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Authors Xu C, Zhang C, Wang H, Yang H, Li G, Fei Z, Li W
Received 28 July 2016
Accepted for publication 5 November 2016
Published 30 March 2017 Volume 2017:10 Pages 1933—1939
DOI https://doi.org/10.2147/OTT.S118346
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Amy Norman
Peer reviewer comments 4
Editor who approved publication: Dr Samir Farghaly
本文作者告知在文章研究中使用的关键技术和数据,是由一间合作实验室最初研发的。作者在没有取得对方批准的情况下,在文章研究中使用了该数据,因此违反了合作实验室的规定。此外作者也违反了Dove Medical Press 的 出版条款。
作者现发声明撤回已发表的论文。
Objectives: Previous studies used enumerated circulating tumor cells
(CTCs) to predict prognosis and therapeutic effect in several types of cancers.
However, increasing evidence showed that only enumerated CTCs were not enough
to reflect the heterogeneity of tumors. Therefore, we classified different
metastasis potentials of CTCs from colorectal cancer (CRC) patients to improve
the accuracy of prognosis by CTCs.
Methods: Blood samples were collected from 45 primary CRC patients.
CTCs were enriched by blood filtration, and the RNA in situ hybridization
method was used to identify and discriminate subgroups of CTCs. Later, FAM172A
expression in individual CTCs was measured.
Results: Three CTC subgroups (epithelial/biophenotypic/mesenchymal
CTCs) were identified using epithelial–mesenchymal transition markers. In our
research, mesenchymal CTCs significantly increased along with tumor
progression, including developing distant metastasis and vascular invasion.
Furthermore, FAM172A expression rate in mesenchymal CTCs was significantly
higher than that in epithelial CTCs, which suggested that FAM172A may correlate
with tumor malignancy. This hypothesis was further verified by FAM172A
expression in mesenchymal CTCs strictly related to tumor aggressiveness
factors. Finally, we revealed that mesenchymal CTCs and FAM172A expression may
predict high-risk subgroups in stage II CRC.
Conclusion: Our research proved that CTCs could serve as feasible
surrogate samples to detect gene expression as a predictive biomarker for tumor
evaluation.
Keywords: colorectal
cancer, circulating tumor cells, epithelial–mesenchymal transition, FAM172A