Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients

Abstract Neuroendocrine prostate cancer (NEPC), a highly aggressive variant of castration-resistant prostate cancer (CRPC), often emerges upon treatment with androgen pathway inhibitors, via neuroendocrine differentiation. Currently, NEPC diagnosis is challenging as available markers are not suffici...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Divya Bhagirath, Michael Liston, Theresa Akoto, Byron Lui, Barbara A. Bensing, Ashok Sharma, Sharanjot Saini
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/d5214699fc2a4b7883f1e1dd59762ab6
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d5214699fc2a4b7883f1e1dd59762ab6
record_format dspace
spelling oai:doaj.org-article:d5214699fc2a4b7883f1e1dd59762ab62021-12-02T18:03:31ZNovel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients10.1038/s41598-021-87441-22045-2322https://doaj.org/article/d5214699fc2a4b7883f1e1dd59762ab62021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87441-2https://doaj.org/toc/2045-2322Abstract Neuroendocrine prostate cancer (NEPC), a highly aggressive variant of castration-resistant prostate cancer (CRPC), often emerges upon treatment with androgen pathway inhibitors, via neuroendocrine differentiation. Currently, NEPC diagnosis is challenging as available markers are not sufficiently specific. Our objective was to identify novel, extracellular vesicles (EV)-based biomarkers for diagnosing NEPC. Towards this, we performed small RNA next generation sequencing in serum EVs isolated from a cohort of CRPC patients with adenocarcinoma characteristics (CRPC-Adeno) vs CRPC-NE and identified significant dysregulation of 182 known and 4 novel miRNAs. We employed machine learning algorithms to develop an ‘EV-miRNA classifier’ that could robustly stratify ‘CRPC-NE’ from ‘CRPC-Adeno’. Examination of protein repertoire of exosomes from NEPC cellular models by mass spectrometry identified thrombospondin 1 (TSP1) as a specific biomarker. In view of our results, we propose that a miRNA panel and TSP1 can be used as novel, non-invasive tools to identify NEPC and guide treatment decisions. In conclusion, our study identifies for the first time, novel non-invasive exosomal/extracellular vesicle based biomarkers for detecting neuroendocrine differentiation in advanced castration resistant prostate cancer patients with important translational implications in clinical management of these patients that is currently extremely challenging.Divya BhagirathMichael ListonTheresa AkotoByron LuiBarbara A. BensingAshok SharmaSharanjot SainiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-16 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Divya Bhagirath
Michael Liston
Theresa Akoto
Byron Lui
Barbara A. Bensing
Ashok Sharma
Sharanjot Saini
Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
description Abstract Neuroendocrine prostate cancer (NEPC), a highly aggressive variant of castration-resistant prostate cancer (CRPC), often emerges upon treatment with androgen pathway inhibitors, via neuroendocrine differentiation. Currently, NEPC diagnosis is challenging as available markers are not sufficiently specific. Our objective was to identify novel, extracellular vesicles (EV)-based biomarkers for diagnosing NEPC. Towards this, we performed small RNA next generation sequencing in serum EVs isolated from a cohort of CRPC patients with adenocarcinoma characteristics (CRPC-Adeno) vs CRPC-NE and identified significant dysregulation of 182 known and 4 novel miRNAs. We employed machine learning algorithms to develop an ‘EV-miRNA classifier’ that could robustly stratify ‘CRPC-NE’ from ‘CRPC-Adeno’. Examination of protein repertoire of exosomes from NEPC cellular models by mass spectrometry identified thrombospondin 1 (TSP1) as a specific biomarker. In view of our results, we propose that a miRNA panel and TSP1 can be used as novel, non-invasive tools to identify NEPC and guide treatment decisions. In conclusion, our study identifies for the first time, novel non-invasive exosomal/extracellular vesicle based biomarkers for detecting neuroendocrine differentiation in advanced castration resistant prostate cancer patients with important translational implications in clinical management of these patients that is currently extremely challenging.
format article
author Divya Bhagirath
Michael Liston
Theresa Akoto
Byron Lui
Barbara A. Bensing
Ashok Sharma
Sharanjot Saini
author_facet Divya Bhagirath
Michael Liston
Theresa Akoto
Byron Lui
Barbara A. Bensing
Ashok Sharma
Sharanjot Saini
author_sort Divya Bhagirath
title Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
title_short Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
title_full Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
title_fullStr Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
title_full_unstemmed Novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
title_sort novel, non-invasive markers for detecting therapy induced neuroendocrine differentiation in castration-resistant prostate cancer patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d5214699fc2a4b7883f1e1dd59762ab6
work_keys_str_mv AT divyabhagirath novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
AT michaelliston novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
AT theresaakoto novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
AT byronlui novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
AT barbaraabensing novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
AT ashoksharma novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
AT sharanjotsaini novelnoninvasivemarkersfordetectingtherapyinducedneuroendocrinedifferentiationincastrationresistantprostatecancerpatients
_version_ 1718378715806695424