Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells

Abstract Hepatocellular carcinoma (HCC) circulating tumor cells (CTCs) exhibit significant phenotypic heterogeneity and diverse gene expression profiles due to epithelial‐mesenchymal transition (EMT). However, current detection methods lack the capacity for simultaneous quantification of multidimens...

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Main Authors: Hao Li, Jinze Li, Zhiqi Zhang, Qi Yang, Hong Du, Qiongzhu Dong, Zhen Guo, Jia Yao, Shuli Li, Dongshu Li, Nannan Pang, Chuanyu Li, Wei Zhang, Lianqun Zhou
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202410120
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author Hao Li
Jinze Li
Zhiqi Zhang
Qi Yang
Hong Du
Qiongzhu Dong
Zhen Guo
Jia Yao
Shuli Li
Dongshu Li
Nannan Pang
Chuanyu Li
Wei Zhang
Lianqun Zhou
author_facet Hao Li
Jinze Li
Zhiqi Zhang
Qi Yang
Hong Du
Qiongzhu Dong
Zhen Guo
Jia Yao
Shuli Li
Dongshu Li
Nannan Pang
Chuanyu Li
Wei Zhang
Lianqun Zhou
author_sort Hao Li
collection DOAJ
description Abstract Hepatocellular carcinoma (HCC) circulating tumor cells (CTCs) exhibit significant phenotypic heterogeneity and diverse gene expression profiles due to epithelial‐mesenchymal transition (EMT). However, current detection methods lack the capacity for simultaneous quantification of multidimensional biomarkers, impeding a comprehensive understanding of tumor biology and dynamic changes. Here, the CTC Digital Simultaneous Cross‐dimensional Output and Unified Tracking (d‐SCOUT) technology is introduced, which enables simultaneous quantification and detailed interpretation of HCC transcriptional and phenotypic biomarkers. Based on self‐developed multi‐real‐time digital PCR (MRT‐dPCR) and algorithms, d‐SCOUT allows for the unified quantification of Asialoglycoprotein Receptor (ASGPR), Glypican‐3 (GPC‐3), and Epithelial Cell Adhesion Molecule (EpCAM) proteins, as well as Programmed Death Ligand 1 (PD‐L1), GPC‐3, and EpCAM mRNA in HCC CTCs, with good sensitivity (LOD of 3.2 CTCs per mL of blood) and reproducibility (mean %CV = 1.80–6.05%). In a study of 99 clinical samples, molecular signatures derived from HCC CTCs demonstrated strong diagnostic potential (AUC = 0.950, sensitivity = 90.6%, specificity = 87.5%). Importantly, by integrating machine learning, d‐SCOUT allows clustering of CTC characteristics at the mRNA and protein levels, mapping normalized heterogeneous 2D molecular profiles to assess HCC metastatic risk. Dynamic digital tracking of eight HCC patients undergoing different treatments visually illustrated the therapeutic effects, validating this technology's capability to quantify the treatment efficacy. CTC d‐SCOUT enhances understanding of tumor biology and HCC management.
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spelling doaj-art-9231a719761a4dc59cee4b4408d046ed2025-01-13T15:29:43ZengWileyAdvanced Science2198-38442025-01-01122n/an/a10.1002/advs.202410120Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor CellsHao Li0Jinze Li1Zhiqi Zhang2Qi Yang3Hong Du4Qiongzhu Dong5Zhen Guo6Jia Yao7Shuli Li8Dongshu Li9Nannan Pang10Chuanyu Li11Wei Zhang12Lianqun Zhou13Suzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaThe Second Affiliated Hospital of Soochow University Suzhou 215000 ChinaDepartment of General Surgery Huashan Hospital & Cancer Metastasis Institute Fudan University Shanghai 200040 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSchool of Biomedical Engineering (Suzhou) Division of Life Sciences and Medicine University of Science and Technology of China Hefei 230026 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaSuzhou Institute of Biomedical Engineering and Technology Chinese Academy of Science Suzhou 215163 ChinaAbstract Hepatocellular carcinoma (HCC) circulating tumor cells (CTCs) exhibit significant phenotypic heterogeneity and diverse gene expression profiles due to epithelial‐mesenchymal transition (EMT). However, current detection methods lack the capacity for simultaneous quantification of multidimensional biomarkers, impeding a comprehensive understanding of tumor biology and dynamic changes. Here, the CTC Digital Simultaneous Cross‐dimensional Output and Unified Tracking (d‐SCOUT) technology is introduced, which enables simultaneous quantification and detailed interpretation of HCC transcriptional and phenotypic biomarkers. Based on self‐developed multi‐real‐time digital PCR (MRT‐dPCR) and algorithms, d‐SCOUT allows for the unified quantification of Asialoglycoprotein Receptor (ASGPR), Glypican‐3 (GPC‐3), and Epithelial Cell Adhesion Molecule (EpCAM) proteins, as well as Programmed Death Ligand 1 (PD‐L1), GPC‐3, and EpCAM mRNA in HCC CTCs, with good sensitivity (LOD of 3.2 CTCs per mL of blood) and reproducibility (mean %CV = 1.80–6.05%). In a study of 99 clinical samples, molecular signatures derived from HCC CTCs demonstrated strong diagnostic potential (AUC = 0.950, sensitivity = 90.6%, specificity = 87.5%). Importantly, by integrating machine learning, d‐SCOUT allows clustering of CTC characteristics at the mRNA and protein levels, mapping normalized heterogeneous 2D molecular profiles to assess HCC metastatic risk. Dynamic digital tracking of eight HCC patients undergoing different treatments visually illustrated the therapeutic effects, validating this technology's capability to quantify the treatment efficacy. CTC d‐SCOUT enhances understanding of tumor biology and HCC management.https://doi.org/10.1002/advs.202410120Circulating tumor cellsd‐SCOUTHCC managementmRNAsmulti‐real‐time digital PCRproteins
spellingShingle Hao Li
Jinze Li
Zhiqi Zhang
Qi Yang
Hong Du
Qiongzhu Dong
Zhen Guo
Jia Yao
Shuli Li
Dongshu Li
Nannan Pang
Chuanyu Li
Wei Zhang
Lianqun Zhou
Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells
Advanced Science
Circulating tumor cells
d‐SCOUT
HCC management
mRNAs
multi‐real‐time digital PCR
proteins
title Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells
title_full Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells
title_fullStr Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells
title_full_unstemmed Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells
title_short Digital Quantitative Detection for Heterogeneous Protein and mRNA Expression Patterns in Circulating Tumor Cells
title_sort digital quantitative detection for heterogeneous protein and mrna expression patterns in circulating tumor cells
topic Circulating tumor cells
d‐SCOUT
HCC management
mRNAs
multi‐real‐time digital PCR
proteins
url https://doi.org/10.1002/advs.202410120
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