In the past two decades, major advances in mass spectrometric ionization techniques have made possible the identification of macromolecules and protein complexes in health and disease processes, revolutionizing the biomarker research field
43. To achieve sensitive and accurate detection of biomarkers in biological fluids, multiple fractionation steps have been proposed to reduce sample complexity
43, 71–75. One strategy that has been utilized with success is MudPIT
55, a shotgun proteomic approach to identify with great sensitivity and accuracy medium and low abundant proteins from complex protein mixtures by using a combination of strong cation exchange chromatography with reverse phase separations
61. Our data showed an improved mass accuracy, resolution and sensitivity with MudPIT technology for identifying parotid exosome proteins with great coverage. Furthermore, these data provide for the first time a comprehensive analysis of the secretion of exosomes in parotid ductal saliva. Exosomes represent an important pathway by which salivary gland cells secrete proteins in saliva, both in a constitutive
18, 19, 35 and regulated manner
76. Of the total 914 proteins identified in the parotid salivary proteome
2, 265 (23% overlapping) were common to the parotid exosomal proteome. The presence of these proteins in exosomes likely explains the existence of cellular proteins like plasma membrane (polymeric-immunoglobulin receptor precursor, 4F2 cell-surface antigen heavy chain), and cytosolic proteins (Ras GTPase-activating-like protein IQGAP1, 14-3-3 protein zeta/delta, clathrin heavy chain 1, peroxiredoxin-2, syntenin-1 and syntenin-3, annexin-A1, glucose-6-phosphate isomerase, actins, tubulins, keratins etc.) in ductal saliva. For example, the exosomal proteins found were of integral plasma membrane origin (16 proteins; 2%), from peripheral plasma membrane (27 proteins; 3%), and 118 cytoplasmic proteins (13%). Additionally, using immunoelectron microscopy and immunoblotting techniques the origin of five proteins (TSG101, Aquaporin-5, Alix, CD81 and CD63) identified by MudPIT were confirmed as proteins associated with endomembrane vesicles. Morphological analyses performed on exosomes derived either from cell lines
18, 19, 37 or body fluids such as urine
25, 28, blood
31, malignant pleural effusions
21 and amniotic fluid
25, as well as our electron microscopy findings reveal that mammalian exosomes have common characteristics such as structure (membranes with lipid bilayer), shape (round-shaped), size (30–100 nm), and density
19, 31, 35.
Many common exosomal proteins found in other tissues were identified in parotid exosomes like heat shock proteins (HSP90 and HSP70), cytoskeletal components (actins, cofilin-1, tubulins), proteins implicated in translation (elongation factor 1α1, elongation initiation factor-4A), proteins involved in signal transduction (14-3-3, syntenin, G- proteins), proteins associated with intracellular membrane fusion and transport (annexins, small GTPases, ADP-ribosylation factor 1 and Rab family members), enzymes implicated in different metabolic processes
19, 27, 35 as well as membrane bound proteins that belong to the tetraspanin family (C9, CD82, CD81)
19, 29, 31, 34, 44. In addition, we found that parotid exosomes lacked endoplasmic reticulum or nuclear resident proteins, distinguishing them from apoptotic bodies or shed membranes
19, 22, 31. However, some of the identified proteins were associated with pro- apoptotic or anti-apoptotic activities such as 14-3-3, galectin-3, galectin-7, peroxiredoxin-2, and thioredoxin domain containing protein 5 precursor, suggesting their possible cell-protector role.
Cumulative evidence suggests a role of the ESCRT family in protein sorting associated with MVE generation
24, 28, 29, 34, 35. These multimeric protein complexes direct specific protein-protein and protein-lipid interactions causing a deformity in the endosomal-limiting membrane, and thus promoting the inward budding of the ILVs
76, 77. In the present study, we also identified proteins implicated in the endosomal sorting complex required for transport, e.g. ESCRT-I (VPS28) and ESCRT-III (VPS4A), in addition to VTA1 (trafficking of multivesicular bodies) and Alix (necessary for the targeting of endosomes)
28, 33–35, 76. Moreover, proteins consistent with an alternative pathway for sorting cargo in the MVEs completely independent of the ESCRT machinery
30 were also detected such as UDP-glucose ceramide glucosyltransferase-like 1 isoform 1, UDP-Gal:betaGlcNAc beta 1,4- galactosyltransferase 1 membrane-bound form, Phosphatidylethanolamine-binding protein 1. This latter mechanism depends on raft-based microdomains in which the cone-shaped lipid ceramide induces a spontaneous negative curvature on the MVE membrane by creating an area difference between the membrane leaflets and merging small microdomains into larger domains, thus promoting domain-induced budding. During this process, interaction with tetraspanins and GPI-anchored proteins is necessary for ILV formation
24, 26, 63. Little is known about the exosome biogenesis pathway in epithelial cells; however the detection of proteins associated with these two mechanisms of exosome formation in parotid exosomes suggests that cell-type- and cargo-specific differences may be present in parotid gland cells
76.
Besides the proteins implicated in the process of exosome formation, we detected proteins involved in many other biological functions including proteins exposed on the exosomal surface involved in cell-adhesion (Von Willebrand factor A domain-related protein isoform 1, MFGE8, LAMB2, LAMC1), suggesting another cell-communication mechanism for exosome targeting to effector molecules, cell fusion and exchange of antigenic information
18, 19. Parotid exosomes also exhibited unique molecular signatures. These proteins included: Aquaporin 5, an apical plasma membrane channel involved in water regulation during salivary secretion
59; different solute carrier molecules involved in transporter activities during salivation (SLC12A2, SLC9A1)
62, 78, 79; CD59 and Decay-accelerating factor splicing variant 4, co-stimulatory molecules of the immune system
80, 81; cytokeratins, specific epithelial markers
18; cytokines (TNFSF10, TNFSF13), implicated in tumor growth regulation and in mediation of immunological process
23; and MUC1 and CD44, involved in cell-adhesion and cell-cell interactions
82. These findings are in agreement with previous reports where exosomal proteins vary according to their cell origin
19, 22, 24, 37, 69. Furthermore, MudPIT analysis revealed the presence of both exclusive and common salivary gland protein markers indicating the possible origin of parotid exosomes from ductal (SLC5A5
83, Duox2
84, galectin 3
85), acinar (AQP5
59, TMEM16A
86) or both cell types (desmoglein 2
87, DPP IV
88).
Given that parotid exosomes contain numerous cytokines and antigen presenting proteins, it may be worthwhile to explore their potential role in autoimmune diseases such as Sjögren’s syndrome. To date, one study conducted on human non-neoplastic salivary gland epithelial cells (SGECs) by Kapsogeorgou et al
18 has demonstrated that salivary gland epithelial cell exosomes contain autoantigenic Ro/SSA, La/SSB and Sm RNPs (ribonucleoproteins), proteins associated with Sjögren’s syndrome. Exosomes are known to mediate antigen presentation either through their surface receptors (major histocompatibility complex, antigenic-peptide complexes, and co-stimulatory molecules) or by antigenic transfer to antigen presenting cells (APCs)
29, 68. Thus, it may prove important to define the immunological role of exosomes in Sjögren’s syndrome disease and progression.
Some extracellular component proteins were detected at low levels in the parotid exosomal preparation such as immunoglobulins (IgGs;
21, 28), complement proteins, cystatin D, carbonic anhydrase 6 and alpha-amylase
28. These extracellular secreted proteins are highly expressed in human parotid saliva, suggesting that incorporation of these proteins may have occurred during exosome formation. Alternatively, some minor contamination may have occurred during the isolation procedure of the exosomes. Taking into consideration the high sensitivity of MudPIT analysis and the high abundance of these salivary proteins, it is not that surprising to detect them. Furthermore, Bard et al
21 also found several IgGs and complement proteins in human malignant pleural effusions suggesting the presence of both cellular and humoral immunity and the possible trapping of these proteins during the ultracentrifugation step. Nevertheless, we can not discard the possibility of a cell-cell interaction taking place between the exosome plasma membrane antigen presenting-defense and mediators of immunological process molecules with the immunoglobulins
per se or the possible generation of these proteins (IgGs and complement proteins) from locally stimulated B-lymphocytes
89, consistent with the biological role of exosomes in regulation of the immune response
35, 44, 67, 68.
New proteomic methods have revealed the protein complexity of exosomal vesicles, including cell surface proteins, cytosolic proteins as well as the intracellular machinery that is responsible for exosome formation and extracellular release
24, 28, 30, 33, 34, 69. These previous studies have demonstrated that endomembrane vesicles are secreted in the urine, blood, plasma, amniotic fluid and malignant pleural effusions. Here we show that these vesicles are also secreted in parotid saliva. This process may be regulated by an increase in the intracellular calcium concentration
90 which stimulates exosome release in epithelial cells
76. Numerous proteins participate during exosomal secretion such as dynein and kinesin which mediate the movement of endosomes
91, RHO-A, different RAB proteins, GTPases and syntaxin proteins (syntaxin-binding protein 2)
40 which interact at the apical membrane site of parotid acinar cells
8, 76 to promote exocytosis through the V0 sectors of the V-ATPase (ATP6V0A4) by forming a proteolipid pore during exocytic fusion of the MVEs with the plasma membrane
76. Furthermore, Valadi et al
92 demonstrated that in addition to proteins, exosomes from mouse mast cell line (MC/9), human mast cell line (HMC-1) as well as bone marrow-derived mouse mast cells (BMMC) contain a variety of mRNA and microRNA molecules. These results suggest that exosomes may be involved in a novel mechanism of cell-cell interaction and communication in mammalian cells
63, 64. This process may be important in neurodegenerative diseases (Prion diseases, Alzheimer’s disease) and HIV-transmissible disease since the severity of these diseases is related to cell-to-cell uptake mechanism
24, 35, 93. Of possible significance is the KEGG analysis finding that parotid exosome proteins were associated with different disease conditions (e.g. neurodegenerative diseases, cancers).
In summary, MudPIT technology generated an in-depth analysis of the parotid exosome proteome by achieving efficient on-line peptide separation, high mass accuracy and analytical sensitivity. Our proteomic analysis provides a first step in analyzing a large set of parotid exosome proteins that may be important in future studies. The protein composition of the parotid exosome revealed important insights into the generation and physiology of these membrane vesicles. Future studies are needed to elucidate the biological functions of exosomes in healthy and disease subjects. Variables such as gender, age and ethnicity will need to be taken into account when exploring the use of exosomal proteins as biomarkers for diagnostic and disease progression purposes.