Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application

Glioblastoma multiforme (GBM) is the most common malignant primary brain tumor in adults. The median survival rate of GBM patients is approximately 14 months and tumor recurrence is almost inevitable. With the increased use of immunotherapy, immune response and edema found on posttreatment magnetic...

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Main Authors: Yuzhen Jiang, Jiaying Qian, Jun Yang, Xiaoling Yan, Xiaoying Xue, Qing Chang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Glioma
Subjects:
Online Access:http://www.jglioma.com/article.asp?issn=2589-6113;year=2018;volume=1;issue=5;spage=159;epage=167;aulast=Jiang
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author Yuzhen Jiang
Jiaying Qian
Jun Yang
Xiaoling Yan
Xiaoying Xue
Qing Chang
author_facet Yuzhen Jiang
Jiaying Qian
Jun Yang
Xiaoling Yan
Xiaoying Xue
Qing Chang
author_sort Yuzhen Jiang
collection DOAJ
description Glioblastoma multiforme (GBM) is the most common malignant primary brain tumor in adults. The median survival rate of GBM patients is approximately 14 months and tumor recurrence is almost inevitable. With the increased use of immunotherapy, immune response and edema found on posttreatment magnetic resonance imaging (MRI) may be misinterpreted as tumor progression. Distinguishing the true radiographic progression from pseudo-progression by MRI is often difficult. Peripheral biomarkers are needed to identify the true tumor recurrence and evaluate therapy response. Exosomes isolated from both blood and cerebrospinal fluid are cargo containers utilized by eukaryotic cells to exchange biomolecules such as proteins, mRNA, and microRNA (miRNA). These biomolecules participate in cell-cell communication, cell migration, angiogenesis, and tumor growth. Isolation of RNA (including miRNA) from exosomes can yield a greater concentration compared with circulating mRNA directly taken from body fluid as molecules within exosomes are not degraded by nucleases and proteases. Not only are exosomes a novel approach to biomarker detection, but they may also provide potential therapeutic interventional targets. In addition, exosomes are critical in miRNA replacement therapy as they can act as a carrier for anticancer drug delivery. This review focuses on the advances in basic research of exosome-related potential biomarkers and discusses their potential application in the diagnosis, prognosis, and treatment of GBM.
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spelling doaj.art-74162090e8384395a6ee11b86c5d07812022-12-22T01:12:14ZengWolters Kluwer Medknow PublicationsGlioma2589-61132589-61212018-01-011515916710.4103/glioma.glioma_35_18Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical applicationYuzhen JiangJiaying QianJun YangXiaoling YanXiaoying XueQing ChangGlioblastoma multiforme (GBM) is the most common malignant primary brain tumor in adults. The median survival rate of GBM patients is approximately 14 months and tumor recurrence is almost inevitable. With the increased use of immunotherapy, immune response and edema found on posttreatment magnetic resonance imaging (MRI) may be misinterpreted as tumor progression. Distinguishing the true radiographic progression from pseudo-progression by MRI is often difficult. Peripheral biomarkers are needed to identify the true tumor recurrence and evaluate therapy response. Exosomes isolated from both blood and cerebrospinal fluid are cargo containers utilized by eukaryotic cells to exchange biomolecules such as proteins, mRNA, and microRNA (miRNA). These biomolecules participate in cell-cell communication, cell migration, angiogenesis, and tumor growth. Isolation of RNA (including miRNA) from exosomes can yield a greater concentration compared with circulating mRNA directly taken from body fluid as molecules within exosomes are not degraded by nucleases and proteases. Not only are exosomes a novel approach to biomarker detection, but they may also provide potential therapeutic interventional targets. In addition, exosomes are critical in miRNA replacement therapy as they can act as a carrier for anticancer drug delivery. This review focuses on the advances in basic research of exosome-related potential biomarkers and discusses their potential application in the diagnosis, prognosis, and treatment of GBM.http://www.jglioma.com/article.asp?issn=2589-6113;year=2018;volume=1;issue=5;spage=159;epage=167;aulast=JiangBiomarkerclinical applicationexosomeglioblastomatumor microenvironment
spellingShingle Yuzhen Jiang
Jiaying Qian
Jun Yang
Xiaoling Yan
Xiaoying Xue
Qing Chang
Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application
Glioma
Biomarker
clinical application
exosome
glioblastoma
tumor microenvironment
title Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application
title_full Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application
title_fullStr Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application
title_full_unstemmed Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application
title_short Advances in exosome-related biomarkers for glioblastoma: Basic research and clinical application
title_sort advances in exosome related biomarkers for glioblastoma basic research and clinical application
topic Biomarker
clinical application
exosome
glioblastoma
tumor microenvironment
url http://www.jglioma.com/article.asp?issn=2589-6113;year=2018;volume=1;issue=5;spage=159;epage=167;aulast=Jiang
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AT junyang advancesinexosomerelatedbiomarkersforglioblastomabasicresearchandclinicalapplication
AT xiaolingyan advancesinexosomerelatedbiomarkersforglioblastomabasicresearchandclinicalapplication
AT xiaoyingxue advancesinexosomerelatedbiomarkersforglioblastomabasicresearchandclinicalapplication
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