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Increased salivary microvesicles are associated with the prognosis of patients with oral squamous cell carcinoma
Authors:Wen‐Qun Zhong  Jian‐Gang Ren  Xue‐Peng Xiong  Qi‐Wen Man  Wei Zhang  Lu Gao  Chen Li  Bing Liu  Zhi‐Jun Sun  Jun Jia  Wen‐Feng Zhang  Yi‐Fang Zhao  Gang Chen
Abstract:Microvesicles (MVs), which are cell‐derived membrane vesicles present in body fluids, are closely associated with the development of malignant tumours. Saliva, one of the most versatile body fluids, is an important source of MVs. However, the association between salivary MVs (SMVs) and oral squamous cell carcinoma (OSCC), which is directly immersed in the salivary milieu, remains unclear. SMVs from 65 patients with OSCC, 21 patients with oral ulcer (OU), and 42 healthy donors were purified, quantified and analysed for their correlations with the clinicopathologic features and prognosis of OSCC patients. The results showed that the level of SMVs was significantly elevated in patients with OSCC compared to healthy donors and OU patients. Meanwhile, the level of SMVs showed close correlations with the lymph node status, and the clinical stage of OSCC patients. Additionally, the ratio of apoptotic to non‐apoptotic SMVs was significantly decreased in OSCC patients with higher pathological grade. Consistently, poorer overall survival was observed in patients with lower ratio of apoptotic to non‐apoptotic SMVs. In conclusion, the elevated level of SMVs is associated with clinicopathologic features and decreased survival in patients with OSCC, suggesting that SMVs are a potential biomarker and/or regulator of the malignant progression of OSCC.
Keywords:apoptosis  biomarker  microvesicles  oral squamous cell carcinoma  saliva
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