Evidence map›Paper›PMID 32917154›Full record

ArticleBMC cancer2020

Chemotherapy-induced release of circulating-tumor cells into the bloodstream in collective migration units with cancer-associated fibroblasts in metastatic cancer patients.

Nerymar Ortiz-Otero, Jocelyn R Marshall, Bradley Lash, Michael R King

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

43 citing papers in PubMed, 59 citations in OpenAlex.

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  7. Collective migration modes in development, tissue repair and cancer.Nature reviews. Molecular cell biology · 2025
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  8. Cancer-associated fibroblasts as a potential novel liquid biopsy marker in cancer patients.Journal of experimental & clinical cancer research : CR · 2025
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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

4 authors at 3 institutions in 1 country.

Nerymar Ortiz-OteroMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, 14850, USA.
Jocelyn R MarshallMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, 14850, USA.
Bradley LashGuthrie Clinical Research Center, Sayre, PA, 18840, USA.
Michael R KingDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, 37235, USA. mike.king@vanderbilt.edu.
Cornell University · USGuthrie Foundation · USVanderbilt University · US

Funding

Super Natural Killer Cells That Target Metastases in the Tumor-Draining Lymph NodesR01CA203991 · NCI · VANDERBILT UNIVERSITY · PI KING, MICHAEL R. · 2017 to 2021
$1.9M
NCI NIH HHS R01 CA203991NCI NIH HHS R01CA203991
6 · The paper itself

Abstract

backgroundRecent studies have shown that chemotherapy destabilizes the blood vasculature and increases circulating tumor cell (CTC) influx into the circulation of metastatic cancer patients (Met-pa). CTCs are a precursor of cancer metastasis, in which they can migrate as single CTCs or as CTC clusters with stromal cells such as cancer-associated fibroblasts (CAFs) as cell aggregates.

methodsBlood samples were collected from 52 Met-pa, and the number of CTC and CAF was determined along with the temporal fluctuation of these through the chemotherapy treatment.

resultsIn this study, CTC level was found to increase two-fold from the initial level after 1 cycle of chemotherapy and returned to baseline after 2 cycles of chemotherapy. Importantly, we determined for the first time that circulating CAF levels correlate with worse prognosis and a lower probability of survival in Met-pa. Based on the CTC release induced by chemotherapy, we evaluated the efficacy of our previously developed cancer immunotherapy to eradicate CTCs from Met-pa blood using an ex vivo approach and demonstrate this could kill over 60% of CTCs.

conclusionCollectively, we found that CAF levels in Met-pa serve as a predictive biomarker for cancer prognosis. Additionally, we demonstrate the efficacy of our therapy to kill primary CTCs for a range of cancer types, supporting its potential use as an anti-metastasis therapy in the clinical setting.

Indexed as

AdultAgedAged, 80 and overCancer-Associated FibroblastsCell MovementDrug TherapyFemaleHumansLiposomesMaleMiddle AgedNeoplasm MetastasisNeoplasmsNeoplastic Cells, CirculatingTNF-Related Apoptosis-Inducing LigandLiposomesTNF-Related Apoptosis-Inducing LigandTNFSF10 protein, humanCancer-associated fibroblastCancer prognosisChemotherapyCirculating tumor cellsTRAIL-based liposomal therapy

Identifiers

PMID32917154
PMCPMC7488506
OpenAlexW3083784068

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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.