Laryngeal squamous cell carcinoma (LSCC) is one of the
most aggressive
cancers, and its early diagnosis is urgent. Exosomes are believed
to have diagnostic significance in cancer. However, the role of serum
exosomal microRNAs, miR-223, miR-146, and miR-21, and phosphatase
and tensin homologue (PTEN) and hemoglobin subunit delta (HBD) mRNAs
in LSCC is unclear. Exosomes were isolated from the blood serum of
10 LSCC patients and 10 healthy controls to perform scanning electron
microscopy and liquid chromatography quadrupole time-of-flight mass
spectrometry analyses to characterize them and to undergo reverse
transcription polymerase chain reaction to identify miR-223, miR-146,
miR-21, and PTEN and HBD mRNA expression
phenotypes. Biochemical parameters, including serum C-reactive protein
(CRP) and vitamin B12, were also obtained. Serum exosomes of 10–140
nm were isolated from LSCC and controls. Serum exosomal miR-223, miR-146,
and PTEN were found to be significantly decreased
(p < 0.05), in contrast to serum exosomal miRNA-21
(p < 0.01), and serum vitamin B12 and CRP (p < 0.05) were found to be significantly increased, in
LSCC vs controls. Our novel data show that the combination of reduced
serum exosomal miR-223, miR-146, and miR-21 profiles and biochemical
alterations in CRP and vitamin B12 levels may be useful indicators
of LSCC that could be validated by large studies. Our findings also
suggest a possible negative regulatory effect of miR-21 on PTEN in LSCC, encouraging a more extensive investigation
of its role.