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    Home > Active Ingredient News > Urinary System > Molecular Cancer Li Liaoyuan’s team at Sun Yat-sen University has constructed a urine extracellular vesicle circRNA classifier to better diagnose prostate cancer

    Molecular Cancer Li Liaoyuan’s team at Sun Yat-sen University has constructed a urine extracellular vesicle circRNA classifier to better diagnose prostate cancer

    • Last Update: 2021-10-02
    • Source: Internet
    • Author: User
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    Editor’s note iNature is China’s largest academic official account.
    It is jointly created by the doctoral team of Tsinghua University, Harvard University, Chinese Academy of Sciences and other units.
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    .

    iNature prostate cancer (PCa) is the second most common cancer in men
    .

    Currently, serum prostate-specific antigen (PSA) is the only widely used biomarker for prostate cancer
    .

    Unfortunately, the low specificity (25-40%) of PSA in the gray area of ​​the so-called PSA level of 2.
    0-10.
    0 ng/mL has led to a significant increase in the detection of benign unnecessary biopsies and clinically indolent diseases
    .

    Therefore, there is an urgent need for more precise measures to identify PCa with clinical significance
    .

    On July 23, 2021, Li Liaoyuan’s team from Sun Yat-sen University published an online publication titled "A urine extracellular vesicle circRNA classifier for detection of high-grade prostate cancer in patients with prostate-specific antigen 2–10" in Molecular Cancer (IF=27.
    40).
    ng/mL at initial biopsy" research paper, the purpose of this research is to determine a urine extracellular vesicle circular RNA (circRNA) classifier that can detect grade group (GG) 2 or higher Prostate cancer (PCa)
    .

    To this end, the study used RNA sequencing to identify candidate circRNAs from the urine extracellular vesicles of 11 high-grade prostate cancer patients and 11 case-matched benign prostatic hyperplasia patients
    .

    Using ddPCR in the training cohort (n = 263), we constructed a urine extracellular vesicle circRNA classifier (Ccirc, including circPDLIM5, circSCAF8, circPLXDC2, circSCAMP1 and circCCNT2), and evaluated it in two independent cohorts (n = 497, n = 505)
    .

    Ccirc showed higher accuracy than the two standard care risk calculators (RC) (PCPT-RC 2.
    0 and ERSPC-RC) in both the training cohort and the validation cohort
    .

    In all three cohorts, this new urine extracellular vesicle circRNA classifier plus RC was statistically more predictive than RC alone in predicting ≥ GG2 PCa
    .

    This test does not require pre-collection of digital rectal examination or special treatment, is reproducible, non-invasive, and can be easily implemented as part of the basic clinical workflow
    .

    Prostate cancer (PCa) is the second most common cancer in men
    .

    Currently, serum prostate-specific antigen (PSA) is the only widely used biomarker for prostate cancer
    .

    Unfortunately, the low specificity (25-40%) of PSA in the gray area of ​​the so-called PSA level of 2.
    0-10.
    0 ng/mL has led to a significant increase in the detection of benign unnecessary biopsies and clinically indolent diseases
    .

    Therefore, there is an urgent need for more precise measures to identify PCa with clinical significance
    .

    According to reports, many non-coding RNAs (for example, microRNA, long-chain non-coding RNA, circular RNA [circRNA]) play a key role in cancer progression, showing great potential to influence cancer diagnosis
    .

    Especially in PCa, 76,311 circRNAs have been identified through RNA sequencing of tumor specimens
    .

    Interestingly, cancer-specific non-coding RNAs have been identified in extracellular vesicles
    .

    Compared with linear RNAs, circRNAs have covalently linked ends of a single RNA molecule and exhibit higher stability, which makes them more advantageous as potential molecular diagnostic markers
    .

    In this study, the aim was to analyze the circRNA expression profile of urine-derived extracellular vesicles in high-grade PCa to develop a multi-circRNA-based classifier to detect high-grade PCa during initial biopsy
    .

    The study evaluated the performance of this urine extracellular vesicle circRNA classifier in a training cohort and externally verified it in two large independent cohorts
    .

    The study also compared the performance of the test with two standard Care Risk Calculators (RC), the Prostate Cancer Prevention Trial (PCPT)-RC 2.
    0 and the European Randomized Study of Prostate Cancer Screening (ERSPC)-RC
    .

    The study used RNA sequencing to identify candidate circRNAs from the urine extracellular vesicles of 11 high-grade prostate cancer patients and 11 case-matched benign prostatic hyperplasia patients
    .

    Using ddPCR in the training cohort (n = 263), we constructed a urine extracellular vesicle circRNA classifier (Ccirc, including circPDLIM5, circSCAF8, circPLXDC2, circSCAMP1 and circCCNT2), and evaluated it in two independent cohorts (n = 497, n = 505)
    .

    Ccirc showed higher accuracy than the two standard care risk calculators (RC) (PCPT-RC 2.
    0 and ERSPC-RC) in both the training cohort and the validation cohort
    .

    In all three cohorts, this new urine extracellular vesicle circRNA classifier plus RC was statistically more predictive than RC alone in predicting ≥ GG2 PCa
    .

    This test does not require pre-collection of digital rectal examination or special treatment, is reproducible, non-invasive, and can be easily implemented as part of the basic clinical workflow
    .

    Reference message: https://molecular-cancer.
    biomedcentral.
    com/articles/10.
    1186/s12943-021-01388-6
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