RT Journal Article T1 Serum Levels of Vasoactive Intestinal Peptide as a Prognostic Marker in Early Arthritis A1 Martínez Mora, María Del Carmen A1 Ortiz, Ana A1 Juarranz Moratilla, Yasmina A1 Lamana Domínguez, Amalia A1 Seoane, Iria A1 Leceta Martínez, Javier A1 García-Vicuña, Rosario A1 Pérez Gomáriz, Rosa María A1 González-Álvaro, Isidoro A2 Frey, Oliver AB Extracellular vesicles (EVs) are emerging as potent non-invasive biomarkers. However, current methodologies are time consuming and difficult to translate to clinical practice. To analyse EV-encapsulated circulating miRNA, we searched for a quick, easy and economic method to enrich frozen human serum samples for EV. We compared the efficiency of several protocols and commercial kits to isolate EVs. Different methods based on precipitation, columns or filter systems were tested and compared with ultracentrifugation, which is the most classical protocol to isolate EVs. EV samples were assessed for purity and quantity by nanoparticle tracking analysis and western blot or cytometry against major EV protein markers. For biomarker validation, levels of a set of miRNAs were determined in EV fractions and compared with their levels in total serum. EVs isolated with precipitation-based methods were enriched for a subgroup of miRNAs that corresponded to miRNAs described to be encapsulated into EVs (miR-126, miR-30c and miR-143), while the detection of miR-21, miR-16-5p and miR-19a was very low compared with total serum. Our results point to precipitation using polyethylene glycol (PEG) as a suitable method for an easy and cheap enrichment of serum EVs for miRNA analyses. The overall performance of PEG was very similar, or better than other commercial precipitating reagents, in both protein and miRNA yield, but in comparison to them PEG is much cheaper. Other methods presented poorer results, mostly when assessing miRNA by qPCR analyses. Using PEG precipitation in a longitudinal study with human samples, we demonstrated that miRNA could be assessed in frozen samples up to 8 years of storage. We report a method based on a cut-off value of mean of fold EV detection versus serum that provides an estimate of the degree of encapsulation of a given miRNA. PB Public Library of Science SN 1932-6203 YR 2014 FD 2014 LK https://hdl.handle.net/20.500.14352/94281 UL https://hdl.handle.net/20.500.14352/94281 LA eng NO Martínez, Carmen, et al. «Serum Levels of Vasoactive Intestinal Peptide as a Prognostic Marker in Early Arthritis». PLoS ONE, editado por Oliver Frey, vol. 9, n.o 1, enero de 2014, p. e85248. https://doi.org/10.1371/journal.pone.0085248. NO This work was supported by grant PIE13/00041 from Instituto de Salud Carlos III and co-funded by Fondo Europeo de Desarrollo Regional (FEDER) to MM, IG-A, FS-M and MY-M, and BFU2014-55478-R from Ministerio de Economía y Competitividad to MY-M. NO Instituto de Salud Carlos III NO European Commission NO Ministerio de Economía y Competitividad (España) DS Docta Complutense RD 9 abr 2025