Exosomes isolated from urine specimens. The sucrose cushion method, used in this study for HT1376 exosomes, was also tested on a small panel of other bladder cancer cell lines, and the quality of preparations was assessed using the latex bead assay (A). The graph depicts median fluorescence values from the flow cytometric histogram peak (mean ± S.D. of n preparations where n = 5 for HT1376, n = 1 for HT1197, n = 2 for RT4, n = 2 for RT112, and n = 2 for T24) with beads stained for CD9, CD81, or CD63 as indicated. The dotted line indicates our arbitrary cutoff value (of 5000 units) where CD9 fluorescence above this value was indicative of a preparation of acceptable quality. Using identical methods, exosomes were prepared from urine specimens collected from healthy individuals (n = 4) or from bladder cancer patients (n = 3) (mean ± S.D.), and exosomes were analyzed as above (B). Exosome preparations from one healthy individual and one bladder cancer patient, which exceeded the quality threshold, were analyzed further for surface expression of some MS-identified proteins as indicated (C). Iso, isotype.