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Updated: Jun 8, 2026

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Extracellular Vesicle Uptake Assay via Confocal Microscope Imaging Analysis
Published on: February 14, 2022
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Single extracellular vesicle imaging via rolling circle amplification-expansion microscopy.
Jiacheng Wu1, Quanhao Dou1, Miao Mao1
1State Key Laboratory of Anti-Infective Drug Discovery and Development; School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Nature Communications
|August 13, 2025
Summary
This study introduces rolling circle amplification with expansion microscopy (RCA-ExM) for super-resolution profiling of single extracellular vesicles (EVs). RCA-ExM enables sensitive detection of EV biomarkers for improved cancer diagnostics and immunotherapy monitoring.
Area of Science:
- Biotechnology
- Nanomedicine
- Molecular Diagnostics
Background:
- Extracellular vesicles (EVs) are crucial for diagnostics but challenging to analyze due to size, low biomarker abundance, and heterogeneity.
- Current methods struggle with sensitive, multi-omic profiling of individual EVs.
Purpose of the Study:
- To develop a super-resolution technique for multi-omic profiling of single extracellular vesicles (EVs).
- To enable sensitive detection of EV membrane proteins and miRNAs for clinical applications.
Main Methods:
- Integration of rolling circle amplification (RCA) with expansion microscopy (ExM) for super-resolution imaging.
- Utilized switch hairpin probes for membrane protein detection and EV-liposome fusion with molecular beacons for miRNA detection.
- Employed hydrogel-mediated expansion for enlarged single-EV analysis.
Main Results:
- Achieved super-resolution multi-omic profiling of single EVs using conventional fluorescence microscopy.
- Demonstrated sensitive detection of EV membrane proteins and miRNAs.
- Successfully quantified miRNA-21 levels in plasma EVs to distinguish cancer patients from healthy donors and predict immunotherapy efficacy in a cohort of 86 patients.
Conclusions:
- RCA-ExM provides a sensitive and specific method for single-EV multi-omic profiling.
- This technique shows significant promise for minimally invasive diagnostics and treatment monitoring in oncology.
- Enables advanced analysis of EV biomarkers for personalized medicine.

