Evidence map›Paper›PMID 33789677›Full record

ReviewMolecular cancer2021

Platelets, immune cells and the coagulation cascade; friend or foe of the circulating tumour cell?

Mark P Ward, Laura E Kane, Lucy A Norris, Bashir M Mohamed, Tanya Kelly, Mark Bates, Andres Clarke, Nathan Brady, Cara M Martin, Robert D Brooks and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Molecular cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed
12.0field-weighted citation impact, top 1% 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

92 citing papers in PubMed, 161 citations in OpenAlex.

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  10. 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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32 more citing papers are in PubMed but not listed here.

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

16 authors at 5 institutions in 3 countries.

Mark P Ward *Department of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland. wardm6@tcd.ie.ORCID 0000-0002-9356-7246
Laura E Kane *Department of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Lucy A NorrisTrinity St. James's Cancer Institute, St James's Hospital, Dublin 8, Ireland.
Bashir M MohamedDepartment of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Tanya KellyDepartment of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Mark BatesDepartment of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Andres ClarkeDepartment of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Nathan BradyDepartment of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Cara M MartinDepartment of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Robert D BrooksCancer Research Institute, University of South Australia, 5001, Adelaide, Australia.
Doug A BrooksCancer Research Institute, University of South Australia, 5001, Adelaide, Australia.
Stavros SelemidisSchool of Health and Biomedical Sciences, RMIT University, Victoria, 3083, Bundoora, Australia.
Sean HanniffyBD Research Centre Ireland, Limerick, Ireland.
Eric P DixonBD Technologies and Innovation, Research Triangle Park, NC, USA.
Sharon A O'Toole *Department of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
John J O'Leary *Department of Histopathology and Morbid Anatomy, Trinity College Dublin, Dublin 8, Ireland.
Trinity College Dublin · IECoombe Women & Infants University Hospital · IEUniversity of South Australia · AUBD Technologie (United States) · USRMIT University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer cells that transit from primary tumours into the circulatory system are known as circulating tumour cells (CTCs). These cancer cells have unique phenotypic and genotypic characteristics which allow them to survive within the circulation, subsequently extravasate and metastasise. CTCs have emerged as a useful diagnostic tool using "liquid biopsies" to report on the metastatic potential of cancers. However, CTCs by their nature interact with components of the blood circulatory system on a constant basis, influencing both their physical and morphological characteristics as well as metastatic capabilities. These properties and the associated molecular profile may provide critical diagnostic and prognostic capabilities in the clinic. Platelets interact with CTCs within minutes of their dissemination and are crucial in the formation of the initial metastatic niche. Platelets and coagulation proteins also alter the fate of a CTC by influencing EMT, promoting pro-survival signalling and aiding in evading immune cell destruction. CTCs have the capacity to directly hijack immune cells and utilise them to aid in CTC metastatic seeding processes. The disruption of CTC clusters may also offer a strategy for the treatment of advance staged cancers. Therapeutic disruption of these heterotypical interactions as well as direct CTC targeting hold great promise, especially with the advent of new immunotherapies and personalised medicines. Understanding the molecular role that platelets, immune cells and the coagulation cascade play in CTC biology will allow us to identify and characterise the most clinically relevant CTCs from patients. This will subsequently advance the clinical utility of CTCs in cancer diagnosis/prognosis.

Indexed as

Blood CoagulationAnimalsBiomarkersBlood Coagulation DisordersBlood PlateletsCell CommunicationDisease ManagementDisease SusceptibilityEpithelial-Mesenchymal TransitionHumansImmune SystemNeoplasmsNeoplastic Cells, CirculatingBiomarkers

Identifiers

PMID33789677
PMCPMC8011144
OpenAlexW3150102637

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.