# Clinical platform for high-throughput analyses of extracellular vesicles

> **NIH NIH R01** · MASSACHUSETTS GENERAL HOSPITAL · 2021 · $588,778

## Abstract

Extracellular vesicles (EVs) have emerged as a promising surrogate for the tissue biopsy, potentially
enabling non-invasive, real-time cancer monitoring. Most cancer cells release large numbers of EVs into
circulation that carry molecular constituents of the parent tumor. Analyzing EVs could thus offer new avenues
to assess tumor burden and tumor heterogeneity. Adoption of EV analyses into a clinical workﬂow, however, is
impeded by the lack of standardized, practical methods. Conventional assay tools (e.g., ultracentrifugation,
Western blotting, ELISA) require large sample volumes and extensive processing; they are impractical for
clinical applications. Variations in sample handling and testing protocols often lead to inconsistent and variable
ﬁndings. The goal of this proposal is i) to address such technical challenges by advancing a robust platform for
EV protein analyses, and ii) to rigorously evaluate EVs' clinical value as cancer biomarkers. We formed a
strategic academic-industry partnership to achieve this goal: Exosome Diagnostics, an industry leader in
EV-based cancer diagnostics, offering ready capacity to develop and manufacture in-vitro diagnostic medical
devices; and the Center for Systems Biology at Massachusetts General Hospital, a pioneer in developing novel
analytical technologies for EV analyses. These teams will bring in their multidisciplinary expertise, innovative
technologies and complementary resources to carry out the following translational projects: First, we will build
a sensitive, high-throughput platform for EV protein screening. The system will adopt our recently developed
nPLEX (nano-plasmonic exosome) technology that is based on novel surface plasmon resonance (SPR)
through nanohole structures. Our initial study showed that nPLEX achieved >1000-fold higher sensitivity than
conventional methods and yet consumed scant sample volumes (0.1 μL). The new nPLEX system will have
expanded analytical capacity and scalability for commercial production. We will design a new SPR chip and a
detection instrument for massively parallel EV screening, and also establish standardized assay protocols.
Leveraging the developmental and regulatory expertise of Exosome Diagnostics, the resulting platform will be
ready for translation into clinical diagnostic laboratories. Second, we will perform a targeted clinical study,
particularly testing whether EV protein signatures can be used as a biomarker for cancer detection and
treatment monitoring. We will collect circulating EVs from ovarian cancer patients undergoing therapies, and
track serial changes of EV protein levels. We will ensure assay reliability and reproducibility to deliver
clinically translatable EV diagnostics. We will follow stringent quality control on device design and sample
processing, accrue well-annotated patient and control samples, and perform multisite testing. The technical
and scientiﬁc outcomes of this research could have a signiﬁcant translational impact in canc...

## Key facts

- **NIH application ID:** 10224771
- **Project number:** 5R01CA229777-04
- **Recipient organization:** MASSACHUSETTS GENERAL HOSPITAL
- **Principal Investigator:** Hakho Lee
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $588,778
- **Award type:** 5
- **Project period:** 2018-08-02 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10224771

## Citation

> US National Institutes of Health, RePORTER application 10224771, Clinical platform for high-throughput analyses of extracellular vesicles (5R01CA229777-04). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10224771. Licensed CC0.

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