1. Genome-wide copy number analysis of circulating tumor cells in breast cancer patients with liver metastasis
- Author
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Shuya Liu, Mazaher Maghsoudloo, Jia Zhou, Leisheng Zhang, Gang Chen, Linglin Zou, Saber Imani, Marzieh Dehghan Shasaltaneh, Lanyang Gao, and Qinglian Wen
- Subjects
0301 basic medicine ,Oncology ,Adult ,Cancer Research ,medicine.medical_specialty ,DNA Copy Number Variations ,Copy number analysis ,Breast Neoplasms ,Cell Count ,circulating tumor cells ,genome-wide copy number analysis ,Metastasis ,recurrent liver metastases ,03 medical and health sciences ,0302 clinical medicine ,Circulating tumor cell ,Breast cancer ,Internal medicine ,Positron Emission Tomography Computed Tomography ,medicine ,Biomarkers, Tumor ,Humans ,Copy-number variation ,Prospective Studies ,Whole Genome Sequencing ,business.industry ,Liver Neoplasms ,MALBAC ,Cancer ,newly diagnosed liver metastases ,General Medicine ,Articles ,Middle Aged ,medicine.disease ,Neoplastic Cells, Circulating ,Prognosis ,030104 developmental biology ,Liver ,030220 oncology & carcinogenesis ,breast cancer liver metastasis ,Histopathology ,Female ,Neoplasm Recurrence, Local ,Single-Cell Analysis ,business - Abstract
The genome‑wide copy number analysis of circulating tumor cells (CTCs) provides a promising prognostic biomarker for survival in breast cancer liver metastasis (BCLM) patients. The present study aimed to confirm the prognostic value of the presence of CTCs in BCLM patients. We previously developed an assay for the genome‑wide pattern differences in copy number variations (CNVs) as an adjunct test for the routine imaging and histopathologic diagnosis methods to distinguish newly diagnosed liver metastases and recurrent liver metastases. Forty‑three breast cancer patients were selected for this study in which 23 newly diagnosed and 20 recurrent liver metastases were diagnosed by histopathology and 18F‑FDG PET/CT imaging. CTCs were counted from all patients using the CellSearch system and were confirmed by cytomorphology and three‑color immunocytochemistry. Genomic DNA of single CTCs was amplified using multiple annealing and looping based amplification cycles (MALBAC). Then, we compared the CTC numbers of newly diagnosed and recurrent BCLM patients using Illumina platforms. A high CTC frequency (>15 CTCs/7.5 ml blood) was found to be correlated with disease severity and metastatic progression, which suggests the value for CTCs in the diagnosis of BCLM in comparison with pathohistology and PET/CT imaging (P>0.05). Moreover, CTCs isolated from BCLM patients remained an independent prognostic detection factor associated with overall survival (P=0.0041). Comparison between newly diagnosed and recurrent liver metastases revealed different frequencies of CNVs (P>0.05). Notably, the CNV pattern of isolated CTCs of recurrent BCLM patients was similar to recurrent liver metastases (nearly 82% of the gain/loss regions). Functional enrichment analysis identified 25 genes as a CNV signature of BCLM. Among them, were defensin and β‑defensin genes, which are significantly associated with anti‑angiogenesis and immunomodulation signaling pathways. High CTC frequencies are effective in the evaluation and differentiation between newly diagnosed liver metastases from recurrent liver metastases. Future clinical studies will be necessary to fully determine the prognostic potential of CTC cluster signatures in patients with BCLM.
- Published
- 2020