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FACS-Proteomics strategy toward extracellular vesicles single-phenotype characterization in biological fluids: exploring the role of leukocyte-derived EVs in multiple sclerosis

Title: FACS-Proteomics strategy toward extracellular vesicles single-phenotype characterization in biological fluids: exploring the role of leukocyte-derived EVs in multiple sclerosis
Authors: Cufaro, Maria Concetta; Lanuti, Paola; De Bellis, Domenico; Veschi, Serena; Piro, Anna; Fontana, Antonella; Di Sebastiano, Alice; Brocco, Davide; Simeone, Pasquale; Pilato, Serena; Khorooshi, Reza M. H.; Tomassini, Valentina; Rispoli, Marianna Gabriella; Federici, Luca; Cicalini, Ilaria; Pieragostino, Damiana; Del Boccio, Piero
Contributors: Cufaro, Maria Concetta; Lanuti, Paola; De Bellis, Domenico; Veschi, Serena; Piro, Anna; Fontana, Antonella; Di Sebastiano, Alice; Brocco, Davide; Simeone, Pasquale; Pilato, Serena; Khorooshi, Reza M. H.; Tomassini, Valentina; Rispoli, Marianna Gabriella; Federici, Luca; Cicalini, Ilaria; Pieragostino, Damiana; Del Boccio, Piero
Publication Year: 2025
Collection: ARUd'A - Archivio Istituzionale della ricerca dell'università Chieti-Pescara (IRIS)
Description: Background: The isolation and proteomics characterization of extracellular vesicles (EVs) from body fluids is challenging due to their vast heterogeneity. We have recently demonstrated that Fluorescence-activated Cell Sorting (FACS) efficiently isolates the whole EV circulating compartment directly from untouched body fluids enabling a comprehensive EV proteomics analysis. Results: Here, we characterized, for the first time, a single-phenotype EV subset by sorting leukocyte-derived EVs (Leuko EVs) from peripheral blood and tears of healthy volunteers. Using an optimized and patented staining protocol of the whole EV compartment we identified and excluded non-EV particles, debris and damaged EVs. We further isolated, using an anti-CD45 antibody, Leuko EVs (CD45+ EVs), reaching a high level of purity (> 90%). Purified Leuko EVs were characterized using atomic force microscopy, nanoparticle tracking, and shotgun proteomics analysis revealing a similar coded protein cargo in both biological fluids. Subsequently, the same workflow was applied to tears from Relapsing–Remitting Multiple Sclerosis (RRMS) patients, revealing a Leuko EVs protein cargo enrichment that reflects the neuroinflammatory condition characteristics of RRMS. This enrichment was evidenced by the activation of upstream regulators TGFB1 and NFE2L2, which are associated with inflammatory responses. Additionally, the analysis identified markers indicative of endothelial cell proliferation and the development of enhanced vascular networks, with AGNPT2 and VEGF emerging as activated upstream regulators. These findings indicate the complex interplay between inflammation and angiogenesis in RRMS. Conclusions: In conclusion, our combined FACS-Proteomics strategy offers a promising approach for biomarker discovery, analysing cell-specific EV phenotypes directly from untouched body fluids, advancing the clinical value of tears EVs and improving the understanding of EV-mediated processes in vivo. Data are available via ProteomeXchange with the identifier ...
Document Type: article in journal/newspaper
File Description: ELETTRONICO
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/40394633; info:eu-repo/semantics/altIdentifier/wos/WOS:001492055700001; volume:23; issue:1; numberofpages:19; journal:JOURNAL OF TRANSLATIONAL MEDICINE; https://hdl.handle.net/11564/858040
DOI: 10.1186/s12967-025-06558-4
Availability: https://hdl.handle.net/11564/858040; https://doi.org/10.1186/s12967-025-06558-4
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.DE2F84A9
Database: BASE