2010
DOI: 10.2217/fon.10.152
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Detection of the Circulating Tumor Cells in Cancer Patients

Abstract: As the presence of tumor cells circulating in the blood is associated with systemic disease and shortened survival, the establishment of a method to detect circulating tumor cells (CTCs) is of critical importance for a more concise staging and follow-up of cancer patients. Recently, the most robust strategies for the determination of CTCs are the PCR-based methods and the CellSearch® system that exploits the immunofluorescent characterization and isolation of cancer cells. Herein, we analyzed the experimental … Show more

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Cited by 28 publications
(13 citation statements)
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“…16 Furthermore, some markers used by CellSearch like CK19, EGF receptor, and mammaglobin have been shown to be expressed in normal mitogen-stimulated peripheral blood mononuclear cells. 17 An alternative paradigm for CTC detection is through leveraging differences in physical characteristics of tumor cells, such as size, charge, density, and biomarker expression which can ultimately lead to target-cell isolation. For instance, the herringbone-chip developed by Mehemt Toner et al 18 utilizes antibody-biomarker binding to capture CTCs from the blood.…”
Section: Introductionmentioning
confidence: 99%
“…16 Furthermore, some markers used by CellSearch like CK19, EGF receptor, and mammaglobin have been shown to be expressed in normal mitogen-stimulated peripheral blood mononuclear cells. 17 An alternative paradigm for CTC detection is through leveraging differences in physical characteristics of tumor cells, such as size, charge, density, and biomarker expression which can ultimately lead to target-cell isolation. For instance, the herringbone-chip developed by Mehemt Toner et al 18 utilizes antibody-biomarker binding to capture CTCs from the blood.…”
Section: Introductionmentioning
confidence: 99%
“…Early cancer detection is crucial for improved prognosis and cancer management due to the small tumor size and localization of the tumor at the primary site [3] [4]. Conventional cancer cell sorting techniques, which have been reviewed elsewhere [5] [6] including centrifugation, chromatography, and fluorescence and magnetic-activated cell sorting, are limited in yield and purity and further rely on the expertise and subjective judgments of highly skilled personnel. The small sample volumes, fast processing times, multiplexing capabilities, and large surface to volume ratios inherent in microfluidic systems [7] [8] offer new opportunities for cytology and cyto-pathology [9]- [18] particularly for in vitro cell sorting and detection [17] [19]- [25].…”
Section: Introductionmentioning
confidence: 99%
“…Yet the detection and characterization of CTCs remains a significant challenge due to the rarity of CTCs (~10–100 per mL of blood). The most commonly used method for identifying CTCs, CellSearch, is based on the enumeration of epithelial cells using anti-epithelial cell adhesion molecule (EpCAM) antibodies and subsequent staining for visualization [7]. CellSearch’s low sensitivity to low EpCAM expression cancers and EpCAM-negative cancers, which account for 40% and 20% of cancers, respectively, has created a need for new methods to detect CTCs with greater sensitivity.…”
Section: Circulating Tumor Cells In Ovarian Cancer-derived Bloodmentioning
confidence: 99%