNAs
as novel non‐invasive circulating markers for prediction of treatment efficacy of
anti‐PD‐1/anti‐PD‐L1 therapy in HCC patients.
PS06.11
Profiling of exosomal lncRNAs from colorectal cancer patients by RNA sequencing
Marie Madrzyk1; Tina Catela Ivković2; Táňa Macháčková1; Karolína Trachtová1; Jan Kotouček3;
Josef Mašek3; Milana Šachlová4; Tomáš Grolich5; Zdeněk Kala5; Ondřej Slabý1
1Central European Institute of Technology (CEITEC), Masaryk University, Brno, Czech
Republic; 2Department of Laboratory Medicine, Lund University, Lund, Sweden; 3Department
of Pharmacology and Toxicology, Veterinary Research Institute, Brno, Czech Republic;
4Department of Gastroenterology, Masaryk Memorial Cancer Institute and Faculty of
Medicine, Masaryk University, Brno, Czech Republic; 5Department of Surgery, Faculty
Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic
Introduction: Colorectal cancer (CRC) is the third most common cause of cancer‐related
deaths despite advancements in the disease detection. Late diagnosis is associated
with poor prognosis therefore an early‐stage CRC biomarkers are acutely needed. As
a class of potential biomarkers, exosomal lncRNAs are often tissues specific and can
serve as signalling molecules in intercellular communication. We aimed to optimise
the RNAseq method of exosomal lncRNAs from the serum of CRC patients.
Methods: Exosomes were separated by size exclusion chromatography from 150 μl of serum
of CRC patients and healthy donors. The particles were characterised by electron microscopy,
dynamic light scattering and by vesicle‐specific content analysis. Protein markers
were detected by western blot. After RNA isolation, the samples were converted into
libraries using NEBNext Ultra II Directional RNA Library Prep Kit (NEW England Biolabs).
Libraries were pooled and sequenced on NextSeq 550 sequencer (Illumina).
Results: We successfully separated exosomes and created libraries from all samples
despite very low volume of starting material. Sequencing results comparing exosomal
RNA samples from CRC patients (n=20) and healthy volunteers (n=6) revealed significantly
altered levels of protein coding and non‐coding RNAs including 37 lncRNAs (p‐value<
0.01, fold change>2). The analysis showed dysregulated levels of lncRNAs associated
with CRC such as SNHG1 but also genes that were not previously reported (eg. FAM201A
and AC105389.2). Moreover, the gene set enrichment analysis revealed significantly
enriched gene sets (p‐value < 0.001) linked to MYC targets or the G2/M checkpoint
regulation.
Summary/Conclusion: Initial sequencing results suggest that lncRNAs have a great potential
as biomarkers for non‐invasive CRC detection, however it is necessary to validate
lncRNAs of interest on the larger patient cohort. Also, some functional follow‐up
experiments are needed to determine their biological role in CRC pathogenesis.
Funding: This work was supported from the projects GA20‐18889S, NU20‐03‐00127, BBMRI‐CZ
no. LM2018125, CZ.02.1.01/0.0/0.0/15_003/0000495, and MZE‐RO0518.
PS06.15
Development of exosome‐based plasma RNA biomarkers for high‐risk prostate cancer
Sudipto K. Chakrabortty1; Benjamin Spieler2; Yevgenia L. Khodor1; Christian Fischer1;
Radka Stoyanova2; Matthew Abramowitz2; Sanoi Punnen2; Seth Yu1; Alan Pollack2; Alan
Dal Pra2; Sandra Gaston2; Johan Skog3; Kailey Babcock1
1Exosome Diagnostics, a Bio‐Techne brand, Waltham, USA; 2University of Miami, Miami,
USA; 3Exosome Diagnostics, a Bio‐techne brand, Waltham, MA, Waltham, USA
Introduction: Liquid biopsies using exosomes are emerging as clinically effective
platforms for minimally invasive, highly sensitive diagnostics. There is an unmet
need for liquid biopsy tests that can better stratify prostate cancer without the
sampling errors inherent in tissue biopsy. In this study, we develop exosome‐based
liquid biopsy tests for use in managing patients with tissue biopsy‐confirmed, NCCN
low and high‐risk prostate cancer.
Methods: Our pilot biomarker discovery study compared plasma exosomal RNA profiles
from 11 high‐risk and 9 low‐risk, treatment‐naïve, biopsy‐confirmed patients with
4 healthy controls. The high‐risk patients, as defined by NCCN guidelines, are enrolled
in a radiotherapy trial (BLaStM NCT02307058) and the low‐risk patients in an active
surveillance trial (MAST NCT02242773). Exosomes were isolated from 1mL plasma, with
RNA prepared using the ExosomeDx isolation platform ExoLution (PMID: 29051321). A
hybrid‐capture‐based Next Generation RNA Sequencing (RNAseq) analysis was then performed
to profile and identify differentially expressed genes.
Results: We detected over 10,000 protein coding genes and ∼400 lncRNAs in plasma samples.
273 genes were differentially expressed between high‐risk vs control but not in low‐risk
vs control. We identified four potential plasma RNA biomarkers of high‐risk prostate
cancer. These include three mRNAs with >20‐fold lower expression in plasma from high‐risk
in comparison to low‐risk patients. TCGA data show two of these mRNA markers are downregulated
in prostate cancer tissue in patients with worse survival, confirming the role of
the identified markers in aggressive prostate cancer. In addition, one lncRNA was
identified that showed >20‐fold higher expression in plasma from high‐risk in comparison
to low‐risk patients.
Summary/Conclusion: Plasma exosomal long RNA provides a rich reservoir of currently
untapped biomarkers for high‐risk prostate cancer. Investigation in larger patient
cohorts is warranted.
PS07: Physiology and pathology: EVs from microorganisms
Chair: Mariola J. Edelmann – University of Florida
Chair: Nicole Kruh‐Garcia – Colorado State University
PS07.01
Antigen discovery in circulating extracellular vesicles from Plasmodium vivax patients
Iris Aparici Herraiz1; Melisa Gualdrón López2; Carlos Castro‐Cavadia3; Jaime Carmona‐Fonseca3;
María Fernanda Yasnot4; Carmen Fernandez Becerra1; Hernando A. del Portillo5
1ISGlobal IGTP, Barcelona, Spain; 2ISGlobal, Hospital Clínic ‐ Universitat de Barcelona,
Barcelona, Spain, Barcelona, Spain; 3Grupo de Salud y Comunidad Cesar Uribe Piedrahíta,
Universidad de Antioquia, Medellín, Colombia, Medellín, Colombia; 4Grupo de Investigaciones
Microbiológicas y Biomédicas de Córdoba (GIMBIC), Universidad de Córdoba, Monteria,
Colombia, Monteria, Colombia; 5ISGlobal IGTP ICREA, Barcelona, Spain
Introduction: Plasmodium vivax is the most widely distributed human malaria parasite
with 7 million annual clinical cases and 2.5 billion people living under risk of infection.
There is an urgent need to discover new antigens for vaccination as only two vaccine
candidates are currently in clinical trials. Extracellular vesicles (EVs) are small
membrane‐bound vesicles involved in intercellular communication and initially described
in reticulocytes, the host cell of P. vivax, as a selective disposal mechanism of
the transferrin receptor (CD71) in the maturation of reticulocytes to erythrocytes.
We have recently reported the proteomics identification of P. vivax proteins associated
to circulating EVs in P. vivax patients using size exclusion chromatography (SEC)
followed by mass spectrometry (MS). Parasite proteins were detected in only 2 out
of 10 patients.
Methods: We have implemented the direct immuno‐affinity capture (DIC) technique to
enrich in EVs derived from CD71‐expressing cells.
Results: Parasite proteins were identified in all patients totaling 48 proteins and
including several previously identified P. vivax vaccine candidate antigens (MSP1,
MSP3, MSP7, MSP9, Serine‐repeat antigen 1, and HSP70) as well as membrane, cytosolic
and exported proteins. Notably, a member of the Plasmodium helical interspersed sub‐telomeric
(PHIST‐c) family and a member of the Plasmodium exported proteins, were detected in
5 out 6 analyzed patients. Humoral immune response analysis using sera from vivax
patients confirmed the antigenicity of the PHIST‐c protein.
Summary/Conclusion: Enrichment of EVs by CD71‐DIC from plasma of patients, allows
a robust identification of P. vivax immunogenic proteins. This study represents a
significant advance in identifying new antigens for vaccination against this human
malaria parasite.
Funding: IAH is a predoctoral fellow supported by the Ministerio de Economia y Competitividad
(FPI BES‐2017081657). This project received support from Ministerio Español de Economía
y Competitividad (SAF2016‐80655‐R).
PS07.02
Bacterial extracellular vesicles from Porphyromonas gingivalis – isolation and characterization
Helene Rygvold Haugsten1; Hilde Kanli Galtung2; Trude Marie Haug3; Tine Merete Søland3;
Morten Enersen3; Anne Karin Kristoffersen3; Hans Christian Dalsbotten Aass4
1University of Oslo, Institute of Oral Biology, Oslo, Norway; 2Institute of Oral Biology,
University of Oslo, Oslo, Norway; 3University of Oslo, Oslo, Norway; 4Oslo University
Hospital, Oslo, Norway
Introduction: Periodontal disease (PD) is an inflammatory condition caused by bacteria
that may lead to tooth loss by damaging the supporting tissues of the teeth. Here,
fibroblasts are among the predominant cells. PD represents a serious health problem
worldwide and may predispose to systemic diseases, such as Alzheimer's and cardiovascular
disease. Porphyromonas gingivalis (P. gingivalis), a keystone pathogen in PD, releases
bacterial extracellular vesicles (BEVs) that may contain virulence factors such as
gingipains and play a role in the pathogenesis of PD.
This study aimed to isolate BEVs from three strains of P. gingivalis (clinical and
laboratory strains), to characterize the BEVs and investigate BEV uptake into human
oral fibroblasts.
Methods: BEVs from P. gingivalis were isolated through ultrafiltration and size‐exclusion
chromatography. To measure concentration and size distribution, we used Nano‐Tracking
Analysis.
Transmission electron microscopy was used to visualize the vesicles and flow cytometry
was used to measure antibody captured gingipain.
Finally, fibroblast uptake of PKH67 labelled BEVs was visualized with confocal microscopy.
Results: We isolated BEVs using ultrafiltration and size‐exclusion chromatography.
Nano‐Tracking Analysis showed concentrations of BEVs around 10^8 particles/ml and
a mean diameter of 164 nm. TEM pictures showed vesicle‐like structures and using flow
cytometry we successfully demonstrated gingipain‐labelled BEVs. Oral fibroblasts incubated
with labelled BEVs from P. gingivalis displayed cytosolic labelling consistent with
BEV internalization.
Summary/Conclusion: We managed to isolate and characterize BEVs from P. gingivalis.
Additionally, we demonstrate uptake of BEVs in human oral fibroblasts. Further studies
could contribute to a better understanding of the role of P. gingivalis and its BEVs
in the pathogenesis of periodontal diseases and related systemic diseases.
PS07.03
Characterization and proteomic analysis of EVs from dogs with canine leishmaniasis
Sofia S. Esteves1; Clara Lima2; Inês Costa2; Carmen Fernandez Becerra3; Nuno Santarém2;
Anabela Cordeiro‐da‐Silva2
1Parasite Disease Group, Institute for Molecular and Cell Biology, Instituto de Investigação
e Inovação em Saúde, Universidade do Porto, Portugal & Serviço de Microbiologia, Departamento
de Ciências Biológicas, Faculdade de Farmácia da Universidade do Porto, Porto, Portugal;
2Parasite Disease Group, Institute for Molecular and Cell Biology, Instituto de Investigação
e Inovação em Saúde, Universidade do Porto & Serviço de Microbiologia, Departamento
de Ciências Biológicas, Faculdade de Farmácia da Universidade do Porto, Portugal,
Porto, Portugal; 3ISGlobal IGTP, Barcelona, Spain
Introduction: Canine leishmaniasis (CanL), caused by Leishmania infantum parasites,
is a disease with high mortality and morbidity. In endemic areas, dogs are considered
the main reservoir, allowing the life cycle perpetuation associated with infected
vectors. CanL is a risk factor for human zoonotic leishmaniasis, therefore CanL control
is essential. The management of CanL requires new tools and biomarkers to address
complex epidemiological scenarios. Due to their characteristics, EVs are a resource
with great potential that might provide an alternative to conventional biomarkers.
Methods: EVs were separated from the plasma of healthy (n=8) and CanL (n=20) dogs
by SEC. Fractions were characterized by protein quantification and bead‐based flow
cytometry assay, using EVs markers, such as CD5L and CD71. Selected fractions were
submitted to proteomic analysis by LC‐MS/MS.
Results: Proteomic analysis allowed the consistent identification of EVs markers.
The number of identifications in healthy dogs was significantly higher (p< 0.0001)
than in CanL dogs. To increase proteome robustness, a comparative analysis was performed
using the merged data from each group. This originated a core proteome of 1786 proteins:
44% were detected in both groups, 37% were only detected in healthy dogs and 19% were
only identified in CanL animals. Protein network visualization models and pathway
analysis revealed a distinct profile between the 2 groups. Reactome pathways associated
with central carbon metabolism; signaling by the B Cell Receptor; cytokine signaling
in immune system and antigen processing ‐ ubiquitination & proteasome degradation
were enriched in healthy animals. No specific pathway enrichment was associated with
CanL dogs.
Summary/Conclusion: EVs’ characterization in CanL enabled the identification of distinct
metabolic pathways that will contribute to a better understanding of disease pathophysiology
and the discovery of disease‐related biomarkers.
Funding: This work was financed by FCT in the framework of the project PTDC/CVT‐CVT/6798/2020.
FCT funded SE, IC and CL through SFRH/BD/140119/2018, SFRH/BD/140177/2018 and 2020.07306.BD,
respectively. This study was approved by AWB on March 2021 (Despacho n° 2880/2015).
PS07.04
Characterization of bacterial extracellular vesicles from a fish pathogen, their role
in virulence and possible function as vaccine in aquaculture
Verena Mertes1; Athanasios Saragliadis2; Fabio Attenucci3; Agnieszka Wrobel1; Elia
Ciani4; Dirk Linke2; Duncan Colquhoun5; Hanne Winther‐Larsen1
1Department of Pharmacy, University of Oslo, Oslo, Norway, Oslo, Norway; 2Department
of Biosciences, University of Oslo, Oslo, Norway, Oslo, Norway; 3Department of Veterinary
and Animal Sciences, University of Copenhagen, Denmark, Copenhagen, Denmark; 4Department
of Production Animal Clinical Sciences, Faculty of Veterinary Medicine, Norwegian
University of Life Sciences, Ås, Norway, Ås, Norway; 5Fish Health Research Group,
Norwegian Veterinary Institute, Ås, Norway, Ås, Norway
Introduction: The Gram‐negative bacterium Yersinia ruckeri is spread in water columns
across the globe and is a threat for fish welfare as well as playing a negative financial
factor for the fish farming industry. Infection with the pathogenic Y. ruckeri is
causing the enteric redmouth disease (ERM), also called yersinosis and is mainly found
in salmonids. Relatively little is known about the molecular and pathogenic mechanism
of this bacterium.
The aim of the project is the further investigation of Y. ruckeri pathogenesis, where
we will mainly focus on characterization of secreted extracellular vesicles (EV).
The secreted amount of bacterial EVs varies between bacteria species and they are
shown to contain various components (protein, DNA, RNA, LPS, lipids) which resemble
the mother bacterium from which they derive. Additionally, isolated EVs have been
reported as an alternative vaccine candidate as their injection has been shown to
elicit a protective immunity in a host.
Methods: For bacterial EVs to be economically beneficial as an immunogenic agent for
aqua‐cultural purposes, an applicable amount must be produced. In this project, knockout
strains were generated, lacking a membrane protein. EVs were isolated from 2L of over‐night
culture, using tangential flow and ultra centrifugation.
Results: Mutant and wild type derived EVs were characterized by both electron microscopy
and proteomics analysis. The isolated EVs will further be studied for their function
in cellular uptake and cytotoxicity will be investigated in cell‐based assays and
initial results will be presented.
Summary/Conclusion: In the future, zebrafish (Danio rerio) will be used as infection
and vaccine model where the fish will be immunized with isolated Y. ruckeri EVs. Injection
of EVs may enable the host to evolve an immunity against the pathogen, resulting in
a vaccinated state.
PS07.05
Differential expression of gp82 and gp90 in EVs isolated from metacyclic trypomastigotes
to distinct strains of T. cruzi
Paula Meneghetti1; João Paulo Ferreira Rodrigues2; Nobuko Yoshida3; Ana Claudia Torrecilhas4
1UNIFESP, Sao Paulo, Brazil; 2UNIFESP, São Paulo, Brazil; 3UNIFESP, SAo Paulo, Brazil;
4Federal University of Sao Paulo, Sao Paulo, Brazil
Introduction: Trypanosoma cruzi, the etiologic agent of Chagas disease. The parasite
spontaneously releases EVs into the culture medium. In previous studies of our group,
we showed the importance of EVs release from parasite to communication between vertebrate
and invertebrate host. The aim of our research is to characterize the EVs released
from metacyclic trypomastigotes to distinct T. cruzi strains (Y, G and CL).
Methods: The EVs isolation and purification from metacyclic trypomastigotes (MT) of
T.cruzi (Y,G and CL strains). We characterized size and concentration of the EVs from
metacyclic trypomastigotes by NTA. We performed Immunoblotting and CL‐ELISA used EVs
isolated from MT to detected the expression of gp82, gp90, TS, alpha‐GAL and total
parasite membrane. In parallel, we performed functional assay (invasion assays) and
NO production from monocytes supernatants.
Results: We observed the expression of gp82 only in extracts of parasites and EVs
from G and CL strains. The EVs isolated from MT forms of CL strain have a higher number
of particle concentration than EVs from Y and G strains. CL‐ELISA showed that EVs
from Y strain (TM) express more glycoconjugates, mucins and TS than G and CL strains.
In the Functional assays, we showed that EVs isolated from Y, G and CL increase the
number of intracellular parasites and the induction of NO production in human monocytes
cultures.
Summary/Conclusion: The parasite development the mechanisms with host interaction
and contribute to a better understanding of the diseases cause. In addition to opening
perspectives for the identification of potential therapeutic targets in future research
in Chagas Disease
Funding: FAPESP2020/07870‐4 and CNPq Universal 408186/2018‐6
PS07.06
EVs populations from T. cruzi trypomastigotes are incorporated by human monocyte cells
and induces differentiation into macrophages
Ana Claudia Torrecilhas1; Nicholy Lozano2; Gabrieli Camossa2; Milena Santana Costa3;
Maiara Saboia Silva2; Or‐yam Shoshana‐Revach4; Ziv Porat4; Neta Regev‐Rudzki5; Sergio
Schenkman2
1Federal University of Sao Paulo, Sao Paulo, Brazil; 2UNIFESP, Sao Paulo, Brazil;
3UNIFESP, SAO PAULO, Brazil; 4WIS, Rehovot, Israel; 5Weizmann Institute of Science,
Rehovot, Israel
Introduction: In our previous work, we have shown that vesicles released by infective
forms of Trypanosoma cruzi, the agent of Chagas’ disease, modulate the inflammatory
response of macrophages, increase invasion of parasites, which could explain increased
inflammation and the progression of disease in experimental models, and eventually
in the progression of human Chagas’ disease. We also found that this process varies
among different parasite isolates that produce different patterns of infection. The
EVs shedding from parasites are heterogeneous and contain glyconjugates that interact
with host cells. To gain more information about the role of these different populations,
we now characterized the populations released by trypomastigotes forms of (Y strain)
and evaluate their interaction with THP‐1 human monocytes into macrophages.
Methods: he isolated populations of EVs were labeled with RNA (TO) and DNA marker
(Hoechst dye) and incubated with host human monocytes cells in RPMI 10% FBS and from
5 to 60 minutes by using an Image steam apparatus. The cells were further maintained
for 24 to 48 hours and observed by Scanning Electronic microscopy to observe changes
in the morphology and by Confocal microscopy after immunofluorescence labeling with
markers of cell differentiation.
Results: Both populations of EVs released by T. cruzi could be labeled by RNA, but
not by DNA markers. When incubated 10 minutes with cells, the RNA labeling was incorporated
in 60% of the monocytes reaching maximal labeling withing 1 hour. The incorporation
was higher when using EVs of larger sizes. The cells then start to undergo morphological
changes, and after 24 hours became sprayed, with as typical macrophages. To confirm
the transformation into macrophages, the cells were labeled with anti‐actin and anti‐vinculin,
both expressed in differentiated macrophages.
Summary/Conclusion: All EVs of T. cruzi contains RNA that are rapidly transferred
to monocytes. In parallel, these EVs can induce monocyte in vitro differentiation
of a monocyte cell line to macrophages. Experiments are in progress to identify the
components and the role of RNA present in the EVs involved in the differentiation
process.
Funding: FAPESP2020/07870‐4; FAPESP2019/15909‐0 and CNPq Universal 408186/2018‐6
PS07.07
Extracellular vesicles from the liver flukes Fasciola hepatica and Dicrocoelium dendriticum
trigger different responses in hepatic stellate cells
Christian M. Sánchez‐López1; Aránzazu González‐Arce2; Victor Ramírez‐Toledo3; María
Trelis1; Dolores Bernal2; ANTONIO MARCILLA4
1Universitat de Valencia, BURJASSOT, Spain; 2UNIVERSITAT DE VALENCIA, BURJASSOT, Spain;
3Centro de Salud Pública Manises, GVA, Manises, Spain; 4Universitat de Valencia, Burjassot,
Spain
Introduction: Dicrocoelium dendriticum and Fasciola hepatica are two worldwide‐distributed
trematodes than can coexist in the same host, complicating their specific diagnosis.
They can infect the liver and bile ducts of many mammalian species, causing liver
damage associated with parasite migration, the activity of fluke secreted products,
and inflammation. The manipulation of the host response is mostly due to the release
of molecules at the host‐parasite interface (excretory/secretory product (ESP)), which
include extracellular vesicles (EVs). Although there are a few reports on ESP interactions
with liver cells, the effects elicited by EVs have not been described.
Methods: Parasites were obtained from local abbatoirs (Valencia, Spain) and cultured
to obtain ESP. EVs were isolated by differential centrifugation and size‐exclusion
chromatography (SEC), and characterized by NTA, TEM and immunogold labeling for EV
proteins (EVtrack ID EV220006). EVs were added to the LX‐2 human hepatic stellate
cell line (SCC064, Merck), cell pellets were obtained and analyzed through Label‐free
quantitative proteomics and Western Blotting. MTT assays were performed to assess
EV cytotoxicity. All assays were performed using FBS‐free culture media.
Results: EVs from F. hepatica (FhEVs) and D. dendriticum (DdEVs) were successfully
isolated and characterized. 63 proteins were significantly up‐regulated in LX‐2 HSC
cells upon exposure to DdEVs, including proteins involved in the ROS response and
NF‐κβ signaling, and 8 proteins were down‐regulated. In cells treated with FhEVs,
14 proteins were up‐regulated and 9 down‐regulated, including fibrinogenic proteins
involved in extracellular matrix remodeling. No common proteins were found up‐ or
down‐regulated in both conditions.
Summary/Conclusion: Our findings confirm the different modulatory effects exerted
by EVs from F. hepatica and D. dendriticum on HSCs. FhEVs induce the production of
fibrinogenic proteins by LX‐2 HSC cells, suggesting their possible role in associated
fibrosis, whereas DdEVs activate pathways related to inflammation, oxidative stress
and apoptosis. These differences could correspond to differences in the migration
of each fluke.
Funding: Supported by the Agencia Estatal de Investigación, Ministerio de Ciencia
e Innovación, Spain (Grant PID2019‐105713GB‐I00/AEI /10.13039/501100011033), and Conselleria
d'Educació, Cultura i Esports, Generalitat Valenciana, Valencia, Spain (Grant PROMETEO/2020/071).
C.M.S‐L is the recipient of a predoctoral fellowship (PRE2020‐092458) funded by AEI
/10.13039/501100011033. A. G‐A is the recipient of a predoctoral fellowship (CPI‐20‐353)
funded by Conselleria d'Educació, Cultura i Esports, Generalitat Valenciana, Valencia,
Spain (PROMETEO/2020/071). The research group is part of “Red Traslacional para la
Aplicación Clínica de Vesículas Extracelulares, Tentacles”, (RED2018‐102411‐T, Agencia
Estatal de Investigación, Spain).
PS07.08
Extracellular vesicles of Bacillus cereus: First insights into their potential role
in pathogenicity
Astrid Digruber1; Markus Kranzler1; Tanja Buchacher2; Birgit Strobl3; Monika Ehling‐Schulz1
1Institute of Microbiology, Department of Pathobiology, VetMed Uni Vienna, Vienna,
Austria; 2Turku Centre for Biotechnology, University of Turku and Åbo University,
Turku, Finland; 3Institute of Animal Breeding and Genetics, Unit of Molecular Genetics,
VetMed Uni Vienna, Vienna, Austria
Introduction: Bacillus cereus is a Gram‐positive spore forming bacterial pathogen,
which is well‐known for its food poisoning potential [1]. In recent years, this opportunistic
pathogen is gaining increasing importance as a causative agent of non‐GI related diseases,
including systemic as well as local infections [2]. With our current work, we aim
to gain the first insights into the role of extracellular vesicles (EVs) in pathogenicity
of B. cereus.
Methods: In contrast to EVs of Gram‐negative bacteria, EVs in Gram‐positive bacteria
are far less studied and their role in bacterial physiology and pathogenicity is largely
unknown. Therefore B. cereus derived EVs were thoroughly analyzed by using multiple
approaches: First EVs were isolated using a size‐exclusion approach, which was further
simplified to an ultracentrifugation only isolation protocol. The EV morphology was
investigated using resin‐embedded TEM, and NTA was used to enumerate the EVs and to
estimate the sizes. To analyze the EV content a combinatory approach of proteomics
and FTIR spectral fingerprinting was used. To assess the biological activity of the
B. cereus EVs, in‐vitro cell culture models using Caco2‐Cells and bone‐marrow‐derived
macrophages were used.
Results: Within our work, we could show that the morphology of B. cereus derived EVs
is comparable to EVs secreted by other gram‐positive bacteria. However, the EV secretion
rate and FTIR spectral fingerprints varies significantly among different strains,
although the EV sizes were very similar. Furthermore, we could detect cytotoxic effects
in a dose and time‐dependent manner in our in‐vitro cell culture models.
Summary/Conclusion: In this study, we show for the first time that B. cereus secretes
biologically active EVs in a dynamic manner. This work is expected to pave the way
to decipher EV contribution to B. cereus pathogenicity and aid the development of
novel strategies to combat pathogenic B. cereus strains.
PS07.09
Fungal extracellular particles mediate adaptation to environmental stress
Teja Lavrin1; Samo Hudoklin2; Peter Veranič Veranič2; Ana Plemenitaš1; Metka Lenassi3
1Institute of Biochemistry and Molecular Genetics, Faculty of Medicine, University
of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia; 2Institute of Cell Biology,
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia;
3Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia, Ljubljana, Slovenia
Introduction: Fungal extracellular vesicles (EVs) are important for intercellular
communication in pathogenicity, but their role in response to environmental stress
is lacking. Here we aimed to isolate, characterize and uncover the role of extracellular
particles (EPs) released from Hortaea werneckii, an extremotolerant fungus known to
adapt to high osmolarity conditions.
Methods: Hortaea was cultured in defined media with or w/o melanin biosynthesis inhibitor
and 3M NaCl. EPs were isolated from conditioned media by sequential centrifugation
followed by separation on sucrose density gradient or size exclusion chromatography.
EPs morphology was characterized by TEM, concentration and size by Nanoparticle tracking
analysis and molecular content by immunoblotting and spectrophotometry. The role of
EPs was evaluated by in vitro functional assay in different conditions. (EV‐TRACK
ID: EV210293)
Results: We successfully optimized isolation of EPs from non‐stressed Hortaea cultures.
TEM micrographs showed heterogeneous nature of EPs, which also included EVs with cupshaped
morphology. Hortaea EPs had the average (±SE) mode diameter of 97(±3.7) nm and concentration
of 1.7(±0.041) ×10^9 particles per mL of media. They carried typical EVs marker proteins
α‐tubulin and GAPDH, as shown by immunoblotting, but additionally packed Hog1, the
main kinase in osmotic stress response. Further separation of EPs (density or size)
showed heterogeneous population that differed depending on the external stimulus:
depleted media, high osmolarity and/or absence of melanin. Generally, Hortea EPs can
be stratified into 3 subgroups: EVs, EVs with bound melanin and melanin particles.
Functional assays showed that the presence of melanin in EPs improved growth of Hortaea
culture exposed to high osmolarity.
Summary/Conclusion: Extremotolerant Hortaea releases EPs enriched in melanin and protein
Hog1, which contribute to osmotic stress adaptation.
Funding: The Slovenian Research Agency grants P1‐0170, P3‐0108.
PS07.10
Lactobacillus‐derived membrane vesicles modulate the production of pro‐inflammatory
cytokines in the Caco2 cell monolayer in context of IL‐1beta stimulation
Kristýna Turková1; Miriam Sandanusová2; Eva Pecháčková3; Eva Vojtková1; Lukáš Kubala2
1Institute of Biophysics of the Czech Academy of Sciences, Kralovopolska 135, 61265
Brno, Czech Republic, Brno, Czech Republic; 2Department of Experimental Biology, Faculty
of Science, Masaryk University, Brno, Czech Republic, Brno, Czech Republic; 3Department
of Biochemistry, Faculty of Science, Masaryk University, Kamenice 5, 62500 Brno, Czech
Republic, Brno, Czech Republic
Introduction: Recently, membrane vesicles (MVs) produced by human gut microbiota were
proposed to be the key player in the gut‐microbiota interaction. At the same time,
it was believed that gram‐positive bacteria are not able to produce MVs due to their
thick cell wall. Our aims were to characterize MVs from Lactobacillus rhamnosus CCM7091,
originally isolated from human feces, and to monitor the influence of MVs on the production
of pro‐inflammatory cytokines in the context of IL‐1beta stimulation.
Methods: Lactobacillus‐derived MVs were isolated by ultracentrifugation‐based floatation
within sucrose cushion followed by the characterization using DLS, TEM, and WB (LTA
marker). The protein cargo was determined by BCA, SDS‐PAGE, and proteomics. Evaluation
of MV‐mediated bacteria‐host intestine interaction was carried out using Caco2 cells
and IL‐1beta as a stimulator followed by detection of pro‐inflammatory cytokines using
ELISA.
Results: MVs were visualized by TEM and size range was established using DLS (100
nm being the most abundant). The purified MVs samples contain proteins in concentration
200‐400 ug/ml per MVs pellet with similar protein profiles determined by SDS‐PAGE.
A total of 337 proteins were consistently identified in MVs prepared under the same
standard conditions. In the absence of pro‐inflammatory inducers, MVs had no effect
on IL‐6 and IL‐8 release from Caco2 cells after 24‐hour‐incubation. IL‐1beta‐treated
Caco2 cells displayed an increase in IL‐6 and IL‐8 release when compared to untreated
cells, reflecting the pro‐inflammatory effect. In the presence of MVs used as 24‐hour
pre‐treatment of Caco2 cells, a decrease of IL‐6 and IL‐8 by IL‐1beta–stimulated cells
was observed.
Summary/Conclusion: Lactobacillus rhamnosus CCM7091 produces MVs with similar protein
profiles under standardized cultivation conditions. Functional analysis suggests that
MVs could be used as a pre‐treatment tool to alleviate the response of the intestinal
epithelium to IL‐1beta stimulation.
Funding: Supported by the European Regional Development Fund ‐ Project INBIO (No.
CZ.02.1.01/0.0/0.0/16_026/0008451) and Internal grant of Institute of Biophysics of
the Czech Academy of Sciences.
PS07.11
Two cargo proteins of Fasciola hepatica EVs have anti‐inflammatory properties on macrophages
and show different effects on hepatic stellate cells
Christian M. Sánchez‐López1; Aránzazu González‐Arce2; Liz Fiorella Sánchez‐Palencia2;
María Trelis1; Dolores Bernal2; ANTONIO MARCILLA3
1Universitat de Valencia, BURJASSOT, Spain; 2UNIVERSITAT DE VALENCIA, BURJASSOT, Spain;
3Universitat de Valencia, Burjassot, Spain
Introduction: The trematode Fasciola hepatica is the causative agent of liver fluke
disease (fasciolosis) in mammalian species. Modulation of host immunity is partly
due to the release of extracellular vesicles (EVs) that can be internalized by host
cells. We have identified two proteins present in F. hepatica‐derived EVs that have
anti‐inflammatory effects in macrophages and alter the proteomic profiles and EV production
in hepatic stellate cells (HSCs).
Methods: Enolase and Fh16.5 proteins were produced in Escherichia coli M15, and purified
with a Ni‐NTA kit (Qiagen). Anti‐inflammatory effects were assayed on THP‐1‐XBlue™‐CD14
macrophages (InvivoGen), using the Quanti‐blueTM reagent (Invivogen). Proteins were
added to the LX‐2 HSC (SCC064, Merck), and cell pellets were analyzed by semi‐quantitative
proteomics and Western Blotting. EVs from treated LX‐2 cells were purified using Size
Exclusion Chromatography (SEC), and characterized by NTA, TEM and proteomic profiling
(EVtrack ID EV220011). MTT assays were used to assess cytotoxicity. All assays were
performed on FBS‐free culture media.
Results: Enolase, but not Fh16.5 protein, showed anti‐inflammatory properties in LPS‐stimulated
macrophages and neither protein produced cytotoxicity. 38 proteins were significantly
up‐regulated in LX‐2 cells upon exposure to the Fh16.5 protein and 80 were down‐regulated.
Regarding the enolase treatment, 33 proteins were up‐regulated and 44 down‐regulated.
After the treatment with each protein, EVs from LX‐2 HSC cells were successfully isolated
and characterized, showing a higher concentration after treatment with Fh16.5, but
not enolase. The proteomic analysis of the EVs from HSC cells showed that a total
of 11 proteins were significantly up‐regulated and 14 proteins down‐regulated after
Fh16.5 treatment, while 2 proteins were up‐regulated and 5 down‐regulated after enolase
treatment. For both cells and their EVs, most of the proteins affected by these treatments
are involved in fibrosis.
Summary/Conclusion: Enolase and the Fh16.5 tegumentary protein from F. hepatica EVs
show anti‐inflammatory effects in vitro and alter the proteomic profile of HSCs, suggesting
their role in vivo modulating the fibrosis produced by the parasite.
Funding: Supported by the Agencia Estatal de Investigación, Ministerio de Ciencia
e Innovación, Spain (Grant number PID2019‐105713GB‐I00/AEI/10.13039/501100011033),
and Conselleria d'Educació, Cultura i Esports, Generalitat Valenciana, Valencia, Spain
(Grant PROMETEO/2020/071). C.M.S‐L is the recipient of a predoctoral fellowship (PRE2020‐092458)
funded by AEI /10.13039/501100011033. A. G‐A is the recipient of a predoctoral fellowship
(CPI‐20‐353) funded by Conselleria d'Educació, Cultura i Esports, Generalitat Valenciana,
Valencia, Spain (PROMETEO/2020/071). Part of “Red Traslacional para la Aplicación
Clínica de Vesículas Extracelulares, Tentacles”, (RED2018‐102411‐T, Agencia Estatal
de Investigación, Spain).
PS08: Technologies and methods: Characterization of EV‐molecules
Chair: Alice Gualerzi, Laboratory of Nanomedicine and Clinical Biophonics, IRCCS Fondazione
Don Carlo Gnocchi, Milan, Italy
PS08.01
Characterization and analysis of aqueous humor derived extracellular vesicles
Roberta Verta1; Gabriele Saccu1; Lola Buono1; Adele Tanzi1; Cristina Grange2; Sharmila
Fagoonee1; Simona Scalabrin1; Raffaele Nuzzi1; Benedetta Bussolati3
1University of Turin, Torino, Italy; 2Department of Medical Sciences, University of
Turin, Turin, Italy; 3Department of Medical Sciences, University of Turin, 10126 Turin,
Italy, Torino, Italy
Introduction: Extracellular vesicles (EVs) are abundant in all biological fluids,
however the EV characterization in the aqueous humor (AH) is still undetermined. The
aim of this work was to characterize EVs from AH (AH‐EVs) in term of surface markers
of cellular origin and function.
Methods: We obtained AHs from patients with cataract undergoing surgical phacoemulsification
and insertion of intraocular lenses (n=10 patients), after approval by the ethical
committee and patients’ written consent. AH‐EVs were isolated by ultracentrifugation
and size and quantification performed using nanoparticle tracking analysis. The AH‐EVs
were subjected to TEM, MACSPlex and Super Resolution microscope analysis. Subsequently,
we investigated their in vitro effects on proliferation and wound heling of human
immortalized keratinocyte cells (HaCaT) compared to PBS, mesenchymal stem cell‐EVs
(MSC‐EVs, positive control) or serum‐EVs (negative control).
Results: EVs were characterized by TEM and MACSPlex for size (around 100 nm), cup‐shaped
morphology and expression of tetraspanins. Super resolution microscopy confirmed co‐expression
of CD9, CD63 and CD81. Moreover, MACSPlex analysis showed expression of mesenchymal/stem
(CD105, CD133) and epithelial (EPCAM) markers. The in vitro evaluation showed that
HA‐EVs but not serum‐EVs induced a significantly higher proliferation rate of HaCaT
cells and a faster wound repair, comparable to the effect of MSC‐EVs.
Summary/Conclusion: We here provided evidence of the presence of EVs in the AH and
characterized them for exosomal, mesenchymal and epithelial cell marker expression,
highlighting a possible origin from limbal stem cells and corneal epithelium. Moreover,
AH‐EVs displayed in vitro proliferative and regenerative capacity, potential beneficial
effects in eye pathophysiology.
PS08.02
Characterization of endothelial and plasma derived extracellular vesicles
Johannes Oesterreicher1; Johannes Grillari2; Wolfgang Holnthoner1
1Ludwig Boltzmann Institute for Traumatology, Vienna, Austria; 2Ludwig Boltzmann Institute
of Traumatology in Cooperation With AUVA, Vienna, Austria., Vienna, Austria
Introduction: Endothelial derived extracellular vesicles (EndoEVs) have been found
to influence processes such as inflammation, coagulation, or the specific progression
of atherosclerosis. Nevertheless, their small subfractions (< 200 nm) in general as
well as possible differences between different vascular origins remain poorly understood.
Hence, to enable the use of EndoEVs to their full potential in context of various
pathologies regarding not only the blood but also the lymphatic vasculature further
research is key.
Methods: We used nanoparticle tracking analysis (NTA) and fluorescence triggered ‐flow
cytometry (FT‐FC) to study EndoEVs derived from different vascular beds including
blood, human umbilical vein and lymphatic endothelial cells as well as plasma‐derived
EVs in coherence with the MISEV guidelines. Cell type specific markers such as CD31,
CD41/61, CD34, Podoplanin and others alongside the EV marker CD81 were used to evaluate
expression on EVs and their presence in both in vitro and in vivo samples. Furthermore,
protein concentrations were approximated using spectrophotometry to assess influences
on assays using lipid membrane specific dyes.
Results: The analysis of samples with different protein concentrations resulted in
significant decrease in detection rates of stained vesicles showing important indications
for sample preparation and data evaluation. Both NTA and FT‐FC resulted in the detection
of both cell type specific CD31 as well as the EV marker CD81. NTA analysis of plasma
EVs showed signals significantly higher than the background whereas CD31 did not exceed
the isotype control.
Summary/Conclusion: We conclude that our work provides a basis for further characterization
and evaluation of EndoEVs using sophisticated fluorescence‐based methods. To further
add to the current understanding of physiological EndoEV levels additional markers
will be included from here on to set necessary parameters for the assessment of pathological
deviations.
Funding: Conducted work was partially funded by Particle Metrix.
PS08.03
Comparison of mineralization properties of matrix vesicles and Na,K‐ATPase‐proteoliposomes
Heitor G. Sebinelli1; Bruno Z. Favarin2; Marcos A. E. Cruz3; Maytê Bolean4; Massimo
Bottini5; José Luis Millán6; Saida Mebarek7; René Buchet7; Ana Paula Ramos8; Pietro
Ciancaglini9
1Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) ‐ Universidade
de São Paulo (USP), Ribeirão Preto, Brazil; 2¹Molecular Biophysics Laboratory, Department
of Physics, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University
of São Paulo 2Dept. Chemistry, FFCLRP‐USP, SP, Brazil 3 Sorbonne Université, CNRS,
Collège de France, Laboratoire de Chimie de la Matière Condensée de Paris (LCMCP),
F‐75005 Paris, France, paris, France; 3University of São Paulo, Ribeirão Preto, Brazil;
4Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP) ‐ Universidade
de São Paulo (USP), ribeirão preto, Brazil; 5University of Rome Tor Vergata, Roma,
Italy; 6Sanford Burnham Prebys, La Jolla, CA, USA, La Jolla, USA; 7Université de Lyon‐1,
Lyon, France; 8Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (FFCLRP)
da Univeridade de São Paulo (USP), Av. Bandeirantes, 3900, Brazil; 9Faculdade de Filosofia,
Ciências e Letras de Ribeirão Preto (FFCLRP) da Univeridade de São Paulo (USP), Ribeirão
Preto, Brazil
Introduction: Matrix vesicles (MVs) are extracellular nanostructures, released by
mineral competent cells, initiating the nucleation of apatite inside MVs and bind
to collagen fibrils, where apatite is released and continues to grow sustained by
Pi and Ca2+ in the extracellular media (ECM). Tissue‐nonspecific alkaline phosphatase
(TNAP), hydrolyses extracellular PPi, which inhibits apatite formation, forming extracellular
Pi, while ectonucleotide pyrophosphatase/phosphodiesterase 1 (NPP1) produces extracellular
PPi from extracellular ATP. Na,K‐ATPase (NKA), a plasma‐membrane ATPase, can hydrolyse
intracellular ATP. The three enzymes are present in MVs. However, the role of NKA
during mineralization, and the orientation of NKA in the MVs’ membrane remain unclear.
Methods: Mineralization and phosphatase activity of purified NKA from rabbit kidneys
and in proteoliposomes containing dipalmitoylphosphatidylcholine (PC) and dipalmitoylphosphatidylethanolamine
(PE) 1:1 (w/w) was assessed with ATP and compared to isolated MVs from femurs of chicken
embryos. The minerals composition was studied by ATR‐FTIR. Lipidomics of MVs highlighted
presence of phosphatidylethanolamine.
Results: The mineralization ability of PC:PE‐NKA induced by the addition of 3.0 mM
ATP and 2.0 mM Ca2+ was higher compared to that of pure PC‐NKA, suggesting the preference
of the active site of NKA toward ECM of PC:PE‐NKA. The addition of 3 mM ouabain, which
inhibits ∼90% of NKA, in the presence of ATP and Ca2 did not hinder nucleation nor
mineral propagation.
ATPase activity of solubilized MVs determined by a colorimetric assay and by 31P NMR
in the presence of specific inhibitors showed decrease in ATP hydrolysis by the addition
of ouabain of ∼7%, which suggested that ATP was mostly hydrolyzed by other phosphatases.
Similar findings were found using non‐solubilized MVs. We observed an increased inhibition
of MVs in the presence of 10 mM Levamisole (72.2%) and 10 uM SBI‐425 (35.4%) which
are TNAP inhibitors.
Summary/Conclusion: Our findings confirmed that TNAP is the main enzyme responsible
for promoting MVs‐driven mineralization. The active site of NKA is located toward
the lumen of the MVs and can contribute for a small part to the mineralization in
the lumen of MVs.
Funding: Brazil‐France USP‐COFECUB Uc Sv 184/20; FAPESP (2019/08568‐2); CNPq (304021/2017‐2);
CAPES‐PRINT 88887.368020/2019‐00
PS08.04
Comprehensive proteomic profiling of extracellular vesicles in plasma and serum reveals
the presence of tissue‐specific proteins in healthy individuals
Satoshi Muraoka1; Masayo Hirano2; Junko Isoyama2; Satoshi Nagayama3; Takeshi Tomonaga4;
Jun Adachi2
1National Institutes of Biomedical Innovation, Health and Nutrition, Ibaraki, Japan;
2National Institute of Biomedical Innovation, Health and Nutrition, Ibaraki, Japan;
3The Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo,
Japan; 4National Institute of Biomedical Innovation, Health and Nutrition, ibaraki,
Japan
Introduction: Extracellular vesicles (EVs) are ubiquitously secreted by almost all
tissues and cells and carry many cargoes, including proteins, RNAs and lipids, which
are related to various biological processes. EVs are shed from tissues into the blood
and expected to be used as biomarkers for diseases. We introduced a novel approach
to identify tissue‐specific proteins suitable for tissue‐derived EV enrichment in
plasma and serum.
Methods: EVs were separated from both EDTA plasma and serum of six healthy subjects
(n = 3) by an affinity capture isolation method. We applied them in Mass spectrometry,
data‐independent acquisition. For tissue‐derived EV enrichment analysis, we searched
tissue‐specific proteins within the plasma and serum EV proteomics data using a combination
of RNA sequencing analysis with Human protein atlas (HPA) as a reference and coregulation
analysis across individuals.
Results: A total of 4079 proteins were successfully identified by comprehensive EV
proteomics. The 321 tissue‐specific proteins, including liver, brain and skeletal
muscle were found by the HPA database, and 123 and 39 proteins were annotated as liver
and brain tissue‐specific proteins in healthy blood EVs, respectively.
Summary/Conclusion: These EV proteins are expected to be used for more specific and
sensitive enrichment of tissue‐specific EVs and for screening and monitoring of disease
without diagnostic imaging in patient blood in the future.
PS08.05
Evaluation of culture conditions on the presence of Ago2 and miRNAs in small extracellular
vesicles
Alissa M. Weaver; Lizandra Jimenez; Cherie Saffold; Bahnisikha Barman
Vanderbilt University School of Medicine, Nashville, USA
Introduction: Extracellular vesicle (EV)‐carried miRNAs can influence gene expression
and phenotypes of recipient cells. Ago2 is a critical RNA silencing protein and can
transport miRNAs into small EVs (SEVs). However, detection of Ago2 and RNA inside
of EVs has been variable. Here, we evaluate the effects of serum and growth factors
on the detection of Ago2 and miRNAs in SEVs.
Methods: Colorectal cancer cells were conditioned with 4 different culture media (Serum‐free
DMEM, EV‐depleted FBS in DMEM, DMEM+EGF, and Opti‐MEM). SEVs were purified from conditioned
media by cushion‐density gradient ultracentrifugation and analyzed by nanoparticle
tracking, Western, and dot blot analyses, and QRT‐PCR in the presence or absence of
detergent and RNase.
Results: For all media conditions, we find both Ago2 and EV markers in gradient fractions
6 and 7. Ago2 is also present in the non‐vesicular fractions for the media containing
EV‐depleted serum. Western blots of equal vesicle numbers revealed that Ago2 levels
are reduced in SEVs purified from Opti‐MEM and EV‐depleted FBS conditions, compared
to the serum‐free DMEM condition. A detergent sensitivity analysis further showed
Ago2 primarily on the inside of SEVs for all conditions. QPCR revealed that miRNAs
are primarily on the inside of SEVs purified under Serum‐free DMEM and Opti‐MEM conditions,
as they only were sensitive to RNase A treatment in the presence of Triton X‐100.
In contrast, the same miRNAs are primarily on the outside of SEVs purified from conditioned
media containing EV‐depleted serum. We also tested the effect of supplementing DMEM
with EGF and found no change in Ago2 SEV levels compared to Serum‐free DMEM.
Summary/Conclusion: Media conditions strongly affect the presence of intravesicular
and extravesicular Ago2 and miRNA. The use of serum in conditioned media is a major
source of contaminating extravesicular Ago2 and miRNA and should be avoided for downstream
detection of RNA.
Funding: P01CA229123
PS08.06
Fibroblast reprograming by extracellular vesicles from pancreatic tumors harboring
mutant p53
Etti Azulay1; Kristopher Raghavan2; Edna Eti Cukierman2; Tomer Cooks3
1The Shraga Segal Department of Microbiology and Immunology, Ben Gurion University
of the Negev, Beer Sheva, Israel; 2Lewis Katz School of Medicine at Temple University,
FOX CHASE cancer center, Philadelphia, USA; 3The Shraga Segal Department of Microbiology
and Immunology, Ben Gurion University of the Negev, beer sheva, Israel
Introduction: Pancreatic Ductal Adeno carcinoma (PDAC) has a poor survival rate due
to late stage diagnosis. Usually, upon discovery, this cancer type will mostly be
resistant to chemotherapy and radiation, characterize with fibrotic tissue and highly
metastatic. Also, 80‐85% of advanced cases are found to be p53 mutated. As previously
described, tumors expressing p53 gain of function mutations (GOF) are known to induce
pro‐invasive alterations to the extra cellular matrix (ECM) secreted by fibroblasts.
Notably, over 70% of the tumor mass are cancer associated fibroblasts (CAFs). CAFs
can be found as activated and naïve cells in the tumor tissue and presents heterogeneous
phenotypes. In PDAC, fibroblasts activation leads to the secretion of tumorigenic
factors, cytoskeleton rearrangements and remodeling of tumor‐associated ECM. Hence,
changes in the ECM were reported to modulate cancer cell phenotypes and found to be
dependent on CAFs infiltration. Such rearrangements in the PDAC tissue might form
dense ECM produced by CAFs also known as desmoplasia or fibrosis. Importantly, desmoplasia
is detected in ∼85% of PDAC patients. ECM‐secreting CAFs promote cancer progression
fueled by a cross talk with PDAC. We hypothesized that such interaction mediated by
extracellular vesicles (EVs). EVs are small nanoparticles (40‐150 nm) which can be
secreted from all cells. The molecular cargo shipped by EVs (typically nucleic acids
and proteins) has the capacity to modulate cellular phenotypes at the receiving end.
Cancer cells can secret EVs carrying oncogenes and regulatory factors to neighboring
and distant cells. The uptake of this cancer EVs can potentially lead to changes in
cells faith.
In this study we examined whether EVs shed by PDAC harboring mutant p53 can facilitate
CAFs activation in a 3D in vitro system.
Methods: In this study, we based our method on a 3D system for ECM deposition. Additionally,
EVs isolation was done according to MISEV 2018 guidelines.
Results: Our analysis suggests that EVs taken up by Fibroblasts results in changes
of the fibers, orientation, and ECM thickness.
Summary/Conclusion: TP53 mutated PDAC EVs uptake leads to changes in ECM orientation.
Further experiments will be dedicated to study the molecular mechanism through which
TP53 mutations are leading to changes in ECM deposition. We believe that EVs play
a crucial role in fibrosis creation. These findings might lead to better understanding
of this aggressive cancer and open a door for a new treatment approach.
PS08.07
Monitoring distribution dynamics of EV RNA cargo within recipient monocytes and macrophages
Daniel Alfandari1; Hila Ben Ami Pilo2; Paula Abou Karam3; Osnat Dagan2; Carine Joubran2;
Ron Rotkopf3; Neta Regev‐Rudzki3; Ziv Porat4
1Faculty of Biochemistry, Department of Biomolecular Sciences, Weizmann Institute
of Science, Rehovot 7610001, Israel, Rishon Lezion, Israel; 2Faculty of Biochemistry,
Department of Biomolecular Sciences, Weizmann Institute of Science, Rehovot 7610001,
Israel, Rehovot, Israel; 3Weizmann Institute of Science, Rehovot, Israel; 4WIS, Rehovot,
Israel
Introduction: We have previously developed a method that allows us to label EVs without
the need for antibodies but by labeling other cellular components. By doing so, we
could monitor different EV populations according to their distinct cargo components,
and the cargo distribution inside recipient cells post uptake. Here, we took this
approach one step further, and monitored by live uptake assay the kinetics distribution
of the signal of RNA cargo of Pf‐derived EVs within two different recipient cells
of the human host immune system, monocytes vs macrophages. By staining the RNA cargo
of the vesicles, we were able to directly track the cargo's internalization over time
and measure the dynamics of the RNA distribution inside human monocytes and macrophages.
We examined three different parameters post uptake of the vesicles to the recipient
cells over the course of 1 hour. Surprisingly, we observed significant differences
in the dynamics of the RNA cargo distribution within monocytes vs macrophages, which
might suggest a distinct roles for the RNA cargo post uptake to the target cells.
These data demonstrate that IFC can serve as a powerful approach to directly follow
the distribution dynamics of EV cargo components post uptake into different target
cells. This could pave the way to a not just better understanding of the EV's mediated
communication, but also may provide new insights on the functions of distinct cargo
component.
Methods: We obtained EVs from malaria‐infected red blood cells, stained their RNA
cargo using thiazole orange and followed the distribution dynamics of the RNA cargo
following uptake to different recipient cells‐monocytes and macrophages.
Results: The distribution of the RNA cargo inside recipient monocytes and macrophages
is different.
Summary/Conclusion: Our measurements may hint different properties of the cargo distribution
dynamics inside these recipient host cells. Interestingly, while the kinetic of the
uptake was similar, we observed a significant difference in the signal distribution
pattern, showing an opposite trend in its pixel intensity distribution and the dynamic
of cellular localization over time.
PS08.08
Proteomic diversity and ethanol effects on the fetal neural stem cell and their extracellular
vesicles
Dae Chung1; Khang Le1; Michael Lai1; Natalie Collins1; Elizabeth Payne1; Nihal Salem1;
Susan Weintraub2; Rajesh Miranda1
1Texas A&M HSC, Bryan, USA; 2The University of Texas Health Science Center at San
Antonio, san antonio, USA
Introduction: Prenatal alcohol exposure can alter the growth and maturation of neural
stem cells (NSCs), leading to diminished brain growth. NSCs reside in a complex microenvironment
rich in sub‐200 nanometer‐sized extracellular vesicles (EVs), which may traffic protein,
lipid, and RNA cargo between cells, as a mode of intercellular communication.
Methods: Using fetal mouse derived cortical neuroepithelium, cultured ex‐vivo as non‐adherent
neurosphere cultures, we investigated the impact of ethanol on the proteome of NSC‐EVs
by employing quantitative proteomics to profile the protein expression across treatment
groups of 18 EV and its 18 parent NSCs.
Results: We hypothesized that the proteome of EVs differs from the proteome of their
parent cells, and that alcohol alters the EV proteome differently from the cell proteome.
For subcellular location categorization, we found significantly different protein
expression in EV vs Cell and in Sex. In all 6 locations, there were a group of proteins
that were significantly enriched in EV samples compared to cell samples, proposing
a possible specific loading of proteins into EVs at the expense of cells. This broad
categorization of proteins by subcellular location gives insight into the diversity
and complexity of EV proteome.
Furthermore, ethanol exposure of NSCs significantly altered the profile of proteins
packaged within EVs. Statistical analyses showed ethanol exposure differentially regulated
EV proteins, with majority of them being upregulated, while majority of differentially
regulated proteins in cells were downregulated. Due to this contrast, we hypothesized
that ethanol increases loading of specific proteins into EVs. For this, expression
of proteins that were significantly altered in EVs by ethanol exposure were compared
to the same proteins in cells. For both moderate and heavy ethanol exposures, the
majority of these proteins were upregulated in EVs but downregulated in cells, meaning
that increased level of certain proteins in EVs is not due to increased expression
of same proteins in cells. Therefore, at the expense of their intracellular levels
in NSCs, ethanol exposure results in increased loading of specific ethanol‐sensitive
proteins into EVs.
Summary/Conclusion: In summary, our proteomic data supports that ethanol alters the
proteins of EVs differently from their parent NSCs, and that EV proteome differs from
their parent cell proteome. Due to the heterogeneity of NSC population, where only
a subpopulation of cells expresses specific RNAs and proteins at a given time, EVs
may be carrying ethanol‐sensitive proteins as intercellular mediators within the NSC
niche. By better understanding the effects of alcohol on EV proteins, we hope to elucidate
the mechanisms that mediate PAE's effects on NSC growth and maturation.
Funding: NIAAA‐ F31AA028446, NIAAA‐ R01AA024659
PS08.09
SPRi platform implemented with gold nanoparticles as an amplification strategy for
EV characterization
Silvia Picciolini; Alice Gualerzi; Francesca Rodà; Valentina Mangolini; Marzia Bedoni
Laboraotry of Nanomedicine and Clinical Biophotonics, IRCCS Fondazione Don Carlo Gnocchi,
Milan, Italy, Milan, Italy
Introduction: The use of Surface Plasmon Resonance imaging (SPRi) for EV analysis
has attracted much attention due to its ability to monitor in real time the interaction
between ligands and targets. As the sensitive area of SPRi detection is within 200
nm on the chip surface, EVs are ideal targets that perfectly meet the requirement
of the technology allowing to detect EV populations according to the presence of surface
markers. Once detected, EVs could be further characterized analyzing the expression
of other molecules; to do this the sensitivity of the SPRi method needs to be improved.
Gold nanoparticles (AuNPs) are surface plasmon‐assisted field amplifiers and intrinsic
refractive index sensors representing a powerful tool thanks to their rich surface
chemistry, low toxicity and high electron density.
In this work we used spherical AuNPs for the amplification of SPRi signal intensity,
in order to investigate the expression levels of antigens on the surface of multiple
EV populations.
Methods: AuNPs of 14 nm have been synthetized following Frens method and functionalized
with antibody anti‐VEGFR‐2. EVs, isolated from human serum of healthy subjects and
stroke patients, have been separated on a SPRi biochip according to their interactions
with ligands specific for EVs derived from endothelium and neural cells. Then, AuNPs
were injected and SPRi data were collected and analyzed.
Results: We optimized the effective conjugation of antibody on AuNPs and we verified
the absence of aspecific binding on the chip. Once the EVs have been detected on each
ligand, the injection of conjugated AuNPs showed the different expression of VEGFR‐2
on specific EV populations. The analysis revealed that VEGFR‐2 is less present on
endothelial EVs isolated from stroke samples compared to control samples, suggesting
that the physiological levels of angiogenesis are compromised after stroke onset.
Summary/Conclusion: The SPRi platform implemented with the use of AuNPs as a signal
amplification strategy could be used for the multiplexing characterization of EVs.
Funding: The project was supported by the Italian Ministry of Health.
PS08.10
The effect of starting volume of cerebrospinal fluid for extracellular vesicle proteomics
profile
Petra Kangas1; Jenni Karttunen1; Tuula Nyman2; Tim Williams3; Liisa Metsähonkala4;
Tarja S. Jokinen1
1Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University
of Helsinki, Helsinki, Finland, Helsinki, Finland; 2Department of Immunology, University
of Oslo and Oslo University Hospital, Norway, Oslo, Norway; 3Department of Veterinary
Medicine, University of Cambridge, UK, Cambridge, United Kingdom; 4Epilepsy Unit,
Hospital for Children and Adolescents, Helsinki, Finland, Helsinki, Finland
Introduction: Cerebrospinal fluid (CSF) flushes the brain, making it a promising biofluid
for isolating brain‐derived extracellular vesicles (EVs). CSF EV proteome reflects
the composition of the cells of origin and can reveal novel biomarkers for diseases
of the brain. In many clinical studies only a limited volume of CSF is available.
Here, we explored the relationship between CSF volume and the proteomic profile of
the EV preparations.
Methods: CSF was collected from euthanized dogs donated for research. EVs were isolated
from four volumes (6 ml, 3 ml, 1 ml, and 0.5 ml) using ultrafiltration combined with
size‐exclusion chromatography. In addition, the CSF with or without depletion of most
common plasma proteins was analysed. Three independent replica samples were analysed.
Particle concentration of the EV preparations was determined with nanoparticle tracking
analysis (NTA). Proteomics analysis was performed with high‐resolution liquid chromatography‐tandem
mass spectrometry. Protein data are presented as mean ± standard deviation.
Results: NTA found a mean of 1.1E+10, 3.7E+9, 1.2E+9 and 4.7E+8 particles from the
6 ml, 3 ml, 1 ml, and 0.5 ml EV preparations, respectively. From the same samples,
1287 ± 309, 1210 ± 283, 873 ± 171, and 687 ± 116 proteins were identified. Of these
proteins, 623 ± 107 were shared between all volume groups with 403 ± 72 matching to
Vesiclepedia. The number of proteins identified from CSF with and without the protein
depletion was 1104 ± 312 and 999 ± 289 proteins, respectively. Of these, 912 ± 262
were shared, and of these 544 ± 166 were found in Vesiclepedia.
Summary/Conclusion: These results confirmed that the particle concentration and the
number of proteins identified from the samples correlate with the starting volume.
The largest decrease in the number of proteins detected was between 3 ml and 1 ml
starting volume. This information is valuable when deciding on CSF starting volume
for EV isolations.
Funding: The study was funded by Academy of Finland and Finnish Veterinary Foundation.
PS08.12
Platelets in serum and stored plasma samples release small extracellular vesicles
ex vivo
Małgorzata S. Malys1; Maximilian Köller1; Christof Aigner2; Helga Schachner1; Andrew
J. Rees1; Renate Kain1
1Department of Pathology at Medical University of Vienna, Wien, Austria; 2Department
of Nephrology and Dialysis at Medical University of Vienna, Wien, Austria
Introduction: Small extracellular vesicles (sEV) are membrane bound particles released
from cells that act like messengers between them. Isolating pure sEV from human blood
is challenging due to co‐purification of plasma proteins and lipoproteins (Malys et
al). We characterised proteins expressed on the surface of sEV in human blood samples
with the objective of identifying their origin.
Methods: Serum, plasma, and platelet poor plasma (PPP) samples were used to purify
sEV by differential ultracentrifugation (DUC), either immediately or after storage
for 14 days at either 4°C or ‐ 80°C. Concentration and size were measured by nanoparticle
tracking analysis (NTA) while vesicle morphology, size and CD9 positivity were evaluated
by transmission electron microscopy (TEM). SEV were further analysed by western blotting
and MACSPlex – bead‐based antigen binding array – for protein profiling.
Results: There was no difference in the number or diameter of sEV isolated from fresh
serum, plasma, and PPP, or from samples stored at ‐80°C. By contrast, MACSPlex analysis
showed that molecules associated with platelets (including CD9, CD63, CD41b, CD42a
and CD62P) were more abundant in sEV preparations purified from fresh serum than fresh
plasma. Platelet marker abundance also increased in sEV from stored plasma, while
these changes were greatly attenuated in sEV from PPP. CD81 ‐ the exosome marker that
is not present on platelets ‐ was not affected. It suggested that a substantial proportion
of sEV detected in serum and stored plasma are generated ex vivo from platelets. We
confirmed it by activating platelets with addition of Ca2+. TEM also identified vesicles
with diameters < 70 nm, which is below the detection limit of NTA.
Summary/Conclusion: We have shown that serum and stored plasma contain similar populations
of sEV, substantial portion of which were not present in the circulation but were
released from platelets ex vivo; this phenomenon can be attenuated by purifying sEV
from fresh plasma or from PPP.
Funding: The authors declare no conflict of interest. This project has received funding
from the European Union's Horizon 2020 research and innovation programme under the
Marie Skłodowska‐Curie grant agreement No. 813545.
PS08.13
Multiparametric characterization of the secretome produced by mesenchymal stromal
cells towards regulatory compliance
Elise Madec1; Jeanne Volatron2; Julien Branchu2; Amanda Silva3; Max Piffoux2; Shony
Lemieux2
1University of Paris / EVerZom / MSC‐Med laboratory UMR7057, Paris, France; 2EVerZom,
Paris, France; 3Laboratoire Matière et Systèmes Complexes, Paris, France
Introduction: Extracellular vesicles (EVs) are nanometer‐sized subcellular particles
naturally produced by cells. As EVs can replicate the properties of their parent cells,
mesenchymal stromal cell (MSC) derived EVs represent a promising alternative to regenerative
cell therapy. However, the ability to manufacture EVs meeting regulatory requirements
is a major bottleneck hampering the progress to the clinic. According to the guidelines
on investigational biologicals, active substance and drug product specifications are
mandatory for the following quality attributes (QA): quantity, identity, purity, and
microbiological quality. Upper limits for impurities should be defined. It is also
mandatory to include a test for biological activity. The aim of this investigation
is to perform a multiparametric study on MSC EVs to create a standardised characterization
toolbox complying with regulatory requirements.
Methods: The first step was to test and select relevant methods to characterize the
quantity and identity of EVs. Several methods were investigated: two nanoparticle
tracking analysis (NTA) devices (NanoSight, ZetaView), a nanoflow cytometer, a Videodrop
and an ExoView. For all devices, the linearity range was evaluated over several decades
of EV concentration. Then, the relevant methods were validated analytically according
to ICH Q2. To assess EVs biological activity, scratch tests and immunomodulation tests
were assessed.
Results: For quantity determination, the ZetaView demonstrated its superiority due
to its large range and high linearity. The Exoview was selected for the identity analysis.
For both, the linearity, specificity, accuracy, range, precision, quantification and
detection limit were determined. Scratch tests and cytokine quantification assays
were combined to confirm EVs in vitro biological activity.
Summary/Conclusion: The ZetaView and Exoview were selected for the characterization
of EV quantity and identity QA and combined with biological tests. Protocols were
standardised and the analytical validation was performed according to regulatory requirements.
The same approach for purity and impurity QA represents the next step. This work is
of outmost importance for the release of EV batches intended for clinical use to make
the EV field's promises come closer to patients while maintaining quality, safety,
and efficacy.
PS09: Milk and plant EVs
Chair: Martinjn van Herwijnen
Chair: Mauro Manno – Cell‐Tech HUB at Institute of Biophysics (IBF), National Research
Council of Italy (CNR), Palermo, Italy
PS09.01
An enzyme‐based system for the extraction of small extracellular vesicles from plants
Kewei Zhao1; qing zhao1; guilong liu1; manlin xie1; yanfang zou1; zhaodi guo1; fubin
liu1; jiaming dong1; jiali ye1; yue cao1; ge sun1; Lei zheng2
1Guangzhou University of Chinese Medicine, guangzhou, China (People's Republic); 2Nanfang
hospital, Southern medical university, guangzhou, China (People's Republic)
Introduction: Plant‐derived nanovesicles (NVs) and extracellular vesicles (EVs) are
considered to be the next generation of nanocarrier platforms for biotherapeutics
and drug delivery. However, EVs exist not only in the extracellular space, but also
within the cell wall. Due to the limitation of isolation methods, the extraction efficiency
is low, resulting in the waste of a large number of plants, especially rare and expensive
medicinal plants.There are few studies comparing EVs and NVs.
Methods: To overcome these challenges, we proposed and validated a novel method for
the isolation of plant EVs by degrading the plant cell wall with enzymes to release
the EVs in the cell wall, making it easier for EVs to break the cell wall barrier
and be collected. We extracted EVs from the roots of Morinda officinalis by enzymatic
degradation(MOEVs) and nanoparticles by grinding method (MONVs) as a comparison group.
Results: The results showed smaller diameter and higher yield of MOEVs.Both MOEVs
and MONVs were readily absorbed by endothelial cells without cytotoxicity and promoted
the expression of miR‐155. The difference is that the promotion of miR‐155 by MOEVs
is dose‐effective. More importantly, MOEVs and MONVs are naturally characterized by
bone enrichment.
Summary/Conclusion: These results support that EVs in plants can be efficiently extracted
by enzymatic cell wall digestion and also confirm the potential of MOEVs as therapeutic
agents and drug carriers.
Funding: This work was supported by the National Natural Science Foundation of China
[grant numbers 81973633], National Natural Science Foundation of China [grant numbers
82174119],Key Laboratory Construction Project of Guangzhou Science and Technology
Bureau[grant numbers 202102100007], Collaborative innovation team project of double
first‐class and high‐level universities in Guangzhou University of traditional Chinese Medicine[grant
numbers 2021xk62], Youth Innovative Talents Project of Guangdong Province(grant numbers
2020KQNCX015),and Medical Science and Technology Research Fund project of Guangdong
Province(grant numbers A2021339).
PS09.02
Phloem sap EVs from melon plants carry active proteasomes against aphid infestation
Christian M. Sánchez‐López1; Carla Soler2; Elisa Garzo3; Alberto Fereres3; Pedro Pérez‐Bermúdez4;
ANTONIO MARCILLA5
1Universitat de Valencia, BURJASSOT, Spain; 2Universitat de València, BURJASSOT, Spain;
3Inst. de Ciencias Agrarias, ICA‐CSIC, Madrid, Spain, Spain; 4Universitat de València,
BURJASSOT (VALENCIA), Spain; 5Universitat de Valencia, Burjassot, Spain
Introduction: The morphogenesis of higher plants requires communication among distant
organs throughout vascular tissues (xylem and phloem). Numerous investigations have
demonstrated that phloem also act as a distribution route for signalling molecules
since different macromolecules, including nucleic acids and proteins, change under
stress situations. The participation of extracellular vesicles (EVs) in this communication
has been suggested, although little is known about their role. In fact, the presence
of EVs in plants has originated a great controversy in the last decade, where major
concerns arose from their origin, isolation, and even nomenclature.
Methods: Phloem exudates from 5‐week‐old melon plants, either uninfested or infested
with Aphis gossypii (n=15, 4 replicates each), were collected by cutting the tip of
the stem with a sterile blade. EVs were isolated from phloem sap by differential centrifugation
followed by Size Exclusion Chromatography. EVs were characterized using NTA and TEM
(EVtrack ID EV220007). EVs protein content was analyzed by LC‐MS/MS. Confirmation
of proteasome proteins in sap EVs was achieved by TEM‐immunogold and activity was
measured as described for total leaf extracts (1) with several modifications. The
proteasome inhibitor MG132 was used as a control.
(1) Üstün S & Börnke F (2017). Ubiquitin Proteasome Activity Measurement in Total
Plant Extracts, Bio‐protocol 7 (17): e2532.
Results: Here we confirm the presence of EVs in phloem sap in vivo and characterize
them by NTA and TEM. Phloem sap was obtained from melon plants, either uninfested
or infested by aphids. Changes in number and composition of those EVs were observed
in response to insect feeding, revealing the presence of typical defence proteins
in EVs as well as more components of the proteasome complex. EVs from infested plants
showed two times more proteasome activity than those from healthy plants. In both
cases, such activity was inhibited in a dose‐dependent manner by MG132.
Summary/Conclusion: Our findings confirm the presence of EVs in phloem sap and explain
the high abundance of proteasome complex proteins usually found in proteomic studies,
and open up the possibility of an evolutionary conserved mechanism of defence against
pathogens/stresses by higher eukaryotic organisms.
Funding: Supported by AEI‐Ministerio de Ciencia e Innovación, Spain (Grant PID2019‐105713GB‐I00/AEI
/10.13039/501100011033), and Conselleria d'Educació, Cultura i Esports, Generalitat
Valenciana, Spain (Grant PROMETEO/2020/071). C.M.S‐L is the recipient of a predoctoral
fellowship (PRE2020‐092458) funded by AEI/10.13039/501100011033. Part of “Red Traslacional
para la Aplicación Clínica de Vesículas Extracelulares, Tentacles”, (RED2018‐102411‐T,
Agencia Estatal de Investigación, Spain).
PS09.03
The anti‐inflammatory and anti‐oxidant properties of lemon‐derived extracellular vesicles
are achieved through the modulation of ERK/NF‐κB and AhR/Nrf2 signaling pathways
STEFANIA RAIMONDO1; Ornella Urzì2; Serena Meraviglia3; Marta Di Simone3; Anna Maria
Corsale4; Nima Rabienezhad Ganji4; Roberta Gasparro4; Antonio Palumbo Piccionello5;
Giulia Polito5; Elena Lo Presti6; Francesco Dieli4; Francesco Mercati7; Guglielmo
Puccio8; Alice Conigliaro2; Riccardo Alessandro2
1University of Palermo, Dep. of Biomedicine, Neurosciences and advanced Diagnostics,
PALERMO, Italy; 2University of Palermo, Dep. of Biomedicine, Neuroscience and Advanced
Diagnostics (Bi.N.D.), Palermo, Italy; 3University of Palermo, Dep. of Biomedicine,
Neurosciences and advanced Diagnostics, Palermo, Italy; 4Dipartimento di Biomedicina,
Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, palermo, Italy;
5Dipartimento di Scienze e Tecnologie Biologiche Chimiche e Farmaceutiche, Università
degli Studi di Palermo, palermo, Italy; 6Institute for Biomedical Research and Innovation
(IRIB), National Research Council (CNR), 90146 Palermo, palermo, Italy; 75Institute
of Biosciences and Bioresources (IBBR), National Research Council, Palermo, Italy,
palermo, Italy; 8Dipartimento di Scienze Agrarie, Alimentari e Forestali, Università
degli Studi di Palermo, palermo, Italy
Introduction: Plant‐derived extracellular vesicles (PDEVs) are gaining increasing
interest in the scientific community for their biological properties, in particular
for their role in the cross‐kingdom interaction. In this study, we have in‐depth characterized
the content of EVs from Citrus limon L. (LEVs) and we explored their possible protective
effect against inflammatory and oxidative processes both in vitro and ex vivo models.
Methods: We isolated PDEVs from the juice of Citrus limon L. through sequential centrifugation
and ultracentrifugation. LEVs were characterized at dimensional (DLS, NTA), morphological
(TEM), and biochemical (western blot) levels. We also identified flavonoids, limonoids,
and lipid contents through liquid chromatography coupled to mass spectrometry. Finally,
we carried out a Next‐generation sequencing analysis to identify the RNA profile of
LEVs. To investigate whether LEVs have a protective role on the inflammatory and oxidant
processes, murine and primary human macrophages, as well as skin fibroblasts were
pre‐treated with LEVs and then stimulated with LPS and UV radiation.
Results: LEVs possess a variety of flavonoids and limonoids that exert beneficial
roles, such as anti‐inflammatory, anti‐oxidant, and anti‐cancer. The identification
of flavonoids in LEVs prompted us to investigate their role in inflammatory and oxidative
stress models. We found that pre‐treatment with LEVs decreased gene and protein expression
of pro‐inflammatory cytokines and reduced the nuclear translocation and phosphorylation
of NF‐κB in LPS‐stimulated murine macrophages. The inhibition of NF‐κB activation
was associated with the reduction of ERK1‐2 phosphorylation. Furthermore, the anti‐inflammatory
properties of LEVs were confirmed ex vivo, in human primary T lymphocytes. LEVs were
also able to exert anti‐oxidant effects on human skin fibroblasts, modulating the
AhR/Nrf2 pathways.
Summary/Conclusion: In conclusion, we demonstrated that LEVs exert anti‐inflammatory
and anti‐oxidant effects by modulating the ERK1‐2/NF‐κB and the AhR/Nrf2 signaling
pathways. Ongoing studies are aimed at correlating the observed biological effects
with the Inc‐RNAs and microRNAs identified in LEVs.
Funding: Stefania Raimondo is supported by PON “Ricerca e Innovazione” 2014–2020‐
AIM “Attraction and International Mobility”.
PS09.04
Microalgal extracellular vesicles as nature designed delivery platforms for therapeutic
and cosmetic applications
Giorgia Adamo1; Sabrina Picciotto2; Daniele Romancino3; Angela Paterna4; Estella Rao4;
Aldo Nicosia5; Samuele Raccosta4; Antonella Cusimano5; Rosina Noto6; Nicolas Touzet7;
Mauro Manno4; Antonella Bongiovanni3
1Cell‐Tech HUB at Institute for Research and Biomedical Innovation (IRIB), National
Research Council of Italy (CNR), Palermo 90146, Italy, Palermo, Italy; 2Cell‐Tech
HUB at Institute for Research and Biomedical Innovation (IRIB), National Research
Council of Italy (CNR), Palermo, Italy; Department of Biological, Chemical and Pharmaceutical
Sciences and Technologies, University of Palermo, Palermo, Italy, Palermo, Italy;
3Cell‐Tech HUB at Institute for Research and Biomedical Innovation (IRIB), National
Research Council of Italy (CNR), Palermo, Italy, Palermo, Italy; 4Cell‐Tech HUB at
Institute of Biophysics (IBF), National Research Council of Italy (CNR), Palermo,
Italy, Palermo, Italy; 5Institute for Research and Biomedical Innovation (IRIB), National
Research Council of Italy (CNR), Palermo 90146, Italy, Palermo, Italy; 6Cell‐Tech
HUB at Institute of Biophysics (IBF), National Research Council of Italy (CNR), Palermo
90146, Italy, Palermo, Italy; 7Institute of Technology Sligo, Centre for Environmental
Research Innovation and Sustainability, Sligo, Ireland, Sligo, Ireland
Introduction: Nanoalgosomes are microalgae‐derived extracellular vesicles (EVs) that
can be used as nanocarriers for precision medicine. Our previous works have thoroughly
characterized these nanovesicles, eliciting their EV identity. Here, we exploit the
natural properties of nanoalgosomes as effective carriers of bioactive ingredients
for the development of novel pharmaceutical and cosmetic formulations. Specifically,
we focused on their endogenous cargo bioactivities and then we evaluated nanoalgosomes
loaded with different bioactive molecules to develop natural drug delivery systems.
Methods: Nanoalgosomes are separated at pilot‐scale from a suspension of Tetraselmis
chuii cells using tangential flow filtration (TFF) and the physicochemical characterization
was carried out according to our quality control check, based on MISEV2018 guidelines.
Next, nanoalgosome bioactivity is evaluated using different approaches (e.g., antioxidant
assay). different molecules (e.g., doxorubicin as chemotherapeutic drug model and
RNAs) and protocols were used to efficiently perform nanoalgosome‐loading. After the
nanoalgosome engineering, the loaded nanoalgosome functionality is analysed in normal
and tumour cells.
Results: Our experiments show that nanoalgosomes are able to decrease free radical
damage in vitro, probably due to the presence of microalgal anti‐oxidant compounds.
Moreover, they can be efficiently loaded, improving the cellular uptake of small drug
and nucleic acids.
Summary/Conclusion: These studies demonstrate how nanoalgosomes represent an efficient
natural delivery system of high‐value microalgal substances and exogenous bioactive
biomolecules and/or synthetic drugs, hence fostering the exploitation of such sustainable
EVs in a scalable manner.
Funding: VES4US and BOW projects funded by the EU‐H2020 programmes under grant agreements
N. 801338 and N. 952183.
PS09.05
Broccoli‐derived extracellular vesicles as nanocarriers of exogenous microRNAs for
RNA‐based therapy
Lorena del Pozo‐Acebo1; María‐ Carmen López de las Hazas1; Judit Gil‐Zamorano1; João
Tomé‐Carneiro1; Andrea del Saz1; Luis A. Chapado1; Francisco Marín2; Alberto Dávalos1
1Imdea Food, Madrid, Spain; 2Universidad Autónoma de Madrid, Madrid, Spain
Introduction: Cell communication is essential for organism development. To facilitate
communication, both plant and animal cells can release nanoparticles, known as extracellular
vesicles (EVs), that transport bioactive molecules including miRNAs. Plant‐derived
EVs protect miRNAs against RNase digestion and increase miRNA stability. Characterization
methods have shown that plant EVs have similar structures to mammalian EVs which may
facilitate their uptake, tissue distribution and ability to produce biological effects
in animal cells by a cross‐kingdom regulation. These observations suggest the potential
use of plant‐derived EVs from natural sources as delivery vehicles for oral miRNA‐based
therapy.
Methods: In this study, we evaluated the use of plant EVs as potential vehicles for
RNA drug delivery. EVs were isolated from broccoli combining ultracentrifugation and
size exclusion chromatography. Isolated EVs were then loaded with exogenous ath‐miR159a,
a highly expressed miRNA in plant EVs. miRNA stability was assessed by RNase A protection
assay and in‐vitro digestion in GI simulated conditions. The suitability of EVs as
delivery vehicles for extracellular RNAs was tested by evaluating the absorption of
ath‐miR159a by Caco‐2 cells. The potential gene targets were predicted by bioinformatic
tools.
Results: Broccoli‐derived EV isolation was confirmed by Transmission Electron microscopy
and EV concentration was measured by Nanoparticle Tracking Analysis. In‐vitro digestion
revealed the protector effect of the EVs and the effective miRNA incorporation. In‐vitro
exposure analysis of exogenous ath‐miR159a (loaded into broccoli EVs) revealed significant
uptake in Caco‐2 cells. Furthermore, the miRNA transported within plant EVs could
exert a biological effect through the cross‐kingdom modulation of gene expression.
Summary/Conclusion: Results support that plants are a cost‐effective natural source
of extracellular vesicles which can be used as nanocarriers of bioactive miRNAs with
a potential use in RNA‐based therapy.
Funding: Spanish Agencia Estatal de Investigación and European Feder Funds (PID2019‐109369RB‐I00,
RTI2018‐093873‐A‐I00), by the Spanish Foundation of Arteriosclerosis (“Manuel de Oya”
Nutrition Grant 2021).
PS09.06
Nanoalgosomes from marine diatom Phaeodactylum tricornutum
Veronika Kralj‐Iglič1; Darja Bozic2; Matej Hočevar3; Marko Jeran2; Matic Kisovec4;
Apolonija Bedina‐Zavec4; Marjetka Podobnik4; Tadeja Matos5; Rok Tomažin5; David Škufca6;
Ester Heath7; Nicolas Touzet8; Antonella Bongiovanni9; Gabriella Pocsfalvi10; Gitta
Schlosser11; Tjaša Griessler‐Bulc12; Ksenija Kogej13; Aleš Iglič14
1University of Ljubljana, Faculty of Health Sciences, Laboratory of Clinical Biophysics,
Ljubljana, Slovenia; National Research Council of Italy, Institute of Biosciences
and BioResources, Extracellular Vesicles and Mass Spectrometry Laboratory, Naples,
Italy, Ljubljana, Slovenia; 2University of Ljubljana, Faculty of Health Sciences,
Laboratory of Clinical Biophysics; University of Ljubljana, Faculty of Electrical
Engineering, Laboratory of Physics, Ljubljana, Slovenia, Ljubljana, Slovenia; 3Institute
of Metals and Technology, Department of Physics and Chemistry of Materials, Ljubljana,
Slovenia, Ljubljana, Slovenia; 4National Institute of Chemistry, Department of Molecular
Biology and Nanobiotechnology, Ljubljana, Slovenia, Ljubljana, Slovenia; 5University
of Ljubljana, Medical Faculty, Institute of Microbiology And Immunology, Ljubljana,
Slovenia, Ljubljana, Slovenia; 6University of Ljubljana, Faculty of Health Sciences,
Laboratory of Clinical Biophysics, Ljubljana, Slovenia, Ljubljana, Slovenia; 7Jožef
Stefan Institute, Department of Environmental Sciences, Ljubljana, Slovenia, Ljubljana,
Slovenia; 8Institute of Technology Sligo, Centre for Environmental Research Innovation
and Sustainability, Sligo, Ireland, Sligo, Ireland; 9Cell‐Tech HUB at Institute for
Research and Biomedical Innovation (IRIB), National Research Council of Italy (CNR),
Palermo, Italy, Palermo, Italy; 10National Research Council of Italy, Institute of
Biosciences and BioResources, Extracellular Vesicles and Mass Spectrometry Laboratory,
Naples, Italy, Naples, Italy; 11Eötvös Loránd University, Institute of Chemistry,
Department of Analytical Chemistry, Budapest, Hungary, Budapest, Hungary; 12University
of Ljubljana, Faculty of Health Sciences, Department of Sanitary engineering; University
of Ljubljana, Faculty of Civil and Geodetic Engineering, Ljubljana, Slovenia, Ljubljana,
Slovenia; 13University of Ljubljana, Faculty of Chemistry and Chemical Technology,
Chair of Physical Chemistry, Ljubljana, Slovenia, Ljubljana, Slovenia; 14University
of Ljubljana, Faculty of Electrical Engineering, Laboratory of Physics; University
of Ljubljana, Faculty of Medicine, Laboratory of Clinical Biophysics, Ljubljana, Slovenia,
Ljubljana, Slovenia
Introduction: Nanoalgosomes (NAs) have recently become a subject of growing interest
due to their pharmaceutical and biotechnological potential. NAs have previously been
studied in detail in the marine microalgae Tetraselmis Chuii. In this work, we harvested
and characterized extracellular material of Phaeodactylum tricornutum. The production
of NAs was studied in cultures grown at varying conditions and at different growth
phases.
Methods: P. tricornutum (CCAP 1052) was grown in artificial marine water enriched
with f/2‐Guillard's solution. Cultures grown at different conditions (varying culture
medium, ventilation, illumination and temperature) were observed. The cell density
was quantified by flow cytometry. NAs were isolated by differential centrifugation
from selected cultures. The cells and NAs isolates were visualized by light (LM),
scanning electron (SEM), and cryogenic transmission electron microscopy (cryo‐TEM).
Isolates of NAs were also characterized by dynamic light scattering (DLS), and SDS‐PAGE
electrophoresis. NAs were lysed in 0.2% RapiGest detergent using 5 freeze–thaw cycles
in liquid nitrogen and sonication; digested with trypsin, and analysed by LC‐ESI‐MS/MS‐based
proteomic workflow.
Results: Cells in different liquid and solid cultures exhibited different morphologies
and organizations. The largest amount of colloidal nanoparticles was produced in cultures
of fusiform cells in the exponential growth phase. Various roughly round particles
ranging from 20 nm up to several micrometers were observed by SEM in the culture samples,
while only the small ones (about 50‐300 nm in size) were observed in the NAs isolates.
Cryo‐TEM of the NAs isolates revealed membrane‐enclosed vesicles with a radially‐oriented
fibrous decoration. The isolates also contained a significant amount of long nanofilaments.
In the shaken cultures, a large number of NAs was observed by SEM at the epiteca of
a subset of the cells, which may represent the budding mechanism or an important NAs
uptake site in this alga. SDS‐PAGE profile of NAs showed numerous protein bands.
Summary/Conclusion: We isolated NAs from cultures of P. tricornutum. Microscopic images
showed globular particles enclosed by a membrane decorated by a dense mucilage. It
is indicated that NAs formation is increased when the microalgae are in the exponential
growth phase. Nanofilaments found in the samples affect the flotation and three‐dimensional
organization of the cells in the cultures, and may impact the isolation by differential
centrifugation.
Funding: This project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No 801338 and ARRS project
P3‐0388.
PS09.07
Cow and goat milk extracellular vesicle effects on two in vitro models of human intestinal
inflammation
Samanta Mecocci1; Alessio Ottaviani2; Elisabetta Razzuoli3; Livia De Paolis3; Floriana
Fruscione3; Paola Fiorani2; Giovanni Chillemi4; Katia Cappelli1
1University of Perugia, Perugia, Italy; 2University of Tor Vergata, Rome, Italy; 3Istituto
Zooprofilattico Sperimentale del Piemonte, Liguria e Valle D'Aosta, Genova, Italy;
4University of Tuscia, Viterbo, Italy
Introduction: Among their known functions, Extracellular Vesicles (EVs) can modulate
immunity and inflammation. An EV role in the pathogenesis of chronic inflammatory
diseases such as inflammatory bowel disease (IBD) has been found. IBD, mainly composed
of Crohn's Disease and Ulcerative Colitis, have a dramatically rising incidence in
western countries and lacks a resolutive therapy. Several factors seem to contribute
to its onset, but IBD are certainly characterized by immune dysregulation and barrier
function disruption. Milk‐derived EVs (mEVs) can have immunomodulatory and anti‐inflammatory
effects and milk is one of the most promising food sources of EVs. In this context,
the aim of this study was to evaluate bovine and goat mEV anti‐inflammatory and immunomodulating
effects on two in vitro models of human bowel disease: a co‐culture of Caco‐2 and
THP‐1 cells, and IPEC‐J2 cells, an accepted swine model.
Methods: To this porpoise, mEVs were isolated and characterized following the methods
used in our previous study (https://doi.org/10.3390/ijms222312759), a proinflammatory
environment was induced through IFN‐g and LPS stimuli, and cell gene expression was
evaluated through RT‐qPCR in SYBR Green chemistry.
Results: The pro‐inflammatory environment instauration was assessed through the significant
up‐regulation of the proinflammatory cytokines CXCL8, IL1B, TNFA, IL12A, IL23A, TGFB1,
and the cellular damage indicators NOS2 and MMP9 in inflamed cells compared to those
in basal culture conditions. The administration of mEVs led to a partial restoration
of initial homeostatic conditions highlighted by a statistically significant decrease
of most of the tested cytokines together with a significant down‐regulation of MMP9
and the up‐regulation of MUC2 and TJP1.
Summary/Conclusion: These results indicate, in addition to the clear effect on inflammation
which is reduced following the mEV administration, beneficial effects of mEVs on the
intestinal barrier in an attempt to restore cellular homeostasis and mucosal functions.
PS09.08
Protective Effects of Bovine Milk‐Derived Extracellular Vesicles on Cartilage
Onno Arntz1; Bartijn Pieters1; Anouk Feitsma2; Joost van Neerven2; Fons van de Loo1
1RadboudUMC, Nijmegen, Netherlands; 2FrieslandCampina, Amersfoort, The Netherlands,
Wageningen, Netherlands
Introduction: Previously, we have shown that treatment of arthritic mice with BMEVs
ameliorated cartilage damage but a direct effect on cartilage cells (chondrocytes)
was not studied (1). In this study, we evaluated the direct effect of BMEVs on cartilage
proteoglycan depletion and chondrocyte gene expression. Furthermore, their effect
to IL‐1 induced catabolic effects in chondrocytes was studied.
1. Arntz O.J. Mol Nutr Food Res. 2015
Methods: Isolated BMEVs were characterized by NTA, microBCA, transmission electron
microscopy, sucrose density gradient, and western blot (WB). Human cartilage explants,
their enzymatically isolated chondrocytes, and immortalized chondrocytes were exposed
ex vivo, to BMEVs. BMEVs were PKH‐67 labelled and uptake in chondrocytes was determined
by fluorescence microscopy. By RT‐qPCR, mRNA expression levels of cartilage destructive
enzymes (ADAMTS5, MMP1, MMP3, MMP13) and the enzyme inhibitor (TIMP‐3) were measured
in chondrocytes after BMEVs exposure. The effect on glycosaminoglycan (GAG) release
from cartilage explants into the culture medium was studied by the 1,9‐dimethylmethylene
blue (DMMB) assay. The effects of BMEVs on IL‐1‐induced gene expression was determined
by RT‐qPCR.
Results: Based on size, protein content, density and presence of exosome markers CD63,
CD81, HSP‐70, and Alix, we confirmed that BMEVs were pure and express markers of exosomes.
Chondrocytes showed uptake of BMEVs. BMEVs exposure to chondrocytes resulted in >50%
reduced expression of ADAMTS5, MMP1, MMP3 and MMP13, while TIMP‐3 was enhanced (>300%).
Cartilage explants exposed to BMEVs, showed reduced GAG release (>33%) and inhibition
of MMP1 gene expression (>70%). IL‐1 treated chondrocytes showed enhanced MMP1, 3
and 13 mRNA levels which were counteracted by BMEVs.
Summary/Conclusion: This study showed a direct protective effects of BMEVs on human
chondrocytes and cartilage, and suggest that the observed cartilage protection in
murine arthritis models could be due to a direct effect of BMEVs on chondrocytes.
Funding: This study was powered by Health‐Holland, Top Sector Life Sciences & Health
(grant 441 LSHM19108 SGF, REFIT project) allocated to Dr. Fons AJ van de Loo.
PS09.09
Bovine milk exosomes for oral delivery of siRNA
Yunyue Zhang; Driton Vllasaliu
King's College London, London, United Kingdom
Introduction: RNA interference, which is mediated by small interfering RNA (siRNA),
is a powerful therapeutic approach. However, oral administration of siRNA is currently
not possible due to extremely poor delivery efficacy. Poor delivery efficacy in turn
is a result of nucleic acid instability in the gastrointestinal (GI) tract and highly
inefficient transfection due to poor transport across the biological barriers of the
intestinal mucosa. Bovine milk exosomes have been demonstrated to be capable of crossing
the intestinal mucosa and hence possess potential as delivery vehicles for facilitating
intestinal (i.e. oral) delivery of siRNA. This work explored this potential.
Methods: Exosomes were isolated from bovine milk by ultracentrifugation and purified
by size exclusion chromatography. Exosomes were characterised for size, zeta‐potential
and expression of exosomal protein markers. GI stability of exosomes was measured
by exposure exosomes to fasted‐state and fed‐state simulated small intestinal fluids
(FaSSIF and FeSSIF, respectively). The ability of exosomes to transport across an
in vitro intestinal model (Caco‐2 monolayers) was tested before and after exposure
of exosomes to simulated small intestinal fluids. siRNA was incorporated into exosomes
via transfection and the effect of exosome‐mediated delivery on cell uptake (Caco‐2
cells) of siRNA established.
Results: Exosomes were characterized with the size around 130 nm and slightly negative
charge. Isolated exosomes were identified with confirmed expression of typical protein
markers. Both of FaSSIF and FeSSIF demonstrated no effect on exosomes size and membrane
stability, while the permeability of exosomes through Caco‐2 monolayers was not negatively
affected by exposure to simulated small intestinal fluids. siRNA could be encapsulated
into exosomes with loading efficiency of 27.5%, and the uptake of exosome‐incorporated
siRNA into intestinal Caco‐2 cells was significantly higher than that of naked siRNA.
Summary/Conclusion: Bovine milk exosomes were stable in simulated small intestinal
fluids and possess ability to transport through intestinal epithelium. siRNA uptake
into intestinal epithelial cells is increased via incorporation into bovine milk exosomes.
PS09.10
The lipidomic profile of human milk (HM) extracellular vesicles (EVs) from mothers
of term and preterm infants
Isabel Ten‐Doménech1; Victoria Ramos‐Garcia1; Alba Moreno‐Giménez1; María Gormaz2;
Alex P. Shephard3; Marta Gómez‐Ferrer1; Pilar Sepúlveda1; Guillermo Quintás4; Julia
Kuligowski1
1Health Research Institute La Fe, Valencia, Spain; 2University and Polytechnic Hospital
La Fe, Valencia, Spain; 3NanoView Biosciences, Malvern, United Kingdom; 4Leitat Technological
Center, Valencia, Spain
Introduction: HM EVs encase specific molecules for delivery from mother to infant.
The objective of this study was to compare the lipid composition of EVs isolated from
HM of mothers of term (TI) and preterm infants (PI).
Methods: HM samples were collected from five mothers of PI and five of TI after establishing
full enteral nutrition. The study was approved by the Ethics Committee for Biomedical
Research of the Health Research Institute La Fe (#2019‐289‐1) and written informed
consents were obtained. EVs were isolated employing a multi‐stage ultracentrifugation
procedure. Size distribution and quantification were analyzed using the ExoView platform
(NanoView Biosciences, MA, USA) and total protein amount with the BCA assay. After
single‐phase extraction, lipidomic fingerprinting was carried out using liquid chromatography‐mass
spectrometry. Automated MS/MS‐based annotation was carried out using HMDB, METLIN,
LipidBlast, and MSDIAL databases. Lipid ontology (LION) enrichment analysis was performed.
Results: A median size of 61 (IQR=3) nm and a median number of 8x1014 particles mL‐1
(3x1015 IQR) with protein concentrations ranging from 2 to 6 g L‐1 were obtained.
A total of 439 LC‐MS features in HM EVs were annotated. The classes with highest relative
abundance in HM EVs were phosphosphingolipids (26%), triradylglycerols (26%), glycerophosphocholines
(19%), glycerophosphoethanolamines (7%), glycerophosphoserines (3%), and ceramides
(3%). LION enrichment analysis found main differences between HM EVs from PI vs. TI
in cellular components (endosome/lysosome) and in physical and chemical properties
of lipids, and to a lesser extent in functions (membrane component).
Summary/Conclusion: Subtle differences between HM EVs from PI and TI were identified.
Studies related with the impact of lipid composition of HM EVs on infant health and
growth are encouraged.
Funding: This project received support from Instituto de Salud Carlos III (Spain)
[CP16/00034, CD19/00176, IFEQ21/00170].
PS09.11
Study of the correlation between somatic cell count variation and extracellular vesicles
miRNA cargo in milk from healthy quarters
Mara D. Saenz‐de‐Juano; Giulia Silvestrelli; Susanne E. Ulbrich
ETH Zurich, Zurich, Switzerland
Introduction: Subclinical mastitis, the inflammation of the mammary gland without
clinical signs, is one of the most prevalent and costly diseases in dairy farming
worldwide. It usually derives from an intramammary infection (IMI) that induces a
rise in the somatic cell count (SCC) in the milk. For that reason, the SCC is a common
detection method with 200’000 cells/ml as the threshold. However, the SCC is highly
variable and apart from an IMI, other factors are of influence. Extracellular vesicles
(EVs) and their miRNA cargo have been suggested as potential biomarkers for mammary
gland health. The current study aimed to evaluate whether changes in SCC are reflected
in changes in the miRNA cargo of milk EVs.
Methods: Milk from four dairy cows was collected individually from one quarter during
four consecutive days (2 milking sessions/day). The SCC was determined and the milk
EVs were isolated from skimmed milk using acid precipitation, 0.22 μm filtration and
ultracentrifugation. The presence of EVs was confirmed by transmission electron microscopy
(TEM) and western blot (WB). Small RNA libraries were produced from 10 ng of extracted
RNA and sequenced.
Results: The milk SCC of the consecutive milking sessions was highly variable and
three cows showed a high SCC value above 200’000 cells/ml despite showing no signs
of clinical illness. The heterogeneity and integrity of EVs and the protein EV markers
CD9 and TSG101 were confirmed by TEM and WB. The sequencing revealed that despite
the SCC changes during milking sessions, the miRNA cargo abundance in milk EVs stayed
constant. Moreover, there was no difference between morning and afternoon milking
sessions, and we could not detect the presence of the mastitis related miRNA bta‐miR‐223
in any sample.
Summary/Conclusion: Our results show that miRNA cargo of milk EVs is very stable regardless
of the variation in the SCC, supporting their potential use as diagnostic markers
for subclinical mastitis.
Funding: ETH Research Grant ETH‐53 16‐1
PS09.12
Fate of milk extracellular vesicles during infant gastro‐intestinal digestion
Charlotte Oliver1; Lorraine O'Driscoll2; Andre Brodkorb3; Linda Giblin3
1Teagasc Food Research Centre, Moorepark, Fermoy, Co. Cork, Ireland, P61 C996 and
School of Pharmacy and Pharmaceutical Sciences, Trinity Biomedical Sciences Institute,
Dublin 2, Ireland, Fermoy, Ireland; 2School of Pharmacy and Pharmaceutical Sciences,
Trinity Biomedical Sciences Institute, and Trinity St. James's Cancer Institute, Trinity
College Dublin, Dublin 2, Ireland., Dublin, Ireland; 3Teagasc Food Research Centre,
Moorepark, Fermoy, Co. Cork, Ireland, P61 C996, Fermoy, Ireland
Introduction: The aim of this study was to track the fate of bovine milk extracellular
vesicles (EV) during human infant gastrointestinal digestion.
Methods: Bovine milk was digested according to the INFOGEST digestion protocol modified
for the infant gut (no oral phase; gastric phase 1h, pH 5.3, pepsin 286 U/mL; intestinal
phase 1h, pH 6.6, trypsin 16 U/mL, bile 3.1 mmol/L) (Ménard et al. 2018. Food Chem).
Samples were taken after gastric and intestinal phase and for indepth studies, bile
or enzymes were excluded or diluted. For EV separation fat was removed from test samples
by centrifugation (3000g, 15 min) and caseins were removed by acidification (pH 4.6).
Samples (6mL) were then centrifuged (12,000g 1h; supernatant 35,000g 1h; and supernatant
70,000g 1h). The pellet was collected after the final centrifugation at 110,000g for
90 min. EVs presence was evaluated by western blot (TSG101, CD9, xanthine dehydrogenase
(XDH), contamination marker: β‐lactoglobulin), nanoparticle tracking analysis and
atomic force microscopy.
Results: Milk EVs survived gastric phase conditions, but failure to detect markers
TSG101, XDH and CD9 indicated that EVs were disrupted and digested during the intestinal
phase. This was not due to bile concentration, but rather to intestinal enzymes. In
addition, intact EVs were not detected after intestinal phase by atomic force microscopy.
The particle concentration of milk EVs before digestion was 1.82x1010±1.34x1010 particles/mL
of milk and it significantly (P< 0.05) decreased after intestinal digestion to 5.97x108±6.25x107
particles/mL of milk.
Summary/Conclusion: Intact milk EVs were present at the end of the gastric digestion,
but intestinal digestive enzymes negatively impacted on EV structure and yield.
Funding: Irish Department of Agriculture food and fisheries, Grant No. 17F234‐MilkEVs
PS09.13
The cell study and stability of human milk exosome
Xiang Luo1; Driton Vllasaliu2
1King's College London, London, United Kingdom; 2King's College London, London, United
Kingdom
Introduction: Human breast milk is the best food for most nutrition before the infant's
digestive system is mature. Exosomes in human milk attract our attention since these
membrane‐bound spheres contain proteins and some specific RNAs. Compelling evidence
indicates exosomes have potential in drug delivery and as biomarkers for diagnosis.
In our study, the cell study for human milk exosome (HME) was carried out to determine
the biological activity in vitro. We also measure the stability of HME in the intestinal
digestion solutions.
Methods: HME isolation: The pH of human milk was adjusted to 4.6. Then a series of
gradient ultracentrifuge and filtration were carried out. The exosome pellet was washed
by PBS solution.
Characterization of HME: a) Nanoparticle tracking analysis for size, b) Transmission
electron microscopy for imaging, c) Exo‐check exosome antibody arrays kit for protein
determination
Cell transport study for permeability of HME, the Caco‐2 cell was incubated on a transwell.
Cell uptake: The cell uptake ability was measured after cell transport studies.
Cell proliferation study: 4‐day Caco‐2 cell proliferation study was conducted. The
cell viability was measured by MTS every 24h after sampling.
Stability of HME in intestinal digestion solution:
Fasted State Simulated Intestinal Fluid (FaSSIF) and Fed State Simulated Intestinal
Fluid (FeSSIF) were used to simulate intestinal fluid.
The stability of HME membrane was measured by DPH assay. DPH is a common fluorescent
probe in the study of the structural properties of phospholipid membranes.
Biocinchonic Acid (BCA) protein assay and NTA were used to measure the protein concentration
and the size after digestion.
Results: HME size is around 123 nm. TEM images were got.
Antibody kit: The signals were detected on TSG101, Alix, CD81 and ICAM but no signal
on GM130.
Cell permeability: around 30% of HME was transported after 3h incubation.
Cell uptake: around 15% of HME was uptake after 3h incubation.
Cell proliferation: HME increases the cell viability especially at 48h and 72h and
the peak is at 72h.
Stability of HME:
DPH: HME was damaged in FaSSIF and FeSSIF and 1% SDS compared with that in PBS. The
FaSSIF and FedSSIF groups have similar intensity.
The size of HME in FedSSIF mostly decrease when Fastsif and PBS batches also have
a decrease compared with stock exosome. There is no significant difference amount
these digested exosomes.
Summary/Conclusion: From the results so far, this isolation method can prepare exosomes
from human milk. The characterization of HME was measured and determined. The cell
permeability, cell uptake ability and the stability of HME show the potential use
in oral drug delivery. The cell proliferation of HME shows the potential in the treatment
of intestinal damage.
PS09.14
EVs from Citrus clementina isolated by scalable methodology show potential as immunomodulatory
ingredients for different industrial sectors
Laura Soriano‐Romaní; Elías Hurtado; Begoña Ruiz
AINIA, Parque Tecnológico de Valencia. C/ Benjamín Franklin 5‐11, E46980 Paterna (Valencia).
Spain, Valencia, Spain
Introduction: EVs from fruit juices raise as new potential sources to obtain plant‐derived
functional ingredients for both food and topical use products. It is known that the
isolation technology modifies the cargo of the EVs and, consequently, their functional
effect. The objective was to characterize Citrus clementina derived EVs, isolated
by scalable methodology, in terms of intestinal and dermal absorption and possible
immunomodulatory role using different cell models
Methods: To meet our goal, the scalable technology of ion exchange chromatography
was used to isolate EVs from Citrus clementina juice. EVs were characterized by NTA
and electronic microscopy. Then, EVs were fluorescent labeled with CFSE, and intestinal
epithelial cells and keratinocytes were seeded in permeable filter supports for transport
assays. In addition, the immunomodulatory role of EVs was evaluated in macrophages,
analyzing changes in ARN expression of cytokines. High quality protein from EVs was
isolated and characterized by LC‐HRMS
Results: EVs showed normal morphology and a mean size of 194±21 nm. The in vitro cell
assays with labeled EVs showed a transport of 39.8% after 4h in contact with intestinal
cells and 29.2% after 1h in contact with keratinocytes. EVs increased the expression
of IL‐8 and IL‐10 but not IL‐1b in macrophages, showing a clear immunomodulatory effect.
Preliminary proteomic results showed several protein clusters, including different
cysteine peptidases that may explain the biological effect in macrophages
Summary/Conclusion: EVs from Citrus clementina isolated by scalable methodology for
its industrial application, were transported by intestinal and dermal cells and showed
potential as functional immunomodulatory ingredients. A more extensive omic study
on its biocargo could identify and explain new potential effects and the mechanism
of action of them
Funding: Project financed by IVACE and the European Regional Development Fund, ERDF
(Ref. IMDEEA/2020/97)