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).