Evidence map›Paper›PMID 42304373›Full record

ArticleCancer cell international2026

Performance and pilot clinical validation of MALDITEC-CTC: a circulating tumor cell detection platform using whole-cell MALDI-TOF MS fingerprinting in osteosarcoma.

Santhasiri Orrapin, Nutnicha Sirikaew, Wararat Chiangjong, Somchai Chutipongtanate, Pimpisa Teeyakasem, Sasimol Udomruk, Sutpirat Moonmuang, Songphon Sutthitthasakul, Petlada Yongpitakwattana, Areerak Phanphaisarn and 8 more

Abstract read
In one paragraph

Article in Cancer cell international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Santhasiri OrrapinCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Nutnicha SirikaewMusculoskeletal Science and Translational Research (MSTR) Center, Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Wararat ChiangjongPediatric Translational Research Unit, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
Somchai ChutipongtanateDivision of Epidemiology, Department of Environmental and Public Health Sciences, University of Cincinnati College of Medicine, Cincinnati, 45267, OH, USA.
Pimpisa TeeyakasemMusculoskeletal Science and Translational Research (MSTR) Center, Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Sasimol UdomrukCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Sutpirat MoonmuangCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Songphon SutthitthasakulCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Petlada YongpitakwattanaCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Areerak PhanphaisarnCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Pathacha SuksakitCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Arnat PasenaCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Ratikorn KamngoenCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Jisnuson SvastiLaboratory of Biochemistry, Chulabhorn Research Institute, Bangkok, 10210, Thailand.
Voraratt ChampattanachaiLaboratory of Biochemistry, Chulabhorn Research Institute, Bangkok, 10210, Thailand.
Jongkolnee SettakornDepartment of Pathology, Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Dumnoensun PruksakornCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand.
Parunya ChaiyawatCenter of Multidisciplinary Technology for Advanced Medicine (CMUTEAM), Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, 50200, Thailand. parunya.chaiyawat@cmu.ac.th.ORCID https://orcid.org/0000-0003-0047-5578

Funding

Health Systems Research Institute HSRI68-155
6 · The paper itself

Abstract

backgroundOsteosarcoma is a highly metastatic bone malignancy, with hematogenous spread as the leading cause of mortality. Circulating tumor cells (CTCs) offer a minimally invasive window to detect metastatic potential and real-time tumor dynamics. However, detecting osteosarcoma CTCs is challenging due to their rarity in the bloodstream and eligibility for positive-enrichment methods targeting epithelial markers.

methodsWe developed MALDI Technology Enabling Classification of Circulating Tumor Cell (MALDITEC-CTC), a novel platform that combines negative-selection CTC enrichment with MALDI-TOF mass spectrometry for osteosarcoma CTC detection. A custom main spectrum profile (MSP) database was generated from normal cells, carcinoma and sarcoma cell lines, patient-derived osteosarcoma cells (PDCs), and peripheral blood mononuclear cells (PBMCs). Using the MALDI Biotyper, CTCs in blood samples were identified by log(score) matching against the MSP database. Diagnostic performance was evaluated in 12 osteosarcoma patients and 11 healthy donors.

resultsCTC-enriched samples from patients showed high log(score) matches to their corresponding PDCs, supporting accurate identification. At the cut-off score of 1.625, MALDITEC-CTC achieved 67% sensitivity and 90.9% specificity with an area under the curve of 0.871 for distinguishing patients from healthy donors. Importantly, CTC-positive patients showed a higher tendency to develop metastasis than CTC-negative patients, indicating potential prognostic value.

conclusionsMALDITEC-CTC demonstrates the clinical feasibility of a rapid, label-free, proteomics-based approach for detecting osteosarcoma CTCs. This platform may enable early risk stratification for metastasis and non-invasive monitoring of tumor progression in osteosarcoma patients.

Indexed as

Circulating tumor cellsMain spectrum profileMALDI-TOF MSMetastasisOsteosarcoma

Identifiers

PMID42304373
PMCPMC13508363

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