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Cancer Epidemiology, Biomarkers & Prevention
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Potential Markers from Serum-Purified Exosomes for Detecting Oral Squamous Cell Carcinoma Metastasis

Cuiping Li, Yang Zhou, Junjun Liu, Xiaoping Su, Hao Qin, Suhua Huang, Xuanping Huang and Nuo Zhou
Cuiping Li
1Guangxi Key Laboratory of the Rehabilitation and Reconstruction of Oral and Maxillofacial Research; Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment; Guangxi Clinical Research Center for Craniofacial Deformity, College of Stomatology, Guangxi Medical University, Nanning, P.R. China.
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Yang Zhou
2School of Information and Management, Guangxi Medical University, Nanning, P.R. China.
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Junjun Liu
3Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning, P.R. China.
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Xiaoping Su
1Guangxi Key Laboratory of the Rehabilitation and Reconstruction of Oral and Maxillofacial Research; Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment; Guangxi Clinical Research Center for Craniofacial Deformity, College of Stomatology, Guangxi Medical University, Nanning, P.R. China.
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Hao Qin
3Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning, P.R. China.
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Suhua Huang
1Guangxi Key Laboratory of the Rehabilitation and Reconstruction of Oral and Maxillofacial Research; Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment; Guangxi Clinical Research Center for Craniofacial Deformity, College of Stomatology, Guangxi Medical University, Nanning, P.R. China.
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Xuanping Huang
1Guangxi Key Laboratory of the Rehabilitation and Reconstruction of Oral and Maxillofacial Research; Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment; Guangxi Clinical Research Center for Craniofacial Deformity, College of Stomatology, Guangxi Medical University, Nanning, P.R. China.
3Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning, P.R. China.
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  • For correspondence: gxzhounuo@sina.cn hxp120@126.com
Nuo Zhou
1Guangxi Key Laboratory of the Rehabilitation and Reconstruction of Oral and Maxillofacial Research; Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment; Guangxi Clinical Research Center for Craniofacial Deformity, College of Stomatology, Guangxi Medical University, Nanning, P.R. China.
3Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning, P.R. China.
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  • For correspondence: gxzhounuo@sina.cn hxp120@126.com
DOI: 10.1158/1055-9965.EPI-18-1122 Published October 2019
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  • Figure 1.
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    Figure 1.

    The characterization of SEs. The pictures of transmission electron microscopy (A) and nanosight analysis with Flow NanoAnalyzer (A1) of SEs preprocessed from the HC group. The pictures of transmission electron microscopy (B) and nanosight analysis with Flow NanoAnalyzer (B1) of SEs preprocessed from the OSCC with LNM group. The pictures of transmission electron microscopy (C) and nanosight analysis with Flow NanoAnalyzer (C1) of SEs preprocessed from the OSCC with NLNM group. D, SE markers identified by Western blotting.

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    Figure 2.

    Bioinformatics analysis of DEPs. GO classification analysis (A1) and KEGG analysis (A2) of DEPs in OSCC-LNM relative to HC. GO classification analysis (B1) and KEGG analysis (B2) of DEPs in OSCC-LNM relative to OSCC-NLNM. GO classification analysis (C1) and KEGG analysis (C2) of all identified proteins. D, The hierarchical clustering representation of DEPs identified (D1, OSCC with LNM vs. HC; D2, OSCC with LNM vs. OSCC with NLNM). E, Common DEPs identified between OSCC with LNM vs. HC group and OSCC with LNM vs. OSCC with NLNM group. BP, biological processes; CC, cellular component; CP, cellular processes; EIP, environmental information processing; GIP, genetic information processing; M, metabolism; MF, molecular functions; OS, organismal systems.

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    Figure 3.

    Western blot validation of MS/MS data. Quantification of the expression levels of PF4V1, CXCL7, and F13A1 from Western blotting. “HC,” “LNM,” and “NLNM” represent the SEs of individual HCs, OSCC with LNM patients, and OSCC with NLNM patients, respectively.

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    Figure 4.

    ROC analysis of the newly developed biomarker panels. ROC curves of CXCL7 and ApoA1 expression levels in SE, serum, whole blood, and the combinations of the three specimens are shown for differentiating OSCC with LNM vs. OSCC with NLNM and HC group (A for CXCL7, C for ApoA1), and OSCC vs. HC groups (B for CXCL7, D for ApoA1). ROC curves of PF4V1, CXCL7, ApoA1, and the combinations of the three novel biomarkers are shown for differentiating OSCC with LNM vs. OSCC with NLNM and HC group (E), and OSCC vs. HC groups (F). ROC curves of F13A1 in whole blood, ApoA1 in serum, and the combinations are shown for differentiating OSCC with LNM vs. OSCC with NLNM and HC group (G), and OSCC vs. HC groups (H).

Tables

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  • Additional Files
  • Table 1.

    Comparison of DEPs identified in SEs of the OSCC-LNM group versus the HC group

    NumberAccession numberAbbreviationFull nameMolecular weight (kDa)Sequence lengthQ valueaScorebOSCC-LNM/HCP valueExpression
    1sp|P04275|VWFvon Willebrand factor309.2628130157.033.43264790.005↑
    2tr|D3DP13|FGBFibrinogen beta chain, isoform CRA_e39.7363440100.23.16980380.008↑
    3tr|B4E1I8|LRG1cDNA FLJ54228, highly similar to leucine-rich alpha-2-glycoprotein36.494330056.2392.84208430.029↑
    4tr|Q6LAM1|CFIHeavy chain of factor I (fragment)35.883321031.8912.40307730.002↑
    5tr|A2J1M2|ENSG00000223931Rheumatoid factor RF-IP9 (fragment)10.54998030.4412.20350860.028↑
    6sp|P02671|FGAFibrinogen alpha chain94.972866088.9172.05092670.006↑
    7tr|A0A125QYY9|ENSG00000223931IBM-B2 heavy-chain variable region (fragment)13.569123098.8951.89358520.003↑
    8tr|A0A0F7SYK7|ENSG00000223931IGHV1-46 protein (fragment)10.17391015.4221.82748230.027↑
    9tr|A0A024RAA7|C1QCComplement component 1, q subcomponent, C chain, isoform CRA_a25.773245094.9341.81698170.003↑
    10tr|V9GYE7|CFHR2Complement factor H-related protein 228.912254024.4881.64605150.002↑
    11tr|A8K2T4|C7cDNA FLJ78207, highly similar to human complement protein component C7 mRNA93.4068430323.311.60753090.040↑
    12sp|Q06033|ITIH3Inter-alpha-trypsin inhibitor heavy-chain H399.848890082.3341.59613850.019↑
    13tr|Q6N091|ENSG00000223931Uncharacterized protein DKFZp686C02220 (fragment)54.159500063.2671.54606530.030↑
    14tr|A0A0 × 9UWK7|ENSG00000223931MS-D4 heavy-chain variable region (fragment)13.525122076.3211.54185790.035↑
    15tr|A8K008|ENSG00000223931Uncharacterized protein51.596472062.7431.50191360.016↑
    16sp|P10909|CLUClusterin52.4944490286.730.66526140.008↓
    17tr|H0YAC1|KLKB1Plasma kallikrein (fragment)76.7736860148.390.65268570.005↓
    18tr|Q5VY30|RBP4Retinol-binding protein 4, plasma, isoform CRA_b22.974199094.7940.6308160.029↓
    19tr|B4E1B2|TFcDNA FLJ53691, highly similar to serotransferrin74.8316780323.310.63043940.039↓
    20sp|P05546|SERPIND1Heparin cofactor 257.074990130.10.62681140.004↓
    21tr|Q53FV4|LUMLumican variant (fragment)38.413338021.2070.60331610.001↓
    22sp|A2NJV5|IGKV3D-7Immunoglobulin kappa variable 2-2913.085120023.7780.55285630.006↓
    23sp|P06727|APOA4Apolipoprotein A-IV45.3983960261.290.52934840.030↓
    24tr|A0A024R3E3|APOA1Apolipoprotein A-I, isoform CRA_a30.7772670323.310.49760170.015↓
    25tr|X6RLJ0|C1QAComplement C1q subcomponent subunit A (fragment)23.351220023.9230.49457110.005↑
    26tr|E9KL36|TTRTransthyretin15.8871470239.060.44772750.009↑
    27tr|V9GYM3|APOA2Apolipoprotein A-II14.914133054.7230.44008520.008↑
    28tr|D9YZU5|HBBBeta-globin15.9981470126.290.37734190.010↑
    29tr|Q53H26|TFTransferrin variant (fragment)77.079698081.5530.34124720.021↓
    30tr|A0A024R0T9|APOC2Apolipoprotein C-II isoform 111.284101030.1620.22077950.008↓
    31tr|A0A0G2JRQ6|IGKV3D-7Uncharacterized protein (fragment)12.7481170.0030311.523Only detected in OSCC-LNM↑
    32tr|A0A193CHR0|ENSG0000022393110E8 heavy-chain variable region (fragment)14.429131018.246Only detected in OSCC-LNM↑
    33tr|B2R6V9|F13A1cDNA, FLJ93141, highly similar to Homo sapiens coagulation factor XIII, A1 polypeptide (F13A1), mRNA83.24732017.861Only detected in OSCC-LNM↑
    34sp|P02741|CRPC-reactive protein25.038224029.616Only detected in OSCC-LNM↑
    35sp|P0DOX4|ENSG00000223931Immunoglobulin epsilon heavy chain60.322547035.141Only detected in OSCC-LNM↑
    36sp|P10720|PF4V1Platelet factor 4 variant11.553104020.13Only detected in HC↓
    37tr|Q96SB0|IGKV3D-7Anti-streptococcal/anti-myosin immunoglobulin lambda light-chain variable region (fragment)11.594108035.763Only detected in HC↓
    • aQ value, the probability that the protein is a false hit.

    • bScore, the sum of the scores of the individual peptides.

  • Table 2.

    Comparison of the DEPs identified in SEs of the OSCC-LNM group versus the OSCC-NLNM group

    NumberAccession numberAbbreviationFull nameMolecular weight (kDa)Sequence lengthQ valueaScorebOSCC-LNM/OSCC-NLNMP valueExpression
    1tr|A0A109PSY4|IGKV3D-7MS-A1 light-chain variable region (fragment)11.3761060.00049.6963.8740.0003564↑
    2sp|P04040|CATCatalase59.7555270.00020.9162.5030.0193373↑
    3sp|P04275|VWFvon Willebrand factor309.2628130.000157.0301.8070.0184345↑
    4tr|V9GYE7|CFHR2Complement factor H-related protein 228.9122540.00024.4881.7620.0150898↑
    5tr|B4DEF7|HSPA5cDNA FLJ60062, highly similar to 78 kDa glucose-regulated protein30.4192780.00029.6401.7020.0380467↑
    6tr|A0A0 × 9V9C4|ENSG00000223931GCT-A8 heavy-chain variable region (fragment)13.2281200.00037.7721.6620.034641↑
    7tr|B4DUV1|FBLN1Fibulin-170.1546410.000153.1901.6480.0107605↑
    8sp|P80108|GPLD1Phosphatidylinositol-glycan–specific phospholipase D92.3358400.00017.9941.5760.0105536↑
    9tr|F2RM37|F9Coagulation factor IX51.7444610.00025.6341.5560.0244641↑
    10sp|Q03591|CFHR1Complement factor H-related protein 137.653300.000117.8001.5520.0057128↑
    11tr|Q68DS3|CLEC3BUncharacterized protein DKFZp686H17246 (fragment)14.7081330.00071.1011.5170.0094758↑
    12tr|Q6N030|ENSG00000223931Uncharacterized protein57.0195180.000323.3100.5950.0352034↓
    13sp|P07360|C8GComplement component C8 gamma chain22.2772020.000121.6800.5870.0305837↓
    14tr|A0A024R3E3|APOA1Apolipoprotein A-I, isoform CRA_a30.7772670.000323.3100.5390.0326735↓
    15tr|A0A096LPE2|SAA4SAA2-SAA4 readthrough23.3532080.00033.3640.5190.0309882↓
    16tr|D3JV41|CXCL7C-X-C motif chemokine (fragment)13.7081260.000156.4900.3400.0427637↓
    17sp|P0DOX3|ENSG00000223931Immunoglobulin delta heavy chain56.2245120.000164.3800.2430.0377757↓
    18tr|A0A140TA29|C4BComplement C4-B187.6616980.00063.4950.1660.0162487↓
    19sp|A0A0C4DH39|ENSG00000223931Immunoglobulin heavy variable 1–5813.0051170.00310.683Only detected in OSCC-NLNM↓
    20tr|A0A0F7T6Q1|ENSG00000223931IGHV1-2 protein (fragment)11.9111050.00078.857Only detected in OSCC-NLNM↓
    21sp|P10720|PF4V1Platelet factor 4 variant11.5531040.00020.130Only detected in OSCC-NLNM↓
    22tr|Q5NV70|IGKV3D-7V1-11 protein (fragment)10.333970.00018.509Only detected in OSCC-NLNM↓
    23tr|Q8TCF0|LBPLBP protein52.9334770.00019.414Only detected in OSCC-NLNM↓
    24tr|Q96SA9|IGKV3D-7Human anti-streptococcal/anti-myosin immunoglobulin kappa light-chain variable region (fragment)11.521070.00012.329Only detected in OSCC-NLNM↓
    25tr|A0A0G2JRQ6|IGKV3D-7Uncharacterized protein (fragment)12.7481170.00311.523Only detected in OSCC-LNM↑
    26tr|B2R6V9|F13A1cDNA, FLJ93141, highly similar to Homo sapiens coagulation factor XIII, A1 polypeptide (F13A1), mRNA83.247320.00017.861Only detected in OSCC-LNM↑
    27tr|B2RA39|CFHR5cDNA, FLJ94686, highly similar to Homo sapiens complement factor H-related 5 (CFHL5), mRNA64.3915690.00013.285Only detected in OSCC-LNM↑
    28tr|Q0ZCH1|ENSG00000223931Immunoglobulin heavy-chain variable region (fragment)12.8631180.00019.922Only detected in OSCC-LNM↑
    • aQ value, the probability that the protein is a false hit.

    • bScore, the sum of the scores of the individual peptides.

Additional Files

  • Figures
  • Tables
  • Supplementary Data

    • Figure S1-S8 - Supplementary Fig. S1. The whole experimental workflow in this study. OSCC: oral squamous cell carcinomas; LNM: lymph node metastasis. Supplementary Fig. S2. The identified peptide fragments of four biomarkers. A: PF4V1; B: CXCL7; C: F13A1; D: ApoA1. Supplementary Fig. S3. The protein concentrations and mRNA expression levels assayed by ELISA and RT-PCR. A1-A2/B1-B2/C1-C2, CXCL4/CXCL7/ApoA1 concentrations in serum and SEs assayed by ELISA. A3-A4/B3-B4/C3-C4/D1-D2/D3-D4, CXCL4/CXCL7/ApoA1/PF4V1/F13A1 mRNA expression levels in tissues assayed by RT-PCR. SEs: serum exosomes; OSCC: oral squamous cell carcinomas; LNM: lymph node metastasis; NLNM: no lymph node metastasis; CT: cancerous tissues; CAT: corresponding adjacent tissues. Supplementary Fig. S4. The expression of PF4V1, CXCL7, F13A1 assayed by IHC. A, B and C represented the expression of PF4V1, CXCL7, F13A1 in cancer tissues and the corresponding paracancerous tissues at least five fields per tissue (amplification: 400Ã-), respectively. A1, B1, C1: cancer tissues; A2, A3, B2, C2: corresponding paracancerous tissues. Supplementary Fig. S5. Individual validation by RT-PCR. A1/A2, B1/B2, C1/C2, D1/D2 and E1/E2 represented the expressions of CXCL4, PF4V1, CXCL7, F13A1, ApoA1 in serum and whole blood. Supplementary Fig. S6. Clinicopathologic findings based on RT-PCR results of tissue samples. A1/A2/A3/A4/A5/A6, B1/B2/B3/B4/B5/B6, C1/C2/C3/C4/C5/C6, D1/D2/D3/D4/D5/D6 and E1/E2/E3/E4/E5/E6 represented the expressions of CXCL4, PF4V1, CXCL7, F13A1, ApoA1 in gender, nationality, tumor stage, tumor differentiation degree, smoking and drinking. WDSCC: well differentiated squamous-cell carcinoma; LDSCC: low differentiated squamous-cell carcinoma. Supplementary Fig. S7. Comparison of expression levels of differentially expressed proteins at different positive nodes of OSCC-LNM based on RT-PCR results. A1/A2, B1/B2/C1/C2, and D1/D2/E1/E2 represented the expression of PF4V1, CXCL7, F13A1, ApoA1 at different positive nodes of OSCC-LNM in serum exosomes, serum and tissue. Supplementary Fig. S8. Survival analysis provided by GEPIA. Survival analysis showed that PF4V1, CXCL7, F13A1 and ApoA1 had no connection with the overall survival of head and neck squamous cell carcinoma. A: PF4V1; B: CXCL7; C: F13A1; D: ApoA1.
    • Supporting Information Figure Legends - Supporting Information Figure Legends
    • Table S1 - The primer information in RT-PCR verification
    • Table S2 - Compared to the HC group, DEPs identified in serum exosomes of the OSCC-NLNM group
    • Table S3 - Clinicopathologic findings of four biomarkers in patients with OSCC
    • Table S4 - Comparison of expression levels of DEPs at different phases of age
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Cancer Epidemiology Biomarkers & Prevention: 28 (10)
October 2019
Volume 28, Issue 10
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Potential Markers from Serum-Purified Exosomes for Detecting Oral Squamous Cell Carcinoma Metastasis
Cuiping Li, Yang Zhou, Junjun Liu, Xiaoping Su, Hao Qin, Suhua Huang, Xuanping Huang and Nuo Zhou
Cancer Epidemiol Biomarkers Prev October 1 2019 (28) (10) 1668-1681; DOI: 10.1158/1055-9965.EPI-18-1122

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Potential Markers from Serum-Purified Exosomes for Detecting Oral Squamous Cell Carcinoma Metastasis
Cuiping Li, Yang Zhou, Junjun Liu, Xiaoping Su, Hao Qin, Suhua Huang, Xuanping Huang and Nuo Zhou
Cancer Epidemiol Biomarkers Prev October 1 2019 (28) (10) 1668-1681; DOI: 10.1158/1055-9965.EPI-18-1122
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