Peritoneal fibrosis progression is regarded as a significant
cause
of the loss of peritoneal function, markedly limiting the application
of peritoneal dialysis (PD). However, the pathogenesis of peritoneal
fibrosis remains to be elucidated. Tissue-derived extracellular vesicles
(EVs) change their molecular cargos to adapt the environment alteration,
mediating intercellular communications and play a significant role
in organ fibrosis. Hence, we performed, for the first time, four-dimensional
label-free quantitative liquid chromatography–tandem mass spectrometry
proteomic analyses on EVs from normal peritoneal tissues and PD-induced
fibrotic peritoneum in mice. We demonstrated the alterations of EV
concentration and protein composition between normal control and PD
groups. A total of 2339 proteins containing 967 differentially expressed
proteins were identified. Notably, upregulated proteins in PD EVs
were enriched in processes including response to wounding and leukocyte
migration, which participated in the development of fibrosis. In addition,
EV proteins of the PD group exhibited unique metabolic signature compared
with those of the control group. The glycolysis-related proteins increased
in PD EVs, while oxidative phosphorylation and fatty acid metabolism-related
proteins decreased. We also evaluated the effect of cell-type specificity
on EV proteins, suggesting that mesothelial cells mainly cause the
alterations in the molecular composition of EVs. Our study provided
a useful resource for further validation of the key regulator or therapeutic
target of peritoneal fibrosis.