Abstract
Cancer
cells
that
transit
from
primary
tumours
into
the
circulatory
system
are
known
as
circulating
tumour
(CTCs).
These
cancer
have
unique
phenotypic
and
genotypic
characteristics
which
allow
them
to
survive
within
circulation,
subsequently
extravasate
metastasise.
CTCs
emerged
a
useful
diagnostic
tool
using
“liquid
biopsies”
report
on
metastatic
potential
of
cancers.
However,
by
their
nature
interact
with
components
blood
constant
basis,
influencing
both
physical
morphological
well
capabilities.
properties
associated
molecular
profile
may
provide
critical
prognostic
capabilities
in
clinic.
Platelets
minutes
dissemination
crucial
formation
initial
niche.
coagulation
proteins
also
alter
fate
CTC
EMT,
promoting
pro-survival
signalling
aiding
evading
immune
cell
destruction.
capacity
directly
hijack
utilise
aid
seeding
processes.
The
disruption
clusters
offer
strategy
for
treatment
advance
staged
Therapeutic
these
heterotypical
interactions
direct
targeting
hold
great
promise,
especially
advent
new
immunotherapies
personalised
medicines.
Understanding
role
platelets,
cascade
play
biology
will
us
identify
characterise
most
clinically
relevant
patients.
This
clinical
utility
diagnosis/prognosis.
Cancer and Metastasis Reviews,
Год журнала:
2020,
Номер
39(3), С. 969 - 987
Опубликована: Июнь 7, 2020
Abstract
EpCAM
(epithelial
cell
adhesion
molecule)
was
discovered
four
decades
ago
as
a
tumor
antigen
on
colorectal
carcinomas.
Owing
to
its
frequent
and
high
expression
carcinomas
their
metastases,
serves
prognostic
marker,
therapeutic
target,
an
anchor
molecule
circulating
disseminated
cells
(CTCs/DTCs),
which
are
considered
the
major
source
for
metastatic
cancer
cells.
Today,
is
reckoned
multi-functional
transmembrane
protein
involved
in
regulation
of
adhesion,
proliferation,
migration,
stemness,
epithelial-to-mesenchymal
transition
(EMT)
carcinoma
To
fulfill
these
functions,
instrumental
intra-
intercellular
signaling
full-length
following
regulated
intramembrane
proteolysis,
generating
functionally
active
extra-
intracellular
fragments.
Intact
proteolytic
fragments
interact
with
claudins,
CD44,
E-cadherin,
epidermal
growth
factor
receptor
(EGFR),
components
WNT
Ras/Raf
pathways,
respectively.
This
plethora
functions
contributes
shaping
intratumor
heterogeneity
partial
EMT,
determinants
clinical
outcome
patients.
represents
marker
epithelial
status
primary
systemic
emerges
measure
capacity
CTCs.
Consequentially,
has
reclaimed
potential
target
Molecular Aspects of Medicine,
Год журнала:
2019,
Номер
69, С. 107 - 122
Опубликована: Июнь 14, 2019
New
non-invasive
approaches
that
can
complement
and
improve
on
current
strategies
for
colorectal
cancer
(CRC)
screening
management
are
urgently
needed.
A
growing
number
of
publications
have
documented
components
tumors,
which
shed
into
the
circulation,
be
detected
in
form
liquid
biopsies
used
to
detect
CRC
at
early
stages,
predict
response
certain
therapies
recurrence
a
minimally
invasive
way.
The
analysis
circulating
tumor
DNA
(ctDNA),
tumor-derived
cells
(CTC,
cells)
or
microRNA
(miRNA)
blood
other
body
fluids,
great
potential
different
aspects
management.
challenge
now
is
find
types
components,
biofluids
detection
methods
would
most
suitable
applied
steps
treatment.
This
chapter
will
provide
an
up
date
review
ctDNA,
CTCs
miRNAs
as
new
biomarkers
CRC,
either
clinical
detection,
highlighting
their
advantages
limitations.
Oncotarget,
Год журнала:
2016,
Номер
7(17), С. 24677 - 24687
Опубликована: Март 22, 2016
The
dissemination
of
circulating
tumor
cells
(CTCs)
requires
the
Epithelial-to-Mesenchymal
transition
(EMT),
in
which
lose
their
epithelial
characteristics
and
acquire
more
mesenchymal-like
phenotypes.
Current
isolation
CTCs
relies
on
affinity-based
approaches
reliant
expression
Epithelial
Cell
Adhesion
Molecule
(EpCAM).
Here
we
show
EMT-induced
breast
cancer
maintained
prolonged
mammosphere
culture
conditions
possess
increased
EMT
markers
stem
cell
markers,
as
well
reduced
mass
size
by
quantitative
phase
microscopy;
however,
EpCAM
is
dramatically
decreased
these
cells.
Moreover,
isolated
from
patients
using
a
label-free
microfluidic
flow
fractionation
device
had
differing
patterns
EpCAM,
indicating
that
affinity
may
underestimate
CTC
number
potentially
miss
critical
subpopulations.
Further
characterization
CTCs,
including
low-EpCAM
populations,
this
technology
improve
detection
techniques
diagnosis,
ultimately
improving
treatment.
PLoS ONE,
Год журнала:
2015,
Номер
10(9), С. e0138032 - e0138032
Опубликована: Сен. 23, 2015
Isolation
of
circulating
tumor
cells
(CTCs)
from
peripheral
blood
has
the
potential
to
provide
a
far
easier
"liquid
biopsy"
than
tissue
biopsies,
monitor
cell
populations
during
disease
progression
and
in
response
therapies.
Many
CTC
isolation
technologies
have
been
developed.
We
optimized
Parsortix
system,
an
epitope
independent,
size
compressibility-based
platform
for
CTCs
isolation,
making
it
possible
harvest
at
speed
sample
volume
comparable
standard
CellSearch
system.
captured
more
half
cancer
different
lines
spiked
samples
healthy
donors
using
this
Cell
loss
immunostaining
transferred
fixed
on
slides
is
major
problem
analyzing
rare
samples.
developed
novel
transfer
fixation
method
retain
>90%
slide
after
immunofluorescence
process
without
affecting
signal
strength
specificity.
Using
method,
we
evaluated
system
prostate
patients
comparison
immunobead
based
systems
IsoFlux
CellSearch.
harvested
similar
number
(p
=
0.33)
cytokeratin
(CK)
positive
7.5
mL
10
(an
average
33.8
37.6
respectively).
The
purity
by
3.1%
was
significantly
higher
1.0%
0.02).
CK
0.04)
seven
patient
samples,
where
both
were
utilized
32.1
10.1
also
clusters
Parsortix.
four-color
found
that
85.8%
PC3
expressed
EpCAM,
91.7%
2.5%
lacked
epithelial
markers.
Interestingly,
95.6%
Vimentin,
including
those
marker
expression,
indicating
epithelial-to-mesenchymal
transition.
CK-positive/Vimentin-positive/CD45-negative,
CK-negative/Vimentin-positive/CD45-negative
observed
four
five
but
rarely
three
controls,
harvests
with
mesenchymal
features.
demonstrated
DU145
spiking
experiment
viable
culture.
Molecular Oncology,
Год журнала:
2017,
Номер
11(1), С. 40 - 61
Опубликована: Янв. 1, 2017
Tumor
cells
leave
the
primary
tumor
and
enter
circulation.
Once
there,
they
are
called
circulating
(CTCs).
A
fraction
of
CTCs
capable
entering
distant
sites
persisting
as
disseminated
(DTCs).
An
even
smaller
DTCs
progressing
toward
metastases.
It
is
known
that
DTC
microenvironment
plays
an
important
role
in
sustaining
their
survival,
regulating
growth,
conferring
resistance
to
therapy.
But
we
still
have
much
learn
about
nature
these
rare
cell
populations
predict
which
will
progress
what
exactly
should
cause
concern
for
future
relapse.
Although
recent
technological
advances
our
ability
detect
molecularly
functionally
characterize
promise
unravel
this
ambiguity,
timing
dissemination
precise
source
profiled
impact
conclusions
can
be
made
from
endeavors.
In
review,
discuss
biology
DTCs;
technologies
detect,
isolate,
profile
cells;
exceptions
must
apply
understanding
play
metastatic
process.
We
conclude
a
greater
effort
understand
unique
context
positively
use
outcome,
monitor
treatment
efficacy,
reveal
therapeutically
relevant
targets
deplete
ultimately
prevent
metastasis.
Carcinoma
cells
undergo
epithelial-mesenchymal
transition
(EMT);
however,
contributions
of
EMT
heterogeneity
to
disease
progression
remain
a
matter
debate.
Here,
we
addressed
the
status
ex
vivo
cultured
circulating
and
disseminated
tumor
(CTCs/DTCs)
in
syngeneic
mouse
model
metastatic
breast
cancer
(MBC).
Epithelial-type
CTCs
with
restricted
mesenchymal
had
strongest
lung
metastases
formation
ability,
whereas
mesenchymal-type
showed
limited
ability.
EpCAM
expression
served
as
surrogate
marker
evaluate
clinical
samples
from
MBC,
including
metastases,
CTCs,
DTCs.
The
proportion
epithelial-type
especially
DTCs,
correlated
distant
poorer
outcome
patients
MBC.
This
study
fosters
our
understanding
metastasis
underpins
heterogeneous
phenotypes
important
parameters
for
prognosis
treatment.
We
further
suggest
that
EpCAM-dependent
CTC
isolation
systems
will
underestimate
numbers
but
quantify
clinically
relevant
cells.