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In the protocol above, a method is described that is scalable and reliably isolates EVs from various gram-negative/positive and aerobic/anaerobic bacteria. It has several potential stopping points throughout the procedure, although it is better to avoid taking longer than 48 h to isolate EVs from conditioned bacterial culture media.
First, it consists of culturing bacteria to generate conditioned bacterial culture medium. It was found that increasing the culture time to at least 48 h and using the optimal growth medium helps to maximize the EV yield. It is likely that each bacterial species will need to be optimized with regard to these two parameters. The volume of the bacterial culture is also important to ensure sufficient EVs are isolated for the desired application. For in vitro studies, the EVs are typically isolated from a minimum of 100 mL, while for in vivo studies, EVs are typically isolated from >1 L of culture medium. Again, the EV production characteristics of each bacterial strain and the required EV amount for downstream assays will dictate the minimum starting culture volume.
Once conditioned culture medium is available, cells and large non-EV debris must be removed. It was found that centrifugation is a critical step in this process. As noted in the protocol above, two increasing g-force centrifugations were performed. Occasionally, an additional 10,000 × g centrifugation is performed if it was noted that the pellet of the second spin is not compact. Subsequently, sterile filtration of this supernatant is performed through a 0.22 µm filter. Insufficient centrifugation leads to clogging and poor performance of this filtration step. It was noted that continuing to filter the supernatant after the filtration rate has significantly slowed can lead to filter malfunction and contamination of the EV preparation with the parental bacteria. The solution to persistent clogging of the filter is to re-centrifuge and/or re-filter the supernatant, ensuring sterility. The centrifugation and vacuum-driven filtration steps described were tested for up to a total of 4 L of bacterial culture. Further scale-up of EV isolation may require modifications. For example both of these steps could be potentially be substituted with sequential pump-driven filtration using compatible filter devices with decreasing pore size, down to 0.22 μm. However, this remains to be tested.
In the current protocol, two variations are described, depending on the starting volume of the bacterial culture. For volumes <100 mL, use centrifugal ultrafiltration devices to concentrate the culture media. The MWCO is critical in these steps. For mammalian EVs, >300 kDa MWCO were previously used11,12. However, this resulted in very poor EV yields from bacteria, presumably because of the smaller size distribution. Thus, it is recommended to use 100 kDa MWCO. A smaller MWCO can also be used but is associated with longer centrifugation times and less removal of small molecular weight contaminants, increasing sample viscosity. It is also helpful to have various sizes of ultrafiltration devices at 100 kDa MWCO to help concentrate different starting volumes of sample throughout the protocol.
Alternatively, for sample sizes significantly >100 mL, use pump-driven TFF to concentrate the sample; again, using a 100 kDa MWCO is critical. This method allows for processing large volumes of culture medium in a semi-automated fashion. It is important to obtain an appropriately-sized TFF device for the starting culture volume. The device used is rated at processing up to 200 mL of material by the manufacturer. It was possible to process up to about 2 L. However, a severe drop in the filtration rate was observed when trying to process larger volumes, requiring the process to be stopped and the device cleaned before additional processing. Thus, the characteristics of each bacterial culture and the amount of starting material will dictate the required size of the TFF device. Furthermore, the attainable pump speed is another important parameter for TFF. At low rates of ~100 mL/min, it was necessary to increase the backpressure in the TFF device using a clamp, as indicated in Supplemental Figure S2, to facilitate filtration, which increases the fouling rate of the filter. The tubing was reused up to 2 times after appropriate decontamination and autoclaving.
Once the sample is concentrated, it can then be loaded onto an SEC column to isolate the EVs. Commercial columns optimized for small EV isolation were used. For small starting samples, use columns with 0.5 mL loading volume, and use the columns with 2 mL loading volume for larger starting samples up to 2 L. It is likely that the processing of starting cultures >2 L will require larger columns. Manufacturers of EV-optimized columns currently offer SEC columns capable of accepting >100 mL of concentrated material.
Various methods are used to characterize the isolated EVs, most of which are widely available. Normalization was based on the protein concentration for most assays because this is not affected by the inability of other quantification methods (namely, particle quantification by technologies such as MRPS) to detect very small EVs <50 nm. MRPS and other nanoparticle quantification technologies remain useful in the relative quantification of EVs among the different fractions.
One critical aspect of MRPS quantification is the level of dilution. When diluted appropriately, the frequency of detected EVs should continue to increase to the limit of detection in most cases, as the instrument cannot quantify particles <50 nm. Insufficient dilution will lead to high instrument noise, which will generate an artifactual bell-shaped curve with a peak >65 nm (when using the recommended C-300 microfluidics cartridge). During size frequency distribution data analysis, an artefactual peak between 50 nm (the absolute limit of detection of the instrument) and 60 nm is still sometimes observed, despite adequate dilution. This is likely due to the presence of significant numbers of very small bacterial EVs (as visualized in TEM, Figure 2D) that are below the limit of accurate detection by MRPS and again lead to instrument noise. In this case, exclude data points smaller than the observed "peak," which becomes the de facto lower limit of quantitation of the given sample.
As described in this protocol, the quantification of EV abundance, total protein concentration, and abundance of non-EV proteins in the eluted chromatography fractions can help users decide which fractions to use for downstream assays. For example, small EVs were detected in pooled Fractions 7-8 (Figure 2D); however, their abundance was lower than that in the immediately preceding fractions, while the total protein concentration (Figure 2B) was higher. This may suggest that Fractions 7-8 contain higher amounts of non-EV-associated proteins and may thus not be desirable for certain downstream applications.
In summary, a versatile EV isolation protocol that relies on commercially available materials is described here. The significance of this methodology compared to widely used ultracentrifugation-based methods is that it comprises steps that can be easily reproduced by different users and is highly scalable. This is especially important to facilitate the generation of sufficient material for in vivo studies. It was used to isolate EVs from cultures of 100 mL to 2 L. Given the wide range of available TFF devices, it is possible that this protocol could be adapted to larger-scale purifications with some modification. The isolation protocol described is primarily based on the physical properties of EVs, namely their size, and is likely applicable to bacterial species beyond those described in this study.
One limitation of the protocol described is that it favors the isolation of small EVs, particularly <100 nm, as seen in the representative results. Prior reports also describe the presence of larger bacterial EVs15,16. Isolation of larger bacterial EVs may require modifications of the protocol above, for example, by using SEC columns optimized for larger EVs. Such SEC columns are also commercially available. Moreover, other protocols can likely attain higher EV purity (for example, density gradient ultracentrifugation or immuno-isolation). However, these methods lack the throughput and scalability of the methods described in this study. Modification of this protocol with additional purification steps in the future may further increase the yield and purity of preparations, which could be important for experimental and therapeutic applications.