Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients

Abstract Liquid biopsy has an underexplored diagnostic potential in colorectal cancer (CRC). Sufficient quantity and quality of its elements (circulating cell-free DNA (ccfDNA), exosomes and exosomal RNA) are essential for accurate results. The present study aims to establish the optimal protocol fo...

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Main Authors: Andrea Čeri, Anita Somborac-Bačura, Marija Fabijanec, Andrea Hulina-Tomašković, Marko Matusina, Dijana Detel, Donatella Verbanac, Karmela Barišić
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-78497-x
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author Andrea Čeri
Anita Somborac-Bačura
Marija Fabijanec
Andrea Hulina-Tomašković
Marko Matusina
Dijana Detel
Donatella Verbanac
Karmela Barišić
author_facet Andrea Čeri
Anita Somborac-Bačura
Marija Fabijanec
Andrea Hulina-Tomašković
Marko Matusina
Dijana Detel
Donatella Verbanac
Karmela Barišić
author_sort Andrea Čeri
collection DOAJ
description Abstract Liquid biopsy has an underexplored diagnostic potential in colorectal cancer (CRC). Sufficient quantity and quality of its elements (circulating cell-free DNA (ccfDNA), exosomes and exosomal RNA) are essential for accurate results. The present study aims to establish the optimal protocol for handling liquid biopsy samples. Samples were obtained by collecting peripheral blood from colorectal adenoma patients in CellSave tubes. Plasma was separated within six hours using differential centrifugation and aliquots stored at – 20/– 80 °C until further processing. Three methods for isolation of ccfDNA, and two combinations of kits for isolation of exosomes and exosomal RNA were tested. The quality and quantity of ccfDNA isolates were evaluated. Exosomes were characterised by determining size, concentration, and total and specific protein content. Expression of chosen microRNAs, miR-19a-3p and miR-92-3p, which have been implicated in CRC progression, were determined. The vacuum-column-based kit showed the highest quantities of isolated ccfDNA (P-value < 0.001). Kits for exosome isolation significantly differed in size (P-value = 0.016), concentration (P-value = 0.016) and protein content (P-value = 0.016). There was no significant difference in expressions of miR-19a-3p (P-value = 0.219) and miR-92a-3p (P-value = 0.094) between the two isolation kits. The new, adapted protocol described, enables simultaneous analysis of multiple elements when investigating potential biomarkers of CRC.
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spelling doaj-art-8dc7b25ca1e04c22b0bd573b5fa2ec1c2025-08-20T02:33:05ZengNature PortfolioScientific Reports2045-23222024-11-0114111010.1038/s41598-024-78497-xEstablishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patientsAndrea Čeri0Anita Somborac-Bačura1Marija Fabijanec2Andrea Hulina-Tomašković3Marko Matusina4Dijana Detel5Donatella Verbanac6Karmela Barišić7Department of Medical Biochemistry and Haematology, University of Zagreb Faculty of Pharmacy and BiochemistryDepartment of Medical Biochemistry and Haematology, University of Zagreb Faculty of Pharmacy and BiochemistryCentre for Applied Medical Biochemistry, University of Zagreb Faculty of Pharmacy and BiochemistryDepartment of Medical Biochemistry and Haematology, University of Zagreb Faculty of Pharmacy and BiochemistryDepartment of Medical Biochemistry and Haematology, University of Zagreb Faculty of Pharmacy and BiochemistryDepartment of Medical Chemistry, Biochemistry and Clinical Chemistry, University of Rijeka Faculty of MedicineDepartment of Medical Biochemistry and Haematology, University of Zagreb Faculty of Pharmacy and BiochemistryDepartment of Medical Biochemistry and Haematology, University of Zagreb Faculty of Pharmacy and BiochemistryAbstract Liquid biopsy has an underexplored diagnostic potential in colorectal cancer (CRC). Sufficient quantity and quality of its elements (circulating cell-free DNA (ccfDNA), exosomes and exosomal RNA) are essential for accurate results. The present study aims to establish the optimal protocol for handling liquid biopsy samples. Samples were obtained by collecting peripheral blood from colorectal adenoma patients in CellSave tubes. Plasma was separated within six hours using differential centrifugation and aliquots stored at – 20/– 80 °C until further processing. Three methods for isolation of ccfDNA, and two combinations of kits for isolation of exosomes and exosomal RNA were tested. The quality and quantity of ccfDNA isolates were evaluated. Exosomes were characterised by determining size, concentration, and total and specific protein content. Expression of chosen microRNAs, miR-19a-3p and miR-92-3p, which have been implicated in CRC progression, were determined. The vacuum-column-based kit showed the highest quantities of isolated ccfDNA (P-value < 0.001). Kits for exosome isolation significantly differed in size (P-value = 0.016), concentration (P-value = 0.016) and protein content (P-value = 0.016). There was no significant difference in expressions of miR-19a-3p (P-value = 0.219) and miR-92a-3p (P-value = 0.094) between the two isolation kits. The new, adapted protocol described, enables simultaneous analysis of multiple elements when investigating potential biomarkers of CRC.https://doi.org/10.1038/s41598-024-78497-xCirculating tumour DNAColorectal cancerExosomesLiquid biopsyMethodology challengesmicroRNA
spellingShingle Andrea Čeri
Anita Somborac-Bačura
Marija Fabijanec
Andrea Hulina-Tomašković
Marko Matusina
Dijana Detel
Donatella Verbanac
Karmela Barišić
Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients
Scientific Reports
Circulating tumour DNA
Colorectal cancer
Exosomes
Liquid biopsy
Methodology challenges
microRNA
title Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients
title_full Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients
title_fullStr Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients
title_full_unstemmed Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients
title_short Establishment of liquid biopsy procedure for the analysis of circulating cell free DNA, exosomes, RNA and proteins in colorectal cancer and adenoma patients
title_sort establishment of liquid biopsy procedure for the analysis of circulating cell free dna exosomes rna and proteins in colorectal cancer and adenoma patients
topic Circulating tumour DNA
Colorectal cancer
Exosomes
Liquid biopsy
Methodology challenges
microRNA
url https://doi.org/10.1038/s41598-024-78497-x
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