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      Extracellular vesicles: the growth as diagnostics and therapeutics; a survey

      review-article
      , ,
      Journal of Extracellular Vesicles
      Taylor & Francis
      extracellular vesicle, exosome, key word, growth

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          ABSTRACT

          This article aims to document the growth in extracellular vesicle (EV) research. Here, we report the growth in EV-related studies, patents, and grants as well as emerging companies with major intent on exosomes. Four different databases were utilized for electronic searches of published literature: two general databases – Scopus/Elsevier and Web of Science (WoS), as well as two specialized US government databases – the USA Patent and Trademark Office and National Institutes of Health (NIH) of the Department of Health and Human Services. The applied combination of key words was carefully chosen to cover the most commonly used terms in titles of publications, patents and grants dealing with conceptual areas of EVs. Within the time frame from 1 January 2000 to 31 December 2016, limited to articles published in English, we identified output using search strategies based upon Scopus/Elsevier and WoS, patent filings and NIH Federal Reports of funded grants. Consistently, USA and UK universities are the most frequent among the top 15 affiliations/organizations of the authors of the identified records. There is clear evidence of upward streaming of EV-related publications. By documenting the growth of the EV field, we hope to encourage a roster of independent authorities skilled to provide peer review of manuscripts, evaluation of grant applications, support of foundation initiatives and corporate long-term planning. It is important to encourage EV research to further identify biomarkers in diseases and allow for the development of adequate diagnostic tools that could distinguish disease subpopulations and enable personalized treatment of patients.

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          Most cited references16

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          The Methods of Choice for Extracellular Vesicles (EVs) Characterization

          In recent years, extracellular vesicles (EVs) have become a subject of intense study. These membrane-enclosed spherical structures are secreted by almost every cell type and are engaged in the transport of cellular content (cargo) from parental to target cells. The impact of EVs transfer has been observed in many vital cellular processes including cell-to-cell communication and immune response modulation; thus, a fast and precise characterization of EVs may be relevant for both scientific and diagnostic purposes. In this review, the most popular analytical techniques used in EVs studies are presented with the emphasis on exosomes and microvesicles characterization.
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            Exosome isolation: a microfluidic road-map.

            Exosomes, first isolated 30 years ago, are nanoscale vesicles shed by most types of cells. The nucleic acid rich content of these nanoparticles, floating in virtually all bodily fluids, has great potential for non-invasive molecular diagnostics and may represent a novel therapeutic delivery system. However, current isolation techniques such as ultracentrifugation are not convenient and do not result in high purity isolation. This represents an interesting challenge for microfluidic technologies, from a cost-effective perspective as well as for enhanced purity capabilities, and point-of-care acquisition and diagnosis. In this frontier review, we present the current challenges, comment the first microfluidic advances in this new field and propose a roadmap for future developments. This review enables biologists and clinicians familiar with exosome enrichment to assess the performance of novel microfluidic devices and, equally, enables microfluidic engineers to educate themselves about this new class of promising biomarker-rich particles and the challenges arising from their clinical use.
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              Circulating tumour cells: their utility in cancer management and predicting outcomes.

              Recent advances in technology now permit robust and reproducible detection of circulating tumour cells (CTCs) from a simple blood test. Standardization in methodology has been instrumental in facilitating multicentre trials with the purpose of evaluating the clinical utility of CTCs. We review the current body of evidence supporting the prognostic value of CTC enumeration in breast, prostate and colorectal cancer, using standardized approaches, and studies evaluating the correlation of CTC number with radiological outcome. The exploitation of CTCs in cancer management, however, is now extending beyond prognostication. As technologies emerge to characterize CTCs at the molecular level, biological information can be obtained in real time, with the promise of serving as a 'surrogate tumour biopsy'. Current studies illuminate the potential of CTCs as pharmacodynamic and predictive biomarkers and potentially their use in revealing drug resistance in real time. Approaches for CTC characterization are summarized and the potential of CTCs in cancer patient management exemplified via the detection of epidermal growth factor receptor mutations from CTCs in patients with non-small cell lung cancer. The opportunity to learn more about the biology of metastasis through CTC analysis is now being realized with the horizon of CTC-guided development of novel anticancer therapies.
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                Author and article information

                Journal
                J Extracell Vesicles
                J Extracell Vesicles
                ZJEV
                zjev20
                Journal of Extracellular Vesicles
                Taylor & Francis
                2001-3078
                2018
                26 February 2018
                : 7
                : 1
                : 1438720
                Affiliations
                [ a ] Neurosurgery Department, Massachusetts General Hospital/Harvard Medical School , Boston, MA, USA
                [ b ] Neurosurgery Department, University of California at San Diego and the Scintillon Institute , La Jolla, CA, USA
                [ c ] Neurosurgery Department, Massachusetts General Hospital/University of California at San Diego , La Jolla, CA, USA
                Author notes
                CONTACT Sabrina Roy sroy0@ 123456mgh.harvard.edu Neurosurgery Department, Massachusetts General Hospital , 55 Fruit St, Boston, MA 02114, USA
                Author information
                http://orcid.org/0000-0002-2765-8844
                Article
                1438720
                10.1080/20013078.2018.1438720
                5827771
                29511461
                c7d0ec46-08dc-4356-9bc5-efd35d785b43
                © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of The International Society for Extracellular Vesicles.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 July 2017
                : 31 January 2018
                Page count
                Figures: 8, References: 33, Pages: 11
                Funding
                Funded by: National Institutes of Health (US)
                Award ID: Grant 5UH3TR000931-04
                This work was supported by Grant UH3 TR000931 (BSC, LB) through the NIH Common Fund in the Office of Strategic Coordination/Office of the NIH Director.
                Categories
                Review Article
                Review Article

                extracellular vesicle,exosome,key word,growth
                extracellular vesicle, exosome, key word, growth

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