Efficiency and challenges of exosome and microRNA extraction from clinical biofluids in Indonesia: A commercial kit-based approach for qPCR applications
##plugins.themes.bootstrap3.article.main##
Abstract
Exosome miRNA has significant potential as biomarker for minimal or non-invasive diagnosis and monitoring of disease progression. However, extraction of miRNA exosomes from biofluids is challenging, and there is a lack of comparative evaluation of commercially available extraction kits for qPCR applications. Therefore, this study aims to obtain information about miRNA exosome extraction using commercial kits and analyze its expression with the qRT-PCR method. The exosome extraction was carried out using 3 types of commercial kits, while the RNA extraction was performed with a spin column. The purity and concentration of exosomes were measured using NTA, while total RNA was measured with nanodrops. Subsequently, miRNA expression was measured using qRT-PCR. The results showed that the concentration of exosomes obtained using kit 1 for plasma isolation was 3.5 x 1011 with particle sizes ranging from 30-240 nm. Kit 2 yielded a value of 2.9 x 1010 with particle sizes ranging from 30-150 nm, while kit 3 had no measurable value. The average concentration of RNA extracted using the RNA Basic kit from HansaBioMed was 42.53 ng/μL, while the exoRNeasy Midi kit from Qiagen yielded 45.28 ng/μL. Template RNA of 100 ng was converted into cDNA, while the cDNA was diluted at a ratio of 1:20 using RNase free water during the quantification process of miRNA exosome expression with the qRT-PCR method. Based on the results, exosome miRNA quantification process requires the use of the correct method at each stage to obtain the right expression for clinical studies.
Downloads
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2026 Aprilia Indra Kartika, Muchamad Dafip, Nastiti Wijayanti, Didik Setyo Heriyanto, Sofia Mubarika Haryana, Kartika Widayati Taroeno-Hariadi

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
1. Battistelli M, Falcieri E. Apoptotic bodies: Particular extracellular vesicles involved in intercellular communication. Biology. 2020;9(21):1-10. https://doi.org/10.3390/biology9010021
2. Kakarla R, Hur J, Kim YJ, Kim J, Chwae YJ. Apoptotic cell-derived exosomes: messages from dying cells. Exp Mol Med. 2020;52(1):1–6. http://dx.doi.org/10.1038/s12276-019-0362-8
3. Yu J, Sane S, Kim JE, Yun S, Kim HJ, Jo KB, Wright JP, Khoshdoozmasouleh N, Lee K, Oh HT, Thiel K, Parvin A, Williams X, Hannon C, Lee H, Kim DK. Biogenesis and delivery of extracellular vesicles: harnessing the power of EVs for diagnostics and therapeutics. Front Mol Biosci. 2023;10(1):1–9. https://doi.org/10.3389/fmolb.2023.1330400
4. Grunt M, Failla AV, Stevic I, Hillebrand T, Schwarzenbach H. A novel assay for exosomal and cell-free miRNA isolation and quantification. RNA Biol. 2020;17(4):425–40. https://doi.org/10.1080/15476286.2020.1721204
5. Coughlan C, Bruce KD, Burgy O, Boyd TD, Michel CR, Garcia-Perez JE, Adame V, Anton P, Bettcher BM, Chial HJ, Königshoff M, Hsieh EWY, Graner M, Potter H. Exosome isolation by ultracentrifugation and precipitation and techniques for downstream analyses. Curr Protoc Cell Biol. 2020;88(1). https://doi.org/10.1002/cpcb.110
6. Le MCN, Fan HZ. Exosome isolation using nanostructures and microfluidic devices. Biomed Mater. 2021;16(2):022005. https://doi.org/10.1088/1748-605X/abde70
7. Moon S, Shin DW, Kim S, Lee YS, Mankhong S, Yang SW, Lee PH, Park DH, Kwak HB, Lee JS, Kang JH. Enrichment of exosome-like extracellular vesicles from plasma suitable for clinical vesicular mirna biomarker research. J Clin Med. 2019;8(11):1–16. https://doi.org/10.3390/jcm8111995
8. Qazi REM, Sajid Z, Zhao C, Hussain I, Iftikhar F, Jameel M, Rehman FU, Mian AA. Lyophilization based isolation of exosomes. Int J Mol Sci. 2023;24(13):10477. https://doi.org/10.3390/ijms241310477
9. Tang YT, Huang YY, Zheng L, Qin SH, Xu XP, An TX, Xu Y, Wu YS, Hu XM, Ping BH, Wang Q. Comparison of isolation methods of exosomes and exosomal RNA from cell culture medium and serum. Int J Mol Med. 2017;40(3):834–844. https://doi.org/10.3892/ijmm.2017.3080
10. Ljungström M, Oltra E. Methods for extracellular vesicle isolation: Relevance for encapsulated miRNAs in disease diagnosis and treatment. Genes. 2025;16(3):330. https://doi.org/10.3390/genes16030330
11. Dilsiz N. A comprehensive review on recent advances in exosome isolation and characterization: Toward clinical applications. Transl Oncol. 2024;50(9):102121. https://doi.org/10.1016/j.tranon.2024.102121
12. Becker C, Hammerle-Fickinger A, Riedmaier I, Pfaffl MW. mRNA and microRNA quality control for RT-qPCR analysis. Methods. 2010;50(4):237–43. http://dx.doi.org/10.1016/j.ymeth.2010.01.010
13. Khan MM, Serajuddin M, Bharadwaj M. Potential plasma microRNAs signature miR-190b-5p, miR-215-5p and miR-527 as non-invasive biomarkers for prostate cancer. Biomarkers. 2023;28(2):227–237. https://doi.org/10.1080/1354750X.2022.2163694
14. Sotelo-Orozco J, Chen SY, Hertz-Picciotto I, Slupsky CM. Comparison of serum and plasma blood collection tubes for the integration of epidemiological and metabolomics data. Front Mol Biosci. 2021;8:682134. https://doi.org/10.3389/fmolb.2021.682134
15. Comfort N, Bloomquist TR, Shephard AP, Petty CR, Cunningham A, Hauptman M, Phipatanakul W, Baccarelli A. Isolation and characterization of extracellular vesicles in saliva of children with asthma. Extracell Vesicles Circ Nucl Acids. 2021;2(1):29–48. https://doi.org/10.20517/evcna.2020.09
16. Akers JC, Gonda D, Kim R, Carter BS, Chen CC. Biogenesis of extracellular vesicles (EV): Exosomes, microvesicles, retrovirus-like vesicles, and apoptotic bodies. J Neurooncol. 2013;113:1–11. https://doi.org/10.1007/s11060-013-1084-8
17. Schageman J, Zeringer E, Li M, Barta T, Lea K, Gu J, et al. The complete exosome workflow solution: From isolation to characterization of RNA cargo. Biomed Res Int. 2013:1-15. https://doi.org/10.1155/2013/253957
18. Gao R, Li Q, Qiu M, Xie S, Sun X, Huang T. Serum exosomal miR-192 serves as a potential detective biomarker for early pregnancy screening in sows. Anim Biosci. 2023;36(9):1336–1349. https://doi.org/10.5713/ab.22.0422
19. Zhang W, Ni M, Su Y, Wang H, Zhu S, Zhao A, Li G. MicroRNAs in Serum Exosomes as Potential Biomarkers in Clear-cell Renal Cell Carcinoma. Eur Urol Focus. 2018;4(3):412–9. http://dx.doi.org/10.1016/j.euf.2016.09.007
20. Wu J, Shen Z. Exosomal miRNAs as biomarkers for diagnostic and prognosticin lung cancer. Cancer Med. 2020;9: 6909–6922. https://doi.org/10.1002/cam4.3379
21. Yakubovich EI, Polischouk AG, Evtushenko VI. Principles and problems of exosome isolation from biological fluids. Biochem (Mosc) Suppl Ser A Membr Cell Biol. 2022;16(2):115–126. https://doi.org/10.1134/S1990747822030096
22. Jia S, Zocco D, Samuels ML, Chou MF, Chammas R, Skog J, Zarovni N, Momen-Heravi F, Kuo WP. Emerging technologies in extracellular vesicle-based molecular diagnostics. Expert Rev Mol Diagn. 2014;14(3):307–321. https://doi.org/10.1586/14737159.2014.893828
23. Zocco D, Bernardi S, Novelli M, Astrua C, Fava P, Zarovni N, Carpi FM, Bianciardi L, Malavenda O, Quaglino P, Foroni C, Russo D, Chiesi A, Fierro MT. Isolation of extracellular vesicles improves the detection of mutant DNA from plasma of metastatic melanoma patients. Sci Rep. 2020;10(1):1–12. https://doi.org/10.1038/s41598-020-72834-6
24. Dunlop RA, Banack SA, Cox PA. A comparison of the efficiency of RNA extraction from extracellular vesicles using the Qiagen RNeasy MinElute versus Enzymax LLC RNA Tini Spin columns and qPCR of miRNA. Biol Methods Protoc. 2021;6(1):1–9. https://doi.org/10.1093/biomethods/bpab015
25. Banack SA, Dunlop RA, Stommel EW, Mehta P, Cox PA. miRNA extracted from extracellular vesicles is a robust biomarker of amyotrophic lateral sclerosis. J Neurol Sci. 2022;442(5):120396. https://doi.org/10.1016/j.jns.2022.120396
26. García-Concejo A, Sánchez-Quirós B, Gómez-Sánchez E, Sánchez-de Prada L, Tamayo-Velasco Á, Tovar-Doncel MS, et al. Study on the diagnostic role of exosome-derived miRNAs in postoperative septic shock and non-septic shock patients. Crit Care. 2025;29(1):1-13. https://doi.org/10.1186/s13054-025-05320-y
27. Gharib AF, Al-Shehri SS, Almalki A, Alhazmi A, Allahyani M, Alghamdi A, Alrehaili AA, Bakhuraysah MM, Althobaiti NSM, Elsawy WH. Serum exosomal MiR-874 as a potential biomarker for nonsmall cell lung cancer diagnosis and prognosis. Indian J Med Paediatr Oncol. 2024. https://doi.org/10.1055/s-0044-1790600
28. Yamamoto K, Chiba M. Examination and comparison of the RNA extraction methods using mouse serum. Biomed Rep. 2024;20(3):1–7. https://doi.org/10.3892/br.2024.1739
29. Théry C, Witwer KW, Aikawa E, Alcaraz MJ, Anderson JD, Andriantsitohaina R, et al. Minimal information for studies of extracellular vesicles 2018 (MISEV2018): A position statement of the International Society for Extracellular Vesicles and update of the MISEV2014 guidelines. J Extracell Vesicles. 2018;7(1):1535750. https://doi.org/10.1080/20013078.2018.1535750
30. Kim JY, Rhim WK, Yoo YI, Kim DS, Ko KW, Heo Y, Park CG, Han DK. Defined MSC exosome with high yield and purity to improve regenerative activity. J Tissue Eng. 2021;12:1-15. https://doi.org/10.1177/20417314211008626
31. Qin X, Xu H, Gong W, Deng W. The tumor cytosol miRNAs, fluid miRNAs and exosome miRNAs in lung cancer. Front Oncol. 2014;4(11):1–7. https://doi.org/10.3389/fonc.2014.00357
32. Valencia K, Luis-Ravelo D, Bovy N, Antón I, Martínez-Canarias S, Zandueta C, Ormazábal C, Struman I, Tabruyn S, Rebmann V, De Las Rivas J, Guruceaga E, Bandrés E, Lecanda F. MiRNA cargo within exosome-like vesicle transfer influences metastatic bone colonization. Mol Oncol. 2014;8(3):689–703. https://doi.org/10.1016/j.molonc.2014.01.012
33. Yue B, Yang H, Wang J, Ru W, Wu J, Huang Y, Lan X, Lei C, Chen H. Exosome biogenesis, secretion and function of exosomal miRNAs in skeletal muscle myogenesis. Cell Prolif. 2020;53:e12857. https://doi.org/10.1111/cpr.12857
34. Zhou M, Weber SR, Zhao Y, Chen H, Sundstrom JM. Methods for exosome isolation and characterization. Exosomes: A Clin Compendium. 2019;23–38. https://doi.org/10.1016/B978-0-12-816053-4.00002-X
35. Wang WX, Wilfred BR, Baldwin DA, Isett RB, Ren N, Stromberg A, Nelson PT. Focus on RNA isolation: Obtaining RNA for microRNA (miRNA) expression profiling analyses of neural tissue. Biochim Biophys Acta Gene Regul Mech. 2008;1779(11):749–57. https://doi.org/10.1016/j.bbagrm.2008.01.005
Aprilia Indra Kartika
https://orcid.org/0000-0001-9572-1668