Exosomes in plasma of glioma patients hold promise as biomarkers of prognosis. We aimed to determine whether changes in total exosomal protein and mRNA expression levels could serve as surrogate markers of immunological and clinical responses in glioma patients receiving antitumor vaccines. Exosomes were isolated from pre/post-vaccine plasma specimens in 20/22 patients enrolled in a phase I/II trial with the antitumor vaccine. Exosomal protein content was analyzed and mRNA expression levels for 24 genes were simultaneously assessed by qRT-PCR. Pre- to post-vaccination changes in exosomal protein and ΔCt values were correlated with immunological and clinical responses and survival using Spearman rank statistics and hazard ratios (HR). Exosomal protein levels positively correlated (p < 0.0043) with the WHO tumor grade at diagnosis. Protein levels were lower in post- vs. pre-vaccination exosome fractions. Post-therapy increases in tumor size were associated with elevations in exosome proteins in glioblastoma but not always in anaplastic astrocytoma (AA). Only exosomal ΔCt values for IL-8, TIMP-1, TGF-β and ZAP70 were significant (p < 0.04 to p < 0.001). The ΔCt for IL-8 and TGF-β mRNA positively correlated with post-vaccine immunologic responses to glioma antigens, while ΔCt for TIMP-1 mRNA was negatively correlated to ΔCt for IL-8 and TGF-β. Only ΔCt for IL-8 weakly correlated with OS and time to progression (TTP). In post-vaccine exosomes of the longest surviving patient with AA, mRNA for PD-1 was persistently elevated. Protein and mRNA expression levels for immune-related genes in plasma exosomes were useful in evaluating glioma patients' response to vaccination therapy.

01 May 2014·The Journal of Immunology

Tumor-derived exosomes differentially modulate the adenosine pathway in human resting vs activated regulatory T cells (Treg) (TUM4P.927)

Author: Jackson, Edwin ; Mitsuhashi, Masato ; Whiteside, Theresa ; Muller, Laurent

AbstractTumor-derived exosomes (TEX) suppress functions of human immune cells, while up-regulating functions of others. Here, we show that TEX isolated from supernatants of human cultured tumor cells or plasma of cancer patients differentially modify gene and protein expression of CD39, CD73 and adenosine receptors (ADORs) in Treg, influencing production of suppressive nucleosides. Resting or pre-activated (anti-CD3/CD28 Abs) CD4+CD39+ Treg were co-incubated overnight with TEX. Cellular mRNA was analyzed by qRT-PCR for expression of CD39, CD73, A1R, A2aR, A2bR and A3R genes. Protein expression was studied by flow cytometry and western blots. Nucleoside production by Treg ± TEX in the presence of 20µM ATP was measured by mass spectrometry. In resting Treg + TEX, mRNA expression of CD39/CD73 and ADORs was reduced relative to no TEX baseline (>1 log) except for A1R mRNA expression which was elevated (> 3 logs). CD39 protein expression was up-regulated, suggesting enhanced translation and signaling via A1R. Treg + TEX + ATP produced inosine only (7900ng/mL) and no 5’-AMP or ADO. In activated Treg +TEX, CD39/CD73 mRNA expression and protein levels were elevated (p< 0.05) as was mRNA expression for all ADORs, especially A2aR, and ADO was produced. Thus, TEX differentially regulated gene expression and protein levels of the ADO pathway components in resting vs activated Treg. The TEX-induced shift from inosine to ADO production implies changes in Treg-mediated immunosuppression.

01 Apr 2014·Clinical ChemistryQ1 · MEDICINE

Posttransplantation Bone Marrow Assessment by Quantifying Hematopoietic Cell–Derived mRNAs in Plasma Exosomes/Microvesicles

Q1 · MEDICINE

Article

Author: Kakihana, Kazuhiko ; Doki, Noriko ; Murakami, Taku ; Ohashi, Kazuteru ; Oakes, Melanie ; Sakamaki, Hisashi ; Mitsuhashi, Masato ; Aoki, Jun ; Kobayashi, Takeshi

AbstractBACKGROUNDBone marrow (BM) aspiration often can be a painful medical procedure. It is unavoidable, however, because hematopoietic precursor cells (HPC) exist only in BM and few escape to peripheral blood (PB). We hypothesized that HPCs might release exosomes and microvesicles (EMV) in BM, and the resulting EMV would penetrate into PB. Such BM-derived EMV might be identified in PB by measuring specific mRNAs produced by HPC.METHODSHuman plasma was applied to an EMV-capture filter plate. After centrifugation, captured EMV were lysed on the filter plate. Resulting lysates were transferred to an oligo(dT)-immobilized microplate for mRNA isolation followed by reverse transcription PCR (RT-PCR). Using this system, myeloid-, erythroid-, and megakaryocyte-lineage–specific poly(A)+ mRNAs were quantified in plasma obtained from 18 patients who had undergone hematopoietic stem cell transplantation (HSCT).RESULTSWhen fluorescent liposomes were applied to the filter plate, more than 95% of applied liposomes were absorbed. When human plasma was applied, a scanning electron microscope showed EMV-like particles on the membrane of the filter plate. After RT-PCR, various HPC-specific mRNAs were detected, and the results were equivalent to those derived from the standard ultracentrifugation method. The levels of these mRNAs were undetectable after HSCT and became detectable 1–2 weeks after HSCT, a substantially earlier time point than with traditional hematological analysis. The recovery of EMV mRNA at day 15 corresponded to the final clinical outcome at day 180.CONCLUSIONSHPC-derived mRNAs in plasma EMV may represent new biomarkers for the assessment of BM condition and could reduce the necessity for frequent BM aspiration.

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