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Table 1 Technologies for circulating tumor cell detection in breast cancer

From: Minimal residual disease and circulating tumor cells in breast cancer

System

Enrichment

Detection

FDA approval

Reference

CellSearch®

EpCAM-coated ferrofluids

CK8, 18, 19+/DAPI+/CD45-

Yesa

[10–12]

CTC-chip®

Microfluidics. EpCAM-coated microposts

CK+/CD45-/DAPI+

No

[29, 34]

The CTChip®

Microfluidics. Enrichment based on physical properties

CK+

No

[31]

Magsweeper®

EpCAM+ enrichment

Gene expression profiling

No

[6]

EPISPOT assay®

Depletion of CD45+ cells

CK19, MUC1

No

[35]

MAINTRAC®

RBC lysis

EpCAM+/CD45-

No

[16]

Ariol®

RBC lysis, CK+, EpCAM+ enrichment

CK8, 18, 19+/DAPI+/CD45-

No

[19]

Fiber-optic array scanning technology (FAST)

No

CK+

No

[20]

Collagen adhesion matrix (CAM) assay

Invasion and digestion of cell adhesion

EpCAM+, panCK+/CD45-

No

[36]

AdnaTest®

MUC1+ and EpCAM+ enrichment

HER2, MUC1 and EpCAM

No

[28]

Single gene or multi-marker RT-PCR assays

Ficoll or EpCAM+ enrichment or depletion of CD45+ cells

CK19, MGB1, HER2, MUC1 mRNA

No

[22–27]

Multiparameter flow cytometry

Ficoll enrichment

EpCAM+/CK8, 18, 19+/CD45-

No

[15]

  1. CK, cytokeratin; EpCAM, epithelial cell adhesion molecule; FDA, Food and Drug Administration; HER, human epidermal growth factor receptor; MGB1, mammaglobin-A; MUC1, mucin 1; RBC, red blood cell. aApproval as an aid in monitoring patients with metastatic breast, colorectal and prostate cance