The importance of circulating tumor cells in the diagnostic and therapeutic process in ovarian cancer
Authors:
J. Pavlásek; E. Kučera
Authors‘ workplace:
Gynekologicko-porodnická klinika 3. LF UK a FNKV, Praha, přednosta doc. MUDr. E. Kučera, CSc.
Published in:
Ceska Gynekol 2013; 78(4): 342-346
Overview
Objective:
Our goal was to summarize clinical studies which used CTC/CSCs for prognosis in patients with ovarian cancer.
Type of study:
Review article.
Setting:
Department of Gynecology and Obstetrics, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague
Material and methods:
This paper reviews various methods of CTCs detection as well as the biology and molecular characterisation of CTCs/CSCs.
Conclusion:
Determination of CTC (circulating tumor cells) / CSCS (cancer stem cells) has great potential in the diagnosis, prognosis, monitoring of disease, therapeutic effect and the risk of relapse in ovarian cancer for other malignancies. The presence of CTCs / CSCS in the blood seems to be a decisive factor in the initiation of metastatic process. The results of these studies show a clear link CTC negativity with an extension length of progression-free interval (PFI) and overall survival in patients with ovarian cancer.
Keywords:
circulating tumor cells – cancer stem cells – metastasis – ovarian cancer
Sources
1. Aktas, B., et al. Stem cell and epithelial-mesenchymal transition markers are frequently overexpressed in circulating tumor cells of metastatic breast cancer patients. Breast Cancer Res, 2009, 11:R46.
2. Aktas, B., et al. Molecular profiling and prognostic relevance of circulating tumor cells in the blood of ovarian cancer patients at primary diagnosis and after platinum-based CHT. Int J Gynecol Cancer, 2011b, 21(5), p. 822–830.
3. Allard, WJ., et al. Tumor cells circulate in the peripheral blood of all major carcinomas but not in healthy subjects or patients with nonmalignant diseases. Clin Cancer Res, 2004, 10, p. 6897–6904.
4. Berni, R., Lang, T., et al. Promotion of experimental thrombus formation by the procoagulant activity of breast cancer cells. Phys Biol, 2011, 8(1):01501.
5. Davila, M., et al. Tissue factor-bearing microparticles derived from tumor cells: impact on coagulation activation. J Thromb Haemost, 2008, 6(9), p. 1517–1524.
6. Demel, U., et al. Detection of tumour cells in the peripheral blood of patients with breast cancer. Development of a new sensitive and specific immunomolecular assay. J Exp Clin Cancer Res, 2004, 23(3), p. 465–468.
7. Dessiter, I., et al. A new device for rapid isolation and characterisation of rare circulating tumor cells. Anticancer Res, 2011, 31(2), p. 427–442.
8. Dickinson, RB., et al. Efficient capture of circulating tumor cells with a novel immunocytochemical microfluidic device. Biomicrofluidics, 2011, 5(3, p. 34119–341195.
9. Fan, J., et al. Clinical significance of circulating tumor cells detected by an invasion assay in peripheral blood of patients with ovarian cancer. Gynecol Oncol, 2009, 112(1), p. 185–191.
10. Giordano, A., Cristofanilli, M. CTCs in metastatic breast cancer. Recent Results Cancer Res. 2012a, 195, p. 193–201.
11. He, W., et al. Quantitation of circulating tumor cells in blood samples from ovarian and prostate cancer patients using tumor-specific fluorescent ligands. Int J Cancer, 2008, 123(8), p. 1968–1973.
12. Kallergi, G., et al. Epithelial to mesenchymal transition markers expressed in circulating tumour cells of early and metastatic breast cancer patients. Breast Cancer Res, 2011, 13(3):R59.
13. Kuhn, P., Bethel, K. A fluid biopsy as investigating technology for the solid phase of solid tumors. Phys Biol, 2012, 9(1):010301. Epub 2012 Feb 3.
14. Lankiewicz, S., et al. Quantitative real-time RT-PCR of disseminated tumor cells in combination with immunomagnetic cell enrichment. Mol Biotechnol, 2006, 34, p. 15–27.
15. Marrinucci, D., et al. Fluid biopsy in patients with metastatic prostate, pancreatic and breast cancers. Phys Biol, 2012, 9(1):016003. Epub 2012 Feb 3.
16. Mego, M., et al. Circulating tumour cells are associated with increased risk of venous thromboembolism in metastatic breast cancer patients. Br J Cancer, 2009b, 101(11), p. 1813–1816.
17. Mikolajczyk, SD., et al. Detection of EpCAM-negative and cytokeratin-negative circulating tumor cells in peripheral blood.J Oncol, 2011, 2011:252361.
18. Obermayr, E., et al. Molecular characterization of circulating tumor cells in patients with ovarian cancer improves their prognostic significance – A study of the OVCAD consortium. Gynecol Oncol, 2012 Sep 24. pii: S0090-8258(12)00777-9. doi: 10.1016/j.ygyno.2012.09.021. [Epub ahead of print].
19. Pantel, K., Otte, M. Occult micrometastasis: enrichment, identification and characterization of single disseminated tumor cells. Semin Cancer Biol, 2001, 11, p. 327–337.
20. Parkinson, DR., et al. Considerations in the development of circulating tumor cell technology for clinical use. J Transl Med, 2012, 10, p. 138.
21. Pecot, CV., et al. A novel platform for detection of CK+ and CK- CTCs. Cancer Discov, 2011, 1(7), p. 580–586.
22. Phillips, KG., et al. Optical quantification of cellular mass, volume, and density of circulating tumor cells identified in an ovarian cancer patient. Front Oncol, 2012a, 2:72. Epub 2012 Jul 18.
23. Phillips, KG., et al. Quantification of cellular volume and sub-cellular density fluctuations: comparison of normal peripheral blood cells and circulating tumor cells identified in a breast cancer patient. Front Oncol, 2012b, 2, p. 96.
24. Polyak, K., Weinberg, RA. Transitions between epithelial and mesenchymal states: acquisition of malignant and stem cell traits. Nat Rev Cancer, 2009, 9, p. 265–273.
25. Poveda, A., et al. Circulating tumor cells predict progression free survival and overall survival in patients with relapsed/recurrent advanced ovarian cancer. Gynecol Oncol, 2011, 122(3), p. 567–572.
26. Su, YJ., et al. Quantity and clinical relevance of circulating endothelial progenitor cells in human ovarian cancer. J Experiment Clin Cancer Res, 2010, 29, p. 27.
27. Thiery, JP., Sleeman, JP. Complex networks orchestrate epithelial-mesenchymal transitions. Nat Rev Mol Cell Biol, 2006, 7, p. 131–142.
28. Yang, J., Weinberg, RA. Epithelial-mesenchymal transitions: at the crossroads of developement and tumor metastasis. Dev Cell, 2008b, 14, p. 818–829.
29. Ziegelschmidt, et al. Combination of immunomagnetic enrichment with multiplex RT-PCR analysis for the detection of disseminated tumor cells. Anticancer Res, 2005a, 25, p. 1803–1810.
30. Ziegelschmidt, et al. Detection of disseminated tumor cells in peripheral blood. Crit Rev Clin Lab Sci, 2005b, 42, p. 155–196.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2013 Issue 4
Most read in this issue
- Vulvar melanoma
- Laparoscopic treatment of borderline ovarian tumorsin fertile women
- Nocturnal polyuria, treatment with desmopressin
- Peripartal life-threating haemorrhage – intensive care and haematological treatment