Serum exosomes were isolated using ultracentrifugation as previously described with modifications [14 (link)]. Briefly, the serum was obtained by centrifugation at 3000 × g for 15 min to remove the cell debris and platelets. Microvesicles were pelleted at 10,000 × g for 30 min, after which the exosomes were further purified from the supernatant by ultracentrifugation at 100,000 × g for 60 min. Following isolation, the exosomes were diluted in 100 µL of filtered PBS and stored at − 80 °C.
Exosomes were dissolved in lysis buffer and quantified using a BCA analysis kit (Thermo Fisher Scientific, USA). Western blotting was used to detect exosomal markers, including TSG101, HSP70, CD63 and CD9. Exosomes were fixed in 2.5% glutaraldehyde at 4 °C, dehydrated with gradient alcohol and embedded in epoxy resin. Sections were stained with uranyl acetate and citrate acid lead. The images were captured under a transmission electron microscope (JEM-1010, Japan). For nanoparticle tracking analysis, samples were loaded into the sample chamber of an NS500 unit (NanoSight, UK), and five 1-min videos of each sample were recorded. The data analysis was performed with NTA 2.3 software, and the size and concentration of the particles were calculated.
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