2017
DOI: 10.1002/dvdy.24506
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Epithelial–mesenchymal plasticity and circulating tumor cells: Travel companions to metastases

Abstract: Epithelial-mesenchymal transitions (EMTs) associated with metastatic progression may contribute to the generation of hybrid phenotypes capable of plasticity. This cellular plasticity would provide tumor cells with an increased potential to adapt to the different microenvironments encountered during metastatic spread. Understanding how EMT may functionally equip circulating tumor cells (CTCs) with an enhanced competence to survive in the bloodstream and niche in the colonized organs has thus become a major canc… Show more

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Cited by 96 publications
(105 citation statements)
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References 212 publications
(340 reference statements)
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“…Like those in the primary tissues, CTCs are also heterogeneous and only certain subpopulation is able to make their way to final metastatic growth [35]. Accumulating evidence indicates that hypoxia-induced EMT allows the intravasated CTCs to survive, most likely via resistance to detachment-induced anoikis and/or NK-mediated immunosurveillance, and to colonize distant organs [36,37] (Figure 3).…”
Section: Tumor Cell Survival In the Circulationmentioning
confidence: 99%
“…Like those in the primary tissues, CTCs are also heterogeneous and only certain subpopulation is able to make their way to final metastatic growth [35]. Accumulating evidence indicates that hypoxia-induced EMT allows the intravasated CTCs to survive, most likely via resistance to detachment-induced anoikis and/or NK-mediated immunosurveillance, and to colonize distant organs [36,37] (Figure 3).…”
Section: Tumor Cell Survival In the Circulationmentioning
confidence: 99%
“…While EpCAM expressing CTC have shown to be highly clinically relevant, recently, the relevance of the presence of CTC expressing no or low EpCAM in cancer patients, is the subject of debate. While many subpopulations can be described, the clinical utility of these cells is barely addressed …”
Section: Introductionmentioning
confidence: 99%
“…While many subpopulations can be described, the clinical utility of these cells is barely addressed. [19][20][21][22][23] The use of ctDNA as a clinical response marker for NSCLC patients has already moved into the clinical routine and EGFR T790 M testing from plasma has been proven to complement tissue-based testing. 5 However, this can be applied to only a subset of patients harboring an activating EFGR mutation, while an untargeted approach, which does not require prior knowledge of the mutation status the tumor, would facilitate a more widespread application.…”
Section: Introductionmentioning
confidence: 99%
“…The above-explained difference between more mesenchymal-like and more epithelial-like cancer cells together with this differentiation between active and passive intravasation gives rise to three entry modes of cancer cells into the vasculature, which are further explained in (Francart et al, 2018):…”
Section: Intravasationmentioning
confidence: 99%