PMID- 24205116 OWN - NLM STAT- MEDLINE DCOM- 20140918 LR - 20240326 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 10 DP - 2013 TI - MiR-21 in the extracellular vesicles (EVs) of cerebrospinal fluid (CSF): a platform for glioblastoma biomarker development. PG - e78115 LID - 10.1371/journal.pone.0078115 [doi] LID - e78115 AB - Glioblastoma cells secrete extra-cellular vesicles (EVs) containing microRNAs (miRNAs). Analysis of these EV miRNAs in the bio-fluids of afflicted patients represents a potential platform for biomarker development. However, the analytic algorithm for quantitative assessment of EV miRNA remains under-developed. Here, we demonstrate that the reference transcripts commonly used for quantitative PCR (including GAPDH, 18S rRNA, and hsa-miR-103) were unreliable for assessing EV miRNA. In this context, we quantitated EV miRNA in absolute terms and normalized this value to the input EV number. Using this method, we examined the abundance of miR-21, a highly over-expressed miRNA in glioblastomas, in EVs. In a panel of glioblastoma cell lines, the cellular levels of miR-21 correlated with EV miR-21 levels (p<0.05), suggesting that glioblastoma cells actively secrete EVs containing miR-21. Consistent with this hypothesis, the CSF EV miR-21 levels of glioblastoma patients (n=13) were, on average, ten-fold higher than levels in EVs isolated from the CSF of non-oncologic patients (n=13, p<0.001). Notably, none of the glioblastoma CSF harbored EV miR-21 level below 0.25 copies per EV in this cohort. Using this cut-off value, we were able to prospectively distinguish CSF derived from glioblastoma and non-oncologic patients in an independent cohort of twenty-nine patients (Sensitivity=87%; Specificity=93%; AUC=0.91, p<0.01). Our results suggest that CSF EV miRNA analysis of miR-21 may serve as a platform for glioblastoma biomarker development. FAU - Akers, Johnny C AU - Akers JC AD - Center for Theoretical and Applied Neuro-Oncology, University of California, San Diego, California, United States of America. FAU - Ramakrishnan, Valya AU - Ramakrishnan V FAU - Kim, Ryan AU - Kim R FAU - Skog, Johan AU - Skog J FAU - Nakano, Ichiro AU - Nakano I FAU - Pingle, Sandeep AU - Pingle S FAU - Kalinina, Juliya AU - Kalinina J FAU - Hua, Wei AU - Hua W FAU - Kesari, Santosh AU - Kesari S FAU - Mao, Ying AU - Mao Y FAU - Breakefield, Xandra O AU - Breakefield XO FAU - Hochberg, Fred H AU - Hochberg FH FAU - Van Meir, Erwin G AU - Van Meir EG FAU - Carter, Bob S AU - Carter BS FAU - Chen, Clark C AU - Chen CC LA - eng GR - P01 CA069246/CA/NCI NIH HHS/United States GR - R01 CA163722/CA/NCI NIH HHS/United States GR - UH2 TR000931/TR/NCATS NIH HHS/United States GR - UH3 TR000931/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131021 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Biomarkers, Tumor) RN - 0 (MIRN103 microRNA, human) RN - 0 (MIRN21 microRNA, human) RN - 0 (MicroRNAs) RN - 0 (RNA, Ribosomal, 18S) SB - IM MH - Biomarkers, Tumor/*cerebrospinal fluid MH - Cell Line, Tumor MH - Cerebrospinal Fluid/*metabolism MH - Glioblastoma/*genetics MH - Humans MH - MicroRNAs/*genetics MH - RNA, Ribosomal, 18S/genetics MH - Reverse Transcriptase Polymerase Chain Reaction PMC - PMC3804457 COIS- Competing Interests: We would like to declare that one of the co-author, Johan Skog, is an employee at Exosome Diagnostics. No other authors have any competing interests. This does not alter our adherence to all the PLOS ONE policies on sharing data and materials. EDAT- 2013/11/10 06:00 MHDA- 2014/09/19 06:00 PMCR- 2013/10/21 CRDT- 2013/11/09 06:00 PHST- 2013/05/08 00:00 [received] PHST- 2013/09/09 00:00 [accepted] PHST- 2013/11/09 06:00 [entrez] PHST- 2013/11/10 06:00 [pubmed] PHST- 2014/09/19 06:00 [medline] PHST- 2013/10/21 00:00 [pmc-release] AID - PONE-D-13-18843 [pii] AID - 10.1371/journal.pone.0078115 [doi] PST - epublish SO - PLoS One. 2013 Oct 21;8(10):e78115. doi: 10.1371/journal.pone.0078115. eCollection 2013.