This work was partially supported by the National Natural Science Foundation of China (82202473).

The overview of the protocol steps is shown in Figure 1. The details of the reagents and equipment used in the study are listed in the Table of Materials.
1. Media preparation
<ol>
	<li>Prepare a culture medium for ADSC without exosomes using 450 mL of basal culture medium, 50 mL of fetal bovine serum without exosomes, and 5 mL of triple antibiotics.</li>
</ol>
2. Resuscitating and culturing ADSCs</...

Ultracentrifuge-Based Isolation of Extracellular Vesicles from Human ADSCs

<ol>
	<li>Al-Ghadban, S., Artiles, M., Bunnell, B. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adipose+stem+cells+in+regenerative+medicine:+Looking+forward.">Adipose stem cells in regenerative medicine: Looking forward.</a> Front Bioeng Biotechnol. 9, 837464 (2021).</li><li>Xin, H., Li, Y., Chopp, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Exosomes/miRNAs+as+mediating+cell-based+therapy+of+stroke.">Exosomes/miRNAs as mediating cell-based therapy of stroke.</a> Front Cell Neurosci. 8, 377 (2014).</li><li>Li, Q., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+tissue+origin+effect+of+extracellular+vesicles+on+cartilage+and+bone+regeneration.">The tissue origin effect of extracellular vesicles on cartilage and bone regeneration.</a> Acta Biomater. 125, 253-266 (2021).</li><li>Gao, X., Salomon, C., Freeman, D. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Extracellular+vesicles+from+adipose+tissue-a+potential+role+in+obesity+and+type+2+diabetes.">Extracellular vesicles from adipose tissue-a potential role in obesity and type 2 diabetes.</a> Front Endocrinol (Lausanne). 8, 202 (2017).</li><li>Zheng, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Production+and+biological+effects+of+extracellular+vesicles+from+adipose-derived+stem+cells+were+markedly+increased+by+low-intensity+ultrasound+stimulation+for+promoting+diabetic+wound+healing).">Production and biological effects of extracellular vesicles from adipose-derived stem cells were markedly increased by low-intensity ultrasound stimulation for promoting diabetic wound healing).</a> Stem Cell Rev Rep. 19 (3), 784-806 (2023).</li><li>Mou, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Extracellular+vesicles+from+human+adipose-derived+stem+cells+for+the+improvement+of+angiogenesis+and+fat-grafting+application.">Extracellular vesicles from human adipose-derived stem cells for the improvement of angiogenesis and fat-grafting application.</a> Plast Reconstr Surg. 144 (4), 869-880 (2019).</li><li>Li, W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Tissue-engineered+bone+immobilized+with+human+adipose+stem+cells-derived+exosomes+promotes+bone+regeneration.">Tissue-engineered bone immobilized with human adipose stem cells-derived exosomes promotes bone regeneration.</a> ACS Appl Mater Interfaces. 10 (6), 5240-5254 (2018).</li><li>Han, B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adipose-derived+stem+cell-derived+extracellular+vesicles+inhibit+the+fibrosis+of+fibrotic+buccal+mucosal+fibroblasts+via+the+microRNA-375/foxf1+axis.">Adipose-derived stem cell-derived extracellular vesicles inhibit the fibrosis of fibrotic buccal mucosal fibroblasts via the microRNA-375/foxf1 axis.</a> Stem Cells Int. 2021, 9964159 (2021).</li><li>Brezgin, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Technological+aspects+of+manufacturing+and+analytical+control+of+biological+nanoparticles.">Technological aspects of manufacturing and analytical control of biological nanoparticles.</a> Biotechnol Adv. 64, 108122 (2023).</li><li>Kim, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Character+comparison+of+abdomen-derived+and+eyelid-derived+mesenchymal+stem+cells.">Character comparison of abdomen-derived and eyelid-derived mesenchymal stem cells.</a> Cell Prolif. 46 (3), 291-299 (2013).</li><li>Gan, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Exosomes+from+adipose-derived+mesenchymal+stem+cells+improve+liver+fibrosis+by+regulating+the+miR-20a-5p/TGFBR2+axis+to+affect+the+p38+MAPK/NF-&#954;B+pathway.">Exosomes from adipose-derived mesenchymal stem cells improve liver fibrosis by regulating the miR-20a-5p/TGFBR2 axis to affect the p38 MAPK/NF-&#954;B pathway.</a> Cytokine. 172, 156386 (2023).</li><li>Jung, M. K., Mun, J. Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sample+preparation+and+imaging+of+exosomes+by+transmission+electron+microscopy.">Sample preparation and imaging of exosomes by transmission electron microscopy.</a> J Vis Exp. (131), e56482 (2018).</li><li>Han, Y. D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Co-transplantation+of+exosomes+derived+from+hypoxia-preconditioned+adipose+mesenchymal+stem+cells+promotes+neovascularization+and+graft+survival+in+fat+grafting.">Co-transplantation of exosomes derived from hypoxia-preconditioned adipose mesenchymal stem cells promotes neovascularization and graft survival in fat grafting.</a> Biochem Biophys Res Commun. 497 (1), 305-312 (2018).</li><li>Linares, R., Tan, S., Gounou, C., Arraud, N., Brisson, A. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=High-speed+centrifugation+induces+aggregation+of+extracellular+vesicles.">High-speed centrifugation induces aggregation of extracellular vesicles.</a> J Extracell Vesicles. 4, 29509 (2015).</li><li>Lamparski, H. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Production+and+characterization+of+clinical+grade+exosomes+derived+from+dendritic+cells.">Production and characterization of clinical grade exosomes derived from dendritic cells.</a> J Immunol Methods. 270 (2), 211-226 (2002).</li><li>Baranyai, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Isolation+of+exosomes+from+blood+plasma:+Qualitative+and+quantitative+comparison+of+ultracentrifugation+and+size+exclusion+chromatography+methods.">Isolation of exosomes from blood plasma: Qualitative and quantitative comparison of ultracentrifugation and size exclusion chromatography methods.</a> PLoS One. 10 (12), e0145686 (2015).</li><li>Yuan, X., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Engineering+extracellular+vesicles+by+three-dimensional+dynamic+culture+of+human+mesenchymal+stem+cells.">Engineering extracellular vesicles by three-dimensional dynamic culture of human mesenchymal stem cells.</a> J Extracell Vesicles. 11 (6), e12235 (2022).</li><li>Eguchi, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Organoids+with+cancer+stem+cell-like+properties+secrete+exosomes+and+HSP90+in+a+3D+nanoenvironment.">Organoids with cancer stem cell-like properties secrete exosomes and HSP90 in a 3D nanoenvironment.</a> PLoS One. 13 (2), e0191109 (2018).</li></ol>

During the formal experimental process, several points are crucial for achieving the best experimental results. Based on our previous experience, it is recommended to opt for passage 3-6 ADSCs, as they ensure the best possible cell state. Before P3, red blood cells, endothelial cells, and other miscellaneous cells may not have been screened out. After P6, the cells may gradually age, which can affect the state of secreted EVs. Secondly, the supernatant must be collected when the cell confluence degree is between 80% and ...

Most ADSCs are derived from adipose tissue and have been demonstrated to promote the regeneration and reconstruction of various tissues and organs, including the myocardium, bone, and skin1. Recent research suggests that the regenerative function of ADSCs may be due to intercellular contact and the paracrine effects of the cells2. The paracrine effect is an important means for cells to interact and transfer information over short distances, and this function is achieved through extracellular vesicles (EVs).
EVs are double-layer membrane structures produced by cells, with a diameter ranging from 40 nm to 160 nm (with an average of about 100 nm). They affect different cellular functions, such as cytokine production, cell proliferation, apoptosis, and metabolism3,4. Numerous studies have been conducted on the functions of ADSC EVs, including promoting bone regeneration, oral mucosal tissue regeneration, adipose tissue survival after tissue transplantation, and skin wound repair5,6,7,8. The enormous potential of ADSC EVs in regenerative medicine is evident. Various methods exist for extracting and separating EVs from the supernatant, such as techniques based on centrifugation, precipitation, molecular size, affinity, and microfluidics. The ultracentrifugation method is widely considered the gold standard for isolating EVs9. The fundamental principle of ultracentrifugation for EV separation is based on the fact that particles in the sample have varying sedimentation coefficients, resulting in their sedimentation and aggregation in distinct separation layers. Nevertheless, a detailed protocol emphasizing precautions during ultracentrifugation has not yet been established.
Therefore, this study objectively outlines the ADSC culture, supernatant collection, and EVs ultracentrifugation procedures and key points with a logical flow of information and clear, formal language. This provides a valuable reference for future experiments.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Acrodisc Needle Filter of Supor Membrane</td>
			<td>Acros Organics</td>
			<td>4652</td>
			<td>0.22 &#956;m</td>
		</tr>
		<tr>
			<td>Basal Medium For Cell Culture</td>
			<td>OriCell</td>
			<td>BHDM-03011</td>
			<td></td>
		</tr>
		<tr>
			<td>Fetal Bovine Serum Without EXO + Culture Supplement (For Human Adipose-derived Mesenchymal Stem Cells)</td>
			<td>OriCell</td>
			<td>HUXMD-05002</td>
			<td></td>
		</tr>
		<tr>
			<td>Inverted Microscope</td>
			<td>OLYMPUS</td>
			<td>Lx70-S8F2</td>
			<td></td>
		</tr>
		<tr>
			<td>Low Speed Centrifuge</td>
			<td>Anhui USTC Zonkia Scientific Instruments Co.,Ltd.</td>
			<td>SC-3612</td>
			<td></td>
		</tr>
		<tr>
			<td>Normocin</td>
			<td>InvivoGen</td>
			<td>ant-nr-05</td>
			<td></td>
		</tr>
		<tr>
			<td>Optima Max-XP Tabletop Ultracentrifuge</td>
			<td>Beckman Coulter</td>
			<td>393315</td>
			<td></td>
		</tr>
		<tr>
			<td>Penicillin-Streptomycin-Gentamicin Solution (100x)</td>
			<td>Solarbio</td>
			<td>P1410</td>
			<td></td>
		</tr>
	</tbody>
</table>

purification and characterization of extracellular vesicles from human adipose-derived mesenchymal stem cells

Human adipose-derived mesenchymal stem cells (ADSCs) can promote the regeneration and reconstruction of various tissues and organs. Recent research suggests that their regenerative function may be attributed to cell-cell contact and cell paracrine effects. The paracrine effect is an important way for cells to interact and transfer information over short distances, in which extracellular vesicles (EVs) play a functional role as carriers. There is significant potential for ADSC EVs in regenerative medicine. Multiple studies have reported on the effectiveness of these methods. Various methods for extracting and isolating EVs are currently described based on principles such as centrifugation, precipitation, molecular size, affinity, and microfluidics. Ultracentrifugation is regarded as the gold standard for isolating EVs. Nevertheless, a meticulous protocol to highlight precautions during ultracentrifugation is still absent. This study presents the methodology and crucial steps involved in ADSC culture, supernatant collection, and EV ultracentrifugation. However, even though ultracentrifugation is cost-effective and requires no further treatment, there are still some inevitable drawbacks, such as a low recovery rate and EV aggregation.

Author Spotlight: Standardizing and Improving the Extraction and Purification of Extracellular Vesicles from Human ADSCs

Purification and Characterization of Extracellular Vesicles from Human Adipose-Derived Mesenchymal Stem Cells

Our research focuses on the preparation and purification of extracellular vesicles from human adipose-derived mesenchymal stem cells. The problem we want to solve is how to standardize this process and improve the purification efficiency. Currently, there are many technologies used to extract extracellular vesicles, such as ultracentrifugation, ultrafiltration, volume exclusion chromatography, polymer precipitation, immunoaffinity capture, microfluidic technology, and so on.However, ultracentrifugation is recognized as a gold standard, admittedly. In the future, we will focus on the application of extracellular vesicles as vectors, including carrying MRNA, plasmids, and other small molecules and transfecting them into cells.

Firstly, ADSCs were characterized and identified, including their morphology10 and surface antibodies. Based on Figure 2A, it is apparent that ADSCs are arranged in a spindle shape and form a vortex after dense growth. The cultured cells were differentiated into adipogenic, osteogenic, and chondrogenic cells and stained with Oil Red O, Alizarin Red, and Alcian Blue11. The induced differentiation experiment and flow cytometry validated that they...

Read this Scientific Article Protocol about Author Spotlight: Standardizing and Improving the Extraction and Purification of Extracellular Vesicles from Human ADSCs at JoVE.com

This protocol describes all procedures, from culturing human adipose-derived mesenchymal stem cells (ADSCs) and collecting supernatant to extracting extracellular vesicles (EVs) using ultracentrifugation.

Human adipose-derived mesenchymal stem cells (ADSCs) can promote the regeneration and reconstruction of various tissues and organs. Recent research ...