Circulating tumor cell analysis in patients with progressive castration-resistant prostate cancer
(2007) In Clinical Cancer Research 13(7). p.2023-2029- Abstract
- PURPOSE: To better direct targeted therapies to the patients with tumors that express the target, there is an urgent need for blood-based assays that provide expression information on a consistent basis in real time with minimal patient discomfort. We aimed to use immunomagnetic-capture technology to isolate and analyze circulating tumor cells (CTC) from small volumes of peripheral blood of patients with advanced prostate cancer. EXPERIMENTAL DESIGN: Blood was collected from 63 patients with metastatic prostate cancer. CTCs were isolated by the Cell Search system, which uses antibodies to epithelial cell adhesion marker and immunomagnetic capture. CTCs were defined as nucleated cells positive for cytokeratins and negative for CD45.... (More)
- PURPOSE: To better direct targeted therapies to the patients with tumors that express the target, there is an urgent need for blood-based assays that provide expression information on a consistent basis in real time with minimal patient discomfort. We aimed to use immunomagnetic-capture technology to isolate and analyze circulating tumor cells (CTC) from small volumes of peripheral blood of patients with advanced prostate cancer. EXPERIMENTAL DESIGN: Blood was collected from 63 patients with metastatic prostate cancer. CTCs were isolated by the Cell Search system, which uses antibodies to epithelial cell adhesion marker and immunomagnetic capture. CTCs were defined as nucleated cells positive for cytokeratins and negative for CD45. Captured cells were analyzed by immunofluorescence, Papanicolau staining, and fluorescence in situ hybridization. RESULTS: Most patients (65%) had 5 or more CTCs per 7.5 mL blood sample. Cell counts were consistent between laboratories (c = 0.99) and did not change significantly over 72 or 96 h of storage before processing (c = 0.99). Their identity as prostate cancer cells was confirmed by conventional cytologic analysis. Molecular profiling, including analysis of epidermal growth factor receptor (EGFR) expression, chromosome ploidy, and androgen receptor (AR) gene amplification, was possible for all prostate cancer patients with >or=5 CTCs. CONCLUSIONS: The analysis of cancer-related alterations at the DNA and protein level from CTCs is feasible in a hospital-based clinical laboratory. The alterations observed in EGFR and AR suggest that the methodology may have a role in clinical decision making. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1141145
- author
- Shaffer, David R
; Leversha, Margaret A
; Danila, Daniel C
; Lin, Oscar
; Gonzalez-Espinoza, Rita
; Gu, Bin
; Anand, Aseem
; Smith, Katherine
; Maslak, Peter
; Doyle, Gerald V
; Terstappen, Leon W M M
; Lilja, Hans
LU
; Heller, Glenn
; Fleisher, Martin
and Scher, Howard I
(Less) - organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Clinical Cancer Research
- volume
- 13
- issue
- 7
- pages
- 2023 - 2029
- publisher
- American Association for Cancer Research
- external identifiers
-
- pmid:17404082
- scopus:34247502671
- pmid:17404082
- ISSN
- 1078-0432
- DOI
- 10.1158/1078-0432.CCR-06-2701
- language
- English
- LU publication?
- yes
- id
- d6e6c7d8-91bf-4b05-b1d3-9256e30ffe1e (old id 1141145)
- date added to LUP
- 2016-04-04 07:10:44
- date last changed
- 2022-05-16 19:47:33
@article{d6e6c7d8-91bf-4b05-b1d3-9256e30ffe1e,
abstract = {{PURPOSE: To better direct targeted therapies to the patients with tumors that express the target, there is an urgent need for blood-based assays that provide expression information on a consistent basis in real time with minimal patient discomfort. We aimed to use immunomagnetic-capture technology to isolate and analyze circulating tumor cells (CTC) from small volumes of peripheral blood of patients with advanced prostate cancer. EXPERIMENTAL DESIGN: Blood was collected from 63 patients with metastatic prostate cancer. CTCs were isolated by the Cell Search system, which uses antibodies to epithelial cell adhesion marker and immunomagnetic capture. CTCs were defined as nucleated cells positive for cytokeratins and negative for CD45. Captured cells were analyzed by immunofluorescence, Papanicolau staining, and fluorescence in situ hybridization. RESULTS: Most patients (65%) had 5 or more CTCs per 7.5 mL blood sample. Cell counts were consistent between laboratories (c = 0.99) and did not change significantly over 72 or 96 h of storage before processing (c = 0.99). Their identity as prostate cancer cells was confirmed by conventional cytologic analysis. Molecular profiling, including analysis of epidermal growth factor receptor (EGFR) expression, chromosome ploidy, and androgen receptor (AR) gene amplification, was possible for all prostate cancer patients with >or=5 CTCs. CONCLUSIONS: The analysis of cancer-related alterations at the DNA and protein level from CTCs is feasible in a hospital-based clinical laboratory. The alterations observed in EGFR and AR suggest that the methodology may have a role in clinical decision making.}},
author = {{Shaffer, David R and Leversha, Margaret A and Danila, Daniel C and Lin, Oscar and Gonzalez-Espinoza, Rita and Gu, Bin and Anand, Aseem and Smith, Katherine and Maslak, Peter and Doyle, Gerald V and Terstappen, Leon W M M and Lilja, Hans and Heller, Glenn and Fleisher, Martin and Scher, Howard I}},
issn = {{1078-0432}},
language = {{eng}},
number = {{7}},
pages = {{2023--2029}},
publisher = {{American Association for Cancer Research}},
series = {{Clinical Cancer Research}},
title = {{Circulating tumor cell analysis in patients with progressive castration-resistant prostate cancer}},
url = {{http://dx.doi.org/10.1158/1078-0432.CCR-06-2701}},
doi = {{10.1158/1078-0432.CCR-06-2701}},
volume = {{13}},
year = {{2007}},
}