Evidence map›Paper›PMID 19367284›Full record

ArticleBritish journal of cancer2009

The presence of circulating total DNA and methylated genes is associated with circulating tumour cells in blood from breast cancer patients.

I Van der Auwera, H J Elst, S J Van Laere, H Maes, P Huget, P van Dam, E A Van Marck, P B Vermeulen, L Y Dirix

Abstract read
In one paragraph

Article in British journal of cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Review
  17. Role of Circulating Cell-Free DNA in Cancers.Molecular diagnosis & therapy · 2015
    Review
  18. Circulating DNA as biomarker in breast cancer.Breast cancer research : BCR · 2015
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

I Van der AuweraTranslational Cancer Research Group, Laboratory of Pathology, University of Antwerp/University Hospital Antwerp, Oncology Centre, General Hospital St-Augustinus, Wilrijk, Belgium.
H J Elst
S J Van Laere
H Maes
P Huget
P van Dam
E A Van Marck
P B Vermeulen
L Y Dirix

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circulating tumour cells (CTC) and tumour-related methylated DNA in blood have been separately assessed for their utility as a marker for subclinical metastasis in breast cancer. However, no studies have looked into the relation between the both molecular markers in this type of cancer. In this study, we investigated the correlations between total/methylated DNA and CTC in the blood from metastatic breast cancer patients. We simultaneously obtained whole blood, plasma and serum samples from 80 patients and 20 controls. The CellSearch System was used to enumerate CTC in blood samples. Plasma total DNA levels were determined by a QPCR method. Sera were analysed by methylation-specific QPCR for three markers: adenomatous polyposis coli (APC), ras association domain family protein 1A (RASSF1A) and oestrogen receptor 1 (ESR1). Total DNA levels in patients were significantly increased when compared with controls (P<0.001) and correlated with the number of CTC (r=0.418, P<0.001). Hypermethylation of one or more genes was detected in 42 (53%) serum samples from breast cancer patients and in three (16%) serum samples from controls (P=0.003). APC was hypermethylated in 29%, RASSF1A in 35% and ESR1 in 20% of breast cancer cases. Detection of a methylated gene in serum was associated with the detection of CTC in blood (P=0.03). The detection of large amounts of circulating total/methylated DNA correlated with the presence of CTC in the blood from patients with breast cancer. This can be interpreted in two ways: (a) CTC are a potential source of circulating tumour-specific DNA; (b) high numbers of CTC and circulating methylated DNA are both a phenotypic feature of more aggressive tumour biology.

Indexed as

DNA MethylationAdenomatous Polyposis ColiBreast NeoplasmsDNADNA, NeoplasmErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaFemaleGenes, p53HumansPolymerase Chain ReactionReceptors, EstrogenReceptors, ProgesteroneReference ValuesTumor Suppressor ProteinsDNADNA, NeoplasmErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaRASSF1 protein, humanReceptors, EstrogenReceptors, ProgesteroneTumor Suppressor Proteins

Identifiers

PMID19367284
PMCPMC2676551

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.