Exosomes and extracellular vesicles (EV) are increasingly being explored as
circulating biomarkers, but their heterogenous composition will likely mandate
the development of single EV technologies. Highly multiplexed analyses of single
EVs have been challenging to implement beyond a few colors during spectral
sensing. We use a multiplexed analysis of the single EV technique (MASEV) to
interrogate thousands of individual EVs during 5 cycles of multi-channel
fluorescence staining for 15 EV biomarkers. Contrary to the common belief, we
show that i) several “ubiquitous” markers are much less common than believed;
ii) that multiple biomarkers concur in single vesicles but only in small
fractions, iii) that affinity purification can lead to loss of rare EV subtypes,
and iv) that deep profiling allows detailed analysis of EV potentially improving
the diagnostic content. These findings establish the potential of MASEV for
uncovering fundamental EV biology and heterogeneity and increasing diagnostic
specificity.
Abstract Figure
Graphical abstract
Multiplexed analysis of single EV (MASEV) allows robust
protein profiling at the single EV level, a prerequisite for
early cancer detection or organ of origin
determination.