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[Preprint]. 2023 Oct 2:2023.10.02.560210. [Version 1] doi: 10.1101/2023.10.02.560210

Assessment of brain-derived extracellular vesicle enrichment for blood biomarker analysis in age-related neurodegenerative diseases: An international overview

AmanPreet Badhwar, Yael Hirschberg, Natalia Valle Tamayo, M Florencia Iulita, Chinedu T Udeh-Momoh, Anna Matton, Rawan M Tarawneh, Robert A Rissman, Aurélie Ledreux, Charisse N Winston, Arsalan S Haqqani; Alzheimer’s Association International Society to Advance Alzheimer's Research and Treatment, BBB-EWG
PMCID: PMC10592861  PMID: 37873207

ABSTRACT

INTRODUCTION

Brain-derived extracellular vesicles (BEVs) in blood allows for minimally- invasive investigations of CNS-specific markers of age-related neurodegenerative diseases (NDDs). Polymer-based EV- and immunoprecipitation (IP)-based BEV-enrichment protocols from blood have gained popularity. We systematically investigated protocol consistency across studies, and determined CNS-specificity of proteins associated with these protocols.

METHODS

NDD articles investigating BEVs in blood using polymer-based and/or IP-based BEV enrichment protocols were systematically identified, and protocols compared. Proteins used for BEV-enrichment and/or post-enrichment were assessed for CNS- and brain-cell-type- specificity; extracellular domains (ECD+); and presence in EV-databases.

RESULTS

82.1% of studies used polymer-based (ExoQuick) EV-enrichment, and 92.3% used L1CAM for IP-based BEV-enrichment. Centrifugation times differed across studies. 26.8% of 82 proteins systematically identified were CNS-specific: 50% ECD+, 77.3% were listed in EV- databases.

DISCUSSION

We identified protocol steps requiring standardization, and recommend additional CNS-specific proteins that can be used for BEV-enrichment or as BEV-biomarkers.

Full Text Availability

The license terms selected by the author(s) for this preprint version do not permit archiving in PMC. The full text is available from the preprint server.


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