Research Article
Ann Hematol Oncol. 2022; 9(5): 1406.
A Different Trend of Heat Shock Proteins 90 mRNA and Protein Inhepatocellular Carcinoma Cell Line-Secreted Extracellular Vesicles
Cabiati M1, Giorgi ND1, Turco SD1, Caselli C1, Cecchettini A1,2, Rocchiccioli S1 and Del Ry S1*
1CNR, Institute of Clinical Physiology, Pisa Italy
2University of Pisa, Dept. Experimental and Clinical Medicine, Pisa, Italy
*Corresponding author: Silvia Del Ry, CNR Institute of Clinical Physiology, Via Giuseppe Moruzzi 1, 56124 Pis, Italy
Received: August 23, 2022; Accepted: September 23, 2022; Published: September 30, 2022
Abstract
Primary Hepatocellular Carcinoma (HCC) does not usually show any symptoms at the early stage and the use of biomarkers is necessary to aid in diagnosis. Recently Extracellular Vesicles (EVs), submicron membranebound structures secreted from different cell types containing a wide variety of bioactive molecules, have increased the attention in many cancers, including HCC, becoming an auspicious candidate as biomarkers and therapy in the scenario of limited diagnostic and treatment option.
Many indications have shown that heat shock proteins (Hsps) are important modulators in treatment resistance and invasion of HCC becoming attractive therapeutic targets. In particular, Hsp90a/β isoforms have been found to play critical roles in regulating the proliferation, apoptosis, and metastasis of tumor cells, suggesting for these proteins a role as targets for modern anticancer therapies. The study aimedto verify the presence of Hsp90a/β in EVs secreted by an HCC tumor cell line (HepG2) and by a non-tumorigenic hepatocyte cell line (WRL68), both at protein and mRNA levels, and to analyze their expression variations. The result showed that Hsp90s are transported by the EVs as protein but not at the mRNA level. To build new therapeutic targets using EVs or other organelles as performed on exosomes in recent studies, it is essential to evaluate the action at the pre or post-transcriptional level given their different behavior in transporting proteins or mRNA.
Keywords: HCC; Extracellular vesicles; Hsps; Real-time PCR; Protein analysis
Introduction
Primary Hepatocellular Carcinoma (HCC), one of the most common malignant tumors worldwide, does not usually show any symptoms at the early stage. By the time clinical manifestations appear, most patients have entered the terminal stage with fast and aggressive tumor progression; therefore, HCC screening and diagnosis are of extreme importance and the use of biomarkers is necessary to aid in diagnosis.
Recently Extracellular Vesicles (EVs), submicron membranebound structures secreted from different cell types containing a wide variety of bioactive molecules, have increased the attention in many cancers, including HCC, becoming an auspicious candidate as biomarkers and therapy in the scenario of limited diagnostic and treatment options [1,2]. EVs are commonly used by normal and tumor cells for communication at long distances to exchange complex molecular messages and deliver a variety of essential biomolecules [3]. The contents of vesicles vary concerning the mode of biogenesis, cell type, and physiologic conditions. In general, all EVs are loaded with various proteins, lipids, and nucleic acids [4] able to reprogram target cells to promote tumor growth, migration, metastasis, immune evasion, or chemotherapy resistance. Moreover, engineered EVs may be utilized as therapeutic agents, improving treatment options [5]. In recent years, many indications have shown that heat shock proteins (Hsps) are important modulators in treatment resistance and invasion of HCC, and novel therapeutic strategies that target Hsps alone or combined with other anticancer agents are widely investigated [6,7] also using EVs [8]. The Hsps are a group of highly conserved molecular chaperones acting in cell function including protein folding, assembly of the protein complex, and protein degradation [9].They are expressed at low levels under normal conditions while they increased in response to cellular stresses, including heat shock, hypoxia, genotoxic agents, nutrient starvation, and over expression of oncoproteins [10-13]. In particular, Hsp90, a member of the Hsp family, has been found to play a critical role in regulating the proliferation, apoptosis, and metastasis of tumor cells [14,15]. The Hsp90 family has four major members: Hsp90a, Hsp90β, GRP94, and Hsp75 [16,17]. Hsp90a and Hsp90β are located mainly in the cytoplasm, while the other two proteins in the endoplasmic reticulum and mitochondrial matrix, respectively. Due to its key role in modulating signal transduction, especially in tumor cells, Hsp90a has become a research hotspot. A recent study showed that plasma Hsp90a can discriminate patients with liver cancer from non-liver cancer controls [18]. Some reports showed that Hsp90a could be actively translocated into the extracellular space by malignant tumor cells [19]. In addition, the Hsp90a plasma level of patients with malignant tumors increased significantly and correlated positively with the degree of malignancy and the ability of producing metastasis [20]. Although most studies account for the effects of the Hsp90a isoform on angiogenesis, the role and mechanism of the Hsp90β isoform in tumor angiogenesis are rarely mentioned. Hsp90β is associated with the tumor malignancy of hepatocellular carcinomas and was up-regulated in HCCs with a high degree of malignancy [16]. Apart from their cytoprotective/antiapoptotic roles in the cytosol, Hsps have been found to provide danger signals for the host’s cellular immune system when located in the extracellular space or on the plasmamembrane [21-25]. These findings suggest that Hsps may be an ideal candidate for enhancing antitumor immunity and there is an increasing interest in identifying the extracellular activities of different Hsps, prompting a consistent effort to study these proteins as targets for modern anticancer therapies. Indeed, understanding these events would be particularly relevant for designing EV-based therapeutic approaches. Nevertheless, due to the complexity of the pathways involved, the internalization route and fate of EVs inside recipient cells remain to be fully elucidated. The use of EVs in cancer therapy represents one of the future challenges for emerging therapeutic applications of EVs. Although it has long been known that EVs carry numerous Hsps that have a bioactive effect on target cells, as mentioned above, and some studies and clinical trials have focused on inhibitors of these proteins as anti-cancer therapies [26–29], few data are available or ongoing on the Hsps carried by EVs. Given the important role of Hsp90a and Hsp90β in tumor progression and cancer cell proliferation, including HCC, they could be good candidates for this purpose but first of all, it is useful to verify their presence in the EVs both at the protein level and mRNA.
For this reason, we aimed to verify, by protein and transcriptional study, the presence of Hsp90a and Hsp90β in EVs secreted by an HCC tumor cell line (HepG2), and by a non-tumorigenic hepatocyte cell line (WRL68), and to analyze their expression variations in both these EVs.
Materials and Methods
Cell Culture and Isolation of EVs by Differential Centrifugation
This study is a part of a larger project within which the transcriptional profile of potential regulating miRNAs/lncRNAs and novel molecular diagnostic markers of HCC were also evaluated in the same samples [30]. As previously reported [30], the human HepG2 HCC cell line (Sigma-Aldrich, St. Louis, MO, USA) and the human WRL68 normal hepatocyte cell line (Sigma-Aldrich) were cultured a dedicated enriched medium (Sigma-Aldrich Life Technologies).
After adding containing EV-depleted FCS (Life Technologies), EVs have been isolated by the supernatant of each cell line, through differential centrifugation [31]. Analysis of optical microscopy images does not support the presence of HeLa cells in our cell samples.
Protein Extraction and MS Analysis
EV proteins were extracted as previously reported [32]. Protein concentration was determined by the bicinchoninic acid assay (Thermo Scientific, Rockford, IL, USA) and 100 μg of proteins were treated for high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) analysis, as previously described [32].
We used an Information Dependent Acquisition (IDA) tandem mass spectrometry approach based on a survey MS1 scan followed by the selection of a maximum of 20 most abundant precursor ions and their further fragmentation by Collisional Induced Dissociation (CID) to generate MS2 spectra.
Raw peptide MS data were converted into a peak list format (mzML, centroid spectra) using the Proteo Wizard tool ms convert and searched against a reviewed human database (UniProtKB/Swiss- Prot, 20381 sequences, release February 2021) using the integration of X!Tandem and Comet search tools through the Trans-Proteomic Pipeline (TPP) software suite [33]. MS1 full-scan filtering workflow of Skyline software (version 21.1, McCoss Lab, University of Washington, USA) was used to extract and integrate the area under the peak curve of all Hsp detected peptides. Peptides abundances were integrated to obtain the protein abundances of Hsp90a (P07900) and Hsp90β (P08238) within Skyline software.
Transcriptional Analysis
Transcriptional analysis of Hsp90a and Hsp90β was carried out in the in vitro model WRL68 normal hepatocyte (n=6) vs. HepG2 HCC cell line (n=6), then in EVs isolated by both of them. As previously reported [30], the purification of RNA from both cell lines and EVs isolated by HepG2and WRL68 cell culture was carried out using acid guanidinium thiocyanate–phenol-chloroform method (Qiazol, Qiagen SpA, Milano, Italy) following miRN easy Mini kit manufacturer’s instruction (Qiagen SpA, Milano, Italy). High-quality RNA was then eluted in 15-30 μl of RNAse-free water [30]. The total RNA concentration was determined in all samples by measuring the spectrophotometer absorbance (Nano drop, ThermoFisher). The RNA samples were stored at -80°C for use in gene expression studies. Total RNA extracted from all samples (cells and EVs) was reverse transcribed with miScript II RT Kit (Qiagen SpA, Milano, Italy). The cDNA samples obtained were stored at 4°C until Real- Time PCR analysis that was performed in duplicate in the Bio-Rad C1000™ thermal cycler (CFX-96 Real-Time PCR detection systems, Bio-Rad Laboratories Inc., Hercules, CA, USA) [24,25] using a specific fluorogenic DNA binding dye. The optimal Real-Time PCR conditions and the linear standard curves were developed for each gene analyzed. In order to verify the specificity of the amplification products, the amplicons were tested through melting curves analysis.
Intron-spanning primers were selected to avoid amplification of genomic DNA. The primers for reference (PPIA, TPT1, RPS4X eEF1a, RPL13a) and the target genes (Hsp90a, Hsp90β), were designed with a specific software Beacon Designer® (version 8.1;Premier Biosoft International, PaloAlto, CA) (Table 1) and were synthesized by Sigma Aldrich (Merck KGaA, Darmstadt, Germany) (Table 1).
Genes
Primer sequence
GenBank, accession n.
Length (pb)
Temp (°C)
Efficiency (%)
R2
eEF1a
F:CTTTGGGTCGCTTTGCTGTT
R: CCGTTCTTCCACCACTGATTNM_001402
183
60
101.7
0.998
RPL13a
F:CGCCCTACGACAAGAAAAAG
R: CCGTAGCCTCATGAGCTGTTNM_012423
206
60
104
0.999
RPS4X
F:GATCCCCTCATCAAGGTGAA
R: GCCCTTGCCAATAACAAAAANM_002046
243
60
104.2
0.999
PPIA
F:CTTGGGCCGCGTCTCCTTCG
R: TTGGGAACCGTTTGTGTTTGGGGCNM_021130
285
60
103.4
0.998
TPT1
F: AAATGTTAACAAATGTGGCAATT
R: AACAATGCCTCCACTCCAAANM_003295
164
60
105
0.999
Hsp90a
F: CCTACTGCTGATGATACCA
R: AGCCAGAGATTAGTCTACTTCNM_001040060
102
60
95.5
0.995
Hsp90b
F: CTCTCCTGTCCTTGTGTTG
R: CATCCAATCCTGCTGTCAANM_001271969
82
60
97.3
0.996
eEF1a: Eukaryotic translationelongation factor 1 alpha 1; RPL13a: Ribosomal protein L13a; RPS4X: 40S ribosomal protein S4, X isoform; PPIA: peptidylpropyl isomerase A [cyclophilin A]; TPT1: tumor protein translationally controlled 1; Hsp90a;heat shock protein 90 alpha; Hsp90β: heat shock protein 90 beta.
Table 1: Laboratory values at hospital admission.
Statistical Analysis
This study was carried out to conform to the Minimum Information for Publication of Quantitative Real-Time PCR Experiments [34]. The reference genes were run in each system group analyzed: 1) EVs isolated byWRL68 and HepG2 HCC cell line2) WRL68 and HepG2 HCC cell line cultures 3) WRL68, HepG2 HCC cell line and EV secreted by them. For each system we found as reference genes: 1) PPIA, TPT1, RPS4X 2) eEF1a, RPL13a, RPS4X3) PPIA, TPT1, RPS4Xrespectively (M<1).
Relative quantification of each target gene studied was calculated by the ΔΔCt method. Group comparison was performed by Student’s t-test or analysis of variance (ANOVA) as appropriate, using Statview 5.0.1 software released for Windows Statistical (SAS Institute, Inc., Cary, NC, USA). Relations between variables were assessed by linear regression. The results were expressed as mean ± SEM, and the p-value was considered significant when < 0.05.
Results
Protein Expression Analysis
Hsp90a (P07900) and Hsp90β (P08238) proteins were identified and quantified in WRL68- and HepG2-derived EVs with an average variability coefficient of 6.3% and 6.8% respectively. In both cases, proteins resulted increase in EVs secreted by the HCC tumor cell line (Figure 1), with a mean ratio of 2.7 for Hsp90a and 7.5 for Hsp90 β with respect to EVs secreted by non-tumorigenic hepatocyte cell line WRL68.
Figure 1: a) Hsp90a and b) Hsp90β protein levels in EVs secreted by non-tumorigenic hepatocyte cell line WRL68 (white bar) and by tumorigenic hepatocyte cell line HepG2 (grey bar).
Gene Expression Analysis
We evaluated the Hsp90a and Hsp90β mRNA levels in EVs secreted by HepG2, the tumorigenic hepatocyte cell line, and by the non-tumorigenic hepatocyte cell line WRL68, and unexpectedly their transcript resulted to be almost undetectable in EVs secreted by the HCC tumor cell line (Figure 2).
Figure 2: a) Hsp90a and b) Hsp90βmRNA levels in EVs secreted by non-tumorigenic hepatocyte cell line WRL68 (white bar) and by tumorigenic hepatocyte cell line HepG2 (grey bar).
A significant correlation was observed between Hsp90a and Hsp90β mRNA (r=0.990, p<0.001).
To have a complete as possible picture of the Hsp90a and Hsp90β mRNA expression trend in the tumorigenesis we also evaluated their mRNA expression levels in HepG2 and WLR68 cell lines. Both of them resulted to be higher in the tumorigenic cell line HepG2 with respect to the normal cell line WLR68 reaching significant levels only for Hsp90β (Figure 3).
Figure 3: a) Hsp90a and b) Hsp90βmRNA levels in non-tumorigenic hepatocyte cell line WRL68 (white bar) and in tumorigenic hepatocyte cell line HepG2 (grey bar).
Sharing the transcriptional data as a whole (WRL68, HepG2 HCC cell line, and EV secreted by them) we can observe that both the Hsp90a (Figure 4a) and the Hsp90β mRNA (Figure 4b) resulted being present in both cell lines and EVs-derived WRL68, while were undetectable in HepG2-derived EVs, as if the EVs secreted by HepG2 carry neither the Hsp90a mRNA nor the Hsp90β mRNA.
Figure 4: a) Hsp90a and b) Hsp90βmRNA levels in WRL68 and in HepG2 cell line compared with their levels in EVs secreted by them, respectively..
Discussion
Heat shock proteins are evolutionally conserved and ubiquitously expressed molecular chaperones abundantly present in cancer [35- 37]. Recent gene expression studies have shown that Hsps can be used as prognostic markers to predict the clinical outcome of breast cancer patients [38]. Furthermore, the discovery of the extracellular vesiclesrole in transferring protein and genetic information and the identification of Hsps in EVs have opened new opportunities and challenges for determining clinical biomarkers of cancer [25].
EVs, as physiological mediators of intercellular communication [23-25], are natural modulators of the gene expression of their target cells, and this feature could be a useful tool for diagnostic and therapeutic approaches. As also above mentioned Hsps may serve as diagnostic and prognostic markers in HCC [6,7] but there are still some challenges to target Hsps in HCC and to understand if their identification in EVs can open new opportunities and trials for determining clinical biomarkers of cancer or therapeutic target.
The present study provides a twofold indication: on the one hand, the increase in expression mRNA levels of Hsp90a and Hsp90β in the tumorigenic cell line is pointed out and in line with the literature data, on the other hand, an original result was obtained about the study of Hsp90a and Hsp90β in EVs secreted by tumorigenic and non-tumorigenic cell lines which highlights an increase in protein concentrations but not of mRNA expression. As previously reported,this study is a part of a larger project within which the transcriptional profile of potential regulating miRNAs/lnc RNAs [30] and novel molecular diagnostic markers of HCC were also evaluated in the same samples and, as observed in a previous study of ours [30], not all the biomarkers have, in the EVs secreted by tumorigenic cells, an up-regulation with respect to EVs extracted from non-tumorigenic cellsunderlining that for some biomarkers, the transcriptional and protein results may not have the same trend underlining different behaviors for EVs obtained from tumorigenic cells. In particular, the results obtained in this study indicated that the Hsp90s are transported by the EVs at the protein level but not at the mRNA level, highlighting the need to make specific choices also in their use as a therapeutic target. It has been suggested that EV cargos cannot also be completely reflective of their cell origin, and the underlying mechanism of cargo sorting is complicated and need to be further elucidated [39].
Conclusions
In order to build new therapeutic targets using EVs or other organelles as performed on exosomes in recent studies [8], it is essential to evaluate the action at the pre or post-transcriptional level given their different behavior in transporting proteins or mRNA.
Funding
This work was supported by “INTEROMICS FLAGSHIP PROJECT” (PRO teomic and Transcriptional analysis of HEpatocellular carcinoma cell line-secreted microvesicles for the identification of a molecular Signature), supported by the MIUR (Italian Ministry of Education, University and Research) and coordinated by the CNR (National Research Council).
Conflicts of Interest
The authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.
Consent for Publication
All authors gave their consent for this paper publication.
Author Contributions
All authors contributed to the study conception and design. Conceptualization, data curation, formal analysis: SDR, SR. Methodology: MC, NdG, SdT, CC, AC. Writing - original draft: SDR. All authors reviewed the manuscript.
All authors read and approved the final manuscript.
References
- Ban LA, Shackel NA, McLennan SV. Extracellular Vesicles: A New Frontier in Biomarker Discovery for Non-Alcoholic Fatty Liver Disease. Int J Mol Sci. 2016; 17: 376.
- Cai S, Cheng X, Pan X, Li J. Emerging role of exosomes in liver physiology and pathology. Hepatol Res. 2017; 47: 194–203.
- Chistiakov DA, Chekhonin VP. Extracellular vesicles shed by glioma cells: pathogenic role and clinical value. Tumour Biol. 2014; 35: 8425-8438.
- Abels ER, Breakefield XO. Introduction to Extracellular Vesicles: Biogenesis, RNA Cargo Selection, Content, Release, and Uptake. Cell Mol Neurobiol. 2016; 36: 301-312.
- Waldenmaier M, Seibold T, Seufferlein T, Eiseler T. Pancreatic cancer small extracellular vesicles (Exosomes): a tale of short- and long-distance communication. Cancers. 2021; 13: 4844.
- Breinig M, Caldas-Lopes E, Goeppert B, Malz M, Rieker R, Bergmann F. Targeting heat shock protein 90 with nonquinone inhibitors: a novel chemotherapeutic approach in human hepatocellular carcinoma. Hepatology. 2009; 50: 102–112.
- Lang SA, Moser C, Fichnter-Feigl S, et al. Targeting heat-shock protein 90 improves efficacy of rapamycin in a model of hepatocellular carcinoma in mice. Hepatology. 2009; 49: 523–532.
- Lv LH, Wan YL, Lin Y, et al. Anticancer drugs cause release of exosomes with heat shock proteins from human hepatocellular carcinoma cells that elicit effective natural killer cell antitumor responses in vitro. J Biol Chem. 2012; 287: 15874-15885.
- Sarto C, Binz PA, Mocarelli P. Heat shock proteins in human cancer. Electrophoresis. 2000; 21: 1218–1226.
- Azad AA, Zoubeidi A, Gleave ME, Chi KN. Targeting heat shock proteins in metastatic castration-resistant prostate cancer. Nat Rev Urol. 2015; 12: 26–36.
- Ischia J, So AI. The role of heat shock proteinsin bladder cancer. Nat Rev Urol. 2013; 10: 386–395.
- Zhang L, Fok JH, Davies FE. Heat shock proteinsin multiple myeloma. Oncotarget. 2014; 5: 1132–1148.
- Calderwood SK, Khaleque MA, Sawyer DB, Ciocca DR. Heat shock proteins in cancer: chaperones of tumorigenesis. Trends Biochem Sci. 2006; 31: 164–172.
- Trepel J, Mollapour M, Giaccone G, Neckers L. Targeting the dynamic HSP90 complex in cancer. Nat Rev Cancer. 2010; 10: 537–549.
- Whitesell L, Lindquist SL. HSP90 and the chaperoningof cancer. Nat Rev Cancer. 2005; 5: 761–772.
- Meng J, Liu Y, Han J, Tan Q, Chen S, et al. Hsp90β promoted endothelial cell-dependent tumor angiogenesis in hepatocellular carcinoma. Mol Cancer. 2017; 16: 72.
- Wei W, Liu M, Ning S, Wei J, Zhong J, Li J, et al. Diagnostic value of plasma HSP90a levels for detection of hepatocellular carcinoma. BMC Cancer. 2020; 20: 6.
- Fu Y, Xu X, Huang D, Cui D, Liu L, Liu J, et al. Plasma heat shock protein 90alpha as a biomarker for the diagnosis of liver Cancer: an official, largescale, and multicenter clinical trial. E Bio Medicine. 2017; 24: 56–63.
- Eustace BK, Sakurai T, Stewart JK, Yimlamai D, Unger C, et al. Functional proteomic screens reveal an essential extracellular role for Hsp90alpha in cancer cell invasiveness. Nat Cell Biol. 2004; 6: 507–514.
- Wang X, Song X, Zhuo W, Fu Y, Shi H, et al. The regulatory mechanism of Hsp90alpha secretion and its function in tumor malignancy. Proc Natl Acad Sci USA. 2009; 106: 21288–21293.
- Pockley AG. Heat shock proteins as regulators of the immuneresponse. Lancet. 2003; 362: 469–476.
- Hickman-Miller HD, Hildebrand WH. The immune responseunder stress. The role of HSP-derived peptides. Trends Immunol. 2004; 25: 427–433.
- Simons M, Raposo G. Exosomes: vesicular carriers for intercellular communication. Curr Opin Cell Biol. 2009; 21: 575–581.
- Qiu G, Zheng G, Ge M, et al. Mesenchymal stem cell-derived extracellular vesicles affect disease outcomes via transfer of microRNAs. Stem Cell Res Ther. 2018; 9: 320.
- Kalluri R, Le Bleu VS. The biology, function, and biomedical applications of exosomes. Science 2020; 80: 367.
- Zeng Y, Graner MW, Katsanis E. Chaperone-rich cell lysates, immune activation and tumor vaccination. Cancer Immunol Immunother. 2006; 55: 329–338.
- Burke M, Choksawangkarn W, Edwards N, Ostrand-Rosenberg S, Fenselau C. Exosomes from myeloid-derived suppressor cells carry biologically active proteins, J Proteome Res. 2014; 13: 836–843.
- Albakova Z, Armeev GA, Kanevskiy LM, Kovalenko EI, Sapozhnikov AM. HSP70 multi-functionality in cancer. Cell. 2020; 9: 587.
- Albakova Z, Siam MKS, Sacitharan PK, Ziganshin RH, Ryazantsev DY, Sapozhnikov AM. Extracellular heat shock proteins and cancer: new perspectives. Transl Oncol. 2021; 14: 100995.
- Cabiati M, Salvadori C, Basta G, et al. miRNA and long non-coding RNA transcriptional expression in hepatocellular carcinoma cell line-secreted extracellular vesicles. Clin Exp Med. 2021; 22: 245-255.
- Comelli L, Rocchiccioli S, Smirni S, Selvetti A, Signore G, et al. Characterization of secreted vesicles from vascular smooth muscle cells. Mol Biosyst. 2014; 10: 1146-5112.
- Finamore F, Cecchettini A, Ceccherini E, Signore Ferro, Rocchiccioli S, et al. Characterization of extracellular vesicle cargo in Sjögren’s Syndrome through a SWATH-MS proteomics approach. Int J Mol Sci. 2021; 22: 4864.
- Deutsch EW, Mendoza L, Shteynberg D, Farrah T, Lam H, et al. A guided tour of the trans-proteomic pipeline. Proteomics. 2010; 10: 1150-9.
- Bustin SA, Benes V, Garson JA, Hellemans J, Huggett J, et al. The MIQE guidelines: minimum information for publication of quantitative real-time PCR experiments. Clin Chem. 2009; 55: 611-622.
- Ciocca DR, Calderwood SK. Heat shock proteins in cancer: diagnostic, prognostic, predictive, and treatment implications. Cell Stress Chaperones. 2005; 10: 86-103.
- Calderwood SK, Khaleque MA, Sawyer DB, Ciocca DR. Heat shock proteins in cancer: chaperones of tumorigenesis. Trends Biochem Sci. 2006; 31: 164- 172.
- Lindquist S, Craig EA. The heat-shock proteins. Annu Rev Genet. 1988; 22: 631-677.
- Klimczak M, Biecek P, Zylicz A, Zylicz M. Heat shock proteins create a signature to predict the clinical outcome in breast cancer. Sci Rep. 2019; 9: 7507.
- Dong L, Huang CY, Johnson EJ, Yang L, Zieren RC, et al. High-Throughput simultaneous mRNA profiling using ncounter technology demonstrates that extracellular vesicles contain different mRNA transcripts than their parental prostate cancer cells. Anal Chem. 2021; 93: 3717-3725.