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Summary Section 3 Introduction 34 ExoTEST TM Ready to Use ELISA quantification kit 35 Exo-FACS Ready to Use kit 38

Ordering information Exosome research is a relatively novel and exciting field of biomedical research with recent developments of applications in vaccinology and oncologyr. The use of exosomes for assessment of functional state of parent cell in basic and clinical research is currently hampered by the lack of reliable, affordable and optimized tools for quantitative analysis of exosomes in complex biological samples (e.g. plasma or urine). In this section we present ExoTEST TM a technology that allows purification, quantification and characterization of circulating exosomes specific to a cell type or tissue, or to a condition (health vs. disease). Together with ExoTEST TM HBM-LS team has developed a new kit for FACS (Fluorescence Activated Cell Sorting) analysis of exosome markers, Exo-FACS, which allows exosome FACS profiling without wasting time in exosome isolation by ultracentrifugation. Products can be purchased directly in our on-line shop: www.exotest.eu/online_orders/ Distributors: www.hansabiomed.eu/index.php/distributors Technical support For information and technical support contact us at: info@hansabiomed.eu Introduction 1- ExoTEST TM Ready to use kit: ELISA assay for exosome immunocapture, quantification and characterization from human biofluids (plasma, serum, urine, saliva) and cell culture media. 2- Exo-FACS Ready to use kit Ready to use kit which allows exosome isolation from biofluids or cell media and biomarker analysis via FACS. 34

Catalog 2018 Section 3 ExoTEST TM : ELISA ready-to-use quantification kit ExoTEST TM is a patented double sandwich ELISA assay for quantitative and qualitative analysis of exosomes. In particular, ExoTEST TM is a successful platform for exosome quantification and characterization from small amount of human biological fluids or cell media and it may be exploited to identify exosomes released by cancer cells in the plasma and urine of tumor patients in various disease conditions. ExoTEST enables reliable and precise quantitative measurement and comparison among samples and individual experiments and provides increased sensitivity in detection of exosomal markers with respect to other analytical methods (i.e FACS, WB). Applications Exosome capture and quantification from human biofluids and cell culture media. Comprehensive exosome profiling. Pre-clinical research on noninvasive biomarkers for detection and monitoring of a number of pathological conditions (inflammation, cancer, neurodegeneration, etc). Advantages Ready to use. No initial exosome purification required. User friendly and suitable for multiple marker analyses. ExoTEST TM consists of ELISA plates pre-coated with proprietary pan-exosome antibodies enabling specific capture of exosomes from different biological samples, including cell culture supernatants and human biological fluids. Quantification and characterization of exosomal proteins is subsequently performed using appropriate detection antibodies against exosome associated antigens that can be for either generic or cell/tissue-specific exosomes. Lyophilized Exosome Standards, characterized for protein content and particle number (NTA) allow the quantification of unknown sample by a standard calibration curve. Available in TEST format (limited to 3 ELISA strips, 24 wells). Kit components Immunoplate Lyophilized Exosome Standards Antibodies for exosome marker detection B u ff e r s Reagents Description 96 well (12 strips x 8 wells) precoated with specific exosome capturing antibody. Exosome Standards from human plasma, serum, urine, saliva or cell medium for calibration curve. Primary anti-human CD9 antibody (HBM proprietary) and secondary antibody HRP conjugated for exosome detection. Sample buffer for antibody dilution and incubation. Washing buffer for washing ELISA plate. Reagents for signal detection. 35

Material amount Starting material: 100 μl of biological sample. Whole plasma and serum can be directly loaded on the plate. It is recommeded to use concentrate (10X) urine or cell media prior to the capture (see page 21). Detection limit The detection limit of the assay is lower than 0.35 μg of overall exosomes which is the equivalent to less than 50 pg of targeted exosome protein. Assay calibration Kit contains Lyophilized Exosome Standards for assay calibration. Storage conditions All reagents are shipped and can be stored at 4 C as described in the datasheet of the product. ExoTEST TM : ELISA ready-to-use quantification kit HBM-LS offers different types of ExoTEST TM kit for quantification of Overall Exosome population from human biofluids (plasma, urine, serum) and from cell culture supernatants. In addition, it is available the ExoTEST TM for Tumor-derived Exosome Enrichment and quantification. Cat. Code Description Immunoplate ExoTEST TM for Overall Exosome immunocapture and quantification from human plasma, urine and saliva Exosome detection performed with anti-human CD9 Transparent HBM-RTK-POF/## antibody. Secondary antibody: anti-mouse HRP conjugated. White ExoTEST TM for Overall Exosome immunocapture and quantification from human serum HBM-RTK-POS/## Exosome detection performed with anti-human CD9 biotin-conjugated antibody. Signal detected with Streptavidin-HRP conjugated. Transparent White ExoTEST TM for Overall Exosome immunocapture and quantification from cell culture media HBM-RTK-POC/## Exosome detection performed with anti-human CD9 biotin-conjugated antibody. Signal detected with Streptavidin-HRP conjugated. Transparent White ExoTEST TM for Tumor-derived Exosome immunocapture and quantification from human plasma HBM-RTK-PTF/## Exosome detection performed with anti-human CD9 antibody. Secondary antibody: anti-mouse HRP conjugated. Transparent White Custom made ExoTEST TM for Specific Exosome immunocapture and quantification HBM-RTK-CMK HansaBioMed Life Sciences offers the flexibility of creating and designing your own kit by choosing among a wide variety of reagents available in our catalog. For information contact info@hansabiomed.eu All kits are also available in TEST format, limited to 3 ELISA strips (24 wells). Cat Code: HBM- TRTK-### References Damania, A., Jaiman, D., Teotia, A. K., & Kumar, A. (2018). Mesenchymal stromal cell-derived exosome-rich fractionated secretome confers a hepatoprotective effect in liver injury. Stem cell research & therapy, 9(1), 31. Musante, L., Tataruch-Weinert, D., Kerjaschki, D., Henry, M., Meleady, P., & Holthofer, H. (2017). Residual urinary extracellular vesicles in ultracentrifugation supernatants after hydrostatic filtration dialysis enrichment. Journal of Extracellular Vesicles, 6(1), 1267896. Zarovni, N., Corrado, A., Guazzi, P., Zocco, D., Lari, E., Radano, G.,... & Chiesi, A. (2015). Integrated isolation and quantitative analysis of exosome shuttled proteins and nucleic acids using immunocapture approaches. Methods. Tetta, C., Ghigo, E., Silengo, L., Deregibus, M. C., & Camussi, G. (2013). Extracellular vesicles as an emerging mechanism of cell-to-cell communication. Endocrine, 44(1), 11-19. Federici, C., Petrucci, F., Caimi, S., Cesolini, A., Logozzi, M., Borghi, M.,... & Fais, S. (2014). Exosome release and low ph belong to a framework of resistance of human melanoma cells to cisplatin. Logozzi, M., De Milito, A., Lugini, L., Borghi, M., Calabrò, L., Spada, M.,... & Fais, S. (2009). High levels of exosomes expressing CD63 and caveolin-1 in plasma of melanoma patients. (4), e5219. 36

Catalog 2018 Section 3 ExoTEST TM : High sensitivity in detecting low exosome amount O.D. 450 nm 2 R² = 0,9968 1,5 1 0,5 0 0 10 20 30 40 50 60 exosome ug Lyophilized Exosomes Recombinant Protein The sensitivity of the ExoTEST is higher than western blotting (Figures 1 and 2). 10 μg of lyophilized exosomes are equivalent to 0.1 ng of recombinant exosomal protein: since the standard curve s lower concentration is 0.39 μg of lyophilized exosomes (Fig 1), the sensitivity of our test is around 39 pg of protein equivalent. 1. CD9 titration (blue line) of healthy donor plasma exosome standards (HBM-PEP100) and comparison with observed background (red line, only secondary antibody). 2. CD9 exosome marker detection by Western Blotting on lyophilized exosomes from human plasma (HBM- PEP100) and recombinant CD9 protein. ExoTEST TM : Exosome binding is highly specific 3. Comparison of ExoTEST analysis and total protein content (BCA test) of different fractions of human plasma fractioned by SEC column. EVs are eluted in fractions 6-11, whereas the highest yield of plasma proteins appears from fraction 14. ExoTEST TM presents high specificity for binding only EVs and not circulating proteins. ExoTEST TM shows positive signal only in fractions containing EVs (Fig 3). ExoTEST TM : Exosome binding is highly specific O.D. 450 nm 2 1,6 1,2 0,8 0,4 y = 0,0349x + 0,0654 R² = 0,9979 0 0 10 20 30 40 50 60 Exosome µg 4. Standard curve obtained with Lyophilized Exosome Standards from human plasma healthy donors (HBM-PEP100) with anti-cd9 antibody. O.D. 450 nm 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0 #1 #2 #3 #4 #5 Whole plasma samples 5. CD9 titration of exosomes in 5 different whole plasma from healthy donor. Plasma sample O.D. 450 nm Exosome μg Particle number in 100 μl of plasma #1 0,5673 12,869 3,86x10^9 #2 0,6194 14,205 4,26x10^9 #3 0,4425 9,6692 2,90x10^9 #4 0,3100 6,2717 1,88x10^9 #5 0,7853 18,458 5,54x10^9 Example of exosome quantification performed in 5 unknown plasma samples from healthy donors using the ExoTEST TM (HBM-RTK-POF/TP). Following the binding of Lyophilized Standards and unknown samples onto the ELISA plate, test is run according to the kit protocol and exosome detection is performed with anti-cd9 antibody (HBM-LS). Exosome quantification is finally performed calculating the quantity of exosomes (expressed in μg) in the 5 unknown samples using the equation obtained from the standard curve (Fig 3). The particle number contained in 100 μl of plasma is calculated from quantity of exosomes (expressed in μg) according to the particle concentration (number of particles/ml) indicated in the label of the Lyophilized Exosome Standards (HBM-PEP100, NTA: 3x10^11 particles/ml). 37

Applications Exosome isolation and exosome marker characterization via FACS. Comprehensive exosome profiling. Applications Exo-FACS: ready-to-use kit for EV FACS analysis Exo-FACS allows exosome isolation from biofluids or cell culture media and FACS analysis of exosome markers. The kit consists of EXO-Prep reagent for exosome isolation, 4 µm beads used for the overall capture of pre-isolated exosomes, lyophilized exosomes from cell culture supernatants or human biological fluids as positive control. The characterization of exosomal proteins (membraneexpressed or internal) is subsequently performed using appropriate detection antibodies against exosome associated antigens. Ready to use. No initial exosome purification required. Lyophilized Exosome Standards for positive control included. User-friendly and suitable for multiple marker analyses. Kit components EXO-Prep for exosome isolation. Lyophilized Exosome Standards for positive control. Primary antibody for exosome marker detection as positive control. Secondary antibody Alexa 488. Sample buffer, for antibody incubation. Storage All reagents are shipped and must be stored at 4 C. HBM-LS offers different Exo-FACS kits for staining of exosomal markers from human biofluids (plasma, urine, serum, saliva) and from cell culture supernatants. Exo-FACS contains reagents for 20 reactions (lyophilized exosomes, beads, antibodies and buffers). Primary antibody included in the kit is against a common exosomal marker (CD9 or CD63) and can be used as a positive control for protein profiling via FACS analysis. Cat. Code Description Lyophilized Exosome Standard Detection antibody Exo-FACS ready to use kits for analysis of exosome marker from human biofluids HBM-FACS-PEP HBM-FACS-PES HBM-FACS-PEU HBM-FACS-PESL FACS analysis of plasma exosomes FACS analysis of serum exosomes FACS analysis of urine exosomes FACS analysis of saliva exosomes HBM-PEP100 1 vial, 100 μg HBM-PES100 1 vial, 100 μg HBM-PEP100 1 vial, 100 μg HBM-PEP100 1 vial, 100 μg Anti human CD9 Anti human CD9 Anti human CD9 Anti human CD9 Exo-FACS ready to use kits for analysis of exosome marker from cell culture media FACS analysis of cell HBM-###100 * Anti human CD63 HBM-FACS-C derived exosomes 1 vial, 100 μg * Possibility to choose the Exosome Standard from the list of Lyophilized Exosome Standards from cell media available in the section 1 of this catalog, page 5 and 6. References Damania, A., Jaiman, D., Teotia, A. K., & Kumar, A. (2018). Mesenchymal stromal cell-derived exosome-rich fractionated secretome confers a hepatoprotective effect in liver injury. Stem cell research & therapy, 9(1), 31. 38

Catalog 2018 Section 3 Exo-FACS: Exosome protein profiling by Flow Cytometry technique Exo-FACS was used for a protein marker profile in exosomes derived from different sources. Exosome binding on FACS-beads was performed by incubation at 4 C overnight. Exosome-bead complex is ready to be labeled with fluorophore-conjugated antibodies for specific exosome markers. In figure 6 is shown a profile of expression of three different exosome markers in exosomes purified from Melanoma (MM1), Neuroblastoma (SH) and Glioblastoma (U87) cell supernatants. 6. FACS profiling of exosomal markers CD9, CD63 and TM9SF4 in purified exosomes from MM1, SH-SY5Y and U87 cell lines. 39

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