Monitoring HSP70 exosomes in cancer patients’ follow up: a clinical prospective pilot study

  • Gaëtan Chanteloup
    Inserm, UMR 1231 label d'Excellence Ligue National contre le Cancer and Laboratoire d'Excellence LipSTIC Dijon France
  • Marine Cordonnier
    Inserm, UMR 1231 label d'Excellence Ligue National contre le Cancer and Laboratoire d'Excellence LipSTIC Dijon France
  • Nicolas Isambert
    Inserm U‐1084 Pôle Régional de Cancérologie, CHU de Poitiers Poitiers Cedex – France, Université de Poitiers Poitiers France
  • Aurélie Bertaut
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Alice Hervieu
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Audrey Hennequin
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Maxime Luu
    Centre d'investigation Clinique INSERM 1432 CHU Dijon‐Bourgogne Dijon France
  • Sylvie Zanetta
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Bruno Coudert
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Leila Bengrine
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Isabelle Desmoulins
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Laure Favier
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Aurélie Lagrange
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Pierre‐Benoit Pages
    Department of Thoracic Surgery Dijon University Hospital Dijon France
  • Ivan Gutierrez
    Department of Thoracic Surgery Dijon University Hospital Dijon France
  • Jeanine Lherminier
    INRA, UMR1347 Agroécologie, ERL CNRS 6300, Plateforme DImaCell Centre de Microscopie INRA/Université de Bourgogne Dijon France
  • Laure Avoscan
    INRA, UMR1347 Agroécologie, ERL CNRS 6300, Plateforme DImaCell Centre de Microscopie INRA/Université de Bourgogne Dijon France
  • Clémentine Jankowski
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Cédric Rébé
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Angélique Chevriaux
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Marie‐Martine Padeano
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Charles Coutant
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Sylvain Ladoire
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Sylvain Causeret
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Laurent Arnould
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Céline Charon‐Barra
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Vanessa Cottet
    Centre d'investigation Clinique INSERM 1432 CHU Dijon‐Bourgogne Dijon France
  • Julie Blanc
    CHU Dijon‐Bourgogne Georges‐François Leclerc Centre, CGFL Dijon France
  • Christine Binquet
    Centre d'investigation Clinique INSERM 1432 CHU Dijon‐Bourgogne Dijon France
  • Marc Bardou
    Centre d'investigation Clinique INSERM 1432 CHU Dijon‐Bourgogne Dijon France
  • Carmen Garrido
    Inserm, UMR 1231 label d'Excellence Ligue National contre le Cancer and Laboratoire d'Excellence LipSTIC Dijon France
  • Jessica Gobbo
    Inserm, UMR 1231 label d'Excellence Ligue National contre le Cancer and Laboratoire d'Excellence LipSTIC Dijon France

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<jats:title>ABSTRACT</jats:title><jats:p>Exosomes are nanovesicles released by all cells that can be found in the blood. A key point for their use as potential biomarkers in cancer is to differentiate tumour‐derived exosomes from other circulating nanovesicles. Heat shock protein‐70 (HSP70) has been shown to be abundantly expressed by cancer cells and to be associated with bad prognosis. We previously showed that exosomes derived from cancer cells carried HSP70 in the membrane while those from non‐cancerous cells did not. In this work, we opened a prospective clinical pilot study including breast and lung cancer patients to determine whether it was possible to detect and quantify HSP70 exosomes in the blood of patients with solid cancers. We found that circulating exosomal HSP70 levels, but not soluble HSP70, reflected HSP70 content within the tumour biopsies. Circulating HSP70 exosomes increased in metastatic patients compared to non‐metastatic patients or healthy volunteers. Further, we demonstrated that HSP70‐exosome levels correlated with the disease status and, when compared with circulating tumour cells, were more sensitive tumour dissemination predictors. Finally, our case studies indicated that HSP70‐exosome levels inversely correlated with response to the therapy and that, therefore, monitoring changes in circulating exosomal HSP70 might be useful to predict tumour response and clinical outcome.</jats:p>

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