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Detection of extracellular vesicles: size does matter Edwin van der Pol November 16 th , 2018 Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 2 200 nm


  1. Detection of extracellular vesicles: size does matter Edwin van der Pol November 16 th , 2018

  2. Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 2

  3. 200 nm

  4. Extracellular vesicles Cells release EVs: biological nanoparticles with receptors, DNA, RNA Specialized functions Clinically relevant van der Pol et al. Pharmacol Rev 2012 4

  5. Vesicle‐based “liquid biopsy” rare EVs all EVs 5

  6. Problem: counting vesicles is difficult “Gąsecka’s law” Reported concentrations of blood vesicles differ >10 6 ‐fold Clinical data cannot be compared Gasecka et al. Platelets 2016 6

  7. Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 7

  8. Size distribution of extracellular vesicles? Extracellular vesicles Reference particles 8

  9. Size distribution of extracellular vesicles 9

  10. Size distribution of extracellular vesicles 10

  11. Size distribution of extracellular vesicles 11

  12. Size distribution of extracellular vesicles van der Pol et al. J Thromb Haemost (2014) 12

  13. Size distribution of extracellular vesicles 3‐fold 12‐fold smaller more vesicles van der Pol et al. J Thromb Haemost (2014) 13

  14. Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 14

  15. Problem: count the black grains 15

  16. Solution: flow cytometry fluorescence channels electronics and laser computer side scatter detector forward scatter detector image: semrock.com 16

  17. Problem: which size of vesicles do I measure? Flow cytometry: ? 17

  18. Flow cytometry calibration before 2012 Flow cytometry: 900 nm polystyrene particles ? 500 nm polystyrene particles 18

  19. Relate scatter to diameter of beads Side scatter (a.u.) 19

  20. Relate scatter to diameter of beads Side scatter (a.u.) 20

  21. Relate scatter to diameter of beads Side scatter (a.u.) 21

  22. Relate scatter to diameter of vesicles Side scatter (a.u.) 10 nm 22

  23. Particles that are too small to be detected generate a signal! 89 nm silica beads urine EVs <220 nm Side scatter (a.u.) Side scatter (a.u.) 23

  24. Flow cytometry fluorescence channels electronics and laser computer side scatter detector forward scatter detector image: semrock.com 24

  25. beam volume ≈ 54 pl At a concentration of 10 10 vesicles ml ‐1 , >800 vesicles are simultaneously present in the beam.

  26. Invisible vesicles swarm within the iceberg Harrison & Gardiner J Thromb Haemost (2012)

  27. Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 30

  28. How to calibrate flow cytometers? flow rate (µL/min) ? fluorescence (MESF) ? laser side scatter (nm 2 ) ? forward scatter (nm 2 ) ? image: semrock.com 31

  29. Solution 500 nm One reference material to calibrate them all Properties similar to extracellular vesicles scatter (size + refractive index) fluorescence concentration Tolkien (1954) 32

  30. Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 33

  31. Clinical studies on extracellular vesicles Myocardial infarction Therapy monitoring Stroke Differentiate between ischemic stroke and hemorrhage stroke in acute phase Prostate cancer Diagnoses 34

  32. Outline PhD research Extracellular vesicles Size does matter Flow cytometry Outlook Standardisation Clinical studies Small and fast 35

  33. Problem: small or fast vesicles diameter (nm) Measurement time >150 15 minutes >30 24 hours 36

  34. Solution: EV‐Radar, small and fast vesicles diameter (nm) Measurement time >150 15 minutes >30 24 hours 37

  35. Conclusion Body fluids contain extracellular vesicles with clinical information The size of extracellular vesicle matters! 38

  36. 39

  37. Acknowledgements My parents My wife Vesicle Observation Center Amsterdam University Medical Centers Ton van Leeuwen Rienk Nieuwland Guus Sturk Frank Coumans More info about extracellular vesicles: edwinvanderpol.com 40

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