Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients

Circulating Tumor Cells (CTCs) are already present in the peripheral blood of patients with early tumors and even precancerous lesions. The objective of this study was to determine the count of CTCs in peripheral blood from high-risk population(HRP), healthy subjects and patients with Pan-cancer. Th...

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Main Authors: Chunjin Huang, Sheng Ding, Chunyan Huang, Feng Pan, Xiaodong Liu, Haijiao Zhang, Jian Zhou, Xiaofei Liang, Xinyan Wang, Ping Song
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.642971/full
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author Chunjin Huang
Sheng Ding
Chunyan Huang
Feng Pan
Xiaodong Liu
Haijiao Zhang
Jian Zhou
Xiaofei Liang
Xinyan Wang
Ping Song
author_facet Chunjin Huang
Sheng Ding
Chunyan Huang
Feng Pan
Xiaodong Liu
Haijiao Zhang
Jian Zhou
Xiaofei Liang
Xinyan Wang
Ping Song
author_sort Chunjin Huang
collection DOAJ
description Circulating Tumor Cells (CTCs) are already present in the peripheral blood of patients with early tumors and even precancerous lesions. The objective of this study was to determine the count of CTCs in peripheral blood from high-risk population(HRP), healthy subjects and patients with Pan-cancer. The CTCs in the peripheral blood from HRP and cancer patients were enriched and identified based on the positive sorting method by epithelial cell adhesion molecular (EpCAM) liposome magnetic bead (Ep-LMB) and Vimentin liposome magnetic bead (Vi-LMB). Simultaneously, further analysis was carried out focusing on the clinical characteristics of patients by collecting the peripheral blood samples from healthy subjects as the parallel control. According to the results, the prepared LMBs had high specificity and stability, resulting in an average (Av) proliferation rate of over 90% for each cell line, and the average capture rate of higher than 80%. In terms of CTCs count detection in clinical blood samples, the average count was 0.9 (Ep: Av=0.6, Vi: Av=0.3), 2.4 (Ep: Av=1.4, Vi: Av=0.8) and 7.3 (Ep: Av=4.0, Vi: Av=3.3) in healthy subjects, HRP and total cancer patients, respectively. Besides, there was no obvious difference in the average count of CTCs among patients with different cancer types. While count of CTCs in the aforementioned cancer patients was statistically different from that in healthy subjects and patients with HRP. The survival time of cancer patients whose number of CTCs is greater than the average is significantly increased. Collectively, the study confirmed that CTCs can achieve early tumor detection and auxiliary diagnosis, and its number is related to the occurrence and development of tumors, and CTCs can be detected in HRP and sub-health population.
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spelling doaj.art-1ea4d138fb4344f891987f83906b7ced2022-12-21T18:48:26ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-06-011110.3389/fonc.2021.642971642971Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer PatientsChunjin Huang0Sheng Ding1Chunyan Huang2Feng Pan3Xiaodong Liu4Haijiao Zhang5Jian Zhou6Xiaofei Liang7Xinyan Wang8Ping Song9Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai, ChinaDepartment of Stomatology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of anesthesia, Zhabei Central Hospital of Shanghai, Shanghai, ChinaDepartment of Orthopedics, Zhabei Central Hospital of Shanghai, Shanghai, ChinaDepartment of Orthopedics, Zhabei Central Hospital of Shanghai, Shanghai, ChinaDepartment of anesthesia, Zhabei Central Hospital of Shanghai, Shanghai, ChinaProject Department, Huzhou Lieyuan Medical Laboratory Company Ltd, Huzhou, ChinaProject Department, Huzhou Lieyuan Medical Laboratory Company Ltd, Huzhou, ChinaProject Department, Huzhou Lieyuan Medical Laboratory Company Ltd, Huzhou, ChinaProject Department, Huzhou Lieyuan Medical Laboratory Company Ltd, Huzhou, ChinaCirculating Tumor Cells (CTCs) are already present in the peripheral blood of patients with early tumors and even precancerous lesions. The objective of this study was to determine the count of CTCs in peripheral blood from high-risk population(HRP), healthy subjects and patients with Pan-cancer. The CTCs in the peripheral blood from HRP and cancer patients were enriched and identified based on the positive sorting method by epithelial cell adhesion molecular (EpCAM) liposome magnetic bead (Ep-LMB) and Vimentin liposome magnetic bead (Vi-LMB). Simultaneously, further analysis was carried out focusing on the clinical characteristics of patients by collecting the peripheral blood samples from healthy subjects as the parallel control. According to the results, the prepared LMBs had high specificity and stability, resulting in an average (Av) proliferation rate of over 90% for each cell line, and the average capture rate of higher than 80%. In terms of CTCs count detection in clinical blood samples, the average count was 0.9 (Ep: Av=0.6, Vi: Av=0.3), 2.4 (Ep: Av=1.4, Vi: Av=0.8) and 7.3 (Ep: Av=4.0, Vi: Av=3.3) in healthy subjects, HRP and total cancer patients, respectively. Besides, there was no obvious difference in the average count of CTCs among patients with different cancer types. While count of CTCs in the aforementioned cancer patients was statistically different from that in healthy subjects and patients with HRP. The survival time of cancer patients whose number of CTCs is greater than the average is significantly increased. Collectively, the study confirmed that CTCs can achieve early tumor detection and auxiliary diagnosis, and its number is related to the occurrence and development of tumors, and CTCs can be detected in HRP and sub-health population.https://www.frontiersin.org/articles/10.3389/fonc.2021.642971/fullcancercirculating tumor cellsepithelial cell adhesion molecularvimentinhigh-risk population
spellingShingle Chunjin Huang
Sheng Ding
Chunyan Huang
Feng Pan
Xiaodong Liu
Haijiao Zhang
Jian Zhou
Xiaofei Liang
Xinyan Wang
Ping Song
Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients
Frontiers in Oncology
cancer
circulating tumor cells
epithelial cell adhesion molecular
vimentin
high-risk population
title Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients
title_full Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients
title_fullStr Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients
title_full_unstemmed Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients
title_short Distribution and Clinical Analysis of EpCAM+/Vimentin+ Circulating Tumor Cells in High-Risk Population and Cancer Patients
title_sort distribution and clinical analysis of epcam vimentin circulating tumor cells in high risk population and cancer patients
topic cancer
circulating tumor cells
epithelial cell adhesion molecular
vimentin
high-risk population
url https://www.frontiersin.org/articles/10.3389/fonc.2021.642971/full
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