Evidence map›Paper›PMID 30384500›Full record

ArticleCancers2018

Scanning Electron Microscopy of Circulating Tumor Cells and Tumor-Derived Extracellular Vesicles.

Afroditi Nanou, Mateus Crespo, Penny Flohr, Johann S De Bono, Leon W M M Terstappen

Abstract read
In one paragraph

Article in Cancers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Liquid Biopsy in Endometriosis: A Systematic Review.International journal of molecular sciences · 2023
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Plasma Microvesicles May Contribute to Muscle Damage in theInternational journal of molecular sciences · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
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  19. Article
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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

5 authors.

Afroditi NanouDepartment of Medical Cell BioPhysics, University of Twente, 7522 NH Enschede, The Netherlands. a.nanou@utwente.nl.
Mateus CrespoDivision of Clinical Studies, The Institute of Cancer Research, London SM2 5NG, UK. Mateus.Crespo@icr.ac.uk.ORCID 0000-0003-4043-8296
Penny FlohrDivision of Clinical Studies, The Institute of Cancer Research, London SM2 5NG, UK. Penny.Flohr@icr.ac.uk.
Johann S De BonoDivision of Clinical Studies, The Institute of Cancer Research, London SM2 5NG, UK. Johann.DeBono@icr.ac.uk.
Leon W M M TerstappenDepartment of Medical Cell BioPhysics, University of Twente, 7522 NH Enschede, The Netherlands. l.w.m.m.terstappen@utwente.nl.ORCID 0000-0001-5944-3787

Funding

Cancer Research UK ECMC funding, Movember, Prostate Cancer UK and the Prostate Cancer FoundationNederlandse Organisatie voor Wetenschappelijk Onderzoek 14197
6 · The paper itself

Abstract

To explore morphological features of circulating tumor cells (CTCs) and tumor-derived extracellular vesicles (tdEVs), we developed a protocol for scanning electron microscopy (SEM) of CTCs and tdEVs. CTCs and tdEVs were isolated by immunomagnetic enrichment based on their Epithelial Cell Adhesion Molecule (EpCAM) expression or by physical separation through 5 μm microsieves from 7.5 mL of blood from Castration-Resistant Prostate Cancer (CRPC) patients. Protocols were optimized using blood samples of healthy donors spiked with PC3 and LNCaP cell lines. CTCs and tdEVs were identified among the enriched cells by fluorescence microscopy. The positions of DNA+, CK+, CD45- CTCs and DNA-, CK+, CD45- tdEVs on the CellSearch cartridges and microsieves were recorded. After gradual dehydration and chemical drying, the regions of interest were imaged by SEM. CellSearch CTCs retained their morphology revealing various shapes, some of which were clearly associated with CTCs undergoing apoptosis. The ferrofluid was clearly distinguishable, shielding major portions of all isolated objects. CTCs and leukocytes on microsieves were clearly visible, but revealed physical damage attributed to the physical forces that cells exhibit while entering one or multiple pores. tdEVs could not be identified on the microsieves as they passed through the pores. Insights on the underlying mechanism of each isolation technique could be obtained. Complete detailed morphological characteristics of CTCs are, however, masked by both techniques.

Indexed as

CellSearchcirculating tumor cell (CTC)ferrofluidmicrosievesscanning electron microscopy (SEM)tumor-derived extracellular vesicle (tdEV)

Identifiers

PMID30384500
PMCPMC6266016

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.