Evidence map›Paper›PMID 39886139›Full record

ReviewBMJ oncology2024

Circulating tumour cell clusters: isolation, biological significance and therapeutic implications.

Yufan Yang, Guanyin Huang, Jingru Lian, Chunhao Long, Boxi Zhao, Xuefei Liu, Binyu Zhang, Weijian Ye, Junhao Chen, Longxiang Du and 6 more

Abstract readReview
In one paragraph

Review in BMJ oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Lactate, a Spearhead of Cancer Aggressiveness: Metabolic Reprogramming, Immune Suppression, and Metastatic Progression.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Review
  10. Role of circulating tumor cell clusters in breast cancer.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  11. Review
  12. Article
  13. Review
  14. Bone mineral density changes following immune checkpoint inhibitor therapy: insights from a case series analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
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.

Yufan YangDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Guanyin HuangDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Jingru LianDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Chunhao LongDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Boxi ZhaoDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Xuefei LiuDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Binyu ZhangDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Weijian YeInstitute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A*STAR), Singapore.
Junhao ChenDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Longxiang DuDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Zhuofeng JiangDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Jialing LiuDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Jianglin ZhangDepartment of Dermatology, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Chengzhi HuShenzhen Key Laboratory of Biomimetic Robotics and Intelligent Systems, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Qingfeng ChenInstitute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A*STAR), Singapore.
Xin HongDepartment of Biochemistry, Southern University of Science and Technology, Shenzhen, Guangdong, China.ORCID 0000-0002-9671-0116

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circulating tumour cells (CTCs) and CTC clusters are considered metastatic precursors due to their ability to seed distant metastasis. However, navigating the bloodstream presents a significant challenge for CTCs, as they must endure fluid shear forces and resist detachment-induced anoikis. Consequently, while a large number of cells from the primary tumour may enter the circulation, only a tiny fraction will result in metastasis. Nevertheless, the metastatic potency dramatically increases when CTCs travel in conjunction with other cell types to form CTC clusters, including neutrophils, myeloid-derived suppressor cells, macrophages, platelets, cancer-associated fibroblasts and red blood cells found in circulation. Such heterotypic CTC clustering events have been identified in a variety of cancer types and may serve as intriguing therapeutic targets and novel biomarkers for liquid biopsy. This review summarises recent advances in microfluidic technologies designed for the isolation of CTC clusters and explores the biological properties of distinct types of CTC clusters within the circulatory system. Investigation of the mechanisms of CTC cluster-blood microenvironment interactions may offer a promising avenue for gaining fresh insights into CTC cluster-mediated metastatic progression and reveal potential opportunities for devising personalised antimetastasis treatments.

Indexed as

Circulating tumor cell clustersClinical therapiesMetastatic cancerMicrofluidic technologyNoninvasive biomarkersSolid tumour

Identifiers

PMID39886139
PMCPMC11557725

What OpenQuestion holds

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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.