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      Simultaneous Multiparameter Cellular Energy Metabolism Profiling of Small Populations of Cells

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          Abstract

          Functional and genomic heterogeneity of individual cells are central players in a broad spectrum of normal and disease states. Our knowledge about the role of cellular heterogeneity in tissue and organism function remains limited due to analytical challenges one encounters when performing single cell studies in the context of cell-cell interactions. Information based on bulk samples represents ensemble averages over populations of cells, while data generated from isolated single cells do not account for intercellular interactions. We describe a new technology and demonstrate two important advantages over existing technologies: first, it enables multiparameter energy metabolism profiling of small cell populations (<100 cells)—a sample size that is at least an order of magnitude smaller than other, commercially available technologies; second, it can perform simultaneous real-time measurements of oxygen consumption rate (OCR), extracellular acidification rate (ECAR), and mitochondrial membrane potential (MMP)—a capability not offered by any other commercially available technology. Our results revealed substantial diversity in response kinetics of the three analytes in dysplastic human epithelial esophageal cells and suggest the existence of varying cellular energy metabolism profiles and their kinetics among small populations of cells. The technology represents a powerful analytical tool for multiparameter studies of cellular function.

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          Circulating tumor cells (CTC) detection: clinical impact and future directions.

          Recent molecular and clinical studies have shown that invasion may occur very early in tumor development, thus emphasizing the potential importance of specific and sensitive detection of circulating tumor cells (CTC) and circulating tumor microemboli (CTM). The technical challenge in this field consists of finding "rare" tumor cells (just a few CTCs mixed with the approximately 10 million leukocytes and 5 billion erythrocytes in 1ml of blood) and being able to distinguish them from epithelial non-tumor cells and leukocytes. Many recent studies have discussed the clinical impact of detecting CTC/CTM. Although conflicting results have been obtained, these studies suggest the vast potential of CTC/CTM detection in cancer prognosis and follow up. However, the variable technical approaches which were used, as well as the number of millilitres of blood analyzed, the quality of sensitivity and specificity tests, the number of patients versus controls and the data interpretation make it very difficult to draw firm conclusions. A particularly important recent finding is that invasive tumor cells tend to loose their epithelial antigens by the epithelial to mesenchymal transition (EMT) process. Furthermore, it is known that non-tumor epithelial cells can also be present in blood. Thus, it appears that a reliable diagnostic identification of CTC and CTM cannot be based on the expression of epithelial-specific transcripts or antigens. Cytopathological examination of CTC/CTM, sensitively enriched from blood, represents a potentially useful alternative and can now be employed in routine analyses as a specific diagnostic assay, and be tested in large, blind, multicenter clinical trials. This basic approach can be complemented by immunological and molecular studies for further characterization of CTC/CTM and of their malignant potential. This review is aimed at helping oncologists critically evaluate past and future research work in this field. The interest in development and assessment of this noninvasive marker should lead to more effective and better tailored anticancer treatments for individual patients, thus resulting in their improved life expectancy.
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            Regulation of Tumor Growth and Metastasis: The Role of Tumor Microenvironment

            The presence of abnormal cells with malignant potential or neoplastic characteristics is a relatively common phenomenon. The interaction of these abnormal cells with their microenvironment is essential for tumor development, protection from the body’s immune or defence mechanisms, later progression and the development of life-threatening or metastatic disease. The tumor microenvironment is a collective term that includes the tumor’s surrounding and supportive stroma, the different effectors of the immune system, blood platelets, hormones and other humoral factors. A better understanding of the interplay between the tumor cells and its microenvironment can provide efficient tools for cancer management, as well as better prevention, screening and risk assessment protocols.
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              The significance of hematogenous tumor cell clumps in the metastatic process.

              The relationship between the size distribution of vessels in an implanted tumor, the size distribution of tumor cell clumps collected in the venous effluent of the tumor, and the development of pulmonary metastases have been studied. The purpose is to evaluate the importance of clumps and their site of formation in the metastatic process. The results demonstrate a negative exponential character for both the size distribution of effluent tumor clumps and the tumor vessel population. Tumor trauma or massage increases total tumor cells and clumps released into the effluent. Serial amputation demonstrates that tumor cells are continuously being released on a day-by-day basis in vivo. A linear relationship exists between the proportion of vessels with diameters large enough to pass a tumor clump of a given size and the proportion of clumps of that size within the venous effluent. Injection of tumor cells in clumps of 6 to 7 cells produces a significantly greater number of metaststic foci than does a similar number of single tumor cells; larger clumps produce significantly more metastatic foci than do smaller clumps matched for the number of cells. These studies verify the significance of tumor clumps in the metastatic process. It is suggested that tumor cell clumps arise locally within the vascular bed of the tumor.
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                Author and article information

                Contributors
                lkelbaus@asu.edu
                deirdre.meldrum@asu.edu
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                12 March 2018
                12 March 2018
                2018
                : 8
                : 4359
                Affiliations
                ISNI 0000 0001 2151 2636, GRID grid.215654.1, Center for Biosignatures Discovery Automation, , The Biodesign Institute, Arizona State University, 1001 S. McAllister Ave., ; Tempe, AZ 85287 USA
                Article
                22599
                10.1038/s41598-018-22599-w
                5847514
                29531352
                a2991060-b535-4d2a-adf4-e67c05b35ceb
                © The Author(s) 2018

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 3 July 2017
                : 26 February 2018
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