2016
DOI: 10.1073/pnas.1524448113
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Clusters of circulating tumor cells traverse capillary-sized vessels

Abstract: Multicellular aggregates of circulating tumor cells (CTC clusters) are potent initiators of distant organ metastasis. However, it is currently assumed that CTC clusters are too large to pass through narrow vessels to reach these organs. Here, we present evidence that challenges this assumption through the use of microfluidic devices designed to mimic human capillary constrictions and CTC clusters obtained from patient and cancer cell origins. Over 90% of clusters containing up to 20 cells successfully traver… Show more

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Cited by 383 publications
(365 citation statements)
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“…One of the possible routes to bypass the capillary circuit could be through arteriovenous anastomoses, which are large circulatory connections between arterial and venous circulation (29). Recently, Au et al (30) showed that clusters of tumor cells, owing to their high deformability, can even traverse capillarysized blood vessels.…”
Section: Discussionmentioning
confidence: 99%
“…One of the possible routes to bypass the capillary circuit could be through arteriovenous anastomoses, which are large circulatory connections between arterial and venous circulation (29). Recently, Au et al (30) showed that clusters of tumor cells, owing to their high deformability, can even traverse capillarysized blood vessels.…”
Section: Discussionmentioning
confidence: 99%
“…But if not by EMT, then by what alternative physical process might migration become initiated and sustained? Insofar as cell jamming has been reported in murine cancer models in vivo (Haeger et al, 2014), a simple but untested hypothesis cannot be ruled out: (1) at the primary tumor site, migration of a leader cell, together with its followers, through surrounding solid tissues is triggered by the transition of those cells from a solid-like jammed phase to a fluid-like unjammed phase; (2) upon meeting the circulation, forming a CTC and becoming exposed to the destabilizing mechanical effects of blood-borne shear stresses, the CTC stabilizes itself in response by undergoing a transition back to a solid-like jammed phase; and, (3) upon reaching its ultimate metastatic site and unjamming once again (Au et al, 2016), these CTC cells initiate collective cellular invasion into noncancerous solid tissue. The idea that metastasis requires EMT and its inverse, MET, thus compares with the alternative hypothesis that metastasis requires events that are by comparison substantially less drastic -transitions between solid-like ( jammed) and fluid-like (unjammed) phases of the cell layer -during which strong collectivity and an epithelial phenotype is retained throughout.…”
Section: Open Questionsmentioning
confidence: 99%
“…3,43) To examine the efficiency of detection of CTC clusters by our method, we prepared cancer cell line tumor spheres (clusters) in vitro. B16…”
Section: Detection Of Cancer Cells and Cancer Clusters Spiked In Bloodmentioning
confidence: 99%