Abstract
Properly conducted, an enrichment step can improve selectivity, sensitivity, yield, and most importantly, significantly reduce the time needed to isolate rare circulating tumor cells (CTCs). The enrichment process can be broadly categorized as positive selection versus negative depletion, or in some cases, a combination of both. We have developed a negative depletion CTC enrichment strategy that relies on the removal of normal cells using immunomagnetic separation in the blood of cancer patients. This method is based on the combination of magnetic and fluid forces in an axial, laminar flow in long cylinders placed in quadrupole magnets. Using this technology, we have successfully isolated CTCs from patients with breast carcinoma and squamous cell carcinoma of the head and neck. In contrast to a positive selection methodology, this approach provides an unbiased characterization of these cells, including markers associated with epithelial mesenchymal transition.
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References
Engell HC (1955) Cancer cells in the circulating blood; a clinical study on the occurrence of cancer cells in the peripheral blood and in venous blood draining the tumour area at operation. Acta Chir Scand Suppl 201:1–70
Goldblatt SA, Nadel EM (1965) Cancer cells in the circulating blood: a critical review ii. Acta Cytol 9:6–20
Herbeuval R, Duheille J, Goedert-Herbeuval C (1965) Diagnosis of unusual blood cells by immunofluorescence. Acta Cytol 9:73–82
Kiseleva NS, Magamadov YC (1972) Hematogenous dissemination of tumour cells and metastases formation in Ehrlich ascites tumour. Neoplasma 19:257–275
Stevenson JL, Von Haam E (1966) The application of immunofluorescence techniques to the cytodiagnosis of cancer. Acta Cytol 10:15–20
Budd GT, Cristofanilli M, Ellis MJ et al (2006) Circulating tumor cells versus imaging–predicting overall survival in metastatic breast cancer. Clin Cancer Res 12:6403–6409
Cristofanilli M, Budd GT, Ellis MJ et al (2004) Circulating tumor cells, disease progression, and survival in metastatic breast cancer. N Engl J Med 351:781–791
Riethdorf S, Fritsche H, Muller V et al (2007) Detection of circulating tumor cells in peripheral blood of patients with metastatic breast cancer: a validation study of the Cell Search system. Clin Cancer Res 13:920–928
Pantel K, Brakenhoff RH, Brandt B (2008) Detection, clinical relevance and specific biological properties of disseminating tumour cells. Nat Rev Cancer 8:329–340
McKenzie S (1996) Textbook of Hematology. Williams and Wilkens, Inc., Maryland
Braun S, Pantel K, Muller P et al (2000) Cytokeratin-positive cells in the bone marrow and survival of patients with stage I, II, or III breast cancer. N Engl J Med 342:525–533
Gross HJ, Verwer B, Houck D et al (1995) Model study detecting breast cancer cells in peripheral blood mononuclear cells at frequencies as low as 10(-7). Proc Natl Acad Sci U S A 92:537–541
Iinuma H, Okinaga K, Adachi M et al (2000) Detection of tumor cells in blood using CD45 magnetic cell separation followed by nested mutant allele-specific amplification of p53 and K-ras genes in patients with colorectal cancer. Int J Cancer 89:337–344
Bilkenroth U, Taubert H, Riemann D et al (2001) Detection and enrichment of disseminated renal carcinoma cells from peripheral blood by immunomagnetic cell separation. Int J Cancer 92:577–582
Brakenhoff RH, Stroomer JG, ten Brink C et al (1999) Sensitive detection of squamous cells in bone marrow and blood of head and neck cancer patients by E48 reverse transcriptase-polymerase chain reaction. Clin Cancer Res 5:725–732
Partridge M, Brakenhoff R, Phillips E et al (2003) Detection of rare disseminated tumor cells identifies head and neck cancer patients at risk of treatment failure. Clin Cancer Res 9:5287–5294
Tkaczuk KH, Goloubeva O, Tait NS et al (2008) The significance of circulating epithelial cells in Breast Cancer patients by a novel negative selection method. Breast Cancer Res Treat 111:355–364
Nagrath S, Sequist LV, Maheswaran S et al (2007) Isolation of rare circulating tumour cells in cancer patients by microchip technology. Nature 450:1235–1239
Went PT, Lugli A, Meier S et al (2004) Frequent EpCam protein expression in human carcinomas. Hum Pathol 35:122–128
Fehm T, Sagalowsky A, Clifford E et al (2002) Cytogenetic evidence that circulating epithelial cells in patients with carcinoma are malignant. Clin Cancer Res 8:2073–2084
Willipinski-Stapelfeldt B, Riethdorf S, Assmann V et al (2005) Changes in cytoskeletal protein composition indicative of an epithelial-mesenchymal transition in human micrometastatic and primary breast carcinoma cells. Clin Cancer Res 11:8006–8014
Sieuwerts AM, Kraan J, Bolt J et al (2009) Anti-epithelial cell adhesion molecule antibodies and the detection of circulating normal-like breast tumor cells. J Natl Cancer Inst 101:61–66
Ricci-Vitiani L, Lombardi DG, Pilozzi E et al (2007) Identification and expansion of human colon-cancer-initiating cells. Nature 445:111–115
Tong X, Yang L, Lang JC et al (2007) Application of immunomagnetic cell enrichment in combination with RT-PCR for the detection of rare circulating head and neck tumor cells in human peripheral blood. Cytometry B Clin Cytom 72:310–323
Allan AL, Vantyghem SA, Tuck AB et al (2005) Detection and quantification of circulating tumor cells in mouse models of human breast cancer using immunomagnetic enrichment and multiparameter flow cytometry. Cytometry A 65:4–14
Hsieh HB, Marrinucci D, Bethel K et al (2006) High speed detection of circulating tumor cells. Biosens Bioelectron 21:1893–1899
Krivacic RT, Ladanyi A, Curry DN et al (2004) A rare-cell detector for cancer. Proc Natl Acad Sci U S A 101:10501–10504
Braun S, Hepp F, Sommer HL et al (1999) Tumor-antigen heterogeneity of disseminated breast cancer cells: implications for immunotherapy of minimal residual disease. Int J Cancer 84:1–5
Kasimir-Bauer S, Otterbach F, Oberhoff C et al (2003) Rare expression of target antigens for immunotherapy on disseminated tumor cells in breast cancer patients without overt metastases. Int J Mol Med 12:969–975
Thurm H, Ebel S, Kentenich C et al (2003) Rare expression of epithelial cell adhesion molecule on residual micrometastatic breast cancer cells after adjuvant chemotherapy. Clin Cancer Res 9:2598–2604
EasySep (last accessed October 2009). In: StemCell Technologies. www.stemcell.com/product_catalog/easysep.aspx
LD Columns (last accessed October 2009). In: Miltenyi Biotec GmbH. www.miltenyibiotec.com/en/PG_115_167_LD_Columns.aspx
Lara O, Tong X, Zborowski M et al (2004) Enrichment of rare cancer cells through depletion of normal cells using density and flow-through, immunomagnetic cell separation. Exp Hematol 32:891–904
Yang L, Lang JC, Balasubramanian P et al (2009) Optimization of an enrichment process for circulating tumor cells from the blood of head and neck cancer patients through depletion of normal cells. Biotechnol Bioeng 102:521–534
Chalmers JJ, Zborowski M, Sun L et al (1998) Flow through, immunomagnetic cell separation. Biotechnol Prog 14:141–148
Hoyos M, McCloskey K, Moore L et al (2002) Pulse-injection studies of blood progenitor cells in a quadrupole magnetic flow sorter. Sep Sci Technol 37:1–23
Jin X, Zhao Y, Richardson A et al (2008) Differences in magnetically induced motion of diamagnetic, paramagnetic, and superparamagnetic microparticles detected by cell tracking velocimetry. Analyst 133:1767–1775
Jing Y, Moore LR, Schneider T et al (2007) Negative selection of hematopoietic progenitor cells by continuous magnetophoresis. Exp Hematol 35:662–672
McCloskey KE, Moore LR, Hoyos M et al (2003) Magnetophoretic cell sorting is a function of antibody binding capacity. Biotechnol Prog 19:899–907
Moore LR, Rodriguez AR, Williams PS et al (2001) Progenitor cell isolation with a high-capacity quadrupole magnetic flow sorter. J Magn Magn Mater 225:277–284
Nakamura M, Decker K, Chosy J et al (2001) Separation of a breast cancer cell line from human blood using a quadrupole magnetic flow sorter. Biotechnol Prog 17:1145–1155
Tong X, Xiong Y, Zborowski M et al (2007) A novel high throughput immunomagnetic cell sorting system for potential clinical scale depletion of T cells for allogeneic stem cell transplantation. Exp Hematol 35:1613–1622
Williams PS, Zborowski M, Chalmers JJ (1999) Flow rate optimization for the quadrupole magnetic cell sorter. Anal Chem 71:3799–3807
Zborowski M, Chalmers JJ (2008) Magnetic cell separation. Elsevier Science, Amsterdam, p 464
Zborowski M, Moore LR, Williams PS et al (2002) Separations based on magnetophoretic mobility. Sep Sci Technol 37:3611–3633
Zborowski M, Williams PS, Sun L et al (1997) Cylindrical SPLITT and quadrupole magnetic field in application to continuous-flow magnetic cell sorting. J Liq Chromatogr Relat Tech 20:2887–2905
Lustberg MB, Balasubramanian P, Lang JC, Ruppertt AS, Carothers S, Berger MJ, Mrozek E, Ramaswamy B, Layman RC, Chalmers J, Shapiro CLS (2010) Mesenchymal markers are present on circulating tumor cells in breast cancer AACR special conference on EMT and cancer progression and treatment, Poster presentation taking place Arlington, 28 Feb–2 Mar 2010
Lustberg MB, Balasubramanian P, Lang JC, Ruppertt AS, Carothers S, Berger MJ, Mrozek E, Ramaswamy B, Layman RC, Chalmers J, Shapiro CLS (2010) Isolation of circulating tumor cells (CTCs) with mesenchymal and stem cell markers in localized and metastatic breast cancer using a novel negative selection enrichment AACR National Meeting (Abstract # 5105)
Pantel K, Alix-Panabieres C, Riethdorf S (2009) Cancer micrometastases. Nat Rev Clin Oncol 6:339–351
Hristozova T, Konschak R, Stromberger C et al (2011) The presence of circulating tumor cells (CTCs) correlates with lymph node metastasis in nonresectable squamous cell carcinoma of the head and neck region (SCCHN). Ann Oncol 22(8):1878–1885
Jatana KR, Balasubramanian P, Lang JC et al (2010) Significance of circulating tumor cells in patients with squamous cell carcinoma of the head and neck: initial results. Arch. Otolaryngol. Head Neck Surg. 136:1274–1279
Paterlini-Brechot P, Benali NL (2007) Circulating tumor cells (CTC) detection: clinical impact and future directions. Cancer Lett 253:180–204
Christiansen JJ, Rajasekaran AK (2006) Reassessing epithelial to mesenchymal transition as a prerequisite for carcinoma invasion and metastasis. Cancer Res 66:8319–8326
Thiery JP, Sleeman JP (2006) Complex networks orchestrate epithelial-mesenchymal transitions. Natl Rev Mol Cell Biol 7:131–142
Yang J, Mani SA, Weinberg RA (2006) Exploring a new twist on tumor metastasis. Cancer Res 66:4549–4552
Blick T, Widodo E, Hugo H et al (2008) Epithelial mesenchymal transition traits in human breast cancer cell lines. Clin Exp Metastasis 25:629–642
Sarrio D, Rodriguez-Pinilla SM, Hardisson D et al (2008) Epithelial-mesenchymal transition in breast cancer relates to the basal-like phenotype. Cancer Res 68:989–997
Mani S, Guo W, Liao MJ et al (2008) The epithelial mesenchymal transition generates cells with properties of stem cells. Cell 133:704–715
Morel A, Lievre M, Thomas C et al (2008) Generation of breast cancer stem cells through epithelial-mesenchymal transition. PLoS ONE 3:e2888 (2008)
Galie M, Konstantinidou G, Peroni D et al (2008) Mesenchymal stem cells share molecular signature with mesenchymal tumor cells and favor early tumor growth in syngeneic mice. Oncogene 27:2542–2551
Santisteban M, Reiman JM, Asiedu MK et al (2009) Immune-Induced epithelial to mesenchymal transition in vivo generates breast cancer stem cells. Cancer Res 69:2887–2895
Kokkinos MI, Wafai R, Wong MK et al (2007) Vimentin and epithelial-mesenchymal transition in human breast cancer–observations in vitro and in vivo. Cells Tissues Organs 185:191–203
Pantel K, Brakenhoff RH (2004) Dissecting the metastatic cascade. Nat Rev Cancer 4:448–456
Pantel K, Alix-Panabieres C (2007) The clinical significance of circulating tumor cells. Nat Clin Pract Oncol 4:62–63
Sommers CL, Heckford SE, Skerker JM et al (1992) Loss of epithelial markers and acquisition of vimentin expression in adriamycin- and vinblastine-resistant human breast cancer cell lines. Cancer Res 52:5190–5197
Thompson EW, Paik S, Brunner N et al (1992) Association of increased basement membrane invasiveness with absence of estrogen receptor and expression of vimentin in human breast cancer cell lines. J Cell Physiol 150:534–544
Theodoropoulos PA, Polioudaki H, Agelaki S et al (2009) Circulating tumor cells with a putative stem cell phenotype in peripheral blood of patients with breast cancer. Cancer Lett 288(1):99–106
Aktas B, Tewes M, Fehm T et al (2009) Stem cell and epithelial-mesenchymal transition markers are frequently overexpressed in circulating tumor cells of metastatic breast cancer patients. Breast Cancer Res 11:R46
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Lustberg, M., Jatana, K.R., Zborowski, M., Chalmers, J.J. (2012). Emerging Technologies for CTC Detection Based on Depletion of Normal Cells. In: Ignatiadis, M., Sotiriou, C., Pantel, K. (eds) Minimal Residual Disease and Circulating Tumor Cells in Breast Cancer. Recent Results in Cancer Research, vol 195. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28160-0_9
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