Selective killing of circulating tumor cells prevents metastasis and extends survival

Abstract Distant metastasis is initiated by circulating tumor cells (CTCs), which are considered to be a determining factor for the degree of metastasis and the survival of cancer patients. Although CTC-based diagnostic approaches are being rapidly developed, limited studies have proven the benefits...

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Main Authors: Yi Rang Kim, Jung Ki Yoo, Chang Wook Jeong, Jin Woo Choi
Format: Article
Language:English
Published: BMC 2018-09-01
Series:Journal of Hematology & Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13045-018-0658-5
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author Yi Rang Kim
Jung Ki Yoo
Chang Wook Jeong
Jin Woo Choi
author_facet Yi Rang Kim
Jung Ki Yoo
Chang Wook Jeong
Jin Woo Choi
author_sort Yi Rang Kim
collection DOAJ
description Abstract Distant metastasis is initiated by circulating tumor cells (CTCs), which are considered to be a determining factor for the degree of metastasis and the survival of cancer patients. Although CTC-based diagnostic approaches are being rapidly developed, limited studies have proven the benefits of CTC elimination, with most studies providing only hypothetical inference because of the technical difficulty in examining the effects of CTC elimination in vivo. We modified photodynamic therapy to specifically eliminate green fluorescent protein (GFP)-expressing CTCs and evaluated the therapeutic efficacy of CTC elimination. When circulating blood is illuminated with a blue laser (λ = 473 nm), the combination of GFP and photosensitizers induces a selective elimination of GFP-expressing CTCs, with limited effect on normal cells. In GFP-expressing cancer cell-infused or transplanted mice models, the treatment suppressed distant metastasis and extended the survival of the tumor-bearing mice. Taken together, CTCs are a core seed to be metastasized into secondary organs and elimination of CTCs may improve the survival of cancer patients.
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spelling doaj.art-8cc4729b74d743288dce334c6dcbd52c2022-12-21T22:31:16ZengBMCJournal of Hematology & Oncology1756-87222018-09-011111410.1186/s13045-018-0658-5Selective killing of circulating tumor cells prevents metastasis and extends survivalYi Rang Kim0Jung Ki Yoo1Chang Wook Jeong2Jin Woo Choi3Department of Hematology/Oncology, Yuseong Sun HospitalDepartment of Pharmacology, College of Pharmacy, Kyung Hee UniversityDepartment of Urology, Seoul National University HospitalDepartment of Pharmacology, College of Pharmacy, Kyung Hee UniversityAbstract Distant metastasis is initiated by circulating tumor cells (CTCs), which are considered to be a determining factor for the degree of metastasis and the survival of cancer patients. Although CTC-based diagnostic approaches are being rapidly developed, limited studies have proven the benefits of CTC elimination, with most studies providing only hypothetical inference because of the technical difficulty in examining the effects of CTC elimination in vivo. We modified photodynamic therapy to specifically eliminate green fluorescent protein (GFP)-expressing CTCs and evaluated the therapeutic efficacy of CTC elimination. When circulating blood is illuminated with a blue laser (λ = 473 nm), the combination of GFP and photosensitizers induces a selective elimination of GFP-expressing CTCs, with limited effect on normal cells. In GFP-expressing cancer cell-infused or transplanted mice models, the treatment suppressed distant metastasis and extended the survival of the tumor-bearing mice. Taken together, CTCs are a core seed to be metastasized into secondary organs and elimination of CTCs may improve the survival of cancer patients.http://link.springer.com/article/10.1186/s13045-018-0658-5Circulating tumor cellsGreen fluorescent proteinMetastasisPhotodynamic therapyPhotosensitizers
spellingShingle Yi Rang Kim
Jung Ki Yoo
Chang Wook Jeong
Jin Woo Choi
Selective killing of circulating tumor cells prevents metastasis and extends survival
Journal of Hematology & Oncology
Circulating tumor cells
Green fluorescent protein
Metastasis
Photodynamic therapy
Photosensitizers
title Selective killing of circulating tumor cells prevents metastasis and extends survival
title_full Selective killing of circulating tumor cells prevents metastasis and extends survival
title_fullStr Selective killing of circulating tumor cells prevents metastasis and extends survival
title_full_unstemmed Selective killing of circulating tumor cells prevents metastasis and extends survival
title_short Selective killing of circulating tumor cells prevents metastasis and extends survival
title_sort selective killing of circulating tumor cells prevents metastasis and extends survival
topic Circulating tumor cells
Green fluorescent protein
Metastasis
Photodynamic therapy
Photosensitizers
url http://link.springer.com/article/10.1186/s13045-018-0658-5
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AT changwookjeong selectivekillingofcirculatingtumorcellspreventsmetastasisandextendssurvival
AT jinwoochoi selectivekillingofcirculatingtumorcellspreventsmetastasisandextendssurvival