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A One-Step Workflow for Size-Based Separation of Extracellular Vesicles With Integrated Surface Marker Detection
Lien Lippens1,2,3, Niké Guilbert1,2, Sofie Van Dorpe1,2,3
1Laboratory of Experimental Cancer Research, Department of Human Structure and Repair Ghent University Ghent Belgium.
Journal of Extracellular Biology
|March 6, 2026
Summary
A new one-step workflow analyzes extracellular vesicles (EVs) and their biomarkers in small biofluid volumes. This method enhances speed and reduces variability for cancer diagnostics using liquid biopsies.
Area of Science:
- Biotechnology
- Biomarker Discovery
- Nanotechnology
Background:
- Extracellular vesicles (EVs) are crucial biomarkers in liquid biopsies for disease diagnosis, particularly cancer.
- Current EV analysis requires extensive pre-purification from large biofluid volumes, causing delays and variability.
- There is a need for rapid, sensitive, and reproducible methods for EV biomarker characterization.
Purpose of the Study:
- To develop and validate a streamlined, one-step workflow for simultaneous size and surface marker analysis of EVs.
- To enable EV biomarker detection in minute volumes of complex biological fluids.
- To assess the workflow's potential for early cancer detection and patient stratification.
Main Methods:
- Coupling asymmetrical flow field-flow fractionation (AF4) with multi-angle light scattering (MALS) and a fluorescent light detector (FLD).
- Optimization of the AF4-MALS-FLD system for analyzing EV surface markers (CD9, CD63, CD81) and cancer biomarkers (PSMA, EpCAM, HER2).
- Application of the workflow to diverse sample types: purified EVs, cell culture supernatant, urine, and blood plasma.
Main Results:
- The AF4-MALS-FLD workflow successfully characterized EV size and surface markers in various biofluids.
- Detection of prostate cancer biomarkers (PSMA) in patient urine samples was achieved.
- Discrimination between breast cancer patients and healthy donors was demonstrated by quantifying specific EV biomarkers in plasma.
Conclusions:
- The one-step AF4-MALS-FLD workflow offers a rapid and robust method for extracellular vesicle biomarker detection.
- This approach significantly reduces sample volume requirements and technical variability in EV analysis.
- The workflow shows promise for advancing liquid biopsy applications in clinical diagnostics and personalized medicine.

