MVs were isolated from the conditioned medium of cancer urothelial T24 cells after differential centrifugations. Following the protocol, the EV fraction was first detected after centrifugation at 10,000 × g when it was seen as a white pellet (Figure 2G).
Next, the EVs were processed according to the above protocol and examined under TEM. Pt/C shadowing produced (Figure 4L) relatively large replicas that frequently broke up into smaller fragments during the cleaning step. Large replicas and their smaller fragments were picked on the TEM grid and compared under the microscope. The results showed no differences in the quality of the replica surfaces regardless of their size, and they can, therefore, all be used. Low magnification examinations showed regions of the replica with i) a homogeneous surface (background), ii) concave and convex spherical profiles (vesicles), and iii) regions of damaged surface (artifacts; Figure 5A). Typical artifacts were seen as ruptures, folds, and irregular dimmer shadows (i.e., replicas of ice-crystal deposits on the specimen). It is also important to note that no cell debris or cellular organelles were seen, confirming the purity of the sample (Figure 5B).
The isolated vesicles were commonly gathered either in clusters of three or more or were individually distributed (Figure 5B). The vesicles were spherical, which points to good preservation of the ultrastructure during isolation, fixation, and freezing (Figure 5C). "Flat-ball" and elongated vesicles (Figure 5C), which were seen occasionally, were presumably artifacts of preparation and were not included in the subsequent measurements of vesicle diameter. The diameter of the visible profiles was 238.5 nm (±8.0 nm, n = 190), which, taking into account the correction factor proposed by Hallett et al.17, corresponds to the mean vesicle diameter of 304 nm (±10 nm; Figure 5D). The size correlates to a diameter range of MVs between 100 nm and 1000 nm and proves the effectiveness of the used isolation protocol. The images of the vesicles together with diameter determination unequivocally confirmed that the EVs in the isolate were enriched with MVs.
The analysis of the replicas revealed the organization of P-face and E-face of the MV limiting membranes. MVs were observed as concave and convex round shapes (Figure 5C,E,F), reflecting the fracture plane. The convex shapes represent E-faces (i.e., fractured exoplasmic leaflet of the membranes; Figure 5E). The exoplasmic faces of the EVs had a smooth, uniform appearance. The concave shapes correspond to P-faces (Figure 5F). In the P-faces, a few protruding intramembrane particles were seen within smooth membranes (Figure 5C,F). This implies that MVs isolated from cancer urothelial T24 cells contain only a low amount of membrane proteins.

Figure 1: Schematic presentation of membrane determination after freeze-fracturing. (A) Microvesicles bud from the plasma membrane into the extracellular space. (B) Microvesicle is limited with P- and E- membrane leaflet until freeze-fractioning, which splits the leaflets and exposes the interior views of leaflets, termed fractured faces. (C) After Pt/C shadowing, two fractured faces are discernible: the protoplasmic face (P-face) with a convex shape facing the cytoplasm (protoplasm) and an exoplasmic face (E-face) with a concave shape facing the extracellular space. Figure 1 was created using Biorender.com. Please click here to view a larger version of this figure.

Figure 2: Isolation of EVs. (A) T24 cells grown in a CO2 incubator are examined with (B) a light microscope to confirm their viability and confluence before MV isolation. (C) The cell culture medium is collected and (D) consecutively centrifuged at 300 × g and at 2,000 × g (E) each time the supernatant is collected. (F,G) After the centrifugation at 10,000 × g, a white patch indicating a pellet is visible and marked. The supernatant is removed and (H) fixative is carefully added to the pellet without resuspending it. Please click here to view a larger version of this figure.

Figure 3: Freezing of EVs. (A) Air-dried clean copper carriers with a central pit are (B) marked before processing. Microvesicles are resuspended in glycerol to get a homogenous sample and (C) added to a central pit of a cooper carrier under a stereomicroscope. (D) One has to add a volume of the sample such that it forms a convex drop in the central pit. (E) Immediately before freezing, mix LN2-cooled freon with a metal rod to liquefy the freon. (F) Freeze the sample by submerging it in freon, and then (G) transfer it into LN2. (H) Carriers with the frozen sample can be collected into cryovials and stored in an LN2 Dewar container. Please click here to view a larger version of this figure.

Figure 4: Freeze-fracturing and making a replica. (A) Freeze-fracturing unit. Inside the unit chamber (B) is a platinum (Pt) and carbon (C) electron gun, a knife, and the sample table. (C) To start fracturing, carriers with the sample are transferred to the sample table, (D) the freeze-fracturing unit is cooled, and a vacuum is established. (E) Sectioning is done by motorized (F) movement of the knife, but fracturing is preferably done manually. (G) Sample before sectioning and (H) after fracturing. (I) Immediately after fracturing, the replica is made. (J) During this process, Pt is shadowed on the sample. Platinum shadowing is seen as a bright light (sparks) in the chamber. (K) Sample carriers are collected into a porcelain well filled with water. (L) Replica (arrow) floating in the sodium hypochlorite solution during the cleaning step. Please click here to view a larger version of this figure.

Figure 5: Electron micrographs of freeze-fractured and Pt/C shadowed MVs. (A) An overview of the freeze-fractured and shadowed EV pellet (i) at lower magnification. The homogeneous surface is background (ii), bright areas are ruptures in the replicas (iii), darker areas are folds of replicas (asterisk), and irregular dimmer shadows are due to ice crystals (two asterisks). (B) Cluster of round-shaped EVs with concave and convex surfaces. (C) High magnification of EVs. In convex fractures, which exhibit P-face of the EV membranes, intramembrane particles (arrows) and patches of a smooth surface (arrowheads) are seen. Extracellular vesicles with elongated (star) and flat-ball shapes (two stars) are found. (D) The mean diameter of isolated urothelial MVs is 304 nm ± 10 nm according to the size measurements as proposed by Hallett et al.17. Data are presented as mean ± SEM. (E,F) E-face and P-face of MVs. Legend: arrows = intramembrane particles in P-face, encircled arrows = the direction of Pt/C shadowing. Scale bars: A = 10 µm, B-F = 400 nm. Please click here to view a larger version of this figure.