Evidence map›Paper›PMID 36718027›Full record

ArticleCancer medicine2023

Accurate prostate cancer detection based on enrichment and characterization of prostate cancer specific circulating tumor cells.

Sewanti Limaye, Simon Chowdhury, Nitesh Rohatgi, Anantbhushan Ranade, Nelofer Syed, Johann Riedemann, Darshana Patil, Dadasaheb Akolkar, Vineet Datta, Shoeb Patel and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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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

18 authors at 7 institutions in 3 countries.

Sewanti LimayeSir HN Reliance Foundation Hospital and Research Centre, Mumbai, India.ORCID 0000-0001-6640-1470
Simon ChowdhuryGuy's, King's and St. Thomas' Hospital, London, UK.
Nitesh RohatgiFortis Memorial Research Institute, Gurugram, India.
Anantbhushan RanadeAvinash Cancer Clinic, Pune, India.
Nelofer SyedImperial College London, London, UK.
Johann RiedemannCancercare, Cape Town, South Africa.
Darshana PatilDatar Cancer Genetics, Nasik, India.
Dadasaheb AkolkarDatar Cancer Genetics, Nasik, India.ORCID 0000-0002-4434-488X
Vineet DattaDatar Cancer Genetics, Nasik, India.
Shoeb PatelDatar Cancer Genetics, Nasik, India.
Rohit ChouguleDatar Cancer Genetics, Nasik, India.
Pradyumna ShejwalkarDatar Cancer Genetics, Nasik, India.
Kiran BendaleDatar Cancer Genetics, Nasik, India.
Sachin ApurwaDatar Cancer Genetics, Nasik, India.
Stefan SchusterDatar Cancer Genetics Europe GmbH, Eckersdorf, Germany.
Jinumary JohnDatar Cancer Genetics, Nasik, India.
Ajay SrinivasanDatar Cancer Genetics, Nasik, India.ORCID 0000-0002-3145-9469
Rajan DatarDatar Cancer Genetics, Nasik, India.
Datar Cancer Genetics (India) · INCancerCare · USCancer Clinic · USFortis Memorial Research Institute · INImperial College London · GBSir H.N. Reliance Foundation Hospital and Research Centre · INSt Thomas' Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe low specificity of serum PSA resulting in the inability to effectively differentiate prostate cancer from benign prostate conditions is a persistent clinical challenge. The low sensitivity of serum PSA results in false negatives and can miss high-grade prostate cancers. We describe a non-invasive test for detection of prostate cancer based on functional enrichment of prostate adenocarcinoma associated circulating tumor cells (PrAD-CTCs) from blood samples followed by their identification by immunostaining for pan-cytokeratins (PanCK), prostate specific membrane antigen (PSMA), alpha methyl-acyl coenzyme-A racemase (AMACR), epithelial cell adhesion molecule (EpCAM), and common leucocyte antigen (CD45).

methodsAnalytical validation studies were performed to establish the performance characteristics of the test using VCaP prostate cancer cells spiked into healthy donor blood (HDB). The clinical performance characteristics of the test were evaluated in a case-control study with 160 known prostate cancer cases and 800 healthy males, followed by a prospective clinical study of 210 suspected cases of prostate cancer.

resultsAnalytical validation established analyte stability as well as acceptable performance characteristics. The test showed 100% specificity and 100% sensitivity to differentiate prostate cancer cases from healthy individuals in the case control study and 91.2% sensitivity and 100% specificity to differentiate prostate cancers from benign prostate conditions in the prospective clinical study.

conclusionsThe test accurately detects PrAD-CTCs with high sensitivity and specificity irrespective of stage, serum PSA or Gleason score, which translates into low risks of false negatives or overdiagnosis. The high accuracy of the test could offer advantages over PSA based prostate cancer detection.

Indexed as

Neoplastic Cells, CirculatingProstatic NeoplasmsBiomarkers, TumorCase-Control StudiesHumansMaleProspective StudiesProstateProstate-Specific AntigenBiomarkers, TumorProstate-Specific Antigencirculating tumor cellsdetectiondiagnosisimmunocytochemistrynon-invasiveprostate cancerscreening

Identifiers

PMID36718027
PMCPMC10166919
OpenAlexW4318670029

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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.