Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer

Expression of the androgen receptor splice variant 7 (<i>ARV7)</i> in circulating tumor cells (CTCs) has been associated with resistance towards novel androgen receptor (AR)-targeting therapies. While a multitude of ARV7 detection approaches have been developed, the simultaneous enumerat...

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Main Authors: Claudia Hille, Tobias M. Gorges, Sabine Riethdorf, Martine Mazel, Thomas Steuber, Gunhild Von Amsberg, Frank König, Sven Peine, Catherine Alix-Panabières, Klaus Pantel
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/8/9/1067
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author Claudia Hille
Tobias M. Gorges
Sabine Riethdorf
Martine Mazel
Thomas Steuber
Gunhild Von Amsberg
Frank König
Sven Peine
Catherine Alix-Panabières
Klaus Pantel
author_facet Claudia Hille
Tobias M. Gorges
Sabine Riethdorf
Martine Mazel
Thomas Steuber
Gunhild Von Amsberg
Frank König
Sven Peine
Catherine Alix-Panabières
Klaus Pantel
author_sort Claudia Hille
collection DOAJ
description Expression of the androgen receptor splice variant 7 (<i>ARV7)</i> in circulating tumor cells (CTCs) has been associated with resistance towards novel androgen receptor (AR)-targeting therapies. While a multitude of ARV7 detection approaches have been developed, the simultaneous enumeration of CTCs and assessment of <i>ARV7</i> status and the integration of validated technologies for CTC enrichment/detection into their workflow render interpretation of the results more difficult and/or require shipment to centralized labs. Here, we describe the establishment and technical validation of a novel <i>ARV7</i> detection method integrating the CellSearch<sup>&#174;</sup> technology, the only FDA-cleared CTC-enrichment method for metastatic prostate cancer available so far. A highly sensitive and specific qPCR-based assay was developed, allowing detection of <i>ARV7</i> and <i>keratin 19</i> transcripts from as low as a single <i>ARV7<sup>+</sup>/K19<sup>+</sup></i> cell, even after 24 h of sample storage. Clinical feasibility was demonstrated on blood samples from 26 prostate cancer patients and assay sensitivity and specificity was corroborated. Our novel approach can now be included into prospective clinical trials aimed to assess the predictive values of CTC/ARV7 measurements in prostate cancer.
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spelling doaj.art-f91117dbfc2c48d394b161fec833fbd02023-09-02T19:33:20ZengMDPI AGCells2073-44092019-09-0189106710.3390/cells8091067cells8091067Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate CancerClaudia Hille0Tobias M. Gorges1Sabine Riethdorf2Martine Mazel3Thomas Steuber4Gunhild Von Amsberg5Frank König6Sven Peine7Catherine Alix-Panabières8Klaus Pantel9Department of Tumor Biology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Tumor Biology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Tumor Biology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Rare Human Circulating Cells (LCCRH), University Medical Centre of Montpellier–UM EA2415, 34295 Montpellier, FranceMartini Clinic, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Hematology and Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyATURO, Urology Practice, 14197 Berlin, GermanyDepartment of Transfusion Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Rare Human Circulating Cells (LCCRH), University Medical Centre of Montpellier–UM EA2415, 34295 Montpellier, FranceDepartment of Tumor Biology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyExpression of the androgen receptor splice variant 7 (<i>ARV7)</i> in circulating tumor cells (CTCs) has been associated with resistance towards novel androgen receptor (AR)-targeting therapies. While a multitude of ARV7 detection approaches have been developed, the simultaneous enumeration of CTCs and assessment of <i>ARV7</i> status and the integration of validated technologies for CTC enrichment/detection into their workflow render interpretation of the results more difficult and/or require shipment to centralized labs. Here, we describe the establishment and technical validation of a novel <i>ARV7</i> detection method integrating the CellSearch<sup>&#174;</sup> technology, the only FDA-cleared CTC-enrichment method for metastatic prostate cancer available so far. A highly sensitive and specific qPCR-based assay was developed, allowing detection of <i>ARV7</i> and <i>keratin 19</i> transcripts from as low as a single <i>ARV7<sup>+</sup>/K19<sup>+</sup></i> cell, even after 24 h of sample storage. Clinical feasibility was demonstrated on blood samples from 26 prostate cancer patients and assay sensitivity and specificity was corroborated. Our novel approach can now be included into prospective clinical trials aimed to assess the predictive values of CTC/ARV7 measurements in prostate cancer.https://www.mdpi.com/2073-4409/8/9/1067prostate cancerbiomarkerscirculating tumor cellsandrogen receptorARV7abirateroneenzalutamide
spellingShingle Claudia Hille
Tobias M. Gorges
Sabine Riethdorf
Martine Mazel
Thomas Steuber
Gunhild Von Amsberg
Frank König
Sven Peine
Catherine Alix-Panabières
Klaus Pantel
Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer
Cells
prostate cancer
biomarkers
circulating tumor cells
androgen receptor
ARV7
abiraterone
enzalutamide
title Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer
title_full Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer
title_fullStr Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer
title_full_unstemmed Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer
title_short Detection of Androgen Receptor Variant 7 (<i>ARV7)</i> mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer
title_sort detection of androgen receptor variant 7 i arv7 i mrna levels in epcam enriched ctc fractions for monitoring response to androgen targeting therapies in prostate cancer
topic prostate cancer
biomarkers
circulating tumor cells
androgen receptor
ARV7
abiraterone
enzalutamide
url https://www.mdpi.com/2073-4409/8/9/1067
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