2019
DOI: 10.20517/2394-4722.2018.94
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Sensitive and specific detection of circulating tumor cells promotes precision medicine for cancer

Abstract: Circulating tumor cells (CTCs) have the potential to provide genetic information for heterogeneous tumors, which may be useful for monitoring disease progression and developing personalized therapies. However, the isolation of CTCs for molecular analysis is challenging due to their extreme rarity and phenotypic heterogeneity, which hinders the transformation of CTCs into traditional clinical applications. In order to achieve clinically significant CTC detection, devices utilizing novel microfluidics and nanote… Show more

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Cited by 6 publications
(6 citation statements)
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“…siCD44 and siITGB3). Number of cells: (15,15,12) for siCTL(B1, CD44)-siITGB1-siCD44 ; (11,12) for siCTL(A5)-siITGA5 ; (11,13) for siCTL(B3)-siITGB3. P-values for each case with respect to its control: (siITGB1: 0.005, siCD44: 5 ⇥ 10 5 , siITGA5: 0.001, siITGB3: 0.05).…”
Section: Adhesion Modelingmentioning
confidence: 99%
“…siCD44 and siITGB3). Number of cells: (15,15,12) for siCTL(B1, CD44)-siITGB1-siCD44 ; (11,12) for siCTL(A5)-siITGA5 ; (11,13) for siCTL(B3)-siITGB3. P-values for each case with respect to its control: (siITGB1: 0.005, siCD44: 5 ⇥ 10 5 , siITGA5: 0.001, siITGB3: 0.05).…”
Section: Adhesion Modelingmentioning
confidence: 99%
“…CTCs counts ranging from 0 up to 4 CTCs in 7.5 mL of blood are indicative of a favorable prognosis, while a cut-off of 5 CTCs in 7.5 mL of whole blood indicates an unfavorable prognosis for both metastatic breast and metastatic prostate cancers, while in the case of metastatic colon cancer a cut-off of 3 CTCs suggests poor prognosis [ 9 - 11 ] . Currently, CTC enumeration through CellSearch® for these three metastatic cancer settings is the only clinical application for CTCs [ 13 ] .…”
Section: Circulating Tumor Cells: Weakness In Raritymentioning
confidence: 99%
“…Currently, a few diagnostics markers are available, namely circulating cancer cells in the blood CTCs (circulating tumor cells), epigenetic markers such as ADAMTS1 (disintegrin A and metalloproteinases with thrombospondin motifs), tumor markers such as CA19-9 (cancer antigen 19-9), autoantibodies such as anti-MUC1 (mucin 1), ENOA1/2 (alfa-enolase), or against RAD1 (RAD1 checkpoint DNA exonuclease) for the early diagnosis of the disease and assessment of prognosis, and microRNAs such as miR-196a, miR-221, and miR-155 [ 39 , 41 ]. The most commonly used method is the detection of CTCs, and it is characterized with a high sensitivity and specificity [ 42 ]. Another method accepted by the FDA (Food and Drug Administration) is the detection of CA19-9 antibodies, but this has a low sensitivity (70%) and specificity (87%) [ 43 ].…”
Section: Introductionmentioning
confidence: 99%