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Published in: International Journal of Clinical Oncology 3/2017

01-06-2017 | Invited Review Article

Circulating tumor cells: clinical validity and utility

Authors: Luc Cabel, Charlotte Proudhon, Hugo Gortais, Delphine Loirat, Florence Coussy, Jean-Yves Pierga, François-Clément Bidard

Published in: International Journal of Clinical Oncology | Issue 3/2017

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Abstract

Circulating tumor cells (CTCs) are rare tumor cells and have been investigated as diagnostic, prognostic and predictive biomarkers in many types of cancer. Although CTCs are not currently used in clinical practice, CTC studies have accumulated a high level of clinical validity, especially in breast, lung, prostate and colorectal cancers. In this review, we present an overview of the current clinical validity of CTCs in metastatic and non-metastatic disease, and the main concepts and studies investigating the clinical utility of CTCs. In particular, this review will focus on breast, lung, colorectal and prostate cancer. Three major topics concerning the clinical utility of CTC are discussed—(1) treatment based on CTCs used as liquid biopsy, (2) treatment based on CTC count or CTC variations, and (3) treatment based on CTC biomarker expression. A summary of published or ongoing phase II and III trials is also presented.
Literature
1.
go back to reference Ashworth TR (1869) A case of cancer in which cells similar to those in the tumours were seen in the blood after death. Aust Med J. 1869; 14: 146−147 Ashworth TR (1869) A case of cancer in which cells similar to those in the tumours were seen in the blood after death. Aust Med J. 1869; 14: 146−147
6.
go back to reference Harb W, Fan A, Tran T et al (2013) Mutational analysis of circulating tumor cells using a novel microfluidic collection device and qPCR Assay. Transl Oncol 6:528–538CrossRefPubMedPubMedCentral Harb W, Fan A, Tran T et al (2013) Mutational analysis of circulating tumor cells using a novel microfluidic collection device and qPCR Assay. Transl Oncol 6:528–538CrossRefPubMedPubMedCentral
13.
go back to reference Ligthart ST, Bidard F-C, Decraene C et al (2013) Unbiased quantitative assessment of Her-2 expression of circulating tumor cells in patients with metastatic and non-metastatic breast cancer. Ann Oncol 24:1231–1238. doi:10.1093/annonc/mds625 CrossRefPubMed Ligthart ST, Bidard F-C, Decraene C et al (2013) Unbiased quantitative assessment of Her-2 expression of circulating tumor cells in patients with metastatic and non-metastatic breast cancer. Ann Oncol 24:1231–1238. doi:10.​1093/​annonc/​mds625 CrossRefPubMed
18.
go back to reference Scher HI, Graf RP, Schreiber NA et al (2016) Nuclear-specific AR-V7 protein localization is necessary to guide treatment selection in metastatic castration-resistant prostate cancer. Eur Urol. doi:10.1016/j.eururo.2016.11.024 Scher HI, Graf RP, Schreiber NA et al (2016) Nuclear-specific AR-V7 protein localization is necessary to guide treatment selection in metastatic castration-resistant prostate cancer. Eur Urol. doi:10.​1016/​j.​eururo.​2016.​11.​024
21.
go back to reference Markowski MC, Frick KD, Eshleman JR et al (2016) Cost-savings analysis of AR-V7 testing in patients with metastatic castration-resistant prostate cancer eligible for treatment with abiraterone or enzalutamide. Prostate 76:1484–1490. doi:10.1002/pros.23232 CrossRefPubMed Markowski MC, Frick KD, Eshleman JR et al (2016) Cost-savings analysis of AR-V7 testing in patients with metastatic castration-resistant prostate cancer eligible for treatment with abiraterone or enzalutamide. Prostate 76:1484–1490. doi:10.​1002/​pros.​23232 CrossRefPubMed
23.
26.
go back to reference Pierga J-Y, Bidard F-C, Mathiot C et al (2008) Circulating tumor cell detection predicts early metastatic relapse after neoadjuvant chemotherapy in large operable and locally advanced breast cancer in a phase II randomized trial. Clin Cancer Res 14:7004–7010. doi:10.1158/1078-0432.CCR-08-0030 CrossRefPubMed Pierga J-Y, Bidard F-C, Mathiot C et al (2008) Circulating tumor cell detection predicts early metastatic relapse after neoadjuvant chemotherapy in large operable and locally advanced breast cancer in a phase II randomized trial. Clin Cancer Res 14:7004–7010. doi:10.​1158/​1078-0432.​CCR-08-0030 CrossRefPubMed
27.
go back to reference Magni E, Botteri E, Ravenda PS et al (2014) Detection of circulating tumor cells in patients with locally advanced rectal cancer undergoing neoadjuvant therapy followed by curative surgery. Int J Colorectal Dis 29:1053–1059. doi:10.1007/s00384-014-1958-z CrossRefPubMed Magni E, Botteri E, Ravenda PS et al (2014) Detection of circulating tumor cells in patients with locally advanced rectal cancer undergoing neoadjuvant therapy followed by curative surgery. Int J Colorectal Dis 29:1053–1059. doi:10.​1007/​s00384-014-1958-z CrossRefPubMed
29.
go back to reference Thalgott M, Rack B, Horn T et al (2015) Detection of circulating tumor cells in locally advanced high-risk prostate cancer during neoadjuvant chemotherapy and radical prostatectomy. Anticancer Res 35:5679–5685PubMed Thalgott M, Rack B, Horn T et al (2015) Detection of circulating tumor cells in locally advanced high-risk prostate cancer during neoadjuvant chemotherapy and radical prostatectomy. Anticancer Res 35:5679–5685PubMed
30.
37.
go back to reference Tol J, Koopman M, Miller MC et al (2010) Circulating tumour cells early predict progression-free and overall survival in advanced colorectal cancer patients treated with chemotherapy and targeted agents. Ann Oncol 21:1006–1012. doi:10.1093/annonc/mdp463 CrossRefPubMed Tol J, Koopman M, Miller MC et al (2010) Circulating tumour cells early predict progression-free and overall survival in advanced colorectal cancer patients treated with chemotherapy and targeted agents. Ann Oncol 21:1006–1012. doi:10.​1093/​annonc/​mdp463 CrossRefPubMed
38.
go back to reference Cohen SJ, Punt CJA, Iannotti N et al (2008) Relationship of circulating tumor cells to tumor response, progression-free survival, and overall survival in patients with metastatic colorectal cancer. J Clin Oncol 26:3213–3221. doi:10.1200/JCO.2007.15.8923 CrossRefPubMed Cohen SJ, Punt CJA, Iannotti N et al (2008) Relationship of circulating tumor cells to tumor response, progression-free survival, and overall survival in patients with metastatic colorectal cancer. J Clin Oncol 26:3213–3221. doi:10.​1200/​JCO.​2007.​15.​8923 CrossRefPubMed
39.
go back to reference Sastre J, Maestro ML, Gómez-España A et al (2012) Circulating tumor cell count is a prognostic factor in metastatic colorectal cancer patients receiving first-line chemotherapy plus bevacizumab: a Spanish Cooperative Group for the Treatment of Digestive Tumors study. Oncologist 17:947–955. doi:10.1634/theoncologist.2012-0048 CrossRefPubMedPubMedCentral Sastre J, Maestro ML, Gómez-España A et al (2012) Circulating tumor cell count is a prognostic factor in metastatic colorectal cancer patients receiving first-line chemotherapy plus bevacizumab: a Spanish Cooperative Group for the Treatment of Digestive Tumors study. Oncologist 17:947–955. doi:10.​1634/​theoncologist.​2012-0048 CrossRefPubMedPubMedCentral
40.
go back to reference Yokobori T, Iinuma H, Shimamura T et al (2013) Plastin3 is a novel marker for circulating tumor cells undergoing the epithelial-mesenchymal transition and is associated with colorectal cancer prognosis. Cancer Res 73:2059–2069. doi:10.1158/0008-5472.CAN-12-0326 CrossRefPubMed Yokobori T, Iinuma H, Shimamura T et al (2013) Plastin3 is a novel marker for circulating tumor cells undergoing the epithelial-mesenchymal transition and is associated with colorectal cancer prognosis. Cancer Res 73:2059–2069. doi:10.​1158/​0008-5472.​CAN-12-0326 CrossRefPubMed
44.
go back to reference Punnoose EA, Atwal S, Liu W et al (2012) Evaluation of circulating tumor cells and circulating tumor DNA in non-small cell lung cancer: association with clinical endpoints in a phase II clinical trial of pertuzumab and erlotinib. Clin Cancer Res 18:2391–2401. doi:10.1158/1078-0432.CCR-11-3148 CrossRefPubMed Punnoose EA, Atwal S, Liu W et al (2012) Evaluation of circulating tumor cells and circulating tumor DNA in non-small cell lung cancer: association with clinical endpoints in a phase II clinical trial of pertuzumab and erlotinib. Clin Cancer Res 18:2391–2401. doi:10.​1158/​1078-0432.​CCR-11-3148 CrossRefPubMed
46.
go back to reference Hou J-M, Krebs MG, Lancashire L et al (2012) Clinical significance and molecular characteristics of circulating tumor cells and circulating tumor microemboli in patients with small-cell lung cancer. J Clin Oncol 30:525–532. doi:10.1200/JCO.2010.33.3716 CrossRefPubMed Hou J-M, Krebs MG, Lancashire L et al (2012) Clinical significance and molecular characteristics of circulating tumor cells and circulating tumor microemboli in patients with small-cell lung cancer. J Clin Oncol 30:525–532. doi:10.​1200/​JCO.​2010.​33.​3716 CrossRefPubMed
47.
go back to reference Bidard F-C, Michiels S, et al (2016) IMENEO: International MEta-analysis of circulating tumor cell detection in early breast cancer patients treated by NEOadjuvant chemotherapy. In: Abstracts of the thirty-ninth annual CTRC-AACR San Antonio Breast Cancer Symposium, San Antonio, Texas, 6-10 December 2016. doi:10.1158/1538-7445.SABCS16-S3-01 Bidard F-C, Michiels S, et al (2016) IMENEO: International MEta-analysis of circulating tumor cell detection in early breast cancer patients treated by NEOadjuvant chemotherapy. In: Abstracts of the thirty-ninth annual CTRC-AACR San Antonio Breast Cancer Symposium, San Antonio, Texas, 6-10 December 2016. doi:10.​1158/​1538-7445.​SABCS16-S3-01
48.
go back to reference Pierga J-Y, Bidard F-C, Autret A et al (2016) Circulating tumour cells and pathological complete response: independent prognostic factors in inflammatory breast cancer in a pooled analysis of two multicentre phase II trials (BEVERLY-1 and -2) of neoadjuvant chemotherapy combined with bevacizumab. Ann Oncol. doi:10.1093/annonc/mdw535 PubMedPubMedCentral Pierga J-Y, Bidard F-C, Autret A et al (2016) Circulating tumour cells and pathological complete response: independent prognostic factors in inflammatory breast cancer in a pooled analysis of two multicentre phase II trials (BEVERLY-1 and -2) of neoadjuvant chemotherapy combined with bevacizumab. Ann Oncol. doi:10.​1093/​annonc/​mdw535 PubMedPubMedCentral
50.
go back to reference Scholten L, Terstappen LWMM, van der Palen J et al (2012) Circulating tumor cells as a possible prognostic tool in newly diagnosed nonmetastatic colorectal cancer? ASCO Meet Abstr 30:395 Scholten L, Terstappen LWMM, van der Palen J et al (2012) Circulating tumor cells as a possible prognostic tool in newly diagnosed nonmetastatic colorectal cancer? ASCO Meet Abstr 30:395
51.
go back to reference Iinuma H, Watanabe T, Mimori K et al (2011) Clinical significance of circulating tumor cells, including cancer stem-like cells, in peripheral blood for recurrence and prognosis in patients with Dukes’ stage B and C colorectal cancer. J Clin Oncol 29:1547–1555. doi:10.1200/JCO.2010.30.5151 CrossRefPubMed Iinuma H, Watanabe T, Mimori K et al (2011) Clinical significance of circulating tumor cells, including cancer stem-like cells, in peripheral blood for recurrence and prognosis in patients with Dukes’ stage B and C colorectal cancer. J Clin Oncol 29:1547–1555. doi:10.​1200/​JCO.​2010.​30.​5151 CrossRefPubMed
63.
65.
go back to reference Ma J, Yao S, Li X-S et al (2015) Neoadjuvant therapy of dof regimen plus bevacizumab can increase surgical resection ratein locally advanced gastric cancer: a randomized controlled study. Medicine (Baltimore) 94:e1489. doi:10.1097/MD.0000000000001489 CrossRef Ma J, Yao S, Li X-S et al (2015) Neoadjuvant therapy of dof regimen plus bevacizumab can increase surgical resection ratein locally advanced gastric cancer: a randomized controlled study. Medicine (Baltimore) 94:e1489. doi:10.​1097/​MD.​0000000000001489​ CrossRef
66.
go back to reference Zitt M, Zitt M, Müller HM et al (2006) Disseminated tumor cells in peripheral blood: a novel marker for therapy response in locally advanced rectal cancer patients undergoing preoperative chemoradiation. Dis Colon Rectum 49:1484–1491. doi:10.1007/s10350-006-0673-4 CrossRefPubMed Zitt M, Zitt M, Müller HM et al (2006) Disseminated tumor cells in peripheral blood: a novel marker for therapy response in locally advanced rectal cancer patients undergoing preoperative chemoradiation. Dis Colon Rectum 49:1484–1491. doi:10.​1007/​s10350-006-0673-4 CrossRefPubMed
67.
72.
go back to reference Pestrin M, Bessi S, Puglisi F et al (2012) Final results of a multicenter phase II clinical trial evaluating the activity of single-agent lapatinib in patients with HER2-negative metastatic breast cancer and HER2-positive circulating tumor cells. A proof-of-concept study. Breast Cancer Res Treat 134:283–289. doi:10.1007/s10549-012-2045-1 CrossRefPubMed Pestrin M, Bessi S, Puglisi F et al (2012) Final results of a multicenter phase II clinical trial evaluating the activity of single-agent lapatinib in patients with HER2-negative metastatic breast cancer and HER2-positive circulating tumor cells. A proof-of-concept study. Breast Cancer Res Treat 134:283–289. doi:10.​1007/​s10549-012-2045-1 CrossRefPubMed
73.
go back to reference Stebbing J, Payne R, Reise J et al (2013) the efficacy of lapatinib in metastatic breast cancer with HER2 non-amplified primary tumors and egfr positive circulating tumor cells: a proof-of-concept study. PLoS One. doi:10.1371/journal.pone.0062543 Stebbing J, Payne R, Reise J et al (2013) the efficacy of lapatinib in metastatic breast cancer with HER2 non-amplified primary tumors and egfr positive circulating tumor cells: a proof-of-concept study. PLoS One. doi:10.​1371/​journal.​pone.​0062543
74.
go back to reference Georgoulias V, Bozionelou V, Agelaki S et al (2012) Trastuzumab decreases the incidence of clinical relapses in patients with early breast cancer presenting chemotherapy-resistant CK-19mRNA-positive circulating tumor cells: results of a randomized phase II study. Ann Oncol 23:1744–1750. doi:10.1093/annonc/mds020 CrossRefPubMed Georgoulias V, Bozionelou V, Agelaki S et al (2012) Trastuzumab decreases the incidence of clinical relapses in patients with early breast cancer presenting chemotherapy-resistant CK-19mRNA-positive circulating tumor cells: results of a randomized phase II study. Ann Oncol 23:1744–1750. doi:10.​1093/​annonc/​mds020 CrossRefPubMed
80.
go back to reference Hainsworth JD, Murphy PB, Alemar JR et al (2016) Use of a multiplexed immunoassay (PRO Onc assay) to detect HER2 abnormalities in circulating tumor cells of women with HER2-negative metastatic breast cancer: lack of response to HER2-targeted therapy. Breast Cancer Res Treat 160:41–49. doi:10.1007/s10549-016-3969-7 CrossRefPubMed Hainsworth JD, Murphy PB, Alemar JR et al (2016) Use of a multiplexed immunoassay (PRO Onc assay) to detect HER2 abnormalities in circulating tumor cells of women with HER2-negative metastatic breast cancer: lack of response to HER2-targeted therapy. Breast Cancer Res Treat 160:41–49. doi:10.​1007/​s10549-016-3969-7 CrossRefPubMed
Metadata
Title
Circulating tumor cells: clinical validity and utility
Authors
Luc Cabel
Charlotte Proudhon
Hugo Gortais
Delphine Loirat
Florence Coussy
Jean-Yves Pierga
François-Clément Bidard
Publication date
01-06-2017
Publisher
Springer Japan
Published in
International Journal of Clinical Oncology / Issue 3/2017
Print ISSN: 1341-9625
Electronic ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-017-1105-2

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