Proficiency Testing to Assess Technical Performance for CTC-Processing and Detection Methods in CANCER-ID.

BACKGROUND: Multiple technologies are available for detection of circulating tumor cells (CTCs), but standards to evaluate their technical performance are still lacking. This limits the applicability of CTC analysis in clinic routine. Therefore, in the context of the CANCER-ID consortium, we establi...

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Publicado en:Clinical Chemistry Vol. 67; no. 4; pp. 631 - 642
Autores principales: Neves, Rui P. L., Ammerlaan, Wim, Andree, Kiki C., Bender, Sebastian, Cayrefourcq, Laure, Driemel, Christiane, Koch, Claudia, Luetke-Eversloh, Merlin Verena, Oulhen, Marianne, Rossi, Elisabetta, Alix-Panabières, Catherine, Betsou, Fay, Farace, Françoise, Riethdorf, Sabine, Schlange, Thomas, Wikman, Harriet, Zamarchi, Rita, Pantel, Klaus, Terstappen, Leon W. M. M., Stoecklein, Nikolas H.
Formato: Journal Article
Publicado: Oxford University Press / USA Apr2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2021
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      pub: Oxford University Press / USA
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        10.1093/clinchem/hvaa322
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          Neves, Rui P. L.
          Ammerlaan, Wim
          Andree, Kiki C.
          Bender, Sebastian
          Cayrefourcq, Laure
          Driemel, Christiane
          Koch, Claudia
          Luetke-Eversloh, Merlin Verena
          Oulhen, Marianne
          Rossi, Elisabetta
          Alix-Panabières, Catherine
          Betsou, Fay
          Farace, Françoise
          Riethdorf, Sabine
          Schlange, Thomas
          Wikman, Harriet
          Zamarchi, Rita
          Pantel, Klaus
          Terstappen, Leon W. M. M.
          Stoecklein, Nikolas H.
        affil: Department of General, Visceral and Paediatric Surgery, University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
      sug:
      ab: BACKGROUND: Multiple technologies are available for detection of circulating tumor cells (CTCs), but standards to evaluate their technical performance are still lacking. This limits the applicability of CTC analysis in clinic routine. Therefore, in the context of the CANCER-ID consortium, we established a platform to assess technical validity of CTC detection methods in a European multi-center setting using non-small cell lung cancer (NSCLC) as a model. METHODS: We characterized multiple NSCLC cell lines to define cellular models distinct in their phenotype and molecular characteristics. Standardized tumor-cell-bearing blood samples were prepared at a central laboratory and sent to multiple European laboratories for processing according to standard operating procedures. The data were submitted via an online tool and centrally evaluated. Five CTC-enrichment technologies were tested. RESULTS: We could identify 2 cytokeratin expressing cell lines with distinct levels of EpCAM expression: NCI-H441 (EpCAMhigh, CKpos) and NCI-H1563 (EpCAMlow, CKpos). Both spiked tumor cell lines were detected by all technologies except for the CellSearch system that failed to enrich EpCAMlow NCI-H1563 cells. Mean recovery rates ranged between 49% and 75% for NCI-H411 and 32% and 76% for NCI-H1563 and significant differences were observed between the tested methods. CONCLUSIONS: This multi-national proficiency testing of CTC-enrichment technologies has importance in the establishment of guidelines for clinically applicable (pre)analytical workflows and the definition of minimal performance qualification requirements prior to clinical validation of technologies. It will remain in operation beyond the funding period of CANCER-ID in the context of the European Liquid Biopsy Society (ELBS).
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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