Zusammenfassung
Die Prognose bei Patienten mit einem Prostata- oder Blasenkarzinom wird hauptsächlich durch den Nachweis vorliegender Metastasen bestimmt. Dabei wird in der klinischen Routine praktisch nur über das Lymphknotenstaging eine Metastasierung untersucht. Der Nachweis und die Charakterisierung disseminierter Tumorzellen im peripheren Blut oder im Knochenmark ist ein weiterer Parameter, der Aussagen über den Krankheitsverlauf zulässt. In diesem Artikel soll daher die Datenlage über die Wertigkeit disseminierter Tumorzellen im Knochenmark und eine mögliche Translation in die klinische Routine dargestellt werden.
Abstract
The prognosis of prostate and bladder cancer patients is predominantly determined by the detection of distant sites of metastasis. In clinical routine, virtually only lymph node staging is of relevance to determine metastasis. Detection and characterization of disseminated tumor cells in peripheral blood or bone marrow is an additional parameter of prognostic significance. In this article, we will summarize recent progress on the prognostic value of disseminated tumor cells in bone marrow and its translation into routine clinical analysis.
Literatur
Pound CR, Partin AW, Eisenberger MA et al (1999) Natural history of progression after PSA elevation following radical prostatectomy. JAMA 281(17):1591–1597
Weckermann D, Müller P, Wawroschek F et al (1999) Micrometastases of bone marrow in localized prostate cancer: correlation with established risk factors. J Clin Oncol 17(11):3438–3443
Weckermann D, Müller P, Wawroschek F et al (2001) Disseminated cytokeratin positive tumor cells in the bone marrow of patients with prostate cancer: detection and prognostic value. J Urol 166(2):699–704
Weckermann D, Polzer B, Ragg T et al (2009) Perioperative activation of disseminated tumor cells in bone marrow of patients with prostate cancer. J Clin Oncol 27(10):1549–1556
Ricci E, Mattei E, Dumontet C et al (2013) Increased expression of putative cancer stem cell markers in the bone marrow of prostate cancer patients is associated with bone metastasis progression. Prostate 73(16):1738–1746
Taichman RS, Patel LR, Bedenis R et al (2013) GAS 6 receptor status is associated with dormancy and bone metastatic tumor formation. PLoS One 8(4):61873
Murray NP, Reyes E, Tapia P et al (2012) Differential expression of matrix metalloproteinase-2 expression in disseminated tumor cells and micrometastasis in bone marrow of patients with nonmetastatic and metastatic prostate cancer: theoretical considerations and clinical implications-an immunocytochemical study. Bone Marrow Res 2012:259–351
Pedersen EA, Shiozawa Y, Pienta KJ, Taichman RS (2012) The prostate cancer bone marrow niche: more than just ‚fertile soil’. Asian J Androl 14(3):423–427
Shiozawa Y, Pienta KJ, Taichman RS (2011) Hematopoietic stem cell niche is a potential therapeutic target for bone metastatic tumors. Clin Cancer Res 17(17):5553–5558
Shiozawa Y, Pedersen EA, Havens AM et al (2011) Human prostate cancer metastases target the hematopoietic stem cell niche to establish footholds in mouse bone marrow. J Clin Invest 121(4):1298–1312
Yu C, Shiozawa Y, Taichman RS et al (2012) Prostate cancer and parasitism of the bone hematopoietic stem cell niche. Crit Rev Eukaryot Gene Expr 22(2):131–148
Joseph J, Shiozawa Y, Jung Y et al (2012) Disseminated prostate cancer cells can instruct hematopoietic stem and progenitor cells to regulate bone phenotype. Mol Cancer Res 10(3):282–292
Pluijm G van der (2011) Epithelial plasticity, cancer stem cells and bone metastasis formation. Bone 48(1):37–43
Braun S, Vogl FD, Naume B et al (2005) A pooled analysis of bone marrow micrometastasis in breast cancer. N Engl J Med 353(8):793–802
Hofmann T, Riesenberg R, Buchner A et al (2003) Disseminated tumor cells in bone marrow of patients with transitional cell carcinoma: immunocytochemical detection and correlation with established prognostic indicators. J Urol 169(4):1303–1307
Hofmann T, Buchner A, Hofstetter A et al (2007) Prognostic relevance of disseminated tumour cells in bone marrow of patients with transitional cell carcinoma. Eur J Cancer 43(18):2678–2684
Retz M, Lehmann J, Röder C et al (2001) Cytokeratin-20 reverse-transcriptase polymerase chain reaction as a new tool for the detection of circulating tumor cells in peripheral blood and bone marrow of bladder cancer patients. Eur Urol 39(5):507–517
Retz M, Rotering J, Nawroth R et al (2011) Long-term follow-up of bladder cancer patients with disseminated tumour cells in bone marrow. Eur Urol 60(2):231–238
Marin-Aguilera M, Mengual L, Ribal MJ et al (2012) Utility of urothelial mRNA markers in blood for staging and monitoring bladder cancer. Urology 79(1):240 9–15
Einhaltung ethischer Richtlinien
Interessenkonflikt. R. Nawroth, D. Weckermann und M. Retz geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Nawroth, R., Weckermann, D. & Retz, M. Prostata- und Harnblasenkarzinom. Urologe 53, 514–518 (2014). https://doi.org/10.1007/s00120-014-3445-0
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DOI: https://doi.org/10.1007/s00120-014-3445-0