RT Journal Article T1 Determination of Exosome Mitochondrial DNA as a Biomarker of Renal Cancer Aggressiveness. A1 Arance, Elena A1 Ramirez, Viviana A1 Rubio-Roldan, Alejandro A1 Ocaña-Peinado, Francisco M A1 Romero-Cachinero, Catalina A1 Jodar-Reyes, Ana Belen A1 Vazquez-Alonso, Fernando A1 Martinez-Gonzalez, Luis Javier A1 Alvarez-Cubero, Maria Jesus K1 biomarker K1 exosome K1 extracellular vesicles K1 mitochondrial DNA K1 renal cancer AB Here, the role of non-invasive biomarkers in liquid biopsy was evaluated, mainly in exosomes and mitochondrial DNA (mtDNA) as promising, novel, and stable biomarkers for renal cell carcinoma (RCC). A total of 140 fractions (named from B to F) obtained by ultracentrifugations of whole blood samples from 28 individuals (13 patients and 15 controls) were included. Nanoparticle Tracking Analysis (NTA) was conducted to characterized exosomal fraction. Subsequently, an analysis of digital PCR (dPCR) using the QuantStudio™ 3D Digital PCR platform was performed and the quantification of mtDNA copy number by QuantStudioTM 12K Flex Real-Time PCR System (qPCR) was developed. Moreover, Next Generation Sequencing (NGS) analyses were included using MiSeq system (Illumina, San Diego, CA, USA). An F fraction, which contains all exosome data and all mitochondrial markers, was identified in dPCR and qPCR with statistically significant power (adjusted p values ≤ 0.03) when comparing cases and controls. Moreover, present analysis in mtDNA showed a relevant significance in RCC aggressiveness. To sum up, this is the first time a relation between exosomal mtDNA markers and clinical management of RCC is analyzed. We suggest a promising strategy for future liquid biopsy RCC analysis, although more analysis should be performed prior to application in routine clinical practice. PB MDPI AG SN 2072-6694 YR 2021 FD 2021-12-28 LK http://hdl.handle.net/10668/20865 UL http://hdl.handle.net/10668/20865 LA en NO Arance E, Ramírez V, Rubio-Roldan A, Ocaña-Peinado FM, Romero-Cachinero C, Jódar-Reyes AB, et al. Determination of Exosome Mitochondrial DNA as a Biomarker of Renal Cancer Aggressiveness. Cancers (Basel). 2021 Dec 31;14(1):199. NO This study is partially supported by ID#53169721 project funded by Pfizer and the exosomes characterization was financed thanks to the grant PY20_00241 (FEDER/Junta de Andalucía-Regional Ministry of Economic Transformation, Industry, Knowledge and Universities). DS RISalud RD Apr 7, 2025