Journal of Cancer Research and Clinical Oncology

, Volume 145, Issue 11, pp 2713–2723 | Cite as

A three-platelet mRNA set: MAX, MTURN and HLA-B as biomarker for lung cancer

  • Lele Liu
  • Xingguo Song
  • Xinyi Li
  • Linlin Xue
  • Shanshan Ding
  • Limin Niu
  • Li Xie
  • Xianrang SongEmail author
Original Article – Cancer Research



During the development of tumors, tumors “educate” platelets causing changes in their mRNAs expression profiles and phenotypes, thereby, tumor-educated platelet (TEP) mRNA profile has the potential to diagnose lung cancer. The current study aimed to examine whether TEPs might be a potential biomarker for lung cancer diagnostics.


Platelet precipitation was obtained by low-speed centrifugation and subjected to Trizol for total RNA extraction. Platelet MAX, MTURN, and HLA-B mRNA were selected by microarray, validated by qPCR, and analyzed combined with related clinical factors.


Our results showed that a three-platelet mRNA set: MAX, MTURN, and HLA-B was significantly up-regulated in lung cancer patients as well as in early-stage lung cancer patients compared with those from healthy donors, the area under the curve (AUC) was 0.734, 0.787, respectively, among which platelet MTURN mRNA processed a dramatically high diagnostic efficiency in female patients with lung cancer, its AUC for female was 0.825. More importantly, the three-platelet mRNA set: MAX, MTURN, and HLA-B was associated with chemotherapeutic effect, low mRNA expression of this three-platelet set was correlated with “favorable” first chemotherapy response.


A three-platelet mRNA set: MAX, MTURN and HLA-B enables blood-based lung cancer diagnosis and chemotherapy response prediction.


TEPs Platelet mRNA MAX MTURN HLA-B UQCRH Biomarker 



This work was supported by the National Natural Science Foundation of China (81773237, 81672104), the Shandong Provincial Key Research and Development Program (2016GSF201211, 2016GSF201162, 2017GSF18183 and 2017CXGC1207).

Compliance with ethical standards

Conflict of interest

The authors declare that there are no conflicts of interest.

Supplementary material

432_2019_3032_MOESM1_ESM.tif (24.8 mb)
Supplementary material 1 Platelet quality control. Platelet purity was detected by wright-giemsa dye under a microscope (a), white arrow indicated the red blood cells, and activation state (b) of the platelet was detected by flow cytometry (TIFF 25418 kb)
432_2019_3032_MOESM2_ESM.tif (5.3 mb)
Supplementary material 2 Platelet UQCRH mRNA expression as biomarker for lung cancer. a Platelet UQCRH mRNA was elevated in lung cancer significantly. LC, patients with lung cancer; HD, healthy donors. b Low mRNA expression of UQCRH was correlated with favorable first chemotherapy response. PR, partial response. *P < 0.05. (TIFF 5418 kb)
432_2019_3032_MOESM3_ESM.docx (32 kb)
Supplementary material 3 (DOCX 31 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of Medicine and Life SciencesUniversity of Jinan, Shandong Academy of Medical SciencesJinanChina
  2. 2.Department of Clinical Laboratory, Shandong Cancer Hospital and InstituteShandong First Medical University and Shandong Academy of Medical SciencesJinanChina
  3. 3.Shandong Provincial Key Laboratory of Radiation Oncology, Shandong Cancer Hospital and InstituteShandong First Medical University and Shandong Academy of Medical SciencesJinanChina
  4. 4.Department of Clinical LaboratoryShandong Cancer Hospital Affiliated to Shandong UniversityJinanChina

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