Capture of viable circulating tumor cells in the liver of colorectal cancer patients

The incidence and number of circulating tumor cells (CTCs) in the peripheral blood of colorectal cancer patients are lower than in other cancer types, which may point to a particular biology of colorectal cancer affecting CTC detection. We detected CTCs in the peripheral and mesenteric blood of colo...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2013-09, Vol.59 (9), p.1384-1392
Hauptverfasser: Denève, Eric, Riethdorf, Sabine, Ramos, Jeanne, Nocca, David, Coffy, Amandine, Daurès, Jean-Pierre, Maudelonde, Thierry, Fabre, Jean-Michel, Pantel, Klaus, Alix-Panabières, Catherine
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container_end_page 1392
container_issue 9
container_start_page 1384
container_title Clinical chemistry (Baltimore, Md.)
container_volume 59
creator Denève, Eric
Riethdorf, Sabine
Ramos, Jeanne
Nocca, David
Coffy, Amandine
Daurès, Jean-Pierre
Maudelonde, Thierry
Fabre, Jean-Michel
Pantel, Klaus
Alix-Panabières, Catherine
description The incidence and number of circulating tumor cells (CTCs) in the peripheral blood of colorectal cancer patients are lower than in other cancer types, which may point to a particular biology of colorectal cancer affecting CTC detection. We detected CTCs in the peripheral and mesenteric blood of colorectal cancer patients by use of 2 independent technologies on the basis of different biological properties of colon cancer cells. Seventy-five patients diagnosed with localized (M0, n = 60) and metastatic (M1, n = 15) colorectal cancer were included. Peripheral and mesenteric blood samples were collected before tumor resection. We performed CTC enumeration with an EpCAM-independent enrichment method followed by the Epispot assay that detected only viable CK19-releasing CTCs. In parallel, we used the FDA-cleared EpCAM-dependent CellSearch® as the reference method. The enumeration of CK19-releasing cells by the CK19-Epispot assay revealed viable CTCs in 27 of 41 (65.9%) and 41 of 74 (55.4%) (P = 0.04) patients in mesenteric and peripheral blood, respectively, whereas CellSearch detected CTCs in 19 of 34 (55.9%) and 20 of 69 (29.0%) (P = 0.0046) patients. In mesenteric blood, medians of 4 (range 0-247) and 2.7 CTCs (range 0-286) were found with Epispot and CellSearch (P = 0.2), respectively, whereas in peripheral blood, Epispot and CellSearch detected a median of 1.2 (range 0-92) and 0 CTCs (range 0-147) (P = 0.002). A considerable portion of viable CTCs detectable by the Epispot assay are trapped in the liver as the first filter organ in CRC patients.
doi_str_mv 10.1373/clinchem.2013.202846
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We detected CTCs in the peripheral and mesenteric blood of colorectal cancer patients by use of 2 independent technologies on the basis of different biological properties of colon cancer cells. Seventy-five patients diagnosed with localized (M0, n = 60) and metastatic (M1, n = 15) colorectal cancer were included. Peripheral and mesenteric blood samples were collected before tumor resection. We performed CTC enumeration with an EpCAM-independent enrichment method followed by the Epispot assay that detected only viable CK19-releasing CTCs. In parallel, we used the FDA-cleared EpCAM-dependent CellSearch® as the reference method. The enumeration of CK19-releasing cells by the CK19-Epispot assay revealed viable CTCs in 27 of 41 (65.9%) and 41 of 74 (55.4%) (P = 0.04) patients in mesenteric and peripheral blood, respectively, whereas CellSearch detected CTCs in 19 of 34 (55.9%) and 20 of 69 (29.0%) (P = 0.0046) patients. 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ispartof Clinical chemistry (Baltimore, Md.), 2013-09, Vol.59 (9), p.1384-1392
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects Adult
Aged
Aged, 80 and over
Agreements
Biological properties
Colon
Colon - pathology
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - blood
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - pathology
Female
Humans
Liver
Liver - pathology
Male
Methods
Middle Aged
Neoplastic Cells, Circulating - pathology
Prognosis
Rectum - pathology
Studies
Surgery
Tumors
title Capture of viable circulating tumor cells in the liver of colorectal cancer patients
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