CTC-mRNA (AR-V7) Analysis from Blood Samples-Impact of Blood Collection Tube and Storage Time
Overview
Chemistry
Molecular Biology
Authors
Affiliations
Circulating tumour cells (CTCs) are an emerging resource for monitoring cancer biomarkers. New technologies for CTC isolation and biomarker detection are increasingly sensitive, however, the ideal blood storage conditions to preserve CTC-specific mRNA biomarkers remains undetermined. Here we tested the preservation of tumour cells and CTC-mRNA over time in common anticoagulant ethylene-diamine-tetra-acetic acid (EDTA) and acid citrate dextrose solution B (Citrate) blood tubes compared to preservative-containing blood tubes. Blood samples spiked with prostate cancer cells were processed after 0, 24, 30, and 48 h storage at room temperature. The tumour cell isolation efficiency and the mRNA levels of the prostate cancer biomarkers androgen receptor variant 7 (AR-V7) and total AR, as well as epithelial cell adhesion molecule (EpCAM) were measured. Spiked cells were recovered across all storage tube types and times. Surprisingly, tumour mRNA biomarkers were readily detectable after 48 h storage in EDTA and Citrate tubes, but not in preservative-containing tubes. Notably, AR-V7 expression was detected in prostate cancer patient blood samples after 48 h storage in EDTA tubes at room temperature. This important finding presents opportunities for measuring AR-V7 expression from clinical trial patient samples processed within 48 h-a much more feasible timeframe compared to previous recommendations.
Payne K, Brooks J, Batis N, Khan N, El-Asrag M, Nankivell P Br J Cancer. 2023; 129(10):1590-1598.
PMID: 37735243 PMC: 10645808. DOI: 10.1038/s41416-023-02428-2.
Extrinsic and intrinsic preanalytical variables affecting liquid biopsy in cancer.
Batool S, Hsia T, Beecroft A, Lewis B, Ekanayake E, Rosenfeld Y Cell Rep Med. 2023; 4(10):101196.
PMID: 37725979 PMC: 10591035. DOI: 10.1016/j.xcrm.2023.101196.
Payne K, Brooks J, Taylor G, Batis N, Noyvert B, Pan Y Cancers (Basel). 2021; 13(21).
PMID: 34771681 PMC: 8583049. DOI: 10.3390/cancers13215519.
Khan T, Scott K, Becker T, Lock J, Nimir M, Ma Y Prostate Cancer. 2020; 2020:7938280.
PMID: 32292603 PMC: 7149487. DOI: 10.1155/2020/7938280.
The current status of the clinical utility of liquid biopsies in cancer.
Snow A, Chen D, Lang J Expert Rev Mol Diagn. 2019; 19(11):1031-1041.
PMID: 31482746 PMC: 6981296. DOI: 10.1080/14737159.2019.1664290.