Extracellular vesicle analysis of plasma allows differential diagnosis of atypical pancreatic serous cystadenoma.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
06 07 2023
Historique:
received: 17 04 2023
accepted: 30 06 2023
medline: 10 7 2023
pubmed: 7 7 2023
entrez: 6 7 2023
Statut: epublish

Résumé

Increased use of cross-sectional imaging has resulted in frequent detection of incidental cystic pancreatic lesions. Serous cystadenomas (SCAs) are benign cysts that do not require surgical intervention unless symptomatic. Unfortunately, up to half of SCAs do not have typical imaging findings ("atypical SCAs"), overlap with potentially malignant precursor lesions, and thus pose a diagnostic challenge. We tested whether the analysis of circulating extracellular vesicle (EV) biomarkers using a digital EV screening technology (DEST) could enhance the discrimination of cystic pancreatic lesions and avoid unnecessary surgical intervention in these atypical SCAs. Analysis of 25 different protein biomarkers in plasma EV from 68 patients identified a putative biomarker signature of Das-1, Vimentin, Chromogranin A, and CAIX with high discriminatory power (AUC of 0.99). Analysis of plasma EV for multiplexed markers may thus be helpful in clinical decision-making.

Identifiants

pubmed: 37414831
doi: 10.1038/s41598-023-37966-5
pii: 10.1038/s41598-023-37966-5
pmc: PMC10325992
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

10969

Subventions

Organisme : NCI NIH HHS
ID : R01 CA237332
Pays : United States
Organisme : NCI NIH HHS
ID : R21 CA236561
Pays : United States

Informations de copyright

© 2023. The Author(s).

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Auteurs

Katherine S Yang (KS)

Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge St, CPZN 5206, Boston, MA, 02114, USA.
Department of Radiology, Massachusetts General Hospital, 32 Fruit St, Boston, MA, 02114, USA.

Aileen O'Shea (A)

Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge St, CPZN 5206, Boston, MA, 02114, USA.
Department of Radiology, Massachusetts General Hospital, 32 Fruit St, Boston, MA, 02114, USA.

Piotr Zelga (P)

Department of Surgery, Massachusetts General Hospital, 32 Fruit St, Boston, MA, 02114, USA.

Andrew S Liss (AS)

Department of Surgery, Massachusetts General Hospital, 32 Fruit St, Boston, MA, 02114, USA.

Carlos Fernandez Del Castillo (CF)

Department of Surgery, Massachusetts General Hospital, 32 Fruit St, Boston, MA, 02114, USA.

Ralph Weissleder (R)

Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge St, CPZN 5206, Boston, MA, 02114, USA. rweissleder@mgh.harvard.edu.
Department of Radiology, Massachusetts General Hospital, 32 Fruit St, Boston, MA, 02114, USA. rweissleder@mgh.harvard.edu.
Department of Systems Biology, Harvard Medical School, 200 Longwood Ave, Boston, MA, 02115, USA. rweissleder@mgh.harvard.edu.

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