Evidence map›Paper›PMID 40749671›Full record

ReviewCancer cell2025

Circulating tumor cells: Blood-based detection, molecular biology, and clinical applications.

Charles S Dai, Avanish Mishra, Jon Edd, Mehmet Toner, Shyamala Maheswaran, Daniel A Haber

Abstract readReview
In one paragraph

Review in Cancer cell, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

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

  1. Pooled it
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  11. Exploiting Device Deformability for Fluid and Particle Manipulation.Small (Weinheim an der Bergstrasse, Germany) · 2026
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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

6 authors.

Charles S DaiKrantz Family Center for Cancer Research, Mass General Brigham Cancer Institute and Harvard Medical School, Boston, MA 02114, USA.
Avanish MishraKrantz Family Center for Cancer Research, Mass General Brigham Cancer Institute and Harvard Medical School, Boston, MA 02114, USA; Center for Engineering in Medicine and Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Jon EddKrantz Family Center for Cancer Research, Mass General Brigham Cancer Institute and Harvard Medical School, Boston, MA 02114, USA; Center for Engineering in Medicine and Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Mehmet TonerCenter for Engineering in Medicine and Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA; Shriners Children's Hospital, Boston, MA 02114, USA.
Shyamala MaheswaranKrantz Family Center for Cancer Research, Mass General Brigham Cancer Institute and Harvard Medical School, Boston, MA 02114, USA.
Daniel A HaberKrantz Family Center for Cancer Research, Mass General Brigham Cancer Institute and Harvard Medical School, Boston, MA 02114, USA; Howard Hughes Medical Institute, Chevy Chase, MD 20815, USA. Electronic address: dhaber@mgh.harvard.edu.

Funding

Modeling Metastasis and Acquired Drug Resistance Using Circulating Tumor CellsR01CA129933 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Daniel A. Haber · 2008 to 2026
$7.5M
High-flow microfluidics of leukapheresis blood products for functional analysis of breast circulating tumor cellsR01CA255602 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HABER, DANIEL A., MAHESWARAN, SHYAMALA · 2021 to 2025
$3.2M
Metastasis and biophysics of clusters of circulating tumor cells in the microcirculationU01CA214297 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HABER, DANIEL A., MAHESWARAN, SHYAMALA · 2018 to 2022
$2.9M
Precision Apheresis: stem cell isolation from patients with sickle cell disease for gene therapy using high-throughput microfluidicsK25HL169816 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Avanish Mishra · 2023 to 2026
$550k
Microfluidic Apheresis to Isolate Circulating Tumor ClustersR21CA260989 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TONER, MEHMET · 2022 to 2023
$428k
NCI NIH HHS R01 CA129933NCI NIH HHS R01 CA255602NCI NIH HHS R21 CA260989NCI NIH HHS U01 CA214297NHLBI NIH HHS K25 HL169816
6 · The paper itself

Abstract

Circulating tumor cells (CTCs) are cancer cells, shed from primary tumors or metastases into the bloodstream. The first non-invasive "liquid biopsy" for cancer monitoring, CTCs have been largely surpassed by circulating tumor DNA (ctDNA) for clinical applications, given the ease of DNA sequencing without specialized cell isolation methods. However, emerging rare cell capture technologies that can process larger blood volumes and enable advanced single-cell analyses may enhance the range and potential of CTC-based biomarkers. CTCs are increasingly valuable for assessing tumor heterogeneity, guiding protein biomarker-driven cancer immune therapies, and assessing heterogeneous drug resistance, as well as for detecting minimal disease. CTCs, thus, remain central to understanding cancer dissemination and are poised to offer complementary diagnostic roles in the application of minimally invasive liquid biopsies for cancer. Here, we review recent advances in the study of these rare circulating cancer cells and discuss current limitations and future directions.

Indexed as

Biomarkers, TumorNeoplasmsNeoplastic Cells, CirculatingCirculating Tumor DNAHumansLiquid BiopsySingle-Cell AnalysisBiomarkers, TumorCirculating Tumor DNAcancer metastasiscirculating tumor cellsex vivo cancer modelsliquid biopsy biomarkersminimal residual diseasemolecular diagnosticsrare cell technologiestumor heterogeneity

Identifiers

PMID40749671
PMCPMC12440132

What OpenQuestion holds

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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.