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局部晚期乳腺癌新辅助化疗期间对8号染色体非整倍体的CD45-/CD31+/DAPI+循环内皮细胞进行动态监测。

Dynamic monitoring of CD45-/CD31+/DAPI+ circulating endothelial cells aneuploid for chromosome 8 during neoadjuvant chemotherapy in locally advanced breast cancer.

作者信息

Ma Ge, Jiang Yi, Liang Mengdi, Li JiaYing, Wang Jingyi, Mao Xinrui, Veeramootoo Jordee Selvamanee, Xia Tiansong, Liu Xiaoan, Wang Shui

机构信息

Department of Breast Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.

The First Clinical Medical College of Nanjing Medical University, Nanjing, China.

出版信息

Ther Adv Med Oncol. 2020 May 18;12:1758835920918470. doi: 10.1177/1758835920918470. eCollection 2020.

DOI:10.1177/1758835920918470
PMID:32489429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7238307/
Abstract

BACKGROUND

Neoadjuvant chemotherapy (NCT) is the standard treatment for patients with locally advanced breast cancer (LABC). The aim of this study was to verify this relationship, and to estimate the clinical value of aneuploid circulating endothelial cells (CECs) in LABC patients with different NCT responses.

METHODS

Breast cancer patients received an EC4-T4 NCT regimen. Peripheral blood mononuclear cells were obtained before NCT, and after the first and last NCT courses. A novel subtraction enrichment and immunostaining fluorescence hybridization (SE-iFISH) strategy was applied for detection of circulating rare cells (CRCs). CECs (CD45-/CD31+/DAPI+) and circulating tumor cells (CTCs) with different cytogenetic abnormalities related to chromosome 8 aneuploidy were analyzed in LABC patients subjected to NCT.

RESULTS

A total of 41 patients were enrolled. Firstly, CD31+/EpCAM+ aneuploid endothelial-epithelial fusion cells were observed in LABC patients. Further, aneuploid CECs in the peripheral blood showed a biphasic response during NCT, as they initially increased and then decreased, whereas a strong positive correlation was observed between aneuploid CECs and CTC numbers.

CONCLUSION

We determined that aneuploid CEC dynamics vary in patients with different response to chemotherapy. Elucidating the potential cross-talk between CTCs and aneuploid CECs may help characterize the process associated with the development of chemotherapy resistance and metastasis.

摘要

背景

新辅助化疗(NCT)是局部晚期乳腺癌(LABC)患者的标准治疗方法。本研究的目的是验证这种关系,并评估非整倍体循环内皮细胞(CECs)在不同NCT反应的LABC患者中的临床价值。

方法

乳腺癌患者接受EC4-T4 NCT方案。在NCT前、第一个和最后一个NCT疗程后采集外周血单个核细胞。采用一种新型减法富集和免疫染色荧光杂交(SE-iFISH)策略检测循环稀有细胞(CRCs)。对接受NCT的LABC患者分析与8号染色体非整倍体相关的具有不同细胞遗传学异常的CECs(CD45-/CD31+/DAPI+)和循环肿瘤细胞(CTCs)。

结果

共纳入41例患者。首先,在LABC患者中观察到CD31+/EpCAM+非整倍体内皮-上皮融合细胞。此外,外周血中的非整倍体CECs在NCT期间呈现双相反应,即最初增加然后减少,而非整倍体CECs与CTCs数量之间存在强正相关。

结论

我们确定不同化疗反应患者的非整倍体CEC动态变化不同。阐明CTCs与非整倍体CECs之间潜在的相互作用可能有助于描述与化疗耐药和转移发展相关的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/4c006dd5908e/10.1177_1758835920918470-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/f6c251c4989e/10.1177_1758835920918470-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/1ec3ce9a9719/10.1177_1758835920918470-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/0d97bb618815/10.1177_1758835920918470-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/7d97b10889fd/10.1177_1758835920918470-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/03fb1df91f8c/10.1177_1758835920918470-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/4c006dd5908e/10.1177_1758835920918470-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/f6c251c4989e/10.1177_1758835920918470-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/1ec3ce9a9719/10.1177_1758835920918470-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/0d97bb618815/10.1177_1758835920918470-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/7d97b10889fd/10.1177_1758835920918470-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/03fb1df91f8c/10.1177_1758835920918470-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc2/7238307/4c006dd5908e/10.1177_1758835920918470-fig6.jpg

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