Evidence map›Paper›PMID 21129172›Full record

ArticleBMC cancer2010

Assessment of a six gene panel for the molecular detection of circulating tumor cells in the blood of female cancer patients.

Eva Obermayr, Fatima Sanchez-Cabo, Muy-Kheng M Tea, Christian F Singer, Michael Krainer, Michael B Fischer, Jalid Sehouli, Alexander Reinthaller, Reinhard Horvat, Georg Heinze and 2 more

3 registry-linked trialsOpen access · goldAbstract readComparative StudyEvaluation StudyMulticenter Study
In one paragraph

Article in BMC cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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.

NCT01763125 recruitingnot on this map

Establishment of a Blood Sample Bank in the Field of Gynaecological Oncology.

TypeobservationalSponsorMedical University of ViennaRan2003 to 2026Enrolled10,000ConditionsOvarian Neoplasms, Breast Neoplasms, Colorectal Neoplasms, Neoplasms of the Female GenitaliaArmsBlood collection
NCT02781272 completednot on this mapstarted 2016, after this paper: background citation

ANG-003 EMBER Study: Evaluation of Multiple Protein and Molecular Biomarkers to Estimate Risk of Cancer in Gynecology Patients Presenting With a Pelvic Mass.

TypeobservationalSponsorAngle plcRan2016 to 2022Enrolled200ConditionsOvarian NeoplasmsArmsPelvic imaging, Blood draw, Imaging guided biopsy, surgical biopsy or surgical excision
NCT02785731 completednot on this mapstarted 2016, after this paper: background citation

ANG-001 Pelvic Mass Training Study: Evaluation of Multiple Circulating Tumor Cell-derived RNA Markers to Estimate Risk of Ovarian Cancer in Patients Presenting With a Pelvic Mass.

TypeobservationalSponsorAngle plcRan2016 to 2018Enrolled204ConditionsOvarian NeoplasmsArmsPelvic imaging, Blood draw, laparotomy or laparoscopy
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 117 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Circulating tumor cells in the early detection of human cancers.International journal of biological sciences · 2022
    Review
  16. Article
  17. Review
  18. Article
  19. Single-Cell Analysis of BRAFMethods in molecular biology (Clifton, N.J.) · 2021
    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

12 authors at 5 institutions in 2 countries.

Eva ObermayrDepartment of Obstetrics and Gynecology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria. eva.obermayr@meduniwien.ac.at
Fatima Sanchez-Cabo
Muy-Kheng M Tea
Christian F Singer
Michael Krainer
Michael B Fischer
Jalid Sehouli
Alexander Reinthaller
Reinhard Horvat
Georg Heinze
Dan Tong
Robert Zeillinger
Medical University of Vienna · ATComprehensive Cancer Center Vienna · ATLudwig Boltzmann Gesellschaft · ATCharité - Universitätsmedizin Berlin · DEGraz University of Technology · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of circulating tumor cells (CTC) in the peripheral blood of cancer patients has been described for various solid tumors and their clinical relevance has been shown. CTC detection based on the analysis of epithelial antigens might be hampered by the genetic heterogeneity of the primary tumor and loss of epithelial antigens. Therefore, we aimed to identify new gene markers for the PCR-based detection of CTC in female cancer patients.

methodsGene expression of 38 cancer cell lines (breast, ovarian, cervical and endometrial) and of 10 peripheral blood mononuclear cell (PBMC) samples from healthy female donors was measured using microarray technology (Applied Biosystems). Differentially expressed genes were identified using the maxT test and the 50% one-sided trimmed maxT-test. Confirmatory RT-qPCR was performed for 380 gene targets using the AB TaqMan® Low Density Arrays. Then, 93 gene targets were analyzed using the same RT-qPCR platform in tumor tissues of 126 patients with primary breast, ovarian or endometrial cancer. Finally, blood samples from 26 healthy women and from 125 patients (primary breast, ovarian, cervical, or endometrial cancer, and advanced breast cancer) were analyzed following OncoQuick enrichment and RNA pre-amplification. Likewise, hMAM and EpCAM gene expression was analyzed in the blood of breast and ovarian cancer patients. For each gene, a cut-off threshold value was set at three standard deviations from the mean expression level of the healthy controls to identify potential markers for CTC detection.

resultsSix genes were over-expressed in blood samples from 81% of patients with advanced and 29% of patients with primary breast cancer. EpCAM gene expression was detected in 19% and 5% of patients, respectively, whereas hMAM gene expression was observed in the advanced group (39%) only. Multimarker analysis using the new six gene panel positively identified 44% of the cervical, 64% of the endometrial and 19% of the ovarian cancer patients.

conclusionsThe panel of six genes was found superior to EpCAM and hMAM for the detection of circulating tumor cells in the blood of breast cancer, and they may serve as potential markers for CTC derived from endometrial, cervical, and ovarian cancers.

Indexed as

Oligonucleotide Array Sequence AnalysisReverse Transcriptase Polymerase Chain ReactionAdultAgedAntigens, NeoplasmAustriaBiomarkers, TumorBreast NeoplasmsCase-Control StudiesCell Adhesion MoleculesCell Line, TumorCyclinsDNA-Binding ProteinsEndometrial NeoplasmsEpithelial Cell Adhesion MoleculeFemaleAntigens, NeoplasmBiomarkers, TumorCCNE2 protein, humanCell Adhesion MoleculesCyclinsDNA-Binding ProteinsEMP2 protein, humanEPCAM protein, humanEpithelial Cell Adhesion MoleculeMAL2 protein, humanMAML1 protein, humanMembrane GlycoproteinsMyelin and Lymphocyte-Associated Proteolipid ProteinsNerve Tissue ProteinsPlasma Membrane Neurotransmitter Transport ProteinsProteolipidsRNA, MessengerSLC6A8 protein, humanTranscription FactorsVesicular Transport Proteins

Identifiers

PMID21129172
PMCPMC3013085
OpenAlexW1968464607

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.