Analysis of the hormone receptor status of circulating tumor cell subpopulations based on epithelial-mesenchymal transition : a proof-of-principle study on the heterogeneity of circulating tumor cells

Although the enumeration of circulating tumor cells (CTCs) has been demonstrated to be a prognostic indicator in metastatic breast cancer, the heterogeneous characteristics of CTCs, such as variations in the epithelial-mesenchymal transition (EMT), may limit its broad clinical application. To investigate an uncomplicated and practicable detection approach based on the potential utility of the heterogeneity of CTCs from the standpoint of the EMT phenotype and ER/PR status of CTCs, an analysis was conducted using peripheral blood samples obtained from 28 metastatic breast cancer patients. The CanPatrol CTC enrichment technique was used to identify different CTC subpopulations, including epithelial-dominated CTCs, biophenotypic epithelial/mesenchymal CTCs, and mesenchymal-dominated CTCs, according to epithelial and mesenchymal markers. Furthermore, the hormone receptor (HR) status of each CTC was determined based on the expression levels of three reference genes and was characterized by four levels, which ranged from high-level expression to non-expression. We subsequently concluded that based on EMT phenotypes, the order of different CTC subgroups differed according to the HR expression status of the primary tumor. With respect to the HR status between tissues and CTCs, the variation tendency from high-level expression to non-expression of HR in CTCs was significantly correlated with the HR status of the primary tumor. The findings could provide evidence for the potential application of this uncomplicated and practicable detection approach for prognostic analysis and individualized endocrine therapeutic direction in a real-time manner via confirmation in further large-scale trials.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

Oncotarget - 7(2016), 40 vom: 04. Okt., Seite 65993-66002

Sprache:

Englisch

Beteiligte Personen:

Guan, Xiuwen [VerfasserIn]
Ma, Fei [VerfasserIn]
Liu, Suyan [VerfasserIn]
Wu, Shiyang [VerfasserIn]
Xiao, Rong [VerfasserIn]
Yuan, Lifang [VerfasserIn]
Sun, Xiaoying [VerfasserIn]
Yi, Zongbi [VerfasserIn]
Yang, Huiyi [VerfasserIn]
Xu, Binghe [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers, Tumor
Breast cancer
Circulating tumor cells
EC 2.7.10.1
ERBB2 protein, human
Epithelial-mesenchymal transition
Hormone receptor
Journal Article
Receptor, ErbB-2
Receptors, Estrogen
Receptors, Progesterone
Subpopulations

Anmerkungen:

Date Completed 12.03.2018

Date Revised 16.02.2019

published: Print

Citation Status MEDLINE

doi:

10.18632/oncotarget.11787

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM264119002