RT Journal Article T1 Extracellular vesicle-miRNAs as liquid biopsy biomarkers for disease identification and prognosis in metastatic colorectal cancer patients A1 de Miguel Pérez, Diego A1 Rodriguez Martínez, Alba A1 Ortigosa Palomo, Alba A1 Delgado Ureña, Mayte A1 Garcia Puche, Jose Luis A1 Robles Remacho, Agustín A1 Exposito Hernandez, José A1 Lorente Acosta, Jose Antonio A1 Ortega Sánchez, Francisco Gabriel A1 Serrano, Ma Jose K1 Extracellular vesicles K1 Colorectal neoplasms K1 Chemotherapy K1 Bevacizumab K1 MicroRNAs K1 Vesículas extracelulares K1 Neoplasias colorrectales K1 Quimioterapia K1 MicroARNs AB Disseminated disease is present in ≈50% of colorectal cancer patients upon diagnosis, being responsible for most of cancer deaths. Addition of biological drugs, as Bevacizumab, to chemotherapy, has increased progression free survival and overall survival of metastatic colorectal cancer (mCRC) patients. However, these benefits have been only reported in a small proportion of patients. To date, there are not biomarkers that could explain the heterogeneity of this disease and would help in treatment selection. Recent findings demonstrated that microRNAs (miRNAs) play an important role in cancer and they can be encapsulated with high stability into extracellular vesicles (EVs) that are released in biological fluids. EVs can act as cell-to-cell communicators, transferring genetic information, such as miRNAs. In this context, we aimed to investigate serum EV associated miRNAs (EV-miRNAs) as novel non-invasive biomarkers for the diagnosis and prognosis of Bevacizumab-treated mCRC patients. We observed that baseline miRNA-21 and 92a outperformed carcinoembryonic antigen levels in the diagnosis of our 44 mCRC patients, compared to 17 healthy volunteers. In addition, patients who died presented higher levels of miRNA-92a and 222 at 24 weeks. However, in the multivariate Cox analysis, higher levels of miRNA-222 at 24 weeks were associated with lower overall survival. Altogether, these data indicate that EV-miRNAs have a strong potential as liquid biopsy biomarkers for the identification and prognosis of mCRC. PB Springer Nature YR 2020 FD 2020-03-04 LK http://hdl.handle.net/10668/4273 UL http://hdl.handle.net/10668/4273 LA en NO De Miguel Pérez D, Rodriguez Martínez A, Ortigosa Palomo A, Delgado Ureña M, Garcia Puche JL, Robles Remacho A, et al. Extracellular vesicle-miRNAs as liquid biopsy biomarkers for disease identification and prognosis in metastatic colorectal cancer patients. Sci Rep. 2020 Mar 4;10(1):3974 DS RISalud RD Apr 17, 2025