Evidence map›Paper›PMID 33444361›Full record

ArticlePloS one2021

High blood flow shear stress values are associated with circulating tumor cells cluster disaggregation in a multi-channel microfluidic device.

Alessandra Marrella, Arianna Fedi, Gabriele Varani, Ivan Vaccari, Marco Fato, Giuseppe Firpo, Patrizia Guida, Nicola Aceto, Silvia Scaglione

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed.

  1. Article
  2. CTC cluster in breast cancer: synergetic metastasis promotion mechanism and transformation path from platelet cloaking to leukocyte escort.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  3. Article
  4. Article
  5. Mechano-Organ-on-Chip for Cancer Research.International journal of molecular sciences · 2026
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  16. Three-DimensionalInternational journal of biological sciences · 2024
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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

9 authors.

Alessandra MarrellaNational Research Council (CNR), Institute of Electronic, Computer and Telecommunications (IEIIT), Genoa, Italy.ORCID 0000-0002-7667-6213
Arianna FediNational Research Council (CNR), Institute of Electronic, Computer and Telecommunications (IEIIT), Genoa, Italy.
Gabriele VaraniNational Research Council (CNR), Institute of Electronic, Computer and Telecommunications (IEIIT), Genoa, Italy.
Ivan VaccariNational Research Council (CNR), Institute of Electronic, Computer and Telecommunications (IEIIT), Genoa, Italy.
Marco FatoDepartment of Computer Science, Bioengineering, Robotics and Systems Engineering, University of Genoa, Genoa, Italy.ORCID 0000-0001-8085-2438
Giuseppe FirpoDepartment of Physics, University of Genoa, Genoa, Italy.
Patrizia GuidaDepartment of Physics, University of Genoa, Genoa, Italy.
Nicola AcetoDepartment of Biomedicine, Cancer Metastasis Laboratory, University of Basel and University Hospital Basel, Basel, Switzerland.
Silvia ScaglioneNational Research Council (CNR), Institute of Electronic, Computer and Telecommunications (IEIIT), Genoa, Italy.ORCID 0000-0002-9464-3554

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastasis represents a dynamic succession of events involving tumor cells which disseminate through the organism via the bloodstream. Circulating tumor cells (CTCs) can flow the bloodstream as single cells or as multicellular aggregates (clusters), which present a different potential to metastasize. The effects of the bloodstream-related physical constraints, such as hemodynamic wall shear stress (WSS), on CTC clusters are still unclear. Therefore, we developed, upon theoretical and CFD modeling, a new multichannel microfluidic device able to simultaneously reproduce different WSS characterizing the human circulatory system, where to analyze the correlation between SS and CTC clusters behavior. Three physiological WSS levels (i.e. 2, 5, 20 dyn/cm2) were generated, reproducing values typical of capillaries, veins and arteries. As first validation, triple-negative breast cancer cells (MDA-MB-231) were injected as single CTCs showing that higher values of WSS are correlated with a decreased viability. Next, the SS-mediated disaggregation of CTC clusters was computationally investigated in a vessels-mimicking domain. Finally, CTC clusters were injected within the three different circuits and subjected to the three different WSS, revealing that increasing WSS levels are associated with a raising clusters disaggregation after 6 hours of circulation. These results suggest that our device may represent a valid in vitro tool to carry out systematic studies on the biological significance of blood flow mechanical forces and eventually to promote new strategies for anticancer therapy.

Indexed as

HemodynamicsLab-On-A-Chip DevicesShear StrengthStress, MechanicalBiomechanical PhenomenaCell Line, TumorCell SurvivalHumansModels, BiologicalNeoplasm MetastasisNeoplastic Cells, CirculatingSingle-Cell Analysis

Identifiers

PMID33444361
PMCPMC7808575

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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.