Evidence map›Paper›PMID 26543336›Full record

ArticleChinese journal of cancer research = Chung-kuo yen cheng yen chiu2015

Impact of chronic exposure to bevacizumab on EpCAM-based detection of circulating tumor cells.

Chiara Nicolazzo, Isabella Massimi, Lavinia V Lotti, Simone Vespa, Cristina Raimondi, Fabio Maria Pulcinelli, Angela Gradilone, Paola Gazzaniga

Open access · greenAbstract read
In one paragraph

Article in Chinese journal of cancer research = Chung-kuo yen cheng yen chiu, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. [A Rare Case of Extremely High Counts of EpCAMSichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Article
  6. Article
  7. EpCAMDisease markers · 2019
    Review
  8. Review
  9. Article
  10. Review
  11. 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

8 authors at 1 institution in 1 country.

Chiara Nicolazzo1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Isabella Massimi1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Lavinia V Lotti1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Simone Vespa1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Cristina Raimondi1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Fabio Maria Pulcinelli1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Angela Gradilone1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Paola Gazzaniga1 Dipartimento di Medicina Molecolare, 2 Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, Roma, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCirculating tumor cells (CTCs) are often undetected through the immunomagnetic epithelial cell adhesion molecule (EpCAM)-based CellSearch(®) System in breast and colorectal cancer (CRC) patients treated with bevacizumab (BEV), where low CTC numbers have been reported even in patients with evidence of progression of disease. To date, the reasons for this discrepancy have not been clarified. This study was carried out to investigate the molecular and phenotypic changes in CRC cells after chronic exposure to BEV in vitro.

methodsThe human CRC cell line WiDr was exposed to a clinically relevant dose of BEV for 3 months in vitro. The expression of epithelial and mesenchymal markers and EpCAM isoforms was determined by western blotting and immunofluorescence. To evaluate the impact of EpCAM variant isoforms expression on CTC enumeration by CellSearch(®), untreated and treated colon cancer cells were spiked into 7.5 mL of blood from a healthy donor and enumerated by CellSearch(®).

resultsChronic exposure of CRC cell line to BEV induced decreased expression of EpCAM 40 kDa isoform and increased expression EpCAM 42 kDa isoform, together with a decreased expression of cytokeratins (CK), while no evidence of epithelial to mesenchymal transition (EMT) in treated cells was observed. The recovery rate of cells through CellSearch(®) was gradually reduced in course of treatment with BEV, being 84%, 70% and 40% at 1, 2 and 3 months, respectively.

conclusionsWe hypothesize that BEV may prevent CellSearch(®) from capturing CTCs through altering EpCAM isoforms.

Indexed as

bevacizumab (BEV)Circulating tumor cells (CTCs)colorectal cancer (CRC)epithelial cell adhesion molecule (EpCAM) isoform

Identifiers

PMID26543336
PMCPMC4626813
OpenAlexW1794506002

What OpenQuestion holds

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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.