A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy

Abstract The aim of this study was to identify a urine extracellular vesicle circular RNA (circRNA) classifier that could detect high-grade prostate cancer (PCa) of Grade Group (GG) 2 or greater. For this purpose, we used RNA sequencing to identify candidate circRNAs from urinary extracellular vesic...

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Main Authors: Ya-Di He, Wen Tao, Tao He, Bang-Yu Wang, Xiu-Mei Tang, Liang-Ming Zhang, Zhen-Quan Wu, Wei-Ming Deng, Ling-Xiao Zhang, Chun-Kui Shao, Jing Zhou, Li-Min Rong, Xin Gao, Liao-Yuan Li
Format: Article
Language:English
Published: BMC 2021-07-01
Series:Molecular Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12943-021-01388-6
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author Ya-Di He
Wen Tao
Tao He
Bang-Yu Wang
Xiu-Mei Tang
Liang-Ming Zhang
Zhen-Quan Wu
Wei-Ming Deng
Ling-Xiao Zhang
Chun-Kui Shao
Jing Zhou
Li-Min Rong
Xin Gao
Liao-Yuan Li
author_facet Ya-Di He
Wen Tao
Tao He
Bang-Yu Wang
Xiu-Mei Tang
Liang-Ming Zhang
Zhen-Quan Wu
Wei-Ming Deng
Ling-Xiao Zhang
Chun-Kui Shao
Jing Zhou
Li-Min Rong
Xin Gao
Liao-Yuan Li
author_sort Ya-Di He
collection DOAJ
description Abstract The aim of this study was to identify a urine extracellular vesicle circular RNA (circRNA) classifier that could detect high-grade prostate cancer (PCa) of Grade Group (GG) 2 or greater. For this purpose, we used RNA sequencing to identify candidate circRNAs from urinary extracellular vesicles from 11 patients with high-grade PCa and 11 case-matched patients with benign prostatic hyperplasia. Using ddPCR in a training cohort (n = 263), we built a urine extracellular vesicle circRNA classifier (Ccirc, containing circPDLIM5, circSCAF8, circPLXDC2, circSCAMP1, and circCCNT2), which was evaluated in two independent cohorts (n = 497, n = 505). Ccirc showed higher accuracy than two standard of care risk calculators (RCs) (PCPT-RC 2.0 and ERSPC-RC) in both the training cohort and the validation cohorts. In all three cohorts, this novel urine extracellular vesicle circRNA classifier plus RCs was statistically more predictive than RCs alone for predicting ≥ GG2 PCa. This assay, which does not require precollection digital rectal examination nor special handling, is repeatable, noninvasive, and can be easily implemented as part of the basic clinical workflow.
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spelling doaj.art-f58307fb212a4e9a89bcff11dd042b0a2022-12-21T22:46:22ZengBMCMolecular Cancer1476-45982021-07-012011610.1186/s12943-021-01388-6A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsyYa-Di He0Wen Tao1Tao He2Bang-Yu Wang3Xiu-Mei Tang4Liang-Ming Zhang5Zhen-Quan Wu6Wei-Ming Deng7Ling-Xiao Zhang8Chun-Kui Shao9Jing Zhou10Li-Min Rong11Xin Gao12Liao-Yuan Li13Centre of Physical Examination, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Urology, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Urology, The Third Affiliated Hospital, Sun Yat-Sen UniversityBreast Surgery, The Third Affiliated Hospital, Sun Yat-Sen UniversityCentre of Physical Examination, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Spine Surgery, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Urology, Foshan First Municipal People’s Hospital, Sun Yat-Sen UniversityDepartment of Urology, The First Affiliated Hospital, University of South ChinaDepartment of Urology, The First Affiliated Hospital, Hainan Medical CollegeDepartment of Pathology, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Pathology, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Spine Surgery, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Urology, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Urology, The Third Affiliated Hospital, Sun Yat-Sen UniversityAbstract The aim of this study was to identify a urine extracellular vesicle circular RNA (circRNA) classifier that could detect high-grade prostate cancer (PCa) of Grade Group (GG) 2 or greater. For this purpose, we used RNA sequencing to identify candidate circRNAs from urinary extracellular vesicles from 11 patients with high-grade PCa and 11 case-matched patients with benign prostatic hyperplasia. Using ddPCR in a training cohort (n = 263), we built a urine extracellular vesicle circRNA classifier (Ccirc, containing circPDLIM5, circSCAF8, circPLXDC2, circSCAMP1, and circCCNT2), which was evaluated in two independent cohorts (n = 497, n = 505). Ccirc showed higher accuracy than two standard of care risk calculators (RCs) (PCPT-RC 2.0 and ERSPC-RC) in both the training cohort and the validation cohorts. In all three cohorts, this novel urine extracellular vesicle circRNA classifier plus RCs was statistically more predictive than RCs alone for predicting ≥ GG2 PCa. This assay, which does not require precollection digital rectal examination nor special handling, is repeatable, noninvasive, and can be easily implemented as part of the basic clinical workflow.https://doi.org/10.1186/s12943-021-01388-6Prostate cancerCircular RNA (circRNA)DiagnosisUrineExtracellular vesicle
spellingShingle Ya-Di He
Wen Tao
Tao He
Bang-Yu Wang
Xiu-Mei Tang
Liang-Ming Zhang
Zhen-Quan Wu
Wei-Ming Deng
Ling-Xiao Zhang
Chun-Kui Shao
Jing Zhou
Li-Min Rong
Xin Gao
Liao-Yuan Li
A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy
Molecular Cancer
Prostate cancer
Circular RNA (circRNA)
Diagnosis
Urine
Extracellular vesicle
title A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy
title_full A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy
title_fullStr A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy
title_full_unstemmed A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy
title_short A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10 ng/mL at initial biopsy
title_sort urine extracellular vesicle circrna classifier for detection of high grade prostate cancer in patients with prostate specific antigen 2 10 ng ml at initial biopsy
topic Prostate cancer
Circular RNA (circRNA)
Diagnosis
Urine
Extracellular vesicle
url https://doi.org/10.1186/s12943-021-01388-6
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