L1CAM is not associated with extracellular vesicles in human cerebrospinal fluid or plasma

Abstract Background: Leptomeningeal metastasis (LM) has a poor prognosis and is difficult to diagnose and predict the response of treatment. In this study, we suggest that the monitoring of changes in the concentration of extracellular vesicles in cerebrospinal fluid could help to diagnose or predict outcomes for LM.Methods: We measured nanoparticles in 472 human CSF from controls and patients including LM with both Dynamic Light Scattering (DLS) and Nanoparticle Tracking Analysis (NTA) after two-step centrifugations.Results: NTA revealed nanoparticles distributed at a median 193 nm in size, and 1.74 × 108 /ml in concentration, and those were significantly higher in LM compared to other groups (211 nm vs. 188 nm, p < 0.001 and 2.80 × 108 /ml vs. 1.49 × 108 /ml, p < 0.01, respectively). Changes in NTA-measured nanoparticles (EV from here) concentration after intra-CSF chemotherapy were further examined in non-small cell lung cancer patients with LM (n=33). Overall survival was longer for patients with increased EV than the others (442 vs. 165 days, p < 0.001). Exosome surface markers (CD9/CD63/CD81) significantly decreased in the EV-decreased group (ratio 0.64, p<0.0001). MicroRNA-21 expression decreased in this favorable prognostic group, whereas increased in the EV-decreased group (p = 0.003). Conclusions: The elevated concentration of extracellular vesicles in cerebrospinal fluid in patients with LM can be a diagnostic marker. Moreover, EV changes combined with microRNA-21 might be a biomarker for monitoring intracranial chemotherapy of LM.

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Nanoparticles in 472 Human Cerebrospinal Fluid: Changes in Extracellular Vesicle Concentration and miR-21 Expression as a Biomarker for Leptomeningeal Metastasis

Cancers ◽

10.3390/cancers12102745 ◽

2020 ◽

Vol 12 (10) ◽

pp. 2745 ◽

Cited By ~ 1

Author(s):

Kyue-Yim Lee ◽

Ji Hye Im ◽

Weiwei Lin ◽

Ho-Shin Gwak ◽

Jong Heon Kim ◽

...

Keyword(s):

Lung Cancer ◽

Cerebrospinal Fluid ◽

Small Cell Lung Cancer ◽

Cancer Patients ◽

Extracellular Vesicles ◽

Leptomeningeal Metastasis ◽

Small Cell ◽

Small Cell Lung ◽

Lung Cancer Patients ◽

Human Cerebrospinal Fluid

Leptomeningeal metastasis (LM) has a poor prognosis and is difficult to diagnose and predict the response of treatment. In this study, we suggested that the monitoring of changes in the concentration of extracellular vesicles in cerebrospinal fluid could help diagnose or predict outcomes for LM. We measured nanoparticles in 472 human cerebrospinal fluid (CSF) from patients including LM with both Dynamic Light Scattering (DLS) and Nanoparticle Tracking Analysis (NTA) after two-step centrifugations. NTA revealed that the concentration of CSF nanoparticles was significantly increased in LM compared to other groups (2.80 × 108 /mL vs. 1.49 × 108 /mL, p < 0.01). Changes in NTA-measured nanoparticles concentration after intra-CSF chemotherapy were further examined in 33 non-small cell lung cancer patients with LM. Overall survival was longer for patients with increased EV than the others (442 vs. 165 days, p < 0.001). Markers of extracellular vesicles (CD9/CD63/CD81) significantly decreased in the EV-decreased group. MicroRNA-21 expression decreased in this favorable prognostic group, whereas it increased in the EV-decreased group. In conclusion, the elevated concentration of extracellular vesicles in cerebrospinal fluid in patients with LM may be a predictive marker for survival duration. Moreover, EV changes combined with microRNA-21 might be a biomarker for monitoring the efficacy of intracranial chemotherapy of LM in non-small cell lung cancer patients.

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Nanoparticles in 472 Human Cerebrospinal Fluid: Changes in Extracellular Vesicle Concentration and miR-21 Expression as a Biomarker for Leptomeningeal Metastasis

10.21203/rs.3.rs-58850/v1 ◽

2020 ◽

Author(s):

Kyue-Yim Lee ◽

Ji Hye Im ◽

Weiwei Lin ◽

Ho-Shin Gwak ◽

Jong Heon Kim ◽

...

Keyword(s):

Cerebrospinal Fluid ◽

Extracellular Vesicles ◽

Diagnostic Marker ◽

Leptomeningeal Metastasis ◽

Extracellular Vesicle ◽

Elevated Concentration ◽

Lung Cancer Patients ◽

Human Cerebrospinal Fluid ◽

Prognostic Group ◽

193 Nm

Abstract Background Leptomeningeal metastasis (LM) has a poor prognosis and is difficult to diagnose and predict the response of treatment. In this study, we suggest that the monitoring of changes in the concentration of extracellular vesicles in cerebrospinal fluid could help to diagnose or predict outcomes for LM. Methods We measured nanoparticles in 472 human CSF from controls and patients including LM with both Dynamic Light Scattering (DLS) and Nanoparticle Tracking Analysis (NTA) after two-step centrifugations. Results NTA revealed nanoparticles distributed at a median 193 nm in size, and 1.74 × 108 /ml in concentration, and those were significantly higher in LM compared to other groups (211 nm vs. 188 nm, p < 0.001 and 2.80 × 108 /ml vs. 1.49 × 108 /ml, p < 0.01, respectively). Changes in NTA-measured nanoparticles (EV from here) concentration after intra-CSF chemotherapy were further examined in non-small cell lung cancer patients with LM (n = 33). Overall survival was longer for patients with increased EV than the others (442 vs. 165 days, p < 0.001). Exosome surface markers (CD9/CD63/CD81) significantly decreased in the EV-decreased group (ratio 0.64, p < 0.0001). MicroRNA-21 expression decreased in this favorable prognostic group, whereas increased in the EV-decreased group (p = 0.003). Conclusions The elevated concentration of extracellular vesicles in cerebrospinal fluid in patients with LM can be a diagnostic marker. Moreover, EV changes combined with microRNA-21 might be a biomarker for monitoring intracranial chemotherapy of LM.

Download Full-text