Red blood cell-derived extracellular vesicles as biomaterials: the opportunity of freezing-induced accelerated aging

Paolini L, Romano M, Mangolini V, Tassoni S, Jiang S, Mazzoldi EL, Musicò A, Zendrini A, Kashkanova A, Sandoghdar V, Berardi AC, Giliani SC, Bergese P, Radeghieri A (2026)


Publication Type: Journal article

Publication year: 2026

Journal

Book Volume: 14

Pages Range: 122-139

Journal Issue: 1

DOI: 10.1039/d5bm01349f

Abstract

Red blood cell-derived extracellular vesicles (RBC-EVs) are emerging as promising biomaterials for next-generation drug delivery, owing to their intrinsic biocompatibility, immune-evasion properties, and minimal oncogenic risk. However, their broader application is currently limited by unresolved challenges related to heterogeneity, reproducibility, and long-term storage stability. By combining discontinuous sucrose density gradient separation with high-resolution interferometric nanoparticle tracking analysis, we identified a sharp bimodal size distribution of vesicles in freshly prepared samples. We then tracked how long-term storage at −80 °C drove their conversion into a monomodal distribution. To reproduce these conditions in a shorter time frame, we developed an “accelerated-ageing” protocol based on freeze–thaw cycles that generates RBC-EV samples with homogeneous density, size distribution, and biological activity, effectively replicating the properties of preparations stored for six months at −80 °C. This new vesicle population remains stable and retains membrane integrity and cellular internalization capacity, as confirmed by surface-associated enzymatic activity assays and uptake tests in cancer cell lines. These results suggest that freezing-induced “accelerated ageing” represents an effective method for the optimization and standardization of RBC-EVs as building blocks for biomaterial and bioengineering applications.

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APA:

Paolini, L., Romano, M., Mangolini, V., Tassoni, S., Jiang, S., Mazzoldi, E.L.,... Radeghieri, A. (2026). Red blood cell-derived extracellular vesicles as biomaterials: the opportunity of freezing-induced accelerated aging. Biomaterials Science, 14(1), 122-139. https://doi.org/10.1039/d5bm01349f

MLA:

Paolini, Lucia, et al. "Red blood cell-derived extracellular vesicles as biomaterials: the opportunity of freezing-induced accelerated aging." Biomaterials Science 14.1 (2026): 122-139.

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