PMID- 34294841 OWN - NLM STAT- MEDLINE DCOM- 20211109 LR - 20211109 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Jul 22 TI - Diagnostic potential of serum extracellular vesicles expressing prostate-specific membrane antigen in urologic malignancies. PG - 15000 LID - 10.1038/s41598-021-94603-9 [doi] LID - 15000 AB - We aimed to develop a sandwich ELISA to detect prostate-specific membrane antigen (PSMA) on small extracellular vesicles (EVs) using T-cell immunoglobulin domain and mucin domain-containing protein 4 (Tim4) as a capture molecule for EVs and to evaluate its diagnostic potential in urologic malignancies. First, we optimized the conditions for sandwich ELISA measuring the PSMA level on EVs captured from serum by Tim4 and found that the use of highly-purified EVs released from Tim4 that had captured EVs in serum reduced the background. Second, we confirmed its validity by studying mouse xenograft model for prostate cancer (PC). Lastly, we measured PSMA-EVs in serum of patients with urologic malignancies. The PSMA-EV levels were significantly higher in metastatic PC and castration-resistant PC (CRPC) patients than in therapy-naive PC patients. In renal cell carcinoma (RCC) patients, PSMA-EVs were elevated in those with metastasis compared with those without metastasis, which may reflect the development of the neovasculature positive for PSMA in tumors. In conclusion, we developed a sandwich ELISA for detection of PSMA-EVs using highly-purified EVs isolated from serum by Tim4. Our results suggest that PSMA-EVs may be useful to diagnose and monitor not only PC but also RCC and possibly other hypervascular solid tumors. CI - (c) 2021. The Author(s). FAU - Kawakami, Kyojiro AU - Kawakami K AD - Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. FAU - Fujita, Yasunori AU - Fujita Y AD - Biological Process of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. FAU - Kato, Taku AU - Kato T AD - Department of Urology, Asahi University Hospital, 3-23 Hashimotocho, Gifu, Gifu, 500-8523, Japan. FAU - Horie, Kengo AU - Horie K AD - Department of Urology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, Gifu, 501-1193, Japan. FAU - Koie, Takuya AU - Koie T AD - Department of Urology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, Gifu, 501-1193, Japan. FAU - Umezawa, Keitaro AU - Umezawa K AD - Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. FAU - Tsumoto, Hiroki AU - Tsumoto H AD - Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. FAU - Miura, Yuri AU - Miura Y AD - Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. FAU - Katagiri, Yasuo AU - Katagiri Y AD - Department of Pathology, Gifu University Hospital, 1-1 Yanagido, Gifu, Gifu, 501-1193, Japan. FAU - Miyazaki, Tatsuhiko AU - Miyazaki T AD - Department of Pathology, Gifu University Hospital, 1-1 Yanagido, Gifu, Gifu, 501-1193, Japan. FAU - Ohsawa, Ikuroh AU - Ohsawa I AD - Biological Process of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. FAU - Mizutani, Kosuke AU - Mizutani K AD - Department of Urology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, Gifu, 501-1193, Japan. mizutech@gifu-u.ac.jp. FAU - Ito, Masafumi AU - Ito M AD - Biological Process of Aging, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. mito@tmig.or.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210722 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Membrane Proteins) RN - 0 (TIMD4 protein, human) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Animals MH - Carcinoma, Renal Cell/*diagnosis/metabolism/pathology MH - Cell Line, Tumor MH - Enzyme-Linked Immunosorbent Assay MH - Extracellular Vesicles/*metabolism MH - Humans MH - Kidney Neoplasms/*diagnosis/metabolism/pathology MH - Male MH - Membrane Proteins/*metabolism MH - Mice MH - Neoplasm Transplantation MH - Prostate-Specific Antigen/*metabolism MH - Prostatic Neoplasms/*diagnosis/metabolism/pathology MH - Sensitivity and Specificity PMC - PMC8298409 COIS- M.I. reports a grant from The Grant-in-Aid from The Ministry of Education, Culture, Sports, Science, and Technology of Japan. Gifu University (K.M.), Tokyo Metropolitan Institute of Gerontology (K.K., Y.F., and M.I.) and FUJIFILM Wako Pure Chemical Corporation (Osaka, Japan) have filed patent application related to this research. The other authors declare no conflicts of interest associated with this manuscript. EDAT- 2021/07/24 06:00 MHDA- 2021/11/10 06:00 PMCR- 2021/07/22 CRDT- 2021/07/23 06:31 PHST- 2021/02/06 00:00 [received] PHST- 2021/07/09 00:00 [accepted] PHST- 2021/07/23 06:31 [entrez] PHST- 2021/07/24 06:00 [pubmed] PHST- 2021/11/10 06:00 [medline] PHST- 2021/07/22 00:00 [pmc-release] AID - 10.1038/s41598-021-94603-9 [pii] AID - 94603 [pii] AID - 10.1038/s41598-021-94603-9 [doi] PST - epublish SO - Sci Rep. 2021 Jul 22;11(1):15000. doi: 10.1038/s41598-021-94603-9.