Immunocytochemical Characterization of Disseminated Tumour Cells from Bone Marrow of Breast Cancer Patients

Anticancer Res. 2016 Jun;36(6):3217-22.

Abstract

Background: The occurrence of disseminated tumour cells in bone marrow of patients with breast cancer is linked to a worse prognosis. We present a method for DTC detection from bone marrow samples based on immunocytochemistry, using breast cancer-associated glycosylation molecules as markers for detection and characterization.

Materials and methods: A double immunofluorescence staining of a pan-cytokeratin (CK) marker and either Tn or O-Acetyl-GD3 was carried out in artificial and patient bone marrow samples.

Results: The sample in which most cells stained positive for CK/Tn and CK/O-AC-GD3, was obtained from a patient who certainly had remote metastases. All other bone marrow samples showed heterogenous staining, so no correlation to tumour characteristics could be revealed.

Conclusion: A certain characterization of tumour cells can be achieved by a double staining of bone marrow samples with CK and a glycosylation marker. For future studies, analysis should be extended to a larger patient collective and further examination of more glycosylation markers should be carried out.

Keywords: Breast cancer; bone marrow; glycosylation; immunocytochemistry.

MeSH terms

  • Adult
  • Aged
  • Biomarkers, Tumor / metabolism
  • Bone Marrow / metabolism*
  • Bone Marrow / pathology
  • Breast Neoplasms / blood
  • Breast Neoplasms / metabolism*
  • Breast Neoplasms / pathology
  • Female
  • Fluorescent Antibody Technique / methods
  • Glycosylation
  • Humans
  • Immunohistochemistry / methods*
  • Keratins / metabolism*
  • Middle Aged
  • Neoplastic Cells, Circulating / metabolism*
  • Neoplastic Cells, Circulating / pathology
  • Reproducibility of Results
  • Staining and Labeling / methods

Substances

  • Biomarkers, Tumor
  • Keratins