Table 2.

Results of the different biomarkers studies in MM using different EVs

TypeSamplesMethodology BiomarkerImpactReference
Protein      
MV N=2 MM Serum
UC
Immunoblotting 
Monoclonal Ig (FLC) Detectable in MM MVs 84  
exo N=10 5T33MM mice Blood
Exoquick
Immunocapture 
Monoclonal Ig Detectable in MM EVs earlier than M protein 85  
MV N=8 ND, 26PR, 18CR, 14PD, 18HD Plasma
UC
FC 
CD138 Higher in MM vs HD, correlates to MM progression 86  
MV N=115ND, 48CR, 20HD Blood/BM
UC
FC 
CD138 Higher in MM vs HD, correlates to MM progression 87  
MV N=14ND, 30PR, 12CR, 18PD, 24HD Plasma
UC
FC 
CD138/P-gp+/CD34 High CD138-P-pg+CD34+EV count associated with unresponsiveness to treatment 88  
MV N=61ND, 5PD, 29HD Plasma
UC
FC 
CD138 Higher in MM vs HD, correlation with bone disease 39  
MV N=12 ND, 28 HD Serum
UC
FC 
CD38 Higher in MM vs HD 89  
MV N=27MM, 11 MGUS, 14 SMM BM plasma
UC
FC 
CD38 Higher in MM vs MGUS and SMM 43  
MV N=10 MM, 20 ND Serum
Bench centrifugation
FC 
CD138/CD38 Single and double positive EVs higher in MM vs HD
Double positive correlate with tumor burden 
90  
exo N=8 ND,16 PD 8 MGUS, 16 HD Plasma
Exoquick
FC 
CD163/CD206 Higher in MM vs MGUS, HD and RR 93  
exo N=233 ND (of which 32 immunoblot), 13 HD Serum
UC
Elisa/immunoblot 
CD44 Higher in MM vs HD 91  
RNA      
exo N=156 ND, 5 HD Serum
Exoquick
Small RNAseq 
Let-7b, let-7e, miR-106a, miR-106b, miR-155, miR-16, miR-17, miR-18a, miR-20a Lower in MM vs HD, let-7b and miR-18a predictors for PFS and OS 96  
exo N=3 MM, 18 HD UC
qRT-PCR 
miR-155 Lower in MM vs HD 97  
exo N=20 MM, 20S MM, 16 HD Serum
Exoquick
qRT-PCR 
let-7c-5p, let-7d-5p, miR-185-5p, miR-103a-3p, miR20a-5p Lower in MM vs SMM and HD 98  
   miR4505 and miR4741 Higher in MM vs SMM and HD  
exo N=48 ND, 16 HD Serum
Exoquick
Microarray/qRT-PCR 
let-7c-5p, let-7d-5p, miR-140-3p, miR-185-5p, and miR-425-5p Lower in MM vs HD, negative correlation with disease progression and tumor burden 99  
exo N=115 MM (73 responder, 42 non-responder) Serum
UC
miRNA array 
MiR-17-5p, miR-20a-5p, miR- 15a-5p and miR-16-5p Lower in bortezomib resistant patients 101  
exo N=5 bz resistant, 5 bz sensitive MM Serum
UC
RNAseq 
482 lncRNA and 2099 mRNA FFAR1 and SP9 were increased, potential diagnostic marker HIST1H2BG and ITIH2 were decreased in resistance 102  
exo N=122 MM, 54 HD Serum
Exoquick
qRT-PCR 
circ-Myc Higher in MM vs HD, correlated to 17p deletion and translocation of t(4;14) 103  
exo N=25 MM, 5 HD Serum
Exoquick
RNA seq/qRT-PCR 
265 upregulated and 787 downregulated circRNAs (MM vs HD) chr2:2744228–2 744 407+correlated to peripheral neuropathy 104  
exo N=20 MM, 5 HD Serum
Exoquick
RNA seq/qRT-PCR 
circATP10A Prognostic potential, correlated to vascular endothelial growth factor B levels 106  
exo N=20 MM, 5 HD Serum
Exoquick
qRT-PCR 
circ-G042080 Predictor myocard damage 105  
exo N=56 MM, 49 MGUS, 36 HD Serum
miCURY exosome isolation kit
lncRNA array 
PRINS Negative correlation with PC in BM 100  
TypeSamplesMethodology BiomarkerImpactReference
Protein      
MV N=2 MM Serum
UC
Immunoblotting 
Monoclonal Ig (FLC) Detectable in MM MVs 84  
exo N=10 5T33MM mice Blood
Exoquick
Immunocapture 
Monoclonal Ig Detectable in MM EVs earlier than M protein 85  
MV N=8 ND, 26PR, 18CR, 14PD, 18HD Plasma
UC
FC 
CD138 Higher in MM vs HD, correlates to MM progression 86  
MV N=115ND, 48CR, 20HD Blood/BM
UC
FC 
CD138 Higher in MM vs HD, correlates to MM progression 87  
MV N=14ND, 30PR, 12CR, 18PD, 24HD Plasma
UC
FC 
CD138/P-gp+/CD34 High CD138-P-pg+CD34+EV count associated with unresponsiveness to treatment 88  
MV N=61ND, 5PD, 29HD Plasma
UC
FC 
CD138 Higher in MM vs HD, correlation with bone disease 39  
MV N=12 ND, 28 HD Serum
UC
FC 
CD38 Higher in MM vs HD 89  
MV N=27MM, 11 MGUS, 14 SMM BM plasma
UC
FC 
CD38 Higher in MM vs MGUS and SMM 43  
MV N=10 MM, 20 ND Serum
Bench centrifugation
FC 
CD138/CD38 Single and double positive EVs higher in MM vs HD
Double positive correlate with tumor burden 
90  
exo N=8 ND,16 PD 8 MGUS, 16 HD Plasma
Exoquick
FC 
CD163/CD206 Higher in MM vs MGUS, HD and RR 93  
exo N=233 ND (of which 32 immunoblot), 13 HD Serum
UC
Elisa/immunoblot 
CD44 Higher in MM vs HD 91  
RNA      
exo N=156 ND, 5 HD Serum
Exoquick
Small RNAseq 
Let-7b, let-7e, miR-106a, miR-106b, miR-155, miR-16, miR-17, miR-18a, miR-20a Lower in MM vs HD, let-7b and miR-18a predictors for PFS and OS 96  
exo N=3 MM, 18 HD UC
qRT-PCR 
miR-155 Lower in MM vs HD 97  
exo N=20 MM, 20S MM, 16 HD Serum
Exoquick
qRT-PCR 
let-7c-5p, let-7d-5p, miR-185-5p, miR-103a-3p, miR20a-5p Lower in MM vs SMM and HD 98  
   miR4505 and miR4741 Higher in MM vs SMM and HD  
exo N=48 ND, 16 HD Serum
Exoquick
Microarray/qRT-PCR 
let-7c-5p, let-7d-5p, miR-140-3p, miR-185-5p, and miR-425-5p Lower in MM vs HD, negative correlation with disease progression and tumor burden 99  
exo N=115 MM (73 responder, 42 non-responder) Serum
UC
miRNA array 
MiR-17-5p, miR-20a-5p, miR- 15a-5p and miR-16-5p Lower in bortezomib resistant patients 101  
exo N=5 bz resistant, 5 bz sensitive MM Serum
UC
RNAseq 
482 lncRNA and 2099 mRNA FFAR1 and SP9 were increased, potential diagnostic marker HIST1H2BG and ITIH2 were decreased in resistance 102  
exo N=122 MM, 54 HD Serum
Exoquick
qRT-PCR 
circ-Myc Higher in MM vs HD, correlated to 17p deletion and translocation of t(4;14) 103  
exo N=25 MM, 5 HD Serum
Exoquick
RNA seq/qRT-PCR 
265 upregulated and 787 downregulated circRNAs (MM vs HD) chr2:2744228–2 744 407+correlated to peripheral neuropathy 104  
exo N=20 MM, 5 HD Serum
Exoquick
RNA seq/qRT-PCR 
circATP10A Prognostic potential, correlated to vascular endothelial growth factor B levels 106  
exo N=20 MM, 5 HD Serum
Exoquick
qRT-PCR 
circ-G042080 Predictor myocard damage 105  
exo N=56 MM, 49 MGUS, 36 HD Serum
miCURY exosome isolation kit
lncRNA array 
PRINS Negative correlation with PC in BM 100  

bz, bortezomib; CR, complete response; exo, exosomes; FC, flow cytometry; HD, healthy donors; MV, microvesicles; ND, newly diagnosed MM; PC, plasma cells; PD, progressive disease; PR, partial response; RR, relapsed/refractory; UC, ultracentrifugation.

Methodology shown in order of source, isolation technique, and characterization technique.

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