PMID- 24607330 OWN - NLM STAT- MEDLINE DCOM- 20150115 LR - 20220317 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 433 DP - 2014 Jun 10 TI - Improvement of specific detection of circulating tumor cells using combined CD45 staining and fluorescence in situ hybridization. PG - 69-75 LID - S0009-8981(14)00095-3 [pii] LID - 10.1016/j.cca.2014.02.019 [doi] AB - BACKGROUND: Conventional cytokeratin (CK)-based methods to detect circulating tumor cells (CTCs) often present suboptimal sensitivities for decreased or non-expression of cytokeratin in some CTCs. We clinically investigated a new method that combines immunocytochemistry staining (ICC) of CD45 and fluorescence in situ hybridization (FISH). METHODS: Circulating epithelial cells from 141 subjects were enriched using an EpCAM-independent strategy and then identified by either a combination of FISH with chromosome 8 centromere probe (CEP8) and ICC staining of CD45 (CD45-FISH) or ICC staining of CK. RESULTS: For detecting CTCs enriched from lung cancers, CD45-FISH had larger areas under ROC curves of 0.963 (P=0.000) compared to ICC (0.653; P=0.031) using cut-off values of 2 and 1 cell/3.75ml blood with sensitivities of 83.3% and 43.3%, specificities of 98.6% and 89.5%, respectively. Moreover, CD45-FISH showed 76.2% sensitivity in detecting CTCs in ovarian cancers (P<0.001). Four of six ovarian cancers showed dramatical decrease in both CTCs and serum CA125 on the 7th day after surgery. CONCLUSION: CD45-FISH method had improved sensitivity and specificity in detecting CTCs of lung and ovarian cancers compared to ICC-CK. This combined detection strategy may be useful in detecting or monitoring CTCs after ovarian cancer surgery. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Ning, Ning AU - Ning N AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China; Department of Obstetrics and Gynecology, The First Affiliated Hospital of Harbin University, Harbin, China. FAU - Zhan, Ting AU - Zhan T AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Zhang, Yujuan AU - Zhang Y AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Chen, Qian AU - Chen Q AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Feng, Fengzhi AU - Feng F AD - Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Yang, Zhuo AU - Yang Z AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Liu, Zhongjuan AU - Liu Z AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Xu, Danfei AU - Xu D AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Wang, Fei AU - Wang F AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Guo, Ye AU - Guo Y AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Xing, Jia AU - Xing J AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Guan, Yuanyuan AU - Guan Y AD - Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Cui, Wei AU - Cui W AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. Electronic address: wendycuiwei@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140304 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - EC 3.1.3.48 (Leukocyte Common Antigens) SB - IM MH - Cell Separation/*methods MH - Female MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Leukocyte Common Antigens/*metabolism MH - Lung Neoplasms/pathology MH - Neoplastic Cells, Circulating/metabolism/*pathology MH - Ovarian Neoplasms/pathology MH - Reproducibility of Results OTO - NOTNLM OT - CD45-FISH OT - CTCs OT - ICC OT - Lung cancer OT - Ovarian tumor EDAT- 2014/03/13 06:00 MHDA- 2015/01/16 06:00 CRDT- 2014/03/11 06:00 PHST- 2014/01/17 00:00 [received] PHST- 2014/02/18 00:00 [accepted] PHST- 2014/03/11 06:00 [entrez] PHST- 2014/03/13 06:00 [pubmed] PHST- 2015/01/16 06:00 [medline] AID - S0009-8981(14)00095-3 [pii] AID - 10.1016/j.cca.2014.02.019 [doi] PST - ppublish SO - Clin Chim Acta. 2014 Jun 10;433:69-75. doi: 10.1016/j.cca.2014.02.019. Epub 2014 Mar 4.