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Journal of Extracellular Vesicles

Wiley

Preprints posted in the last 30 days, ranked by how well they match Journal of Extracellular Vesicles's content profile, based on 50 papers previously published here. The average preprint has a 0.02% match score for this journal, so anything above that is already an above-average fit.

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LUCID-EV: a robust and quantitative bioluminescent assay for the detection of EV cytosolic delivery in the absence of VSV-G expression

Merle, L.; Martin-Jaular, L.; Thery, C.; Joliot, A.

2026-03-26 cell biology 10.64898/2026.03.24.713260 medRxiv
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Extracellular vesicles are key intercellular messengers that modulate the function of target cells by carrying effectors, either at their surface or in their lumen. In the latter case, their action depends on the ability to deliver their content into the cytosol of target cells. How efficiently EVs deliver their content upon interaction with their target cell is thus a central question for understanding the functional impact of this mode of action. To address this question, signal-driven bimolecular interactions between two partners located respectively in the EV lumen and the target cell cytosol have become a widely used strategy to detect the cytosolic delivery EV content. However, the detection of cytosolic delivery with these assays was often tributary to the artificial enhancement of the fusion between EV and cell membranes, through for instance VSV-G fusogenic protein expression. Here we provide a robust and quantitative LUCiferase-based complementation assay (HiBiT/LgBiT), to quantify the Internalization and cytosolic Delivery of EV content: LUCID-EV. By optimizing the signal-to-noise ratio of the assay, the method for loading HiBiT fragment into EVs (fusion to a lipid-binding domain rather than to tetraspanins), and the intracellular position of LgBiT (associated to membranes), we could quantify cytosolic delivery from various non-VSV-G-expressing EVs into target immune dendritic cells. Importantly, this delivery did not involve the acidic late endosomes environment required for VSV-G-dependent EV cytosolic delivery. The limited efficacy of the process highlights the need for highly sensitive assays like the one described here. Further development of the LUCID-EV assay could help identifying EV/target cells pairs with enhanced cytosolic delivery properties and characterize the cellular route for delivery.

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Immunomodulatory metabolites define long-term gut microbiome recovery after allogeneic HCT and associate with improved survival and reduced relapse related mortality

Schwarz, A.; Eismann, T.; Zheng, T.; Holzinger, S.; Denk, A.; Goeldel, S.; Urban, M.; Goettert, S.; Pourjam, M.; Lagkouvardos, I.; Neuhaus, K.; Herhaus, P.; Verbeek, M.; Gerner, R. R.; Fante, M.; Hiergeist, A.; Gessner, A.; Edinger, M.; Herr, W.; Kleigrewe, K.; Heidegger, S.; Janssen, K.-P.; Holler, E.; Meedt, E.; Schirmer, M.; Bassermann, F.; Wolff, D.; Poeck, H.; Weber, D.; Thiele Orberg, E.

2026-03-31 transplantation 10.64898/2026.03.26.26349381 medRxiv
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The intestinal microbiome influences immune recovery and long-term outcomes after allogeneic hematopoietic stem cell transplantation (allo-SCT). While reduced bacterial diversity and depletion of immunomodulatory microbial metabolites during peri-engraftment have been linked to acute graft-versus-host disease (aGvHD) and mortality, it remains unclear whether microbiome recovery after engraftment and immune reconstitution is better reflected by bacterial diversity or by microbial metabolic output. We aimed to define microbiome recovery in the late post-transplant period and test whether a metabolite-based biomarker improves the prediction of clinical outcomes, including overall survival (OS) and chronic (c) GvHD. In this two-center longitudinal observational study, serial stool samples were collected from pre-transplant baseline to day +100 after allo-SCT in a discovery cohort (n = 20, Technical University Munich University Hospital (TUM)) and an independent validation cohort (n = 100, University Hospital Regensburg (UKR)). Gut microbiome composition was assessed by 16S rRNA gene amplicon sequencing, with metagenomic profiling in selected patients, and stool metabolites were quantified using targeted mass spectrometry. Patients were classified as RECOVERY or NO RECOVERY based on changes in bacterial richness between baseline and the post-transplant period. To capture microbial metabolic output, the previously established Immune-Modulatory Metabolite Risk Index (IMM-RI), comprising butyric, propionic, and isovaleric acids, desaminotyrosine and indole-3-carboxaldehyde, was adapted to the late post-transplant period (IMM-RI post-TX). Bacterial alpha diversity frequently improved by day +100; however, this did not consistently indicate restoration of baseline community structure and was not paralleled by recovery of stool metabolite profiles. Accordingly, RECOVERY status showed a limited association with survival or transplant-related mortality (TRM). In contrast, IMM-RI post-TX low-risk identified patients with preserved butyrate-associated biosynthetic capacity and was significantly associated with improved OS in both cohorts (UKR: HR 0.2052, 95% CI 0.07703 - 0.5466, p < 0.0001). In the validation cohort, IMM-RI post-TX low-risk was significantly associated with reduced relapse-related mortality. Interestingly, stool butyric-, propionic and valeric acid concentrations were increased in cGvHD of the skin, indicating context-dependent metabolite effects. These findings suggest that metabolite profiling outperforms bacterial diversity for predicting outcomes after allo-SCT and support microbial metabolites as promising biomarkers for risk stratification and actionable candidates for precision microbiome interventions after allo-SCT.

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Exofection as a Therapeutic Modality: Restoring P-gp Activity via Trophoblast-Derived EV in Neuroinflammatory Disorders

Kammala, A. K.; Tatiparthy, M.; Sreenivasa Murthy, S. G. S.; Garza, K.; Budhwani, S.; Richardson, L. S.; Menon, R.; Krishnan, B.

2026-04-06 pharmacology and toxicology 10.64898/2026.04.02.716001 medRxiv
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BackgroundP-glycoprotein (P-gp/ABCB1) is a key efflux transporter that maintains barrier integrity by clearing xenobiotics and toxic metabolites. At the feto-maternal interface, trophoblast-derived extracellular vesicles (CTC-EVs) naturally and transiently transfer functional P-gp to maternal decidual cells, restoring lost and or reduced P-gp function (exofection) to sustain pregnancy homeostasis. A similar loss of P-gp at the blood brain barrier (BBB) contributes to impaired amyloid-{beta} (A{beta}) clearance and neuroinflammation in Alzheimers disease. We investigated whether CTC-EV-mediated exofection could restore P-gp function in human brain endothelial cells (hBECs) and enhance A{beta} clearance under inflammatory and neurodegenerative conditions. MethodsCTC-EVs were isolated and characterized by nanoparticle tracking analysis and western blotting for P-gp and EV markers. Transcriptomic profiling of CTC-EVs identified enrichment of transporter-related genes, including solute carriers and ABC transporters, along with inflammatory mediators. Network analysis revealed coordinated modules linking EV cargo to transporter regulation, endocytosis/trafficking pathways, and inflammatory remodeling processes converging on BBB efflux activity. hBECs were exposed to LPS (500 ng/mL, 48 h) with or without CTC-EVs. P-gp expression was assessed by immunofluorescence (mean fluorescence intensity, MFI) and western blotting, while functional efflux was measured using Calcein-AM assays. A{beta} oligomer transport was evaluated using a transwell hBEC model. In vivo, 3xTg-AD mice received intravenous CTC-EVs (1x10L/day for 5 days), followed by assessment of P-gp expression, A{beta} burden, and neuroinflammatory markers. Pharmacokinetic studies in P-gp knockout mice were conducted to confirm functional transporter recovery. ResultsLPS exposure significantly reduced P-gp expression in hBECs (41.3% decrease in MFI, p=0.0084), which was restored by CTC-EVs (46.7% increase vs. LPS, p=0.0121). Exofection increased P-gp by a 2.1-fold following EV treatment as determined by western blot. Functional assays demonstrated enhanced efflux, with a 38.5% reduction in intracellular Calcein fluorescence (p<0.001). Network-informed mechanisms supported coordinated regulation of transporter and trafficking pathways. CTC-EVs improved A{beta} transport across inflamed hBEC monolayers. In vivo, EV-treated 3xTg-AD mice exhibited increased P-gp expression in the frontal cortex (38.6%) and hippocampus (42.1%), reduced A{beta} plaque burden (27.9%), and decreased inflammatory markers (IL-1{beta} and TNF-, p<0.05). In P-gp knockout mice, EVs reduced brain drug accumulation by 22.4% (p=0.032), confirming restoration of transporter function. ConclusionCTC derived EVs are natural carriers of functional transporter proteins and restore efflux capacity in compromised endothelial barriers. Integration of transcriptomic and network analyses highlights coordinated regulation of transporter, trafficking, and inflammatory pathways underlying exofection. This reproductive biology inspired strategy offers a promising therapeutic approach for enhancing A{beta} clearance and mitigating neuroinflammation in Alzheimers disease.

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The normal human lymph node cell classification and landscape defined by high-dimensional spatial proteomics.

Bolognesi, M. M.; Dall'Olio, L.; Mandelli, G. E.; Lorenzi, L.; Bosisio, F. M.; Haberman, A. M.; Bhagat, G.; Borghesi, S.; Faretta, M.; Castellani, G.; CATTORETTI, G.

2026-03-25 immunology 10.1101/2025.10.19.683341 medRxiv
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Lymph nodes (LN) are key secondary lymphoid organs (SLO) for a coordinated immune response. They have been extensively characterized by numerous investigative techniques chiefly as single cell suspensions because they are composed of vagile yet crowded hematolymphoid elements, unfriendly to spatial tissue organization-saving techniques. We comprehensively classify in situ all cells of 19 human LN free of pathology with a 78-marker antibody panel, an hyperplexed cyclic staining method, MILAN, and an analytical bioinformatic pipeline, BRAQUE. A total of 77 cell types were classified, encompassing T, B, innate immune and stromal cells. CD4 and CD8 T-cells were classified into 27 unique subsets by leveraging the expression profiles of TCF7, the presence of co-inhibitory receptors and the spatial distribution. CD5 and TCF7 expression defined novel B-cell types. CD27+ mature B-cells occupied previously unrecognized nodal spaces non-overlapping with the cortex and the plasma-cell rich medullary cords. Type 2 conventional dendritic cells were located in nodular paracortical aggregates. Statistically controlled pairwise neighborhood analysis showed sparse cell-cell interactions, known and new neighbors, established and novel LN landscape niches. A high-dimensional proteomic interrogation of the normal human LN provides spatial allocation of known cell types, novel interactions and the landscape organization.

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Therapeutically targetable Th17-derived miR-721 drives autoimmune myocarditis through PPARγ repression

Ruiz-Fernandez, I.; Sanchez-Diaz, R.; Blanco-Dominguez, R.; Ortega-Sollero, E.; Ortego-Molto, R.; Quiroga-Ortiz, D.; de la Fuente, H.; Martinez-Gonzalez, J.; Jimenez-Borreguero, L. J.; Lopez-Melgar, B.; Rivero, F.; Alfonso, F.; Sanchez-Madrid, F.; Ricote, M.; Martin, P.

2026-03-26 immunology 10.64898/2026.03.24.713340 medRxiv
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BACKGROUNDMyocarditis is an inflammatory cardiac disease in which Th17-driven immune responses contribute to progression toward dilated cardiomyopathy and heart failure. Current therapies mainly rely on corticosteroids but lack specificity, while the role of miR-721, synthesized by Th17 cells, remains largely unexplored in disease pathogenesis. METHODSWe characterized the presence of mmu-miR-721 and its human homolog hsa-RNA-Chr8:96 in extracellular vesicles (EVs) secreted by Th17 cells from IL-17eGFP mice with experimental autoimmune myocarditis (EAM) and myocarditis patients. MxCre-Ppargfl/fl mice and luciferase reporter assays were used to validate the target genes of miR-721 and hsa-RNA-Chr8:96, respectively. The functional role of miR-721 in EAM was investigated by lentiviral vectors overexpression and inhibition using miRNA sponge molecules. Th17 responses and heart inflammation were assessed and echocardiography was performed after in vivo blockade of mmu-miR-721 in EAM mice. RESULTSBoth mmu-miR-721 and hsa-RNA-Chr8:96 were encapsulated in EVs and secreted by Th17 cells of mice and patients with myocarditis. Overexpression of mmu-miR-721 in draining-lymph node cells from EAM mice inhibited Pparg transcription, leading to increased ROR{gamma}t and IL-17 expression and promoting Th17 differentiation. In contrast, in the absence of Pparg, a target of miR-721, no differences in ROR{gamma}t expression were observed, indicating that miR-721 promotes Th17 responses through repression of Pparg. Human PPARG was validated as a target gene of hsa-RNA-Chr8:96 and its overexpression in peripheral blood leukocytes downregulated PPARG mRNA levels, suggesting similar pathways involved in human pathology. In vivo blockade of mmu-miR-721 increased Pparg expression, reducing ROR{gamma}t and IL-17 activation in T cells and leading to decreased leukocyte infiltration in the heart and improved cardiac function. CONCLUSIONSmiR-721 is released by Th17 cells in EVs and promotes Th17 responses during myocarditis through repression of PPAR{gamma}, identifying this miRNA as both a mechanistic driver of disease and a potential therapeutic target. Graphical abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=168 SRC="FIGDIR/small/713340v1_ufig1.gif" ALT="Figure 1"> View larger version (51K): org.highwire.dtl.DTLVardef@1a69953org.highwire.dtl.DTLVardef@9c36bdorg.highwire.dtl.DTLVardef@1cdce4dorg.highwire.dtl.DTLVardef@a34715_HPS_FORMAT_FIGEXP M_FIG C_FIG Novelty and significanceO_ST_ABSWhat is known?C_ST_ABSO_LImiR-721 and its human homolog are upregulated in the plasma of mice and humans with myocarditis C_LIO_LITh17 cells synthesize miR-721 C_LIO_LIMmu-miR-721 targets Pparg mRNA C_LI What new information does this article contribute?O_LImiR-721 is sorted into extracellular vesicles in the context of acute myocarditis C_LIO_LImiR-721 enhances Th17 differentiation via the Pparg/Rorc double inhibitory axis. C_LIO_LIHsa-RNA-Chr8:96 targets human PPARG mRNA for degradation, inhibiting its expression C_LIO_LIBlockade of miR-721 dampens acute myocarditis development in vivo C_LI This study reveals a novel miRNA-based therapeutic strategy to inhibit Th17 responses and treat myocarditis. Using the experimental autoimmune myocarditis model, the authors unravel the mechanisms by which mmu-miR-721 can enhance Th17 responses and show how targeting this regulatory molecule could ameliorate the progression of the disease. Remarkably, this regulatory axis is suggested to be present in humans as well, since PPARG gene is validated as a target gene for hsa-RNA-Chr8:96. These findings highlights the potential of miR-721 not only as a diagnostic tool but also as a cell-specific therapeutic target to control Th17 responses in the clinical setting.

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DNA-Functionalized Nanoparticles for Multicolor Cathodoluminescence Imaging

Conway, J. B.; Abdul Rehman, S.; Prigozhin, M. B.

2026-04-09 biophysics 10.64898/2026.04.07.716901 medRxiv
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Cathodoluminescence (CL) microscopy has the potential to achieve a key goal in biological imaging: the simultaneous visualization of proteins and cellular ultrastructure. This goal can be attained by tagging proteins of interest with spectrally distinct cathodoluminescent probes for detection in electron microscopy. To this end, lanthanide nanoparticles (LNPs) are promising probe candidates due to their stability under the electron beam and their distinct ion-dependent emission spectra suitable for multiplexed detection. However, the hydrophobic surface chemistry of LNPs limits their use in biological samples and requires surface functionalization compatible with aqueous environments and EM sample preparation protocols. Here, we use a DNA-based ligand exchange strategy that renders cathodoluminescent LNPs hydrophilic and compatible with further functionalization for specific protein labeling. We characterize the CL emission of DNA-functionalized LNPs following aqueous transfer and common EM preparation steps, including osmium tetroxide staining and drying protocols based on hexamethyldisilazane and critical point drying, and show that LNPs retain their CL emission under all tested conditions. Finally, we demonstrate multicolor CL imaging of spectrally distinct, DNA-functionalized LNPs on the surface of mammalian cells, enabling simultaneous visualization of cellular ultrastructure via secondary electrons and LNPs via multiple CL color channels.

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Real-time, automated, standardized, and transparent analysis of microfluidic nanoparticle data with RPSPASS

Pleet, M. L.; Cook, S. M.; Killingsworth, B.; Traynor, T.; Johnson, D.-A.; Stack, E. H.; Ford, V. J.; Pinheiro, C.; Arce, J.; Savage, J.; Roth, M.; Milosavljevic, A.; Ghiran, I.; Hendrix, A.; Jacobson, S.; Welsh, J. A.; Jones, J. C.

2026-04-01 bioengineering 10.64898/2026.03.30.715405 medRxiv
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Extracellular vesicles (EVs) are lipid spheres released from cells. Research utilizing EVs has met several hurdles owing to the small size of the majority of EVs and other nanoparticles (<150 nm) and the lack of detection technologies capable of providing high-throughput single particle measurements at this scale. The use of high-throughput single particle measurements is critical for the assessment of EV heterogeneity and abundance which are features often used to assess the development of isolation protocols or particle characterization. The Coulter principle, known in the field as resistive pulse sensing (RPS), has been used for several decades to size and count cells. More recently, this technology has evolved to accommodate nanoparticle analysis. In the last decade a platform utilizing microfluidic resistive pulse sensing (MRPS) has been demonstrated for nanoparticles, offering ergonomic characterization of nanoparticles along with utilizing open format data. To date, assessment of MRPS accuracy and reporting standards have not been assessed. With the aim of increasing data accuracy, ergonomics, and reporting transparency, we developed a microfluidic resistive pulse sensing post-acquisition analysis software (RPSPASS) application for automated cohort calibration, population gating, statistical output, QC plot generation, alternative data file outputs, and standardized reporting templates.

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Ceramide-rich extracellular vesicles as pathogenic biomarkers in traumatic brain injury

Quadri, Z.; Zhu, Z.; Ren, X.; Crivelli, S. M.; Zhang, L.; Kunjadia, P. D.; Sullivan, P. G.; Broome, B. B.; Yamasaki, T. R.; Bieberich, E.

2026-04-03 neuroscience 10.64898/2026.04.01.715607 medRxiv
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Extracellular vesicles (EVs) contribute to the damage caused by traumatic brain injury (TBI) and can cross the blood-brain barrier (BBB). We analyzed plasma-derived EVs from human TBI patients to identify factors potentially contributing to TBI pathology. EVs were isolated using membrane affinity (ExoEasy) and size exclusion chromatography (iZone), both yielding CD9(+) and CD63(+) EVs with minimal contamination by serum albumin and apolipoprotein. Immunoblotting detected GFAP in TBI but not control EVs, indicating astrocyte-derived EVs crossing the BBB. Proteomic analysis and immunoblotting of EVs from TBI samples identified C-reactive protein and 14-3-3 proteins, which were not detected in control EVs, indicating inflammation associated with TBI. Lipidomic analysis showed ceramide enrichment in TBI EVs, validated by anti-ceramide immunoprecipitation. In a mouse closed head-controlled cortical impact model, brain EVs similarly showed elevated ceramide, confirming ceramide-rich EV release after TBI. Immunocytochemistry localized acid sphingomyelinase (ASM), a ceramide-generating enzyme, to ependymal cilia, suggesting these sites as a potential source of EVs. This was further supported by the detection of ASM in both brain- and plasma-derived EVs, along with the ciliary marker Arl13b in the brain. To assess function, we treated murine neuronal (N2a) cells with TBI EVs. Transcriptomics and STRING analyses revealed enrichment of mitochondrial-associated transcripts. Immunoblotting showed increased p53 and voltage-dependent anion channel 1 (VDAC1), which mediate ceramide-induced apoptosis. Seahorse assays showed that TBI EVs suppressed glycolysis, as indicated by reduced ECAR, while mitochondrial respiration (OCR) remained unchanged. LDH assays further indicated that TBI EVs were more neurotoxic than control EVs. Together, these findings identify ceramide-rich EVs as plasma biomarkers of TBI-induced inflammation, potential mediators of neuronal mitochondrial dysfunction, and pharmacological targets to prevent TBI-induced damage.

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Glycan-coated nanoparticles mimicking the ischemic glycocalyx scavenge the complement system conferring protection after experimental ischemic stroke

Mansour, G.; Seminara, S.; Mercurio, D.; Bianchi, A.; Porta, A.; Dembech, C.; Perez Schmidt, P.; Polito, L.; Durall, C.; Orsini, F.; Fioriti, L.; Comolli, D.; De Paola, M.; Forloni, G.; De Simoni, M.-G.; Gobbi, M.; Fumagalli, S.

2026-04-01 neuroscience 10.64898/2026.03.30.715069 medRxiv
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Glycoproteins lining the luminal endothelial surface form the glycocalyx, composing the tripartite blood brain barrier. We explored the glycocalyx as a source of danger signals for complement lectin pathway after ischemic stroke. Our data indicate that hypoxic microvascular cells increased -D-mannosyl and N-acetylglucosaminyl exposure after re-oxygenation, favoring mannose binding lectin (MBL) pathogenic deposition, and overexpression of inflammatory genes (ICAM-1 and MMP-2). The hypoxia-conditioned medium induced neuronal damage (reduced MAP-2), microglia and astrocytic reactivity (increased/thickened ramifications) when applied to induced pluripotent stem cell-derived neurons, astrocytes and microglia co-cultures. All these effects were counteracted by mannose-capped gold nanoparticles (Man-GNPs), shown to bind and sequester MBL from the medium. We then tested the Man-GNPs in vivo, in an ischemic stroke model using humanized mice, knocked-in for human MBL. The ischemic mice (males:females 1:1) treated with Man-GNPs (3h after the ischemic onset) exhibited less anxiety at the elevated plus maze and reduced neuronal loss at 8d after ischemia compared to vehicle-treated. Thus, multivalent Man-GNPs represent a promising approach to take MBL away from its glycoproteic targets on the ischemic endothelium, hence preventing downstream pathogenesis. Moreover, these data support circulating MBL as a druggable pharmacological target to prevent the thrombo-inflammatory events following acute brain injury.

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EV-Net: A computational framework to model extracellular vesicles-mediated communication

Torrejon, E.; Sleegers, J.; Matthiesen, R.; Macedo, M. P.; Baudot, A.; Machado de Oliveira, R.

2026-04-06 bioinformatics 10.64898/2026.04.02.716053 medRxiv
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SummaryExtracellular vesicles (EVs) are bilayer vesicles that carry a diverse cargo of molecules, such as nucleic acids, proteins and metabolites. These EVs can be transported throughout the organism to specific recipient tissues. For this reason, EVs have been recognized as pivotal mediators of cell-to-cell communication (CCC). Importantly, alterations in EV-mediated communication have been linked to pathological processes, further highlighting their biological relevance. However, the in silico exploration of the functional effects of EV cargo in recipient tissues remains limited due to the lack of dedicated tools that can be applied to EV omics datasets. Most current bioinformatics tools for assessing CCC rely on ligand-mediated communication and therefore cannot be used to explore EV-mediated communication. To address this gap, we developed EV-Net, a bioinformatics tool designed to explore the effects of EV cargo on recipient tissues. EV-Net was built by adapting NicheNet, a CCC bioinformatics tool that relies on ligand-receptor mediated communication, for the analysis of EVs proteomics and RNA-seq data. The EV-Net framework enables the identification and prioritization of EV cargo molecules with high regulatory potential in a recipient tissue of interest. This prioritization facilitates the systematic translation of EV cargo profiles into testable biological hypotheses. Availability and documentationThe source code of EV-Net is stored in GitHub https://github.com/torrejoNia/EV-Net alongside instructions on how to install it. Comprehensive tutorials and additional documentation are available at https://torrejonia.github.io/EV-Net/. The datasets used in the use cases were deposited in Zenodo. The corresponding Zenodo links are provided in the tutorials for each use case. This software is distributed under a GLP3 licence.

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Deep-learning-Assisted Photoacoustic and Ultrasound Evaluation for Pre-transplant Human Liver Graft Quality and Transplant Suitability

Zhang, Q.; Tang, Q.; Vu, T.; Pandit, K.; Cui, Y.; Yan, F.; Wang, N.; Li, J.; Yao, A.; Menozzi, L.; Fung, K.-M.; Yu, Z.; Parrack, P.; Ali, W.; Liu, R.; Wang, C.; Liu, J.; Hostetler, C. A.; Milam, A. N.; Nave, B.; Squires, R. A.; Battula, N. R.; Pan, C.; Martins, P. N.; Yao, J.

2026-04-15 transplantation 10.64898/2026.04.13.26350786 medRxiv
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End-stage liver disease (ESLD) is one of the leading causes of death worldwide. Currently, the only curative option for patients with ESLD is liver transplantation. However, the demand for donor livers far exceeds the available supply, partly because many potentially viable livers are discarded following biopsy evaluation. While biopsy is the gold standard for assessing liver histological features related to graft quality and transplant suitability, it often leads to high discard rates due to its susceptibility to sampling errors and limited spatial coverage. Besides, biopsy is invasive, time-consuming, and unavailable in clinical facilities with limited resources. Here, we present an AI-assisted photoacoustic/ultrasound (PA/US) imaging framework for quantitative assessment of human donor liver graft quality and transplant suitablity at the whole-organ scale. With multimodal volumetric PA/US images as the input, our deep-learning (DL) model accurately predicted the risk level of fibrosis and steatosis, which indicate the graft quality and transplant suitability, when comparing with true pathological scores. DL also identified the imaging modes (PAI wavelength and B-mode USI) that correlated the most with prediction accuracy, without relying on ill-posed spectral unmixing. Our method was evaluated in six discarded human donor livers comprising sixty spatially matched regions of interest. Our study will pave the way for a new standard of care in organ graft quality and transplant suitability that is fast, noninvasive, and spatially thorough to prevent unnecessary organ discards in liver transplantation.

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Hydroxycinnamic acid amides emerge as multifunctional molecules involved in regeneration and volatile signalling during wound responses in tomato

Grech Hernandez, C.; Andrade Cardenas, C. E.; Vera Sirera, F. J.; Rodrigo Bravo, I.; Belles Albert, J. M.; Lopez Gresa, M. P.; Lison Parraga, M. P.

2026-03-23 plant biology 10.64898/2026.03.20.713112 medRxiv
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O_LIHydroxycinnamic acid amides (HCAAs) are phenylpropanoid-derived metabolites with known antimicrobial and structural roles in plant defence against pathogens. However, their contribution to mechanical wound responses remains unclear, especially in terms of tissue regeneration and signalling. C_LIO_LIHere, we used tomato transgenic plants overexpressing the tyramine hydroxycinnamoyl transferase (THT), the key biosynthetic enzyme for HCAA production, to investigate the role of HCAAs in wound-induced responses, combining targeted metabolite profiling, gene expression, confocal microscopy, antioxidant assays, and volatile analyses. C_LIO_LIWe show that THT overexpression enhances wound-induced accumulation of HCAAs, promoting vascular lignification, suberization, callose deposition, and increased regeneration capacity. Additionally, 35S::THT plants display a distinct VOC profile that modulates defence gene expression in neighbouring wild-type plants, even in the absence of injury. C_LIO_LIThese results identify THT as a key regulator of structural reinforcement and defence priming after mechanical damage. Our findings highlight a novel role for HCAAs in wound healing and interplant signalling, with potential applications for improving crop resilience to mechanical stress. C_LI

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First-in-Human Safety and Tolerability Study of TOP-N53, a NO-Releasing PDE5 Inhibitor, in Healthy Volunteers

Seitz, F.; Gerth, H. U.; Tenor, H.; Ludin, C.; Bhide, Y.; Schaefer, M.; Cracowski, J.-L.; Naef, R.

2026-04-17 pharmacology and therapeutics 10.64898/2026.04.15.26350931 medRxiv
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Chronic wounds, such as diabetic and ischemic ulcers, involve impaired perfusion and delayed healing. TOP-N53 is a novel bifunctional molecule combining nitric oxide (NO) release with phosphodiesterase-5 (PDE5) inhibition to enhance local NO-cGMP signalling, resulting in vasodilation and angiogenesis. This first-in-human, randomized, double-blind, vehicle-controlled Phase I trial assessed the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single subcutaneous TOP-N53 doses in 29 healthy male volunteers. Each participant received injections of TOP-N53 and vehicle in the same forearm, but either at the proximal or at the distal site in an intra-individually blinded manner. Safety assessments included local and systemic parameters. PK and PD responses were evaluated by analysis of TOPN53 and its bioactivation metabolite TOP-52 in plasma, and by Laser Speckle Contrast Imaging (LSCI), a non-invasive method to measure skin perfusion, respectively. TOP-N53 was safe and well tolerated, with no serious adverse events or local or systemic adverse reactions. Plasma concentrations remained below the quantification limit and LSCI showed sustained dose-dependent increases in local skin perfusion at doses of 4.84 ug and 9.075 ug TOP-N53 SC for up to 24 h post injection when compared to vehicle. These findings support the favourable safety and tolerability profile of TOP-N53 associated with locally improved skin perfusion, encouraging its further clinical development as a topical treatment for chronic wounds with microvascular dysfunction.

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miR-378a and NPNT coordinate autophagy regulation in podocytes through mTOR and MAPK signaling

Sopel, N.; Wangerin, S.-M.; Hecker, M.; Ohs, A.; Mueller-Deile, J.

2026-03-21 cell biology 10.64898/2026.03.19.709781 medRxiv
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Autophagy is a critical homeostatic mechanism in podocytes, maintaining cellular integrity under stress and proteostatic challenges. Dysregulation of autophagy has been implicated in different glomerular diseases such as diabetes and membranous glomerulonephropathy (MGN), yet the underlying molecular drivers remain incompletely understood. We identified microRNA-378a (miR-378a), previously found upregulated in MGN, as a functional enhancer of autophagic flux in human podocytes and tubular epithelial cells. While miR-378a did not directly alter transcription of canonical autophagy genes (ATG2A, ATG5, ATG7, ATG12), it increased autophagic flux through suppression of mTOR phosphorylation at Ser2448. Given that NPNT is a miR-378a target and a key glomerular basement membrane component, we investigated its role in autophagy regulation. NPNT knockdown reduced ATG2A, ATG7, and BCN1 expression, but paradoxically increased autophagic flux, independent of mTOR, accompanied by enhanced ERK1/2 phosphorylation. These findings reveal a dual-layered regulatory network in which miR-378a promotes autophagy via mTOR inhibition, whereas NPNT modulates autophagy probably through MAPK-dependent signaling. Our results highlight the complex interplay between miRs, extracellular matrix components, and intracellular signaling pathways in podocyte autophagy. Dysregulation of these pathways in kidney disease may reflect both adaptive and maladaptive responses, providing mechanistic insights and potential therapeutic targets to preserve glomerular filtration barrier integrity in immune-mediated kidney disease.

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Influenza Virus Infection of an Immunocompetent Organotypic Model of the Human Respiratory Mucosa

Perez-Riveron, A.; Deiss, E.; Alleon, A.; Ateni, P.; Li, J.; Foisset, F.; Lehalle, C.; Fauny, J.-D.; Frossard, N.; De Vos, J.; Smyth, R.; Debry, C.; Fath, L.; Mueller, C. G.; Voisin, B.; Flacher, V.

2026-03-25 bioengineering 10.64898/2026.03.24.713934 medRxiv
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Respiratory infectious diseases are among the leading causes of global morbidity and mortality and remain a major public health concern. Progress in understanding early host-pathogen interactions has been hampered by the limited physiological relevance of existing experimental systems. Different models mimicking the human respiratory epithelium have been developed to study viral infections in vitro, such as tridimensional (3D) tissue models and organoids. However, many lack key features of human tissue architecture, particularly the lamina propria or immune cells. To address these limitations, we established an immunocompetent 3D model of the human respiratory mucosa by combining nasal epithelial cells isolated from nasal brushings, fibroblasts from mid-turbinate nasal biopsies, and macrophages derived from blood monocytes. These cells were sequentially seeded into collagen-chitosan scaffolds, resulting in a reconstructed respiratory mucosa closely resembling the in vivo nasal tissues. To further confirm the physiological relevance of the model, we infected it with influenza A virus. The mucosa model supported viral replication in the epithelium and consequently showed increased secretion of inflammatory cytokines and upregulation of type I interferon related genes, enabling the monitoring of early antiviral innate immune responses in a physiologically relevant context.

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Targeted Epigenetic Modulation Outperforms Nuclease- and Deaminase-Based Editing for Durable Pcsk9 Silencing in a Clinically Relevant Delivery System

Mudla, A.; Quintana, D. D.; Savoy, L. R.; Atallah, C. F.; Leu, A. I.-J.; Dam, T.; Acharya, G.; Rajappan, K.; Chivukula, P.

2026-03-23 molecular biology 10.64898/2026.03.20.713290 medRxiv
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Inhibition of proprotein convertase subtilisin/kexin type 9 (PCSK9) lowers low-density lipoprotein cholesterol, a major risk factor for cardiovascular disease. Although several gene therapy strategies targeting Pcsk9 have been developed, direct comparisons across modalities are limited. To address this, we systematically evaluated cytosine base editing, nuclease-based CRISPR-Cas9, and epigenetic gene editing for Pcsk9 suppression. We first engineered a cytosine base editor to introduce a premature stop codon, then optimized and characterized an epigenetic editor, and finally delivered all modalities as mRNA formulated in Arcturus lipid nanoparticles (LUNAR(R)) into wild-type mice, benchmarking them against conventional CRISPR-Cas9 and GalNAc-siRNA. Remarkably, epigenetic editing achieved the most efficient and sustained repression of PCSK9, maintaining low protein levels throughout the entire 30-day study period. By comparison, cytosine base editing reduced PCSK9 with minimal double-stranded DNA breaks and off-target effects, but editing precision requires further improvement, while GalNAc-siRNA produced only transient suppression, limiting its suitability for a one-time therapeutic approach. Collectively, these findings highlight the superior durability and efficacy of epigenetic gene editing and provide proof-of-concept for its combination with LUNAR(R) delivery as a promising strategy for long-lasting hepatic-targeted therapy.

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Single-cell spatiotemporal transcriptomics reveals the developmental dynamics and regulatory network of poplar seed fibers

Han, K.; Wang, H.; Yang, X.; Zhao, T.; An, X.; Jia, L.; Chen, Z.

2026-03-31 plant biology 10.64898/2026.03.28.714976 medRxiv
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Poplar seed fibers cause environmental and health concerns, yet their developmental mechanisms remain poorly understood. Here, we constructed a high-resolution spatiotemporal transcriptomic atlas of female poplar capsules by integrating single-nucleus and spatial transcriptomics. We delineated the developmental trajectory of seed fibers, confirming their origin from placenta cells, and identified three functionally distinct fiber cell subtypes involved in initiation, metabolic support, and elongation. Weighted gene co-expression network analysis (WGCNA) identified several hub transcription factors, including PtoMYB, PtoHDT1, PtoEIF6 and PtoPDF2, that may serve as key regulators of fiber development. Our study provides a cellular-resolution framework for understanding trichome development in woody perennials and offers candidate targets for functional characterization toward breeding low-fluff poplar cultivars. HighlightsO_LIA spatiotemporal transcriptomic atlas of poplar capsule development is constructed at single-cell resolution C_LIO_LIFiber cells originate from placenta cells and comprise three functionally distinct subtypes C_LIO_LIProvides molecular targets for breeding low-fluff poplar cultivars to mitigate environmental pollution C_LI

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Selective Transcriptomic Vulnerability Of Membrane-Integrated Architectures During Neural Tissue Vitrification

Wilczok, D.; Long, Q.; Huang, Z.; Kangas, J.; Wang, M.; Kappes, F.

2026-03-30 molecular biology 10.64898/2026.03.26.714628 medRxiv
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Cryopreservation is essential for long-term storage of biological tissues. Yet, surprisingly, the precise molecular impact of cryopreservation on tissue transcriptomes remains poorly defined. This study provides the first resource of whole-genome transcriptomic changes following cryopreservation. This study used bulk RNA sequencing to examine how preservation method (snap freezing or vitrification) affects transcriptomes in mouse cerebral cortex and hippocampus. This allowed us to separate cryoprotectant-specific changes from cold induced-changes via snap freezing. In a subset of genes, tissues processed under vitrification conditions showed selective under-representation of a small but structurally coherent group of transcripts, with the hippocampus exhibiting greater vulnerability than the cortex. UniProt annotation revealed that affected transcripts were strongly enriched for proteins with membrane-associated, secretory-pathway, and multi-pass topologies, indicating that structurally complex membrane-integrated architectures are disproportionately sensitive to vitrification. Pathway-level analysis using iPANDA further showed that negative preservation scores in vitrified tissue clustered primarily within signal transduction and metabolic pathways, suggesting coordinated pathway-level disruption rather than global transcript loss. Together, these results demonstrate that vitrification conditions induce selective and structured molecular perturbations in neural tissue, defined by the under-recovery of transcripts associated with membrane and secretory pathway organization. This work highlights molecular vulnerability during vitrification and emphasizes the need for transcript-level evaluation when optimizing cryopreservation approaches for neural systems.

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Autophagy shapes the peptide repertoire of rheumatoid arthritis-associated HLA class II alleles

Madelon, N.; Stumpe, M.; Racle, J.; Pluess, M.; Cune, D.; Noto, A.; Viatte, S.; Saiji, E.; Yeremenko, N.; Nilsson, J.; Gfeller, D.; Ospelt, C.; Dengjel, J.; Gannage, M.

2026-03-26 immunology 10.64898/2026.03.24.713950 medRxiv
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Alternative pathways of antigen presentation are crucial in different immunological contexts such as autoimmunity and anti-microbial defense. Among these pathways, autophagy has a central role in delivering cytosolic substrates to the MHC class II compartment. However, its contribution to endogenous MHC class II presentation was only demonstrated for a few antigens. Here we focused our study on the contribution of autophagy to the peptidome of one major allele of the HLA-DR shared epitope, HLA DRB1*04:01 conferring the greatest risk factor for the development of rheumatoid arthritis (RA). We provide an extensive qualitative and quantitative mass spectrometry analysis of the autophagy related MHC class II peptide repertoire of the human DRB1*04:01 allele. A fraction of peptides representing 30% of the repertoire differ profoundly between autophagy sufficient and deficient cells. Our analysis demonstrates that autophagy contributes to MHC class II presentation of peptides from seven described RA autoantigens, the majority of them being related to the ER folding and stress response (calreticulin, calnexin, the 78 kDa glucose-regulated protein (GRP78)-also known as binding immunoglobulin protein (BiP) and several protein from the heat-shock-protein 70 family). Our results correlate with an increased activation of autophagy, in situ, in synovial biopsies and synovial fibroblast (SF) of RA patients. We could further show that SF upregulate MHC class II and present peptides from autophagy related auto-antigens to CD4 T cells from RA patients. Our finding identifies autophagy as a potential process that could contribute to the break of peripheral tolerance during RA.

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Tumour marker analysis using a machine learning assisted vibrational spectroscopy approach

Fatayer, R.; Sammut, S.-J.; Senthil Murugan, G.

2026-03-31 biochemistry 10.64898/2026.03.27.714840 medRxiv
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Tumour biomarkers such as CA125, CA15-3, CA19-9, AFP and CEA are routinely used in the oncology clinic to diagnose cancer, monitor response to therapy, and detect relapse. However, their quantification depends on immunoassay-based methods that are time-consuming, reagent-dependent, and poorly suited to resource-limited settings. Here, we present a machine learning-assisted ATR-FTIR spectroscopy approach for label-free tumour biomarker analysis to enable simple and rapid quantification at the bedside. Using principal component analysis (PCA), we first demonstrate that these five clinically relevant biomarkers are spectrally separable, with the protein-associated region (1200-1700 cm-1) providing the greatest discriminative information. We then develop partial least squares regression (PLSR) models to quantify CA125 in phosphate-buffered saline (R2 = 0.95) and in human serum across a clinically relevant concentration range, achieving reliable predictions at and above the clinical decision threshold of 35 U/mL. A semi-quantitative classification model further demonstrated robust identification of elevated CA125, with a macro-average sensitivity of 0.86 and specificity of 0.92. These results support ATR-FTIR spectroscopy as a rapid, reagent-free platform for cancer biomarker monitoring, with potential utility in resource-limited settings. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=109 SRC="FIGDIR/small/714840v1_ufig1.gif" ALT="Figure 1"> View larger version (27K): org.highwire.dtl.DTLVardef@1be9c03org.highwire.dtl.DTLVardef@f49e5eorg.highwire.dtl.DTLVardef@1c93e39org.highwire.dtl.DTLVardef@1141e6f_HPS_FORMAT_FIGEXP M_FIG C_FIG