Evidence map›Paper›PMID 27302574›Full record

ArticleScientific reports2016

Characterization of different CTC subpopulations in non-small cell lung cancer.

Annkathrin Hanssen, Jenny Wagner, Tobias M Gorges, Aline Taenzer, Faik G Uzunoglu, Christiane Driemel, Nikolas H Stoecklein, Wolfram T Knoefel, Sebastian Angenendt, Siegfried Hauch and 5 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  15. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
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17 more citing papers are in PubMed but not listed here.

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

15 authors at 4 institutions in 1 country.

Annkathrin HanssenDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Jenny WagnerQIAGEN Hannover GmbH, Germany.
Tobias M GorgesDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Aline TaenzerDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Faik G UzunogluDepartment of General, Visceral and Thoracic Surgery, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Christiane DriemelDepartment of General, Visceral and Pediatric Surgery, University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Nikolas H StoeckleinDepartment of General, Visceral and Pediatric Surgery, University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Wolfram T KnoefelDepartment of General, Visceral and Pediatric Surgery, University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Sebastian AngenendtDepartment of General, Visceral and Pediatric Surgery, University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Siegfried HauchQIAGEN Hannover GmbH, Germany.
Djordje AtanackovicDepartment of Internal Medicine II and Clinic (Oncology Centre), University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Sonja LogesDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Sabine RiethdorfDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Klaus PantelDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Harriet WikmanDepartment of Tumour Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Universität Hamburg · DEHeinrich Heine University Düsseldorf · DEUniversity Medical Center Hamburg-Eppendorf · DEDüsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circulating tumour cells (CTCs) serve as valuable biomarkers. However, EpCAM positive CTCs are less frequently detected in NSCLC patients compared to other epithelial tumours. First, EpCAM protein expression was analysed in primary and metastatic lung cancer tissue. In both groups 21% of the samples were EpCAM negative. Second, the CellSearch system identified 15% of patients (n = 48) as CTC positive whereas a multiplex RT-PCR for PIK3CA, AKT2, TWIST, and ALDH1 following EGFR, HER2 and EpCAM based enrichment detected CTCs in 29% of the patients. Interestingly, 86% of CTC positive patients were found to express ALDH1. Only 11% of the patients were CTC-positive by both techniques. CTC positivity was associated with patient disease state when assessed by the multiplex RT-PCR assay (p = 0.015). Patients harbouring tumours with an altered EGFR genotype were more frequently CTC-positive compared to patients with EGFR wildtype tumours. In subsets of patients, CTCs were found to express genes involved in resistance to therapy such as HER3 and MET. In conclusion, using multiple targets for CTC capture and identification increases the sensitivity of CTC detection in NSCLC patients, which can be explained by the presence of different CTC subtypes with distinct molecular features.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungEpithelial Cell Adhesion MoleculeErbB ReceptorsFemaleHumansLung NeoplasmsMaleNeoplastic Cells, CirculatingNuclear ProteinsProto-Oncogene Proteins c-metReceptor, ErbB-3Tissue Array AnalysisTwist-Related Protein 1Biomarkers, TumorEGFR protein, humanEPCAM protein, humanEpithelial Cell Adhesion MoleculeERBB3 protein, humanErbB ReceptorsMET protein, humanNuclear ProteinsProto-Oncogene Proteins c-metReceptor, ErbB-3TWIST1 protein, humanTwist-Related Protein 1

Identifiers

PMID27302574
PMCPMC4908396
OpenAlexW2424230665

What OpenQuestion holds

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LicenceCC BY
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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.