한빛사논문
Jayeon Song 1,2,3,4, Mi Hyeon Cho 1,2, Hayoung Cho 1, Younseong Song 5, Sung Woon Lee 6, Ho Chul Nam 6, Tae Ho Yoon 6, Jong Cheol Shin 6, Jae-Sang Hong 1,2, Yejin Kim 7, Emil Ekanayake 8, Jueun Jeon 1,2, Dong Gil You 1,8, Sung Gap Im 5, Gyu-Seog Choi 9, Jun Seok Park 9, Bob C. Carter 8, Leonora Balaj 8, An Na Seo 10, Miles A. Miller 1,2, Soo Yeun Park 9, Taejoon Kang 4,11,*, Cesar M. Castro 1,12,* & Hakho Lee 1,2,13,*
1Center for Systems Biology, Massachusetts General Hospital Research Institute, Boston, MA, USA.
2Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
3Department of Forensic Sciences, Sungkyunkwan University, Suwon, Republic of Korea.
4School of Pharmacy, Sungkyunkwan University, Suwon, Republic of Korea.
5Department of Chemical and Biomolecular Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea.
6RevoSketch, Inc., Daejeon, Republic of Korea.
7Research Institute of Aging and Metabolism, Kyungpook National University, Daegu, Republic of Korea.
8Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
9Colorectal Cancer Center, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
10Department of Pathology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
11Bionanotechnology Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea.
12Cancer Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
13Center for Nanomedicine, Institute for Basic Science (IBS), Seoul, Republic of Korea.
*Corresponding authors: correspondence to Taejoon Kang, Cesar M. Castro or Hakho Lee
Abstract
Sequencing of messenger RNA (mRNA) found in extracellular vesicles (EVs) in liquid biopsies can provide clinical information such as somatic mutations, resistance profiles and tumor recurrence. Despite this, EV mRNA remains underused due to its low abundance in liquid biopsies, and large sample volumes or specialized techniques for analysis are required. Here we introduce Self-amplified and CRISPR-aided Operation to Profile EVs (SCOPE), a platform for EV mRNA detection. SCOPE leverages CRISPR-mediated recognition of target RNA using Cas13 to initiate replication and signal amplification, achieving a sub-attomolar detection limit while maintaining single-nucleotide resolution. As a proof of concept, we designed probes for key mutations in KRAS, BRAF, EGFR and IDH1 genes, optimized protocols for single-pot assays and implemented an automated device for multi-sample detection. We validated SCOPE’s ability to detect early-stage lung cancer in animal models, monitored tumor mutational burden in patients with colorectal cancer and stratified patients with glioblastoma. SCOPE can expedite readouts, augmenting the clinical use of EVs in precision oncology.
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