Skip to main content

Breast Circulating Tumour Cells and Breast Cancer Stem Cells

  • Chapter
Breast Cancer Stem Cells & Therapy Resistance

Part of the book series: SpringerBriefs in Stem Cells ((BRIEFSSTEM))

  • 789 Accesses

Abstract

Some recent studies showed that breast cancer patient’s peripheral blood contained a small population of breast cancer cells that circulates in the blood system. These cells were considered as origins of metastasis. They closely related to breast CSCs. Some hypothesis demonstrated that circulating tumour cells (CTCs) could be breast CSCs that escaped from the tumours and circulated in the blood. However, they changed the phenotype during invasion process, so-called epithelial–mesenchymal transition (EMT). This chapter would discuss the origin of CTCs as well as a mechanism of MET and EMT. Breast CTCs and breast CSCs share a lot of similarities; however, to date there is not enough evidence to confirm whether or not breast CTCs are in fact breast CSCs. No evidence regarding the origin of both breast CTCs and breast CSCs in breast cancer patients exists and, according to the published findings discussed in this chapter, breast CTCs and breast CSCs maybe two forms of one kind of breast cancer cell. In certain environments, breast cancer cells exhibit the breast CSC phenotype while in other environments they exhibit the breast CTC phenotype.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aktas, B., Tewes, M., Fehm, T., Hauch, S., Kimmig, R., & Kasimir-Bauer, S. (2009). Stem cell and epithelial-mesenchymal transition markers are frequently overexpressed in circulating tumor cells of metastatic breast cancer patients. Breast Cancer Research, 11(4), R46.

    Article  PubMed Central  PubMed  Google Scholar 

  • Armstrong, A. J., Marengo, M. S., Oltean, S., Kemeny, G., Bitting, R. L., Turnbull, J. D., … Garcia-Blanco, M. A. (2011). Circulating tumor cells from patients with advanced prostate and breast cancer display both epithelial and mesenchymal markers. Molecular Cancer Research: MCR 9, 997–1007.

    Google Scholar 

  • Asworth. (1869). A case of cancer in which cells similar to those in tumors were seen in the blood after death. Australian Medical Journal, (14), 146–149.

    Google Scholar 

  • Balic, M., Lin, H., Young, L., Hawes, D., Giuliano, A., McNamara, G., … Cote, R. J. (2006). Most early disseminated cancer cells detected in bone marrow of breast cancer patients have a putative breast cancer stem cell phenotype. Clinical Cancer Research, 12(19), 5615–5621.

    Google Scholar 

  • Barriere, G., Riouallon, A., Renaudie, J., Tartary, M., & Rigaud, M. (2012). Mesenchymal and stemness circulating tumor cells in early breast cancer diagnosis. BMC Cancer, 12, 114.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Cristofanilli, M., Budd, G. T., Ellis, M. J., Stopeck, A., Matera, J., Miller, M. C., … Hayes, D. F. (2004). Circulating tumor cells, disease progression, and survival in metastatic breast cancer. New England Journal of Medicine, 351(8), 781–791.

    Google Scholar 

  • Cristofanilli, M., Hayes, D. F., Budd, G. T., Ellis, M. J., Stopeck, A., Reuben, J. M., … Terstappen, L. W. (2005). Circulating tumor cells: A novel prognostic factor for newly diagnosed metastatic breast cancer. Journal of Clinical Oncology, 23(7), 1420–1430.

    Google Scholar 

  • Daskalaki, A., Agelaki, S., Perraki, M., Apostolaki, S., Xenidis, N., Stathopoulos, E., … Georgoulias, V. (2009). Detection of cytokeratin-19 mRNA-positive cells in the peripheral blood and bone marrow of patients with operable breast cancer. British Journal of Cancer, 101(4), 589–597.

    Google Scholar 

  • Dawood, S., Broglio, K., Valero, V., Reuben, J., Handy, B., Islam, R., … Cristofanilli, M. (2008). Circulating tumor cells in metastatic breast cancer: From prognostic stratification to modification of the staging system? Cancer, 113(9), 2422–2430.

    Google Scholar 

  • De Giorgi, U., Valero, V., Rohren, E., Mego, M., Doyle, G. V., Miller, M. C., … Cristofanilli, M. (2010). Circulating tumor cells and bone metastases as detected by FDG-PET/CT in patients with metastatic breast cancer. Annals of Oncology, 21(1), 33–39.

    Google Scholar 

  • Deng, G., Herrler, M., Burgess, D., Manna, E., Krag, D., & Burke, J. F. (2008). Enrichment with anti-cytokeratin alone or combined with anti-EpCAM antibodies significantly increases the sensitivity for circulating tumor cell detection in metastatic breast cancer patients. Breast Cancer Research, 10(4), R69.

    Article  PubMed Central  PubMed  Google Scholar 

  • Farace, F., Massard, C., Vimond, N., Drusch, F., Jacques, N., Billiot, F., … Vielh, P. (2011). A direct comparison of Cell Search and ISET for circulating tumour-cell detection in patients with metastatic carcinomas. British Journal of Cancer, 105(6), 847–853

    Google Scholar 

  • Fehm, T., Becker, S., Duerr-Stoerzer, S., Sotlar, K., Mueller, V., Wallwiener, D., … Uhr, J. (2007). Determination of HER2 status using both serum HER2 levels and circulating tumor cells in patients with recurrent breast cancer whose pri- mary tumor was HER2 negative or of unknown HER2 status. Breast Cancer Research 9(5), R74.

    Google Scholar 

  • Fehm, T., Braun, S., Muller, V., Janni, W., Gebauer, G., Marth, C., … Solomayer, E. (2006). A concept for the standardized detection of disseminated tumor cells in bone marrow from patients with primary breast cancer and its clinical implementation. Cancer, 107(5), 885–892.

    Google Scholar 

  • Fehm, T., Hoffmann, O., Aktas, B., Becker, S., Solomayer, E. F., Wallwiener, D., … Kasimir-Bauer, S. (2009). Detection and characterization of circulating tumor cells in blood of primary breast cancer patients by RT-PCR and comparison to status of bone marrow disseminated cells. Breast Cancer Research, 11(4), R59.

    Google Scholar 

  • Fehm, T., Sagalowsky, A., Clifford, E., Beitsch, P., Saboorian, H., Euhus, D., … Uhr, J. (2002). Cytogenetic evidence that circulating epithelial cells in patients with carcinoma are malignant. Clinical Cancer Research, 8(7), 2073–2084.

    Google Scholar 

  • Flores, L. M., Kindelberger, D. W., Ligon, A. H., Capelletti, M., Fiorentino, M., Loda, M., … Krop, I. E. (2010). Improving the yield of circulating tumour cells facilitates molecular characterisation and recognition of discordant HER2 amplification in breast cancer. British Journal of Cancer, 102(10), 1495–1502.

    Google Scholar 

  • Giordano, A., Gao, H., Anfossi, S., Cohen, E., Mego, M., Lee, B. N., … Reuben, J. M. (2012). Epithelial-mesenchymal transition and stem cell markers in patients with HER2-positive metastatic breast cancer. Molecular Cancer Therapeutics, 11(11), 2526–2534.

    Google Scholar 

  • Hartkopf, A. D., Banys, M., & Fehm, T. (2012). HER2-positive DTCs/ CTCs in breast cancer. Recent Results in Cancer Research, 195, 203–215.

    Google Scholar 

  • Hayes, D. F., Cristofanilli, M., Budd, G. T., Ellis, M. J., Stopeck, A., Miller, M. C., … Terstappen, L. W. (2006). Circulating tumor cells at each follow-up time point during therapy of metastatic breast cancer patients predict progression-free and overall survival. Clinical Cancer Research, 12(14 Pt 1), 4218–4224.

    Google Scholar 

  • Ignatiadis, M., Rothe, F., Chaboteaux, C., Durbecq, V., Rouas, G., Criscitiello, C., … Sotiriou, C. (2011). HER2-positive circulating tumor cells in breast cancer. PLoS ONE 6(1), e15624.

    Google Scholar 

  • Kallergi, G., Papadaki, M. A., Politaki, E., Mavroudis, D., Georgoulias, V., & Agelaki, S. (2011). Epithelial to mesenchymal transition markers expressed in circulating tumour cells of early and metastatic breast cancer patients. Breast Cancer Research: BCR, 13, R59.

    Google Scholar 

  • Kasimir-Bauer, S., Hoffmann, O., Wallwiener, D., Kimmig, R., & Fehm, T. (2012). Expression of stem cell and epithelial-mesenchymal transition markers in primary breast cancer patients with circulating tumor cells. Breast Cancer Research, 14(1), R15.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Lankiewicz, S., Rivero, B. G., & Bocher, O. (2006). Quantitative real-time RT-PCR of disseminated tumor cells in combination with immunomagnetic cell enrichment. Molecular Biotechnology, 34(1), 15–27.

    Article  CAS  PubMed  Google Scholar 

  • Lowes, L. E., Hedley, B. D., Keeney, M., & Allan, A. L. (2012). User-defined protein marker assay development for characterization of circulating tumor cells using the Cell Search(R) system. Cytometry, A81(11), 983–995.

    Article  Google Scholar 

  • Mego, M., Gao, H., Lee, B. N., Cohen, E. N., Tin, S., Giordano, A., … Reuben, J. M. (2012). Prognostic value of EMT-circulating tumor cells in metastatic breast cancer patients undergoing high-dose chemotherapy with autologous hematopoietic stem cell transplantation. Journal of Cancer, 3, 369–380.

    Google Scholar 

  • Meng S, Tripathy D, Shete S, Ashfaq R, Haley B, Perkins S., … Uhr, J. (2004). HER-2 gene amplification can be acquired as breast cancer progresses. Proceedings of the National Academy of Sciences of the United States of America 101(25), 9393–9398.

    Google Scholar 

  • Nagrath, S., Sequist, L. V., Maheswaran, S., Bell, D. W., Irimia, D., Ulkus, L., … Toner, M. (2007). Isolation of rare circulating tumour cells in cancer patients by microchip technology. Nature, 450(7173), 1235–1239.

    Google Scholar 

  • Osta, W. A., Chen, Y., Mikhitarian, K., Mitas, M., Salem, M., Hannun, Y. A., … Gillanders, W. E. (2004). EpCAM is overexpressed in breast cancer and is a potential target for breast cancer gene therapy. Cancer Research, 64(16), 5818–5824.

    Google Scholar 

  • Pecot, C. V., Bischoff, F. Z., Mayer, J. A., Wong, K. L., Pham, T., Bottsford-Miller, J., … Sood, A. K. (2011). A novel platform for detection of CK+ and CK- CTCs. Cancer Discovery, 1(7), 580–586.

    Google Scholar 

  • Pierga, J. Y., Hajage, D., Bachelot, T., Delaloge, S., Brain, E., Campone, M., … Bidard, F. C. (2012). High independent prognostic and predictive value of circulating tumor cells compared with serum tumor markers in a large prospective trial in first-line chemotherapy for metastatic breast cancer patients. Annals of Oncology, 23(3), 618–624.

    Google Scholar 

  • Punnoose, E. A., Atwal, S. K., Spoerke, J. M., Savage, H., Pandita, A., Yeh, R. F., … Lackner, M. R. (2010). Molecular biomarker analyses using circulating tumor cells. PloS One 5, e12517.

    Google Scholar 

  • Raimondi, C., Gradilone, A., Naso, G., Vincenzi, B., Petracca, A., Nicolazzo, C., … Gazzaniga, P. (2011). Epithelial-mesenchymal transition and stemness features in circulating tumor cells from breast cancer patients. Breast Cancer Research and Treatment, 130(2), 449–455.

    Google Scholar 

  • Reuben, J. M., Lee, B. N., Gao, H., Cohen, E. N., Mego, M., Giordano, A., … Woodward, W. A. (2011). Primary breast cancer patients with high risk clinicopathologic features have high percentages of bone marrow epithelial cells with ALDH activity and CD44(+)CD24lo cancer stem cell phenotype. European Journal of Cancer, 47(10), 1527–1536.

    Google Scholar 

  • Reuben, J. M., Lee, B. N., Li, C., Gao, H., Broglio, K. R., Valero, V., … Cristofanilli, M. (2010). Circulating tumor cells and biomarkers: Implications for personalized targeted treatments for metastatic breast cancer. Breast Journal, 16(3), 327–330.

    Google Scholar 

  • Riethdorf, S., Fritsche, H., Muller, V., Rau, T., Schindlbeck, C., Rack, B., … Pantel, K. (2007). Detection of circulating tumor cells in peripheral blood of patients with metastatic breast cancer: A validation study of the cell search system. Clinical Cancer Research 13(3), 920–928.

    Google Scholar 

  • Shipitsin, M., Campbell, L. L., Argani, P., Weremowicz, S., Bloushtain-Qimron, N., Yao, J., … Polyak, K. (2007). Molecular definition of breast tumor heterogeneity. Cancer Cell, 11(3), 259–273.

    Google Scholar 

  • Sieuwerts, A. M., Kraan, J., Bolt-de Vries, J., van der Spoel, P., Mostert, B., Martens, J. W., … Foekens, J. A. (2009). Molecular characterization of circulating tumor cells in large quantities of contaminating leukocytes by a multiplex real-time PCR. Breast Cancer Research and Treatment, 118(3), 455–468.

    Google Scholar 

  • Stathopoulou, A., Vlachonikolis, I., Mavroudis, D., Perraki, M., Kouroussis, C., Apostolaki, S., … Georgoulias, V. (2002). Molecular detection of cytokeratin-19-positive cells in the peripheral blood of patients with operable breast cancer: Evaluation of their prognostic significance. Journal of Clinical Oncology, 20(16), 3404–3412.

    Google Scholar 

  • Stott, S. L., Hsu, C. H., Tsukrov, D. I., Yu, M., Miyamoto, D. T., Waltman, B. A., … Toner, M. (2010). Isolation of circulating tumor cells using a microvortex-generating herringbone-chip. Proceedings of National Academy of Sciences of the United States of America, 107(43), 18392–18397.

    Google Scholar 

  • Tewes, M., Aktas, B., Welt, A., Mueller, S., Hauch, S., Kimmig, R., & Kasimir-Bauer, S. (2009). Molecular profiling and predictive value of circulating tumor cells in patients with metastatic breast can- cer: An option for monitoring response to breast cancer related therapies. Breast Cancer Research and Treatment 115(3), 581–590.

    Google Scholar 

  • Theodoropoulos, P. A., Polioudaki, H., Agelaki, S., Kallergi, G., Saridaki, Z., Mavroudis, D., & Georgoulias, V. (2010). Circulating tumor cells with a putative stem cell phenotype in peripheral blood of patients with breast cancer. Cancer Letters, 288(1), 99–106.

    Google Scholar 

  • Toloudi, M., Apostolou, P., Chatziioannou, M., & Papasotiriou, I. (2011). Correlation between cancer stem cells and circulating tumor cells and their value. Case Reports in Oncology, 4(1), 44–54.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wang, J., Cao, M. G., You, C. Z., Wang, C. L., Liu, S. L., Kai, C., & Dou, J. (2012). A preliminary investigation of the relationship between circulating tumor cells and cancer stem cells in patients with breast cancer. Cellular and Molecular Biology (Noisy-le-grand), 58 Suppl, Ol1641–Ol1645.

    Google Scholar 

  • Weissenstein, U., Schumann, A., Reif, M., Link, S., Toffol-Schmidt, U. D., & Heusser, P. (2012). Detection of circulating tumor cells in blood of metastatic breast cancer patients using a combination of cytokeratin and EpCAM antibodies. BMC Cancer, 12, 206.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Xenidis, N., Ignatiadis, M., Apostolaki, S., Perraki, M., Kalbakis, K., Agelaki, S., … Mavroudis, D. (2009). Cytokeratin-19 mRNA-positive circulating tumor cells after adjuvant chemotherapy in patients with early breast cancer. Journal of Clinical Oncology, 27(13), 2177–2184.

    Google Scholar 

  • Xenidis, N., Vlachonikolis, I., Mavroudis, D., Perraki, M., Stathopoulou, A., Malamos, N., …, Georgoulias, V. (2003). Peripheral blood circulating cytokeratin-19 mRNA-positive cells after the completion of adjuvant chemotherapy in patients with operable breast cancer. Annals of Oncology, 14(6), 849–855.

    Google Scholar 

  • Yu, M., Bardia, A., Wittner, B. S., Stott, S. L., Smas, M. E., Ting, D. T., … Maheswaran, S. (2013). Circulating breast tumor cells exhibit dynamic changes in epithelial and mesenchymal composition. Science, 339(6119), 580–584.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2015 The author(s)

About this chapter

Cite this chapter

Van Pham, P. (2015). Breast Circulating Tumour Cells and Breast Cancer Stem Cells. In: Breast Cancer Stem Cells & Therapy Resistance. SpringerBriefs in Stem Cells. Springer, Cham. https://doi.org/10.1007/978-3-319-22020-8_7

Download citation

Publish with us

Policies and ethics