Following this protocol, skeletal muscle extracellular vesicles (SkM-EVs) were successfully extracted from various muscle groups, including the tibialis anterior (TA), extensor digitorum longus (EDL), soleus (SOL), gastrocnemius (GAS), and quadriceps (QUA) from wild-type mice. Subsequent characterization of these SkM-EVs was conducted through nano-flow cytometry, elucidating their distinct features as summarized in Table 1. Remarkably, from a mere 1 g of muscle tissue, an impressive yield of 1.18e14 ± 4.86e13 SkM-EVs was obtained, with a mean particle size of 73.93 nm ± 2.70 nm and a median particle size of 72.55 nm ± 2.42 nm. The size distribution showed a variance of 13.28 nm ± 1.71 nm (Figure 5), aligning precisely with the recognized definition of EVs12,13.
To ensure the integrity of the isolated SkM-EVs, MemGlow-488, a fluorogenic membrane probe, was employed to label the lipid structure within the SkM-EV samples (Figure 5), revealing an astounding 96.40% ± 2.42% preservation of lipid-wrapped membranes across the isolated population. Additionally, the purity of the SkM-EVs was rigorously assessed utilizing the Bicinchoninic acid (BCA) protein assay, which revealed a 4.82 µg ± 2.28 µg of proteins present per trillion EVs. Western blot analysis demonstrated the expression of EV-positive markers (CD8114 and Alix15) in isolated SkM-EVs, confirming their purity and absence of cellular Tubulin contaminants (Figure 6).
Next, cell viability assays using trypan blue dye were conducted to determine the viability of muscle resident cells during the isolation process. These tests confirmed that the protocol did not significantly impair the muscle resident cells, recording a cell viability of around 55%. Further analysis and characterization can be applied to these SkM-EVs to explore and understand their role as vital mediators of intercellular communication in muscle development and physiology.

Figure 1: Procedure for mechanical detachment of mouse muscle groups. (A) The mouse leg is secured in a sterile plate with the anterior side facing upwards. (B) The TA is located, and sharp-end tweezers are used to grab and peel off the thin layer of connective tissue covering the muscle. (C) The EDL, adjacent to the TA, is identified and carefully separated from the TA. (D) The GAS and SOL tendons are located and severed. (E) The QUA muscle is identified and carefully separated from the femur. (F) Following muscle detachments, the tibia and fibula are clearly exposed. (G) The detached muscles are rinsed several times with PBS to remove any contaminants, such as fur and blood. Please click here to view a larger version of this figure.

Figure 2: Enzymatic dissociation of detached muscle chunks. (A) Muscle tendons are gently removed from the muscle sample. (B-D) Scissors or a scalpel are used to cut the muscle longitudinally along the muscle fibers (from tendon to tendon) into 1 mm-thick muscle chunks, ensuring uniformity in size to facilitate even enzymatic dissociation. (E) The DEB and muscle mixture is incubated on the shaker within the incubator for 12 h at 37 °C with a shaking speed of 100 rpm. Please click here to view a larger version of this figure.

Figure 3: Filtration and low-speed centrifugation to enrich SkM-EVs. (A) After enzymatic digestion, no discernible muscle chunks should be visible in the mixture. (B) The mixture is centrifuged for 10 min at 1,000 x g and 4 °C to pellet any remaining debris. (C-E) Using a 200 µL pipette, the supernatant is carefully transferred 200 µL at a time into a syringe. (F) The syringe plunger is reinserted, and the supernatant is slowly pushed through the filter to remove any remaining debris. (G) The plunger is reinserted, and 200 µL of 1x PBS is slowly pushed through the filter to wash it. (H) After filtration, the solution should be transparent and devoid of any residual muscle chunks. Please click here to view a larger version of this figure.

Figure 4: Differential ultracentrifugation for SkM-EV purification. (A) After ensuring the volume of all tubes is equal, the tubes are closed and placed in the micro-ultracentrifuge rotor, ensuring proper balance. (B) The micro-ultracentrifuge is turned on and set to 100,000 g for 1 h at 4 °C. (C) The balanced rotor with the tubes is loaded into the micro-ultracentrifuge. The lid is closed, and the vacuum is turned on. (D) Once the vacuum reaches level 2, the start button is pressed to allow the ultracentrifuge to run until completion. (E) The supernatant is carefully removed without disturbing the pellet (indicated by the arrow). (F) After removing the supernatant, 50 µL of 1x PBS is added into the tube using a 200 µL or 100 µL micropipette. Please click here to view a larger version of this figure.

Figure 5: Size distribution pattern and MemGlow-488 staining. Size distribution pattern and MemGlow-488 staining of isolated SkM-EVs from different muscle groups, including TA (A,B), EDL (C,D), SOL (E,F), GAS (G,H), and QUA (I,J). Please click here to view a larger version of this figure.

Figure 6: Western blot analysis. Western blot analysis of Tubulin, CD81, and Alix in SkM-EVs and skeletal muscle lysis. Equal amounts of protein (5 µg per lane) are loaded onto the gel for each sample. Please click here to view a larger version of this figure.
| Parameter | Mean ± Standard deviation (SD) |
| SkM-EV yield (particles/gram of muscle) | 1.18e14 ± 4.86e13 |
| Mean particle size (nm) | 73.93 ± 2.70 |
| Median particle size (nm) | 72.55 ± 2.42 |
| Particle size distribution variance (nm) | 13.28 ± 1.71 |
| MemGlow-488-positive EV percentage (%) | 96.54 ± 1.85 |
| Protein concentration (µg protein/ trillion EV) | 4.82 ± 2.28 |
Table 1: Characterization of isolated SkM-EVs. Size distribution and protein content are measured by nano-flow cytometry and the BCA protein assay, respectively.