Table 4.
Exosomal transport protein, heat shock protein, and adhesion protein.
Type of cancer | Protein marker | Number of patients/controls | Source of exosome/amount of sample | Isolation technique | Diagnostic accuracy of proposed marker | Reference |
---|---|---|---|---|---|---|
Lung cancer | HSP70 | 18/19 | Plasma/10 ml blood | Ultracentrifugation | AUC = 0.8968 for distinguishing metastatic stage of cancer (including lung cancer and breast cancer). Comparison was made between patients with metastatic cancer and non-metastatic cancer. | (83) |
Fibronectin | 21/41 | Serum/unspecified | Sucrose gradient ultracentrifugation | AUC = 0.844. | (84) | |
Gastric cancer | PSMA3/PSMA6 | 24/13 | Serum/2 ml | exoEasy Maxi Kit (QIAGEN) |
Significantly increased in six patients with late-stage gastric cancer. | (85) |
Colorectal cancer | HSP90 | 18/18 | Serum/250 µl | Total Exosome Isolation Kit (Invitrogen) | Significantly decreased in 18 representative samples. | (86) |
Prostate cancer | αvβ3 | 70/14 | Plasma/over 3 ml | Ultracentrifugation | Significantly increased in representative samples. | (78) |
ACTN4 | 20/8 | Serum/unspecified | Sucrose gradient ultracentrifugation | Significantly increased in castration-resistant prostate cancer compared to prostate cancer patients receiving primary androgen deprivation therapy. | (87) | |
Pancreatic cancer | ZIP4 | 24/78 | Serum/500 µl | ExoQuick Kit (SBI) | AUC = 0.89 for distinguishing malignant cancer from benign pancreatic disease. AUC = 0.8931 for distinguishing malignant cancer group from normal group. [Number of controls include benign pancreatic disease (32) and normal subjects (46)] | (88) |
Endometrial cancer | ANXA2 | 41/20 | Plasma/500 µl | ExoGAG | AUC = 0.748. | (89) |
Gynecologic cancer | HSP22 | 30 | Serum/1 ml | Ultracentrifugation | Comparison was made among patients with ovarian cancer, patients with endometrial cancer and patients with endometriosis. Although no significant result was concluded. |
(90) |
If no specified AUC, sensitivity, or specificity is claimed in the reference, no precise numerical data for diagnostic accuracy are included in this table.
AUC, area under the curve.