PMID- 36964893 OWN - NLM STAT- MEDLINE DCOM- 20230721 LR - 20230721 IS - 2211-3436 (Electronic) IS - 2211-3428 (Linking) VI - 46 IP - 4 DP - 2023 Aug TI - Preliminary study using a small plasma extracellular vesicle miRNA panel as a potential biomarker for early diagnosis and prognosis in laryngeal cancer. PG - 1015-1030 LID - 10.1007/s13402-023-00792-y [doi] AB - PURPOSE: Plasma extracellular vesicle (EV) miRNAs are important biomarkers for body fluid biopsy. The purpose of this study was to screen and construct a plasma small EV (sEV) miRNA panel as a biomarker for diagnosis and prognosis in laryngeal squamous cell carcinoma (LSCC). METHODS: Plasma sEV miRNAs from 6 LSCC patients with three typical anatomical sites and 3 normal controls (NCs) were analyzed by next-generation sequencing. The aberrant expression profile of sEV miRNAs was compared with the online databases of LSCC to construct and verify the diagnostic and prognostic panel by machine learning. Additionally, quantitative real-time polymerase chain reaction (qRT‒PCR) was performed to validate the diagnostic efficacy of the screened miRNAs in an independent clinical cohort. RESULTS: A plasma sEV miRNA panel (consisting of hsa-miR-139-3p, hsa-miR-486-5p, hsa-miR-944, hsa-miR-320b and hsa-miR-455-5p) was successfully constructed for the early diagnosis and prognosis of LSCC and showed good predictive potential with AUCs of 0.782, 1.000, 0.716, and 0.875 by an artificial neural network (ANN) panel in independent datasets. This panel was further validated in an independent cohort consisting of 84 clinical cases (48 LSCC and 36 NCs). In the validation cohort, the AUC of the 5 individual miRNAs ranged from 0.721 to 0.837. The accuracy was further increased by the logistic model, which further increased the AUC to 0.959 by adjusting for the number of miRNAs. The miRNA‒mRNA regulatory network and immune function analysis revealed the possible underlying pathogenesis of LSCC. CONCLUSION: Plasma sEV miRNA panels can be promising plasma biomarkers for predicting early diagnosis and prognosis in LSCC. CI - (c) 2023. Springer Nature Switzerland AG. FAU - Zhang, Haopeng AU - Zhang H AD - Department of Otolaryngology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Chen, Zhengxun AU - Chen Z AD - Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Eye & ENT Hospital of Fudan University, 83 Fenyang Road, 200031, Shanghai, China. FAU - Huang, Qiang AU - Huang Q AD - Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Eye & ENT Hospital of Fudan University, 83 Fenyang Road, 200031, Shanghai, China. FAU - Guo, Yang AU - Guo Y AD - Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Eye & ENT Hospital of Fudan University, 83 Fenyang Road, 200031, Shanghai, China. FAU - Wang, Mei AU - Wang M AD - Department of Otolaryngology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. wangmeient@163.com. FAU - Wu, Chunping AU - Wu C AUID- ORCID: 0000-0002-0712-8715 AD - Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Eye & ENT Hospital of Fudan University, 83 Fenyang Road, 200031, Shanghai, China. wcpeent@163.com. LA - eng PT - Journal Article DEP - 20230325 PL - Netherlands TA - Cell Oncol (Dordr) JT - Cellular oncology (Dordrecht) JID - 101552938 RN - 0 (Biomarkers, Tumor) RN - 0 (MicroRNAs) RN - 0 (MIRN139 microRNA, human) RN - 0 (MIRN455 microRNA, human) RN - 0 (MIRN-944 microRNA, human) SB - IM MH - Humans MH - *Laryngeal Neoplasms/diagnosis/genetics/pathology MH - Biomarkers, Tumor/genetics MH - Gene Expression Profiling MH - *Carcinoma, Squamous Cell/diagnosis/genetics/pathology MH - Gene Expression Regulation, Neoplastic MH - Early Detection of Cancer MH - *MicroRNAs/metabolism MH - Squamous Cell Carcinoma of Head and Neck/genetics MH - *Extracellular Vesicles/genetics MH - *Head and Neck Neoplasms/genetics OTO - NOTNLM OT - Diagnosis OT - Extracellular vesicles OT - Laryngeal squamous cell carcinoma OT - Prognosis OT - miRNAs EDAT- 2023/03/26 06:00 MHDA- 2023/07/21 06:42 CRDT- 2023/03/25 12:19 PHST- 2023/02/26 00:00 [accepted] PHST- 2023/07/21 06:42 [medline] PHST- 2023/03/26 06:00 [pubmed] PHST- 2023/03/25 12:19 [entrez] AID - 10.1007/s13402-023-00792-y [pii] AID - 10.1007/s13402-023-00792-y [doi] PST - ppublish SO - Cell Oncol (Dordr). 2023 Aug;46(4):1015-1030. doi: 10.1007/s13402-023-00792-y. Epub 2023 Mar 25.