IOM Ricerca Srl, Viagrande, 95029 Catania, Italy.
Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University of Messina, 98122 Messina, Italy.
Cells. 2024 Jul 31;13(15):1286. doi: 10.3390/cells13151286.
Prostate cancer is the second most common cancer in males worldwide, and its incidence is rising. Early detection is crucial for improving the outcomes, but the current screening methods have limitations. While prostate-specific antigen (PSA) testing is the most widely used screening tool, it has poor specificity, leading to a high rate of false positives and unnecessary biopsies. The existing biopsy techniques are invasive and are associated with complications. The liquid biopsy methods that analyze the biomarkers in blood or other bodily fluids offer a non-invasive and more accurate alternative for detecting and characterizing prostate tumors.
Here, we present a novel liquid biopsy method for prostate cancer based on the identification of specific proteins in the extracellular vesicles isolated from the blood of patients with prostate cancer.
We observed that a specific combination of sEV proteins is a sensitive indicator of prostate cancer. Indeed, we found that the number of clusters expressed by specific combinations of either intra-vesicular (STAT3 and CyclinD1) or surface proteins (ERBB3, ALK, and CD81) allowed us to significantly discriminate the patients with prostate cancer from the individuals with hyperplasia.
This new liquid biopsy method has the potential to improve prostate cancer screening by providing a non-invasive and more accurate diagnostic tool.
前列腺癌是全球男性第二大常见癌症,其发病率呈上升趋势。早期发现对于改善预后至关重要,但目前的筛查方法存在局限性。虽然前列腺特异性抗原(PSA)检测是最广泛使用的筛查工具,但它的特异性较差,导致假阳性率和不必要的活检率较高。现有的活检技术具有侵入性,并伴有并发症。分析血液或其他体液中生物标志物的液体活检方法为检测和描述前列腺肿瘤提供了一种非侵入性和更准确的替代方法。
在这里,我们提出了一种基于从前列腺癌患者血液中分离的细胞外囊泡中特定蛋白质鉴定的新型前列腺癌液体活检方法。
我们观察到,特定的 sEV 蛋白组合是前列腺癌的敏感指标。事实上,我们发现,特定组合的囊内蛋白(STAT3 和 CyclinD1)或表面蛋白(ERBB3、ALK 和 CD81)的表达簇数量使我们能够显著区分前列腺癌患者和增生患者。
这种新的液体活检方法有可能通过提供一种非侵入性和更准确的诊断工具来改善前列腺癌的筛查。