2013
DOI: 10.1038/nbt.2576
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Identification of a population of blood circulating tumor cells from breast cancer patients that initiates metastasis in a xenograft assay

Abstract: It has been hypothesized that carcinoma metastasis is initiated by a subpopulation of circulating tumor cells (CTCs) found in the blood of patients. However, although the presence of CTCs is an indicator of poor prognosis in several carcinoma entities, the existence and phenotype of metastasis-initiating cells (MICs) among CTCs has not been experimentally demonstrated. Here we developed a xenograft assay and used it to show that primary human luminal breast cancer CTCs contain MICs that give rise to bone, lung… Show more

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Cited by 929 publications
(901 citation statements)
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“…A recent study found that among circulating tumor cells in the blood of women with metastatic breast cancer, the cells that were capable of initiating tumors when injected into mice expressed the cell surface proteins CD47, CD44, and MET (29). Remarkably, as in the case of CD47, the expression of CD44 and MET is induced by hypoxia in a HIFdependent manner (41,53).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A recent study found that among circulating tumor cells in the blood of women with metastatic breast cancer, the cells that were capable of initiating tumors when injected into mice expressed the cell surface proteins CD47, CD44, and MET (29). Remarkably, as in the case of CD47, the expression of CD44 and MET is induced by hypoxia in a HIFdependent manner (41,53).…”
Section: Discussionmentioning
confidence: 99%
“…The prophagocytic signal triggered by CRT-LRP ligation is counterbalanced by the antiphagocytic signal triggered by CD47-SIRPα ligation (28). Analysis of circulating tumor cells isolated from the blood of patients with breast cancer revealed that CD47 expression identified a subpopulation of cells with the capability to generate tumor xenografts in mice (29). Here, we report that CD47 expression is induced in a HIF-dependent manner when human breast cancer cells are exposed to hypoxia.…”
mentioning
confidence: 81%
“…Breast cancer circulating tumor cells (CTCs) expressing stem cell markers were capable of forming metastatic lesions in mice. The number of stem cell marker-expressing CTCs, but not bulk CTCs, correlated with disease progression and an overall worse prognosis (16). Stem cell signaling pathways have also been found in aggressive variants of nonepithelial cancers.…”
mentioning
confidence: 99%
“…2). Moreover, although very few attempts have been made so far, CTCs could be cultured in vitro (Yu et al 2014, Cayrefourcq et al 2015 and used to derive patient-personalized xenograft models (Baccelli et al 2013, Khoo et al 2016 (Fig. 2) which can allow to screen novel, more efficient drugs selective for metastatic tumors rather than the primary lesion.…”
Section: Exosomes and Tumor Microenvironment In Acc Progressionmentioning
confidence: 99%