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Serum-Derived Extracellular Vesicles as Biological Indicator of Mobility Resilience in Older Adults.

Overview

Authors: Nicholas F Fitz1, Ashish Kumar2, Yixin Su2, Mitu Sharma2, Sangeeta Singh2, Radosveta Koldamova1, Iliya Lefterov1, Amrita Sahu1,3,4, Fabrisia Ambrosio5,6,7, Caterina Rosano8, Gagan Deep2,9,10
  1. Department of Environmental & Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  2. Department of Internal Medicine‐Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston‐Salem, North Carolina, USA
  3. Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  4. McGowan Institute of Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  5. Discovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Charlestown, Massachusetts, USA
  6. Department of Physical Medicine & Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA
  7. Department of Physical Medicine & Rehabilitation, Spaulding Rehab Hospital, Charlestown, Massachusetts, USA
  8. Department of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  9. Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston‐Salem, North Carolina, USA
  10. Sticht Center for Healthy Aging and Alzheimer's Prevention, Wake Forest University School of Medicine, Winston‐Salem, North Carolina, USA
Journal: Aging cell, volume 25, issue 4, article e70470
Dates: received 14 October 2025; accepted 26 March 2026; published online 6 April 2026; in print April 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1111/acel.70470 · PMID 41940695 · PMCID PMC13052232 · OpenAlex W4414258248
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: human (organism), cellular / molecular (subfield)
Methods: Statistics
Keywords: extracellular vesicles, mitochondria, mobility resilience, skeletal muscle, small noncoding RNAs
MeSH: Aging*, Extracellular Vesicles*, Aged, Biomarkers, Female, Humans, Male (* major topic)
Topic: Long-Term Effects of COVID-19 (Neurology, Medicine), according to OpenAlex
Funding: NIH HHS (1R01AG084696(GD), R01AG028050(CR), R01AG075069(NFF), N01-AG-6-2103(CR), R01NR012459(CR), N01-AG-6-2106(CR), R01AG068629(GD), N01-AG-6-2101(CR), R01AG075992(IL,RK)); National Institutes of Health (N01‐AG‐6‐2103(CR), R01NR012459(CR), 1R01AG084696(GD), R01AG068629(GD), R01AG075069(NFF), R01AG075992(IL,RK), R01AG028050(CR), N01‐AG‐6‐2106(CR), N01‐AG‐6‐2101(CR)); NIA NIH HHS (P30 AG024827); Pittsburgh Foundation
Citations: cited by 1 paper (Europe PMC); 76 references in the paper

Abstract

Mobility decline with aging is a major health concern, associated with a higher risk for disability. Despite the prevalence of gait slowing in elderly adults, this issue has not been adequately addressed. The central nervous and skeletal muscle systems are key regulators of gait speed. However, direct molecular communication along the brain‐muscle axis and their interactions in mobility resilience remain poorly studied. Extracellular vesicles (EVs) have emerged as a key player in long‐distance inter‐cellular communication. Nevertheless, the potential of EVs as biological predictors of mobility resilience in older adults has not been studied. We used serum from 23 participants with gait speed > 1.0 m/s (resilient) and 22 participants with gait < 1.0 m/s (non‐resilient) from the Health, Aging and Body Composition (Health ABC) study. Total circulating serum EVs were isolated and small noncoding RNAs characterized using un‐biased sequencing. Given the central role of mitochondria in muscle energy metabolism and link to age‐related physical decline, next, muscle‐derived EVs (MDE) were isolated and characterized for mitochondrial markers (TOM20, mtCox2, PDH, and VDAC) by flow cytometry, 13 miRNAs related to mitochondrial function by RT‐PCR, and PPAR‐γ by ELISA. The results showed differential enrichment of various miRNAs, circRNAs, and mitochondrial proteins in total EVs and/or MDE between mobility resilient and non‐resilient groups, highlighting their potential as non‐invasive biomarkers for mobility outcomes. Overall, these findings suggest a role for serum EVs in mediating molecular communication related to functional aging phenotypes and underscore the potential of EV biomarkers in modulating mobility and promoting healthy aging.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

The paper links to its data, not to its authors' code: see the Data section.

The paper's code and data availability statement is in the Data section.

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Data

Data links

Data Availability Statement

Raw small noncoding RNA sequencing data were submitted to GEO (https://www.ncbi.nlm.nih.gov/geo/) and will be publicly available as of the date of publication. This paper does not report the original code. Any additional information required to reanalyze the data reported in this paper is available from the corresponding author upon request.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 28 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 11 authors, 5 keywords, 7 MeSH terms, 4 funders, 75 references.

Cite

This paper

Fitz, N. F., Kumar, A., Su, Y., Sharma, M., Singh, S., Koldamova, R., Lefterov, I., Sahu, A., Ambrosio, F., Rosano, C., & Deep, G. (2026). Serum-Derived Extracellular Vesicles as Biological Indicator of Mobility Resilience in Older Adults. Aging cell, 25(4), e70470. https://doi.org/10.1111/acel.70470

BibTeX

@article{fitz2026serum,
author = {Fitz, Nicholas F and Kumar, Ashish and Su, Yixin and Sharma, Mitu and Singh, Sangeeta and Koldamova, Radosveta and Lefterov, Iliya and Sahu, Amrita and Ambrosio, Fabrisia and Rosano, Caterina and Deep, Gagan},
title = {{Serum-Derived Extracellular Vesicles as Biological Indicator of Mobility Resilience in Older Adults}},
journal = {Aging cell},
year = {2026},
month = apr,
volume = {25},
number = {4},
pages = {e70470},
publisher = {Wiley},
issn = {1474-9718},
doi = {10.1111/acel.70470},
url = {https://doi.org/10.1111/acel.70470},
pmid = {41940695},
pmcid = {PMC13052232}
}

RIS

TY - JOUR
AU - Fitz, Nicholas F
AU - Kumar, Ashish
AU - Su, Yixin
AU - Sharma, Mitu
AU - Singh, Sangeeta
AU - Koldamova, Radosveta
AU - Lefterov, Iliya
AU - Sahu, Amrita
AU - Ambrosio, Fabrisia
AU - Rosano, Caterina
AU - Deep, Gagan
TI - Serum-Derived Extracellular Vesicles as Biological Indicator of Mobility Resilience in Older Adults
T2 - Aging cell
J2 - Aging Cell
PY - 2026
DA - 2026/04/01
VL - 25
IS - 4
SP - e70470
SN - 1474-9718
PB - Wiley
DO - 10.1111/acel.70470
UR - https://doi.org/10.1111/acel.70470
LA - en
ER -

CSL-JSON

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