Evidence map›Paper›PMID 33557844›Full record

ArticleMolecular cancer2021

Selective treatment pressure in colon cancer drives the molecular profile of resistant circulating tumor cell clones.

Laure Cayrefourcq, Frédéric Thomas, Thibault Mazard, Eric Assenat, Said Assou, Catherine Alix-Panabières

Abstract readLetter
In one paragraph

Article in Molecular cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

  1. Article
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  5. Article
  6. Liquid biopsies in cancer.Molecular biomedicine · 2025
    Review
  7. Article
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  9. Article
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  19. Article
  20. Frontiers in cell and developmental biology · 2023
    Article
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

6 authors.

Laure CayrefourcqLaboratory of Rare Human Circulating Cells, University Medical Center of Montpellier, University of Montpellier, Montpellier, France.
Frédéric ThomasCREEC (CREES), Unité Mixte de Recherches, IRD 224-CNRS 5290-University of Montpellier, Montpellier, France.
Thibault MazardDepartment IRCM, Inserm, University of Montpellier, ICM, Montpellier, France.
Eric AssenatDepartment of Medical Oncology, University Medical Center of Montpellier, University of Montpellier, Montpellier, France.
Said AssouIRMB, University of Montpellier, INSERM, CHU Montpellier, Montpellier, France. said.assou@inserm.fr.
Catherine Alix-PanabièresLaboratory of Rare Human Circulating Cells, University Medical Center of Montpellier, University of Montpellier, Montpellier, France. c-panabieres@chu-montpellier.fr.ORCID 0000-0002-6401-2903

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The characterization of circulating tumor cells (CTCs) holds promises for precision medicine because these cells are an important clinical indicator of treatment efficacy. We established the first and still only nine permanent colon CTC lines from peripheral blood samples of a patient with metastatic colon cancer collected at different time points during treatment and cancer progression. The study objectives were (i) to compare the gene expression profiles of these CTC lines, and (ii) to determine the main features acquired during treatment. The number of upregulated genes was higher in the CTC lines obtained after treatment, indicating that they acquired properties to escape treatment pressure. Among these upregulated genes, some are involved in the mTOR and PI3K/AKT signaling pathways. Moreover, cytidine deaminase expression was significantly increased in the CTC lines obtained after failure of the first- and second-line 5-fluorouracile-based treatments, suggesting that these CTCs can eliminate this specific drug and resist to therapy. Several enzymes involved in xenobiotic metabolism also were upregulated after treatment, suggesting the activation of detoxification mechanisms in response to chemotherapy. Finally, the significant higher expression of aldolase B in four of the six CTC lines obtained after treatment withdrawal and cancer progression indicated that these clones originated from liver metastases. In conclusion, these CTC lines generated at different time points during treatment of metastatic colon cancer in a single patient are characterized by the deregulation of different genes that promote (i) drug resistance, (ii) xenobiotic and energy metabolism, and (iii) stem cell properties and plasticity.

Indexed as

Biomarkers, TumorDrug Resistance, NeoplasmColonic NeoplasmsComputational BiologyGene Expression ProfilingHumansLiver NeoplasmsNeoplasm MetastasisNeoplasm StagingNeoplastic Cells, CirculatingTranscriptomeBiomarkers, TumorALDOBCDACirculating tumor cellsClonal evolutionColon cancerGene expression

Identifiers

PMID33557844
PMCPMC7869222

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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.