Evidence map›Paper›PMID 39575761›Full record

ArticleMolecular oncology2025

Integrative analysis of circulating tumor cells (CTCs) and exosomes from small-cell lung cancer (SCLC) patients: a comprehensive approach.

Dimitrios Papakonstantinou, Argyro Roumeliotou, Evangelia Pantazaka, Athanasios-Nasir Shaukat, Athina Christopoulou, Angelos Koutras, Foteinos-Ioannis Dimitrakopoulos, Vassilis Georgoulias, Anastasia Xagara, Evangelia Chantzara and 4 more

Abstract read
In one paragraph

Article in Molecular oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
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  8. Review
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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

14 authors.

Dimitrios PapakonstantinouLaboratory of Biochemistry/Metastatic Signaling, Section of Genetics, Cell Biology and Development, Department of Biology, University of Patras, Greece.ORCID https://orcid.org/0009-0000-5074-2289
Argyro RoumeliotouLaboratory of Biochemistry/Metastatic Signaling, Section of Genetics, Cell Biology and Development, Department of Biology, University of Patras, Greece.
Evangelia PantazakaLaboratory of Biochemistry/Metastatic Signaling, Section of Genetics, Cell Biology and Development, Department of Biology, University of Patras, Greece.
Athanasios-Nasir ShaukatDepartment of Biochemistry, School of Medicine, University of Patras, Greece.
Athina ChristopoulouOncology Unit, ST Andrews General Hospital of Patras, Greece.
Angelos KoutrasClinical and Molecular Oncology Laboratory, Division of Oncology, Department of Medicine, Medical School, University of Patras, Greece.
Foteinos-Ioannis DimitrakopoulosClinical and Molecular Oncology Laboratory, Division of Oncology, Department of Medicine, Medical School, University of Patras, Greece.
Vassilis GeorgouliasHellenic Oncology Research Group (HORG), Athens, Greece.
Anastasia XagaraDepartment of Medical Oncology, General University Hospital of Larissa, Greece.
Evangelia ChantzaraDepartment of Medical Oncology, General University Hospital of Larissa, Greece.
Fillipos KoinisDepartment of Medical Oncology, General University Hospital of Larissa, Greece.
Athanasios KotsakisDepartment of Medical Oncology, General University Hospital of Larissa, Greece.
Constantinos StathopoulosDepartment of Biochemistry, School of Medicine, University of Patras, Greece.
Galatea KallergiLaboratory of Biochemistry/Metastatic Signaling, Section of Genetics, Cell Biology and Development, Department of Biology, University of Patras, Greece.ORCID https://orcid.org/0000-0001-9825-3871

Funding

European Union - NextGenerationEU 5184864
6 · The paper itself

Abstract

The increased metastatic ability of small-cell lung cancer (SCLC) necessitates the identification of new prognostic biomarkers for clinical evaluation during the disease course. Our previous research highlighted the clinical relevance of transcription factor JunB (JUNB), C-X-C chemokine receptor type 4 (CXCR4), and programmed cell death 1 ligand 1 (PD-L1) in breast and non-small cell lung cancer (NSCLC) patients. In the current study, we examined these biomarkers in circulating tumor cells (CTCs) and plasma-derived exosomes from 100 treatment-naïve SCLC patients. CTCs were analyzed using the VyCAP system, whereas exosomes were characterized molecularly and transcriptomically. JUNB, CXCR4, and PD-L1 were highly prevalent in CTCs. Patients exhibited significantly increased protein exosomal expression of JUNB and CXCR4 compared to healthy individuals. Overexpression of JUNB and CXCR4 in exosomes can distinguish patients from normal donors, offering an interesting tool for early diagnosis. The presence of JUNB and/or CXCR4 in CTCs correlated with significantly poorer overall survival. CXCR4 exosomal overexpression was associated with CTC presence and their phenotypes. Conclusively, a comprehensive analysis of CTCs and exosomes provides useful prognostic and potential diagnostic tools for SCLC patients.

Indexed as

ExosomesLung NeoplasmsNeoplastic Cells, CirculatingSmall Cell Lung CarcinomaAdultAgedBiomarkers, TumorFemaleHumansMaleMiddle AgedReceptors, CXCR4Biomarkers, TumorCXCR4 protein, humanReceptors, CXCR4circulating tumor cellsexosomesliquid biopsylung cancermiRNAs

Identifiers

PMID39575761
PMCPMC12234381

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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.