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The growing interest in EV research in diagnosis and in therapeutics1,2,3,4,5, combined with the challenges this field faces, has resulted in the development and implementation of a large variety of approaches and techniques for quantifying or characterizing these vesicles. The most widely used methods for EV identification are protein-specific immunoblotting and proteomics to confirm the origin of EVs, transmission electron microscopy (TEM) to confirm their structure, and nanoparticle tracking analysis (NTA) to quantify their number and size distribution in a sample volume.
None of these techniques on their own, however, give all the information required to characterize EV subsets. The inherent heterogeneity of EVs due to the diversity in their biochemical and physical properties impedes global analyses that are reliable and reproducible, especially for EVs contained in a mixture (crude sample). Detection and characterization methods are, therefore, needed for EVs, both individually and generally to complement other methods that are faster but not selective6.
High-resolution imaging by TEM (or cryoTEM) or AFM allows the determination of the morphology and metrology of EVs with a nanometric resolution7,8,9,10,11,12. However, the main limitation of the use of electron microscopy for biological objects, such as EVs, is the need for a vacuum to carry out the study which requires the fixation and dehydration of the sample. Such preparation makes it difficult to translate from the structures observed to the in-solution EV morphology. To avoid this dehydration of the sample, the technique of cryoTEM is the most suitable for EV characterization13. It is widely used for determining the ultrastructure of EVs. The immunolabeling of vesicles by biofunctionalized gold nanoparticles also makes it possible to identify specific subpopulations of EVs and distinguish them from other particles present in a complex biological sample. However, due to the low number of EVs analyzed by electronic microscopy, it is often difficult to perform a characterization that is representative of a complex and heterogeneous sample.
To reveal this size heterogeneity, the International Society for Extracellular Vesicles (ISEV) suggests analyzing a sufficient number of widefield images, accompanied by smaller images, to reveal individual EVs with high resolution14. AFM is an alternative to optical approaches and electronic diffraction techniques for the study of EVs. This technique uses a sharp tip held by a flexible cantilever that scans the sample deposited on one support, line by line, and adjusts the distance between the tip and the elements present through a feedback loop. This makes it possible to characterize the topography of the sample and collect morphomechanical information15,16,17,18. The EVs can be scanned by AFM either after being deposited on an atomically flat substrate or after having been captured on a specific substrate functionalized by antibodies, peptides, or aptamers to characterize the various subpopulations18,19. Due to its ability to quantify and simultaneously probe the structure, biomechanics, and membranous biomolecular content of EVs within complex biological samples without the need for pretreatment, labeling, or dehydration, AFM is now increasingly used to characterize EVs in a fine and multiparametric manner under physiological conditions of temperature and medium.
This paper proposes a methodology using a core gold biochip capable of being (bio)chemically functionalized in a multiplexed format. This substrate is the cornerstone of a powerful analytical platform combining the biodetection of EV subsets by surface plasmon resonance, and once the EVs are adsorbed/grafted or immunocaptured on the chip, AFM enables the metrological and morphomechanical characterization of the EVs. Coupled with the Raman signature of the EV subsets captured on the chip, this analytical platform enables the qualification of the EVs present in biological samples in a label-free manner and without any need for preanalytical steps. This paper shows that the combination of powerful techniques, assisted by a highly rigorous methodology in substrate preparation and data acquisition, makes the EV analysis deep, definitive, and robust.
The principle of the proposed approach is to prepare a gold substrate, to adsorb/graft or capture the EV subtypes, and to scan them by AFM to estimate the size and morphology of each EV subset. Additionally, those adsorbed EVs are analyzed by Raman spectroscopy. This substrate can, indeed, present three types of interfaces of growing complexity: naked, chemically functionalized, or ligand microarrays. Before describing the different steps of the protocol, readers are referred to the schematic presentation of the nanobioanalytical platform (NBA) approach in Figure 1, combining surface plasmon resonance imaging (SPRi), AFM, and spectroscopy.

Figure 1: The NanoBioAnalytical platform. The approach combines (A) surface plasmon resonance imaging, (B) atomic force microscopy, and infrared/Raman (nano)spectroscopy, all engaged on the same substrate-a multiplexed gold chip. Abbreviations: NBA = NanoBioAnalytical platform; SPRi =surface plasmon resonance imaging; AFM = atomic force microscopy; EV = extracellular vesicle. Please click here to view a larger version of this figure.
The core gold biochip constitutes the heart of the platform since all the label-free characterization techniques are conducted on this biochip. According to the needs of the EV characterization (either global/total EVs or EV subsets) and the limitations/demands of the methods used, three types of gold biochip surfaces have been developed: either "naked," chemically functionalized "C11/C16," or ligand-biofunctionalized, called "ligand" gold surface.
The naked biochip, called "naked," enables the simple adsorption of EVs on gold. It is possible to select the buffer used and realize this adsorption either in a passive way (incubation and then rinsing steps) or to monitor it under flow (in SPRi). Moreover, this passive adsorption can be realized either on the whole chip (as a macroarray) or localized in microarrays using a micropipette spotter. The "under flow procedure" allows investigators to follow the kinetics and the level of EV adsorption. This approach on the naked gold substrate is adopted when the chemical layer interface may interfere with the analytical method (e.g., for Raman spectroscopy).
The chemically functionalized biochip, called "C11/C16," is used to create a dense and robust "carpet" of EVs covalently bound on the gold surface by forming primary amide bonds with the thiolates when the objective is to have a global view of the EV sample. Indeed, in this case, the gold is functionalized by a thiolate mixture of mercapto-1-undecanol (11-MUOH: "C11") and mercapto-1-hexadecanoic acid (16-MHA: "C16"), and a fraction of the thiolates are chemically activated to establish covalent binding with the targets. Again, this strategy can be realized either passively (incubation and then rinsing steps, either in "macroarray" or in multiple microarrays using a micropipette spotter) or under flow rates (in SPRi) to follow the kinetics and level of EV grafting on the gold surface.
The ligand-biofunctionalized biochip, called "ligands," is chemically activated to covalently graft different ligands (e.g., antibodies, receptors) to selectively capture (with affinity) different EV subsets that coexist in the biological sample.