Evidence map›Paper›PMID 40394633›Full record

ArticleJournal of translational medicine2025

FACS-Proteomics strategy toward extracellular vesicles single-phenotype characterization in biological fluids: exploring the role of leukocyte-derived EVs in multiple sclerosis.

Maria Concetta Cufaro, Paola Lanuti, Domenico De Bellis, Serena Veschi, Anna Piro, Antonella Fontana, Alice Di Sebastiano, Davide Brocco, Pasquale Simeone, Serena Pilato and 7 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Maria Concetta CufaroDepartment of Innovative Technologies in Medicine and Dentistry, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0002-6457-7795
Paola LanutiCenter for Advanced Studies and Technology (CAST), G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0003-4197-9780
Domenico De BellisCenter for Advanced Studies and Technology (CAST), G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0002-0953-1989
Serena VeschiDepartment of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0003-0450-9210
Anna PiroDepartment of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0009-0000-8076-2491
Antonella FontanaDepartment of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0002-5391-7520
Alice Di SebastianoCenter for Advanced Studies and Technology (CAST), G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0009-0005-9265-892X
Davide BroccoDepartment of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0001-8634-7184
Pasquale SimeoneCenter for Advanced Studies and Technology (CAST), G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0003-4430-480X
Serena PilatoDepartment of Pharmacy, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0003-4971-6483
Reza M H KhorooshiDepartment of Neurobiology Research, Institute of Molecular Medicine, University of Southern Denmark, 5000, Odense, Denmark.ORCID 0000-0002-6164-4972
Valentina TomassiniDepartment of Neurosciences, Imaging, and Clinical Sciences, "G. d'Annunzio" University, Chieti-Pescara, Italy.ORCID 0000-0002-7368-6280
Marianna Gabriella RispoliDepartment of Neurosciences, Imaging, and Clinical Sciences, "G. d'Annunzio" University, Chieti-Pescara, Italy.ORCID 0000-0002-6709-3489
Luca FedericiDepartment of Innovative Technologies in Medicine and Dentistry, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0002-9366-4492
Ilaria CicaliniDepartment of Innovative Technologies in Medicine and Dentistry, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0002-9792-2225
Damiana PieragostinoDepartment of Innovative Technologies in Medicine and Dentistry, G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy.ORCID 0000-0003-1015-3484
Piero Del BoccioCenter for Advanced Studies and Technology (CAST), G. d'Annunzio University of Chieti-Pescara, 66100, Chieti, Italy. piero.delboccio@unich.it.ORCID 0000-0003-1653-2194

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe isolation and proteomics characterization of extracellular vesicles (EVs) from body fluids is challenging due to their vast heterogeneity. We have recently demonstrated that Fluorescence-activated Cell Sorting (FACS) efficiently isolates the whole EV circulating compartment directly from untouched body fluids enabling a comprehensive EV proteomics analysis.

resultsHere, we characterized, for the first time, a single-phenotype EV subset by sorting leukocyte-derived EVs (Leuko EVs) from peripheral blood and tears of healthy volunteers. Using an optimized and patented staining protocol of the whole EV compartment we identified and excluded non-EV particles, debris and damaged EVs. We further isolated, using an anti-CD45 antibody, Leuko EVs (CD45+ EVs), reaching a high level of purity (> 90%). Purified Leuko EVs were characterized using atomic force microscopy, nanoparticle tracking, and shotgun proteomics analysis revealing a similar coded protein cargo in both biological fluids. Subsequently, the same workflow was applied to tears from Relapsing-Remitting Multiple Sclerosis (RRMS) patients, revealing a Leuko EVs protein cargo enrichment that reflects the neuroinflammatory condition characteristics of RRMS. This enrichment was evidenced by the activation of upstream regulators TGFB1 and NFE2L2, which are associated with inflammatory responses. Additionally, the analysis identified markers indicative of endothelial cell proliferation and the development of enhanced vascular networks, with AGNPT2 and VEGF emerging as activated upstream regulators. These findings indicate the complex interplay between inflammation and angiogenesis in RRMS.

conclusionsIn conclusion, our combined FACS-Proteomics strategy offers a promising approach for biomarker discovery, analysing cell-specific EV phenotypes directly from untouched body fluids, advancing the clinical value of tears EVs and improving the understanding of EV-mediated processes in vivo. Data are available via ProteomeXchange with the identifier PXD049036 and in EV-TRACK knowledgebase with ID: EV240150.

Indexed as

Body FluidsExtracellular VesiclesFlow CytometryLeukocytesMultiple SclerosisProteomicsAdultBiomarkersFemaleHumansMaleMiddle AgedPhenotypeTearsBiomarkersEV fluorescence activated cell sorting isolationLeukocyte-derived extracellular vesiclesMultiple sclerosisProteomicsTears

Identifiers

PMID40394633
PMCPMC12093873

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.