SIV Infection Regulates Compartmentalization of Circulating Blood Plasma miRNAs within Extracellular Vesicles (EVs) and Extracellular Condensates (ECs) and Decreases EV-Associated miRNA-128

Background: This is Manuscript 1 of a two-part Manuscript of the same series. Here, we present findings from our first set of studies on the abundance and compartmentalization of blood plasma extracellular microRNAs (exmiRNAs) into extracellular particles, including blood plasma extracellular vesicles (EVs) and extracellular condensates (ECs) in the setting of untreated HIV/SIV infection. The goals of the study presented in this Manuscript 1 are to (i) assess the abundance and compartmentalization of exmiRNAs in EVs versus ECs in the healthy uninfected state, and (ii) evaluate how SIV infection may affect exmiRNA abundance and compartmentalization in these particles. Considerable effort has been devoted to studying the epigenetic control of viral infection, particularly in understanding the role of exmiRNAs as key regulators of viral pathogenesis. MicroRNA (miRNAs) are small (~20–22 nts) non-coding RNAs that regulate cellular processes through targeted mRNA degradation and/or repression of protein translation. Originally associated with the cellular microenvironment, circulating miRNAs are now known to be present in various extracellular environments, including blood serum and plasma. While in circulation, miRNAs are protected from degradation by ribonucleases through their association with lipid and protein carriers, such as lipoproteins and other extracellular particles—EVs and ECs. Functionally, miRNAs play important roles in diverse biological processes and diseases (cell proliferation, differentiation, apoptosis, stress responses, inflammation, cardiovascular diseases, cancer, aging, neurological diseases, and HIV/SIV pathogenesis). While lipoproteins and EV-associated exmiRNAs have been characterized and linked to various disease processes, the association of exmiRNAs with ECs is yet to be made. Likewise, the effect of SIV infection on the abundance and compartmentalization of exmiRNAs within extracellular particles is unclear. Literature in the EV field has suggested that most circulating miRNAs may not be associated with EVs. However, a systematic analysis of the carriers of exmiRNAs has not been conducted due to the inefficient separation of EVs from other extracellular particles, including ECs. Methods: Paired EVs and ECs were separated from EDTA blood plasma of SIV-uninfected male Indian rhesus macaques (RMs, n = 15). Additionally, paired EVs and ECs were isolated from EDTA blood plasma of combination anti-retroviral therapy (cART) naïve SIV-infected (SIV+, n = 3) RMs at two time points (1- and 5-months post infection, 1 MPI and 5 MPI). Separation of EVs and ECs was achieved with PPLC, a state-of-the-art, innovative technology equipped with gradient agarose bead sizes and a fast fraction collector that allows high-resolution separation and retrieval of preparative quantities of sub-populations of extracellular particles. Global miRNA profiles of the paired EVs and ECs were determined with RealSeq Biosciences (Santa Cruz, CA) custom sequencing platform by conducting small RNA (sRNA)-seq. The sRNA-seq data were analyzed using various bioinformatic tools. Validation of key exmiRNAs was performed using specific TaqMan microRNA stem-loop RT-qPCR assays. Results: We showed that exmiRNAs in blood plasma are not restricted to any type of extracellular particles but are associated with lipid-based carriers—EVs and non-lipid-based carriers—ECs, with a significant (~30%) proportion of the exmiRNAs being associated with ECs. In the blood plasma of uninfected RMs, a total of 315 miRNAs were associated with EVs, while 410 miRNAs were associated with ECs. A comparison of detectable miRNAs within paired EVs and ECs revealed 19 and 114 common miRNAs, respectively, detected in all 15 RMs. Let-7a-5p, Let-7c-5p, miR-26a-5p, miR-191-5p, and let-7f-5p were among the top 5 detectable miRNAs associated with EVs in that order. In ECs, miR-16-5p, miR-451, miR-191-5p, miR-27a-3p, and miR-27b-3p, in that order, were the top detectable miRNAs in ECs. miRNA-target enrichment analysis of the top 10 detected common EV and EC miRNAs identified MYC and TNPO1 as top target genes, respectively. Functional enrichment analysis of top EV- and EC-associated miRNAs identified common and distinct gene-network signatures associated with various biological and disease processes. Top EV-associated miRNAs were implicated in cytokine–cytokine receptor interactions, Th17 cell differentiation, IL-17 signaling, inflammatory bowel disease, and glioma. On the other hand, top EC-associated miRNAs were implicated in lipid and atherosclerosis, Th1 and Th2 cell differentiation, Th17 cell differentiation, and glioma. Interestingly, infection of RMs with SIV revealed that the brain-enriched miR-128-3p was longitudinally and significantly downregulated in EVs, but not ECs. This SIV-mediated decrease in miR-128-3p counts was validated by specific TaqMan microRNA stem-loop RT-qPCR assay. Remarkably, the observed SIV-mediated decrease in miR-128-3p levels in EVs from RMs agrees with publicly available EV miRNAome data by Kaddour et al., 2021, which showed that miR-128-3p levels were significantly lower in semen-derived EVs from HIV-infected men who used or did not use cocaine compared to HIV-uninfected individuals. These findings confirmed our previously reported finding and suggested that miR-128 may be a target of HIV/SIV. Conclusions: In the present study, we used sRNA sequencing to provide a holistic understanding of the repertoire of circulating exmiRNAs and their association with extracellular particles, such as EVs and ECs. Our data also showed that SIV infection altered the profile of the miRNAome of EVs and revealed that miR-128-3p may be a potential target of HIV/SIV. The significant decrease in miR-128-3p in HIV-infected humans and in SIV-infected RMs may indicate disease progression. Our study has important implications for the development of biomarker approaches for various types of cancer, cardiovascular diseases, organ injury, and HIV based on the capture and analysis of circulating exmiRNAs.

[1]  A. Stopeck,et al.  Blood plasma derived extracellular vesicles (BEVs): particle purification liquid chromatography (PPLC) and proteomic analysis reveals BEVs as a potential minimally invasive tool for predicting response to breast cancer treatment , 2022, Breast Cancer Research and Treatment.

[2]  V. Ramsuran,et al.  The Effect of miRNA Gene Regulation on HIV Disease , 2022, Frontiers in Genetics.

[3]  J. Margolick,et al.  HIV-infection and cocaine use regulate semen extracellular vesicles proteome and miRNAome in a manner that mediates strategic monocyte haptotaxis governed by miR-128 network , 2021, Cellular and Molecular Life Sciences.

[4]  F. Chen,et al.  Let-7a-5p regulates the inflammatory response in chronic rhinosinusitis with nasal polyps , 2021, Diagnostic Pathology.

[5]  Shuliang Liu,et al.  Knockdown of lncRNA PCAT1 Enhances Radiosensitivity of Cervical Cancer by Regulating miR-128/GOLM1 Axis , 2020, OncoTargets and therapy.

[6]  Y. Jiao,et al.  MiRNA-128 and MiRNA-142 Regulate Tumorigenesis and EMT in Oral Squamous Cell Carcinoma Through HOXA10 , 2020, Cancer management and research.

[7]  Weiling Li,et al.  Knockdown of LncRNA DLEU2 Inhibits Cervical Cancer Progression via Targeting miR-128-3p , 2020, OncoTargets and therapy.

[8]  S. Ryu,et al.  Therapeutic miRNA-Enriched Extracellular Vesicles: Current Approaches and Future Prospects , 2020, Cells.

[9]  Qian Zhao,et al.  MiR-128 suppresses metastatic capacity by targeting metadherin in breast cancer cells , 2020, Biological research.

[10]  Dongmei Gao,et al.  Knockdown of MIR4435-2HG Suppresses the Proliferation, Migration and Invasion of Cervical Cancer Cells via Regulating the miR-128-3p/MSI2 Axis in vitro , 2020, Cancer management and research.

[11]  Yibo Geng,et al.  Long non-coding RNA LINC00346 regulates proliferation and apoptosis by targeting miR-128-3p/SZRD1 axis in glioma. , 2020, European review for medical and pharmacological sciences.

[12]  M. Mohan,et al.  Development of Novel High-Resolution Size-Guided Turbidimetry-Enabled Particle Purification Liquid Chromatography (PPLC): Extracellular Vesicles and Membraneless Condensates in Focus , 2020, International journal of molecular sciences.

[13]  A. Engelman,et al.  The HIV-1 capsid-binding host factor CPSF6 is post-transcriptionally regulated by the cellular microRNA miR-125b , 2020, The Journal of Biological Chemistry.

[14]  Y. Persidsky,et al.  let-7g counteracts endothelial dysfunction and ameliorating neurological functions in mouse ischemia/reperfusion stroke model , 2020, Brain, Behavior, and Immunity.

[15]  J. L. Welch,et al.  Semen Extracellular Vesicles From HIV-1-Infected Individuals Inhibit HIV-1 Replication In Vitro, and Extracellular Vesicles Carry Antiretroviral Drugs In Vivo. , 2020, Journal of acquired immune deficiency syndromes.

[16]  S. Rom,et al.  miR-98 reduces endothelial dysfunction by protecting blood–brain barrier (BBB) and improves neurological outcomes in mouse ischemia/reperfusion stroke model , 2020, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[17]  J. Wan,et al.  Proteomic Profiling of Exosomes Derived from Plasma of HIV-Infected Alcohol Drinkers and Cigarette Smokers , 2019, Journal of Neuroimmune Pharmacology.

[18]  H. Drake Articles of Significant Interest in This Issue , 2019, Applied and Environmental Microbiology.

[19]  P. Paci,et al.  MIENTURNET: an interactive web tool for microRNA-target enrichment and network-based analysis , 2019, BMC Bioinform..

[20]  J. Margolick,et al.  Human Immunodeficiency Virus (HIV) Infection and Use of Illicit Substances Promote Secretion of Semen Exosomes that Enhance Monocyte Adhesion and Induce Actin Reorganization and Chemotactic Migration , 2019, Cells.

[21]  D. G. Zisoulis,et al.  Interferon-Inducible MicroRNA miR-128 Modulates HIV-1 Replication by Targeting TNPO3 mRNA , 2019, Journal of Virology.

[22]  Jian Li,et al.  Cannabinoid Attenuation of Intestinal Inflammation in Chronic SIV-Infected Rhesus Macaques Involves T Cell Modulation and Differential Expression of Micro-RNAs and Pro-inflammatory Genes , 2019, Front. Immunol..

[23]  Takanari Inoue,et al.  Harnessing biomolecular condensates in living cells. , 2019, Journal of biochemistry.

[24]  L. Du,et al.  Exosome-transmitted miR-128-3p increase chemosensitivity of oxaliplatin-resistant colorectal cancer , 2019, Molecular Cancer.

[25]  J. L. Welch,et al.  Vehicles of intercellular communication: exosomes and HIV-1 , 2019, The Journal of general virology.

[26]  Jiafeng Wang,et al.  MicroRNA let-7c-5p Suppressed Lipopolysaccharide-Induced Dental Pulp Inflammation by Inhibiting Dentin Matrix Protein-1-Mediated Nuclear Factor kappa B (NF-κB) Pathway In Vitro and In Vivo , 2018, Medical science monitor : international medical journal of experimental and clinical research.

[27]  Sergio Barberán-Soler,et al.  Decreasing miRNA sequencing bias using a single adapter and circularization approach , 2018, Genome Biology.

[28]  J. L. Welch,et al.  Semen Exosomes Promote Transcriptional Silencing of HIV-1 by Disrupting NF-κB/Sp1/Tat Circuitry , 2018, Journal of Virology.

[29]  R. Raines,et al.  Human angiogenin is a potent cytotoxin in the absence of ribonuclease inhibitor , 2018, RNA.

[30]  Jian-ning Zhang,et al.  MicroRNA let-7c-5p improves neurological outcomes in a murine model of traumatic brain injury by suppressing neuroinflammation and regulating microglial activation , 2018, Brain Research.

[31]  J. Bruix,et al.  Diagnosis and staging of hepatocellular carcinoma (HCC): current guidelines. , 2018, European journal of radiology.

[32]  C. Dash,et al.  Are microRNAs Important Players in HIV-1 Infection? An Update , 2018, Viruses.

[33]  R. F. Cook,et al.  Downregulation of MicroRNA eca-mir-128 in Seminal Exosomes and Enhanced Expression of CXCL16 in the Stallion Reproductive Tract Are Associated with Long-Term Persistence of Equine Arteritis Virus , 2018, Journal of Virology.

[34]  Alexander E. Kel,et al.  cutPrimers: A New Tool for Accurate Cutting of Primers from Reads of Targeted Next Generation Sequencing , 2017, J. Comput. Biol..

[35]  D. G. Zisoulis,et al.  MicroRNA miR-128 represses LINE-1 (L1) retrotransposition by down-regulating the nuclear import factor TNPO1 , 2017, The Journal of Biological Chemistry.

[36]  J. L. Welch,et al.  Isolation of Exosomes from Semen for in vitro Uptake and HIV-1 Infection Assays. , 2017, Bio-protocol.

[37]  J. L. Welch,et al.  Effect of prolonged freezing of semen on exosome recovery and biologic activity , 2017, Scientific Reports.

[38]  R. Daniel,et al.  Human vaginal fluid contains exosomes that have an inhibitory effect on an early step of the HIV-1 life cycle , 2016, AIDS.

[39]  Yong Peng,et al.  The role of MicroRNAs in human cancer , 2016, Signal Transduction and Targeted Therapy.

[40]  V. Bond,et al.  Isolation of Exosomes from the Plasma of HIV-1 Positive Individuals. , 2016, Journal of visualized experiments : JoVE.

[41]  M. Soleimani,et al.  A Novel Protocol to Differentiate Induced Pluripotent Stem Cells by Neuronal microRNAs to Provide a Suitable Cellular Model , 2015, Chemical biology & drug design.

[42]  P. Jones,et al.  Exosomes in human semen restrict HIV-1 transmission by vaginal cells and block intravaginal replication of LP-BM5 murine AIDS virus complex. , 2015, Virology.

[43]  Y. Persidsky,et al.  miR-98 and let-7g* Protect the Blood-Brain Barrier Under Neuroinflammatory Conditions , 2015, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[44]  C. Okeoma,et al.  Exosomes: Implications in HIV-1 Pathogenesis , 2015, Viruses.

[45]  V. Bond,et al.  Association of Cytokines With Exosomes in the Plasma of HIV-1-Seropositive Individuals. , 2015, The Journal of infectious diseases.

[46]  R. Minghim,et al.  InteractiVenn: a web-based tool for the analysis of sets through Venn diagrams , 2015, BMC Bioinformatics.

[47]  Jaak Vilo,et al.  ClustVis: a web tool for visualizing clustering of multivariate data using Principal Component Analysis and heatmap , 2015, Nucleic Acids Res..

[48]  J. Tosar,et al.  Assessment of small RNA sorting into different extracellular fractions revealed by high-throughput sequencing of breast cell lines , 2015, Nucleic acids research.

[49]  S. Tavazoie,et al.  Extracellular Metabolic Energetics Can Promote Cancer Progression , 2015, Cell.

[50]  D. Davies,et al.  Identification of host miRNAs that may limit human rhinovirus replication. , 2014, World journal of biological chemistry.

[51]  R. Roller,et al.  Human semen contains exosomes with potent anti-HIV-1 activity , 2014, Retrovirology.

[52]  M. Tewari,et al.  Exosomes in human semen carry a distinctive repertoire of small non-coding RNAs with potential regulatory functions , 2014, Nucleic acids research.

[53]  G. Calin,et al.  Clinical relevance of circulating cell-free microRNAs in cancer , 2014, Nature Reviews Clinical Oncology.

[54]  S. Gabrielsson,et al.  Exosomes from breast milk inhibit HIV-1 infection of dendritic cells and subsequent viral transfer to CD4+ T cells , 2014, AIDS.

[55]  P. Molina,et al.  Chronic Administration of Δ9-Tetrahydrocannabinol Induces Intestinal Anti-Inflammatory MicroRNA Expression during Acute Simian Immunodeficiency Virus Infection of Rhesus Macaques , 2014, Journal of Virology.

[56]  M. Young,et al.  Exosomes Derived from HIV-1-infected Cells Contain Trans-activation Response Element RNA* , 2013, The Journal of Biological Chemistry.

[57]  Stewart T. Chang,et al.  Next-Generation Sequencing of Small RNAs from HIV-Infected Cells Identifies Phased microRNA Expression Patterns and Candidate Novel microRNAs Differentially Expressed upon Infection , 2013, mBio.

[58]  P. Kenny,et al.  MicroRNAs and Drug Addiction , 2012, Front. Genet..

[59]  B. Berkhout,et al.  Selective packaging of cellular miRNAs in HIV-1 particles. , 2012, Virus research.

[60]  D. Tesfaye,et al.  Characterization and importance of microRNAs in mammalian gonadal functions , 2012, Cell and Tissue Research.

[61]  Wei Zhang,et al.  Biochemical and Biologic Characterization of Exosomes and Microvesicles as Facilitators of HIV-1 Infection in Macrophages , 2012, The Journal of Immunology.

[62]  J. Asara,et al.  Quantitative proteomic analysis of exosomes from HIV‐1‐infected lymphocytic cells , 2012, Proteomics.

[63]  D. Cooper,et al.  Differential Regulation of the Let-7 Family of MicroRNAs in CD4+ T Cells Alters IL-10 Expression , 2012, The Journal of Immunology.

[64]  A. Pasquinelli,et al.  Small non-coding RNAs mount a silent revolution in gene expression. , 2012, Current opinion in cell biology.

[65]  K S Kosik,et al.  Pro-neural miR-128 is a glioma tumor suppressor that targets mitogenic kinases , 2012, Oncogene.

[66]  R. Bontrop,et al.  The Impact of MicroRNAs on Brain Aging and Neurodegeneration , 2012, Current gerontology and geriatrics research.

[67]  X. Chen,et al.  Exogenous plant MIR168a specifically targets mammalian LDLRAP1: evidence of cross-kingdom regulation by microRNA , 2011, Cell Research.

[68]  Clotilde Théry,et al.  Exosome Secretion: Molecular Mechanisms and Roles in Immune Responses , 2011, Traffic.

[69]  G. Calin,et al.  MicroRNAs in body fluids—the mix of hormones and biomarkers , 2011, Nature Reviews Clinical Oncology.

[70]  Carlos M. Coelho,et al.  The brain-specific microRNA miR-128b regulates the formation of fear-extinction memory , 2011, Nature Neuroscience.

[71]  P. Molina,et al.  Cannabinoid administration attenuates the progression of simian immunodeficiency virus. , 2011, AIDS research and human retroviruses.

[72]  K. Jeang,et al.  MicroRNAs and human retroviruses , 2011, Biochimica et Biophysica Acta (BBA) - Gene Regulatory Mechanisms.

[73]  B. Burwinkel,et al.  Characterization of extracellular circulating microRNA , 2011, Nucleic acids research.

[74]  Rachid Karam,et al.  Identification of a microRNA that activates gene expression by repressing nonsense-mediated RNA decay. , 2011, Molecular cell.

[75]  P. Molina,et al.  Tolerance to chronic delta-9-tetrahydrocannabinol (Δ⁹-THC) in rhesus macaques infected with simian immunodeficiency virus. , 2011, Experimental and clinical psychopharmacology.

[76]  E. Kroh,et al.  Argonaute2 complexes carry a population of circulating microRNAs independent of vesicles in human plasma , 2011, Proceedings of the National Academy of Sciences.

[77]  A. Rice,et al.  Mini ways to stop a virus: microRNAs and HIV-1 replication. , 2011, Future virology.

[78]  E. Izaurralde,et al.  Gene silencing by microRNAs: contributions of translational repression and mRNA decay , 2011, Nature Reviews Genetics.

[79]  K. Vickers,et al.  MicroRNAs are Transported in Plasma and Delivered to Recipient Cells by High-Density Lipoproteins , 2011, Nature Cell Biology.

[80]  Chiang-Ching Huang,et al.  Differential gene expression of soluble CD8+ T‐cell mediated suppression of HIV replication in three older children , 2011, Journal of medical virology.

[81]  X. Estivill,et al.  Overexpression of miR-128 specifically inhibits the truncated isoform of NTRK3 and upregulates BCL2 in SH-SY5Y neuroblastoma cells , 2010, BMC Molecular Biology.

[82]  Johnny J. He,et al.  HIV-1 is budded from CD4+ T lymphocytes independently of exosomes , 2010, Virology Journal.

[83]  Jia-feng Wang,et al.  Serum miR-146a and miR-223 as potential new biomarkers for sepsis. , 2010, Biochemical and biophysical research communications.

[84]  Shane T. Jensen,et al.  Isoform specific gene auto-regulation via miRNAs: a case study on miR-128b and ARPP-21 , 2010 .

[85]  James Gimzewski,et al.  Nanostructural and Transcriptomic Analyses of Human Saliva Derived Exosomes , 2010, PloS one.

[86]  G. Cagney,et al.  HIV Nef is Secreted in Exosomes and Triggers Apoptosis in Bystander CD4+ T Cells , 2010, Traffic.

[87]  Giuseppe Giannini,et al.  MiR‐128 up‐regulation inhibits Reelin and DCX expression and reduces neuroblastoma cell motility and invasiveness , 2009, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[88]  C. Théry,et al.  Membrane vesicles as conveyors of immune responses , 2009, Nature Reviews Immunology.

[89]  Graça Raposo,et al.  Exosomes--vesicular carriers for intercellular communication. , 2009, Current opinion in cell biology.

[90]  D. Bartel MicroRNAs: Target Recognition and Regulatory Functions , 2009, Cell.

[91]  S. Lai,et al.  Crack-Cocaine Use Accelerates HIV Disease Progression in a Cohort of HIV-Positive Drug Users , 2009, Journal of acquired immune deficiency syndromes.

[92]  Agnieszka Bronisz,et al.  Targeting of the Bmi-1 oncogene/stem cell renewal factor by microRNA-128 inhibits glioma proliferation and self-renewal. , 2008, Cancer research.

[93]  H. Taylor,et al.  Exosomes Packaging APOBEC3G Confer Human Immunodeficiency Virus Resistance to Recipient Cells , 2008, Journal of Virology.

[94]  X. Chen,et al.  Characterization of microRNAs in serum: a novel class of biomarkers for diagnosis of cancer and other diseases , 2008, Cell Research.

[95]  Yariv Yogev,et al.  Serum MicroRNAs Are Promising Novel Biomarkers , 2008, PloS one.

[96]  Kamel Khalili,et al.  Inhibition of SNAP25 expression by HIV‐1 Tat involves the activity of mir‐128a , 2008, Journal of cellular physiology.

[97]  Daniel B. Martin,et al.  Circulating microRNAs as stable blood-based markers for cancer detection , 2008, Proceedings of the National Academy of Sciences.

[98]  Cicek Gercel-Taylor,et al.  MicroRNA signatures of tumor-derived exosomes as diagnostic biomarkers of ovarian cancer. , 2008, Gynecologic oncology.

[99]  Wei Liu,et al.  MicroRNA-128 inhibits glioma cells proliferation by targeting transcription factor E2F3a , 2008, Journal of Molecular Medicine.

[100]  Riitta Lahesmaa,et al.  Exosomes with Immune Modulatory Features Are Present in Human Breast Milk1 , 2007, The Journal of Immunology.

[101]  H. Valadi,et al.  Cell to Cell Signalling via Exosomes Through esRNA , 2007, Cell adhesion & migration.

[102]  J. Lötvall,et al.  Exosome-mediated transfer of mRNAs and microRNAs is a novel mechanism of genetic exchange between cells , 2007, Nature Cell Biology.

[103]  Pascal Barbry,et al.  Suppression of MicroRNA-Silencing Pathway by HIV-1 During Virus Replication , 2007, Science.

[104]  W. Lukiw,et al.  Micro-RNA speciation in fetal, adult and Alzheimer's disease hippocampus , 2007, Neuroreport.

[105]  J. Mendell,et al.  MicroRNAs in cell proliferation, cell death, and tumorigenesis , 2006, British Journal of Cancer.

[106]  M. Marsh,et al.  HIV interaction with endosomes in macrophages and dendritic cells. , 2005, Blood cells, molecules & diseases.

[107]  Graça Raposo,et al.  Exosomal-like vesicles are present in human blood plasma. , 2005, International immunology.

[108]  Lena Smirnova,et al.  Regulation of miRNA expression during neural cell specification , 2005, The European journal of neuroscience.

[109]  P. Greengard,et al.  A Network of Control Mediated by Regulator of Calcium/Calmodulin-Dependent Signaling , 2004, Science.

[110]  Rong-Fong Shen,et al.  Identification and proteomic profiling of exosomes in human urine. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[111]  A. Booth,et al.  Evidence That HIV Budding in Primary Macrophages Occurs through the Exosome Release Pathway* , 2003, Journal of Biological Chemistry.

[112]  J. Thyberg,et al.  Exosomes with major histocompatibility complex class II and co-stimulatory molecules are present in human BAL fluid , 2003, European Respiratory Journal.