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Related Concept Videos

Metastasis02:30

Metastasis

Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...

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Related Experiment Video

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High-sensitivity Detection of Micrometastases Generated by GFP Lentivirus-transduced Organoids Cultured from a Patient-derived Colon Tumor
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High-sensitivity Detection of Micrometastases Generated by GFP Lentivirus-transduced Organoids Cultured from a Patient-derived Colon Tumor

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Cancer micrometastases.

Klaus Pantel1, Catherine Alix-Panabières, Sabine Riethdorf

  • 1Institute of Tumour Biology, Center of Experimental Medicine, University Medical Center Hamburg Eppendorf, Martinistrasse 52, Hamburg, Germany. pantel@uke.uni-hamburg.de

Nature Reviews. Clinical Oncology
|April 29, 2009
PubMed
Summary

Detecting early cancer spread is challenging. New blood tests for circulating tumor cells (CTCs) and bone marrow disseminated tumor cells (DTCs) offer hope for prognosis and therapy monitoring.

Area of Science:

  • Oncology
  • Cancer Research
  • Medical Diagnostics

Background:

  • Early tumor cell spread (micrometastases) often evades standard imaging.
  • Circulating tumor cells (CTCs) in blood and disseminated tumor cells (DTCs) in bone marrow are detectable in cancer patients without overt metastases.
  • Bone marrow is a common site for tumor cells from various epithelial cancers.

Purpose of the Study:

  • To review the clinical relevance of recent findings on blood-borne cancer micrometastases.
  • To highlight the prognostic and therapeutic monitoring potential of CTCs and DTCs.
  • To explore the role of molecular characterization in understanding cancer dormancy and identifying metastatic stem cells.

Main Methods:

  • Review of current cytometric, immunological, and molecular detection methods for CTCs and DTCs.

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  • Analysis of data on the prognostic impact of DTCs, particularly in breast cancer.
  • Assessment of the convenience and clinical utility of peripheral blood CTC analysis versus bone marrow DTC analysis.
  • Main Results:

    • Level 1a data confirm the prognostic value of bone marrow DTCs in breast cancer patients.
    • Peripheral blood CTC analysis is more convenient for solid tumor patients and is being evaluated for prognosis and therapy monitoring.
    • Molecular characterization of CTCs/DTCs provides insights into cancer dormancy and potential therapeutic targets.

    Conclusions:

    • Detection of CTCs and DTCs represents a significant advancement in managing cancer micrometastases.
    • These blood-borne markers hold promise for personalized cancer treatment strategies.
    • Further research into molecular characterization may lead to novel therapies targeting metastatic processes.