PMID- 30104180 OWN - NLM STAT- MEDLINE DCOM- 20190122 LR - 20210109 IS - 2352-3964 (Electronic) IS - 2352-3964 (Linking) VI - 35 DP - 2018 Sep TI - Circulating tumor cells detection in neuroblastoma patients by EpCAM-independent enrichment and immunostaining-fluorescence in situ hybridization. PG - 244-250 LID - S2352-3964(18)30288-3 [pii] LID - 10.1016/j.ebiom.2018.08.005 [doi] AB - Detecting circulating tumor cells (CTCs) has proven valuable for evaluating the prognosis of cancer patients and for studying the mechanisms of treatment resistance. Owing to the lack of universal and specific tumor markers for neuroblastoma (NB), in this prospective study, we adopted an EpCAM-independent method to detect CTCs in the peripheral blood of NB patients. We used an EpCAM-independent assay to delete leukocytes and to enrich the CTCs. CTCs were identified by immunostaining of CD45, DAPI and DNA fluorescence in situ hybridization (FISH) of the centromere of chromosome 8 probe (CEP8). Cells that were DAPI+/CD45-/CEP8 >/= 3 were considered CTCs. We collected peripheral blood from 28 NB patients as well as clinical and follow-up data. The number of CTCs among the different risk groups were significantly different (p = .0208, Kruskal-Wallis test). Patients with metastasis had more CTCs than those without metastasis (p < .0001, Mann-Whitney test). Patients with >/=3 CTCs per 4 ml of peripheral blood had an increased likelihood of having metastasis (sensitivity, 88.89%; specificity, 78.59%), and patients with >/=10 CTCs per 4 ml of peripheral blood had poorer overall survival. The EpCAM-independent assay along with immunostaining-FISH (i-FISH) described here can detect CTCs in patients with NB at a high sensitivity and may have clinical value for prognosis evaluation and diagnosing metastasis when imaging data are ambiguous. CI - Copyright (c) 2018. Published by Elsevier B.V. FAU - Liu, Xiangqi AU - Liu X AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. FAU - Zhang, Zhenzhen AU - Zhang Z AD - Biotecan Medical Diagnostics Co., Ltd, Zhangjiang Center for Translational Medicine, Shanghai, China. FAU - Zhang, Binbin AU - Zhang B AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. FAU - Zheng, Yijie AU - Zheng Y AD - Medical Scientific Liaison Asian Pacific, Abbott Diagnostics Division, Abbott Laboratories, Shanghai, China. FAU - Zheng, Chao AU - Zheng C AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. FAU - Liu, Baihui AU - Liu B AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. FAU - Zheng, Shan AU - Zheng S AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. FAU - Dong, Kuiran AU - Dong K AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. Electronic address: kuirand@fudan.edu.cn. FAU - Dong, Rui AU - Dong R AD - Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, China. Electronic address: rdong@fudan.edu.cn. LA - eng PT - Journal Article DEP - 20180810 PL - Netherlands TA - EBioMedicine JT - EBioMedicine JID - 101647039 RN - 0 (EPCAM protein, human) RN - 0 (Epithelial Cell Adhesion Molecule) RN - 0 (MYCN protein, human) RN - 0 (N-Myc Proto-Oncogene Protein) RN - 55-10-7 (Vanilmandelic Acid) RN - EC 4.2.1.11 (Phosphopyruvate Hydratase) SB - IM MH - Child MH - Child, Preschool MH - Chromosomes, Human, Pair 8/genetics MH - Epithelial Cell Adhesion Molecule/*metabolism MH - Female MH - Fluorescent Antibody Technique MH - Gene Amplification MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Logistic Models MH - Male MH - Multivariate Analysis MH - N-Myc Proto-Oncogene Protein/genetics MH - Neoplasm Metastasis MH - Neoplastic Cells, Circulating/*pathology MH - Neuroblastoma/genetics/*pathology/urine MH - Phosphopyruvate Hydratase/metabolism MH - Proportional Hazards Models MH - Risk Factors MH - Vanilmandelic Acid/urine PMC - PMC6154868 OTO - NOTNLM OT - Circulating tumor cells OT - Metastasis OT - Neuroblastoma OT - Prognosis EDAT- 2018/08/15 06:00 MHDA- 2019/01/23 06:00 PMCR- 2018/08/10 CRDT- 2018/08/15 06:00 PHST- 2018/04/09 00:00 [received] PHST- 2018/08/01 00:00 [revised] PHST- 2018/08/01 00:00 [accepted] PHST- 2018/08/15 06:00 [pubmed] PHST- 2019/01/23 06:00 [medline] PHST- 2018/08/15 06:00 [entrez] PHST- 2018/08/10 00:00 [pmc-release] AID - S2352-3964(18)30288-3 [pii] AID - 10.1016/j.ebiom.2018.08.005 [doi] PST - ppublish SO - EBioMedicine. 2018 Sep;35:244-250. doi: 10.1016/j.ebiom.2018.08.005. Epub 2018 Aug 10.