Abstract
Neuron-derived extracellular vesicles (EVs) in blood offer unique cellular and molecular information related to the onset and progression of Alzheimer’s disease (AD), and they are increasingly being investigated as sources of biomarkers. However, sensitively detecting AD-related EVs markers in blood remains a challenge. In this study, we employed a magnetic separation-assisted primer exchange reaction (MSPER) amplification strategy to achieve highly sensitive and convenient detection of CD63 and Aβ42 proteins on EVs (CD63+/Aβ42+ EVs). Specifically, CD63-expressing EVs are enriched using CD63 antibody-functionalized immune-magnetic beads (anti-CD63@IMBs). Subsequently, Aβ42 and CD63 aptamer are introduced to efficiently recognize CD63 and Aβ42 proteins on the EVs. Iterative primer exchange reaction (PER) concatemers, which create additional binding sites for fluorescence imagers, are then used to produce an amplified fluorescence signal. With this method, we achieved a limit of detection (LOD) of 7.2 × 103 particles/mL for sensitive detection of CD63+/Aβ42+ EVs. More importantly, this MSPER amplification strategy allows us to distinguish AD model mice from healthy controls with high accuracy. This method may provide an alternative for the early diagnosis and monitoring of AD through the detection of CD63+/Aβ42+ EVs.
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