RT Journal Article SR Electronic T1 Extracellular vesicle tetraspanin-8 level predicts distant metastasis in non–small cell lung cancer after concurrent chemoradiation JF Science Advances JO Sci Adv FD American Association for the Advancement of Science SP eaaz6162 DO 10.1126/sciadv.aaz6162 VO 6 IS 11 A1 Liu, Yang A1 Fan, Jia A1 Xu, Ting A1 Ahmadinejad, Navid A1 Hess, Kenneth A1 Lin, Steven H. A1 Zhang, Jianjun A1 Liu, Xi A1 Liu, Li A1 Ning, Bo A1 Liao, Zhongxing A1 Hu, Tony Y. YR 2020 UL http://advances.sciencemag.org/content/6/11/eaaz6162.abstract AB Non–small cell lung cancer (NSCLC) is the most commonly diagnosed cancer and the leading cause of cancer death worldwide. More than half of patients with NSCLC die after developing distant metastases, so rapid, minimally invasive prognostic biomarkers are needed to reduce mortality. We used proteomics to identify proteins differentially expressed on extracellular vesicles (EVs) of nonmetastatic 393P and metastatic 344SQ NSCLC cell lines and found that tetraspanin-8 (Tspan8) was selectively enriched on 344SQ EVs. NSCLC cell lines treated with EVs overexpressing Tspan8 also exhibited increased Matrigel invasion. Elevated Tspan8 expression on serum EVs of individuals with stage III premetastatic NSCLC tumors was also associated with reduced distant metastasis–free survival, suggesting that Tspan8 levels on serum EVs may predict future metastasis. This result suggests that a minimally invasive blood test to analyze EV expression of Tspan8 may be of potential value to guide therapeutic decisions for patients with NSCLC and merits further study.