Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients

Detection of ovarian cancer (OC) circulating tumour cells (CTCs) is primarily based on targeting epithelial markers, thus failing to detect mesenchymal tumour cells. More importantly, the immune checkpoint inhibitor marker PD-L1 has not been demonstrated on CTCs from OC patients. An antibody stainin...

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Main Authors: Du-Bois Asante, Michael Morici, Ganendra R. K. A. Mohan, Emmanuel Acheampong, Isaac Spencer, Weitao Lin, Paula van Miert, Samantha Gibson, Aaron B. Beasley, Melanie Ziman, Leslie Calapre, Tarek M. Meniawy, Elin S. Gray
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/24/6225
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author Du-Bois Asante
Michael Morici
Ganendra R. K. A. Mohan
Emmanuel Acheampong
Isaac Spencer
Weitao Lin
Paula van Miert
Samantha Gibson
Aaron B. Beasley
Melanie Ziman
Leslie Calapre
Tarek M. Meniawy
Elin S. Gray
author_facet Du-Bois Asante
Michael Morici
Ganendra R. K. A. Mohan
Emmanuel Acheampong
Isaac Spencer
Weitao Lin
Paula van Miert
Samantha Gibson
Aaron B. Beasley
Melanie Ziman
Leslie Calapre
Tarek M. Meniawy
Elin S. Gray
author_sort Du-Bois Asante
collection DOAJ
description Detection of ovarian cancer (OC) circulating tumour cells (CTCs) is primarily based on targeting epithelial markers, thus failing to detect mesenchymal tumour cells. More importantly, the immune checkpoint inhibitor marker PD-L1 has not been demonstrated on CTCs from OC patients. An antibody staining protocol was developed and tested using SKOV-3 and OVCA432 OC cell lines. We targeted epithelial (cytokeratin (CK) and EpCAM), mesenchymal (vimentin), and OC-specific (PAX8) markers for detection of CTCs, and CD45/16 and CD31 were used for the exclusion of white blood and vascular endothelial cells, respectively. PD-L1 was used for CTC characterisation. CTCs were enriched using the Parsortix™ system from 16 OC patients. Results revealed the presence of CTCs in 10 (63%) cases. CTCs were heterogeneous, with 113/157 (72%) cells positive for CK/EpCAM (epithelial marker), 58/157 (37%) positive for vimentin (mesenchymal marker), and 17/157 (11%) for both (hybrid). PAX8 was only found in 11/157 (7%) CTCs. In addition, 62/157 (39%) CTCs were positive for PD-L1. Positivity for PD-L1 was significantly associated with the hybrid phenotype when compared with the epithelial (<i>p</i> = 0.007) and mesenchymal (<i>p</i> = 0.0009) expressing CTCs. Characterisation of CTC phenotypes in relation to clinical outcomes is needed to provide insight into the role that epithelial to mesenchymal plasticity plays in OC and its relationship with PD-L1.
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spelling doaj.art-a5836bdc61db48d5a75568d57089e7e22023-11-23T04:05:31ZengMDPI AGCancers2072-66942021-12-011324622510.3390/cancers13246225Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer PatientsDu-Bois Asante0Michael Morici1Ganendra R. K. A. Mohan2Emmanuel Acheampong3Isaac Spencer4Weitao Lin5Paula van Miert6Samantha Gibson7Aaron B. Beasley8Melanie Ziman9Leslie Calapre10Tarek M. Meniawy11Elin S. Gray12School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaHollywood Private Hospital, Perth, WA 6009, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaWestern Oncology, Perth, WA 6008, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaSchool of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaDetection of ovarian cancer (OC) circulating tumour cells (CTCs) is primarily based on targeting epithelial markers, thus failing to detect mesenchymal tumour cells. More importantly, the immune checkpoint inhibitor marker PD-L1 has not been demonstrated on CTCs from OC patients. An antibody staining protocol was developed and tested using SKOV-3 and OVCA432 OC cell lines. We targeted epithelial (cytokeratin (CK) and EpCAM), mesenchymal (vimentin), and OC-specific (PAX8) markers for detection of CTCs, and CD45/16 and CD31 were used for the exclusion of white blood and vascular endothelial cells, respectively. PD-L1 was used for CTC characterisation. CTCs were enriched using the Parsortix™ system from 16 OC patients. Results revealed the presence of CTCs in 10 (63%) cases. CTCs were heterogeneous, with 113/157 (72%) cells positive for CK/EpCAM (epithelial marker), 58/157 (37%) positive for vimentin (mesenchymal marker), and 17/157 (11%) for both (hybrid). PAX8 was only found in 11/157 (7%) CTCs. In addition, 62/157 (39%) CTCs were positive for PD-L1. Positivity for PD-L1 was significantly associated with the hybrid phenotype when compared with the epithelial (<i>p</i> = 0.007) and mesenchymal (<i>p</i> = 0.0009) expressing CTCs. Characterisation of CTC phenotypes in relation to clinical outcomes is needed to provide insight into the role that epithelial to mesenchymal plasticity plays in OC and its relationship with PD-L1.https://www.mdpi.com/2072-6694/13/24/6225high grade serous ovarian cancerHGSOCimmunofluorescencecirculating tumour cellsCTCfluorescence quenching
spellingShingle Du-Bois Asante
Michael Morici
Ganendra R. K. A. Mohan
Emmanuel Acheampong
Isaac Spencer
Weitao Lin
Paula van Miert
Samantha Gibson
Aaron B. Beasley
Melanie Ziman
Leslie Calapre
Tarek M. Meniawy
Elin S. Gray
Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients
Cancers
high grade serous ovarian cancer
HGSOC
immunofluorescence
circulating tumour cells
CTC
fluorescence quenching
title Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients
title_full Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients
title_fullStr Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients
title_full_unstemmed Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients
title_short Multi-Marker Immunofluorescent Staining and PD-L1 Detection on Circulating Tumour Cells from Ovarian Cancer Patients
title_sort multi marker immunofluorescent staining and pd l1 detection on circulating tumour cells from ovarian cancer patients
topic high grade serous ovarian cancer
HGSOC
immunofluorescence
circulating tumour cells
CTC
fluorescence quenching
url https://www.mdpi.com/2072-6694/13/24/6225
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