Exosomes are extracellular vesicles that contain a diverse array of signaling molecules and have a role in intercellular signaling. Placental tissues release exosomes that have been identified in maternal blood. The purpose of this study is to evaluate a method of exosome isolation using size-exclusion chromatography (SEC) columns to purify exosomes in a reproducible, time-efficient manner, enabling analysis of the biological activity of placental-derived exosomes (PDE). Stored samples from a previous prospective longitudinal study of women with uncomplicated pregnancies were used. Exosomes were isolated from third trimester and postpartum (24–48h after delivery) serum samples using SEC (Fig.1). We then confirmed the presence of exosomes using Nanodrop spectrophotometry (Abs 280 nm), Nanoparticle Tracking Analysis (NTA), and Western blot analysis for protein quantification, size determination and presence of syncytiotrophoblast specific marker Anti-Placental Alkaline Phosphatase (PLAP), respectively. After SEC of maternal serum (n=10), NTA revealed particle size to be 60 and 70 nm, on average. NTA and Nanodrop A280 of SEC fractions revealed a distinct exosome peak in both particle concentration and total protein content, indicating the presence of exosomes that could be further processed and analyzed. Western blot analysis of the proteins identified presence of syncytiotrophoblast specific marker PLAP in all samples (Fig.1). PDEs were present in maternal serum 24–48 hours after delivery. Although there were significant differences in the concentrations of exosomes in maternal serum from third trimester versus postpartum within individual patients, there was no consistent correlation of concentration difference between individual patients (Fig.2). SEC is a simple and reproducible technique to purify placental-derived exosomes from maternal serum. Placental exosomes are present in the serum of recently postpartum patients. These findings will facilitate further studies in the biological functions of placental-derived exosomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)