<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Neurosci.</journal-id>
<journal-title>Frontiers in Cellular Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5102</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fncel.2018.00526</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Extracellular Vesicles Secreted by Astroglial Cells Transport Apolipoprotein D to Neurons and Mediate Neuronal Survival Upon Oxidative Stress</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Pascua-Maestro</surname> <given-names>Raquel</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/595979/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Gonz&#x000E1;lez</surname> <given-names>Esperanza</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/595887/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Lillo</surname> <given-names>Concepci&#x000F3;n</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/595888/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Ganfornina</surname> <given-names>Maria D.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/170573/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Falc&#x000F3;n-P&#x000E9;rez</surname> <given-names>Juan Manuel</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/169079/overview"/>
</contrib> 
<contrib contrib-type="author">
<name><surname>Sanchez</surname> <given-names>Diego</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x02020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/170733/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Instituto de Biolog&#x000ED;a y Gen&#x000E9;tica Molecular-Departamento de Bioqu&#x000ED;mica y Biolog&#x000ED;a Molecular y Fisiolog&#x000ED;a, Universidad de Valladolid-CSIC</institution>, <addr-line>Valladolid</addr-line>, <country>Spain</country></aff>
<aff id="aff2"><sup>2</sup><institution>Exosomes Group, Metabolomics Unit and Platform, CIC bioGUNE, CIBERehd, Technology Park of Bizkaia</institution>, <addr-line>Derio</addr-line>, <country>Spain</country></aff>
<aff id="aff3"><sup>3</sup><institution>Instituto de Neurociencias de Castilla y Le&#x000F3;n, IBSAL, Universidad de Salamanca</institution>, <addr-line>Salamanca</addr-line>, <country>Spain</country></aff>
<aff id="aff4"><sup>4</sup><institution>IKERBASQUE, Basque Foundation for Science</institution>, <addr-line>Bilbao</addr-line>, <country>Spain</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Gabriela Alejandra Salvador, Universidad Nacional del Sur, Argentina</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Xiaolu Zhang, Northern Jiangsu People&#x02019;s Hospital, China; Marina Guizzetti, Oregon Health &#x00026; Science University, United States</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Maria D. Ganfornina <email>opabinia&#x00040;ibgm.uva.es</email></corresp>
<fn fn-type="other" id="fn001"><p><sup>&#x02020;</sup>These authors have contributed equally to this work and are senior authors</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>01</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>12</volume>
<elocation-id>526</elocation-id>
<history>
<date date-type="received">
<day>03</day>
<month>08</month>
<year>2018</year>
</date>
<date date-type="accepted">
<day>18</day>
<month>12</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2019 Pascua-Maestro, Gonz&#x000E1;lez, Lillo, Ganfornina, Falc&#x000F3;n-P&#x000E9;rez and Sanchez.</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Pascua-Maestro, Gonz&#x000E1;lez, Lillo, Ganfornina, Falc&#x000F3;n-P&#x000E9;rez and Sanchez</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract><p>Extracellular vesicle (EV)-mediated glia-to-neuron communication has been recognized in a growing number of physiological and pathological situations. They transport complex sets of molecules that can be beneficial or detrimental for the receiving cell. As in other areas of biology, their analysis is revolutionizing the field of neuroscience, since fundamental signaling processes are being re-evaluated, and applications for neurodegenerative disease therapies have emerged. Using human astrocytic and differentiated neuronal cell lines, we demonstrate that a classical neuroprotective protein, Apolipoprotein D (ApoD), expressed by glial cells and known to promote functional integrity and survival of neurons, is exclusively transported by EVs from astrocytes to neurons, where it gets internalized. Indeed, we demonstrate that conditioned media derived from ApoD-knock-out (KO) astrocytes exert only a partial autocrine protection from oxidative stress (OS) challenges, and that EVs are required for ApoD-positive astrocytic cell line derived medium to exert full neuroprotection. When subfractionation of EVs is performed, ApoD is revealed as a very specific marker of the exosome-containing fractions. These discoveries help us reframe our understanding of the neuroprotective role of this lipid binding protein and open up new research avenues to explore the use of systemically administered ApoD-loaded exosomes that can cross the blood-brain barrier to treat neurodegenerative diseases.</p></abstract>
<kwd-group>
<kwd>ApoD</kwd>
<kwd>exosomes</kwd>
<kwd>extracellular vesicles</kwd>
<kwd>astrocytes</kwd>
<kwd>neurons</kwd>
<kwd>oxidative stress</kwd>
<kwd>neuroprotection</kwd>
<kwd>glia-to-neuron communication</kwd>
</kwd-group>
<contract-sponsor id="cn001">Ministerio de Ciencia e Innovaci&#x000F3;n<named-content content-type="fundref-id">10.13039/501100004837</named-content></contract-sponsor>
<contract-sponsor id="cn002">Ministerio de Econom&#x000ED;a y Competitividad<named-content content-type="fundref-id">10.13039/501100003329</named-content></contract-sponsor>
<contract-sponsor id="cn003">Consejer&#x000ED;a de Educaci&#x000F3;n, Junta de Castilla y Le&#x000F3;n<named-content content-type="fundref-id">10.13039/501100008431</named-content></contract-sponsor>
<contract-sponsor id="cn004">European Social Fund<named-content content-type="fundref-id">10.13039/501100004895</named-content></contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="53"/>
<page-count count="13"/>
<word-count count="8949"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction" id="s1">
<title>Introduction</title>
<p>Nervous system function relies on a complex set of cell types interacting and communicating among them. Cell contact-dependent interactions underlie cell adhesion processes important for neural circuit construction and plasticity. However, communication can also take place by secretion of signaling molecules and neurotransmitters. In this line, the discovery of extracellular vesicles (EVs) have brought a new format of interactions to an already multifaceted communication network. EVs produced by most cells, including all nervous system cell types (Fr&#x000FC;hbeis et al., <xref ref-type="bibr" rid="B13">2013a</xref>; Lopez-Verrilli et al., <xref ref-type="bibr" rid="B32">2013</xref>; Basso and Bonetto, <xref ref-type="bibr" rid="B3">2016</xref>; Guitart et al., <xref ref-type="bibr" rid="B18">2016</xref>; Croese and Furlan, <xref ref-type="bibr" rid="B8">2018</xref>), open up a new mechanism of signal transmission (Valadi et al., <xref ref-type="bibr" rid="B53">2007</xref>; Hervera et al., <xref ref-type="bibr" rid="B20">2018</xref>) that is changing our understanding of how glia and neurons communicate (Fr&#x000FC;hbeis et al., <xref ref-type="bibr" rid="B14">2013b</xref>; Basso and Bonetto, <xref ref-type="bibr" rid="B3">2016</xref>; Kr&#x000E4;mer-Albers, <xref ref-type="bibr" rid="B26">2017</xref>).</p>
<p>As the lipid, carbohydrate, protein and nucleic acid composition of EVs (Kalra et al., <xref ref-type="bibr" rid="B22">2012</xref>; Keerthikumar et al., <xref ref-type="bibr" rid="B23">2015</xref>; Kim et al., <xref ref-type="bibr" rid="B25">2015</xref>) is cell type and physiological state-specific (Gy&#x000F6;rgy et al., <xref ref-type="bibr" rid="B19">2011</xref>; M&#x000FC;ller, <xref ref-type="bibr" rid="B33">2012</xref>), such feature makes them candidate biomarker tools in many human diseases, including neuronal disorders (M&#x000FC;ller, <xref ref-type="bibr" rid="B33">2012</xref>; Cheow et al., <xref ref-type="bibr" rid="B6">2016</xref>). Furthermore, the potential therapeutic use of EVs is particularly important in brain illnesses, given that they can cross the blood-brain barrier (Alvarez-Erviti et al., <xref ref-type="bibr" rid="B1">2011</xref>; Ridder et al., <xref ref-type="bibr" rid="B42">2014</xref>; Kr&#x000E4;mer-Albers, <xref ref-type="bibr" rid="B26">2017</xref>). In this regard, EVs purposely loaded with neuroprotective molecules are a promising therapy for neurodegenerative disorders (Pandya et al., <xref ref-type="bibr" rid="B36">2013</xref>; Spencer et al., <xref ref-type="bibr" rid="B49">2014</xref>; Rufino-Ramos et al., <xref ref-type="bibr" rid="B43">2017</xref>).</p>
<p>The Lipocalin Apolipoprotein D (ApoD) is mostly expressed in the nervous system and upregulated in response to oxidative stress (OS; Ganfornina et al., <xref ref-type="bibr" rid="B15">2008</xref>; Bhatia et al., <xref ref-type="bibr" rid="B5">2012</xref>, <xref ref-type="bibr" rid="B4">2013</xref>), a challenge that accompanies physiological aging and disease (Ganfornina et al., <xref ref-type="bibr" rid="B15">2008</xref>; Perdomo and Henry Dong, <xref ref-type="bibr" rid="B39">2009</xref>; Bhatia et al., <xref ref-type="bibr" rid="B5">2012</xref>, <xref ref-type="bibr" rid="B4">2013</xref>). Not surprisingly, ApoD is one of the few genes consistently over-expressed in the aging brain of all vertebrate species tested so far (Loerch et al., <xref ref-type="bibr" rid="B31">2008</xref>). Moreover, ApoD expression is boosted in an amazingly wide array of neurodegenerative and psychiatric diseases of diverse etiology (Suresh et al., <xref ref-type="bibr" rid="B50">1998</xref>; Reindl et al., <xref ref-type="bibr" rid="B41">2001</xref>; reviewed by Dassati et al., <xref ref-type="bibr" rid="B9">2014</xref>). ApoD is actively secreted by astrocytes and myelinating glia, and is uptaken by neurons during neural development and differentiation (S&#x000E1;nchez et al., <xref ref-type="bibr" rid="B48">2002</xref>; Ganfornina et al., <xref ref-type="bibr" rid="B15">2008</xref>, <xref ref-type="bibr" rid="B16">2010</xref>; Garc&#x000ED;a-Mateo et al., <xref ref-type="bibr" rid="B17">2014</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). At the cellular level, ApoD is found in the endosome-lysosome-autophagosomal compartment (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). Such subcellular location is finely regulated, both in glia, that express ApoD, and in neurons that uptake ApoD in a paracrine fashion (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). Within the lysosome, ApoD is able to prevent and revert OS-triggered membrane permeabilization (Bhatia et al., <xref ref-type="bibr" rid="B4">2013</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). ApoD has been demonstrated to reduce free radical-generating lipid hydroperoxides to inert lipid hydroxides (Bhatia et al., <xref ref-type="bibr" rid="B5">2012</xref>), a biochemical property that enables the protection and repair of OS-damaged membranes, finally resulting in cell survival. Previous work demonstrate that ApoD pro-survival mechanism is mediated specifically by the control of lipid peroxidation levels both in cultured cells and <italic>in vivo</italic> animal models (Ganfornina et al., <xref ref-type="bibr" rid="B15">2008</xref>; Navarro et al., <xref ref-type="bibr" rid="B35">2010</xref>; Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>).</p>
<p>ApoD is considered to be secreted through a canonical secretion pathway, and is found associated to serum LDL/HDL (Perdomo and Henry Dong, <xref ref-type="bibr" rid="B39">2009</xref>; Dassati et al., <xref ref-type="bibr" rid="B9">2014</xref>). However, proteomic analyses have identified this Lipocalin in EVs from serum and cerebrospinal fluid (Cheow et al., <xref ref-type="bibr" rid="B6">2016</xref>; Przybycien-Szymanska et al., <xref ref-type="bibr" rid="B40">2016</xref>). Thus, we set up to test whether ApoD is present in glial-derived EVs and contributes, in this cell-cell communication format, to improve neuronal viability and function.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Animals</title>
<p>ApoD-knock-out (KO) mice were generated by homologous recombination (Ganfornina et al., <xref ref-type="bibr" rid="B15">2008</xref>), and maintained in positive pressure-ventilated racks at 25 &#x000B1; 1&#x000B0;C with 12 h light/dark cycle, fed <italic>ad libitum</italic> with standard rodent pellet diet (Global Diet 2014; Harlan Inc., Indianapolis, IN, USA), and allowed free access to filtered and UV-irradiated water. To avoid potential maternal effects of ApoD, and to generate wild-type (WT) and ApoD-KO mice of homogeneous genetic background, the experimental cohorts used in this study are the F1 generation of homozygous crosses of ApoD<sup>&#x02212;/&#x02212;</sup> and ApoD<sup>+/+</sup> littermates born from heterozygous crosses of an ApoD-KO line backcrossed for over 20 generations into the C57BL/6J background.</p>
<p>Mice experimental procedures were approved by the University of Valladolid Animal Care and Use Committee, following the regulations of the Care and the Use of Mammals in Research (European Commission Directive 86/609/CEE, Spanish Royal Decree 1201/2005). No human subject was involved in this study.</p>
</sec>
<sec id="s2-2">
<title>Cell Culture and Treatments</title>
<p>The human astrocytoma 1321N1 and neuroblastoma SH-SY5Y cell lines were obtained from ECACC (86030402) and ATCC (CRL-2266) respectively. Cells were grown at 37&#x000B0;C in a humidity-saturated atmosphere containing 5% CO<sub>2</sub>. Culture medium was replaced twice a week and cells were subcultured at 90% confluence. Cells were counted with Countess Automated Cell Counter (Invitrogen).</p>
<p>1321N1 cells were cultured in Dulbecco-modified Eagle&#x02019;s medium (DMEM; Lonza) supplemented with heat-inactivated 5% fetal bovine serum (FBS), 1% <sc>L</sc>-glutamine, and 1% penicillin/streptomycin/amphotericin B (PSA).</p>
<p>SH-SY5Y cells were cultured in DMEM supplemented with 4.5 g/l glucose, heat-inactivated 10% FBS, 1% <sc>L</sc>-glutamine, 1% PS and 1% nonessential amino acids (Lonza). To subculture, we used 0.25% Trypsin-EDTA (Gibco Life Technologies). SH-SY5Y differentiation was achieved by culturing cells on collagen-treated plates with 3% FBS and 10 &#x003BC;M retinoic acid (Sigma-Aldrich) for 72 h.</p>
<p>Primary astrocytes from WT and ApoD-KO neonatal (0&#x02013;1 days old) mice were cultured as described (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>). Cerebral cortices were quickly dissected, their meninges removed by rolling on filter paper, and pieces of cortex placed in Earle&#x02019;s Balanced Salt Solution (EBSS) with 2.4 mg/ml DNAse I and 0.2 mg/ml bovine serum albumin (BSA). The tissue was minced with a surgical blade, centrifuged (200 <italic>g</italic>, 2 min), incubated with 10 mg/ml trypsin for 15 min at 37&#x000B0;C (incubation terminated by 10% FBS addition), mechanically dissociated with a Pasteur pipette, and centrifuged (200 <italic>g</italic>, 5 min). The resulting cells were resuspended in DMEM with 10% FBS, 1% <sc>L</sc>-glutamine, 1% PSA, plated onto cultured flasks, and incubated at 37&#x000B0;C in 5% CO<sub>2</sub> with 90%&#x02013;95% humidity. Culture medium was replaced after 24 h and weekly thereafter. Cells were used for experiments after two subculture steps, when &#x0003E;99% of cells are astrocytes (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>).</p>
<p>Exogenous addition of ApoD: human ApoD purified from breast cystic fluid (Ruiz et al., <xref ref-type="bibr" rid="B44">2013</xref>) was added (10 nM) to the cell cultures for 2 h.</p>
<p>Paraquat (PQ) treatment: cells were cultured in phenol red-free DMEM supplemented with 1% <sc>L</sc>-glutamine, 1% PS, and 0.2% charcoal stripped FBS. This medium without additives was used as our low-serum (LS) control condition. Cells were treated for 1&#x02013;24 h with PQ (500 &#x003BC;M) prepared in LS medium.</p>
<p>To label and track the whole population of EVs produced by a cell (including exosomes and shedding vesicles) the membranous organelles were labeled with Vybrant-DiI (V22888). To label organelles of the phagocytic-endocytic pathway [endosomes, lysosomes and multivesicular bodies (MVB)] we used Dextran-Alexa 488 (D22910), following the manufacturer&#x02019;s specifications (Molecular Probes). Cells were incubated with the dye solution for 48 h. After removing the culture medium and performing three 5 min washes with phosphate-buffered saline (PBS), cells were incubated overnight and then subcultured alone or in different co-culture formats (see below).</p>
<p>Cells remained in co-culture during 48 h before performing flow cytometry or fluorescence microscopy analyses to test for transfer of vesicles between astrocytes and neurons. Two types of co-cultures were used: cells were subcultured to experimental plates in a 50:50 proportion (mixed cultures), or separated by a 0.4 &#x003BC;m pore membrane (Transwell plates, Corning Inc.) to avoid direct cell-cell contact.</p>
</sec>
<sec id="s2-3">
<title>Conditioned Media Harvesting for EV Preparations</title>
<p>A standard FBS is used for the culture medium used in the maintenance and amplification of each cell type, and for experiments not directed to EV collection. The experiments described below are performed in EV-free media, where FBS was EV-depleted by ultracentrifugation and added (5%) to phenol red-free DMEM with 25 mM HEPES, 4.5 g/l glucose, 1% <sc>L</sc>-glutamine and 1% PS.</p>
<p>Conditioned media collection: Cells were cultured in EV-free medium and incubated at 37&#x000B0;C in 5% CO<sub>2</sub> with 90%&#x02013;95% humidity for 72 h before the culture medium was collected. A total of 24 culture dishes (20 &#x000D7; 10<sup>6</sup> cells/dish) per condition were necessary for EV preparations from 1321N1 cells, and 66 culture flasks (8 &#x000D7; 10<sup>6</sup> cells/flask) per conditions of primary astrocytes. After centrifugation at 1,500&#x000D7; <italic>g</italic> for 30 min at 4&#x000B0;C, the culture supernatant was filtered through a 0.22 &#x003BC;m membrane to obtain a debris-free conditioned medium (CM). The filtered culture medium was immediately frozen at &#x02212;80&#x000B0;C. Two independent pools of media from 1321N1 cells and two from primary astrocytes per genotype were prepared for further vesicle isolation by differential ultracentrifugation (see below).</p>
</sec>
<sec id="s2-4">
<title>Isolation, Fractionation and Analysis of Astrocyte-Derived EVs</title>
<p>To isolate EVs, the stored debris-free CM samples were centrifuged at 10,000&#x000D7; <italic>g</italic> for 30 min and the supernatant was centrifuged at 100,000&#x000D7; <italic>g</italic> for 75 min. The supernatant of this centrifugation was collected for some experiments as EV-depleted CM. The resulting pellet was washed with an excess of PBS, and centrifuged again at 100,000&#x000D7; <italic>g</italic> for 60 min. The pellet was resuspended in cold PBS and stored at &#x02212;80&#x000B0;C.</p>
<p>EVs size distribution and concentration were analyzed using a NanoSight LM10 system equipped with a fast video capture and particle-tracking software. Vesicles are visualized by light scattering using a light microscope with a Nanoparticles tracking analysis (NTA) software that tracks Brownian motion of individual vesicles. NTA post-acquisition settings were kept constant for all samples, and each video was analyzed to calculate the median vesicle size and concentration estimates (Dragovic et al., <xref ref-type="bibr" rid="B11">2011</xref>). The starting EV-free culture medium was subject to NTA as control for comparison. We also characterized EVs by Western Blot and Transmission Electron Microscopy (TEM).</p>
<p>Glia-derived EVs (either from the 1321N1 human astrocytic cell line or from mouse primary astrocytes) were fractionated in a continuous 0.25&#x02013;2 M sucrose density gradient (Taylor, <xref ref-type="bibr" rid="B51">2015</xref>). The EV sample was placed on top of the gradient and centrifuged for 16 h at 210,000&#x000D7; <italic>g</italic>, 4&#x000B0;C, in a SW40 Ti rotor. Fractions (1 ml) were collected from top to bottom by using an autodensity-flow gradient fractionator (Labconco). After mixing by vortex, 20 &#x003BC;l of each fraction were separated for density measures. Subsequently, the rest of the volume was diluted in 20 mM HEPES (pH 7.4), and centrifuged 1 h at 110,000&#x000D7; <italic>g</italic>, 4&#x000B0;C, in a TLA-110 rotor. The pellets were resuspended in PBS and stored at &#x02212;80&#x000B0;C for subsequent immunoblot analysis. Using the volume set aside, the refractive index of each fraction was measured with a high-resolution refractometer (Abbe 2WAJ, PCE Americans, Inc.). Values are translated into density values by use of equivalence tables.</p>
</sec>
<sec id="s2-5">
<title>Immunoblot Analysis</title>
<p>Cell lysates, cultured media (either directly or concentrated 20&#x000D7; by filter centrifugation with 10 KDa cut-off Centricon YM-10; Millipore), isolated EVs, or EV fractions were analyzed by immunoblot. Denaturing and reducing conditions (0.5% SDS, 25 mM DTT) were used to solubilize proteins prior to electrophoresis in order to detect ApoD. Proteins were transferred to PVDF membranes using standard procedures, and exposed to rabbit serum anti-human ApoD (custom made by Abyntek Biopharma against purified ApoD; Ruiz et al., <xref ref-type="bibr" rid="B44">2013</xref>), goat serum anti-mouse ApoD (Santa Cruz Biotechnology), rabbit serum anti-CD81 (GeneTex), mouse anti-flotillin 1 (Becton Dickinson), or rabbit serum anti-BiP (Sigma), and followed by HRP-conjugated secondary antibodies (Santa Cruz Biotechnology). Membranes were developed with ECL reagents (Millipore) and the signal visualized with a digital camera (VersaDoc; BioRad). The integrated optical density of the immunoreactive protein bands was measured in images taken within the linear range of the camera, avoiding signal saturation.</p>
</sec>
<sec id="s2-6">
<title>Electron Microscopy Methods</title>
<p>Primary astrocytes, destined for pre-embedding immunogold labeling of ApoD, were fixed in 4% formaldehyde and 0.3% glutaraldehyde in 0.1 M PB, pH 7.4, for 30 min at 4&#x000B0;C. Following washes in 0.1 M PB, the cells were blocked with 0.1% cold water fish skin gelatin and permeabilized with Tween-20 (0.5%) in Tris-buffered saline (TBS; 20 mM Tris-HCl, 150 mM NaCl). Samples were incubated with rabbit serum anti-human ApoD antibody diluted in blocking solution. After several washes they were incubated with ultra-small gold-conjugated goat anti-rabbit secondary antibodies Electron Microscopy Sciences (EMS) in PBS. After several washes with PBS, samples were post-fixed in 2% glutaraldehyde in PBS for 20 min, washed, and the ultra-small gold particles were silver-enhanced for 20 min at room temperature with AURION R-Gent SE-EM (Silver Enhancement for Electron Microscopy) following the manufacturer indications. Later, samples were post-fixed with 0.5% OsO<sub>4</sub> in PBS for 20 min at 4&#x000B0;C, washed with PBS, dehydrated through a graded series of ethanol and embedded in Epoxy EMbed-812 resin EMS. Ultrathin sections were obtained with an Ultracut E ultramicrotome (Reichert/Leica), contrasted with uranyl acetate and lead citrate, and analyzed using a JEOL JEM-1011 HR electron microscope with a CCD Gatan ES1000W camera with iTEM software.</p>
<p>EV preparations destined to cryo-electron microscopy were directly adsorbed onto glow-discharged holey carbon grids (QUANTIFOIL, Germany). Grids were blotted at 95% humidity and rapidly plunged into liquid ethane with the aid of VITROBOT (Maastricht Instruments BV, Netherlands). Vitrified samples were imaged at liquid nitrogen temperature using a JEM-2200FS/CR transmission electron microscope (JEOL, Japan) equipped with a field emission gun and operated at an acceleration voltage of 200 kV.</p>
</sec>
<sec id="s2-7">
<title>Immunocytochemistry</title>
<p>Cells attached to poly-L-lysine (Sigma-Aldrich) treated coverslips were fixed with 4% formaldehyde. Following washes in PBS, cells were blocked and permeabilized with Tween-20 (0.1%) and 1% non-immune (goat or donkey) serum. Cells were incubated with primary antibodies: mouse anti-CD81 (monoclonal JS81), Mouse anti-CD63 (H5C6) or rabbit serum anti-human ApoD. All antibodies were prepared in blocking solution. Cy5, Cy3 (Abcam), Alexa Fluor<sup>&#x000AE;</sup> 594/488 (Jackson Labs) or DyLight<sup>&#x000AE;</sup> 405 (Thermo Scientific) conjugated IgGs were used as secondary antibodies. After washes in PBS, cells were mounted in EverBrite&#x02122; Mounting Medium with DAPI, and sealed with CoverGrip&#x02122; Coverslip Sealant (Biotium).</p>
</sec>
<sec id="s2-8">
<title>Image Acquisition and Analysis</title>
<p>Confocal images were obtained with a 63&#x000D7; oil immersion objective (HCX PL Apo CS NA = 1.4; Leica) attached to a confocal DMI 6000B microscope with a TCS SP5 confocal system (Leica) equipped with AOBS and AOTF systems. Fluorophores were excited with WLL laser (Leica) and a 405 line (Leica) controlled by LAS AF software (Leica). Emissions were collected with the AOBS system and three spectral detectors. Laser power and detection gains were set by scanning control samples labeled with secondary antibody alone. We ensured to obtain similar dynamic ranges in our images, and adjusted gain and offset using LUTs. In this manner, bleed through can be neglected. Negative control images showed very weak and homogeneous background. We obtained confocal sections under constant conditions to minimize image acquisition variation. Images were stored as 1,024 &#x000D7; 1,024 pixels and 8-bit TIFF files.</p>
<p>Z-series (xyz scan) were performed in all cases, covering the whole cell <italic>z</italic>-axis dimension. The number of z-stacks was determined by observing the limits of the cell membrane. The focus plane was set to be 3 &#x003BC;m beneath the section surface. The optimal value of the step size was calculated for the wavelength used to fulfill the Nyquist theorem. The optical section thickness was 0.772 &#x003BC;m. Besides, images were taken with a 4&#x000D7; zoom, reducing field size. Pixel size corresponded to 0.06*0.06*0.3777 &#x003BC;m<sup>3</sup>. Scanning was performed with a 1.0 Airy unit pinhole size.</p>
<p>Images were processed with a Gaussian Blur filter [Sigma (Radius): 1.00], to facilitate object detection, and analyzed with a Colocalization Indices plug-in (Nakamura et al., <xref ref-type="bibr" rid="B34">2007</xref>) and the 3D Object Counter tool of the FIJI software. To analyze triple-colocalization experiments we used the Image Calculator and 3D Object Counter tools of FIJI. We analyzed 20 cells per condition. Colocalization was quantitated using the intensity correlation quotient (ICQ), as described (Li et al., <xref ref-type="bibr" rid="B30">2004</xref>). A 2 &#x000D7; ICQ was adopted so that colocalization values range from &#x02212;1 (total exclusion) to +1 (total colocalization), with 0.1 representing the threshold for random association of signals (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). The index was referenced either to ApoD signal or to DiI signal.</p>
</sec>
<sec id="s2-9">
<title>Flow Cytometry</title>
<p>Cells cultured for 48 h after labeling with Vybrant-DiI or Dextran-Alexa 488 were lifted with 500 &#x003BC;l of Triple (Tryple&#x02122; Select, Gibco Life Technologies) after removal of the culture medium and washes with PBS. Suspended cells were analyzed in a FACS Canto II flow cytometer (Beckton Dickinson). DiI signal was collected with the &#x0201C;PE&#x0201D; detector (BP585/42) and Alexa 488 was detected with the &#x0201C;FITC&#x0201D; channel (BP530/30) after excitation with 488 nm laser. Data was processed with Kaluza Analysis software v.1.3 (Beckman Coulter).</p>
</sec>
<sec id="s2-10">
<title>MTT-Viability Assay</title>
<p>Cell viability was measured with the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) colorimetric assay as previously described (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B37">2018</xref>). After MTT exposure for 3 h, cells were incubated in isopropanol with 10% Triton X-100, and the solubilized formazan was measured by spectrophotometry using the SOFTmax Pro microplate reader (Molecular Devices). Absorbance was measured at &#x003BB; = 570 nm after subtracting the &#x003BB; = 690 nm background.</p>
</sec>
<sec id="s2-11">
<title>RT-PCR</title>
<p>RNAs from 1321N1 cells or differentiated SH-SY5Y cells after exposure to 1321N1-derived EVs were extracted with TRIzol (Qiagen). Total RNA (1 &#x003BC;g) was treated with DNaseI and reverse-transcribed with Prime-Script (Takara). The cDNA obtained was used as template for RT-PCR amplifications. To amplify human ApoD and the housekeeping control gene RPL18 we used the following primers: Human ApoD-Forward: 5&#x02019;-CCACCCCAGTTAACCTCACA; Human ApoD-Reverse: 5&#x02019;-CCACTGTTTCTGGAGGGAGA; Human RPL18-Forward: 5&#x02019;-CCATCATGGGAGTGGACAT-3&#x02019;; Human RPL18-Reverse: 5&#x02019;-CACGGCCGTCTTGTTTTC.</p>
</sec>
<sec id="s2-12">
<title>Statistical Analysis</title>
<p>Statistical analyses were performed with SPSS v.19 (IBM) and SigmaPlot v.11.0 (Systat) software. A <italic>p</italic> value &#x0003C; 0.05 was used as a threshold for significant changes. The tests used for each experiment are stated in figure legends.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Glia-Neuron Communication <italic>in vitro</italic></title>
<p>Although extensive data support the role of EVs as mediators of neuron-glia communication <italic>in vivo</italic> (Fr&#x000FC;hbeis et al., <xref ref-type="bibr" rid="B14">2013b</xref>; Basso and Bonetto, <xref ref-type="bibr" rid="B3">2016</xref>), we tested whether this relationship exists between human astroglial 1321N1 and neuronal SH-SY5Y cells, that have been previously used as a model to unravel the mechanism of action of ApoD (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). We first studied the possibility of vesicular exchange between these cells by labeling the membranous compartment of 1321N1 astrocytes with the lipophilic compound DiI, and the endo-lysosomal compartment of SH-SY5Y neurons with Dextran-Alexa 488 (see &#x0201C;Material and Methods&#x0201D; section). Co-culturing of labeled cells in EV-free media for 48 h showed colocalization of DiI and Dextran-Alexa 488 in both astrocytes and neurons (Figures <xref ref-type="fig" rid="F1">1C,D</xref>), suggesting an exchange of membranous material among them. In addition, flow cytometry analysis (Figures <xref ref-type="fig" rid="F1">1E&#x02013;H</xref>) confirms the presence of double-labeled cells (DiI-Dextran co-labeling; Figure <xref ref-type="fig" rid="F1">1H</xref>) and suggests that such transfer of material might be occurring mainly in the astrocyte-to-neuron direction (arrow in Figure <xref ref-type="fig" rid="F1">1H</xref>). However, the pattern of labeled cells observed might also be due to differences in efficiency of the labeling methods.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Astrocytes and neurons exchange CD81-positive material. <bold>(A&#x02013;D)</bold> Single plane confocal microscopy images extracted from Z-stacks obtained from co-cultures of: 1321N1 astrocytes labeled with DiI and unlabeled SHSY5Y neurons <bold>(A)</bold>; unlabeled 1321N1 and SH-SY5Y labeled with Dextran-Alexa 488 <bold>(B)</bold>; 1321N1 labeled with DiI and SH-SY5Y labeled with Dextran-Alexa 488. <bold>(C,D)</bold> Immunocytochemistry with the extracellular vesicle (EV) marker CD81 is shown in <bold>(A,B)</bold>. Arrows point to colocalizing signals. Asterisks and pound signs mark identified nuclei from astrocytes and neurons respectively. <italic>N</italic> = 20 confocal stacks/condition. Calibration bars: 10 &#x003BC;m. <bold>(E&#x02013;H)</bold> Flow cytometry analyses plotting the DiI and Dextran-Alexa 488 signals in the different co-culture conditions. The red arrow in <bold>(F)</bold> indicates the DiI-1321N1 population, and the green arrow in <bold>(G)</bold> points to the Dextran-Alexa 488-SHSY5Y population. A double labeled cell population appears when both astrocytic and neuronal cells are labeled (<bold>H</bold>, marked with a yellow arrow).</p></caption>
<graphic xlink:href="fncel-12-00526-g0001.tif"/>
</fig>
<p>Analyzing DiI and Dextran-Alexa 488 distribution in 1321N1 and SH-SY5Y respectively by confocal microscopy we found that in both cells some of the labeled organelles colocalize with CD81, a marker of late endocytic compartments (Escola et al., <xref ref-type="bibr" rid="B12">1998</xref>; Figures <xref ref-type="fig" rid="F1">1A,B</xref>). These results suggest that the membranous transfer between cells could be mediated by EVs. Nevertheless, they also could be explained by: (i) a cell-cell direct contact-dependent exchange of material; (ii) endocytosis of cellular debris such as apoptotic bodies generated in the co-cultures; or (iii) endocytosis of EVs produced by either cell type. Thus, to discern between these scenarios we used a Transwell assay, focusing on the transcellular traffic from astrocytes to neurons. Using EV-free media, we cultured DiI-labeled 1321N1 astrocytes as donor cells, on the Transwell insert, and SH-SY5Y neurons as target cells, on the lower compartment. After 48 h of incubation, a DiI positive population of SH-SY5Y recipient cells is detected by flow cytometry (Figures <xref ref-type="fig" rid="F2">2A&#x02013;C</xref>). These experiments suggest that SH-SY5Y neurons receive and internalize DiI-labeled EVs secreted by 1321N1 astrocytes.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Astrocyte-to-neuron communication is mediated by EVs that carry Apolipoprotein D (ApoD) into neurons. <bold>(A&#x02013;C)</bold> Flow cytometry analyses of SH-SY5Y cells cultured with 1321N1 cells seeded in a Transwell inset. Astrocytic 1321N1 cells were either unlabeled <bold>(A)</bold> or labeled with DiI. <bold>(B,C)</bold> Dot plots show the existence of a population of DiI-positive SH-SY5Y neurons (arrow in <bold>B</bold>, representing 25.1%) when cultured with labeled 1321N1 astrocytes. The histogram in <bold>(C)</bold> displays the fluorescence increase in DiI-positive neurons (arrow), with median fluorescence increasing from 1.9 to 4.0 (a.u.). <bold>(D&#x02013;F)</bold> Single plane confocal microscopy images extracted from Z-stacks obtained from unlabeled SH-SY5Y target cells cultured on the lower compartment of a Transwell assay while DiI-labeled 1321N1 donor cells were cultured on the insert. Immunofluorescence with ApoD, CD81 and CD63, and DiI signal are shown with different LUTs to properly display the colocalization of EV markers with ApoD (arrows in <bold>D,E</bold>) or with DiI (arrowheads in F point to triple colocalization DiI-CD81-ApoD). Orthogonal views are shown in <bold>(D)</bold> to visualize the location of vesicular labeling within the cell. <italic>N</italic> = 20 confocal stacks/condition. Calibration bars: 5 &#x003BC;m. <bold>(G)</bold> Average colocalization index (2 &#x000D7; ICQ) referenced either to ApoD signal (green bars) or to DiI signal (red bars) in SH-SY5Y neurons co-cultured in Transwell with DiI-labeled 1321N1 astrocytes. The dotted lines represents the colocalization threshold. Error bars represent SEM (<italic>n</italic> = 20 cells/marker from four independent experiments).</p></caption>
<graphic xlink:href="fncel-12-00526-g0002.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>Neurons Uptake Glial-Derived EVs Containing ApoD</title>
<p>As ApoD is secreted by astrocytes and uptaken by neurons (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>), we wanted to test if EVs play a role in such intracellular communication. In contrast to ApoD-expressing glioma and astrocytic cell lines like 1321N1 cells (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>), no ApoD expression has been detected in SH-SY5Y neuroblastoma cells either by genome-wide transcriptome analyses (e.g., 0.0 FPKM for ApoD in <ext-link ext-link-type="uri" xlink:href="http://systemsbiology.uni.lu/shsy5y/">http://systemsbiology.uni.lu/shsy5y/</ext-link>) or by immunodetection of ApoD protein (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). We therefore tested whether 1321N1-derived vesicles uptaken by SH-SY5Y neurons contain astrocyte-derived ApoD using the Transwell co-culture system.</p>
<p>When co-cultured with 1321N1 cells in the Transwell insert, we are able to detect ApoD signal in intracellular vesicles of SH-SY5Y (Figures <xref ref-type="fig" rid="F2">2D&#x02013;F</xref>), with a significant colocalization with the EV markers CD63 (Figures <xref ref-type="fig" rid="F2">2D,G</xref>) and CD81 (Figures <xref ref-type="fig" rid="F2">2E,G</xref>), as well as with the astrocyte-originated DiI signal (Figures <xref ref-type="fig" rid="F2">2F,G</xref>). Although, in general, the detected CD63 and CD81 can be either endogenous (produced by neurons) or transferred in astrocyte-derived EVs, the particular subset of CD63 or CD81-positive organelles that are also ApoD-positive are strong candidates to have an astrocytic origin. Indeed, the high colocalization index (2 &#x000D7; ICQ &#x0003E; 0.6) of CD81 relative to the DiI signal detected in neurons, strongly supports a significant uptake of CD81-DiI-labeled EVs, a fraction of which (2 &#x000D7; ICQ &#x0003E; 0.2), bring ApoD with them (Figure <xref ref-type="fig" rid="F2">2G</xref>). The significant colocalization indexes agree with the high incidence of triple colocalization of ApoD-CD81-DiI (Figure <xref ref-type="fig" rid="F2">2F</xref>).</p>
<p>However, ApoD could be provided externally to neurons as protein or mRNA, or alternatively its expression be induced after treatment with astroglial EVs, since the later have been shown to trigger diverse signaling cascades in cells (e.g., Hervera et al., <xref ref-type="bibr" rid="B20">2018</xref>). To distinguish among these three possibilities we cultured SH-SY5Y neurons with: (1) EV-free standard media (SM); (2) 1321N1-conditioned media (CM); (3) the EV fraction (EVs) obtained by differential centrifugation of CM; and (4) the EV-depleted supernatant (Sup) of CM. We then used immunocytochemistry to detect ApoD protein in neurons, and RT-PCR to monitor <italic>APOD</italic> mRNA expression in the donor and recipient cells involved.</p>
<p>Immunofluorescence analysis of cultured SH-SY5Y showed the absence of ApoD in SM-cultured neurons (Figure <xref ref-type="fig" rid="F3">3A</xref>), thus confirming the absence of endogenous ApoD in control conditions. ApoD protein is observed in CM-cultured neurons (Figure <xref ref-type="fig" rid="F3">3B</xref>), in agreement with our previous reports showing internalization of exogenously added ApoD in neurons (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>) and with the results obtained in the Transwell experiments (Figure <xref ref-type="fig" rid="F2">2</xref>). Surprisingly, when CM is separated into EVs and EV-depleted supernatant, ApoD is only observed in neurons after addition of the fraction containing EVs (Figure <xref ref-type="fig" rid="F3">3C</xref>) and no ApoD is obtained after exposure to the EV-depleted supernatant (Figure <xref ref-type="fig" rid="F3">3D</xref>).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Astrocyte-to-neuron ApoD traffic is exclusively mediated by EVs. <bold>(A&#x02013;D)</bold> Single plane confocal microscopy images extracted from Z-stacks obtained from SH-SY5Y cells cultured with standard medium (SM; <bold>A</bold>), astrocyte-conditioned medium (CM; <bold>B</bold>), purified astrocyte EVs <bold>(C)</bold>, or EV-depleted astrocyte-derived supernatant, Sup <bold>(D)</bold>. Arrows point to the ApoD vesicular labeling within SH-SY5Y neurons. No signal is detected when SM or EV-depleted Sup is used. Calibration bars: 10 &#x003BC;m. <bold>(E)</bold> RT-PCR analysis of ApoD mRNA expression in the1321N1 donor cells, and in SH-SY5Y differentiated neurons after 48 h exposure to 1321N1-generated EVs. The housekeeping ribosomal gene RPL18 is amplified as control.</p></caption>
<graphic xlink:href="fncel-12-00526-g0003.tif"/>
</fig>
<p>Additionally, RT-PCR was performed in order to detect <italic>APOD</italic> mRNA expression in 1321N1 donor astrocytes and SH-SY5Y recipient neurons after 48 h exposure to 1321N1 EVs. While the housekeeping ribosomal gene <italic>RPL18</italic> is present in all samples, <italic>APOD</italic> mRNA was only detected in the donor cells (Figure <xref ref-type="fig" rid="F3">3E</xref>), thus discarding a potential induction of endogenous <italic>APOD</italic> expression in SH-SY5Y neurons upon exposure to 1321N1-derived EVs followed by <italic>de novo</italic> synthesis of ApoD protein.</p>
</sec>
<sec id="s3-3">
<title>Characterization of ApoD in Glial EVs: ApoD as a Very Specific Marker of Human Astroglial Exosomes</title>
<p>So far, our results show that 1321N1 astroglia express the EV marker CD81 (Figure <xref ref-type="fig" rid="F1">1A</xref>), that colocalizes with DiI-labeled membranous organelles and can be transferred to neurons (Figures <xref ref-type="fig" rid="F2">2</xref>, <xref ref-type="fig" rid="F3">3</xref>). Also, MVB can be detected in the cytoplasm of 1321N1 astrocytes by EM (Figure <xref ref-type="fig" rid="F4">4A</xref>). Our previous analysis of intracellular traffic of ApoD (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>) revealed its presence in the extracellular side of the plasma membrane, and its traffic through the endo-lysosomal and autophagosome compartments. Here, we show by means of immunofluorescence and immunoelectron microscopy that ApoD can also be found both in Lamp2-positive MVBs (Figure <xref ref-type="fig" rid="F4">4B</xref>), and in putative EVs (arrowhead in Figure <xref ref-type="fig" rid="F4">4C</xref>), whose size is in the range of exosomes.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>ApoD is specifically found in EV fractions containing astrocyte-derived exosomes. <bold>(A)</bold> Electron microscopy image of a multivesicular body (MVB) in the cytoplasm of a 1321N1 astrocyte. <bold>(B)</bold> Single plane confocal microscopy image extracted from a Z-stack of a 1321N1 astrocyte showing the colocalization of ApoD and Lamp2 in putative MVBs. <bold>(C)</bold> Immunoelectron microscopy image showing ApoD in mature lysosomes of a 1321N1 cell (arrows), and on the external surface of a putative exosome (arrowhead). Calibration bars: <bold>(A,C)</bold>: 100 nm; <bold>(B)</bold>: 5 &#x003BC;m. <bold>(D)</bold> Nanoparticle tracking analysis (NTA) of the starting culture medium or 1321N1-CM shows that 1321N1 astrocytes secrete several EV populations with a group showing particle size compatible with exosomes (red arrow). EV preparations were obtained from two pools of two independent cell culture sets (480 &#x000D7; 10<sup>6</sup> cells/preparation). Particle size: 92 and 97 nm, respectively. Particle concentration: 218 &#x000D7; 10<sup>9</sup> and 222 &#x000D7; 10<sup>9</sup> particles/ml respectively. <bold>(E)</bold> Fractionation of EV preparation from 1321N1 astrocytes by sucrose gradient. The plot shows the fraction density along with the immunoblot analysis of each fraction with ApoD, CD8 and BiP antibodies. Only fractions 8 and 9 are positive for ApoD, while the exosome marker CD81 appears in fractions 8&#x02013;10.</p></caption>
<graphic xlink:href="fncel-12-00526-g0004.tif"/>
</fig>
<p>Given the locations of ApoD, would the protein be carried in membrane budding microvesicles (MVs) or in MVB-derived exosomes? When the EV-free medium used to culture cells and the 1321N1-CM collected after 72 h are subjected to NTA (Figure <xref ref-type="fig" rid="F4">4D</xref>), we found that 1321N1 cells secrete several EV populations, absent in the starting culture media, with a group showing a particle size compatible with exosomes (arrow in Figure <xref ref-type="fig" rid="F4">4D</xref>, around 100 nm). Following sucrose gradient fractionation of two independent 1321N1 EV preparations and immunoblot analysis, we uncover that ApoD exclusively partitions in the fractions that contain the known density range for exosomes (1.13&#x02013;1.20 g/ml; (Salomon et al., <xref ref-type="bibr" rid="B46">2013</xref>; Kharaziha et al., <xref ref-type="bibr" rid="B24">2015</xref>). In the preparation shown (Figure <xref ref-type="fig" rid="F4">4E</xref>), fractions with densities of 1.176 g/ml and 1.232 g/ml are both positive for ApoD and for the exosome marker CD81 (Figure <xref ref-type="fig" rid="F4">4E</xref>). All fractions are negative for other sub-cellular compartment markers (endoplasmic reticulum chaperone BiP; Figure <xref ref-type="fig" rid="F4">4E</xref>). Curiously, the ApoD-containing vesicular fractions present both monomeric and dimeric forms of ApoD (see &#x0201C;Discussion&#x0201D; section). Our results demonstrate that ApoD is specifically enriched in the exosome-containing fractions of 1321N1 astroglial EVs.</p>
</sec>
<sec id="s3-4">
<title>ApoD-Containing Exosomes Underlie a Protective Reaction of Glial Cells Against Oxidative Stress and Mediate ApoD-Dependent Neuroprotection</title>
<p>In order to assess whether the presence of ApoD in astrocytic EVs has functional consequences, we tested EV-associated ApoD effect on neuronal viability upon an oxidative insult triggered by the reactive oxygen species (ROS) generator PQ. To address this question we cultured again SH-SY5Y neurons with: (1) EV-free standard media (SM); (2) 1321N1-conditioned media (CM); (3) the EV fraction (EVs) obtained by differential centrifugation of CM; and (4) the EV-depleted supernatant (Sup) of CM.</p>
<p>In the absence of PQ, the exposure of SH-SY5Y neurons to 1321N1 CM or its EVs does not affect their viability (white bars in Figure <xref ref-type="fig" rid="F5">5A</xref>). On the other hand, upon exposure to 2 mM PQ for 2 h (black bars in Figure <xref ref-type="fig" rid="F5">5A</xref>), the decrease observed in SH-SY5Y viability after the OS stimulus is significantly ameliorated after treatment with complete CM or its EV fraction, compared to exposure to PQ in standard medium (SM). Such protection against OS is only partial when the EV-depleted media is used (Sup, black bar, in Figure <xref ref-type="fig" rid="F5">5A</xref>). Since we have demonstrated that ApoD is uptaken by neurons only in EV format (Figure <xref ref-type="fig" rid="F3">3</xref>), these results indicate that a full neuroprotection effect by the 1321N1 secretome can only be achieved when EVs are present in the media. The beneficial effect of EV-associated ApoD is comparable to that obtained with native ApoD purified from human cystic fluid (Figure <xref ref-type="fig" rid="F5">5B</xref>), an effect whose specificity is proven by its reduction when blocking ApoD with a specific antibody.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Astroglial EVs promote neuronal survival. <bold>(A)</bold> SH-SY5Y neurons viability in control and oxidative stress (OS) conditions [2 mM paraquat (PQ) for 2 h], measured by the 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) assay after culture in SM, astrocyte-CM, purified astrocyte EVs, or EV-depleted astrocyte-derived supernatant, Sup.<bold> (B)</bold> Cell viability of PQ-challenged SH-SY5Y neurons (2 mM PQ for 2 h) in the absence or presence of purified native ApoD and/or an equimolar amount of anti-ApoD antibody. Error bars represent SEM (<italic>n</italic> = 3 independent experiments with three technical replicas each). Asterisks represent significant differences (<italic>p</italic> &#x0003C; 0.01) assessed by ANOVA with Holm-Sidak <italic>post hoc</italic> method. (n.s.: non-significant differences) Only the most relevant comparisons are pointed.</p></caption>
<graphic xlink:href="fncel-12-00526-g0005.tif"/>
</fig>
<p>In summary, our data demonstrate that a fraction of the ApoD produced by 1321N1 astrocytes is targeted to EVs, and particularly to the fraction displaying exosomal properties. We also show that, surprisingly, it is in this form of cell-cell communication, and not in free soluble form, that ApoD gets internalized by SH-SY5Y neurons, where it is able to protect them from PQ-triggered OS.</p>
<p>A fair amount of data account for the neuroprotective effects of ApoD also on astrocytes themselves (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). To further contrast this hypothesis and expand the finding to non-immortalized native cells, we used the WT and ApoD-KO mice as experimental model.</p>
<p>First, we performed two additional EV purifications from the culture medium of primary murine cortical astrocytes. Immunoblot analysis (Figure <xref ref-type="fig" rid="F6">6</xref>) demonstrates the presence of ApoD in both the cell homogenate and the EV-enriched fraction from WT primary astrocytes (Figure <xref ref-type="fig" rid="F6">6B</xref>), but not in the ApoD-KO EV preparations (Figure <xref ref-type="fig" rid="F6">6C</xref>), after confirming by EM the presence of EVs in the preparations from both genotypes. As expected, EVs show the markers CD81 and flotillin-1 (also in the whole cell extract) while other subcellular compartment marker (the endoplasmic reticulum chaperon BiP) is absent. Taking into account the starting material for the cell homogenate and the EV-enriched preparations from WT astrocytes (Figure <xref ref-type="fig" rid="F6">6A</xref>), and the relative abundance of ApoD compared with flotillin-1 (Figure <xref ref-type="fig" rid="F6">6B</xref>), we estimate that a significant proportion (around 0.6%) of the ApoD expressed by an astroglial cell is targeted to EVs.</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>Primary murine astrocytes produce ApoD-positive EVs. <bold>(A)</bold> Coomassie blue staining of whole cell extracts and EV preparation (240 times concentrated, relative to the starting cell culture) from wild-type (WT) primary astrocytes. <bold>(B)</bold> Immunoblot analysis of ApoD, the endoplasmic reticulum marker BiP, and the EV markers CD81 and flotillin-1 in cell lysates and EV preparations from WT primary astrocytes. No signal of BiP is detected in the EV preparation. Intracellular CD81 is not detectable in the cell extract. <bold>(C)</bold> Immunoblot analysis of ApoD in WT and ApoD-knock-out (KO) primary astrocyte EV preparations, confirming the presence of ApoD in WT EVs. Immunoelectron microscopy images of WT and ApoD-KO EVs. Calibration bars: 100 nm.</p></caption>
<graphic xlink:href="fncel-12-00526-g0006.tif"/>
</fig>
<p>After demonstrating the secretion of ApoD-loaded EVs by primary WT astrocytes, we tested the effect of astrocyte-derived conditioned media on primary astrocytes of WT and ApoD-KO mice exposed to PQ (500 &#x003BC;M, 2 h).</p>
<p>As expected, ApoD-KO astrocytes showed significantly lower viability than WT astrocytes upon exposure to PQ (Figure <xref ref-type="fig" rid="F7">7A</xref>). In both cases, the viability significantly improves after culture with astrocyte-derived conditioned media (collected over a 72 h period), regardless of genotype of the cell originating the conditioned media (Figure <xref ref-type="fig" rid="F7">7B</xref>, gray and black bars). For WT astrocytes, a similar protection effect is attained with media conditioned by either WT or by ApoD-KO cells, which can be explained by the accumulation of various protective factors over time. However, the more vulnerable ApoD-KO astrocytes are significantly better protected when exposed to WT conditioned media (black bar) than when media was conditioned by ApoD-KO astrocytes (gray bar). These results suggest that ApoD, produced by WT astrocytes and present in the extracellular medium, is significantly contributing to protect astrocytes from OS in an autocrine manner.</p>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p>Extracellular ApoD mediates autocrine protection of primary murine astrocytes. <bold>(A)</bold> Percent viability estimated by the MTT assay of WT and ApoD-KO primary astrocytes cultured in SM, in either control or upon an OS challenge with PQ (500 &#x003BC;M, 2 h). ApoD-KO astrocytes are significantly more vulnerable to PQ than WT astrocytes. <bold>(B)</bold> PQ challenge was performed either on SM (white bars), or in astrocyte-CM, either derived from ApoD-KO astrocytes (gray bars) or from WT astrocytes (black bars). Effect of CM on ApoD-KO astrocyte viability is dependent on the genotype of CM origin. Error bars represent SEM (<italic>n</italic> = 3 independent experiments with three technical replicas each). Asterisks point to significant differences (<italic>p</italic> &#x0003C; 0.01) assessed by ANOVA with Holm-Sidak <italic>post hoc</italic> method (n.s.: non-significant differences). Only the most relevant comparisons are pointed.</p></caption>
<graphic xlink:href="fncel-12-00526-g0007.tif"/>
</fig>
<p>Together, our results demonstrate that ApoD is present in EVs purified from conditioned media produced by both a human astrocytic cell line and primary murine astrocytes (Figures <xref ref-type="fig" rid="F4">4</xref>, <xref ref-type="fig" rid="F6">6</xref>), that ApoD is detected specifically in the exosome-containing fractions of these EVs (Figure <xref ref-type="fig" rid="F4">4</xref>), and that these ApoD-positive EVs become internalized by SH-SY5Y neurons (Figures <xref ref-type="fig" rid="F2">2</xref>, <xref ref-type="fig" rid="F3">3</xref>). Moreover, an unexpected result is the absence of detectable ApoD endocytosis into neurons when we use the EV-depleted CM that strongly indicates that the majority of extracellular ApoD produced by 1321N1 astrocytes is associated to EVs and not in a free soluble form, as previously thought. EV-associated ApoD protects both neurons and astrocytes from PQ-induced OS. These results set the stage to study whether we find <italic>in vivo</italic> such an important contribution of exosomes to the ApoD astrocyte-to-neuron traffic both in physiological and pathological situations.</p>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>Besides a role in cell-cell communication during cellular homeostasis, EVs are shed by cells in response to pathological states (reviewed by Croese and Furlan, <xref ref-type="bibr" rid="B8">2018</xref>; Holm et al., <xref ref-type="bibr" rid="B21">2018</xref>). In the nervous system, glial EVs have been involved both in regulation of neuroinflammation (Dickens et al., <xref ref-type="bibr" rid="B10">2017</xref>; Kumar et al., <xref ref-type="bibr" rid="B27">2017</xref>; Li et al., <xref ref-type="bibr" rid="B29">2018</xref>), and in mechanisms triggering neuroprotection (Lopez-Verrilli et al., <xref ref-type="bibr" rid="B32">2013</xref>; Guitart et al., <xref ref-type="bibr" rid="B18">2016</xref>).</p>
<p>The production of ROS and a concomitant inflammatory response have been classically considered a negative side-effect of tissue damage that hampers nervous system recovery upon aging and neurodegeneration. Consequently, great efforts have been made to identify antioxidants that can mediate neuroprotection through improvement of neuronal survival and axonal regeneration. However, a recent report has demonstrated that ROS can also play a positive pro-regenerative role upon neural damage by a mechanism based on glia-neuron EV-mediated Nox2-PI3K&#x02013;pAkt signaling (Hervera et al., <xref ref-type="bibr" rid="B20">2018</xref>). How can a cell control the side effects of ROS, and the levels that can be managed without tilting the equilibrium towards cell-death?</p>
<p>The Lipocalin ApoD has been demonstrated to be a neuroprotectant by controlling the levels of lipid peroxides generated by ROS accumulation with aging or pathological conditions (Ganfornina et al., <xref ref-type="bibr" rid="B15">2008</xref>; Li et al., <xref ref-type="bibr" rid="B28">2015</xref>; Sanchez et al., <xref ref-type="bibr" rid="B47">2015</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). The neuroprotection exerted by ApoD not only influences ApoD-expressing cells such as astrocytes and myelinating glia, but also affects neurons in a paracrine manner (Bajo-Gra&#x000F1;eras et al., <xref ref-type="bibr" rid="B2">2011</xref>; Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>). The presence of a signal peptide in the unprocessed protein and the experimentally verified presence of the mature protein in organelles of the canonical secretion pathway and in the extracellular milieu (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>), result in the annotation of ApoD as a secreted protein (UniProtKB-P51910/P05090). This property was assumed in the interpretation of our previous studies reporting ApoD traffic in astrocytes and neurons under control or OS conditions (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>).</p>
<p>The results presented in this work link ApoD traffic to the EV compartment of astrocytes, where it appears very specifically in the exosomal subtype of EVs, as determined by the co-expression of classical markers such as CD81 (Tkach et al., <xref ref-type="bibr" rid="B52">2018</xref>). More importantly, the neuroprotective effect that ApoD exerts upon OS-challenged neurons or astrocytes must be entirely based on the protein present in the EVs supplied by reactive astrocytes, since no neuronal ApoD expression is triggered by the EVs, and no incorporation of astrocyte-derived ApoD is detected when EVs have been removed from the astrocyte-CM.</p>
<p>This result agrees with other reports showing that non-neural cells exposed to ROS release EVs that carry OS response proteins and antioxidants (Saeed-Zidane et al., <xref ref-type="bibr" rid="B45">2017</xref>; Chettimada et al., <xref ref-type="bibr" rid="B7">2018</xref>). The fact that EV-associated human ApoD is detected both as monomers and dimers (Figure <xref ref-type="fig" rid="F4">4</xref>), is a readout of its antioxidant activity, since it is known that a consequence of its lipid reducing activity is the formation of stable dimers (Bhatia et al., <xref ref-type="bibr" rid="B5">2012</xref>) that accumulate in advanced stages of Alzheimer&#x02019;s disease patients (Bhatia et al., <xref ref-type="bibr" rid="B4">2013</xref>). Since we know that the1321N1 astrocytic cell line has a basal level of OS (Pascua-Maestro et al., <xref ref-type="bibr" rid="B38">2017</xref>), it is not surprising that they are already targeting the redox pair reduced/oxidized-ApoD to exosomes.</p>
<p>The discovery of ApoD in glia-derived EVs, and particularly in exosome-like fractions, reframes our understanding of the neuroprotective role of this Lipocalin. The capability of EVs to cross the blood-brain barrier (Kr&#x000E4;mer-Albers, <xref ref-type="bibr" rid="B26">2017</xref>) opens up new research avenues to explore the use of systemically administered ApoD-positive exosomes to treat neurodegenerative diseases.</p>
</sec>
<sec id="s5">
<title>Author Contributions</title>
<p>RP-M, MG, JF-P and DS conceived and designed the project. RP-M, EG, CL and MG designed and performed the experiments. RP, EG, JF-P and DS analyzed the data. DS, MG and JF-P supervised the project. RP-M, EG, CL, JF-P, MG and DS wrote the article.</p>
</sec>
<sec id="s6">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>We thank C. S&#x000E1;nchez-Vicente and Y. Noriega at the IBGM Confocal Microscopy Service for technical assistance. C. P&#x000E9;rez-Segurado provided technical support throughout the project. We thank Sergio Diez-Hermano and Miriam Corraliza-G&#x000F3;mez for helpful discussions and inspiring ideas.</p>
</ack>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by grants to MG and DS [Ministerio de Ciencia e Innovaci&#x000F3;n (MICINN) grants BFU2011-23978 and BFU2015-68149-R, co-financed by European Regional Development Fund], and by grant to JF-P SAF2015-66312 (Spanish Ministry of Economy and Competitiveness, Ministerio de Econom&#x000ED;a y Competitividad MINECO). RP-M was supported by a Junta de Castilla y Le&#x000F3;n (JCyL) fellowship to young researchers (call&#x00023;EDU/1883/2013), financed by the European Social Fund, Operational Programme for Castilla y Le&#x000F3;n and managed by Consejer&#x000ED;a de Educaci&#x000F3;n (JCyL) and by 1st GEIVEX mobility fellowship. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</p>
</fn>
</fn-group>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alvarez-Erviti</surname> <given-names>L.</given-names></name> <name><surname>Seow</surname> <given-names>Y.</given-names></name> <name><surname>Yin</surname> <given-names>H.</given-names></name> <name><surname>Betts</surname> <given-names>C.</given-names></name> <name><surname>Lakhal</surname> <given-names>S.</given-names></name> <name><surname>Wood</surname> <given-names>M. J.</given-names></name></person-group> (<year>2011</year>). <article-title>Delivery of siRNA to the mouse brain by systemic injection of targeted exosomes</article-title>. <source>Nat. Biotechnol.</source> <volume>29</volume>, <fpage>341</fpage>&#x02013;<lpage>345</lpage>. <pub-id pub-id-type="doi">10.1038/nbt.1807</pub-id><pub-id pub-id-type="pmid">21423189</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bajo-Gra&#x000F1;eras</surname> <given-names>R.</given-names></name> <name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Mart&#x000ED;n-Tejedor</surname> <given-names>E.</given-names></name> <name><surname>Sanchez</surname> <given-names>D.</given-names></name></person-group> (<year>2011</year>). <article-title>Apolipoprotein D mediates autocrine protection of astrocytes and controls their reactivity level, contributing to the functional maintenance of paraquat-challenged dopaminergic systems</article-title>. <source>Glia</source> <volume>59</volume>, <fpage>1551</fpage>&#x02013;<lpage>1566</lpage>. <pub-id pub-id-type="doi">10.1002/glia.21200</pub-id><pub-id pub-id-type="pmid">21688324</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Basso</surname> <given-names>M.</given-names></name> <name><surname>Bonetto</surname> <given-names>V.</given-names></name></person-group> (<year>2016</year>). <article-title>Extracellular vesicles and a novel form of communication in the brain</article-title>. <source>Front. Neurosci.</source> <volume>10</volume>:<fpage>127</fpage>. <pub-id pub-id-type="doi">10.3389/fnins.2016.00127</pub-id><pub-id pub-id-type="pmid">27065789</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bhatia</surname> <given-names>S.</given-names></name> <name><surname>Jenner</surname> <given-names>A. M.</given-names></name> <name><surname>Li</surname> <given-names>H.</given-names></name> <name><surname>Ruberu</surname> <given-names>K.</given-names></name> <name><surname>Spiro</surname> <given-names>A. S.</given-names></name> <name><surname>Shepherd</surname> <given-names>C. E.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Increased apolipoprotein D dimer formation in Alzheimer&#x02019;s disease hippocampus is associated with lipid conjugated diene levels</article-title>. <source>J. Alzheimers Dis.</source> <volume>35</volume>, <fpage>475</fpage>&#x02013;<lpage>486</lpage>. <pub-id pub-id-type="doi">10.3233/JAD-122278</pub-id><pub-id pub-id-type="pmid">23455990</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bhatia</surname> <given-names>S.</given-names></name> <name><surname>Knoch</surname> <given-names>B.</given-names></name> <name><surname>Wong</surname> <given-names>J.</given-names></name> <name><surname>Kim</surname> <given-names>W. S.</given-names></name> <name><surname>Else</surname> <given-names>P. L.</given-names></name> <name><surname>Oakley</surname> <given-names>A. J.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Selective reduction of hydroperoxyeicosatetraenoic acids to their hydroxy derivatives by apolipoprotein D: implications for lipid antioxidant activity and Alzheimer&#x02019;s disease</article-title>. <source>Biochem. J.</source> <volume>442</volume>, <fpage>713</fpage>&#x02013;<lpage>721</lpage>. <pub-id pub-id-type="doi">10.1042/BJ20111166</pub-id><pub-id pub-id-type="pmid">22150111</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cheow</surname> <given-names>E. S.</given-names></name> <name><surname>Cheng</surname> <given-names>W. C.</given-names></name> <name><surname>Lee</surname> <given-names>C. N.</given-names></name> <name><surname>de Kleijn</surname> <given-names>D.</given-names></name> <name><surname>Sorokin</surname> <given-names>V.</given-names></name> <name><surname>Sze</surname> <given-names>S. K.</given-names></name></person-group> (<year>2016</year>). <article-title>Plasma-derived extracellular vesicles contain predictive biomarkers and potential therapeutic targets for myocardial ischemic (MI) injury</article-title>. <source>Mol. Cell. Proteomics</source> <volume>15</volume>, <fpage>2628</fpage>&#x02013;<lpage>2640</lpage>. <pub-id pub-id-type="doi">10.1074/mcp.M115.055731</pub-id><pub-id pub-id-type="pmid">27234505</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chettimada</surname> <given-names>S.</given-names></name> <name><surname>Lorenz</surname> <given-names>D. R.</given-names></name> <name><surname>Misra</surname> <given-names>V.</given-names></name> <name><surname>Dillon</surname> <given-names>S. T.</given-names></name> <name><surname>Reeves</surname> <given-names>R. K.</given-names></name> <name><surname>Manickam</surname> <given-names>C.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Exosome markers associated with immune activation and oxidative stress in HIV patients on antiretroviral therapy</article-title>. <source>Sci. Rep.</source> <volume>8</volume>:<fpage>7227</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-018-25515-4</pub-id><pub-id pub-id-type="pmid">29740045</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Croese</surname> <given-names>T.</given-names></name> <name><surname>Furlan</surname> <given-names>R.</given-names></name></person-group> (<year>2018</year>). <article-title>Extracellular vesicles in neurodegenerative diseases</article-title>. <source>Mol. Aspects Med.</source> <volume>60</volume>, <fpage>52</fpage>&#x02013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1016/j.mam.2017.11.006</pub-id><pub-id pub-id-type="pmid">29137922</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dassati</surname> <given-names>S.</given-names></name> <name><surname>Waldner</surname> <given-names>A.</given-names></name> <name><surname>Schweigreiter</surname> <given-names>R.</given-names></name></person-group> (<year>2014</year>). <article-title>Apolipoprotein D takes center stage in the stress response of the aging and degenerative brain</article-title>. <source>Neurobiol. Aging</source> <volume>35</volume>, <fpage>1632</fpage>&#x02013;<lpage>1642</lpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2014.01.148</pub-id><pub-id pub-id-type="pmid">24612673</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dickens</surname> <given-names>A. M.</given-names></name> <name><surname>Tovar-Y-Romo</surname> <given-names>L. B.</given-names></name> <name><surname>Yoo</surname> <given-names>S. W.</given-names></name> <name><surname>Trout</surname> <given-names>A. L.</given-names></name> <name><surname>Bae</surname> <given-names>M.</given-names></name> <name><surname>Kanmogne</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title>Astrocyte-shed extracellular vesicles regulate the peripheral leukocyte response to inflammatory brain lesions</article-title>. <source>Sci. Signal.</source> <volume>10</volume>:<fpage>eaai7696</fpage>. <pub-id pub-id-type="doi">10.1126/scisignal.aai7696</pub-id><pub-id pub-id-type="pmid">28377412</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dragovic</surname> <given-names>R. A.</given-names></name> <name><surname>Gardiner</surname> <given-names>C.</given-names></name> <name><surname>Brooks</surname> <given-names>A. S.</given-names></name> <name><surname>Tannetta</surname> <given-names>D. S.</given-names></name> <name><surname>Ferguson</surname> <given-names>D. J.</given-names></name> <name><surname>Hole</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Sizing and phenotyping of cellular vesicles using Nanoparticle Tracking Analysis</article-title>. <source>Nanomedicine</source> <volume>7</volume>, <fpage>780</fpage>&#x02013;<lpage>788</lpage>. <pub-id pub-id-type="doi">10.1016/j.nano.2011.04.003</pub-id><pub-id pub-id-type="pmid">21601655</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Escola</surname> <given-names>J. M.</given-names></name> <name><surname>Kleijmeer</surname> <given-names>M. J.</given-names></name> <name><surname>Stoorvogel</surname> <given-names>W.</given-names></name> <name><surname>Griffith</surname> <given-names>J. M.</given-names></name> <name><surname>Yoshie</surname> <given-names>O.</given-names></name> <name><surname>Geuze</surname> <given-names>H. J.</given-names></name></person-group> (<year>1998</year>). <article-title>Selective enrichment of tetraspan proteins on the internal vesicles of multivesicular endosomes and on exosomes secreted by human B-lymphocytes</article-title>. <source>J. Biol. Chem.</source> <volume>273</volume>, <fpage>20121</fpage>&#x02013;<lpage>20127</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.273.32.20121</pub-id><pub-id pub-id-type="pmid">9685355</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fr&#x000FC;hbeis</surname> <given-names>C.</given-names></name> <name><surname>Fr&#x000F6;hlich</surname> <given-names>D.</given-names></name> <name><surname>Kuo</surname> <given-names>W. P.</given-names></name> <name><surname>Amphornrat</surname> <given-names>J.</given-names></name> <name><surname>Thilemann</surname> <given-names>S.</given-names></name> <name><surname>Saab</surname> <given-names>A. S.</given-names></name> <etal/></person-group>. (<year>2013a</year>). <article-title>Neurotransmitter-triggered transfer of exosomes mediates oligodendrocyte-neuron communication</article-title>. <source>PLoS Biol.</source> <volume>11</volume>:<fpage>e1001604</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pbio.1001604</pub-id><pub-id pub-id-type="pmid">23874151</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fr&#x000FC;hbeis</surname> <given-names>C.</given-names></name> <name><surname>Fr&#x000F6;hlich</surname> <given-names>D.</given-names></name> <name><surname>Kuo</surname> <given-names>W. P.</given-names></name> <name><surname>Kr&#x000E4;mer-Albers</surname> <given-names>E. M.</given-names></name></person-group> (<year>2013b</year>). <article-title>Extracellular vesicles as mediators of neuron-glia communication</article-title>. <source>Front. Cell. Neurosci.</source> <volume>7</volume>:<fpage>182</fpage>. <pub-id pub-id-type="doi">10.3389/fncel.2013.00182</pub-id><pub-id pub-id-type="pmid">24194697</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Do Carmo</surname> <given-names>S.</given-names></name> <name><surname>Lora</surname> <given-names>J. M.</given-names></name> <name><surname>Torres-Schumann</surname> <given-names>S.</given-names></name> <name><surname>Vogel</surname> <given-names>M.</given-names></name> <name><surname>Allhorn</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2008</year>). <article-title>Apolipoprotein D is involved in the mechanisms regulating protection from oxidative stress</article-title>. <source>Aging Cell</source> <volume>7</volume>, <fpage>506</fpage>&#x02013;<lpage>515</lpage>. <pub-id pub-id-type="doi">10.1111/j.1474-9726.2008.00395.x</pub-id><pub-id pub-id-type="pmid">18419796</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Do Carmo</surname> <given-names>S.</given-names></name> <name><surname>Martinez</surname> <given-names>E.</given-names></name> <name><surname>Tolivia</surname> <given-names>J.</given-names></name> <name><surname>Navarro</surname> <given-names>A.</given-names></name> <name><surname>Rassart</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>ApoD, a glia-derived apolipoprotein, is required for peripheral nerve functional integrity and a timely response to injury</article-title>. <source>Glia</source> <volume>58</volume>, <fpage>1320</fpage>&#x02013;<lpage>1334</lpage>. <pub-id pub-id-type="doi">10.1002/glia.21010</pub-id><pub-id pub-id-type="pmid">20607718</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garc&#x000ED;a-Mateo</surname> <given-names>N.</given-names></name> <name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Montero</surname> <given-names>O.</given-names></name> <name><surname>Gij&#x000F3;n</surname> <given-names>M. A.</given-names></name> <name><surname>Murphy</surname> <given-names>R. C.</given-names></name> <name><surname>Sanchez</surname> <given-names>D.</given-names></name></person-group> (<year>2014</year>). <article-title>Schwann cell-derived Apolipoprotein D controls the dynamics of post-injury myelin recognition and degradation</article-title>. <source>Front. Cell. Neurosci.</source> <volume>8</volume>:<fpage>374</fpage>. <pub-id pub-id-type="doi">10.3389/fncel.2014.00374</pub-id><pub-id pub-id-type="pmid">25426024</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guitart</surname> <given-names>K.</given-names></name> <name><surname>Loers</surname> <given-names>G.</given-names></name> <name><surname>Buck</surname> <given-names>F.</given-names></name> <name><surname>Bork</surname> <given-names>U.</given-names></name> <name><surname>Schachner</surname> <given-names>M.</given-names></name> <name><surname>Kleene</surname> <given-names>R.</given-names></name></person-group> (<year>2016</year>). <article-title>Improvement of neuronal cell survival by astrocyte-derived exosomes under hypoxic and ischemic conditions depends on prion protein</article-title>. <source>Glia</source> <volume>64</volume>, <fpage>896</fpage>&#x02013;<lpage>910</lpage>. <pub-id pub-id-type="doi">10.1002/glia.22963</pub-id><pub-id pub-id-type="pmid">26992135</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gy&#x000F6;rgy</surname> <given-names>B.</given-names></name> <name><surname>Szab&#x000F3;</surname> <given-names>T. G.</given-names></name> <name><surname>P&#x000E1;szt&#x000F3;i</surname> <given-names>M.</given-names></name> <name><surname>P&#x000E1;l</surname> <given-names>Z.</given-names></name> <name><surname>Misj&#x000E1;k</surname> <given-names>P.</given-names></name> <name><surname>Aradi</surname> <given-names>B.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Membrane vesicles, current state-of-the-art: emerging role of extracellular vesicles</article-title>. <source>Cell. Mol. Life Sci.</source> <volume>68</volume>, <fpage>2667</fpage>&#x02013;<lpage>2688</lpage>. <pub-id pub-id-type="doi">10.1007/s00018-011-0689-3</pub-id><pub-id pub-id-type="pmid">21560073</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hervera</surname> <given-names>A.</given-names></name> <name><surname>De Virgiliis</surname> <given-names>F.</given-names></name> <name><surname>Palmisano</surname> <given-names>I.</given-names></name> <name><surname>Zhou</surname> <given-names>L.</given-names></name> <name><surname>Tantardini</surname> <given-names>E.</given-names></name> <name><surname>Kong</surname> <given-names>G.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Reactive oxygen species regulate axonal regeneration through the release of exosomal NADPH oxidase 2 complexes into injured axons</article-title>. <source>Nat. Cell Biol.</source> <volume>20</volume>, <fpage>307</fpage>&#x02013;<lpage>319</lpage>. <pub-id pub-id-type="doi">10.1038/s41556-018-0039-x</pub-id><pub-id pub-id-type="pmid">29434374</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Holm</surname> <given-names>M. M.</given-names></name> <name><surname>Kaiser</surname> <given-names>J.</given-names></name> <name><surname>Schwab</surname> <given-names>M. E.</given-names></name></person-group> (<year>2018</year>). <article-title>Extracellular vesicles: multimodal envoys in neural maintenance and repair</article-title>. <source>Trends Neurosci.</source> <volume>41</volume>, <fpage>360</fpage>&#x02013;<lpage>372</lpage>. <pub-id pub-id-type="doi">10.1016/j.tins.2018.03.006</pub-id><pub-id pub-id-type="pmid">29605090</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kalra</surname> <given-names>H.</given-names></name> <name><surname>Simpson</surname> <given-names>R. J.</given-names></name> <name><surname>Ji</surname> <given-names>H.</given-names></name> <name><surname>Aikawa</surname> <given-names>E.</given-names></name> <name><surname>Altevogt</surname> <given-names>P.</given-names></name> <name><surname>Askenase</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Vesiclepedia: a compendium for extracellular vesicles with continuous community annotation</article-title>. <source>PLoS Biol.</source> <volume>10</volume>:<fpage>e1001450</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pbio.1001450</pub-id><pub-id pub-id-type="pmid">23271954</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Keerthikumar</surname> <given-names>S.</given-names></name> <name><surname>Chisanga</surname> <given-names>D.</given-names></name> <name><surname>Ariyaratne</surname> <given-names>D.</given-names></name> <name><surname>Al Saffar</surname> <given-names>H.</given-names></name> <name><surname>Anand</surname> <given-names>S.</given-names></name> <name><surname>Zhao</surname> <given-names>K.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>ExoCarta: a web-based compendium of exosomal cargo</article-title>. <source>J. Mol. Biol.</source> <volume>428</volume>, <fpage>688</fpage>&#x02013;<lpage>692</lpage>. <pub-id pub-id-type="doi">10.1016/j.jmb.2015.09.019</pub-id><pub-id pub-id-type="pmid">26434508</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kharaziha</surname> <given-names>P.</given-names></name> <name><surname>Chioureas</surname> <given-names>D.</given-names></name> <name><surname>Rutishauser</surname> <given-names>D.</given-names></name> <name><surname>Baltatzis</surname> <given-names>G.</given-names></name> <name><surname>Lennartsson</surname> <given-names>L.</given-names></name> <name><surname>Fonseca</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Molecular profiling of prostate cancer derived exosomes may reveal a predictive signature for response to docetaxel</article-title>. <source>Oncotarget</source> <volume>6</volume>, <fpage>21740</fpage>&#x02013;<lpage>21754</lpage>. <pub-id pub-id-type="doi">10.18632/oncotarget.3226</pub-id><pub-id pub-id-type="pmid">25844599</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>D. K.</given-names></name> <name><surname>Lee</surname> <given-names>J.</given-names></name> <name><surname>Kim</surname> <given-names>S. R.</given-names></name> <name><surname>Choi</surname> <given-names>D. S.</given-names></name> <name><surname>Yoon</surname> <given-names>Y. J.</given-names></name> <name><surname>Kim</surname> <given-names>J. H.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>EVpedia: a community web portal for extracellular vesicles research</article-title>. <source>Bioinformatics</source> <volume>31</volume>, <fpage>933</fpage>&#x02013;<lpage>939</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btu741</pub-id><pub-id pub-id-type="pmid">25388151</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kr&#x000E4;mer-Albers</surname> <given-names>E. M.</given-names></name></person-group> (<year>2017</year>). <article-title>Ticket to ride: targeting proteins to exosomes for brain delivery</article-title>. <source>Mol. Ther.</source> <volume>25</volume>, <fpage>1264</fpage>&#x02013;<lpage>1266</lpage>. <pub-id pub-id-type="doi">10.1016/j.ymthe.2017.05.001</pub-id><pub-id pub-id-type="pmid">28499750</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname> <given-names>A.</given-names></name> <name><surname>Stoica</surname> <given-names>B. A.</given-names></name> <name><surname>Loane</surname> <given-names>D. J.</given-names></name> <name><surname>Yang</surname> <given-names>M.</given-names></name> <name><surname>Abulwerdi</surname> <given-names>G.</given-names></name> <name><surname>Khan</surname> <given-names>N.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title>Microglial-derived microparticles mediate neuroinflammation after traumatic brain injury</article-title>. <source>J. Neuroinflammation</source> <volume>14</volume>:<fpage>47</fpage>. <pub-id pub-id-type="doi">10.1186/s12974-017-0819-4</pub-id><pub-id pub-id-type="pmid">28292310</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Q.</given-names></name> <name><surname>Lau</surname> <given-names>A.</given-names></name> <name><surname>Morris</surname> <given-names>T. J.</given-names></name> <name><surname>Guo</surname> <given-names>L.</given-names></name> <name><surname>Fordyce</surname> <given-names>C. B.</given-names></name> <name><surname>Stanley</surname> <given-names>E. F.</given-names></name></person-group> (<year>2004</year>). <article-title>A syntaxin 1, G&#x003B1;<sub>o</sub>, and N-type calcium channel complex at a presynaptic nerve terminal: analysis by quantitative immunocolocalization</article-title>. <source>J. Neurosci.</source> <volume>24</volume>, <fpage>4070</fpage>&#x02013;<lpage>4081</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.0346-04.2004</pub-id><pub-id pub-id-type="pmid">15102922</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>H.</given-names></name> <name><surname>Ruberu</surname> <given-names>K.</given-names></name> <name><surname>Mu&#x000F1;oz</surname> <given-names>S. S.</given-names></name> <name><surname>Jenner</surname> <given-names>A. M.</given-names></name> <name><surname>Spiro</surname> <given-names>A.</given-names></name> <name><surname>Zhao</surname> <given-names>H.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Apolipoprotein D modulates amyloid pathology in APP/PS1 Alzheimer&#x02019;s disease mice</article-title>. <source>Neurobiol. Aging</source> <volume>36</volume>, <fpage>1820</fpage>&#x02013;<lpage>1833</lpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2015.02.010</pub-id><pub-id pub-id-type="pmid">25784209</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>J. J.</given-names></name> <name><surname>Wang</surname> <given-names>B.</given-names></name> <name><surname>Kodali</surname> <given-names>M. C.</given-names></name> <name><surname>Chen</surname> <given-names>C.</given-names></name> <name><surname>Kim</surname> <given-names>E.</given-names></name> <name><surname>Patters</surname> <given-names>B. J.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title><italic>In vivo</italic> evidence for the contribution of peripheral circulating inflammatory exosomes to neuroinflammation</article-title>. <source>J. Neuroinflammation</source> <volume>15</volume>:<fpage>8</fpage>. <pub-id pub-id-type="doi">10.1186/s12974-017-1038-8</pub-id><pub-id pub-id-type="pmid">29310666</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Loerch</surname> <given-names>P. M.</given-names></name> <name><surname>Lu</surname> <given-names>T.</given-names></name> <name><surname>Dakin</surname> <given-names>K. A.</given-names></name> <name><surname>Vann</surname> <given-names>J. M.</given-names></name> <name><surname>Isaacs</surname> <given-names>A.</given-names></name> <name><surname>Geula</surname> <given-names>C.</given-names></name> <etal/></person-group>. (<year>2008</year>). <article-title>Evolution of the aging brain transcriptome and synaptic regulation</article-title>. <source>PLoS One</source> <volume>3</volume>:<fpage>e3329</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0003329</pub-id><pub-id pub-id-type="pmid">18830410</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lopez-Verrilli</surname> <given-names>M. A.</given-names></name> <name><surname>Picou</surname> <given-names>F.</given-names></name> <name><surname>Court</surname> <given-names>F. A.</given-names></name></person-group> (<year>2013</year>). <article-title>Schwann cell-derived exosomes enhance axonal regeneration in the peripheral nervous system</article-title>. <source>Glia</source> <volume>61</volume>, <fpage>1795</fpage>&#x02013;<lpage>1806</lpage>. <pub-id pub-id-type="doi">10.1002/glia.22558</pub-id><pub-id pub-id-type="pmid">24038411</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>M&#x000FC;ller</surname> <given-names>G.</given-names></name></person-group> (<year>2012</year>). <article-title>Microvesicles/exosomes as potential novel biomarkers of metabolic diseases</article-title>. <source>Diabetes Metab. Syndr. Obes.</source> <volume>5</volume>, <fpage>247</fpage>&#x02013;<lpage>282</lpage>. <pub-id pub-id-type="doi">10.2147/DMSO.S32923</pub-id><pub-id pub-id-type="pmid">22924003</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nakamura</surname> <given-names>K.</given-names></name> <name><surname>Watakabe</surname> <given-names>A.</given-names></name> <name><surname>Hioki</surname> <given-names>H.</given-names></name> <name><surname>Fujiyama</surname> <given-names>F.</given-names></name> <name><surname>Tanaka</surname> <given-names>Y.</given-names></name> <name><surname>Yamamori</surname> <given-names>T.</given-names></name> <etal/></person-group>. (<year>2007</year>). <article-title>Transiently increased colocalization of vesicular glutamate transporters 1 and 2 at single axon terminals during postnatal development of mouse neocortex: a quantitative analysis with correlation coefficient</article-title>. <source>Eur. J. Neurosci.</source> <volume>26</volume>, <fpage>3054</fpage>&#x02013;<lpage>3067</lpage>. <pub-id pub-id-type="doi">10.1111/j.1460-9568.2007.05868.x</pub-id><pub-id pub-id-type="pmid">18028110</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Navarro</surname> <given-names>J. A.</given-names></name> <name><surname>Ohmann</surname> <given-names>E.</given-names></name> <name><surname>Sanchez</surname> <given-names>D.</given-names></name> <name><surname>Botella</surname> <given-names>J. A.</given-names></name> <name><surname>Liebisch</surname> <given-names>G.</given-names></name> <name><surname>Molt&#x000F3;</surname> <given-names>M. D.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Altered lipid metabolism in a <italic>Drosophila</italic> model of Friedreich&#x02019;s ataxia</article-title>. <source>Hum. Mol. Genet.</source> <volume>19</volume>, <fpage>2828</fpage>&#x02013;<lpage>2840</lpage>. <pub-id pub-id-type="doi">10.1093/hmg/ddq183</pub-id><pub-id pub-id-type="pmid">20460268</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pandya</surname> <given-names>R. S.</given-names></name> <name><surname>Zhu</surname> <given-names>H.</given-names></name> <name><surname>Li</surname> <given-names>W.</given-names></name> <name><surname>Bowser</surname> <given-names>R.</given-names></name> <name><surname>Friedlander</surname> <given-names>R. M.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name></person-group> (<year>2013</year>). <article-title>Therapeutic neuroprotective agents for amyotrophic lateral sclerosis</article-title>. <source>Cell. Mol. Life Sci.</source> <volume>70</volume>, <fpage>4729</fpage>&#x02013;<lpage>4745</lpage>. <pub-id pub-id-type="doi">10.1007/s00018-013-1415-0</pub-id><pub-id pub-id-type="pmid">23864030</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pascua-Maestro</surname> <given-names>R.</given-names></name> <name><surname>Corraliza-Gomez</surname> <given-names>M.</given-names></name> <name><surname>Diez-Hermano</surname> <given-names>S.</given-names></name> <name><surname>Perez-Segurado</surname> <given-names>C.</given-names></name> <name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Sanchez</surname> <given-names>D.</given-names></name></person-group> (<year>2018</year>). <article-title>The MTT-formazan assay: complementary technical approaches and <italic>in vivo</italic> validation in <italic>Drosophila</italic> larvae</article-title>. <source>Acta Histochem.</source> <volume>120</volume>, <fpage>179</fpage>&#x02013;<lpage>186</lpage>. <pub-id pub-id-type="doi">10.1016/j.acthis.2018.01.006</pub-id><pub-id pub-id-type="pmid">29395318</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pascua-Maestro</surname> <given-names>R.</given-names></name> <name><surname>Diez-Hermano</surname> <given-names>S.</given-names></name> <name><surname>Lillo</surname> <given-names>C.</given-names></name> <name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Sanchez</surname> <given-names>D.</given-names></name></person-group> (<year>2017</year>). <article-title>Protecting cells by protecting their vulnerable lysosomes: identification of a new mechanism for preserving lysosomal functional integrity upon oxidative stress</article-title>. <source>PLoS Genet.</source> <volume>13</volume>:<fpage>e1006603</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pgen.1006603</pub-id><pub-id pub-id-type="pmid">28182653</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Perdomo</surname> <given-names>G.</given-names></name> <name><surname>Henry Dong</surname> <given-names>H.</given-names></name></person-group> (<year>2009</year>). <article-title>Apolipoprotein D in lipid metabolism and its functional implication in atherosclerosis and aging</article-title>. <source>Aging</source> <volume>1</volume>, <fpage>17</fpage>&#x02013;<lpage>27</lpage>. <pub-id pub-id-type="doi">10.18632/aging.100004</pub-id><pub-id pub-id-type="pmid">19946382</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Przybycien-Szymanska</surname> <given-names>M. M.</given-names></name> <name><surname>Yang</surname> <given-names>Y.</given-names></name> <name><surname>Ashley</surname> <given-names>W. W.</given-names></name></person-group> (<year>2016</year>). <article-title>Microparticle derived proteins as potential biomarkers for cerebral vasospasm post subarachnoid hemorrhage. A preliminary study</article-title>. <source>Clin. Neurol. Neurosurg.</source> <volume>141</volume>, <fpage>48</fpage>&#x02013;<lpage>55</lpage>. <pub-id pub-id-type="doi">10.1016/j.clineuro.2015.12.012</pub-id><pub-id pub-id-type="pmid">26736019</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reindl</surname> <given-names>M.</given-names></name> <name><surname>Knipping</surname> <given-names>G.</given-names></name> <name><surname>Wicher</surname> <given-names>I.</given-names></name> <name><surname>Dilitz</surname> <given-names>E.</given-names></name> <name><surname>Egg</surname> <given-names>R.</given-names></name> <name><surname>Deisenhammer</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>2001</year>). <article-title>Increased intrathecal production of apolipoprotein D in multiple sclerosis</article-title>. <source>J. Neuroimmunol.</source> <volume>119</volume>, <fpage>327</fpage>&#x02013;<lpage>332</lpage>. <pub-id pub-id-type="doi">10.1016/s0165-5728(01)00378-2</pub-id><pub-id pub-id-type="pmid">11585636</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ridder</surname> <given-names>K.</given-names></name> <name><surname>Keller</surname> <given-names>S.</given-names></name> <name><surname>Dams</surname> <given-names>M.</given-names></name> <name><surname>Rupp</surname> <given-names>A.-K.</given-names></name> <name><surname>Schlaudraff</surname> <given-names>J.</given-names></name> <name><surname>Del Turco</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Extracellular vesicle-mediated transfer of genetic information between the hematopoietic system and the brain in response to inflammation</article-title>. <source>PLoS Biol.</source> <volume>12</volume>:<fpage>e1001874</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pbio.1001874</pub-id><pub-id pub-id-type="pmid">24893313</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rufino-Ramos</surname> <given-names>D.</given-names></name> <name><surname>Albuquerque</surname> <given-names>P. R.</given-names></name> <name><surname>Carmona</surname> <given-names>V.</given-names></name> <name><surname>Perfeito</surname> <given-names>R.</given-names></name> <name><surname>Nobre</surname> <given-names>R. J.</given-names></name> <name><surname>Pereira de Almeida</surname> <given-names>L.</given-names></name></person-group> (<year>2017</year>). <article-title>Extracellular vesicles: novel promising delivery systems for therapy of brain diseases</article-title>. <source>J. Control. Release</source> <volume>262</volume>, <fpage>247</fpage>&#x02013;<lpage>258</lpage>. <pub-id pub-id-type="doi">10.1016/j.jconrel.2017.07.001</pub-id><pub-id pub-id-type="pmid">28687495</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ruiz</surname> <given-names>M.</given-names></name> <name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Correnti</surname> <given-names>C.</given-names></name> <name><surname>Strong</surname> <given-names>R. K.</given-names></name> <name><surname>Sanchez</surname> <given-names>D.</given-names></name></person-group> (<year>2013</year>). <article-title>Ligand binding-dependent functions of the lipocalin NLaz: an <italic>in vivo</italic> study in <italic>Drosophila</italic></article-title>. <source>FASEB J.</source> <volume>28</volume>, <fpage>1555</fpage>&#x02013;<lpage>1567</lpage>. <pub-id pub-id-type="doi">10.1096/fj.13-240556</pub-id><pub-id pub-id-type="pmid">24361577</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saeed-Zidane</surname> <given-names>M.</given-names></name> <name><surname>Linden</surname> <given-names>L.</given-names></name> <name><surname>Salilew-Wondim</surname> <given-names>D.</given-names></name> <name><surname>Held</surname> <given-names>E.</given-names></name> <name><surname>Neuhoff</surname> <given-names>C.</given-names></name> <name><surname>Tholen</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title>Cellular and exosome mediated molecular defense mechanism in bovine granulosa cells exposed to oxidative stress</article-title>. <source>PLoS One</source> <volume>12</volume>:<fpage>e0187569</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0187569</pub-id><pub-id pub-id-type="pmid">29117219</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salomon</surname> <given-names>C.</given-names></name> <name><surname>Kobayashi</surname> <given-names>M.</given-names></name> <name><surname>Ashman</surname> <given-names>K.</given-names></name> <name><surname>Sobrevia</surname> <given-names>L.</given-names></name> <name><surname>Mitchell</surname> <given-names>M. D.</given-names></name> <name><surname>Rice</surname> <given-names>G. E.</given-names></name></person-group> (<year>2013</year>). <article-title>Hypoxia-induced changes in the bioactivity of cytotrophoblast-derived exosomes</article-title>. <source>PLoS One</source> <volume>8</volume>:<fpage>e79636</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0079636</pub-id><pub-id pub-id-type="pmid">24244532</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sanchez</surname> <given-names>D.</given-names></name> <name><surname>Bajo-Gra&#x000F1;eras</surname> <given-names>R.</given-names></name> <name><surname>Del Ca&#x000F1;o-Espinel</surname> <given-names>M.</given-names></name> <name><surname>Garcia-Centeno</surname> <given-names>R.</given-names></name> <name><surname>Garcia-Mateo</surname> <given-names>N.</given-names></name> <name><surname>Pascua-Maestro</surname> <given-names>R.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Aging without Apolipoprotein D: molecular and cellular modifications in the hippocampus and cortex</article-title>. <source>Exp. Gerontol.</source> <volume>67</volume>, <fpage>19</fpage>&#x02013;<lpage>47</lpage>. <pub-id pub-id-type="doi">10.1016/j.exger.2015.04.003</pub-id><pub-id pub-id-type="pmid">25868396</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>S&#x000E1;nchez</surname> <given-names>D.</given-names></name> <name><surname>Ganfornina</surname> <given-names>M. D.</given-names></name> <name><surname>Mart&#x000ED;nez</surname> <given-names>S.</given-names></name></person-group> (<year>2002</year>). <article-title>Expression pattern of the lipocalin apolipoprotein D during mouse embryogenesis</article-title>. <source>Mech. Dev.</source> <volume>110</volume>, <fpage>225</fpage>&#x02013;<lpage>229</lpage>. <pub-id pub-id-type="doi">10.1016/s0925-4773(01)00578-0</pub-id><pub-id pub-id-type="pmid">11744388</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Spencer</surname> <given-names>B.</given-names></name> <name><surname>Verma</surname> <given-names>I.</given-names></name> <name><surname>Desplats</surname> <given-names>P.</given-names></name> <name><surname>Morvinski</surname> <given-names>D.</given-names></name> <name><surname>Rockenstein</surname> <given-names>E.</given-names></name> <name><surname>Adame</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>A neuroprotective brain-penetrating endopeptidase fusion protein ameliorates Alzheimer disease pathology and restores neurogenesis</article-title>. <source>J. Biol. Chem.</source> <volume>289</volume>, <fpage>17917</fpage>&#x02013;<lpage>17931</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M114.557439</pub-id><pub-id pub-id-type="pmid">24825898</pub-id></citation></ref>
<ref id="B50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suresh</surname> <given-names>S.</given-names></name> <name><surname>Yan</surname> <given-names>Z.</given-names></name> <name><surname>Patel</surname> <given-names>R. C.</given-names></name> <name><surname>Patel</surname> <given-names>Y. C.</given-names></name> <name><surname>Patel</surname> <given-names>S. C.</given-names></name></person-group> (<year>1998</year>). <article-title>Cellular cholesterol storage in the Niemann-Pick disease type C mouse is associated with increased expression and defective processing of apolipoprotein D</article-title>. <source>J. Neurochem.</source> <volume>70</volume>, <fpage>242</fpage>&#x02013;<lpage>251</lpage>. <pub-id pub-id-type="doi">10.1046/j.1471-4159.1998.70010242.x</pub-id><pub-id pub-id-type="pmid">9422368</pub-id></citation></ref>
<ref id="B51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Taylor</surname> <given-names>D. D.</given-names></name></person-group> (<year>2015</year>). <article-title>Isolation and molecular characterization of extracellular vesicles</article-title>. <source>Methods</source> <volume>87</volume>, <fpage>1</fpage>&#x02013;<lpage>2</lpage>. <pub-id pub-id-type="doi">10.1016/j.ymeth.2015.08.006</pub-id><pub-id pub-id-type="pmid">26262675</pub-id></citation></ref>
<ref id="B52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tkach</surname> <given-names>M.</given-names></name> <name><surname>Kowal</surname> <given-names>J.</given-names></name> <name><surname>Th&#x000E9;ry</surname> <given-names>C.</given-names></name></person-group> (<year>2018</year>). <article-title>Why the need and how to approach the functional diversity of extracellular vesicles</article-title>. <source>Philos. Trans. R. Soc. Lond. B Biol. Sci.</source> <volume>373</volume>:<fpage>20160479</fpage>. <pub-id pub-id-type="doi">10.1098/rstb.2016.0479</pub-id><pub-id pub-id-type="pmid">29158309</pub-id></citation></ref>
<ref id="B53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Valadi</surname> <given-names>H.</given-names></name> <name><surname>Ekstrom</surname> <given-names>K.</given-names></name> <name><surname>Bossios</surname> <given-names>A.</given-names></name> <name><surname>Sjostrand</surname> <given-names>M.</given-names></name> <name><surname>Lee</surname> <given-names>J. J.</given-names></name> <name><surname>L&#x000F6;tvall</surname> <given-names>J. O.</given-names></name></person-group> (<year>2007</year>). <article-title>Exosome-mediated transfer of mRNAs and microRNAs is a novel mechanism of genetic exchange between cells</article-title>. <source>Nat. Cell Biol.</source> <volume>9</volume>, <fpage>654</fpage>&#x02013;<lpage>659</lpage>. <pub-id pub-id-type="doi">10.1038/ncb1596</pub-id><pub-id pub-id-type="pmid">17486113</pub-id></citation></ref>
</ref-list>
</back>
</article>