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Extracellular vesicles (EVs) are nano-sized, membrane-bound particles released by cells into the extracellular environment. These EVs transfer nucleic acids, proteins, and lipids to modulate multiple signaling pathways upon uptake by recipient cells. Specifically, EVs isolated from skeletal muscle (SkM-EVs) have been implicated in muscle degeneration, regeneration, and growth by transferring myogenic regulatory microRNAs or transcription factors1,2,3,4. As our understanding of SkM-EV subpopulations and characteristics continues to evolve, these vesicles show promise as biomarkers for early diagnostics5,6 and as therapeutic targets for neuromuscular disorders. This expanding field offers exciting opportunities for both pathological investigation and clinical applications.
Current research on SkM-EVs predominantly focuses on those obtained from cell culture supernatants following ex vivo culture2,7,8, raising concerns regarding the fidelity of target cell lines after successive passages and the susceptibility of EV characteristics to alteration in artificial environments. This highlights the need to isolate SkM-EVs directly from muscle tissues to avoid ex vivo culture influences and better represent in vivo conditions. Although several approaches for isolating EVs from muscle tissues have been developed9,10, studies still vary significantly in protocol details, impacting consistency and comparability. A standardized protocol for SkM-EV isolation and characterization is urgently needed to ensure reliability across related studies.
Considering the physiological characteristics of skeletal muscle, we developed a protocol to isolate and purify SkM-EVs from rodent skeletal muscle samples using mechanical detachment, enzymatic dissociation, filtration, and differential ultracentrifugation. Through comprehensive analysis using nano-flow cytometry, BCA assay, and Western blot assay, we found that this protocol consistently yields SkM-EVs of high purity and quantity within a limited timeframe. It can be applied to skeletal muscle samples in various conditions, including acute and chronic muscle injuries. Furthermore, with appropriate adjustments, this method can be tailored for muscle tissues from human patients or other animal models. Standardizing the SkM-EV isolation process is essential for ensuring consistency in SkM-EV quality, facilitating comparisons of EV characteristics -- such as yield, size, cargo composition, and function -- and advancing their potential applications as diagnostic biomarkers, as well as enhancing our understanding of their roles in various physiological and pathological processes.