Detection of VAR2CSA‐captured colorectal cancer cells from blood samples by real‐time reverse transcription PCR
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Detection of VAR2CSA‐captured colorectal cancer cells from blood samples by real‐time reverse transcription PCR. / Bang‐christensen, Sara R.; Katerov, Viatcheslav; Jørgensen, Amalie M.; Gustavsson, Tobias; Choudhary, Swati; Theander, Thor G.; Salanti, Ali; Allawi, Hatim T.; Agerbæk, Mette.
In: Cancers, Vol. 13, No. 23, 5881, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Detection of VAR2CSA‐captured colorectal cancer cells from blood samples by real‐time reverse transcription PCR
AU - Bang‐christensen, Sara R.
AU - Katerov, Viatcheslav
AU - Jørgensen, Amalie M.
AU - Gustavsson, Tobias
AU - Choudhary, Swati
AU - Theander, Thor G.
AU - Salanti, Ali
AU - Allawi, Hatim T.
AU - Agerbæk, Mette
N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021
Y1 - 2021
N2 - Analysis of circulating tumor cells (CTCs) from blood samples provides a non‐invasive approach for early cancer detection. However, the rarity of CTCs makes it challenging to establish assays with the required sensitivity and specificity. We combine a highly sensitive CTC capture assay exploiting the cancer cell binding recombinant malaria VAR2CSA protein (rVAR2) with the detection of colon‐related mRNA transcripts (USH1C and CKMT1A). Cancer cell transcripts are detected by RT‐qPCR using proprietary Target Enrichment Long‐probe Quantitative Amplified Signal (TELQAS) technology. We validate each step of the workflow using colorectal cancer (CRC) cell lines spiked into blood and compare this with antibody‐based cell detection. USH1C and CKMT1A are expressed in healthy colon tissue and CRC cell lines, while only low‐level expression can be detected in healthy white blood cells (WBCs). The qPCR reaction shows a near‐perfect amplification efficiency for all primer targets with minimal interference of WBC cDNA. Spike‐in of 10 cancer cells in 3 mL blood can be detected and statistically separated from control blood using the RT‐qPCR assay after rVAR2 capture (p < 0.01 for both primer targets, Mann‐Whitney test). Our results provide a validated workflow for highly sensitive detection of magnetically enriched cancer cells.
AB - Analysis of circulating tumor cells (CTCs) from blood samples provides a non‐invasive approach for early cancer detection. However, the rarity of CTCs makes it challenging to establish assays with the required sensitivity and specificity. We combine a highly sensitive CTC capture assay exploiting the cancer cell binding recombinant malaria VAR2CSA protein (rVAR2) with the detection of colon‐related mRNA transcripts (USH1C and CKMT1A). Cancer cell transcripts are detected by RT‐qPCR using proprietary Target Enrichment Long‐probe Quantitative Amplified Signal (TELQAS) technology. We validate each step of the workflow using colorectal cancer (CRC) cell lines spiked into blood and compare this with antibody‐based cell detection. USH1C and CKMT1A are expressed in healthy colon tissue and CRC cell lines, while only low‐level expression can be detected in healthy white blood cells (WBCs). The qPCR reaction shows a near‐perfect amplification efficiency for all primer targets with minimal interference of WBC cDNA. Spike‐in of 10 cancer cells in 3 mL blood can be detected and statistically separated from control blood using the RT‐qPCR assay after rVAR2 capture (p < 0.01 for both primer targets, Mann‐Whitney test). Our results provide a validated workflow for highly sensitive detection of magnetically enriched cancer cells.
KW - Cancer
KW - Circulating tumor cells (CTCs)
KW - Detection strategies
KW - Diagnostics
KW - Polymerase chain reaction (PCR)
KW - Rare cell detection
KW - RVAR2
U2 - 10.3390/cancers13235881
DO - 10.3390/cancers13235881
M3 - Journal article
C2 - 34884994
AN - SCOPUS:85119608746
VL - 13
JO - Cancers
JF - Cancers
SN - 2072-6694
IS - 23
M1 - 5881
ER -
ID: 285797628