Quantitation of rare circulating tumor cells by folate receptor α ligand-targeted PCR in bladder transitional cell carcinoma and its potential diagnostic significance
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  • 作者:Fuming Qi (1) (2) (3)
    Yuchen Liu (1) (2) (4)
    Rongchang Zhao (4) (7)
    Xiangjun Zou (1) (4)
    Lei Zhang (4) (6)
    Jiaqiang Li (2) (4)
    Yongqiang Wang (4)
    Feiyang Li (4)
    Xiaowen Zou (4)
    Ye Xia (2) (4)
    Xuliang Wang (2) (4)
    Li Xing (4) (6)
    Cailing Li (2)
    Jingxiao Lu (8)
    Junlong Tang (8)
    Fangjian Zhou (5)
    Chunxiao Liu (6)
    Yaoting Gui (2)
    Zhiming Cai (1) (4)
    Xiaojuan Sun (8)
  • 关键词:Bladder transitional cell carcinoma ; Tumor specific ligand ; PCR ; Circulating tumor cell ; Folate receptor α
  • 刊名:Tumor Biology
  • 出版年:2014
  • 出版时间:July 2014
  • 年:2014
  • 卷:35
  • 期:7
  • 页码:7217-7223
  • 全文大小:506 KB
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  • 作者单位:Fuming Qi (1) (2) (3)
    Yuchen Liu (1) (2) (4)
    Rongchang Zhao (4) (7)
    Xiangjun Zou (1) (4)
    Lei Zhang (4) (6)
    Jiaqiang Li (2) (4)
    Yongqiang Wang (4)
    Feiyang Li (4)
    Xiaowen Zou (4)
    Ye Xia (2) (4)
    Xuliang Wang (2) (4)
    Li Xing (4) (6)
    Cailing Li (2)
    Jingxiao Lu (8)
    Junlong Tang (8)
    Fangjian Zhou (5)
    Chunxiao Liu (6)
    Yaoting Gui (2)
    Zhiming Cai (1) (4)
    Xiaojuan Sun (8)

    1. Department of Urological Surgery, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, China
    2. Guangdong and Shenzhen Key Laboratory of Male Reproductive Medicine and Genetics, Institute of Urology, Peking University Shenzhen Hospital, Shenzhen PKU-HKUST Medical Center, Shenzhen, China
    3. Shantou University Medical College, Shantou, China
    4. Shenzhen Key Laboratory of Genitourinary Tumor, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, China
    7. Department of Research and Development, GenoSaber Biotech Co., Ltd., Shanghai, China
    6. Department of Urology, Zhujiang Hospital of Southern Medical University, Guangzhou, China
    8. Shenzhen Tumor Immuno-gene Therapy Clininical Application Engineering Lab, Biobank of Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, 802 Room, Yinhua Building, 3002 West Sungang Road, Futian District, Shenzhen, 518035, China
    5. Department of Urology, Sun Yat-Sen University Cancer Center, Guangzhou, China
  • ISSN:1423-0380
文摘
Numerous attempts for detection of circulating tumor cells (CTC) have been made to develop reliable assays for early diagnosis of cancers. In this study, we validated the application of folate receptor α (FRα) as the tumor marker to detect CTC through tumor-specific ligand PCR (LT-PCR) and assessed its utility for diagnosis of bladder transitional cell carcinoma (TCC). Immunohistochemistry for FRα was performed on ten bladder TCC tissues. Enzyme-linked immunosorbent assay (ELISA) for FRα was performed on both urine and serum specimens from bladder TCC patients (n--4 and n--0, respectively) and healthy volunteers (n--0 and n--3, respectively). Western blot analysis and qRT-PCR were performed to confirm the expression of FRα in bladder TCC cells. CTC values in 3-mL peripheral blood were measured in 57 bladder TCC patients, 48 healthy volunteers, and 15 subjects with benign urologic pathologies by the folate receptor α ligand-targeted PCR. We found that FRα protein was overexpressed in both bladder TCC cells and tissues. The levels of FRα mRNA were also much higher in bladder cancer cell lines 5637 and SW780 than those of leukocyte. Values of FRα were higher in both serum and urine specimens of bladder TCC patients than those of control. CTC values were also higher in 3-mL peripheral blood of bladder TCC patients than those of control (median 26.5?Cu/3?mL vs 14.0?Cu/3?mL). Area under the receiver operating characteristic (ROC) curve for bladder TCC detection was 0.819, 95?% CI (0.738-.883). At the cutoff value of 15.43?Cu/3?mL, the sensitivity and the specificity for detecting bladder cancer are 82.14 and 61.9?%, respectively. We concluded that quantitation of CTCs through FRα ligand-PCR could be a promising method for noninvasive diagnosis of bladder TCC.

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