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which  possibly  explained  the  variable  response   progression still remains inconclusive. Therefore, further
            rates  to  EGFR  inhibition  in  patients  with  colorectal   analysis and clinical trials are required to achieve clinical
            cancer.   Therefore,  the  information  on  the  molecular   utility of CTC detection in GI cancers.
                 [59]
            status  of  CTCs  might  be  useful  for  stratifi cation  of   Acknowledgments
            molecular-directed therapy.
                                                              This work was supported in part by the following grants
            Future Perspectives                               and  foundations:  Japan  Society  for  the  Promotion  of
            Epithelial-mesenchymal transition                 Science  (JSPS)  Grant-in-Aid  for  Scientifi c  Research;
                                                              Grant Numbers: 23791550.
            There  are  two  main  approaches  in  the  detection  of
            CTCs,  that  is,  immunological  assays  using  monoclonal   Financial support and sponsorship
            antibodies  and  PCR-based  molecular  assays,  exploiting   This work was supported in part by the following grants
            tissue-specifi c   transcripts.    Immunocytochemical   and  foundations:  Japan  Society  for  the  Promotion  of
                                    [60]
            detection  of  epithelial  or  tumor-associated  antigens  is   Science  (JSPS)  Grant-in-Aid  for  Scientifi c  Research;
                         [61]
            widely accepted.  Recent studies have shown that EMT   Grant Numbers 23791550.
            plays a critical role in cancer progression and metastasis
                                                     [62]
            in epithelial malignancies including gastric cancer.  Our   Confl icts of interest
            previous study implied that vimentin-positive tumor cells   There are no confl icts of interest.
            were able to survive in the peripheral circulation and in
            the bone marrow and that vimentin-positive cancer cells   References
            that  invade  intratumoral  vessels  must  have  undergone   1.   Engell  HC.  Cancer  cells  in  the  circulating  blood;  a  clinical
            mesenchymal transition. We assume that not all detected   study on the occurrence of cancer cells in the peripheral blood
            CTCs but rather only a few, which have undergone EMT   and  in  venous  blood  draining  the  tumour  area  at  operation.
            could give rise to tumor metastasis or recurrence.  Most   Ugeskr Laeger 1955;117:822-3.
                                                    [17]
                            [63]
            recently,  Wu  et al.   reported  that  mesenchymal  CTCs   2.   Cohen  SJ,  Punt  CJ,  Iannotti  N,  Saidman  BH,  Sabbath  KD,
            classifi ed  using  EMT  markers  were  more  commonly   Gabrail  NY,  Picus  J,  Morse  M,  Mitchell  E,  Miller  MC,
            found  in  patients  in  metastatic  stages  of  the  disease  in   Doyle  GV,  Tissing  H,  Terstappen  LW,  Meropol  NJ.
                                                                  Relationship  of  circulating  tumor  cells  to  tumor  response,
            different types of human cancers. Therefore, it is possible   progression-free survival, and overall survival in patients with
            that  conventional  detection  system  using  epithelial   metastatic colorectal cancer. J Clin Oncol 2008;26:3213-21.
            markers fail to detect that population of CTCs.   3.   Krebs  MG,  Sloane  R,  Priest  L,  Lancashire  L,  Hou  JM,
                                                                  Greystoke A, Ward TH,  Ferraldeschi  R,  Hughes A,  Clack  G,
            Cancer stem cell                                      Ranson  M,  Dive  C,  Blackhall  FH.  Evaluation  and  prognostic
            Furthermore, the concept of rare subpopulations of cancer   signifi cance  of  circulating  tumor  cells  in  patients  with
            stem  cells  (CSCs)  has  created  a  novel  focus  in  cancer   non-small-cell lung cancer. J Clin Oncol 2011;29:1556-63.
            research  but  arises  a  question  whether  CTCs  have  CSC   4.   Scher  HI,  Jia  X,  de  Bono  JS,  Fleisher  M,  Pienta  KJ,
                                                                  Raghavan  D,  Heller  G.  Circulating  tumour  cells  as  prognostic
            property.  It  is  expected  that  CTC  with  CSC  property   markers  in  progressive,  castration-resistant  prostate  cancer:
            may  be  disseminated  from  the  primary  tumor  lesion  to  a   a reanalysis of IMMC38 trial data. Lancet Oncol 2009;10:233-9.
            distant metastatic site. This hypothesis is supported by the   5.   Zhang  L,  Riethdorf  S,  Wu  G,  Wang  T,  Yang  K,  Peng  G,
            similarities between the properties of CTCs and CSC and   Liu  J,  Pantel  K.  Meta-analysis  of  the  prognostic  value  of
            suggests that the founder cells of metastases arise from the   circulating  tumor  cells  in  breast  cancer.  Clin Cancer Res
            CTC population. It has been reported that stem cell markers   2012;18:5701-10.
            are frequently overexpressed in the CTCs of patients with   6.   Weitz J, Kienle P, Lacroix J, Willeke F, Benner A, Lehnert T,
                                                                  Herfarth C, von Knebel Doeberitz M. Dissemination of tumor
            metastatic  breast  cancer,  and  the  most  CTCs  have  stem   cells in patients undergoing surgery for colorectal cancer. Clin
            cell  phenotypes  that  are  non-proliferating  and  resistant   Cancer Res 1998;4:343-8.
            to  chemotherapy.  For  example,  Iinuma  et al.   revealed   7.   Rosenberg  R,  Gertler  R,  Friederichs  J,  Fuehrer  K,  Dahm  M,
                                                 [64]
            that  multi  genetic  markers  of  CSC,  CEA/CK/CD133   Phelps  R,  Thorban  S,  Nekarda  H,  Siewert  JR.  Comparison
            in  peripheral  blood  samples  could  be  a  useful  predictor   of  two  density  gradient  centrifugation  systems  for  the
            for  recurrence  and  prognosis.  Pilati  et al.   reported   enrichment  of  disseminated  tumor  cells  in  blood.  Cytometry
                                                 [65]
            that  CD133-positive  CTCs  might  represent  a  suitable   8.   2002;49:150-8.
                                                                  Tan  SJ,  Yobas  L,  Lee  GY,  Ong  CN,  Lim  CT.  Microdevice
            prognostic  marker  to  stratify  the  risk  of  patients  who   for the  isolation and  enumeration  of cancer cells from blood.
            undergo liver resection for CRC metastasis.           Biomed Microdevices 2009;11:883-92.
                                                              9.   Vona G, Sabile A, Louha M, Sitruk V, Romana S, Schutze K,
            Conclusion                                            Capron  F,  Franco  D,  Pazzagli  M,  Vekemans  M,  Lacour  B,
                                                                  Brechot  C,  Paterlini-Brechot  P.  Isolation  by  size  of  epithelial
            An  increasing  number  of  studies  have  shown  that  CTC   tumor cells: a new method for the immunomorphological and
            is  associated  with  GI  cancer  progression,  metastasis   molecular  characterization  of  circulatingtumor  cells.  Am J
            and  resistance  to  pharmacotherapy.  However,  the   Pathol 2000;156:57-63.
            clinical  evidence  supporting  the  role  of  CTC  in  cancer   10.  Gertler  R,  Rosenberg  R,  Fuehrer  K,  Dahm  M,  Nekarda  H,

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