AUTHOR=Olivero Guendalina , Cisani Francesca , Marimpietri Danilo , Di Paolo Daniela , Gagliani Maria Cristina , Podestà Marina , Cortese Katia , Pittaluga Anna TITLE=The Depolarization-Evoked, Ca2+-Dependent Release of Exosomes From Mouse Cortical Nerve Endings: New Insights Into Synaptic Transmission JOURNAL=Frontiers in Pharmacology VOLUME=Volume 12 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2021.670158 DOI=10.3389/fphar.2021.670158 ISSN=1663-9812 ABSTRACT=Whether exosomes can be actively released from presynaptic nerve terminals is matter of debate. To address the point, mouse cortical synaptosomes were incubated in basal and depolarizing (25 mM KCl enriched medium) conditions and extracellular vesicles were isolated from the synaptosomal supernatants to be characterized by dynamic light scattering, transmission electron microscopy, western blot and flow cytometry analyses. The structural and biochemical analysis unveiled that supernatants contain vesicles having the size and the shape of exosomes, that were immunopositive for the exosomal markers TSG101, flotillin-1, CD63 and CD9. The markers content increased upon the exposure of nerve terminals to the high-KCl stimulus, consistent with an active release of the exosomes from the depolarized synaptosomes. High KCl-induced depolarization elicits the Ca2+-dependent exocytosis of glutamate. Interestingly, also the depolarization-evoked release of exosomes from cortical synaptosomes occurred in a Ca2+-dependent fashion, since TSG101, CD63 and CD9 contents in the exosomal fraction isolated from supernatants of depolarized synaptosomes were significantly reduced when omitting external Ca2+ions. Differently, (±)-baclofen (10 µM), which significantly reduced the glutamate exocytosis, did not affect the amount of exosomal markers, suggesting that the GABAB-mediated mechanism does not control the exosomes release. Our findings suggest that the exposure of synaptosomes to a depolarizing stimulus elicits a presynaptic release of exosomes that occurs in Ca2+-dependent fashion. The insensitivity to the presynaptic GABAB receptors, however, leaves open the question on whether the release of exosomes could be a druggable target for new therapeutic intervention for the cure of synaptopathies.