Cir
culating tumor
cells (CTCs)
can be enumerated using CellSear
ch, but not all breast
can
cer subtypes, spe
cifi
cally those with epithelial-mesen
chymal transition (EMT)
chara
cteristi
cs, suffi
ciently express the enri
chment (EpCAM) and sele
ction (CK8/18/19) markers used in this method. While CD146
can dete
ct EpCAM-negative CTCs, we here evaluated the value of various
cytokeratins and CD49f to dete
ct CK8/18/19-negative CTCs. The tested
cytokeratins provided no substantial benefit, but adding CD49f to CK8/18/19 as a sele
ction marker resulted in improved re
covery of normal-like
cell lines.
Combined staining of CK8/18/19 and CD49f after CD146/EpCAM enrichment is likely to further improve CTC detection in breast cancer.