PMID- 37410475 OWN - NLM STAT- MEDLINE DCOM- 20230710 LR - 20231116 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 64 IP - 10 DP - 2023 Jul 3 TI - CD63/81 Small Extracellular Vesicles in the Aqueous Humor are Retinoblastoma Associated. PG - 5 LID - 10.1167/iovs.64.10.5 [doi] LID - 5 AB - PURPOSE: Although biopsy is contraindicated in retinoblastoma (RB), the aqueous humor (AH) is a robust liquid biopsy source of molecular tumor information, facilitating biomarker discovery. Small extracellular vesicles (sEVs), promising biomarker candidates across multiple cancers, were recently identified in RB AH, but relationships between sEVs and RB clinical features are unknown. METHODS: We analyzed sEVs in 37 AH samples from 18 RB eyes of varying International Intraocular Retinoblastoma Classification (IIRC) groups and explored clinical correlations. Ten samples were collected at diagnosis (DX) and 27 during treatment (Tx). Unprocessed AH underwent Single Particle-Interferometric Reflectance Imaging Sensor (SP-IRIS) analysis for fluorescent particle count and tetraspanin immunophenotyping; counts were subsequentially converted to percentages for analysis. RESULTS: Comparing DX and Tx samples, a higher percentage of CD63/81+ sEVs was found in DX AH (16.3 +/- 11.6% vs. 5.49 +/- 3.67% P = 0.0009), with a more homogenous mono-CD63+ sEV population seen in Tx AH (43.5 +/- 14.7% vs. 28.8 +/- 9.38%, P = 0.0073). Among DX samples, CD63/81+ sEVs were most abundant in group E eyes (n = 2) compared to group D (n = 6) by count (2.75 x 105 +/- 3.40 x 105 vs. 5.95 x 103 +/- 8.16 x 103, P = 0.0006), and to group A + B (n = 2) by count (2.75 x 105 +/- 3.40 x 105 vs. 2.73 x 102 +/- 2.59 x 102, P = 0.0096) and percentage (32.1 +/- 7.98% vs. 7.79 +/- 0.02%, P = 0.0187). CONCLUSIONS: CD63/81+ sEVs enrich AH from RB eyes before treatment and those with more significant tumor burden, suggesting they are tumor-derived. Future research into their cargo may reveal mechanisms of cellular communication via sEVs in RB and novel biomarkers. FAU - Pike, Sarah AU - Pike S AD - The Vision Center, Children's Hospital Los Angeles, Los Angeles, California, United States. AD - USC Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States. FAU - Peng, Chen-Ching AU - Peng CC AD - The Vision Center, Children's Hospital Los Angeles, Los Angeles, California, United States. FAU - Neviani, Paolo AU - Neviani P AD - Extracellular Vesicle Core, Children's Hospital Los Angeles, Los Angeles, California, United States. FAU - Berry, Jesse L AU - Berry JL AD - The Vision Center, Children's Hospital Los Angeles, Los Angeles, California, United States. AD - USC Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States. AD - The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, California, United States. AD - Norris Comprehensive Cancer Center, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States. FAU - Xu, Liya AU - Xu L AD - The Vision Center, Children's Hospital Los Angeles, Los Angeles, California, United States. AD - USC Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States. AD - The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, California, United States. LA - eng GR - K08 CA232344/CA/NCI NIH HHS/United States GR - P30 CA014089/CA/NCI NIH HHS/United States PT - Journal Article PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Biomarkers) RN - 0 (CD63 protein, human) RN - 0 (Tetraspanin 30) SB - IM MH - Humans MH - *Retinoblastoma/diagnosis MH - Aqueous Humor MH - Biomarkers MH - *Extracellular Vesicles MH - *Retinal Neoplasms/diagnosis MH - Tetraspanin 30 PMC - PMC10337798 COIS- Disclosure: S. Pike, None; CC. Peng, None; P. Neviani, None; J.L. Berry, National Cancer Institute of the National Institute of Health Award Number K08CA232344 (F), The Wright Foundation (F), Children's Oncology Group/St. Baldrick's Foundation (F), The Knights Templar Eye Foundation (F), Hyundai Hope on Wheels (F), Childhood Eye Cancer Trust (F), Children's Cancer Research Fund (F), The Berle & Lucy Adams Chair in Cancer Research (F), The Larry and Celia Moh Foundation (F), The Institute for Families, Inc., Children's Hospital Los Angeles (F), Research to Prevent Blindness unrestricted grant (F), The National Cancer Institute P30CA014089 (F), A. Linn Murphree, MD, Chair in Ocular Oncology (F), and Provisional Patent "Aqueous Humor Cell Free DNA for Diagnostic and Prognostic Evaluation of Ophthalmic Disease" 62/654,160 (Berry, Xu, and Hicks) (P); L. Xu; The Knights Templar Eye Foundation (F), Children's Hospital Los Angeles Saban Research Institute, Research Career Development Award (F), and Provisional Patent "Aqueous Humor Cell Free DNA for Diagnostic and Prognostic Evaluation of Ophthalmic Disease" 62/654,160 (Berry, Xu, and Hicks) (P) EDAT- 2023/07/06 13:14 MHDA- 2023/07/10 06:42 PMCR- 2023/07/06 CRDT- 2023/07/06 11:33 PHST- 2023/07/10 06:42 [medline] PHST- 2023/07/06 13:14 [pubmed] PHST- 2023/07/06 11:33 [entrez] PHST- 2023/07/06 00:00 [pmc-release] AID - 2791276 [pii] AID - IOVS-23-37056 [pii] AID - 10.1167/iovs.64.10.5 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2023 Jul 3;64(10):5. doi: 10.1167/iovs.64.10.5.