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Exosome-enriched EVs are nanosized vesicles released by every cell in the body. They are subtypes of extracellular vesicles (EVs) of endocytic origin. Exosome-enriched EVs were first discovered in reticulocyte culture media1. In the past few decades, exosome-enriched EVs have been purified from several body fluids, including blood, urine, saliva, breast milk, seminal fluids, and amniotic fluids2,3,4,5. They have a diameter that ranges from 30 nm to 150 nm6. Their release into the extracellular compartment occurs via fusion of multivesicular bodies (MVBs) with the cell plasma membrane. In the context of infections and immune response, exosome-enriched EVs have been known to elicit a specific response in mammalian cells. Such responses include the release of cytokines or alterations in susceptibility to infection7,8,9.
The content of exosome-enriched EVs is influenced by several factors, most importantly, the type and state of the cell that produces them10,11. Additionally, their content also determines the effects they have on naïve recipient cells. Several methods are currently used to isolate exosome-enriched EVs from biological fluids. Common methods include differential ultracentrifugation, precipitation, immunoaffinity capture, size exclusion chromatography, magnetic-based isolation, and microfluidic-based isolation.
Differential ultracentrifugation is considered one of the most utilized techniques12,13,14. The ultracentrifuge purification method is expensive and requires significant technical proficiency. This method also results in a significant loss of EVs due to multiple ultracentrifugation steps. Finally, the resulting exosome-enriched EVs are not free of active viral particles because of their similar phenotypic properties. This has made purification of exosome-enriched EVs from virus-infected cell supernatant challenging. It is therefore important to develop an optimized protocol to effectively reduce dengue virus (DENV) levels to undetectable levels in the exosome-enriched EV solution, because viruses share similar sizes and densities with exosomes15,16.
Compared with other commonly used techniques, this protocol offers several advantages, including reduced purification time, reliance on inexpensive and widely accessible laboratory equipment, and the ability to isolate exosome-enriched EVs with no detectable live viral contamination. Additionally, although methods such as density gradient centrifugation and magnetic-based isolation can offer advantages, including increased yield and higher purity, these approaches require an initial ultracentrifugation step. The aim of this article is to present a method of isolating exosome-enriched EVs from infected supernatants with no detectable infectious virus by plaque assay under the tested conditions.