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Table 1 EV-associated FDA-approved glycoprotein biomarkers for cancer

From: Lectins as potential tools for cancer biomarker discovery from extracellular vesicles

FDA approved cancer biomarker used for clinical application

Same biomarker found on EVs

Biomarker

Cancer type

Sample

Glycosylation type

Clinical use

Year of FDA approval

Cancer type

EV sample type

Publication year

Reference

Alpha-feto protein (AFP)

Testicular

Serum, plasma, amniotic fluid

N-glycosylated

Management of cancer

1992/2008

Melanoma, prostate

Cell lines

2015

[64,65,66]

CA 15–3 (MUC1)

Breast

Serum, plasma

N- and O-glycosylated

Monitor disease response to therapy

1997

Breast, prostate, bladder

Cell lines, milk, saliva, urine

2004/2007/2009

[67,68,69]

CA 19–9

Pancreatic

Serum, plasma

Glycan sialyl-Lewisa

Monitoring disease status

2002

Pancreatic

Plasma, serum

2017/2020

[70,71,72]

CA-125 (MUC16)

Ovarian

Serum, plasma

N- and O-glycosylated

Monitoring disease progression, response to therapy

1997/2011

Bladder, breast, colorectal, kidney, melanoma, ovarian

Cell lines, breast milk, serum, ascites, urothelial cells

2009/2011/ 2012/2013/ 2014/ 2016/2017

[73,74,75]

Carcinoembryonic antigen (CEA)

Colorectal and others

Serum, plasma

N-glycosylated

Aid in management and prognosis

1985

Colorectal, lung

Cell lines, ascites, plasma, urine

2002/2005/ 2009/2011/ 2012/2013/ 2016/2017

[76,77,78]

Circulating Tumor Cells (EpCAM, CD45, cytokeratins 8, 18 + , 19 +)

Breast

Whole blood

N-glycosylated

Prediction of cancer progression and survival

2005

Colorectal, ovarian, prostate, kidney, lung

Serum, ascites, urine, thymus, B & T cells, breast milk,

2001/2002/ 2005/2007/ 2009/2011/ 2013/2015/ 2017/2018

[79,80,81,82]

Estrogen receptor (ER)

Breast

FFPE Tissue

O-GlcNAc

Prognosis, response to therapy

1999

Breast

Urine

2013

[80]

Human epididymis protein 4 (HE4)

Ovarian

Serum

N-glycosylated

Monitoring recurrence or progression

2008

Colorectal, ovarian

Cell lines, seminal plasma, urine

2009/2013/ 2014/2015

[83,84,85]

HER2/NEU

Breast

FFPE Tissue

N-glycosylated

Assessment for therapy

1998

Breast, colorectal, ovarian, lung, prostate

Cell lines, ascites, breast milk, serum, urine

2002/2005/ 2009/2010/ 2012/2013/ 2016/2018

[75, 77, 86]

Prostate-specific antigen (PSA)

Prostate

Serum

N-glycosylated

Screening, diagnosis and monitoring

1986/1994/2012

Prostate, bladder

Seminal fluid, urine, colorectal cancer cells

2003/2008/ 2009/2012/ 2015/2018

[83, 87, 88]

Progesterone receptor (PR)

Breast

FFPE Tissue

No glycosylation

Prognosis, response to therapy

1999

Breast cancer

Mesenchymal stem cells

2009

[89]

Nuclear mitotic apparatus protein (NuMA, NMP22)

Bladder

Urine

O-linked glycan

Diagnosis and monitoring disease

1996

Bladder, colorectal, lung, ovarian, prostate

Thymus, urine, urothelial and mesenchymal stem cells

2008/2009/ 2011/2012/ 2014/2015/ 2017/2018

[74, 82, 90]

Thyroglobulin (Tg)

Thyroid

Serum, plasma

N-glycosylated

Monitoring disease

1997

Ovarian

T cells, cerebrospinal fluid, ovarian cancer cells

2013/2014/2018

[84, 91, 92]