- Open Access
Characterization of nucleic acids from extracellular vesicle-enriched human sweat
BMC Genomics volume 22, Article number: 425 (2021)
The human sweat is a mixture of secretions from three types of glands: eccrine, apocrine, and sebaceous. Eccrine glands open directly on the skin surface and produce high amounts of water-based fluid in response to heat, emotion, and physical activity, whereas the other glands produce oily fluids and waxy sebum. While most body fluids have been shown to contain nucleic acids, both as ribonucleoprotein complexes and associated with extracellular vesicles (EVs), these have not been investigated in sweat. In this study we aimed to explore and characterize the nucleic acids associated with sweat particles.
We used next generation sequencing (NGS) to characterize DNA and RNA in pooled and individual samples of EV-enriched sweat collected from volunteers performing rigorous exercise. In all sequenced samples, we identified DNA originating from all human chromosomes, but only the mitochondrial chromosome was highly represented with 100% coverage. Most of the DNA mapped to unannotated regions of the human genome with some regions highly represented in all samples. Approximately 5 % of the reads were found to map to other genomes: including bacteria (83%), archaea (3%), and virus (13%), identified bacteria species were consistent with those commonly colonizing the human upper body and arm skin. Small RNA-seq from EV-enriched pooled sweat RNA resulted in 74% of the trimmed reads mapped to the human genome, with 29% corresponding to unannotated regions. Over 70% of the RNA reads mapping to an annotated region were tRNA, while misc. RNA (18,5%), protein coding RNA (5%) and miRNA (1,85%) were much less represented. RNA-seq from individually processed EV-enriched sweat collection generally resulted in fewer percentage of reads mapping to the human genome (7–45%), with 50–60% of those reads mapping to unannotated region of the genome and 30–55% being tRNAs, and lower percentage of reads being rRNA, LincRNA, misc. RNA, and protein coding RNA.
Our data demonstrates that sweat, as all other body fluids, contains a wealth of nucleic acids, including DNA and RNA of human and microbial origin, opening a possibility to investigate sweat as a source for biomarkers for specific health parameters.
Sweat is a biofluid continuously produced by skin glands for secretion to the body surface. Unlike urine, which accumulates in the bladder over time, and is flushed out only when the bladder is emptied, sweat is released continuously, from less than 1 pL/minute in resting conditions to several nL/minute per gland during exercise , and could therefore be collected non-invasively for analysis. In addition to changes in the sweat release rate, the composition of sweat is altered by physical activity and presence of health conditions. Detection of specific metabolites, ions, hormones, peptides, cytokines, and glucose in sweat has potential diagnostic value. Glucose levels in sweat reflect changes in the blood glucose level, and this observation has led to development of non-invasive glucose monitoring methods [2,3,4]. The sweat proteome has been shown to be different between healthy subjects and people with schizophrenia , and between healthy people and patients with active tuberculosis . The presence of viral particles in sweat has also been reported, consisting mostly in infectious viruses such as papilloma or polyoma virus and bacteriophages , but other infective viruses like Hepatitis C virus have also been detected . Sweat analysis for forensic purposes has also been reported [9, 10], but while saliva is routinely used for genotyping, no genetic tests based on sweat nucleic acids have been published beyond finding specific markers to distinguish sweat from other biofluids .
In addition to ions and macromolecules, biofluids carry insoluble particles containing nucleic acids, including lipid droplets , ribonucleoprotein complexes, extracellular vesicles (EVs) and whole cells. Systematic studies of sweat EV cargo are difficult, because of the mixtures of environmental contaminants on the skin surface, and because most of the collection methods interfere with the normal sweating process . Sweat contains several types of EVs: apoptotic bodies from holocrine secretion of sebaceous glands , large membrane vesicles from axillary apocrine glands , and 100-200 nm EVs with CD63, CD9 and CD81 tetraspanins [16, 17].
Sweat secretion is qualitatively and quantitatively affected by stimuli such as heat, exercise, emotions, and health status. We recently reported differential sweat EV miRNA secretion in relation to specific exercise , supporting the notion that exercise-induced sweat could be used as a source of biomarkers for sport practice.
Both cell free DNA (cfDNA) and extracellular RNA (exRNA) have shown great promise as biomarkers (Reviewed in ), therefore our aim was to characterize the nucleic acids associated with sweat EVs. Because our study design was exploratory, our goal was to obtain large quantities of starting material for inventory from the study subjects, and we initially pooled sweat from 13 individuals for nucleic acid analysis. We subsequently also extracted DNA and RNA from sweat of individual collection for analysis. We found human DNA fragments mapping to all chromosomes, but most of the DNA originated from unannotated regions of the human genome. Non-human DNA was found to be derived from skin microbiota, mainly bacteria, but also archaea and viruses. EV-associated RNA species contained a high proportion of tRNA, rRNA and miscRNA, and also approximately 89 miRNA and more than 500 mRNA species. In addition, our NGS data shows the presence of RNA of microbial, fungal and viral origin.
To our knowledge, this is the first published study characterizing EV-associated nucleic acids in exercise induced human sweat.
Sweat collection and processing
We collected sweat from people undergoing vigorous biking exercise. We first collected 1,4 l of sweat from 13 volunteers of both gender aged from 26 to 56 years at the time of collection, amounts of individual collections were not recorded, the sweat was stored at − 20 °C and mixed after thawing for processing to DNA and RNA for sequencing (Fig. 1, left side). We collected sweat for RNA from 25 individuals during a 30 min biking exercise, with the amount of sweat collected from each individual ranging from 6 to 175 ml (Table 1), these collections were processed individually to NGS (Fig. 1), or EV characterization.
DNA isolation and NGS library preparation
We used DNA from the pooled sample and from three individual collections for whole genome sequencing. The total amount of double stranded DNA recovered was small with a range of 3 to 11 ng total DNA. We chose to make pair-ended libraries with a small genome library kit from Illumina. We were able to get between 10 and 20 M reads per sample. Alignment of the reads to the human genome (GRch38) showed small coverage with some clear hot spots where high number of reads from all samples were detected (Fig. 2A). Coverage on each chromosome (10–30%) appeared to be dependent of sequencing depth, with the notable exception of the mitochondrial chromosome, which was entirely covered in all samples (Fig. 2B).
DNA sequencing analysis
The DNA sequencing reads could be assigned to three categories: annotated, unannotated and unmapped. The pooled sample produced the lowest number of reads (Fig. 3A), consisting of 3 categories: annotated (3,8%), unannotated and unmapped (10%) with the larger number aligning with unannotated regions of the human genome (86,2%). Samples from individuals had very similar distribution of reads: 2,3% of reads not aligning to the human genome and 4,5% aligning to annotated region of the human genome, while the largest category (93,1%) corresponded to unannotated region of the human genome (Fig. 3A). The distribution of annotated reads into different biotypes (Fig. 3B) was similar across all 4 samples, the most abundant being protein coding genes (73–75%), followed by LincRNA (6,5–8%), processed pseudogene (4,5-5,3%) and antisense RNA (4–4,5%). The coverage of the protein coding genes was very small, except for those encoded by the mitochondrial chromosome.
Sweat particle characterization
The presence of high amount of mitochondrial DNA suggested the presence of organelles in addition to EVs in the samples. To determine if this was the case, thin sections of filtered (0,8 μm before concentration, 0,45 μm after) sweat pellets were made from individually processed samples and analyzed by transmission electron microscopy (TEM) (Fig. 4A). We found vesicular structures of varying sizes and appearances in the individual samples, including some with clear double membranes, indicating presence of EVs. Most vesicles were in the 100 nm range, but some individual samples were richer in smaller and/or larger EVs. We were unable to detect any recognizable mitochondria (Fig. 4A), but bacteria were occasionally detected when 0,45 μm filtration was omitted (data not shown).
We chose ExoRNEasy kit to directly purify RNA from concentrated sweat to capture a more diverse selection of EVs . Concentrated individual sweat samples prepared with ExoEasy had variable amounts of well-defined double membrane EVs of 50 to 200 nm sizes (Fig. 4B, Supplementary Figure 3). Image of negative control (instead of sweat, glove was filled with PBS, which was subsequently processed like volunteer sample) is also shown in Supplemental figure 3. NTA analysis of ExoEasy sweat samples showed 1 peak at around 100 nm and much smaller peaks for 200 and 300 nm (Fig. 4C, supplementary Figure 4). Immuno- transmission electron microscopy detected the presence of typical EV markers: CD63 and CD9 in individual sweat EVs and other markers like Glypican1 (Fig. 4D). Presence of CD63 was confirmed by western blotting, while staining for Argonaute 2 and GM130 were negative (Fig. 4E, Supplementary Figure 5). No CD63 was detected in flowthrough from ExoEasy columns and in negative control from gloves (Supplementary Figure 5). Average particle /ml of sweat was 475,000 but a wide range was observed (35000–1 million particle /ml) with number of particles per μg of protein being in the range of 0,3–6*109 particles/μg protein (n = 4). We have submitted all relevant data of our experiments to the EV-TRACK knowledgebase (EV-TRACK ID: EV210083) .
EV-enriched sweat RNA analysis
We used the remaining ultracentrifugation pellets from pooled sweat to extract RNA from EV-enriched sweat fraction using ExoRNEasy kit (Fig. 1). Profiling of extracted RNA on bioanalyzer picoChip (Agilent) showed only small RNA with sizes ranging from 20 to 200 bp with no obvious 18 or 28 s ribosomal RNA (Fig. 5A), subsequently Small RNA protocol was used for the sequencing on Ion Torrent PGM (Thermo Fisher Scientific). A total of 652,280 trimmed reads were used for alignment to the human genome using Bowtie 1. Reads fell into 3 categories: annotated (44,6%, tRNA reads were included in this category), unannotated 29,6% and unmapped 24,7% (Fig. 5B). Over 70% of the annotated human reads were identified as tRNA, 18,5% as miscRNA, 5% mRNA and 1,85% miRNA (Fig. 5C).
miRNA from pooled EV-enriched sweat
66 miRNAs with read count 10 or higher were identified (Table 2). miR26a-5p was the miRNA with the most reads, followed by miR200c-3p, miRLet7A and miR148a-3p (Fig. 6A). We selected 6 miRNAs for testing by qPCR from most abundant (miR26a-5p/692 reads) to low (miR320b/10 reads) on 14 individual samples of sweat RNA (10 were subsequently used for RNA sequencing and 4 additional ones were not, Table 1) and compared their level relative to each other, inside each sample. All the miRNAs were detected in all the samples except one, where miR193–3p, was undetectable. In most cases miR21 -5p and miR24-3p were the highest, not miR26a-5p (Fig. 6B).
RNA-seq from individual volunteers
We then prepared RNA from individual sweat collections, from 6 females and 14 males (Table 1) replacing ultracentrifugation by concentration with Centricon Plus-70 columns (Millipore) with a 100 K kDa cut-off. Bioanalyzer (Agilent) RNA profiles of all samples were similar to each other but yields were highly variable (supplementary Figure 1) and below what can be accurately quantified. We selected higher size fragments (145-200 bp) than recommended by the library kit manufacturer (New England Biolab) to limit the number of empty reads and characterize larger RNA species, including protein coding RNA, as a result very few miRNA reads were identified.
After quality trimming, number of reads per sample ranged from 650,000 to 3,4 million (Fig. 7A) with a high number of unmapped reads. As the number of annotated reads per sample were low, we analyzed them together. The distribution into biotypes showed over 50% identified as tRNA, 28% as rRNA and LincRNA, miscRNA and protein coding between 8 and 3% (Fig. 7B). Excluding tRNA and rRNA the top 10 genes identified include 6 miscRNAs with RNY1, RNY4, and RNY4P10 being the most represented, 3 LincRNA, 1 non-coding RNA, 1 snoRNA (SNORD20) (Fig. 8A). As MIR6087 is no longer considered a miRNA, it was omitted from the figure.
Although the function of small nuclear RNA is to participate in mRNA splicing in the nucleus, these small RNA species are abundant in EV-enriched sweat. In Fig. 8B the seven most abundant snRNAs represent each between 12 and 15% of snRNAs identified, all seven represented in B are detected in at least 19 samples (supplementary Table I) and they belong to U1 and U5 families.
The snoRNA’s main characterized role is the modification of rRNA, 11 of them are found in significant amounts in EV-enriched sweat, the most abundant type found is box C/D, which guides the 2′-O-methylation of rRNA SNORD20 represent over 40% of the total, SNORD90 and SNORD69 (targeting 28 s rRNA) around 20%, SNORD63 and SNORD101 6%, SNORD100 4% (Fig. 8C). SNORD20, SNORD69 and SNORD63 were identified in at least 19 of the 20 samples (Supplementary Table I). Another type of RNA modifying small RNA closely related to snoRNA and located in Cajal bodies (small organelles of the nucleolus of proliferative cells) has 2 well represented members in sweat: scRNA11 and scaRNA4. RNY1 represent over 60% of misc-RNA biotype’s reads, RNY4 represents 16%, RNY4P10 14% and RNY4P7 2% (Fig. 8D).
Unprocessed pseudogenes (Fig. 8E) are created by duplication of existing genes and retain intron-exon structure, in this biotype, EIF1P5 is overrepresented with 53% of the reads mapping to it, while GGTLC4P represent 11% and AP004607.5 8%, the remaining unprocessed pseudogenes are mitochondrial genes inserted in nuclear chromosomes and they represent less than 7% each. Processed pseudogenes, which arise by retrotransposition and are therefore inserted in the genome without intronic sequences were also identified. Top 1% of reads from RNA-seq included 86 processed pseudogenes.
Piwi-interacting RNA (piRNA) are small noncoding RNA first identified in the germline. They are short: 24-30 bp and their first identified function was to silence transposons. They have since been also identified in other cells and body fluids and may have potential as biomarkers. Only a very small percentage of the reads of each sample can be identified as piRNAs, but 5 piRNAs were identified in all 20 samples, and 6 in 19 samples (Supplementary Figure 2). Another 1000 piRNAs were sporadically detected in 3 or less samples. Other non-coding RNA usually associated with EVs like Vault RNA were also identified in the majority of the samples (Supplementary Table 1).
The most abundant mRNAs in sweat are encoded by the mitochondrial genome, followed by a mitochondrial transcript encoded by a nuclear gene, MTRNR2L6 (Fig. 9A). Comparison with a recent report of the transcriptome and proteome of human eccrine gland shows that 85% of mRNAs found in EV-enriched sweat overlap with mRNA from sweat eccrine gland, with only 14.4% unique to EV-enriched sweat (Fig. 9B).
For enrichment analysis of GO annotation we selected transcript with FPKM values bigger than 25, most of the transcript encode either translation related proteins, nucleic acid binding protein or focal adhesion protein. Biological Processes involve energy metabolism, protein synthesis and nucleic acid binding (Fig. 9C), the most represented cell components are ribosomal (Fig. 9D). In addition to the abundant mRNA species (Table 3), 6675 additional gene products were detectable in 1–3 samples with FPKM value bigger than 0.
Because the reads for mRNA could be detected on several exons and alignment with STAR showed that some of these reads were spliced, we checked the presence of spliced mRNA in EV-enriched sweat by RT-PCR with primers designed for amplification across splice junctions. The most abundant and largely distributed in most of the samples was (ferritin light chain) FTL mRNA, FTL gene has 4 exons, and using primers designed to amplify mRNA of the last 2 exons (3 and 4), we were able to amplify cDNA from several samples (Fig. 10A). YWHAE gene spans across 7 exons, on a total DNA length of 55 kb, with a reverse PCR primer spanning exon 6 and 7 together and forward primer on exon 5 we amplified a fragment of the expected size in 2 out of 3 samples (Fig. 10B, supplementary Figure 7). We were able to amplify several other mRNA at least across one splice junction indicating that even if the RNA is fragmented it is processed (supplementary figure 7).
Metagenomic nucleic acid
Microbial DNA and RNA
DNA-seq had 5–9% of unmapped reads, and to determine their origin, the reads were assembled and aligned against the metagenome and the main taxonomical orders were identified. In addition to bacterial DNA, there was a small proportion of virus and archaeal DNA. Dominant bacterial orders were Proteobacteria, Actinobacteria followed by equal proportion of Bacteroidetes and Firmicutes (Fig. 11), a distribution typical of skin microbiota.
RNA-seq produced much higher amounts of unmapped reads, and metagenomic analysis attributed the highest proportion of them to bacteria, but fungi and virus could also be identified. The distribution of the main bacterial orders was relatively similar to what we observe for DNA, except for a larger proportion of Firmicutes than Bacteroidetes (Fig. 11), again a distribution consistent with the skin microbiome.
A fraction of the sequences identified corresponded to microbial protein coding genes. We retrieved the protein IDs with GO annotations from UniProt database, then counted the GO annotations. The cell component annotations showed mostly integral components of membrane and cytoplasm for both DNA and RNA sequencing. DNA sequencing included also at least 20 protein coding genes with annotations for cell, ribosome and integral component of plasma membrane, while RNA-seq included periplasmic space linked mRNA (Fig. 12A). The molecular functions of protein coding genes identified in both DNA-seq and RNA-seq were predominantly ATP binding, DNA binding and metal ion binding (Fig. 12B).
We found 2 types of viral DNA, from human virus: papilloma, polyoma, herpes virus and from bacteriophages infecting the bacteria from the skin. Viral sequences represent 13% of the total identified, with papilloma sequences representing 24% of viral sequences, polyomavirus represent 5% and herpes 2%. Only a portion of the DNA identified encodes identified protein, but from papillomavirus 6 protein coding genes can be identified (out of a total of 8), capsid protein major L1 and Minor L2, replication protein E1, regulatory protein E2, and protein E4 and E6. From polyoma viruses, and Merkel cell polyoma virus, Small T antigen and capsid protein Vp1 (total encoded by viral genome: 5–9 protein) were identified and from human Cytomegalovirus, only uncharacterized protein UL126 (more than 165 protein coding genes). The gene encoded are capsid protein, regulatory and replication protein from papilloma virus and capsid and small T antigen from polyomavirus (Table 4).
Bacterial phages are represented by a variety of genes, 96 are uncharacterized, 274 genes encode phage structural protein and enzymes (Table 5), which molecular functions include mainly DNA binding, helicase, hydrolase and endonuclease. Most components of the phage genome are represented (Table 5).
The skin is usually considered a hostile environment for nucleic acids, particularly RNA, because of the presence of nucleases, but inside EVs or other types of complexes, nucleic acids are likely to be protected. EVs have now been found in most biofluids, including sweat [16, 17], but proper inventory of sweat nucleic acids is still needed to determine the potential usefulness of sweat for nucleic acid biomarker discovery.
The most covered DNA and the most represented mRNA in the sweat samples were from mitochondrial origin. Mitochondria have been shown to be released by cells during oxidative stress , and to be transported in EVs , but we could not detect any intact mitochondria by TEM in our preparations. Mitochondrial protein have been reported in melanoma EVs  so we can speculate that the mitochondrial DNA in our samples was a result of mitophagy, which is a normal part of the skin’s aging process [24, 25]; Alternatively, in context of the skin, mitochondria may also be transported out of melanocyte during melanosome release, as the two organelles are tightly bound during melanogenesis .
On the other hand, total nuclear DNA is more sparsely represented with very few counts from coding genes while some unannotated regions are highly over-represented in all four samples, indicating that these sequences may not be randomly secreted. DNA as EV cargo is still controversial , as in most cases it is not protected from DNAse and might be just sticking to the EV surface, although there are exceptions like giant oncosomes , or physiological process to protect cells from activation of DNA-damage-response and cell cycle arrest or apoptosis  and parasite like plasmodium use DNA-loaded EVs to prime host cells for infection .
It is unclear how the characterized sweat DNA is associated with sweat EVs, but it is very likely that some of it is associated with apoptotic bodies resulting from sebum secretion collected by the flow of sweat during exercise, which is consistent with the presence of nucleic acids from bacteria typical of the sebaceous glands, such as Propionibacterium (Cutibacterium) acnes and their associated bacteriophages.
Small RNA sequencing with small sample quantity is challenging, resulting in a large proportion of unmapped reads. EVs have been shown to have RNA both on their surfaces and inside, but most reports show that the larger RNA species (larger than 200 bp) are absent altogether. Best studied EV-associated RNAs are miRNAs. Even though we did not use RNAse, obtaining detectable amount of RNA proved challenging. Even with a small RNA protocol, our samples were mostly tRNAs and miscRNA with a small representation of miRNAs. We were nevertheless able to confirm the presence of even the lowest represented miRNA in most samples tested using qPCR. Based on our list of miRNA we were able to identify miR21-5p and miR26a-5p as regulated by exercise .
Using an unbiased sequencing approach with individual samples confirmed the predominance of tRNA, rRNA and miscRNA observed in many other EV RNA studies . It was more surprising to identify more than 500 protein coding RNA detectable in at least 9 samples and to find that some of them are spanning several spliced introns. Previously published reports point to several explanations for the presence of mRNA. The mRNA exist in co-purified protein complexes  or bound to secreted ribosomes , which partly protect the mRNA from degradation. It was also interesting to see that a large proportion of the EV-enriched sweat mRNAs are common to the transcriptome of the human eccrine gland . GO analysis mostly shows enrichment in ribosomal components and translation but no clear cellular origin as most of the mRNAs identified tend to be ubiquitously expressed. While it is possible that EV-enriched sweat indeed contain full length functional mRNAs it is more likely reflecting the functional status of the cells that release EVs to sweat, without any particular function of its own.
Of further interest is the presence of microbiome derived particles. The most abundant phyla identified by NGS analysis were Proteobacteria, Actinobacteria, Firmicutes and Bacteroidetes, which are usually found on human arms, hands, and axilla. Proteobacteria are dominant on face and torso . City scale metagenomics studies like the one performed in New York city underground system revealed a lot of information about underground users and their skin microbiome and highlighted that each individual sheds genetic information from their skin, both from their own genome and from their own microbiome, which can be retrieved for analysis . Our data is consistent with that large-scale study result, and the conclusion that the human DNA collected in these metagenomics studies is most likely derived from human sweat.
Further studies are needed to determine if any of the RNAs found in our study are of clinical value, SNPs in some mRNA identified are associated with known diseases and could be further studied. For example, CALM2, which mRNA was identified in all the samples, has SNPs associated with cardiac arrhythmia and sudden death of young people after exercise . Larger scale studies could determine if it is possible to identify clinically associated variants from sweat RNA. Other abundant misc. RNAs such as RNY1,3 and 4 are also considered to have diagnostic potential for inflammatory diseases  and cancer .
Sweat as a biofluid presents many challenges, and the most important ones in the frame of this study are that the human skin is exposed to the environment, and it is an ecosystem where many organisms live. Skin secretions, including sweat, are metabolised by skin microbes, and the skin microbes secrete their own products, including outer membrane vesicles. The non-human nucleic acids we identified originated primarily from the skin microbiota, but also possibly from clothing and working surfaces, or from the collection material. Distinguishing contaminant nucleic acids in human sweat is especially challenging, since contaminants introduced in the process of sample handling are also mainly derived from human skin secretions. RNA extraction columns have been shown to contain contaminant RNA, and a small RNA sequencing data set available from data repository also show the presence of these contaminating RNAs . Capturing total EVs from biofluids is still not possible by standard methods, and the choice of approach taken here therefore represents a trade-off between quantity/diversity and purity. The ExoRNEasy kit captures EVs on a filter and then proceeds directly to on-filter lysis for RNA isolation. For a biofluid like sweat, in which the EV quantity depends on individual factors and also ambient temperature, hydration status and length and intensity of exercise, capturing particles appeared to be a good choice for comparing heavy and light sweat producers. But as humans are constantly secreting a small quantity of eccrine sweat, alternative methods of collection might be more appropriate for biomarker development, including for sport-associated studies.
In line with MISEV2018 recommendations  and because we are aware that our type of preparation is not of high purity, we have used the term sweat particles, or EV-enriched preparation in this report. We are describing preparation methods in detail in the method section and have submitted the study to EV-track (EV-TRACK ID: EV210083), EV-metric 14% for the DNA preparation and 50% for the RNA study.
Our data shows that that sweat particles are a good source of nucleic acid as has been reported for other biofluids. As the skin surface offers a site for non-invasive and real-time sample collection our study opens the path for future sweat EV biomarkers discovery.
Adult volunteers were recruited among persons of different ethnic background residing in Northern Finland in Oulu area (Table 1). Volunteers were given information about the study and provided limited health and fitness self-assessment in a form and informed consent. Ethical permission (EETTMK:110/2015) was granted by the ethical committee of Oulu University medical School according to the Finnish Medical Research Act (488/1999). Volunteers were asked to avoid using soap and perfume for 24 h before the exercise and to shower with water only for 15 min immediately before exercise to remove dust and other environmental contaminant residues from the skin. These studies were performed according to the Declaration of Helsinki on research involving humans. The study protocol named RUBY was approved by the Ethical Committee at the Northern Ostrobothnia Hospital District in Oulu under Study Diary Number 110/2015. Participants in the study were given information about the study and signed informed consent forms approved by the ethics committee.
Pooled sweat processing and nucleic acid analysis
We first collected large amount of sweat from 13 people of both genders aged 26 to 56 years, during a 40 min biking exercise (Fig. 1). Collected sweat was kept at -20 degrees until processing. After thawing, pooled sweat was filtered on 0,45 μm Milipore PES filters, then centrifuged for 2 h at 108000 x g in an Avanti J-30I centrifuge (Beckman) using JA30–50 rotor. Pellets were resuspended in 1 ml PBS without CaCl2 and MgCl2 pH 7, and 200 μl were used for DNA extraction (corresponding to approximately 80 ml of sweat) with QIAamp blood DNA mini-kit by Qiagen , (Fig. 1 left) remaining sample was used for RNA extraction. Concentration was measured using Qubits DNA HS assay kit (ThermoFisher). For buffer exchange and concentration Zymo DNA & Clean-5 columns (Zymo Research) were used with modified protocol (5 volume of binding buffer and elution with 56 °C pre-heated H2O). Samples from 3 individual donors (Table 1 top panel) were prepared in similar way. One ng of DNA was used for PE library construction using Nextera XT library preparation kit (Illumina) according to manufacturer instructions. Libraries were run on NextSeq550 sequencer (Illumina) with 151 cycles in Biocenter Oulu sequencing core facility.
The remaining sample corresponding to 80% of the original sweat volume were used for RNA extraction with an ExoRNeasy kit (Qiagen) according to manufacturer’s instructions.
Total RNA concentration was measured with Qubits RNA HS and profiled on Bioanalyzer 6000 Pico chips (Agilent). Pooled EV-enriched sweat RNA-seq RNA library was made using Ion Total RNA-Seq Kit v2 (Thermo Scientific) following instructions for small RNA libraries. In this case, purification beads were included in kit and used to remove adapter dimers. Final libraries were checked on a Bioanalyzer with High Sensitivity DNA kit (Agilent). Sequencing of libraries was done with Ion PGM Hi-Q OT2 Template (200 bp protocol), Ion PGM Hi-Q Sequencing Kit and Ion PGM 318 chip kits (Thermo Scientific).
Individual sweat collection and processing for nucleic acid processing and analysis
Sweat was collected from the upper body, arms and torso using plastic raincoat (Transpen Oy, Kerava, FI) and disposable gloves VETbasic (15,364, Kerbl, Buchbach, Germany). If volunteers sweated heavily from their head, dripping sweat was collected in the head cover of the coat and pooled with the rest. Volunteers used exercise bike (ProSpinner spinning bike, Karhu) indoors for 30 min (Fig. 1 right). After exercise sweat was collected by cutting tip of gloves and cutting insert in ventral area to pipet fluid with sterile disposable pipet. Sweat was passed through 40 μm strainer, then through 0,8 μm filter (Millipore). If not immediately processed for nucleic acid extraction, filtered sweat was stored at -20oC in sterile Falcon tubes.
Filtered sweat was concentrated on Centricon Plus-70 centrifugal filter (100 k cut-off), according to instructions by manufacturer. Concentrated sweat RNA was extracted using exoRNeasy kit (Qiagen).
RNA-seq libraries were made using NEBNext Small RNA kit (New England Biolabs). After 16 cycles of PCR amplification, Libraries were checked with Bioanalyzer using DNA 1000 chips (Agilent). Before size selection on pippin blue (Thermo Fisher) libraries were mixed in 2 pools according to DNA yield. Size selection was set to collect fragment from 145 bp–200 bp. Size selected Pools were amplified an additional 5 cycles, purified wit PCR clean-up kit (Qiagen) and quantified by KAPA PCR kit (Roche). After dilution adjusting for library number in each pool, they were loaded on NextSeq550 (Illumina) and run 51 cycles.
DNA fastQ files were checked with FastQC , merged using PEAR , merged and unmerged reads were aligned with BWA  against human genome HG38. Ensembl 94 annotation was used to intersect reads with functional elements. Coverage percentages for each chromosome was calculated as length of mapped reads per chromosome divided by length of chromosome.
Reads from different lanes were first merged into single fastq files and a QC was performed . Then, low quality bases and adapter sequences were trimmed with trimmomatic  followed by another QC with FastQC. Trimmed reads were then mapped with Bowtie  against GtRNAdb high confidence tRNA sequences  and reads that map against tRNA sequences were also filtered out. The remaining reads were then mapped again with Bowtie against the human genome HG38, and further processed wit Cufflinks  and Cuffmerge to prepare a joint annotation file that contains then both known and novel genes. This annotation file as well as an annotation file for miRNAs from miRBase [49, 50] and Human piRNA sequence v2.0 from piRBase  was then used to quantify the expression with cufflinks and featureCounts . For quantification, only exonic counts were taken into account. Alignment with STAR (Spliced Transcripts Alignment to a Reference () was done using Chipster at https://chipster.csc.fi/ .
Reads that could not be mapped against the HG38 genome were then de-novo assembled to contig level using MEGAHIT . These contigs were then blasted against the NR database with DIAMOND , and for the identified proteins the corresponding IDs were extracted. Further, with Kraken  a taxonomic identification for the unmapped reads was performed and the results were visualized using Krona .
List of genes with FPKM values 25 or over were put into geneontology.org for enrichment analysis ( , the gene ontology consortium 2019) using Fisher’s exact test with Bonferroni correction for multiple testing and GO annotation with enrichment value 4 or over were visualized using REVIGO , dispensable GO terms were omitted.
1,5 ng of RNA was used for cDNA synthesis using miRCURY LNA RT-PCR kit (Qiagen).
Following LNA primers were used for QPCR using SYBR Green III master mix (Agilent) miRCURY LNA miRNA QPCR Assay: miR24-3p (YP00204260), miR99a-5p (YP00204521), miR193 (YP00204226), miR-21-5p (MS00009079), miR-26a-5p (MS00029239), miR320b (MIMAT0005792), U6 snRNA (X59362).
cDNA was made from 5 ng of RNA using VILO or Maxima H- first strand cDNA synthesis kit with DS DNAse (Thermo Fisher). After 1/2 dilution cDNA was amplified using AmpliTaq Gold and specific primers:
|Gene||forward primer||reverse primer|
|14–3-3 Protein Epsilon (YWHAE)||ACAGAACTTCCACCAACGCA||ATTCTGCTCTTCACCGTCACC|
|Ferritin Light Chain (FTL)||GGACCCCCATCTCTGTGACT||AGTCGTGCTTGAGAGTGAGC|
PCR conditions: 95oC 5 min, 60oC 20s,72oC 20s, 95oC20s, 40 cycles. Products were analyzed on 2% agarose gel, stained with midori green and photographed. PCR products were purified using Qiagen minElute columns (Qiagen) and sequenced in Biocenter Oulu sequencing core facility using capillary sequencing with BigDyeTERminator v1.1 cycle sequencing (ABI) and ABI3500xL Genetic Analyzer.
The immunoelectron microscopy was performed using biotinylated anti-CD9 antibody as a primary antibody at a 1:10 dilution. Vesicles were deposited on a Formvar carbonated grid (glow-discharged). The grids were incubated in blocking serum (1% BSA (bovine serum albumin) in PBS). Afterwards, the grids were incubated for 20 mins with the primary anti-CD9 antibody (Miltenyi Biotec), followed by the secondary anti-biotin antibody for 20 min and finally the protein A-gold complex (PAG 10 nm) for 20 min. Samples after immunonegative staining as well as after negative staining with 2% uranyl acetate were examined using a Tecnai G2 Spirit transmission electron microscope (FEI, Eindhoven, The Netherlands) and images were captured with a charge-coupled device camera (Quemesa, Olympus Soft Imaging Solutions GMBH, Münster, Germany). Anti-CD63 antibody for immuno-TEM was used at dilution 1:50 (Abcam ab193349) and polyclonal anti-Glypican 1 antibody (PA5–28055, ThermoFisher) at dilution 1:100.
For preparing plastic sections concentrated sweat was filtered on 0.45 um Minisart filter (Sartorius), then sweat EVs were stained with CellVue Claret Far Fluorescent Cell Linker Midi Kit (MIDCLARET-1KT) according to manufacturer’s instructions. After staining, samples were centrifuged for 4–6 h at 120 K rpm k-factor = 16 at 4 °C Beckman TLA 120.2). Supernatants were removed, pellets fixed and plastic embedded in Biocenter Oulu electron microscopy core facility. Thin sections were observed with Tecnai G2 Spirit electron microscope.
EV samples were diluted in 5 X Laemmli loading buffer and proteins were separated on 10% SDS PAGE gel, then transferred to nitrocellulose membrane. Anti-CD63 (Abcam Ab193349; 1:500 and Santa Cruz H-193, sc-15,362; 1:1000 dilutions), GM130 (Cell Signaling Technology, #12480; 1:1000) and Ago2 (Abcam ab32381; 1:1000) antibodies were used for detection.
Nanoparticle tracking analysis
Nanoparticle tracking analysis (NTA) was performed using a NanoSight NS300 (NanoSight Ltd., Amesbury, UK) equipped with a 405 nm laser. At least three 40 s videos were recorded of each sample with camera level and detection threshold set up at 13. Temperature was monitored throughout the measurements. Videos recorded for each sample were analyzed with NTA software version 3.1. (build 3.1.46) to determine the concentration and size of measured particles with corresponding standard error. For analysis, auto settings were used for blur, minimum track length and minimum expected particle size. Double distilled H2O was used to dilute the starting material.
Availability of data and materials
The RNA and DNA data described in this paper will be available from the European Nucleotide Archive (EMBL-EBI) under accession number PRJEB40112 https://www.ebi.ac.uk/ena/browser/home.
Transmission electron microscopy
Fragments per kilobase per million reads mapped
Spliced Transcripts Alignment to a Reference
Reverse transcription polymerase reaction
quantitative polymerase chain reaction
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We thank Hannu Kaikkonen and Prof. Raija Korpelainen form Oulu Deaconess Institute Sport Clinic for their invaluable help in setting up the sweat collection method for this project, Marko Suokas and docent Katri Pylkäs (BCO sequencing core facility), Hannele Härkman, Paula Haipus, Getnet Midekassa, Muhammad Umair Anwar, Emma Karjalainen, Johanna Kekolahti-Liias, Meeri Otsukka, Leena Keskitalo. Abishek Sharma for recruiting volunteers. NGS was done at Biocenter Oulu, Sequencing core facility. CSC – IT Center for Science, Finland and CSC – TIETEEN TIETOTEKNIIKAN KESKUS OY/IT Center for Science LTD for computational resources. We are grateful to the volunteers who donated sweat.
These studies were supported by the following research grants: Centre of Excellence grant (2012–2017 251314), the European Community’s Seventh Framework Programme (FP7/2007–2013; grant FP7-HEALTH-F5), HILLA, Business Finland (BioRealHealth), Academy of Finland Biofuture2025, and European Union Regional Development Fund (Printocent10). Part of the infrastructure was supported by the Academy of Finland Research Infrastructure Grant (PII-FIRI, Grant no. 32020).
Ethics approval and consent to participate
These studies were performed according to the Declaration of Helsinki on research involving humans. The study protocol named RUBY was approved by the Ethical Committee at the Northern Ostrobothnia Hospital District in Oulu under Study Diary Number 110/2015.
Participants in the study were given information about the study and signed informed consent forms approved by the ethics committee.
Consent for publication
No pictures of individuals or other identifying material were recorded in this study.
The authors declare no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Bioanalyzer profile of RNA from individual samples of EV-enriched sweat. RNA analysis profiles for all subjects 1 ul of RNA was run on Agilent pico600 chips. Supplementary Figure 2. piRNA in individual samples. piRNA percentages in 20 individual samples, below table with normalized value for each sample. Supplementary Figure 3. TEM images, negative staining of EV-enriched sweat. Negative control image (PBS wash of collection glove processed as sweat samples), images of ExoEasy processed sweat from 4 different volunteers. Supplementary Figure 4. Nanoparticle Tracking analysis from Exoeasy prepared sweat, summary of 5 different isolations. Supplementary Figure 5. Western blots with protein from negative control (collection glove washed in PBS and processed with exoEasy as sweat), unbound material from ExoEasy column (flowthrough), ExoEasy eluted fraction (EV-enriched), and concentrated sweat (cut-off 100 kDa), were stained with anti-CD63 antibody (EV marker) and antibodies against non-EV markers Ago2 and GM130. A: membrane B: the same membrane probed with anti-CD63 antibdy. Fluorescent images were inverted, contrast and brightness adjusted to make bands visible. C: the same membrane probed with anti-Ago2 antibody. D: membrane E: the same membrane probed with anti-GM130 antibody. Supplementary Figure 6. Western blot, whole membrane from Fig. 4E. EV-enriched (ExoEasy isolation) sweat samples from three individuals were loaded (marked 2, 3, and 32). Region cropped is marked by the black frame. Original fluorescence image was inverted, then brightness and contrast were increased to make bands more visible. Supplementary Figure 7. Whole 2% agarose gel images for Fig. 10. Individual samples’ RNA was reverse transcribed and amplified with primers designed to amplify mRNA across exon-exon junctions. FTL band was cropped form each individual gel, cropped image is marked in blue box, YWHAE band was cropped from individual gels as indicated by red boxes.
Transcripts identified in at least 18 samples.
Comparison of top 1% RNA identified in Illumina and Ion Torrent.
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Bart, G., Fischer, D., Samoylenko, A. et al. Characterization of nucleic acids from extracellular vesicle-enriched human sweat. BMC Genomics 22, 425 (2021). https://doi.org/10.1186/s12864-021-07733-9
- Extracellular vesicles (EV)