Osteosarcoma is the most common primary bone malignancy in children and adolescents, yet non-invasive biomarkers for early detection and treatment monitoring remain limited. Exosomes released by tumor cells carry tumor-specific RNA cargo into the circulation, providing a potential liquid biopsy source for cancer biomarkers. However, comprehensive profiling of multiple exosomal RNA types — including lncRNAs, circRNAs, and mRNAs — from the same plasma samples had been technically challenging due to the low yield and fragmented nature of exosomal RNA.

Figure 1. Study design and exosomal RNA profiling workflow.
Plasma exosomes were isolated from osteosarcoma patients and healthy controls, characterized by NTA and TEM, and subjected to RNA extraction and sequencing. Long RNA libraries were prepared by ribo-depletion and sequenced on Illumina NovaSeq to profile lncRNA, circRNA, and mRNA expression. Adapted from Liu et al. 2023 (CC BY 4.0).
Methods: Plasma samples were collected from osteosarcoma patients (n = 12) and age-matched healthy controls (n = 12). Exosomes were isolated by ultracentrifugation and characterized by NTA (size distribution), TEM (morphology), and exosomal marker immunoblotting (CD63, CD81). Total exosomal RNA was extracted using TRIzol LS reagent with glycogen carrier. Long RNA libraries were constructed using a ribo-depletion protocol to capture fragmented exosomal RNA, sequenced on Illumina NovaSeq 6000 (PE150), and analyzed for lncRNA, circRNA, and mRNA expression profiles using standard bioinformatic pipelines.

Figure 2. Differential exosomal RNA expression analysis.
Volcano plots and heatmaps showing significantly dysregulated mRNAs, lncRNAs, and circRNAs identified in plasma exosomes of osteosarcoma patients compared with healthy controls, demonstrating the feasibility of multi-RNA-type exosomal biomarker discovery from limited plasma volumes. Adapted from Liu et al. 2023 (CC BY 4.0).
Results: The study demonstrated successful exosomal RNA profiling from plasma, identifying hundreds of dysregulated lncRNAs, circRNAs, and mRNAs in osteosarcoma patient exosomes compared to healthy controls. The exosomal RNA profiles reflected known osteosarcoma-associated transcriptomic alterations, including dysregulation of genes involved in extracellular matrix remodeling, cell proliferation, and angiogenesis pathways. The study provided a valuable resource dataset (deposited in GEO, accession GSE184132) for the exosomal RNA research community and established a technical framework for multi-RNA-type exosomal biomarker discovery. This case study highlights the potential of our exosomal RNA sequencing service to support similar biomarker discovery and liquid biopsy research across diverse disease contexts.
RNA sequencing data quality
Transcriptome mapping results
Differential gene expression analysis results
Volcano plot and scatter plot
Differential mRNA transcript clustering heatmap example
Protein interaction network diagram example