Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions

Abstract Accurate identification of malignant lung lesions is a prerequisite for rational clinical management to reduce morbidity and mortality of lung cancer. However, classification of lung nodules into malignant and benign cases is difficult as they show similar features in computer tomography an...

Full description

Bibliographic Details
Main Authors: Junrong Li, Abu A. I. Sina, Fiach Antaw, David Fielding, Andreas Möller, Richard Lobb, Alain Wuethrich, Matt Trau
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202204207
_version_ 1797962175836323840
author Junrong Li
Abu A. I. Sina
Fiach Antaw
David Fielding
Andreas Möller
Richard Lobb
Alain Wuethrich
Matt Trau
author_facet Junrong Li
Abu A. I. Sina
Fiach Antaw
David Fielding
Andreas Möller
Richard Lobb
Alain Wuethrich
Matt Trau
author_sort Junrong Li
collection DOAJ
description Abstract Accurate identification of malignant lung lesions is a prerequisite for rational clinical management to reduce morbidity and mortality of lung cancer. However, classification of lung nodules into malignant and benign cases is difficult as they show similar features in computer tomography and sometimes positron emission tomography imaging, making invasive tissue biopsies necessary. To address the challenges in evaluating indeterminate nodules, the authors investigate the molecular profiles of small extracellular vesicles (sEVs) in differentiating malignant and benign lung nodules via a liquid biopsy‐based approach. Aiming to characterize phenotypes between malignant and benign groups, they develop a single‐molecule‐resolution‐digital‐sEV‐counting‐detection (DECODE) chip that interrogates three lung‐cancer‐associated sEV biomarkers and a generic sEV biomarker to create sEV molecular profiles. DECODE capturessEVs on a nanostructured pillar chip, confines individual sEVs, and profiles sEV biomarker expression through surface‐enhanced Raman scattering barcodes. The author utilize DECODE to generate a digitally acquired sEV molecular profiles in a cohort of 33 people, including patients with malignant and benign lung nodules, and healthy individuals. Significantly, DECODE reveals sEV‐specific molecular profiles that allow the separation of malignant from benign (area under the curve, AUC = 0.85), which is promising for non‐invasive characterisation of lung nodules found in lung cancer screening and warrants further clinincal validaiton with larger cohorts.
first_indexed 2024-04-11T01:09:15Z
format Article
id doaj.art-f81ecef562ca4861870794c81bc8d4c0
institution Directory Open Access Journal
issn 2198-3844
language English
last_indexed 2024-04-11T01:09:15Z
publishDate 2023-01-01
publisher Wiley
record_format Article
series Advanced Science
spelling doaj.art-f81ecef562ca4861870794c81bc8d4c02023-01-04T10:53:44ZengWileyAdvanced Science2198-38442023-01-01101n/an/a10.1002/advs.202204207Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung LesionsJunrong Li0Abu A. I. Sina1Fiach Antaw2David Fielding3Andreas Möller4Richard Lobb5Alain Wuethrich6Matt Trau7Centre for Personalised Nanomedicine Australian Institute for Bioengineering and Nanotechnology (AIBN) The University of Queensland Brisbane QLD 4072 AustraliaCentre for Personalised Nanomedicine Australian Institute for Bioengineering and Nanotechnology (AIBN) The University of Queensland Brisbane QLD 4072 AustraliaCentre for Personalised Nanomedicine Australian Institute for Bioengineering and Nanotechnology (AIBN) The University of Queensland Brisbane QLD 4072 AustraliaDepartment of Thoracic Medicine Royal Brisbane and Women's Hospital Herston QLD 4029 AustraliaTumour Microenvironment Laboratory QIMR Berghofer Medical Research Institute Herston Queensland 4006 AustraliaCentre for Personalised Nanomedicine Australian Institute for Bioengineering and Nanotechnology (AIBN) The University of Queensland Brisbane QLD 4072 AustraliaCentre for Personalised Nanomedicine Australian Institute for Bioengineering and Nanotechnology (AIBN) The University of Queensland Brisbane QLD 4072 AustraliaCentre for Personalised Nanomedicine Australian Institute for Bioengineering and Nanotechnology (AIBN) The University of Queensland Brisbane QLD 4072 AustraliaAbstract Accurate identification of malignant lung lesions is a prerequisite for rational clinical management to reduce morbidity and mortality of lung cancer. However, classification of lung nodules into malignant and benign cases is difficult as they show similar features in computer tomography and sometimes positron emission tomography imaging, making invasive tissue biopsies necessary. To address the challenges in evaluating indeterminate nodules, the authors investigate the molecular profiles of small extracellular vesicles (sEVs) in differentiating malignant and benign lung nodules via a liquid biopsy‐based approach. Aiming to characterize phenotypes between malignant and benign groups, they develop a single‐molecule‐resolution‐digital‐sEV‐counting‐detection (DECODE) chip that interrogates three lung‐cancer‐associated sEV biomarkers and a generic sEV biomarker to create sEV molecular profiles. DECODE capturessEVs on a nanostructured pillar chip, confines individual sEVs, and profiles sEV biomarker expression through surface‐enhanced Raman scattering barcodes. The author utilize DECODE to generate a digitally acquired sEV molecular profiles in a cohort of 33 people, including patients with malignant and benign lung nodules, and healthy individuals. Significantly, DECODE reveals sEV‐specific molecular profiles that allow the separation of malignant from benign (area under the curve, AUC = 0.85), which is promising for non‐invasive characterisation of lung nodules found in lung cancer screening and warrants further clinincal validaiton with larger cohorts.https://doi.org/10.1002/advs.202204207lung cancer screeningplasmonic nanostructuressmall extracellular vesiclessurface‐enhanced Raman scattering
spellingShingle Junrong Li
Abu A. I. Sina
Fiach Antaw
David Fielding
Andreas Möller
Richard Lobb
Alain Wuethrich
Matt Trau
Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions
Advanced Science
lung cancer screening
plasmonic nanostructures
small extracellular vesicles
surface‐enhanced Raman scattering
title Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions
title_full Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions
title_fullStr Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions
title_full_unstemmed Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions
title_short Digital Decoding of Single Extracellular Vesicle Phenotype Differentiates Early Malignant and Benign Lung Lesions
title_sort digital decoding of single extracellular vesicle phenotype differentiates early malignant and benign lung lesions
topic lung cancer screening
plasmonic nanostructures
small extracellular vesicles
surface‐enhanced Raman scattering
url https://doi.org/10.1002/advs.202204207
work_keys_str_mv AT junrongli digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT abuaisina digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT fiachantaw digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT davidfielding digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT andreasmoller digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT richardlobb digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT alainwuethrich digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions
AT matttrau digitaldecodingofsingleextracellularvesiclephenotypedifferentiatesearlymalignantandbenignlunglesions