Wilhelm, A.D.* ; Flynn, C.* ; Hammer, E.* ; Rössler, J. ; Haller, B.* ; Napieralski, R.* ; Leuthner, M.* ; Tosheska, S.* ; Knoops, K.* ; Mathew, A.* ; Ciarimboli, G.* ; Kranich, J.* ; Flaskamp, L.* ; King, S.* ; Gevensleben, H.* ; Emslander, Q.* ; Pastucha, A.* ; Reisbeck, M.* ; Rief, L.* ; Bronger, H.* ; Dreyer, T.* ; Bausch, A.R.* ; Pichlmair, A.* ; Brocker, T.* ; Zeidler, R. ; Hammerschmidt, W. ; Piedavent-Salomom, M.* ; López-Iglesias, C.* ; Schricker, G.* ; Haydn, O.* ; Kiechle, M.* ; Grill, S.W.* ; Heeren, R.* ; Knolle, P.A.* ; Wilhelm, O.* ; Höchst, B.*
     
    
        
Two-dimensional analysis of plasma-derived extracellular vesicles to determine the HER2 status in breast cancer patients.
    
    
        
    
    
        
        Breast Cancer Res. 27:107 (2025)
    
    
    
      
      
	
	    Breast cancer, one of the most common cancers in women, is classified by the expression of hormone receptors and the growth factor receptor HER2, which is important for personalised tumour treatment with HER2-targeted therapies. Tumour biopsies are required for histopathological diagnosis of HER2 expression by breast cancer cells but are subject to sampling error. In this study, we present a method for identifying and analysing cancer-derived EVs from plasma for the detection of HER2 expression in breast cancer without the need for additional processing steps. We detected nano-sized particles through an optimised flow cytometry approach that allows for the identification of HER2-expressing EVs and quantification of their HER2 expression levels. In a clinical study of 115 breast cancer patients, this optimised flow cytometric analysis detected a range of 1.3 to 50 × 103 HER2+EVs per µl of plasma. The number of HER2+EVs did not correlate directly with tumour size, grade, or metastasis. However, computational integration of data from the quantification of HER2pos EVs per µl/plasma and their HER2 expression levels on a single EV basis allowed for the reliable identification of HER2 expression levels in tumours. Our results reveal the potential for analysing cancer-derived EVs from plasma for the diagnosis and personalised therapy in breast cancer patients.
	
	
	    
	
       
      
	
	    
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        Publication type
        Article: Journal article
    
 
    
        Document type
        Scientific Article
    
 
    
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        Keywords
        Biogenesis; Prognosis; Exosomes; Subtypes; Impact
    
 
    
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        Language
        english
    
 
    
        Publication Year
        2025
    
 
    
        Prepublished in Year
        0
    
 
    
        HGF-reported in Year
        2025
    
 
    
    
        ISSN (print) / ISBN
        1465-5411
    
 
    
        e-ISSN
        1465-542X
    
 
    
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	    Volume: 27,  
	    Issue: 1,  
	    Pages: ,  
	    Article Number: 107 
	    Supplement: ,  
	
    
 
    
        
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            Publisher
            BioMed Central
        
 
        
            Publishing Place
            Campus, 4 Crinan St, London N1 9xw, England
        
 
	
        
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        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        30203 - Molecular Targets and Therapies
    
 
    
        Research field(s)
        Immune Response and Infection
Enabling and Novel Technologies
    
 
    
        PSP Element(s)
        G-501500-001
G-501501-001
G-503010-001
    
 
    
        Grants
        Bundesministerium fr Bildung und Forschung
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2025-07-11