2020
DOI: 10.3390/cancers12102822
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Detection of EGFR Mutations Using Bronchial Washing-Derived Extracellular Vesicles in Patients with Non-Small-Cell Lung Carcinoma

Abstract: The detection of epidermal growth factor receptor (EGFR) mutation, based on tissue biopsy samples, provides a valuable guideline for the prognosis and precision medicine in patients with lung cancer. In this study, we aimed to examine minimally invasive bronchial washing (BW)-derived extracellular vesicles (EVs) for EGFR mutation analysis in patients with lung cancer. A lab-on-a-disc equipped with a filter with 20-nm pore diameter, Exo-Disc, was used to enrich EVs in BW samples. The overall detection sensitivi… Show more

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Cited by 23 publications
(20 citation statements)
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“…EGFR mutation was seen in exosomes of malignant pleural effusion ( Lee et al, 2018 ), and T790M mutation was also detected in exosomes of bronchoalveolar lavage fluid of patients with non-small cell lung cancer ( Park et al, 2020 ). The exosome gDNA isolated from ascites of ovarian cancer patients reflects the copy number variation of primary tumors ( Crow et al, 2017 ; Giannopoulou et al, 2019 ).…”
Section: Exosome Genomic Dna As a Tool For Colorectal Cancer Liquid B...mentioning
confidence: 99%
“…EGFR mutation was seen in exosomes of malignant pleural effusion ( Lee et al, 2018 ), and T790M mutation was also detected in exosomes of bronchoalveolar lavage fluid of patients with non-small cell lung cancer ( Park et al, 2020 ). The exosome gDNA isolated from ascites of ovarian cancer patients reflects the copy number variation of primary tumors ( Crow et al, 2017 ; Giannopoulou et al, 2019 ).…”
Section: Exosome Genomic Dna As a Tool For Colorectal Cancer Liquid B...mentioning
confidence: 99%
“…Furthermore, the T790M mutation was detected in 18 (72.2%) using EV-derived DNA while that was only detected in 3 patients using cell block or cytology [48]. The sensitivity of EV-derived DNA in detecting EGFR mutation was reported to be 89.7% [49]. As such, current evidence seems to suggest that liquid biopsy may be more sensitive than tissue biopsy in detecting EGFR mutations and tumour heterogeneity may pose a less significant issue in these biopsies.…”
Section: Discussionmentioning
confidence: 99%
“…More recently, exoDNA performed better for the diagnostic of non-small cell lung cancer (NSCLC) compared to EV-excluded cell-free DNA in bronchial wash fluid by the detection of EGFR T790M . The overall detection sensitivity of EGFR mutation was 89.7 and 31%, respectively, with 100% specificity ( Park et al, 2020 ).…”
Section: Ev-dna As a Clinically Relevant Biomarkermentioning
confidence: 99%