Evidence map›Paper›PMID 29721202›Full record

ArticleOncotarget2018

Circulating tumor cells, tumor-derived extracellular vesicles and plasma cytokeratins in castration-resistant prostate cancer patients.

Afroditi Nanou, Frank A W Coumans, Guus van Dalum, Leonie L Zeune, David Dolling, Wendy Onstenk, Mateus Crespo, Mariane Sousa Fontes, Pasquale Rescigno, Gemma Fowler and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
7.9field-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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  7. Artificial Intelligence for CELLSEARCH Image Analysis.Methods in molecular biology (Clifton, N.J.) · 2026
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  15. Circulating tumor cellsTranslational breast cancer research : a journal focusing on translational research in breast cancer · 2024
    Review
  16. Observational
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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 6 institutions in 3 countries.

Afroditi NanouDepartment of Medical Cell BioPhysics, MIRA Institute, University of Twente, Enschede, the Netherlands.
Frank A W CoumansDepartment of Biomedical Engineering and Physics, Academic Medical Center, University of Amsterdam, the Netherlands.
Guus van DalumDepartment of General, Visceral and Pediatric Surgery, University Hospital and Medical Faculty of the Heinrich-Heine University, Düsseldorf, Germany.
Leonie L ZeuneDepartment of Medical Cell BioPhysics, MIRA Institute, University of Twente, Enschede, the Netherlands.
David DollingDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Wendy OnstenkDepartment of Medical Oncology, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands.
Mateus CrespoDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Mariane Sousa FontesDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Pasquale RescignoDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Gemma FowlerDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Penny FlohrDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Christoph BruneDepartment of Applied Mathematics, MIRA Institute and Faculty of EEMCS, University of Twente, Enschede, the Netherlands.
Stefan SleijferDepartment of Medical Oncology, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands.
Johann S de BonoDivision of Clinical Studies, The Institute of Cancer Research, London, United Kingdom.
Leon W M M TerstappenDepartment of Medical Cell BioPhysics, MIRA Institute, University of Twente, Enschede, the Netherlands.
Institute of Cancer Research · GBUniversity of Twente · NLErasmus MC Cancer Institute · NLAcademic Medical Center · NLDüsseldorf University Hospital · DERoyal Marsden NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe presence of Circulating Tumor Cells (CTCs) in Castration-Resistant Prostate Cancer (CRPC) patients is associated with poor prognosis. In this study, we evaluated the association of clinical outcome in 129 CRPC patients with CTCs, tumor-derived Extracellular Vesicles (tdEVs) and plasma levels of total (CK18) and caspase-cleaved cytokeratin 18 (ccCK18). EXPERIMENTAL

designCTCs and tdEVs were isolated with the CellSearch system and automatically enumerated. Cut-off values dichotomizing patients into favorable and unfavorable groups of overall survival were set on a retrospective data set of 84 patients and validated on a prospective data set of 45 patients. Plasma levels of CK18 and ccCK18 were assessed by ELISAs.

resultsCTCs, tdEVs and both cytokeratin plasma levels were significantly increased in CRPC patients compared to healthy donors (HDs). All biomarkers except for ccCK18 were prognostic showing a decreased median overall survival for the unfavorable groups of 9.2 vs 21.1, 8.1 vs 23.0 and 10.0 vs 21.5 months respectively. In multivariable Cox regression analysis, tdEVs remained significant.

conclusionsAutomated CTC and tdEV enumeration allows fast and reliable scoring eliminating inter- and intra- operator variability. tdEVs provide similar prognostic information to CTC counts.

Indexed as

caspase-cleaved cytokeratin 18 (ccCK18)castration-resistant prostate cancer (CRPC)circulating tumor cells (CTCs)cytokeratin 18 (CK18)tumor-derived Extracellular Vesicles (tdEVs)

Identifiers

PMID29721202
PMCPMC5922396
OpenAlexW2797150419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.