The chronic subclinical mastitis is characterized by increased SCC and changes in milk composition for a prolonged time (33). However, milk is a very dynamic fluid and its biologically active components, including miRNAs, change throughout the feeding period and day (27). To evaluate the stability of milk EVs, we analysed their size, concentration and miRNA cargo during three consecutive days in health and subclinical mastitis. The time-course analysis showed that milk EVs mean size, mode size and miRNA profile were very stable between days, irrespective of the health status of the quarter. This result suggests that miRNAs packed in EVs are specific for the physiological state, and that sampling circumstances do not affect the overall results. In contrast, this was not the case for the EVs concentration. Most likely, the EVs extraction was not equally efficient for every sample, even if the isolation session did not affect the results. Nevertheless, despite the daily variability in EVs concentration, we observed a trend suggesting that EVs amounts in milk might be cow dependent.
Several methods have been optimized to isolate EVs from raw or commercial milk (15, 31, 34–36). In our study, we decided to isolate EVs from skimmed milk by combining acid treatment, 0.22 µm filtering and ultracentrifugation (36). Acid precipitation before ultracentrifugation allows purification of milk EV by removing casein micelles that have similar colloidal characteristics to EVs, and other milk whey proteins such as albumin, lactoferrin, and lactoglobulin (36). A later study also demonstrated that the use of acid generated purer EVs isolations than when only applying differential ultracentrifugation (37). Despite the authors hypothesized that the proteins on the surface of EVs could be damaged, we could observe clear protein bands for known EVs surface markers in our EVs isolations, suggesting that the acid treatment was not affecting at least these proteins. Additionally, this protocol gave us better results on the protein profile and TEM than using only differential ultracentrifugation and EDTA for casein precipitation (31).
The thorough characterization of EVs was performed using TEM, TRPS and Western blot. The TEM showed that the use of one-step ultracentrifugation after 0.22µm filtration generated a heterogeneous population of EVs (exosomes and microvesicles), non-EVs and protein aggregates. A density gradient separation and size exclusion chromatography (SEC) would have helped to eliminate low-density lipoproteins (LDL) and protein aggregates, respectively (38). However, it would have been difficult to separate high-density lipoproteins (HDL) and the addition of extra steps during isolation could have introduced more variability in the purified sample.
Recently, Herwijnen et al. (39) showed that milk EVs from different species have a similar miRNA profile, suggesting an evolutionary selection of miRNAs targeted to new-borns. In total, we identified 140 miRNAs, and we observed that all experimental groups including subclinical mastitis had the same top ten most abundant miRNAs, which were also included in the most common twenty milk EVs miRNAs listed in mammals. These results also agreed with milk EVs from commercial milk, specifically with the subset of EVs recovered after 12K and 35K ultracentrifugation (40). Since before freezing, our milk samples were centrifuged at 3K and 12K to remove cells and cellular debris, we can assume that our EVs samples were not significantly contaminated with intracellular miRNAs.
Bovine milk whey contains indigenous RNases secreted by the mammary gland cells that can mediate an extracellular protective role (41, 42). Milk miRNAs are unlikely to resist the high amount of RNases if not protected by protein complexes or vesicles (35). It has been hypothesised that the majority of milk miRNAs are encapsulated within EVs to ensure their stability against the harsh environment in the digestive tract of the offspring (11, 35). We did not include an RNase treatment step because we observed that RNase treatment increased the amount of degraded RNA with similar fragment sizes as miRNAs. Moreover, it has been observed that specific miRNAs such as bta-miR-223-3p are affected by RNase digestion (35).
When we evaluated the EVs miRNAs in subclinical mastitis quarters, we observed clear differences between miRNA profiles depending on the cow-origin. This could mean that different cows reacted differently during chronic infection. On the other hand, we also saw that the more cells there were in the milk, the higher was the number of miRNA differences between healthy and infected quarters, which suggested that there might be a relation between the infection nature or progression and the miRNA content.
Despite the physical barriers, it is known that EVs can induce paracrine responses far from their origin (43). To evaluate whether the inflammation of one quarter influences the EVs in milk from adjacent quarters, we compared healthy quarters from both inflamed and healthy udders. We saw that the overall differences between Low SCC and Control were minimal and that only bta-miR-2285bi was upregulated, and bta-miR-2285t and bta-miR-2904 were slightly downregulated. Therefore, we concluded that healthy quarters within inflamed udders are good experimental controls in EV-research to avoid cow-bias. On the other hand, it has been reported that bta-miR-2285t abundance changes during the different phases of lactation (44), and its downregulation has been linked to low milk productivity in beef cattle (45), but also to S. aureus infection (46). Our results are in line with the assumption that infection in a single mammary gland quarter alters milk production in the adjacent quarters. Thus, further experiments should evaluate whether these changes in healthy adjacent quarters are common for chronic infections and present in earlier stages.
A dysregulation of expression levels of miRNAs can lead to chronic infections and inflammatory diseases (47). In our study, a total of 18 miRNAs were found differentially expressed between inflamed and healthy quarters. The most differentially expressed miRNAs were bta-miR-223-3p, bta-miR-142-5p and bta-miR-146b-5p. Similar results were obtained 48 hours after healthy quarters were challenged with a controlled amount of S. aureus (14, 15, 48, 49), with bta-miR-223-3p appearing as the most upregulated miRNA (14, 15). For that reason, future research on milk biomarkers for health management should be devoted to this specific miRNA. MiR-223 has key roles in inflammation and infection, and it is deregulated in many different pathologies (reviewed by (50)).
It has been shown that EVs from commercial milk contain detectable amounts of bta-miR-223, mostly in the 12K and 35K EV subsets (average normalized counts: 99.5 ± 77.03; (40). This was not the case for our Low SCC and Control samples, with an average count of 0.4 ± 1.05. This may be explained because commercial milk is composed of a pool of milk from different cows, on average displaying a high SCC than in our Low SCC and control cows. Benmoussa et al. (2019) demonstrated that human cells can take up functional bta-miR-223 from commercial milk EVs which can participate in the gene regulatory system of the recipient cells (40). It is known that thermic conditions of pasteurization are not sufficient to eliminate bioactive milk EV, and there is rising concern that continuous exposure to milk miRNAs may confer substantial risk for the development of chronic diseases, including obesity, type 2 diabetes mellitus, osteoporosis and some common cancers (reviewed by (51)). In this sense, new technologies to easily detect miRNAs in milk, like the one developed by Sánchez-Visedo et al., 2020 (12), might be advantageous to both health management and food testing.
We did not find a significant correlation between the amounts of cells in milk and the EVs concentration, suggesting that the majority of milk EVs might be released from MEC in the alveoli. In agreement, it has been shown that the majority of miRNAs contained in milk derives from MEC and that there might be a selective selection of secreted miRNAs (40). We compared our set of altered miRNAs to previously published data on in vitro culture of bovine primary MEC (52) as well as bovine immune cells (53–55). While bta-miR-223-3p, bta-miR-142-5p, bta-miR-339a-5p, bta-miR-2890, bta-miR2284ab and were reported in immune cells; other altered miRNAs, including bta-miR-181a-5p, bta-miR-19b-3p, bta-miR-27b-3p, bta-miR-374b-5p, bta-miR-21-5p, bta-miR-146b-5p, bta-miR-29a-3p, bta-miR-29b-3p and bta-miR-29c-3p could have been released by either MEC or immune cells.
The increase of immune cells in milk from inflamed quarters can also explain the higher amount of bta-miR-223-3p, and that the cow with higher SCC contains the higher amount of this miRNA. Indeed, mammary epithelial cells from the cell line MAC-T did not express higher amounts of bta-miR-223-3p after S. aureus challenge (56). This finding is also in line with previous studies in which the upregulation of bta-miR-223-3p was observed in mammary gland tissue biopsies after S. aureus (46) and Streptococcus Uberis infections (48).