Impact of label-free technologies in head and neck cancer circulating tumour cells

Kulasinghe, Arutha, Kenny, Liz, Perry, Chris, Thiery, Jean-Paul, Jovanovic, Lidija, Vela, Ian, Nelson, Colleen, & Punyadeera, Chamindie (2016) Impact of label-free technologies in head and neck cancer circulating tumour cells. Oncotarget. (In Press)

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Background: The ability to identify high risk head and neck cancer (HNC) patients with disseminated disease prior to presenting with clinically detectable metastases holds remarkable potential. A fraction of circulating tumour cells (CTCs) are invasive cancer cells which mediate metastasis by intravasation, survival and extravasation from the blood stream to metastatic sites. CTCs have been cleared by the FDA for use as surrogate markers of overall survival and progression free survival for breast, prostate and colorectal cancers using the CellSearch® system. However, the clinical significance of CTCs in head and neck cancer patients has yet to be determined. There has been a significant shift in CTC enrichment platforms, away from exclusively single marker selection, to epitope-independent systems.

Methods: The aim of this study was to screen advanced stage HNC patients by the CellSearch® platform and utilise two other epitope-independent approaches, ScreenCell® (microfiltration device) and RosetteSep™ (negative enrichment), to determine how a shift to such methodologies would enable CTC enrichment and detection.

Results: In advanced stage HNC patients, single CTCs were detected in 8/43 (18.6%) on CellSearch®, 13/28 (46.4%) on ScreenCell® and 16/25 (64.0%) by RosetteSep™ (the latter could also detect CTC clusters). Notably, in patients with suspicious lung nodules, too small to biopsy, CTCs were found upon presentation. Moreover, CTCs were readily detected in advanced stage HNC patients.

Conclusion: The epitope-independent platforms detected higher CTC numbers and clusters. Further studies are needed to ascertain whether CTCs can be used as independent prognostic markers for HNCs.

Impact and interest:

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ID Code: 98655
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: circulating tumour cells, head and neck cancer, metastasis, label-free
DOI: 10.18632/oncotarget.12086
ISSN: 1949-2553
Divisions: Current > Schools > School of Biomedical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2016 Impact Journals, LLC
Deposited On: 05 Sep 2016 22:51
Last Modified: 19 Oct 2016 19:57

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