RT Journal Article SR Electronic T1 Extracellular vesicles from therapeutic grade allogeneic human placental stromal cells induce angiogenesis and modulate immunity JF bioRxiv FD Cold Spring Harbor Laboratory SP 808808 DO 10.1101/808808 A1 Martin Wolf A1 Balazs Vari A1 Constantin Blöchl A1 Anna M Raninger A1 Rodolphe Poupardin A1 Cristien M Beez A1 Anna Hoog A1 Gabi Brachtl A1 Essi Eminger A1 Heide-Marie Binder A1 Michaela Oeller A1 Andreas Spittler A1 Thomas Heuser A1 Astrid Obermayer A1 Martina Seifert A1 Christian G Huber A1 Katharina Schallmoser A1 Hans-Dieter Volk A1 Dirk Strunk YR 2019 UL http://biorxiv.org/content/early/2019/10/17/808808.abstract AB Allogeneic regenerative cell therapy has shown surprising results despite lack of engraftment of the transplanted cells. Their efficacy was so far considered to be mostly due to secreted trophic factors. We hypothesized that extracellular vesicles (EVs) can also contribute to their mode of action. Here we provide evidence that EVs derived from therapeutic placental-expanded (PLX) stromal cells are potent inducers of angiogenesis and modulate immune cell proliferation in a dose-dependent manner.Crude EVs were enriched >100-fold from large volume PLX conditioned media via tangential flow filtration (TFF) as determined by tunable resistive pulse sensing (TRPS). Additional TFF purification was devised to separate EVs from cell-secreted soluble factors. EV identity was confirmed by western blot, calcein-based flow cytometry and electron microscopy. Surface marker profiling of tetraspanin-positive EVs identified expression of cell-and matrix-interacting adhesion molecules. Differential tandem mass tag proteomics comparing PLX-EVs to PLX-derived soluble factors revealed significant differential enrichment of 258 proteins in purified PLX-EVs involved in angiogenesis, cell movement and immune system signaling. At the functional level, PLX-EVs and cells inhibited T cell mitogenesis. PLX-EVs and soluble factors displayed dose-dependent proangiogenic potential by enhancing tube-like structure formation in vitro.Our findings indicate that the mode of PLX action involves an EV-mediated proangiogenic function and immune response modulation that may help explaining clinical efficacy beyond presence of the transplanted allogeneic cells.