Blood-derived APLP1<sup>+</sup> extracellular vesicles are potential biomarkers for the early diagnosis of brain diseases.

Choi, Yuri; Park, Jae Hyun; Jo, Ala; Lim, Chul-Woo; Park, Ji-Min; Hwang, Jin Woo; Lee, Kang Soo; Kim, Young-Sang et al. · Sci Adv · 2025

basic_science · Level V

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Abstract

The early detection of neurodegenerative diseases necessitates the identification of specific brain-derived biomolecules in peripheral blood. In this context, our investigation delineates the role of amyloid precursor-like protein 1 (APLP1)-a protein predominantly localized in oligodendrocytes and neurons-as a previously unidentified biomarker in extracellular vesicles (EVs). Through rigorous analysis, APLP1<sup>+</sup> EVs from human sera were unequivocally determined to be of cerebral origin. This assertion was corroborated by distinctive small RNA expression patterns of APLP1<sup>+</sup> EVs. The miRNAs' putative targets within these EVs manifested pronounced expression in the brain, fortifying their neurospecific provenance. We subjected our findings to stringent validation using Thy-1 GFP M line mice, transgenic models wherein GFP expression is confined to hippocampal neurons. An amalgamation of these results with an exhaustive data analysis accentuates the potential of APLP1<sup>+</sup> EVs as cerebrally originated biomarkers. Synthesizing our findings, APLP1<sup>+</sup> EVs are postulated not merely as diagnostic markers but as seminal entities shaping the future trajectory of neurodegenerative disease diagnostics.

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