Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer

Background: Recent studies showed a relevant role of hematogenous spread in ovarian cancer and the interest of circulating tumor cells (CTCs) monitoring as a prognosis marker. The aim of the present study was the characterization of CTCs from ovarian cancer patients, paying special attention to cell...

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Main Authors: Manuel Abreu, Pablo Cabezas-Sainz, Lorena Alonso-Alconada, Alba Ferreirós, Patricia Mondelo-Macía, Ramón Manuel Lago-Lestón, Alicia Abalo, Eva Díaz, Sara Palacios-Zambrano, Alejandro Rojo-Sebastian, Rafael López-López, Laura Sánchez, Gema Moreno-Bueno, Laura Muinelo-Romay
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/5/1218
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author Manuel Abreu
Pablo Cabezas-Sainz
Lorena Alonso-Alconada
Alba Ferreirós
Patricia Mondelo-Macía
Ramón Manuel Lago-Lestón
Alicia Abalo
Eva Díaz
Sara Palacios-Zambrano
Alejandro Rojo-Sebastian
Rafael López-López
Laura Sánchez
Gema Moreno-Bueno
Laura Muinelo-Romay
author_facet Manuel Abreu
Pablo Cabezas-Sainz
Lorena Alonso-Alconada
Alba Ferreirós
Patricia Mondelo-Macía
Ramón Manuel Lago-Lestón
Alicia Abalo
Eva Díaz
Sara Palacios-Zambrano
Alejandro Rojo-Sebastian
Rafael López-López
Laura Sánchez
Gema Moreno-Bueno
Laura Muinelo-Romay
author_sort Manuel Abreu
collection DOAJ
description Background: Recent studies showed a relevant role of hematogenous spread in ovarian cancer and the interest of circulating tumor cells (CTCs) monitoring as a prognosis marker. The aim of the present study was the characterization of CTCs from ovarian cancer patients, paying special attention to cell plasticity characteristics to better understand the biology of these cells. Methods: CTCs isolation was carried out in 38 patients with advanced high-grade serous ovarian cancer using in parallel CellSearch and an alternative EpCAM-based immunoisolation followed by RT-qPCR analysis to characterize these cells. Results: Epithelial CTCs were found in 21% of patients, being their presence higher in patients with extraperitoneal metastasis. Importantly, this population was characterized by the expression of epithelial markers as <i>MUC1</i> and <i>CK19</i>, but also by genes associated with mesenchymal and more malignant features as <i>TIMP1, CXCR4</i> and the stem markers <i>CD24</i> and <i>CD44</i>. In addition, we evidenced the relevance of <i>TIMP1</i> expression to promote tumor proliferation, suggesting its interest as a therapeutic target. Conclusions: Overall, we evidenced the utility of the molecular characterization of EpCAM<sup>+</sup> CTCs from advanced ovarian cancer patients to identify biomarkers with potential applicability for disseminated disease detection and as therapeutic targets such as TIMP1.
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spelling doaj.art-b738b9dde99b4c649e50f7a0c4e05e502023-11-20T00:28:28ZengMDPI AGCells2073-44092020-05-0195121810.3390/cells9051218Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian CancerManuel Abreu0Pablo Cabezas-Sainz1Lorena Alonso-Alconada2Alba Ferreirós3Patricia Mondelo-Macía4Ramón Manuel Lago-Lestón5Alicia Abalo6Eva Díaz7Sara Palacios-Zambrano8Alejandro Rojo-Sebastian9Rafael López-López10Laura Sánchez11Gema Moreno-Bueno12Laura Muinelo-Romay13Liquid Biopsy Analysis Unit, Translational Medical Oncology (Oncomet), Health Research Institute of Santiago (IDIS), 15706 Santiago de Compostela, SpainDepartment of Genetics, University of Santiago de Compostela, Campus de Lugo, 27002 Lugo, SpainNasasbiotech, S.L., Canton Grande 3, 15003 A Coruña, SpainNasasbiotech, S.L., Canton Grande 3, 15003 A Coruña, SpainLiquid Biopsy Analysis Unit, Translational Medical Oncology (Oncomet), Health Research Institute of Santiago (IDIS), 15706 Santiago de Compostela, SpainLiquid Biopsy Analysis Unit, Translational Medical Oncology (Oncomet), Health Research Institute of Santiago (IDIS), 15706 Santiago de Compostela, SpainLiquid Biopsy Analysis Unit, Translational Medical Oncology (Oncomet), Health Research Institute of Santiago (IDIS), 15706 Santiago de Compostela, SpainFundación MD Anderson Internacional, C/Gómez Hemans 2, 28033 Madrid, SpainMD Anderson Cancer Center, C/Arturo Soria 270, 28029 Madrid, SpainFundación MD Anderson Internacional, C/Gómez Hemans 2, 28033 Madrid, SpainTranslational Medical Oncology (Oncomet), Health Research Institute of Santiago de Compostela (IDIS), Complexo Hospitalario Universitario de Santiago de Compostela (SERGAS), 15706 Santiago de Compostela, SpainDepartment of Genetics, University of Santiago de Compostela, Campus de Lugo, 27002 Lugo, SpainFundación MD Anderson Internacional, C/Gómez Hemans 2, 28033 Madrid, SpainLiquid Biopsy Analysis Unit, Translational Medical Oncology (Oncomet), Health Research Institute of Santiago (IDIS), 15706 Santiago de Compostela, SpainBackground: Recent studies showed a relevant role of hematogenous spread in ovarian cancer and the interest of circulating tumor cells (CTCs) monitoring as a prognosis marker. The aim of the present study was the characterization of CTCs from ovarian cancer patients, paying special attention to cell plasticity characteristics to better understand the biology of these cells. Methods: CTCs isolation was carried out in 38 patients with advanced high-grade serous ovarian cancer using in parallel CellSearch and an alternative EpCAM-based immunoisolation followed by RT-qPCR analysis to characterize these cells. Results: Epithelial CTCs were found in 21% of patients, being their presence higher in patients with extraperitoneal metastasis. Importantly, this population was characterized by the expression of epithelial markers as <i>MUC1</i> and <i>CK19</i>, but also by genes associated with mesenchymal and more malignant features as <i>TIMP1, CXCR4</i> and the stem markers <i>CD24</i> and <i>CD44</i>. In addition, we evidenced the relevance of <i>TIMP1</i> expression to promote tumor proliferation, suggesting its interest as a therapeutic target. Conclusions: Overall, we evidenced the utility of the molecular characterization of EpCAM<sup>+</sup> CTCs from advanced ovarian cancer patients to identify biomarkers with potential applicability for disseminated disease detection and as therapeutic targets such as TIMP1.https://www.mdpi.com/2073-4409/9/5/1218ovarian cancercirculating tumor cells (CTCs)cell plasticityTIMP1
spellingShingle Manuel Abreu
Pablo Cabezas-Sainz
Lorena Alonso-Alconada
Alba Ferreirós
Patricia Mondelo-Macía
Ramón Manuel Lago-Lestón
Alicia Abalo
Eva Díaz
Sara Palacios-Zambrano
Alejandro Rojo-Sebastian
Rafael López-López
Laura Sánchez
Gema Moreno-Bueno
Laura Muinelo-Romay
Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer
Cells
ovarian cancer
circulating tumor cells (CTCs)
cell plasticity
TIMP1
title Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer
title_full Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer
title_fullStr Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer
title_full_unstemmed Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer
title_short Circulating Tumor Cells Characterization Revealed TIMP1 as a Potential Therapeutic Target in Ovarian Cancer
title_sort circulating tumor cells characterization revealed timp1 as a potential therapeutic target in ovarian cancer
topic ovarian cancer
circulating tumor cells (CTCs)
cell plasticity
TIMP1
url https://www.mdpi.com/2073-4409/9/5/1218
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