Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis

Circulating Tumor Cells (CTC) are rare cells originated from tumors that travel into the blood stream, extravasate to different organs of which only a small fraction will develop into metastasis. The presence of CTC enumerated with the CellSearch system is associated with a relative short survival a...

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Main Authors: Ana M.C. Barradas, Leon W.M.M. Terstappen
Format: Article
Language:English
Published: MDPI AG 2013-12-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/5/4/1619
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author Ana M.C. Barradas
Leon W.M.M. Terstappen
author_facet Ana M.C. Barradas
Leon W.M.M. Terstappen
author_sort Ana M.C. Barradas
collection DOAJ
description Circulating Tumor Cells (CTC) are rare cells originated from tumors that travel into the blood stream, extravasate to different organs of which only a small fraction will develop into metastasis. The presence of CTC enumerated with the CellSearch system is associated with a relative short survival and their continued presence after the first cycles of therapy indicates a futile therapy in patients with metastatic carcinomas. Detailed characterization of CTC holds the promise to enable the choice of the optimal therapy for the individual patients during the course of the disease. The phenotype, physical and biological properties are however not well understood making it difficult to assess the merit of recent technological advancements to improve upon the capture of CTC or to evaluate their metastatic potential. Here we will discuss the recent advances in the classification of CTC captured by the CellSearch system, the implications of their features and numbers. Latest capture platforms are reviewed and placed in the light of technology improvements needed to detect CTC. Physical properties, phenotype, viability and proliferative potential and means to assess their proliferation and metastatic capacity will be summarized and placed in the context of the latest CTC capture platforms.
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spelling doaj.art-87ddc12a45c245209db32eb9f79ea5092023-09-03T02:39:31ZengMDPI AGCancers2072-66942013-12-01541619164210.3390/cancers5041619cancers5041619Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create MetastasisAna M.C. Barradas0Leon W.M.M. Terstappen1Department of Medical Cell Biophysics, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede 7500AE, The NetherlandsDepartment of Medical Cell Biophysics, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede 7500AE, The NetherlandsCirculating Tumor Cells (CTC) are rare cells originated from tumors that travel into the blood stream, extravasate to different organs of which only a small fraction will develop into metastasis. The presence of CTC enumerated with the CellSearch system is associated with a relative short survival and their continued presence after the first cycles of therapy indicates a futile therapy in patients with metastatic carcinomas. Detailed characterization of CTC holds the promise to enable the choice of the optimal therapy for the individual patients during the course of the disease. The phenotype, physical and biological properties are however not well understood making it difficult to assess the merit of recent technological advancements to improve upon the capture of CTC or to evaluate their metastatic potential. Here we will discuss the recent advances in the classification of CTC captured by the CellSearch system, the implications of their features and numbers. Latest capture platforms are reviewed and placed in the light of technology improvements needed to detect CTC. Physical properties, phenotype, viability and proliferative potential and means to assess their proliferation and metastatic capacity will be summarized and placed in the context of the latest CTC capture platforms.http://www.mdpi.com/2072-6694/5/4/1619circulating tumor cellsimage analysisfiltrationEpCAMcancer stem celltumorogenesis
spellingShingle Ana M.C. Barradas
Leon W.M.M. Terstappen
Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis
Cancers
circulating tumor cells
image analysis
filtration
EpCAM
cancer stem cell
tumorogenesis
title Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis
title_full Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis
title_fullStr Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis
title_full_unstemmed Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis
title_short Towards the Biological Understanding of CTC: Capture Technologies, Definitions and Potential to Create Metastasis
title_sort towards the biological understanding of ctc capture technologies definitions and potential to create metastasis
topic circulating tumor cells
image analysis
filtration
EpCAM
cancer stem cell
tumorogenesis
url http://www.mdpi.com/2072-6694/5/4/1619
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