Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design

Designing optimal (neo)adjuvant therapy is a crucial aspect of the treatment of non-small-cell lung carcinoma (NSCLC). Standard methods of chemotherapy, radiotherapy, and immunotherapy represent effective strategies for treatment. However, in some cases with high metastatic activity and high levels...

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Autores principales: Zdeněk Kejík, Robert Kaplánek, Petr Dytrych, Michal Masařík, Kateřina Veselá, Nikita Abramenko, David Hoskovec, Martina Vašáková, Jarmila Králová, Pavel Martásek, Milan Jakubek
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/a9212fe2fd9443cd854b6088bd96b44c
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spelling oai:doaj.org-article:a9212fe2fd9443cd854b6088bd96b44c2021-11-25T18:41:24ZCirculating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design10.3390/pharmaceutics131118791999-4923https://doaj.org/article/a9212fe2fd9443cd854b6088bd96b44c2021-11-01T00:00:00Zhttps://www.mdpi.com/1999-4923/13/11/1879https://doaj.org/toc/1999-4923Designing optimal (neo)adjuvant therapy is a crucial aspect of the treatment of non-small-cell lung carcinoma (NSCLC). Standard methods of chemotherapy, radiotherapy, and immunotherapy represent effective strategies for treatment. However, in some cases with high metastatic activity and high levels of circulating tumour cells (CTCs), the efficacy of standard treatment methods is insufficient and results in treatment failure and reduced patient survival. CTCs are seen not only as an isolated phenomenon but also a key inherent part of the formation of metastasis and a key factor in cancer death. This review discusses the impact of NSCLC therapy strategies based on a meta-analysis of clinical studies. In addition, possible therapeutic strategies for repression when standard methods fail, such as the administration of low-toxicity natural anticancer agents targeting these phenomena (curcumin and flavonoids), are also discussed. These strategies are presented in the context of key mechanisms of tumour biology with a strong influence on CTC spread and metastasis (mechanisms related to tumour-associated and -infiltrating cells, epithelial–mesenchymal transition, and migration of cancer cells).Zdeněk KejíkRobert KaplánekPetr DytrychMichal MasaříkKateřina VeseláNikita AbramenkoDavid HoskovecMartina VašákováJarmila KrálováPavel MartásekMilan JakubekMDPI AGarticleCTCsNSCLCsmetastasis suppressioncurcuminflavonoidsPharmacy and materia medicaRS1-441ENPharmaceutics, Vol 13, Iss 1879, p 1879 (2021)
institution DOAJ
collection DOAJ
language EN
topic CTCs
NSCLCs
metastasis suppression
curcumin
flavonoids
Pharmacy and materia medica
RS1-441
spellingShingle CTCs
NSCLCs
metastasis suppression
curcumin
flavonoids
Pharmacy and materia medica
RS1-441
Zdeněk Kejík
Robert Kaplánek
Petr Dytrych
Michal Masařík
Kateřina Veselá
Nikita Abramenko
David Hoskovec
Martina Vašáková
Jarmila Králová
Pavel Martásek
Milan Jakubek
Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design
description Designing optimal (neo)adjuvant therapy is a crucial aspect of the treatment of non-small-cell lung carcinoma (NSCLC). Standard methods of chemotherapy, radiotherapy, and immunotherapy represent effective strategies for treatment. However, in some cases with high metastatic activity and high levels of circulating tumour cells (CTCs), the efficacy of standard treatment methods is insufficient and results in treatment failure and reduced patient survival. CTCs are seen not only as an isolated phenomenon but also a key inherent part of the formation of metastasis and a key factor in cancer death. This review discusses the impact of NSCLC therapy strategies based on a meta-analysis of clinical studies. In addition, possible therapeutic strategies for repression when standard methods fail, such as the administration of low-toxicity natural anticancer agents targeting these phenomena (curcumin and flavonoids), are also discussed. These strategies are presented in the context of key mechanisms of tumour biology with a strong influence on CTC spread and metastasis (mechanisms related to tumour-associated and -infiltrating cells, epithelial–mesenchymal transition, and migration of cancer cells).
format article
author Zdeněk Kejík
Robert Kaplánek
Petr Dytrych
Michal Masařík
Kateřina Veselá
Nikita Abramenko
David Hoskovec
Martina Vašáková
Jarmila Králová
Pavel Martásek
Milan Jakubek
author_facet Zdeněk Kejík
Robert Kaplánek
Petr Dytrych
Michal Masařík
Kateřina Veselá
Nikita Abramenko
David Hoskovec
Martina Vašáková
Jarmila Králová
Pavel Martásek
Milan Jakubek
author_sort Zdeněk Kejík
title Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design
title_short Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design
title_full Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design
title_fullStr Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design
title_full_unstemmed Circulating Tumour Cells (CTCs) in NSCLC: From Prognosis to Therapy Design
title_sort circulating tumour cells (ctcs) in nsclc: from prognosis to therapy design
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a9212fe2fd9443cd854b6088bd96b44c
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