A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer

Abstract At present, there is no validated marker to identify the subpopulation of patients with advanced gastric cancer (AGC) who might benefit from neoadjuvant chemotherapy (NACT). In view of this clinical challenge, the identification of non-invasive biomarkers for efficacy prediction of NACT in...

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Main Authors: Ting Guo, Xiao-Huan Tang, Xiang-Yu Gao, Yuan Zhou, Bo Jin, Zi-Qian Deng, Ying Hu, Xiao-Fang Xing, Zi-Yu Li, Jia-Fu Ji
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Molecular Cancer
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Online Access:https://doi.org/10.1186/s12943-022-01684-9
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author Ting Guo
Xiao-Huan Tang
Xiang-Yu Gao
Yuan Zhou
Bo Jin
Zi-Qian Deng
Ying Hu
Xiao-Fang Xing
Zi-Yu Li
Jia-Fu Ji
author_facet Ting Guo
Xiao-Huan Tang
Xiang-Yu Gao
Yuan Zhou
Bo Jin
Zi-Qian Deng
Ying Hu
Xiao-Fang Xing
Zi-Yu Li
Jia-Fu Ji
author_sort Ting Guo
collection DOAJ
description Abstract At present, there is no validated marker to identify the subpopulation of patients with advanced gastric cancer (AGC) who might benefit from neoadjuvant chemotherapy (NACT). In view of this clinical challenge, the identification of non-invasive biomarkers for efficacy prediction of NACT in patients with AGC is imperative. Herein, we aimed to develop a non-invasive, liquid-biopsy-based assay by using an exosome-derived RNAs model based on multi-omics characteristics of RNAs. We firstly used a multi-omics strategy to characterize the mRNAs, microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) profiles of circulating exosome enriched fractions in responders to NACT paired with non-responders, using RNA sequencing. Finally, numerous miRNAs, mRNAs and lncRNAs were identified to be associated with the response to NACT in patients with AGC, and it was validated in an independent cohort with promising AUC values. Furthermore, we established a 6-exosome-RNA panel that could robustly identified responders from non-responders treated with fluorouracil-based neoadjuvant chemotherapy.
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spelling doaj.art-8bb0251e79ea42508a64b5ff9aa9eedb2022-12-22T04:41:54ZengBMCMolecular Cancer1476-45982022-12-012111610.1186/s12943-022-01684-9A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancerTing Guo0Xiao-Huan Tang1Xiang-Yu Gao2Yuan Zhou3Bo Jin4Zi-Qian Deng5Ying Hu6Xiao-Fang Xing7Zi-Yu Li8Jia-Fu Ji9Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteDepartment of Biomedical Informatics, School of Basic Medical Sciences, Peking UniversityDepartment of Clinical Laboratory, Peking University First HospitalKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteBiological Sample Bank, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Division of Gastrointestinal Cancer Translational Research Laboratory, Peking University Cancer Hospital & InstituteAbstract At present, there is no validated marker to identify the subpopulation of patients with advanced gastric cancer (AGC) who might benefit from neoadjuvant chemotherapy (NACT). In view of this clinical challenge, the identification of non-invasive biomarkers for efficacy prediction of NACT in patients with AGC is imperative. Herein, we aimed to develop a non-invasive, liquid-biopsy-based assay by using an exosome-derived RNAs model based on multi-omics characteristics of RNAs. We firstly used a multi-omics strategy to characterize the mRNAs, microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) profiles of circulating exosome enriched fractions in responders to NACT paired with non-responders, using RNA sequencing. Finally, numerous miRNAs, mRNAs and lncRNAs were identified to be associated with the response to NACT in patients with AGC, and it was validated in an independent cohort with promising AUC values. Furthermore, we established a 6-exosome-RNA panel that could robustly identified responders from non-responders treated with fluorouracil-based neoadjuvant chemotherapy.https://doi.org/10.1186/s12943-022-01684-9ExosomeMulti-omics characteristics of RNAsAdvanced gastric cancerNeoadjuvant chemotherapyBiomarker panel for efficacy prediction
spellingShingle Ting Guo
Xiao-Huan Tang
Xiang-Yu Gao
Yuan Zhou
Bo Jin
Zi-Qian Deng
Ying Hu
Xiao-Fang Xing
Zi-Yu Li
Jia-Fu Ji
A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
Molecular Cancer
Exosome
Multi-omics characteristics of RNAs
Advanced gastric cancer
Neoadjuvant chemotherapy
Biomarker panel for efficacy prediction
title A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
title_full A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
title_fullStr A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
title_full_unstemmed A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
title_short A liquid biopsy signature of circulating exosome-derived mRNAs, miRNAs and lncRNAs predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
title_sort liquid biopsy signature of circulating exosome derived mrnas mirnas and lncrnas predict therapeutic efficacy to neoadjuvant chemotherapy in patients with advanced gastric cancer
topic Exosome
Multi-omics characteristics of RNAs
Advanced gastric cancer
Neoadjuvant chemotherapy
Biomarker panel for efficacy prediction
url https://doi.org/10.1186/s12943-022-01684-9
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