دورية أكاديمية

Dual-procedural separation of CTCs in cutaneous melanoma provides useful information for both molecular diagnosis and prognosis

التفاصيل البيبلوغرافية
العنوان: Dual-procedural separation of CTCs in cutaneous melanoma provides useful information for both molecular diagnosis and prognosis
المؤلفون: Tucci, Marco, D’Oronzo, Stella, Mannavola, Francesco, Felici, Claudia, Lovero, Domenica, Cafforio, Paola, Palmirotta, Raffaele, Silvestris, Franco
المساهمون: Apulia Region Jonico-Salentino Project, Apulia Region ‘Oncogenomic’ project, Apulia Region ‘Precision Medicine’ project, Associazione Italiana per la Ricerca sul Cancro
المصدر: Therapeutic Advances in Medical Oncology ; volume 12, page 175883592090541 ; ISSN 1758-8359 1758-8359
بيانات النشر: SAGE Publications
سنة النشر: 2020
مصطلحات موضوعية: Oncology
الوصف: Background: Circulating tumor cells (CTCs) have recently emerged as a new dynamic soluble marker for several malignancies including cutaneous melanoma (CM) and are suitable for prognostic evaluations and treatment monitoring. However, to date many limitations still hamper the wide-scale application of CTCs in CM setting, including the lack of standardized methods as well as both low levels and heterogeneity of these cells. Methods: We developed a protocol for CTC detection in CM based on immune-magnetic sorting to deplete CD45-, CD31- or CD34-positive cells, followed by dielectrophoretic DEPArray separation according to cell morphology and immunophenotype. To this end, we explored the expression of melanoma stem cell antigens (CD271, ABCB5, and RANK) and the epithelial-to-mesenchymal transition markers (N-Cad, -CD44, and -MCAM/CD146) on CTCs from 17 stage IV CM patients, and investigated their BRAF mutational status by droplet digital PCR. Results: The number of CTCs isolated from CM patients ranged from 2 to 91 cells (38 ± 6.4) with respect to healthy donors ( p < 0.0002). To confirm the melanoma origin of isolated cells, we observed an 80% agreement between their BRAF V600 mutational status and matched primary tumors. The characterization of the immune phenotype of isolated cells revealed high interindividual and intraindividual heterogeneity that was found to correlate with the clinical outcome. Conclusions: The dual-step protocol of immune-magnetic sorting and subsequent dielectrophoretic DEPArray separation, turned out to be a suitable method to isolate viable CTCs from stage IV melanoma patients and enabled quantitative and qualitative analyses on these cells, which may deserve prospective evaluation for potential use in the clinical practice.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/1758835920905415
الإتاحة: https://doi.org/10.1177/1758835920905415Test
حقوق: https://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.CEB105AC
قاعدة البيانات: BASE