Extracellular vesicle-based biomarker in head and neck cancer: prospects and challenges

Linlin Wang, Ling Li, Guiquan Zhu
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Abstract

Head and neck squamous cell carcinoma (HNSCC) represents the sixth most common malignancy worldwide. However, very few established diagnostic biomarkers for HNSCC have been universally applied in clinical practice. Recently, much attention has been paid to extracellular vesicles (EVs) regarding their roles as cancer biomarkers because EVs carry plentiful cargoes, including lipids, proteins, nucleic acids, and metabolites. In HNSCC, several molecules carried by EVs, which are derived from peripheral blood and saliva, have been implicated to be effective in cancer detection, staging, treatment planning, response monitoring, and prognosis prediction. Although several EV molecules have been identified to be significantly correlated with a set of clinical-pathological parameters of HNSCC, several key limitations need to be resolved before the clinical application of EVs as carriers of biomarkers in HNSCC. In this review, we discuss current knowledge in the literature regarding EV-based biomarkers in HNSCC, emphasizing current limitations of their clinical applications.

Abstract Image

头颈癌中基于细胞外囊泡的生物标记物:前景与挑战
头颈部鳞状细胞癌(HNSCC)是全球第六大常见恶性肿瘤。然而,很少有成熟的 HNSCC 诊断生物标志物被普遍应用于临床实践。最近,细胞外囊泡(EVs)作为癌症生物标志物受到了广泛关注,因为EVs携带大量货物,包括脂质、蛋白质、核酸和代谢物。在 HNSCC 中,来自外周血和唾液的 EVs 所携带的几种分子已被证实可用于癌症检测、分期、治疗计划、反应监测和预后预测。虽然已经发现有几种EV分子与HNSCC的一系列临床病理参数显著相关,但在将EV作为HNSCC的生物标记物载体应用于临床之前,还需要解决几个关键的限制因素。在这篇综述中,我们将讨论目前有关 HNSCC 中基于 EV 的生物标记物的文献知识,并强调其临床应用目前存在的局限性。
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