2013
DOI: 10.1002/ijc.28516
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New frontiers in circulating tumor cell analysis: A reference guide for biomolecular profiling toward translational clinical use

Abstract: Circulating tumor cells (CTCs) are now routinely isolated from blood, and measurement of CTC concentrations appears to correlate well with survival in patients with cancer. Interrogation of the molecular profile of CTCs for expression of protein biomarkers, genetic variants and gene expression provides opportunities to use this information to guide personalized treatment, monitor therapy and detect emerging resistance. However, successful application of profiling techniques requires analyses that deliver a rel… Show more

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Cited by 32 publications
(25 citation statements)
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References 89 publications
(207 reference statements)
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“…To that end, blood biopsies are becoming increasingly attractive because various tumor-derived biomarkers can be screened from blood. Tumors release entire circulating tumor cells (CTCs) and circulating tumor nucleic acids (ctDNA and ctRNA) into the blood stream, and screening these for tumor associated genetic changes is becoming increasingly feasible [6,7]. While these kinds of assays still need further validation before they can be adopted into clinical practice, blood-based assays are extremely appealing to clinicians and researchers.…”
Section: Introductionmentioning
confidence: 99%
“…To that end, blood biopsies are becoming increasingly attractive because various tumor-derived biomarkers can be screened from blood. Tumors release entire circulating tumor cells (CTCs) and circulating tumor nucleic acids (ctDNA and ctRNA) into the blood stream, and screening these for tumor associated genetic changes is becoming increasingly feasible [6,7]. While these kinds of assays still need further validation before they can be adopted into clinical practice, blood-based assays are extremely appealing to clinicians and researchers.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, the metastatic potential of CTCs may vary [34]. Increased understanding of the high prognostic value of being able to identify CTC subsets capable of generating a metastatic deposit has led to increased interest in development of methods that will enable genomic characterization of individual CTCs and thus facilitate the rational design of targeted anticancer therapies [35, 36]. However most microfluidic chips for isolating CTCs are closed systems, so trapped CTCs from samples are more likely to be lost and recovery of isolated single CTCs is poor.…”
Section: Discussionmentioning
confidence: 99%
“…Research on circulating tumour cells (CTCs) has rapidly increased in the last years in response to the clinical need of new alternative tools for the management of patients candidate for personalized therapeutic strategies12. Traditionally, efforts have been devoted to understand the mechanisms underlying cancer progression mainly focused on primary and metastatic carcinomas; but little is known about the “fluid phase” of cancer as the relevant actor of tumour dissemination and lethality13.…”
Section: Discussionmentioning
confidence: 99%