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转移性黑色素瘤患者循环肿瘤细胞的微流控表征与分析

Microfluidic Characterization and Analysis of Circulating Tumor Cells From Patients With Metastatic Melanoma.

作者信息

Mannino Matthew C, Zhao Shuang G, Gibbs Benjamin K, Schehr Jennifer L, Fernandez Isabella G, Eyzaguirre Diego A, Hintz Alyssa M, Davis Stephanie J, Vatani Manushi N, Caceres Jacob C, Birbrair Alexander, Lang Joshua M, Ma Vincent T

机构信息

University of Wisconsin-Madison, Madison, Wisconsin, USA.

Department of Human Oncology, University of Wisconsin-Madison, Madison, Wisconsin, USA.

出版信息

Pigment Cell Melanoma Res. 2025 Jul;38(4):e70030. doi: 10.1111/pcmr.70030.

Abstract

Circulating tumor cells (CTCs) can provide non-invasive insight into how a cancer patient responds to therapy. Their role in disease monitoring of advanced melanoma patients treated with immune checkpoint inhibitors (ICI) is unknown. CTC protein expression of human leukocyte antigen class-I (HLA I) and programmed death ligand-1 (PD-L1) may give insight into how a patient's disease evolves over the course of treatment. In our study, we utilize microfluidic Exclusion-based Sample Preparation (ESP) technology to isolate and characterize CTCs from patients with advanced-stage melanoma. CTC samples from melanoma patients are collected, captured, and stained. A range of 2 to 35 CTCs is observed in a cohort of 16 samples from 10 advanced-stage melanoma patients treated with ICI therapy. Single-cell protein expression data is generated from image cytometry analysis and used to calculate mean HLA I and PD-L1 expression. Using our ESP capture approach, we successfully detect phenotypic and numerical heterogeneity in CTCs from melanoma patients. Our assay shows sufficient capture sensitivity and promising prognostic and predictive information, as we illustrate in our case example. A greater clinical sample size will be necessary to confirm the diagnostic sensitivity and specificity of the assay in predicting clinical outcomes for patients with advanced-stage melanoma.

摘要

循环肿瘤细胞(CTCs)能够为了解癌症患者对治疗的反应提供非侵入性的见解。它们在接受免疫检查点抑制剂(ICI)治疗的晚期黑色素瘤患者的疾病监测中的作用尚不清楚。人类白细胞抗原I类(HLA I)和程序性死亡配体1(PD-L1)的循环肿瘤细胞蛋白表达可能有助于了解患者疾病在治疗过程中的演变情况。在我们的研究中,我们利用基于微流控排除的样本制备(ESP)技术从晚期黑色素瘤患者中分离并表征循环肿瘤细胞。收集、捕获并染色来自黑色素瘤患者的循环肿瘤细胞样本。在接受ICI治疗的10例晚期黑色素瘤患者的16个样本队列中,观察到2至35个循环肿瘤细胞。通过图像细胞术分析生成单细胞蛋白表达数据,并用于计算HLA I和PD-L1的平均表达。使用我们的ESP捕获方法,我们成功检测到黑色素瘤患者循环肿瘤细胞中的表型和数量异质性。正如我们在病例示例中所展示的,我们的检测显示出足够的捕获灵敏度以及有前景的预后和预测信息。需要更大的临床样本量来确认该检测在预测晚期黑色素瘤患者临床结果方面的诊断敏感性和特异性。

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