Investigations for a multi-marker RT-PCR to improve sensitivity of disseminated tumor cell detection.

Abstract:

BACKGROUND:In order to develop a multi-marker RT-PCR, which as such may be more sensitive than a single marker assay for the detection of disseminated tumor cells, we evaluated six RT-PCR markers: cytokeratin 20 (CK20), carcinoembryonic antigen (CEA), guanylyl cyclase C (GCC), epidermal growth factor receptor (EGFR), matrilysin (MMP-7) and HeLa metastatic gene (HLM). MATERIALS AND METHODS:The expression was studied in human colon tumor cell lines, in colon cancer tissues, and in blood and/or bone marrow samples of colorectal cancer patients and control subjects. RESULTS:The cell lines showed a differential expression pattern. The expression of all markers was detected in control blood samples with the lowest frequency for CK20 and EGFR. Semiquantitative analysis, which was performed to study threshold setting, demonstrated that GCC expression was elevated in patient compared to control samples. However, the reproducibility was questionable. CONCLUSION:The results presented in this study suggest an enhanced sensitivity for a combination of RT-PCR markers. Due to limited specificity however, the development of a multi-marker RT-PCR by using conventional PCR does not seem feasible. Future studies should focus on the potential of quantitative RT-PCR.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Vlems FA,Diepstra JH,Cornelissen IM,Ligtenberg MJ,Wobbes T,Punt CJ,van Krieken JH,Ruers TJ,van Muijen GN

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

179-86

issue

1A

eissn

0250-7005

issn

1791-7530

journal_volume

23

pub_type

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