serum; serum exosomes; circulating serum exosomes
C666-1; 5-8F; CNE-1; NP69; CNE-1/RR
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proliferation (promotes); radioresistance (promotes); ceRNA regulation (other); metastasis (promotes); drug resistance (promotes)
RT-qPCR; Clinical Sample Validation; Cohort Study; Survival Analysis; ROC Analysis; Bioinformatics Analysis; Transfection; CCK8; EdU Staining; Colony Formation Assay; FISH / smFISH
High circulating exosomal circMYC is associated with tumor size, lymphatic metastasis, TNM stage, lower overall survival, lower disease-free survival, higher recurrence, higher mortality, and can differentiate radioresistant from radiosensitive NPC patients.
This study identifies circulating serum exosomal circMYC as up-regulated in NPC, especially in radioresistant NPC, and links high circMYC expression to advanced clinical features, recurrence, and poor survival. Functional experiments indicate that circMYC promotes NPC cell proliferation and radioresistance, while circMYC knockdown sensitizes resistant cells to irradiation. Mechanistically, the study suggests a cytoplasmic ceRNA-related model involving miR-20b-5p/let-7e-5p and AGO1/CRY2 based on bioinformatic prediction.
0.7173
Diagnostic value of exosomal circMYC in radioresistant nasopharyngeal carcinoma.
combined biological and clinical study