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Table 1 Techniques for exosome isolation and identification and their advantages and disadvantages

From: Molecular mechanisms and clinical applications of exosomes in prostate cancer

Separation technology

 

Advantages

Disadvantages

Refs

Exosome isolation techniques

 Centrifugation techniques

Ultracentrifugation (UC)

First used

Well-developed

Low purity

[52, 53]

Density gradient centrifugation

Higher purity than UC

Low yield

Time-consuming

[54, 55]

 Size-based techniques

Ultrafiltration

High purity

High particle yield

Exosome damage

Time-consuming

[50, 53, 56]

Size exclusion chromatography

Reproducible

Cost-effective

Nondestructive

High workload

Possible contamination

[50, 57]

 Capture-based techniques

Magnetic beads and immunoaffinity

High purity

Specific isolation

Time save

Not high-throughput

High cost

Low yield

Only specifically labeled exosomes are isolated

[50, 58]

Heparin affinity

Wide range of affinity

High recovery

Possible contamination

Unspecified mechanism

[53, 59]

 Precipitation

Polyethylene glycol precipitation

Suitable for commercial kits

Convenient operation

High contamination

Unstable results

[53, 60, 61]

 Microfluidic systems

Based on size, density, immunoaffinity, and additional novel sorting mechanisms

Efficient acquisition

Continuous separation with small samples

High requirements for equipment

[62, 63]

Exosome identification techniques

 Size-based technology

Nanoparticle tracking analysis

Fast detection

High lower-detection limit

Difficult to distinguish similarly sized impurities

[64, 65]

Tunable resistive pulse sensing

Fast detection

Poor specificity

[65]

Dynamic light scattering

Fast detection

High lower-detection limit

Applicable only to transparent solutions

[66, 67]

 Morphology-based technology

Transmission electron microscopy

High accuracy

Internal structures visible

Complex operation

Possible deformation caused by preprocessing

Low through-put

[16, 68]

Scanning electron microscopy

High accuracy

Surface structures are visible

 

[69]

Atomic force microscopy

Cryo-electron microscopy

High accuracy

Costly equipment, Low-throughput

[16]

 Marker protein-based technology

Western blotting

Technology maturity

Low threshold

For single marker

[64]

ELISA

High specificity

High through-put

Complex operation

Time-consuming

[64]

Flow cytometry

High through-put

Heavy reliance on high-level operations

High lower-detection limit

[70]