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Detection and Characterization of Circulating Tumour Cells from Frozen Peripheral Blood Mononuclear Cells. 冷冻外周血单个核细胞循环肿瘤细胞的检测与表征。
Q3 Medicine Pub Date : 2015-05-13 eCollection Date: 2015-01-01 DOI: 10.5772/60745
David Lu, Ryon P Graf, Melissa Harvey, Ravi A Madan, Christopher Heery, Jennifer Marte, Sharon Beasley, Kwong Y Tsang, Rachel Krupa, Jessica Louw, Justin Wahl, Natalee Bales, Mark Landers, Dena Marrinucci, Jeffrey Schlom, James L Gulley, Ryan Dittamore

Retrospective analysis of patient tumour samples is a cornerstone of clinical research. CTC biomarker characterization offers a non-invasive method to analyse patient samples. However, current CTC technologies require prospective blood collection, thereby reducing the ability to utilize archived clinical cohorts with long-term outcome data. We sought to investigate CTC recovery from frozen, archived patient PBMC pellets. Matched samples from both mCRPC patients and mock samples, which were prepared by spiking healthy donor blood with cultured prostate cancer cell line cells, were processed "fresh" via Epic CTC Platform or from "frozen" PBMC pellets. Samples were analysed for CTC enumeration and biomarker characterization via immunofluorescent (IF) biomarkers, fluorescence in-situ hybridization (FISH) and CTC morphology. In the frozen patient PMBC samples, the median CTC recovery was 18%, compared to the freshly processed blood. However, abundance and localization of cytokeratin (CK) and androgen receptor (AR) protein, as measured by IF, were largely concordant between the fresh and frozen CTCs. Furthermore, a FISH analysis of PTEN loss showed high concordance in fresh vs. frozen. The observed data indicate that CTC biomarker characterization from frozen archival samples is feasible and representative of prospectively collected samples.

患者肿瘤样本的回顾性分析是临床研究的基石。CTC生物标志物表征提供了一种非侵入性的方法来分析患者样本。然而,目前的CTC技术需要前瞻性的血液采集,从而降低了利用具有长期结果数据的存档临床队列的能力。我们试图调查冷冻、存档的患者PBMC颗粒中CTC的恢复情况。来自mCRPC患者和模拟样本的匹配样本是通过用培养的前列腺癌细胞系细胞刺激健康供体血液制备的,通过Epic CTC平台“新鲜”处理或从“冷冻”PBMC颗粒中处理。通过免疫荧光(IF)生物标志物、荧光原位杂交(FISH)和CTC形态学对样品进行CTC计数和生物标志物表征。在冷冻的患者PMBC样本中,与新鲜处理的血液相比,中位CTC回收率为18%。然而,细胞角蛋白(CK)和雄激素受体(AR)蛋白的丰度和定位,通过IF测量,在新鲜和冷冻ctc之间基本一致。此外,FISH分析显示,新鲜与冷冻的PTEN损失高度一致。观察到的数据表明,从冷冻档案样本中鉴定CTC生物标志物是可行的,并且具有前瞻性收集样本的代表性。
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引用次数: 8
Analytical Validation and Capabilities of the Epic CTC Platform: Enrichment-Free Circulating Tumour Cell Detection and Characterization. Epic CTC平台的分析验证和能力:无富集循环肿瘤细胞检测和表征。
Q3 Medicine Pub Date : 2015-05-05 eCollection Date: 2015-01-01 DOI: 10.5772/60725
Shannon L Werner, Ryon P Graf, Mark Landers, David T Valenta, Matthew Schroeder, Stephanie B Greene, Natalee Bales, Ryan Dittamore, Dena Marrinucci

The Epic Platform was developed for the unbiased detection and molecular characterization of circulating tumour cells (CTCs). Here, we report assay performance data, including accuracy, linearity, specificity and intra/inter-assay precision of CTC enumeration in healthy donor (HD) blood samples spiked with varying concentrations of cancer cell line controls (CLCs). Additionally, we demonstrate clinical feasibility for CTC detection in a small cohort of metastatic castrate-resistant prostate cancer (mCRPC) patients. The Epic Platform demonstrated accuracy, linearity and sensitivity for the enumeration of all CLC concentrations tested. Furthermore, we established the precision between multiple operators and slide staining batches and assay specificity showing zero CTCs detected in 18 healthy donor samples. In a clinical feasibility study, at least one traditional CTC/mL (CK+, CD45-, and intact nuclei) was detected in 89 % of 44 mCRPC samples, whereas 100 % of samples had CTCs enumerated if additional CTC subpopulations (CK-/CD45- and CK+ apoptotic CTCs) were included in the analysis. In addition to presenting Epic Platform's performance with respect to CTC enumeration, we provide examples of its integrated downstream capabilities, including protein biomarker expression and downstream genomic analyses at single cell resolution.

Epic平台是为循环肿瘤细胞(ctc)的无偏检测和分子表征而开发的。在这里,我们报告了检测性能数据,包括在健康供体(HD)血液样本中添加不同浓度的癌细胞系对照(clc)的CTC计数的准确性、线性度、特异性和检测内/检测间精度。此外,我们证明了在转移性去势抵抗性前列腺癌(mCRPC)患者中检测CTC的临床可行性。Epic平台对所有CLC浓度的检测均具有准确性、线性度和灵敏度。此外,我们建立了多个操作器和载玻片染色批次之间的精度和检测特异性,显示在18个健康供体样本中检测到零ctc。在一项临床可行性研究中,在44份mCRPC样本中,89%的样本中检测到至少一种传统的CTC/mL (CK+、CD45-和完整细胞核),而如果将其他CTC亚群(CK-/CD45-和CK+凋亡性CTC)包括在分析中,则100%的样本都有CTC。除了介绍Epic平台在CTC枚举方面的性能外,我们还提供了其集成下游能力的示例,包括蛋白质生物标志物表达和单细胞分辨率下的下游基因组分析。
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引用次数: 107
Biodistribution, Uptake and Effects Caused by Cancer-Derived Extracellular Vesicles. 肿瘤细胞外囊泡的生物分布、摄取及影响。
Q3 Medicine Pub Date : 2015-03-25 eCollection Date: 2015-01-01 DOI: 10.5772/60522
Lilite Sadovska, Cristina Bajo Santos, Zane Kalniņa, Aija Linē

Extracellular vesicles (EVs) have recently emerged as important mediators of intercellular communication. They are released in the extracellular space by a variety of normal and cancerous cell types and have been found in all human body fluids. Cancer-derived EVs have been shown to carry lipids, proteins, mRNAs, non-coding and structural RNAs and even extra-chromosomal DNA, which can be taken up by recipient cells and trigger diverse physiological and pathological responses. An increasing body of evidence suggests that cancer-derived EVs mediate paracrine signalling between cancer cells. This leads to the increased invasiveness, proliferation rate and chemoresistance, as well as the acquisition of the cancer stem cell phenotype. This stimulates angiogenesis and the reprogramming of normal stromal cells into cancer-promoting cell types. Furthermore, cancer-derived EVs contribute to the formation of the pre-metastatic niche and modulation of anti-tumour immune response. However, as most of these data are obtained by in vitro studies, it is not entirely clear which of these effects are recapitulated in vivo. In the current review, we summarize studies that assess the tissue distribution, trafficking, clearance and uptake of cancer-derived EVs in vivo and discuss the impact they have, both locally and systemically.

近年来,细胞外囊泡(EVs)已成为细胞间通讯的重要介质。它们由各种正常和癌细胞类型释放到细胞外空间,并且在所有人体体液中都有发现。癌症源性ev携带脂质、蛋白质、mrna、非编码和结构rna,甚至染色体外DNA,可被受体细胞吸收并引发多种生理和病理反应。越来越多的证据表明,癌症衍生的ev介导癌细胞之间的旁分泌信号。这导致了侵袭性、增殖率和化疗耐药性的增加,以及癌症干细胞表型的获得。这会刺激血管生成,并将正常基质细胞重新编程为促进癌症的细胞类型。此外,癌症来源的ev有助于形成转移前生态位和调节抗肿瘤免疫反应。然而,由于这些数据大多是通过体外研究获得的,因此尚不完全清楚这些影响中哪些在体内重现。在当前的综述中,我们总结了评估体内肿瘤源性ev的组织分布、运输、清除和吸收的研究,并讨论了它们对局部和系统的影响。
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引用次数: 24
Year of Expanding into Circulating Biomarkers. 扩展到循环生物标志物的一年。
Q3 Medicine Pub Date : 2015-01-29 eCollection Date: 2015-01-01 DOI: 10.5772/60126
Shidong Jia, Winston Patrick Kuo

This editorial article summarizes the achievements and current challenges for the Journal of Circulating Biomarkers (JCB) regarding a more strategic approach to branding and attracting a high quality variety of articles. More emphasis is placed on fostering engagement with academic and industry sources operating at the cutting-edge of translational technologies applied to the field of circulating biomarkers (interface between extracellular vesicles including exosomes and microvesicles, circulating tumour cells, cell-free circulating DNA and circulating protein markers) and with those in the investment arena seeking and providing private funding for this area of research.

这篇社论文章总结了《循环生物标志物杂志》(JCB)在品牌推广和吸引高质量文章方面所取得的成就和当前面临的挑战。更多的重点放在促进与应用于循环生物标志物(包括外泌体和微囊泡在内的细胞外囊泡之间的界面,循环肿瘤细胞,无细胞循环DNA和循环蛋白质标记)领域翻译技术前沿的学术和行业资源的合作,以及与投资领域寻求和提供该领域研究私人资金的人士的合作。
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引用次数: 3
New Year, New Name and New Milestones Scope — Journal of Circulating Biomarkers 新的一年,新的名字和新的里程碑范围-循环生物标志物杂志
Q3 Medicine Pub Date : 2014-01-01 DOI: 10.5772/58638
S. Jia, W. Kuo
This editorial article introduces a renaming of journal Exosomes and Microvesicles (EXMV) to the Journal of Circulating Biomarkers with a new editorial scope, mission and our approach for the upcoming year in relation to engaging at the international level, the translational art of the study of exosomes and microvesicles, and the interface between exosomes and microvesicles, circulating tumor cells, cell-free circulating DNA and circulating protein markers in precision medicine and drug development. There is a slight change in the members of the Editors in Chief, Editorial Board and extending collaborations to international societies, such as the American Society for Exosomes and Microvesicles (ASEMV).
这篇社论文章介绍了外泌体和微泡(EXMV)杂志更名为循环生物标志物杂志,具有新的编辑范围,任务和我们在即将到来的一年的方法,涉及到国际水平,外泌体和微泡研究的翻译艺术,外泌体和微泡之间的界面,循环肿瘤细胞,无细胞循环DNA和循环蛋白标记物在精准医学和药物开发中的应用。主编和编辑委员会的成员略有变化,并将合作扩展到国际协会,如美国外泌体和微囊泡协会(ASEMV)。
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引用次数: 1
Apoptotic Microparticles as Predicted Biomarkers in Patients with Chronic Heart Failure — Relevance to Inflammatory Cytokines and Outcomes 凋亡微粒作为慢性心力衰竭患者的预测生物标志物-与炎症细胞因子和预后相关
Q3 Medicine Pub Date : 2014-01-01 DOI: 10.5772/60062
A. Berezin, A. Kremzer, Yulia V. Martovitskaya
Aim: To evaluate the relevance of endothelial-derived apoptotic microparticles (EMPs) with inflammatory cytokine outcomes in patients with ischaemic chronic heart failure (CHF). Methods: A total of 154 patients with moderate-to-severe CHF were enrolled in the study. Flow cytometry analysis was used for quantifying the number of EMPs. All-cause mortality, CHF-related death, and CHD-readmission rates were examined. Results: During a median follow-up of 2.18 years, 21 participants died and 106 subjects were hospitalized repetitively. Medians of circulating EMPs in survivor and non-survivor patient cohorts were 0.286 n/mL (95% CI = 0.271–0.309 n/mL) and 0.673 n/mL (95% CI = 0.65–0.74 n/mL) (P<0.001). There was a significantly lower concentration of sRANKL, OPG, TNF-alpha, sFAS, and sFAS ligand in the survivor patients when compared with those who met composed endpoints. The sFAS/sFAS ligand ratio in the non-survivor patient cohort was significantly higher than in the survivor cohort (P<0.001). In multivariate model EPMs, NYHA class, NT-pro-BNP, TNF-alpha, sFAS/sFAS ligand ratio, and OPG remained statistically significant for the cumulative endpoint: all-cause mortality, CHF-related death, and CHF-related readmission. Conclusion: Increased apoptotic circulating EMPs, OPG, and FAS-sFAS ligand ratio independently predicted cumulative survival in CHF patients.
目的:评价缺血性慢性心力衰竭(CHF)患者内皮源性凋亡微粒(EMPs)与炎症细胞因子预后的相关性。方法:共纳入154例中重度CHF患者。流式细胞术定量emp的数量。检查全因死亡率、冠心病相关死亡率和冠心病再入院率。结果:在中位随访2.18年期间,21名受试者死亡,106名受试者重复住院。幸存者和非幸存者患者队列的循环EMPs中位数分别为0.286 n/mL (95% CI = 0.271-0.309 n/mL)和0.673 n/mL (95% CI = 0.65-0.74 n/mL) (P<0.001)。与满足组成终点的患者相比,存活患者的sRANKL、OPG、tnf - α、sFAS和sFAS配体浓度显著降低。非存活患者队列中sFAS/sFAS配体比例显著高于存活患者队列(P<0.001)。在多变量模型epm中,NYHA分类、nt - probnp、tnf - α、sFAS/sFAS配体比例和OPG在累积终点:全因死亡率、chf相关死亡和chf相关再入院方面仍具有统计学意义。结论:增加的凋亡循环emp、OPG和FAS-sFAS配体比例独立预测CHF患者的累积生存。
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引用次数: 0
“I Have a Dream” 《我有一个梦想》
Q3 Medicine Pub Date : 2014-01-01 DOI: 10.5772/58709
S. Fais
“I have a dream that one day every valley shall be exalted, every hill and mountain shall be made low, the rough places will be made plains, and the crooked places will be made straight, and the glory of the Lord shall be revealed, and all the flesh shall see it together. This is our hope…” (Martin Luther King, Washington D.C., August 28, 1963)
“我有一个梦想,有一天,每一个山谷都将被填满,每一座丘陵和高山都将被削平,崎岖的地方将变成平原,弯曲的地方将变得笔直,上帝的荣耀将被揭示,所有的人都将共同看到它。”这是我们的希望……”(马丁·路德·金,1963年8月28日,华盛顿)
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引用次数: 0
Protocol Standardization Reveals MV Correlation to Healthy Donor BMI 方案标准化揭示MV与健康供体BMI的相关性
Q3 Medicine Pub Date : 2014-01-01 DOI: 10.5772/58527
P. Hexley, K. Rismiller, C. Robinson, G. Babcock
Microvesicles (MVs) are cell-derived vesicles which are of interest in a clinical setting, as they may be predictive of early signs of disease and/or of treatment progression. However, there are growing concerns about using conventional flow cytometry (cFMC) for the detection and quantification of microvesicles. These concerns range from error-sources in collection through to the physical limitations of detection. Here we present a standardized method for collection and analysis which shows that the MV numbers detected by cFCM correlate to donor Body Mass Index (BMI). Although unlikely to be comprehensive, we also demonstrate how cFCM is a useful and valid tool in the analysis of MVs.
微囊泡(mv)是细胞衍生的囊泡,在临床环境中很有意义,因为它们可以预测疾病的早期症状和/或治疗进展。然而,越来越多的人关注使用传统的流式细胞术(cFMC)来检测和定量微囊泡。这些问题的范围从收集中的错误来源到检测的物理限制。在这里,我们提出了一种标准化的收集和分析方法,表明cFCM检测到的MV数与供体体重指数(BMI)相关。虽然不太可能全面,但我们也证明了cFCM在mv分析中是一个有用和有效的工具。
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引用次数: 1
The Development of Stem Cell-Derived Exosomes as a Cell-Free Regenerative Medicine 干细胞来源外泌体作为无细胞再生医学的发展
Q3 Medicine Pub Date : 2014-01-01 DOI: 10.5772/58597
I. Vishnubhatla, R. Corteling, Lara Stevanato, C. Hicks, J. Sinden
A successful strategy in regenerative medicine over the last decade has been the translation of stem cell therapy to repair diseased or damaged tissue in a wide range of indications, despite limited evidence attributing any therapeutic benefit to cell survival or differentiation. Recent findings, however, have demonstrated that the conditioned media from stem cell cultures can produce similar efficacious effects compared to those observed for cells. This has led to the stem cell paracrine hypothesis, proposing that secreted factors released from the stem cells contribute significantly to their beneficial effects. It has been well documented that stem cells have the ability to release a range of growth factors, cytokines and chemokines relevant to their function; however, these factors are released at levels too low to account for the reported therapeutic effects. Further purification of the conditioned media has since identified that not only are small molecules released by the stem cells, but so too are a large quantity of membrane-bound vesicles, including exosomes, in a functionally relevant manner. In this review, we present our current understanding and explore the evidence supporting the development of stem cell-derived exosomes as a cell-free regenerative medicine.
在过去的十年中,再生医学的一个成功策略是将干细胞疗法转化为修复病变或受损组织的广泛适应症,尽管有限的证据归因于任何治疗益处细胞存活或分化。然而,最近的研究结果表明,干细胞培养的条件培养基可以产生与细胞培养液相似的有效效果。这导致了干细胞旁分泌假说,提出从干细胞释放的分泌因子对其有益作用起着重要作用。文献表明,干细胞具有释放一系列与其功能相关的生长因子、细胞因子和趋化因子的能力;然而,这些因素的释放水平太低,不足以解释报道的治疗效果。条件培养基的进一步纯化已经确定,不仅干细胞释放小分子,而且大量的膜结合囊泡,包括外泌体,也以功能相关的方式释放。在这篇综述中,我们介绍了我们目前的认识,并探讨了支持干细胞来源的外泌体作为无细胞再生医学发展的证据。
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引用次数: 69
Detection of Human c-Myc and EGFR Amplifications in Circulating Extracellular Vesicles in Mouse Tumour Models 小鼠肿瘤模型循环细胞外囊泡中人c-Myc和EGFR扩增的检测
Q3 Medicine Pub Date : 2014-01-01 DOI: 10.5772/59174
L. Balaj, F. Momen-Heravi, Weilin Chen, S. Sivaraman, Xuan Zhang, N. Ludwig, E. Meese, T. Wurdinger, D. Noske, A. Charest, F. Hochberg, P. Vandertop, J. Skog, W. Kuo
Essentially, all cells release extracellular vesicles (EVs) that end up in biofluids, including blood, and the contents of these EVs can provide a window into the status of the cells from which they are released. This is particularly interesting in cancer, since these EVs allow for ‘ex-vivo’ analysis of the properties of the tumours without the need for biopsy. Gene mutations, rearrangements, amplifications, and epigenetic changes in the transcriptome can be monitored in circulating EVs. In this study, we used two human tumour cell lines derived from an epidermoid carcinoma and a medulloblastoma, which had amplification for the epidermal growth factor receptor (EGFR) and c-Myc genes, respectively. Cells were implanted subcutaneously into immunocompromised mice, and levels of gene amplification in both groups of subcutaneous tumours were quantified. We then determined if elevated levels of transcripts for the human EGFR and c-Myc were represented in circulating EVs in tumour-bearing mice. The expression levels of both human EGFR (h-EGFR) and human c-Myc (h-c-Myc) mRNAs in circulating EVs correlated well with their amplified status in the tumours. This data provides further support to the idea that circulating EVs are a potential platform for tumour biomarkers.
从本质上讲,所有细胞都会释放细胞外囊泡(EVs),最终进入包括血液在内的生物体液,这些EVs的内容物可以提供一个窗口,了解细胞的状态。这在癌症中特别有趣,因为这些ev允许在不需要活检的情况下对肿瘤特性进行“离体”分析。基因突变、重排、扩增和转录组的表观遗传变化可以在循环ev中监测。在这项研究中,我们使用了来自表皮样癌和髓母细胞瘤的两种人类肿瘤细胞系,它们分别具有表皮生长因子受体(EGFR)和c-Myc基因的扩增。将细胞皮下植入免疫功能低下的小鼠,并对两组皮下肿瘤的基因扩增水平进行量化。然后,我们确定在荷瘤小鼠的循环ev中是否存在人EGFR和c-Myc转录本的升高水平。循环ev中人EGFR (h-EGFR)和人c-Myc (h-c-Myc) mrna的表达水平与其在肿瘤中的扩增状态密切相关。这一数据进一步支持了循环ev是肿瘤生物标志物潜在平台的观点。
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引用次数: 2
期刊
Journal of Circulating Biomarkers
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