Extracellular vesicles (EVs) are present in all body fluids, including blood, urine, saliva, milk, and the amniotic fluid. Exosomes form a district class of EVs differentiated from other EVs by endosomal biogenesis, the markers of the endosomal pathway, and the smallest size among all EVs. The size of exosomes is often reported with substantial variability between studies. The sizing results were found to be method dependent, reflecting the difference in physical principles employed by different analytical techniques to estimate EV sizes1,2. For example, the nanoparticle tracking analysis (NTA) ― the most widely used size characterization technique ― estimates the size of EVs as their hydrodynamic diameters, which characterize the resistance to the Brownian mobility of EVs in the solution. A larger hydrodynamic diameter of a vesicle implies its lower mobility in liquid. The coronal layer around vesicles, consisting of surface proteins and other molecules anchored or adsorbed to the membrane surface, substantially impedes the mobility and increases the hydrodynamic size of EVs. In relative terms, this increase is particularly large for the exosomes3, as illustrated in Figure 1.
The cryogenic transmission electron microscopy (cryo-TEM) imaging is a definitive technique in characterizing vesicle sizes and morphology in their hydrated states. However, the high cost of the instrumentation and the specialized expertise needed to use it correctly motivate the exploration of alternative techniques that can image hydrated EVs. A relatively small number of EVs observed or characterized in the acquired cryo-TEM images is another notable disadvantage of this technique.
Atomic force microscopy (AFM) visualizes the three-dimensional topography of hydrated or desiccated EVs4,5,6 by scanning a probe across the substrate to raster the image of the particles on the surface. The essential steps of the protocol to characterize EVs by AFM are outlined in this study. Before imaging the vesicles in liquid, they must be immobilized on a substrate by either tethering to a functionalized surface, trapping in a filter, or by electrostatic attraction7. The electrostatic fixation on a positively charged substrate is a particularly convenient option for immobilization of exosomes known to have a negative zeta potential. However, the same electrostatic forces that immobilize the extracellular vesicles on the surface also distort their shape, which makes post-imaging data analysis essential. We elaborate this point by describing the algorithm that estimates the size of the globular vesicles in the solution based on the AFM data on the distorted shape of the exosomes immobilized on the surface.
In the developed protocol, the procedure for the robust electrostatic immobilization of vesicles is presented and followed by the steps needed to perform atomic force imaging in the hydrated or desiccated states. The factors that influence the surface concentration of the immobilized vesicles are identified. The guidance is given on how to perform the electrostatic immobilization for samples with different concentrations of EVs in the solution. The selection of experimental conditions permitting the estimation of empirical probability distributions of different biophysical properties based on a sufficiently large number of immobilized vesicles is discussed. Examples of post-imaging analysis of the AFM data are given. Specifically, an algorithm is described for determining the size of vesicles in the solution based on the AFM characterization of immobilized EVs. The representative results show the consistency of the vesicle sizing by AFM with the results of cryo-TEM imaging.