Monitoring of Circulating Tumor Cells by a Combination of Immunomagnetic Enrichment and RT-PCR in Colorectal Cancer Patients Undergoing Surgery

Adv Clin Exp Med. 2016 Nov-Dec;25(6):1273-1279. doi: 10.17219/acem/63824.

Abstract

Background: The presence of circulating tumor cells (CTC) has been reported in patients with advanced colorectal cancer. Monitoring CTC (also known as a liquid-biopsy) has recently become the center of interest for low-invasive monitoring of cancer progression and predictive biomarkers testing. Along with high-cost technology and a complex methodology, a straightforward method based on magnetic beads enrichment followed by RT-PCR is set to allow for routine CTC analysis in colorectal cancer patients.

Objectives: The main purpose of this study was to evaluate the possibility of CTC detection in routine monitoring of patients starting before and continuing after surgery.

Material and methods: The investigated group consisted of 30 patients mainly in advanced stages of colorectal cancer. In all patients, CTC detection was performed prior to surgery, in a subset of 14 patients additional sampling was done during and after surgery. In all cases, peripheral blood was processed using AdnaTest ColonCancer kit, which relies on enriching CTCs using EpCAM-functionalized magnetic beads and subsequently identifying tumorspecific CEA, EGFR and GA733-2 mRNA transcripts.

Results: Out of all the tested samples, CTC were found in one patient suffering from advanced disease with lung and liver metastases. There, however, the positive finding was confirmed in 3 consecutive samples acquired before, during and shortly after palliative R2 resection.

Conclusions: The presence of CTC may be used to observe post-operative disease development. Due to the overall low CTC detection, further technology development may be necessary before its universal applicability to manage colorectal cancer patients.

Keywords: CEA; CTC; EGFR; GA733-2; colorectal cancer.

MeSH terms

  • Aged
  • Colorectal Neoplasms / pathology*
  • Colorectal Neoplasms / surgery*
  • Colorectal Surgery*
  • Female
  • Humans
  • Immunomagnetic Separation / methods*
  • Male
  • Neoplastic Cells, Circulating / pathology*
  • Reverse Transcriptase Polymerase Chain Reaction / methods*