Rare expression of epithelial cell adhesion molecule on residual micrometastatic breast cancer cells after adjuvant chemotherapy.
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Rare expression of epithelial cell adhesion molecule on residual micrometastatic breast cancer cells after adjuvant chemotherapy. / Thurm, Holger; Ebel, Sebastian; Kentenich, Christina; Hemsen, Alice; Riethdorf, Sabine; Coith, Cornelia; Wallwiener, Diethelm; Braun, Stephan; Oberhoff, Carsten; Jänicke, Fritz; Pantel, Klaus.
In: CLIN CANCER RES, Vol. 9, No. 7, 7, 2003, p. 2598-2604.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Rare expression of epithelial cell adhesion molecule on residual micrometastatic breast cancer cells after adjuvant chemotherapy.
AU - Thurm, Holger
AU - Ebel, Sebastian
AU - Kentenich, Christina
AU - Hemsen, Alice
AU - Riethdorf, Sabine
AU - Coith, Cornelia
AU - Wallwiener, Diethelm
AU - Braun, Stephan
AU - Oberhoff, Carsten
AU - Jänicke, Fritz
AU - Pantel, Klaus
PY - 2003
Y1 - 2003
N2 - Over the past 5 years, several clinical studies on a total of approximately 2500 patients have shown that the immunocytochemical detection of occult metastatic tumor cells in bone marrow (BM) at primary surgery provides important prognostic information in breast cancer (e.g., Ref 13 ). Here, we evaluated whether these cells can survive first-line chemotherapy and express epithelial cell adhesion molecule (Ep-CAM), recently suggested as promising target for immunotherapeutic interventions in breast cancer. Experimental Design: A total of 62 patients with node-negative and -positive breast cancer but without distant metastases (Tumor-Node-Metastasis stage M(0)) was treated with two or more courses of various forms of adjuvant chemotherapy (e.g., cyclophosphamide-methotrexate-5-fluorouracil, anthracyclines). After chemotherapy, BM was aspirated from the upper iliac crest and analyzed for the presence of tumor cells. A first cohort of 34 BM aspirates was enriched for tumor cells by Ficoll density gradient centrifugation, and 2-4 x 10(6) mononuclear cells were analyzed per patient. The tumor cells were detected by anticytokeratin monoclonal antibody (Mab) A45-B/B3 and double labeled with Mab 3B10 against an Ep-CAM-epitope. The subsequent 27 BM aspirates were specifically enriched for Ep-CAM(+) cells using magnetic beads coupled to Mab 3B10, and tumor cells were identified by Fab fragments of Mab A45-B/B3 directly conjugated with alkaline phosphatase.
AB - Over the past 5 years, several clinical studies on a total of approximately 2500 patients have shown that the immunocytochemical detection of occult metastatic tumor cells in bone marrow (BM) at primary surgery provides important prognostic information in breast cancer (e.g., Ref 13 ). Here, we evaluated whether these cells can survive first-line chemotherapy and express epithelial cell adhesion molecule (Ep-CAM), recently suggested as promising target for immunotherapeutic interventions in breast cancer. Experimental Design: A total of 62 patients with node-negative and -positive breast cancer but without distant metastases (Tumor-Node-Metastasis stage M(0)) was treated with two or more courses of various forms of adjuvant chemotherapy (e.g., cyclophosphamide-methotrexate-5-fluorouracil, anthracyclines). After chemotherapy, BM was aspirated from the upper iliac crest and analyzed for the presence of tumor cells. A first cohort of 34 BM aspirates was enriched for tumor cells by Ficoll density gradient centrifugation, and 2-4 x 10(6) mononuclear cells were analyzed per patient. The tumor cells were detected by anticytokeratin monoclonal antibody (Mab) A45-B/B3 and double labeled with Mab 3B10 against an Ep-CAM-epitope. The subsequent 27 BM aspirates were specifically enriched for Ep-CAM(+) cells using magnetic beads coupled to Mab 3B10, and tumor cells were identified by Fab fragments of Mab A45-B/B3 directly conjugated with alkaline phosphatase.
KW - Adult
KW - Humans
KW - Aged
KW - Female
KW - Middle Aged
KW - Cohort Studies
KW - Immunohistochemistry
KW - Prognosis
KW - Cell Line, Tumor
KW - Neoplasm Metastasis
KW - Centrifugation, Density Gradient
KW - Cell Adhesion
KW - Immunotherapy
KW - Bone Marrow Cells/metabolism
KW - Breast Neoplasms/metabolism
KW - Anthracyclines/therapeutic use
KW - Antigens, Neoplasm/biosynthesis
KW - Cell Adhesion Molecules/biosynthesis
KW - Chemotherapy, Adjuvant
KW - Cyclophosphamide/therapeutic use
KW - Epitopes
KW - Fluorouracil/therapeutic use
KW - Methotrexate/therapeutic use
KW - Neoplasms/metabolism
KW - Adult
KW - Humans
KW - Aged
KW - Female
KW - Middle Aged
KW - Cohort Studies
KW - Immunohistochemistry
KW - Prognosis
KW - Cell Line, Tumor
KW - Neoplasm Metastasis
KW - Centrifugation, Density Gradient
KW - Cell Adhesion
KW - Immunotherapy
KW - Bone Marrow Cells/metabolism
KW - Breast Neoplasms/metabolism
KW - Anthracyclines/therapeutic use
KW - Antigens, Neoplasm/biosynthesis
KW - Cell Adhesion Molecules/biosynthesis
KW - Chemotherapy, Adjuvant
KW - Cyclophosphamide/therapeutic use
KW - Epitopes
KW - Fluorouracil/therapeutic use
KW - Methotrexate/therapeutic use
KW - Neoplasms/metabolism
M3 - SCORING: Journal article
VL - 9
SP - 2598
EP - 2604
JO - CLIN CANCER RES
JF - CLIN CANCER RES
SN - 1078-0432
IS - 7
M1 - 7
ER -