Abstract

Extracellular vesicles (EVs) have emerged as promising candidates in biomarker discovery and diagnostics. Protected by the lipid bilayer, the molecular content of EVs in diverse biofluids are protected from RNases and proteases in the surrounding environment that may rapidly degrade targets of interests. Nonetheless, cryopreservation of EV-containing samples to -80°C may expose the lipid bilayer to physical and biological stressors which may result in cryoinjury and contribute to changes in EV yield, function, or molecular cargo. In the present work, we systematically evaluate the effect of cryopreservation at -80°C for a relatively short duration of storage (up to 12 days) on plasma- and media-derived EV particle count and/or RNA yield/quality, as compared to paired fresh controls. On average, we found that the plasma-derived EV concentration of stored samples decreased to 23% of fresh samples. Further, this significant decrease in EV particle count was matched with a corresponding significant decrease in RNA yield whereby plasma-derived stored samples contained only 47-52% of the total RNA from fresh samples, depending on the extraction method used. Similarly, media-derived EVs showed a statistically significant decrease in RNA yield whereby stored samples were 58% of the total RNA from fresh samples. In contrast, we did not obtain clear evidence of decreased RNA quality through analysis of RNA traces. These results suggest that samples stored for up to 12 days can indeed produce high-quality RNA; however, we note that when directly comparing fresh versus cryopreserved samples without cryoprotective agents there are significant losses in total RNA. Finally, we demonstrate that the addition of the commonly used cryoprotectant agent, DMSO, alongside greater control of the rate of cooling/warming, can rescue EVs from damaging ice formation and improve RNA yield.

Highlights

  • Extracellular vesicles (EVs), including microvesicles and exosomes, have recently attracted considerable attention for their potential in biomarker discovery and diagnostics

  • EVs are attractive as a diagnostic since they are abundant in circulation

  • Our results suggest that frozen samples can produce high-quality RNA; we note that when comparing matched fresh versus cryopreserved samples without cryoprotective agents there are significant losses in total RNA, with one mechanism of loss due to freeze-thaw cycles

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Summary

Introduction

Extracellular vesicles (EVs), including microvesicles and exosomes, have recently attracted considerable attention for their potential in biomarker discovery and diagnostics. While blood is highly susceptible to rapid deterioration ex vivo [7,8], the intracellular contents of EVs are relatively protected from extracellular RNAses and proteases This is due to their protective lipid bilayer and increased stability of miRNAs [2]. Labile molecules such as unprotected circulating RNAs have been shown to degrade in less than 3 hours in plasma [9] and this degradation can eliminate the ability to detect more than 99% of transcripts of interest [10] This labile nature would be detrimental for diagnostics and dissemination purposes, especially since RNA has been shown to hold clinically relevant and actionable information [11]

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