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Urinary Extracellular Vesicle Signatures as Biomarkers in Prostate Cancer Patients.

Sigrun Lange1, Darryl Ethan Bernstein2, Nikolay Dimov3

  • 1Pathobiology and Extracellular Vesicles Research Group, School of Life Sciences, University of Westminster, London W1W 6UW, UK.

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Urinary extracellular vesicles (U-EVs) show distinct proteomic profiles in prostate cancer (PCa) patients. These U-EVs offer a promising non-invasive biomarker tool for understanding PCa disease pathways.

Keywords:
KEGGapoptosisextracellular vesiclesgene ontologyimmunityliquid biopsyprostate cancerproteomestress responseurinary biomarkers

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Area of Science:

  • Urology
  • Oncology
  • Biochemistry

Background:

  • Prostate cancer (PCa) is a leading cause of cancer-related death in men.
  • Non-invasive biomarkers are crucial for early detection and monitoring of PCa.
  • Urinary extracellular vesicles (U-EVs) are emerging as promising liquid biopsy tools.

Purpose of the Study:

  • To investigate and compare the proteomic cargo of U-EVs from PCa patients (Gleason scores 6-9) with healthy controls.
  • To identify potential U-EV-based biomarkers for PCa.
  • To analyze pathway enrichment and disease-gene associations within PCa U-EV proteomes.

Main Methods:

  • U-EVs were isolated from urine samples of PCa patients and healthy individuals.
  • Proteomic profiling of U-EVs was performed using liquid chromatography-tandem mass spectrometry (LC-MS/MS).
  • Bioinformatic analyses, including Gene Ontology (GO), KEGG, and Reactome pathway enrichment, were conducted.

Main Results:

  • U-EV protein cargoes differed significantly between PCa groups and healthy controls.
  • Distinct protein hits and enriched pathways (GO, KEGG, Reactome) were identified in PCa U-EVs, particularly for higher Gleason scores (GS 8-9).
  • Enrichment analysis revealed pathways related to inflammation, cell signaling, adhesion, and immune responses in PCa U-EVs.

Conclusions:

  • U-EVs possess unique proteomic signatures that reflect the presence and stage of prostate cancer.
  • These findings support the potential of U-EVs as non-invasive biomarkers for PCa diagnosis and understanding disease mechanisms.
  • U-EV analysis can provide insights into key biological processes altered in prostate cancer patients.