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Extracellular vesicles (EVs) are lipid bilayer vesicles secreted by cells, and their size ranges between 30 and 300 nm. EVs were first reported in 1978, with evidence from vesicles of patients with Hodgkin's disease1. These vesicles were reported to be 40 to 120 nanometers in size. In 1980, it was reported that EVs are involved in the coagulation system and thrombosis, formation of a blood clot inside a blood vessel in cancer patients2. After 30 years, EVs have been reported to be an important factor to promote tumor invasion, immune escape, and angiogenesis3. In addition, the functions of EVs have been studied as regulators in cellular interactions in the areas of inflammation, immune disorder, neurological disease, and cancer4. Since EVs contain specific biomolecules such as protein, mRNA, and microRNA5, their potential application in diagnostics and therapeutics has been analyzed6,7. EVs are a category composed of subgroups including exosomes, prostasomes, oncosomes, dexosomes, microparticles, promininosomes, argosomes, and exosome-like vesicles, depending on their cellular origin and biological function3. In addition, based on their biogenesis, these EVs can be divided into microvesicles (shed microvesicles, 100 - 1000 nm) and exosomes (30 - 300 nm)8,9. Among these, the exosome has been reported as a cell communicator for immune response10, cancer11,12, and infectious disease13.
Interest in the exosomes as a biomarker for early diagnosis is increasing rapidly, and the purification and characterization of exosomes must be accompanied with molecular imaging techniques. The varying sizes and morphologies of exosomes, depending on their origin and function14, can be distinguished by microscopy techniques with high resolution, such as electron microscopy. Most exosomes were visualized by negative stained Transmission Electron Microscopy (TEM)15,16,17, and these results were confirmed by immunolabeling of a specific protein in whole mount vesicle18. Several research groups have reported the structure through Scanning Electron Microscopy, Atomic Force Microscopy19,20, and Cryo-TEM21,22. However, while these techniques are useful for studying the exosome structure, they are insufficient for observing the position of specific proteins located inside the exosome. Therefore, we introduced a protocol for imaging exosomes with a specific protein's labelling. We applied block preparation, ultrathin sectioning, and immunostaining for ascertaining the protein's detailed location in the exosome. This was compared with negative staining and whole mount immunostaining, which is traditionally used for characterization of the exosome.