Unknown. Techniques: Proteinuric renal disease model was induced by adriamycin (ADR) administration via tail vein. Urinary albumin was determined at 0, 7, 14, 21 and 23 days right after ADR injection. For in vitro research, TECs were treated with albumin. 5-HT2 Receptor Agonist Purity & Documentation Exosomes have been purified from isolated tubules of kidney and cell culture supernatant for characterization and functional study. Final results: Urinary albumin was substantially enhanced in ADR-treated mice 2 weeks right after injection compared with controls. Exosome production was enhanced substantially in kidneys and tubules of ADR mice and in TECs with albumin NPY Y1 receptor web exposure, confirmed by electron microscopy, western blotting evaluation of exosome markers and EXOCET. Interestingly, we showed increasing levels of Rab27a mRNA and protein both within the tubules of ADR-injected mice and in BSA-treated TECs within a dose dependent manner. Moreover, the improved exosome production was dependent on Rab27a up-regulation due to the fact silencing of Rab27a reversed the exosomes secretion. Importantly, albumin was present in TEC-derived exosomes just after BSA exposure. Impressively, lysosomal degradation of albumin was improved although the mRNA expression of inflammatory cytokines was decreased soon after inhibition of exosome secretion by Rab27a silencing in TECs treated with BSA. To discover the impact of TEC exosome production under albumin exposure, TEC-exosomes were purified and added to na e TEC. Up-regulation of inflammatory cytokines were located in receipt TECs. Lentivirus Rab27a-inhibitor intrarenal injection reversed tubulointerstitial inflammation and increased survival of ADR-induced mice through stably inhibiting Rab27a expression. Clinically, high levels of Rab27a had been identified in tubules and correlated using the magnitude of urinary exosomes in sufferers with chronic kidney disease. Summary/Conclusion: These results recommend that Rab27adependent exosomes secretion drive albumin escaping degradation and secreting into extracellular fluid could exacerbate TECs injury by enhancing inflammatory response and consequently top to tubulointerstitial inflammation.ISEV2019 ABSTRACT BOOKPF09: Detection of EV-based Biomarkers Chairs: Fabia Fricke; Shinichi Kano Place: Level 3, Hall A 15:306:PF09.Extracellular vesicle (EV) extraction and characterisation in amniotic fluid (AF) Natalia Gebaraa, Corinne Lampietrob, Benedetta Bussolatic, Chiara Benedettod and Luca Marozioe University of Torino, Torino, Italy; bDepartment of Molecular Biotechnology and Well being Sciences, University of Torino, Torino, Italy; c Division of Molecular Biotechnology and Wellness Sciences, University of Turin, Turin, Italy, Turin, Italy; dDepartment of Surgical Sciences, Obstetrics and Gynecology, Torino, IL, USA; eDepartment of Surgical Sciences, Obstetrics and Gynecology, Torino, ItalyaIntroduction: Throughout pregnancy, placental-derived EVs happen to be identified in maternal blood and AF thus are implicated in cell-to-cell communication. We hypothesize that placental-derived EVs released in amniotic fluid may possess angio-modulating properties that may be relevant in placental angiogenesis and that these qualities may be altered in pre-eclampsia (PE), a pregnancy complication characterised by hypertension and proteinuria causing neonatal morbidity and perinatal mortality. Approaches: The amniotic fluid was obtained from standard pregnancies in the course of caesarean sections. The physiochemical qualities had been tested by Nanosight technologies (NTA) and characterization of ex.