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. 2025 Jul 24;15(16):8031–8048. doi: 10.7150/thno.115131

Table 1.

Comparison of optimal body fluids for single EV analysis in liquid biopsy

Biofluid Advantages Disadvantages Applications References
Plasma high EV concentration
rich in tEVs
widely used clinically
high background of lipoproteins/proteins
co-isolation of contaminants
hemolysis may affect results
cancer diagnostics, biomarker discovery, monitoring treatment 61
Urine non-invasive
low protein background
low EV concentration
diluted samples
variable EV content depending on hydration
urological cancers 62
Saliva non-invasive
easy sampling
reflects oral and systemic conditions
low EV concentration
high bacterial content
contamination with mucins, high viscosity challenges EV isolation
oral cancers 63
CSF high relevance for CNS diseases invasive collection
low volume available
brain tumors 64
Pleural/Ascitic Fluids abundance of tEVs
relevant for metastatic cancers
invasive
patient-specific variability
ovarian, lung, and gastrointestinal cancers 65