Review Article

Extracellular Vesicles and Their Potential Use in Monitoring Cancer Progression and Therapy: The Contribution of Proteomics

Table 2

Established methods of EVs isolation and purification.

MethodAdvantagesDisadvantages

Differential ultracentrifugationCommonly used method allowing comparison between studies [17, 19, 38]
Slow and laborious technique
Includes contaminants without additional steps
EVs may aggregate [6, 10, 39]
Pellet can be difficult to resuspend [10]
Density gradient ultracentrifugationCommonly used method allowing comparison between studies
Products of higher purity than differential ultracentrifugation [10, 19, 40]
Slow and laborious technique [10, 41]
Some media, for example, sucrose, may interfere with EVs function [6]
UltrafiltrationConcentrates large volumes
Cleans up the samples before other analyses [13, 40, 42]
Potential losses under high pressure and unspecific membrane adsorption [6]
Immunoaffinity captureHighly pure product
Rapid
Used for immunophenotyping EV s [10, 20, 40]
Costly
Low yield
Need to remove EVs from antibodies which may mask what required for target selection or effect [10, 16]
Precipitation or “salting out”Does not require specialized equipment
Rapid [10, 40]
Relatively impure products
Excess of salt and polymer can interfere with subsequent analyses [6, 16]
Size exclusion chromatography
Good separation [10, 16, 40]Need to concentrate the samples [11]
Microfluidics techniquesRapid
Ideal for industrial manufacture [10, 40]
Shear stress can damage EVs structure [10]