Evidence map›Paper›PMID 31462307›Full record

ArticleBreast cancer research : BCR2019

Investigating circulating tumor cells and distant metastases in patient-derived orthotopic xenograft models of triple-negative breast cancer.

Vishnu C Ramani, Clementine A Lemaire, Melanie Triboulet, Kerriann M Casey, Kyra Heirich, Corinne Renier, José G Vilches-Moure, Rakhi Gupta, Aryana M Razmara, Haiyu Zhang and 3 more

Abstract read
In one paragraph

Article in Breast cancer research : BCR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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

24 citing papers in PubMed.

  1. Article
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  3. New uses of halofuginone to treat cancer.Journal of pharmaceutical analysis · 2025
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  13. Targeting the tetraspanin CD81 reduces cancer invasion and metastasis.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
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  15. Review
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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

13 authors.

Vishnu C RamaniDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Clementine A LemaireVortex Biosciences Inc., Pleasanton, CA, USA.
Melanie TribouletDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Kerriann M CaseyDepartment of Comparative Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Kyra HeirichDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Corinne RenierVortex Biosciences Inc., Pleasanton, CA, USA.
José G Vilches-MoureDepartment of Comparative Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Rakhi GuptaDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Aryana M RazmaraDepartment of Comparative Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Haiyu ZhangDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
George W SledgeDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Elodie SollierVortex Biosciences Inc., Pleasanton, CA, USA. elodie@vortexbiosciences.com.ORCID 0000-0001-5046-2789
Stefanie S JeffreyDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA. ssj@stanford.edu.

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Vittorio Sebastiano · 2007 to 2026
$71.4M
UC Davis DVM/PhD Medical Scientist Training ProgramT32GM136559 · NIGMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Xinbin Chen, Bethany Paige Cummings · 2020 to 2026
$2.2M
NCI NIH HHS P30 CA124435NIGMS NIH HHS T32 GM136559
6 · The paper itself

Abstract

backgroundCirculating tumor cells (CTCs) represent a temporal "snapshot" of a patient's cancer and changes that occur during disease evolution. There is an extensive literature studying CTCs in breast cancer patients, and particularly in those with metastatic disease. In parallel, there is an increasing use of patient-derived models in preclinical investigations of human cancers. Yet studies are still limited demonstrating CTC shedding and metastasis formation in patient-derived models of breast cancer.

methodsWe used seven patient-derived orthotopic xenograft (PDOX) models generated from triple-negative breast cancer (TNBC) patients to study CTCs and distant metastases. Tumor fragments from PDOX tissue from each of the seven models were implanted into 57 NOD scid gamma (NSG) mice, and tumor growth and volume were monitored. Human CTC capture from mouse blood was first optimized on the marker-agnostic Vortex CTC isolation platform, and whole blood was processed from 37 PDOX tumor-bearing mice.

resultsStaining and imaging revealed the presence of CTCs in 32/37 (86%). The total number of CTCs varied between different PDOX tumor models and between individual mice bearing the same PDOX tumors. CTCs were heterogeneous and showed cytokeratin (CK) positive, vimentin (VIM) positive, and mixed CK/VIM phenotypes. Metastases were detected in the lung (20/57, 35%), liver (7/57, 12%), and brain (1/57, less than 2%). The seven different PDOX tumor models displayed varying degrees of metastatic potential, including one TNBC PDOX tumor model that failed to generate any detectable metastases (0/8 mice) despite having CTCs present in the blood of 5/5 tested, suggesting that CTCs from this particular PDOX tumor model may typify metastatic inefficiency.

conclusionPDOX tumor models that shed CTCs and develop distant metastases represent an important tool for investigating TNBC.

Indexed as

AnimalsBiomarkers, TumorBrainCell CountCell Line, TumorFemaleHumansKeratinsLiverLungMammary Neoplasms, ExperimentalMiceMice, Mutant StrainsNeoplasm MetastasisNeoplasm TransplantationNeoplastic Cells, CirculatingBiomarkers, TumorKeratinsVimentinCirculating tumor cells (CTCs)Epithelial-mesenchymal transition (EMT)Liquid biopsyNOD scid gamma (NSG)Patient-derived orthotopic xenograft (PDOX)Triple-negative breast cancer (TNBC)

Identifiers

PMID31462307
PMCPMC6714238

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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.