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. 2020 Dec 9;10(12):1065. doi: 10.3390/diagnostics10121065

Table 3.

Summary of the methods used for isolation and purification of plasma and serum EVs in the context of liquid biopsy.

Method Advantages Limitations
Ultracentrifugation Differential centrifugation Commonly and routinely applied
Method protocol well established
[120,121]
Long and challenging procedure
High rate of contamination with plasma protein complexes
[119,121]
Density gradient centrifugation Commonly used
Higher purity than differential centrifugation
[120,121]
Difficult procedure
Purity improved but not suitable for biomarker detection
[120,121]
Ultrafiltration High purity rate used for cleaning up before SEC
[120]
Not commonly used
Frequent loss of recovered material
[119,120]
Precipitation High recovery yield
[125]
Low purity rate due to protein contamination
[125]
SEC High quality and purity rate
Outperforms other methods for useful detection of disease biomarkers
Used as a final “cleaning” step for accurate biomarker detection in hematological malignancies
[118,120,125,127]
Relatively lower recovery yield
[125]

Abbreviations: Size-Exclusion Chromatography (SEC).