Improving Reproducibility to Meet Minimal Information for Studies of Extracellular Vesicles 2018 Guidelines in Nanoparticle Tracking Analysis

Summary

Nanoparticle tracking analysis (NTA) is a widely used method to characterize extracellular vesicles. This paper highlights NTA experimental parameters and controls plus a uniform method of analysis and characterization of samples and diluents necessary to supplement the guidelines proposed by MISEV2018 and EV-TRACK for reproducibility between laboratories.

Abstract

Nanoparticle tracking analysis (NTA) has been one of several characterization methods used for extracellular vesicle (EV) research since 2006. Many consider that NTA instruments and their software packages can be easily utilized following minimal training and that size calibration is feasible in-house. As both NTA acquisition and software analysis constitute EV characterization, they are addressed in Minimal Information for Studies of Extracellular Vesicles 2018 (MISEV2018). In addition, they have been monitored by Transparent Reporting and Centralizing Knowledge in Extracellular Vesicle Research (EV-TRACK) to improve the robustness of EV experiments (e.g., minimize experimental variation due to uncontrolled factors).

Despite efforts to encourage the reporting of methods and controls, many published research papers fail to report critical settings needed to reproduce the original NTA observations. Few papers report the NTA characterization of negative controls or diluents, evidently assuming that commercially available products, such as phosphate-buffered saline or ultrapure distilled water, are particulate-free. Similarly, positive controls or size standards are seldom reported by researchers to verify particle sizing. The Stokes-Einstein equation incorporates sample viscosity and temperature variables to determine particle displacement. Reporting the stable laser chamber temperature during the entire sample video collection is, therefore, an essential control measure for accurate replication. The filtration of samples or diluents is also not routinely reported, and if so, the specifics of the filter (manufacturer, membrane material, pore size) and storage conditions are seldom included. The International Society for Extracellular Vesicle (ISEV)'s minimal standards of acceptable experimental detail should include a well-documented NTA protocol for the characterization of EVs. The following experiment provides evidence that an NTA analysis protocol needs to be established by the individual researcher and included in the methods of publications that use NTA characterization as one of the options to fulfill MISEV2018 requirements for single vesicle characterization.

Introduction

Accurate and repeatable analysis of EVs and other nanometer-scaled particles presents numerous challenges across research and industry. Replication of EV research has been difficult, in part, due to the lack of uniformity in reporting necessary parameters associated with data collection. To address these deficiencies, the ISEV proposed industry guidelines as a minimal set of biochemical, biophysical, and functional standards for EV researchers and published them as a position statement, commonly referred to as MISEV2014¹. The accelerating pace of EV research required an updated guideline, and the "MISEV2018: a position statement of the ISEV" expanded the MISEV2014 guidelines². The MISEV2018 paper included tables, outlines of suggested protocols, and steps to follow to document specific EV-associated characterization. As a further measure to facilitate interpretation and replication of experiments, EV-TRACK was developed as a crowd-sourcing knowledgebase (http://evtrack.org) to enable more transparent reporting of EV biology and the methodology used for published results³. Despite these recommendations for standardized reporting of methods, the field continues to suffer regarding replicating and confirming published results.

Fitting with the National Institutes of Health's and National Science Foundation's effort for quality assessment tools, this paper suggests that ISEV requires standardized reporting of methods and details so that data assessment tools might be applied with the goal of replicating results between laboratories. Reporting cell sources, cell culture procedures, and EV isolation methods are important factors to define the qualities of the EV population. Among NTA instruments, factors such as detection settings, the refractive index of carrier fluid, heterogeneous particle populations contributing to polydispersity, lack of standardized reporting requirements, and absent intra- and inter-observer measurement results make NTA comparison between labs difficult or impossible.

In use since 2006, NTA is a popular method for nanoparticle size and concentration determination that is currently used by approximately 80% of EV researchers⁴. The MISEV2018 Guidelines require two forms of single-vesicle analysis, of which NTA is one of the popular options. NTA continues to be in common use for EV characterization due to its wide accessibility, low cost per sample, and its straightforward founding theory (the Stokes-Einstein equation). EV assessment by NTA generates a particle size distribution and concentration estimate using laser light scattering and Brownian motion analysis, with the lower limit of detection determined by the refractive index of the EV. When using a fluid sample of known viscosity and temperature, the trajectories of the EVs are tracked to determine their mean-square displacement in two dimensions. This allows the particle diffusion coefficient to be calculated and converted into a sphere-equivalent hydrodynamic diameter by a modified Stokes-Einstein equation^5,6,7. NTA's particle-to-particle analysis has less interference by agglomerates or larger particles in a heterogeneous population of EVs than other methods of characterization⁷. While a few larger particles have minimal impact on sizing accuracy, the presence of even minute amounts of large, high light-scattering particles results in a notable reduction in the detection of smaller particles due to reduced software EV detection and tracking⁸. As a measurement technique, NTA is generally considered not to be biased toward larger particles or aggregates of particles but can resolve multiple-sized populations through individual particle analysis⁹. Because of the use of light-scattering by particles, one of the limitations of NTA analysis is that any particulate such as dust, plastic, or powder with similar refraction and size attributes compared to EVs cannot be differentiated from actual EVs by this method of characterization.

The NanoSight LM10 (nanoparticle size analyzer) and LM14 (laser module) have been sold since 2006, and although newer models of this instrument have been developed, this particular model is found in many core facilities and is considered a reliable workhorse. Training is needed to properly optimize the NTA settings for high-resolution measurements of size and concentration. The two important settings needed for optimum video recordings are (1) the camera level and (2) the detection threshold. These must be set by the operator based on the sample's characteristics. One of the major constraints of NTA analysis is the recommendation of sample concentrations between 10⁷ and 10⁹ particles/mL, to achieve this sample dilution may be required¹⁰. Solutions used for dilution, such as phosphate-buffered saline, 0.15 M saline, or ultrapure water, are rarely free of particles less than 220 µm in size, which may affect the NTA measurements. NTA characterization of the solutions used for dilution should be performed at the same camera level and detection threshold as the nanoparticle samples that are being analyzed.The size and concentration of nanoparticles present in diluents used for EV sample dilutions are seldom included in publications involving NTA analysis of EVs.

This protocol uses NTA analysis of synthetic EV-like liposomes evaluated using selected camera levels, detection thresholds, and mechanical filtering of the samples to analyze the systematic effects of camera level, detection threshold, or sample filtration on the NTA dataset. Liposomes were synthesized as described in Supplemental File S1. Synthetic liposomes were used in this experiment because of their size uniformity, physical characteristics, and stability in storage at 4 °C. Although actual samples of EVs could have been used, the heterogenicity and stability of EVs during storage may have complicated this study and its interpretation. Similarities in the NTA reports from (A) liposomes and (B) EVs indicate that the systematic effects revealed for liposomes in this paper will likely also apply to EV characterization (Figure 1). Together, these findings support the notion that complete reporting of critical software settings and the description of sample processing, such as diluent, dilution, and filtration, impact the reproducibility of NTA data.

The purpose of this paper is to demonstrate that varying the NTA settings (temperature, camera level, and detection threshold) and sample preparation changes the results collected: systematic, significant differences in size and concentration were obtained. As NTA is one of the popular options to fulfill the MISEV2018 characterization specification, these results demonstrate the importance of reporting sample preparation and NTA settings to ensure reproducibility.

Figure 1: Representative NTA reports to compare liposomes to EVs. (A) Liposomes: unfiltered sample characterized on NTA on 12 March 2020. (B) EVs: unfiltered sample characterized on NTA on 26 August 2021. Abbreviations: NTA = Nanoparticle tracking analysis; EVs = extracellular vesicles. Please click here to view a larger version of this figure.

Protocol

1. General protocol guidelines

1. Maintain the microscope on an air table or at a minimum on a vibration-free table. Ensure that extraneous vibrations (e.g., foot tapping on the floor, touching the table, door closures, laboratory traffic) are kept to a minimum.
2. Set and maintain the temperature of the laser module at a constant temperature for all video recordings.
   NOTE: The temperature chosen was 25 °C because the nanoparticle size analyzer was calibrated at that temperature. Therefore, it is important that all users of the instrument know and use the calibrated temperature. Room temperature is not an acceptable setting because it can vary.
3. Ensure that all diluents, also called negative controls (e.g., Dulbecco's Phosphate-buffered Saline (DPBS), ultrapure distilled water [DW]), are all NTA-characterized using the same camera level and detection threshold as the nanoparticle samples being measured. Use characterized DPBS for the flushing of the laser module and dilution of samples. Factor contaminants in the negative control DPBS into sample results if their levels are significant.
4. Store samples at 4 °C prior to evaluation and never freeze them as this would degrade the liposome sample. Warm samples/standards/diluents to room temperature for 30 min prior to analysis.
   NOTE: Sample handling was specific to the material being examined.
5. Evaluate sample and standards using Quick measurement to establish an appropriate dilution to obtain 10⁷ to 10⁹ particles/mL (approximately 50 to 100 particles/NTA video screen) determined to be optimal for NTA analyses.
   NOTE: The authors have found that particle concentrations at the higher end of this range produce more consistent and reproducible results.
6. Fill in all applicable fields within the Capture box of the SOP tab for both Quick and Standard measurements, including the dilution and diluent used.

2. Preparation of 50 nm and 100 nm size calibration standards

NOTE: See the Table of Materials.

1. 50 nm size Transfer Standards diluted 1:5,000
   1. Add 2 µL of the 50 nm standards to 9,998 µL of 0.22 µm-filtered 10 mM potassium chloride (KCl)/0.03% Tween 20 in ultrapure DW into a twice-rinsed 15 mL conical tube. Store the diluted 50 nm standard at 4 °C for up to a year.
2. 100 nm size Transfer Standards diluted 1:333
   1. Add 30 µL of the 100 nm standards to 9,970 µL of 0.22 µm-filtered 10 mM KCl/0.03% Tween 20 in ultrapure DW into a twice-rinsed 15 mL conical tube. Store the diluted 100 nm standard at 4 °C for up to a year.

3. Cleaning and assembly of the laser module

1. Visually inspect the laser module and flow-cell cover windows for scratches or imperfections.
   NOTE: If either glass surface is scratched, imaging may be affected.
2. Clean both glass surfaces gently with a good quality lens cleaner and lens paper. Do not use tissue wipes or paper towels on glass surfaces.
3. Ensure that the O-ring seal is properly seated in the groove of the flow-cell cover prior to assembly.
4. Place the flow-cell cover on the laser module, ensuring the electrical contacts are in the proper orientation. Place the 4 spring-loaded thumbscrews through the flow-cell plate and engage the threads of the laser module but do not tighten individually.
5. Putting uniform pressure down on the flow-cell cover, uniformly tighten the thumbscrews in an alternating diagonal manner until snug. Only tighten the thumbscrews until finger-tight. Do not overtighten.
   NOTE: Uneven tightening of the thumbscrews can crack the laser module surface. Newer-designed thumbscrews will "bottom out" at the proper pressure, avoiding possible overtightening.

4. Flushing procedure for the laser module prior to and between samples

1. Use a newly opened container of DPBS and aliquot into triple-rinsed 15 mL polypropylene tubes. Ensure that products used to flush or dilute samples are NTA-characterized prior to use (see step 1.3).
2. Flush two 1 mL tuberculin syringes with slip lock adaptors 3 times with 1 mL of DPBS to remove any particulate residues. Use either port as the input but use it consistently during the experiment. Do not use larger syringes due to the danger of breaking syringe ports from the increased weight and size of the syringe.
3. Remove and discard the plunger from the 1^st tuberculin syringe and insert it into the remaining port to serve as a voided diluent/sample reservoir.
   NOTE: Failure to remove the plunger will cause increased pressure in the sample chamber and leakage around the seal.
4. Fill the 2^nd syringe with 1 mL of DPBS and attach it to the inlet port of the flow-cell cover.
5. Hold the laser module tilted with the outlet syringe port elevated to allow air to be purged from the chamber as the DPBS is injected slowly into the laser module.
6. Flush the remaining DPBS from the laser module by injecting 1 mL of air into the inlet port. Repeat flushing 2 more times.
7. Empty the laser module as completely as possible after the last flush.
   ​NOTE: Thorough, careful flushing is necessary following NTA analysis of the 50 nm standard, as these particles persist in the laser module. The laser module is now ready to be used.

5. Placement of the laser module on the microscope stage

1. Locate the laser module focus alignment guides on the arm of the microscope (Figure 2) and align them using the focus knob.

Figure 2: Laser module focus alignment guide. Please click here to view a larger version of this figure.

2. Facing the microscope, place the laser module in the grooved stage and gently slide it as far as possible to the right.
   NOTE: If done carefully, the alignment and focal spot will be easier to locate between samples.
3. Turn on the rocker switch on the laser control box.

6. Focusing and positioning of the laser module

NOTE: This must be performed with fluid in the chamber.

1. Load the NTA software (see the Table of Materials) from the desktop.
   NOTE: An error may appear, "Temperature H/W not found on COM3." Simply close and reopen the software to fix it.
2. Click Start Camera under the Capture tab in the upper left corner box. If the camera shuts off automatically after 5 min, simply click Start Camera again to restart it.
3. In the same tab, adjust Camera Level to 14 to 16 to brighten the laser line and simplify particle identification and focus.
4. Divert the image from the camera to the eyepieces by moving the top slider on the left side of the headpiece in or out.
5. Find the area of increased density, commonly referred to as the thumbprint. Center and focus the thumbprint vertically in the field of view.
   NOTE: The laser line will be to the left of the thumbprint. Darkening the room may help facilitate locating the thumbprint and focusing on the laser line.
6. Center the laser line in the field of view; move the top slider to divert light to the camera as observed on the computer screen.
   NOTE: The laser line now visible on the screen is a mirror image of the eyepiece view; left in the eyepieces will be right on the computer screen.
7. Adjust the focus to sharpen the image of individual moving particles on the screen with the focus knob.
   NOTE: Due to the depth of focus, all the particles will not be in focus, which is acceptable. Even particles that are slightly out of focus will be captured by the camera and analyzed by the software.

7. Loading standards/samples/diluent into the laser module for NTA analysis

1. Draw up 1 mL of standard/sample/diluent into a rinsed 1 mL tuberculin syringe and attach it to the inlet port of the flow-cell cover. Advance the plunger until fluid is evident in the open syringe attached to the outlet port.
2. In the camera view, move to the right of the laser line to an area of a uniform number of particles. If necessary, adjust the vertical orientation to center the horizontal bands of light. Refocus until the highest number of particles are in view. Ensure that for all subsequent measures, this position is maintained as closely as possible.
3. Adjust the Camera Level to the point that the Dark information symbol flashes intermittently on and off in the top right of the camera view.
   NOTE: This helps ensure that a consistent camera level selection is made at the minimum sensitivity level for each data collection series.
   NOTE: Camera Level cannot be changed during capture.

8. Validation of calibration

NOTE: It is recommended to validate the module calibration using size standards (see section 2) prior to sample analysis. Routine validation is necessary to ensure accurate measurements. In a multiuser laboratory, individual user adjustments of software configuration settings can inadvertently cause inaccurate data collection. For critical data collection, daily validation is a matter of good laboratory practice. The day-to-day reproducibility of validation needs to be included in the reported results. Typically, calibration is set by the technician and is not adjustable by the individual user unless the user has administrator access. This prevents unauthorized reconfiguration by individual users.

1. Warm diluted standards (see section 2) to room temperature for 30 min.
2. Briefly vortex the standards and then load as described in section 7.
3. Perform sample NTA as described in section 10 and record values for subsequent calculation of the coefficient of variation, which should be less than 2% if correctly calibrated.

9. Optimizing sample concentration for NTA

NOTE: The screen should contain between 50 and 100 measurable particles when the camera level and sample concentration are adjusted properly. If there is any question about whether a sample has an appropriate particle number, a Quick Measurement can be run on the sample at this point (see steps 9.1 to 9.7). It is used to assess the sample characteristics rapidly prior to longer video captures. The Quick Measurement tab is found within the SOP tab in the bottom middle box.

1. Set Capture duration to 30 s.
2. Accept the existing base filename or enter a new filename by clicking the ... tab for a new storage site for generated data.
3. Check the box for Target temperature and input the desired temperature.
4. Load the sample as previously described (step 7.1) and click Create and Run Script.
5. Wait for the number of particles per frame to be displayed on the bottom right of the video screen after the completion of the 30 s video. If the number of particles is greater than 100, flush the laser module 3 times (as previously described in step 4.6).
6. Dilute the sample to the desired concentration range using the characterized diluent.
7. Load the properly diluted sample into the flushed laser module and run the Quick Measurement to verify the sample is within the acceptable range.

10. Sample NTA

NOTE: The Standard Measurement tab is within the SOP tab in the bottom middle box and is used for routine sample analysis (see steps 10.1 to 10.12).

1. Set the duration to 30 or 60 s and the number of videos to 5.
2. Accept the existing base filename or enter a new filename by clicking the ... tab for a new storage site for generated data.
3. Check the box for Target temperature and input the desired temperature.
4. Click Create Script to reuse this Standard Measurement.
5. Once the sample is loaded as described in section 7 and the experiment is ready to run, click Create and Run Script.
6. Fill out the fields in the Set Report Details popup screen with information on the operator, sample description, dilution of the sample, and diluent used.
   NOTE: This information will be recorded and printed on the final experimental report.
7. When all desired fields have been filled, click OK to initiate the script.
   NOTE: If Target temperature was selected, the heater will stabilize the sample in the laser module to the desired temperature for 5 s prior to allowing the script to proceed with the measurement. The diagnostic panel in the lower-left corner of the screen will read HEATER ON and display the temperature of the sample.
8. Prior to each video capture, look for a prompt to Advance the plunger manually. Inject ~0.05 mL of the sample into the laser chamber and allow the particles to come to "rest" (i.e., not flowing), and then click OK.
9. Wait for a Settings Confirmation box to appear upon the completion of the 5^th video capture and for the Process box to flash. Set the Detection Threshold for processing of the sample by noting the number of blue crosses marking particles on the screen as the frames are advanced manually from the bottom of the video screen. If there are more than 3-4 blue crosses marking particles on each screen as frames are advanced, increase the Detection Threshold.
   NOTE: The blue crosses on the individual particles are analogous to the "swarm" effect in flow cytometry and should be minimized for optimum accuracy and reproducibility of data collection.
10. Click Settings OK when the Detection Threshold is acceptable.
11. Wait for the videos to be automatically processed and a histogram of results and a dialog box notification of completion to be displayed before clicking OK.
12. Once the Export Settings box appears, save the results by clicking Export.
    NOTE: All results from videos and analysis will be stored in the destination file defined in step 10.2. This requires a large amount of storage. Monitor and transfer to a secondary storage device as necessary.

11. Re-analysis of the current sample at different detection thresholds

NOTE: Immediately following NTA analysis (step 10), the data can be reanalyzed using different Detection Threshold settings. However, Camera Level cannot be modified following capture.

1. Highlight all 5 of the capture videos listed in the Current Experiment.
2. Click Process Selected Files, and wait for the Setting Confirmation box to appear and the Process box to flash to change Detection Threshold.
3. Adjust the Detection Threshold to the desired level and click Setting OK.
4. Wait for the videos to be automatically processed and a histogram of results and a dialog box notification of completion to be displayed before clicking OK.
5. Click Export Settings. When additional evaluations are performed on the most recent sample, be sure to click the Export Results box in the Current Experiment as the Export Results popup box will not be displayed following the sample re-analysis.
   NOTE: As there are no reminders to do this, it can easily be overlooked, and the analysis will be lost. However, the underlying data will remain and can be reanalyzed later.

12. Analysis of archived files

NOTE: If previously analyzed experiments have not been saved or additional analysis needs to be done on these samples, the individual files can be reloaded into the NTA software for additional Detection Threshold evaluations. Camera Level changes cannot be modified following capture.

1. Load the NTA software from the desktop.
2. Click the Analysis tab in the lower middle panel.
3. Click Open Experiment and navigate to the desired .nano file.
   NOTE: The video files associated with the selected .nano experiment must be in the same folder as the main experiment file; otherwise, an error will appear when trying to process the files. The first 6 digits of the filename are the date the experiment was run (xx-xx-xx). The last 6 digits of the filename are the time the video was recorded (xx-xx-xx) and the individual video identifier. The PDF file of each combined experiment lists the included .nano files for that analysis.
4. Click Process Selected Files to run the analysis.
5. Once the Process box flashes to allow changes in Detection Threshold, set the threshold to the desired level and click OK.
6. Wait for the videos to be automatically processed and a histogram of results and a dialog box notification of completion to be displayed before clicking OK.
7. Click Export Results. Be sure to click the Export Results box in the Current Experiment, as the Export Results popup box will not be displayed following the re-analysis.
   NOTE: As there are no reminders to do this, it can easily be overlooked, and the analysis will be lost.

13. Cleaning and disassembly of the laser module

1. Turn off the laser control box.
2. Flush the entire sample from the laser module and discard it properly.
3. Hold the laser module tilted with the open syringe port elevated to allow air to be purged from the chamber as the DPBS is injected slowly into the laser module and is flushed from the outlet syringe port.
4. Flush the remaining DPBS from the laser module and discard.
5. Repeat flushing 2 more times and empty the laser module as completely as possible after the last flush.
6. Putting uniform pressure down on the flow-cell cover, uniformly loosen thumbscrews in an alternating diagonal manner until disengaged from threads, remove the thumbscrews, and store in the laser module case.
7. Remove the flow-cell cover from the laser module.
8. Clean both glass surfaces gently with a good quality lens cleaner and lens paper. Do not use tissue paper or paper towels on glass surfaces.
9. Visually inspect the laser module and flow-cell cover "windows" for scratches or imperfections following use and report to the supervisor.
10. Replace the laser module and flow-cell cover in their cases to prevent damage to glass surfaces during storage.

14. Sample analysis protocol

1. Unfiltered samples
   1. Vortex the sample prior to loading and record 5 x 60 s videos at Camera Level 12 and Detection Threshold Level 3 as described above. Reanalyze these videos using Detection Thresholds 2 and 5.
   2. Repeat video collections of the same sample at Camera Levels 13 and 14 and Detection Threshold Level 3. Reanalyze these 2 additional videos using Detection Thresholds 2 and 5. Repeat the entire process using 5 x 30 s videos in the SOP setting.
2. Filtered samples
   1. Vortex the sample and then simultaneously load and filter it (0.22 µm syringe filter) directly into the laser module.
      NOTE: The syringe filter was flushed with 2 times the volume of the filter dead space prior to use to remove any resident particulates. The syringe filters (see the Table of Materials) had a measured dead space of 0.5 mL and were flushed with 1.0 mL of the sample prior to measurements. Note the filter type in the SOP data fields. The filtered sample was processed exactly as described for unfiltered samples in step 14.1.

15. Statistical analysis of NTA results

1. For the analysis of main effects or interactions, perform analysis of variance following a check of ANOVA assumptions (normality, unimodal, homogeneity of variance). Use Kruskal-Wallis one-way ANOVA on ranks in cases of failure of ANOVA assumptions.
2. Following the return of significant main effects, use Dunn's method to perform means testing for preplanned comparisons. Consider a p-value of 0.05 to be significant in two-tailed testing.
   NOTE: Data files generated here are available from the authors following the completion of a materials transfer agreement.

Representative Results

Table 1 contains the results of the NTA videos for the liposome samples (18 filtered and 18 unfiltered) and a representative DPBS diluent. Comparisons across the two groups were completed regardless of the camera level or detection threshold in this paper. Filtered samples had a mean particle diameter of 108.5 nm, a particle mode of 86.2 nm, and a concentration of 7.4 × 10⁸ particles/mL. In contrast, unfiltered samples had a mean particle diameter of 159.1 nm, a particle mode of 105.7 nm, and a concentration of 7.6 × 10⁸ particles/mL. Mean and mode values for the filtered and unfiltered samples, regardless of the camera level or detection threshold, were statistically significant (p < 0.05). Differences in concentration between the filtered and unfiltered samples, regardless of the camera level or detection threshold, were non-significant (p = 0.86).

Comparisons of Filtered vs Unfiltered Samples
Sample	Cam Lev	Det Thr	Mean		Mean %CV		St. Dev.		Conc. × 108		St. Dev. × 107
			Filtered	Unfiltered	Filtered	Unfiltered	Filtered	Unfiltered	Filtered	Unfiltered	Filtered	Unfiltered
Liposome	12	3	138.3	162.1	55.5	47.5	76.7	77	3.2	6.48	1.74	3.16
Liposome	12	2	126.3	153.7	58.7	49.8	74.2	76.5	4.94	8.23	2.74	3.5
Liposome	12	5	155	172.2	51.8	45.6	80.3	78.6	1.91	5.05	1.02	2.9
Liposome	13	3	102.7	169	43.5	51.3	44.7	86.7	6.72	7.75	1.91	1.17
Liposome	13	2	95.8	161.4	43.3	52.7	41.5	85	10.3	9.7	1.61	1.83
Liposome	13	5	110.7	176.1	42.5	47.1	47	83	4.16	6.28	1.83	1.07
Liposome	14	3	98	147.6	42.4	43.8	41.6	64.6	10.6	8.56	2.4	1.66
Liposome	14	2	92.9	142.1	42.6	45.2	39.6	64.3	14.9	10.7	2.54	1.83
Liposome	14	5	103.8	153.8	41.1	42.6	42.7	65.5	7.42	7.02	2.37	1.51
Liposome	12	3	105.6	179.4	22.2	46.7	23.4	83.7	5.2	5.81	1.06	4.28
Liposome	12	2	100.3	170.8	24.3	49.1	24.4	83.8	7.76	7.39	1.61	4.41
Liposome	12	5	112	187.2	20.4	42.9	22.8	80.4	3.27	4.68	0.815	3.93
Liposome	13	3	99.8	153.3	23.4	52.1	23.4	79.8	7.19	7.34	3.37	1.5
Liposome	13	2	94.3	143.6	25.8	53.2	24.3	76.4	10.8	9.53	4.3	2.46
Liposome	13	5	106.8	162	21.3	49.4	22.7	80	4.64	5.76	2.63	1.01
Liposome	14	3	103.4	142.3	31.7	49.6	32.8	70.6	9.91	8.66	3.29	12.5
Liposome	14	2	97.8	136	33.3	51.4	32.6	69.9	13.8	11.5	2.98	15.7
Liposome	14	5	109.5	151.4	31.1	49.5	34	74.9	7.27	6.76	3.42	10.1
Average			108.5	159.1	36.4	48.3	40.5	76.7	7.4	7.6	2.3	4.1

Table 1: Data table of collected values, standard deviation, and percent coefficient of variation for filtered and unfiltered samples. Abbreviations: Cam Lev = camera level; Det Thr = detection threshold; CV = coefficient of variation; St. Dev. = standard deviation; Conc. = concentration.

When the liposome sample results were parsed by detection threshold (2, 3, 5) and camera level (12, 13, 14), the results were not significant (Figure 3). It should be noted that there were only 3 evaluations (n = 3) at each of these individual levels. This small sample size at each camera level and detection threshold likely contributed to the lack of individual comparisons being significant. However, when detection threshold (2, 3, 5) samples were evaluated regardless of camera level across the filtered and unfiltered samples (n = 3), both the mean size (Figure 3A) and mode size (Figure 3B) were significantly (p < 0.05) different. In contrast, differences between filtered and unfiltered sample concentrations (Figure 3C) were not significantly different.

Figure 3: Effects of camera level and detection threshold on measured particle size and concentration of filtered and unfiltered samples. Mean (A) and Mode (B) particle size at combined camera levels 12, 13, 14 as the detection threshold was increased from 2 to 3 to 5 (n = 3), showing a significant decrease in particle sizes of the filtered samples. Particle concentrations (C) at combined camera levels 12, 13, 14 as the detection threshold was increased from 2 to 3 to 5) (n = 3), showing a concentration decrease as the detection threshold increased with no significant difference between filtered and unfiltered samples. Mean (D) and Mode (E) particle size at combined detection thresholds as the camera level increased from 12 to 14 (n = 3), showing a decrease in particle size of the filtered samples. Particle concentrations (F) at combined detection thresholds as camera levels increased from 12 to 14 (n = 3), showing a concentration increase as the camera level increases with no significant differences between filtered and unfiltered samples. Abbreviation: DT = detection threshold. Please click here to view a larger version of this figure.

When the 3 camera levels (12, 13, 14) were evaluated regardless of detection threshold level (n = 3), both the mean size (Figure 3D) and mode size (Figure 3E) increased in the filtered samples. Sample concentrations showed a tendency to increase as the camera level increased from 12 to 14 (Figure 3F). The differences between filtered and unfiltered sample concentrations evaluated at different camera levels were not significantly different.

Supplemental File 1: Please click here to download this File.

Discussion

There are several methods available to estimate the size and concentration of nanoparticles¹¹. These include ensemble methods that generate a size estimate from a population, including dynamic light scattering (DLS), centrifugal sedimentation, and single-particle level analysis-electron microscopy, NTA, atomic force microscopy, and tunable resistive pulse sensing. Of these, DLS and NTA are widely used, nondestructive size and concentration measurement methods, based on Brownian movement in an ideal medium. DLS relies on the scattering of light and the intensity is proportional to the square of the particle volume. Thus, DLS is more sensitive than NTA to the presence of large particles, aggregates, or polydisperse populations.

NTA calculates the diffusion coefficient from the path length of individual particles measured in successive video frames. The main limitation of NTA is the narrow range of particle concentration that it can evaluate compared to DLS and other measurement methods, such that individual particle pathlengths must fall within the diffraction limit of the microscope and the tracking software's capabilities. As DLS and NTA depend on Brownian movement, both can be expected to show good size agreement in monodispersed populations; they diverge when evaluating polydisperse populations and those with aggregates. The latter renders DLS useless and increases the NTA particle size estimate significantly¹². NTA's best-known limitation is that it requires much lower particle concentration (or greater dilution) than other measurement methods. Despite this, NTA characterization is popular in nanomaterials research. Because NTA size and concentration estimates depend on a more diluted population, with defined temperature, video capture settings, including recording length, camera level, detection threshold, and sample dilution to be highly reproducible, this paper focuses on the need for reporting these to generate reproducible results.

This paper shows that using a standardized protocol enabled replication of results and that utilization of positive controls, such as size standards, provides information about the machine's calibration. Furthermore, these results indicated the importance of reporting laser module chamber temperature, camera levels, detection threshold, and filtration (filter type and size). In contrast, laser module chamber temperature, diluent, and dilution factor are equally important for accurate and reproducible results. Although neither MISEV2018 nor EV-TRACK specifically recommends the inclusion of this information, we suggest that the inclusion of these details enables independent confirmation of published results and adds robustness to the experimental design.

Limitations of using latex size calibration standards for NTA calibration in EV analysis are acknowledged and include the known refractive index differences compared to lipid bi-layer nanoparticles of similar size. In this paper, latex beads were used to confirm machine calibration prior to measurements and not to determine the limits of detection. The liposomes have a membrane similar to those of naturally occurring EVs, and the refractive index will be likewise representative of EVs. The size standards, as well as the liposome samples, are monodispersed populations; therefore, their size distribution will follow a Gaussian or log-normal distribution. Natural EVs are polydisperse, and their size distribution will follow a power-law function¹³.

Historically, publications using NTA characterization inconsistently report necessary details to duplicate the research results. The ability to reproduce NTA data relies on the ability to duplicate the settings used to capture the original data. Without this information, the reproduction of experimental results using NTA will be extremely difficult. With rigorous adherence to a set protocol and publication of the setting parameters used with the NTA, accurate replication of results can be attained. The following recommendations are made to improve the consistency of nanoparticle characterization of size, concentration, composition, and purity using a nanoparticle size analyzer.

First, always check the calibration of the nanoparticle size analyzer using appropriate size standards, such as latex size standards. This should be done on a regular basis and recorded in the instrument log and prior to the analysis of critical samples. Second, all adjustable parameters, such as laser module chamber temperature, camera levels, and detection thresholds, should be recorded for each sample in the Sample Log file, as should the dilutions and diluents used. These parameters should be reported as they are operator-dependent and impact NTA measurements. Third, diluents used for sample dilution need to be characterized for nanoparticle content and reported. The diluents used for individual nanoparticle samples will need to be evaluated using the same camera level and detection threshold settings as those used for the diluted sample. Fourth, syringe filters should be flushed with two times the dead space volume prior to data collection or sample preparation steps to flush the numerous particulates remaining from the manufacturing process. Fifth, the concentration of the nanoparticles within the sample should be adjusted to within the suggested optimum 1.0 × 10⁷ to 1.0 × 10⁹ per mL.

Acknowledging the above-described limitations in this study, we show that both the size and concentration values obtained by NTA can be affected by NTA parameters, such as camera levels and detection thresholds, and that the size, but not the concentration, can be affected by sample preparation. This drives home the critical importance of reporting these parameters in nanomaterial and EV literature, enabling the production of robust, reproducible literature so that we can systematically investigate the impact of EV source, isolation, and other experimental variables.

Materials

Name	Company	Catalog Number	Comments
Automatic Pipetter
Centrifuge Tubes, Conical, Nunc 15 mL	Thermo Sci.	339650
Kimwipes
Lens Cleaner
Lens Paper
NanoSight LM-10	Malvern Panalytical
NanoSight LM-14 Laser Module	Malvern Panalytical
Nanosight NTA Software Ver. 3.2	Malvern Panalytical
Paper Towels
Pipette Tips, 1-200 µL, Filtered, Sterile, Low Binding	BioExpress	P -3243-200X
Pipette Tips, 50-1,000 µL, Filtered, Sterile	BioExpress	P-3243-1250
Saline, Dulbecco's Phosphate Buffered (No Ca or Mg)	Gibco	14190-144
Standards, Latex Transfer- 100 nm (3 mL)	Malvern	NTA4088
Standards, Latex Transfer- 50 nm  (3 mL)	Malvern	NTA4087
Syringe Filter, 33 mm, .22 µm, MCE, Sterile	Fisher brand	09-720-004
Syringe, TB, 1 mL, slip tip	Becton Dickinson	309659
Waste fluid container