Serum CD203c+ Extracellular Vesicle Serves as a Novel Diagnostic and Prognostic Biomarker for Succinylated Gelatin Induced Perioperative Hypersensitive Reaction


Posted: 2021-10-15 19:00:00
Background: Perioperative hypersensitivity reaction (HR) is an IgE-FcϵRI-mediated hypersensitivity reaction with degranulation and activation of mast cells and basophils. Several studies have focused on assessing the degranulation and activation of mast cells and basophils to diagnose and predict the prognosis of drug induced HR. However, it is challenging to isolate sufficiently pure mast cells and basophils from human sources to investigate. Effective biomarkers to assess mast cells and basophils activation in vivo could potentially have high diagnostic and prognostic values. In the present study, we investigated EVs pelleted from serum in patients with succinylated gelatin induced HR. Methods: Extracellular vesicles (EVs) were isolated using a total exosome isolation kit and ultracentrifugation, characterized by Western blot, transmission electron microscopy, and nanoparticle tracking analysis. Basophils were isolated from fresh peripheral blood by negative selection using Basophil Isolation Kit II. Human mast cell line was stimulated with IL4. The expression levels of proteins related to the hypersensitive response were evaluated by Western blotting and flow Cytometer. Histamine and tryptase levels were tested using a commercial ELISA kit, and gene expression of inflammatory mediators was evaluated by qRT-PCR. The receiver operating characteristic (ROC) curve was used to evaluate the specificity and sensitivity of biomarker in predicting HR. Results: The concentration of EVs and protein expression level of CD63, FcϵRI, CD203c and tryptase were significantly (p< 0.05) increased in HR samples. The expression level of mast cell/basophil specific CD203c were significantly increased in EVs derived from serum and basophils of HR patients, and the CD203c+-EVs production in mast cells is dramatically increased in the presence of IL4, which positively correlated with histamine, tryptase and inflammatory mediators. Moreover, the ROC curve of EVs concentration and CD203c expression indicated that CD203c+-EVs had a strong diagnostic ability for HR. Conclusion: Serum CD203c+-EVs serves as a novel diagnostic and prognostic biomarker for HR. Keywords: basophils; biomarker; extracellular vesicle; mast cells; perioperative hypersensitive reaction.

参考サイト PubMed: exsome


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バイオクイックニュース日本語版:エクソソーム特集

バイオクイックニュース日本語版
6月 01, 2021 バイオアソシエイツ

Cardea Bio社、エクソソームとEVの検出技術「EV-Chip」を開発。リキッドバイオプシーをリアルタイムで分析する新世代のポータブルデバイスを目指す

分子生物学と半導体エレクトロニクスを統合するTech+Bio企業である米国のCardea Bio社は、同社の最高科学責任者であるキアナ・アラン博士と共同研究者が、「生物学的に活性化されたグラフェン・トランジスタによる年齢別循環エクソソームの迅速かつ電子的な識別と定量化( Rapid and Electronic Identification and Quantification of Age-Specific Circulating Exosomes via Biologically Activated…

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