Filter-Adapted Fluorescent In Situ Hybridization (FA-FISH) for Filtration-Enriched Circulating Tumor Cells

Methods Mol Biol. 2017:1634:133-141. doi: 10.1007/978-1-4939-7144-2_10.

Abstract

Circulating tumor cells (CTCs) may represent an easily accessible source of tumor material to assess genetic aberrations such as gene-rearrangements or gene-amplifications and screen cancer patients eligible for targeted therapies. As the number of CTCs is a critical parameter to identify such biomarkers, we developed fluorescent in situ hybridization (FISH) for CTCs enriched on filters (filter-adapted-FISH, FA-FISH). Here, we describe the FA-FISH protocol, the combination of immunofluorescent staining (DAPI/CD45) and FA-FISH techniques, as well as the semi-automated microscopy method that we developed to improve the feasibility and reliability of FISH analyses in filtration-enriched CTC.

Keywords: Circulating tumor cells; FA-FISH; FISH; Filtration-enrichment; ISET.

MeSH terms

  • Antibodies, Monoclonal / chemistry
  • Antibodies, Monoclonal / metabolism
  • Biomarkers, Tumor / genetics
  • Biomarkers, Tumor / immunology
  • Biomarkers, Tumor / metabolism
  • Cell Count
  • Cell Separation / instrumentation
  • Cell Separation / methods*
  • Cell Size
  • Equipment Design
  • Filtration / instrumentation
  • Filtration / methods*
  • Fluorescent Antibody Technique / methods
  • Fluorescent Dyes / chemistry
  • Humans
  • Immunoconjugates / chemistry
  • In Situ Hybridization, Fluorescence / methods*
  • Indoles / chemistry
  • Leukocyte Common Antigens / genetics
  • Leukocyte Common Antigens / immunology
  • Leukocyte Common Antigens / metabolism
  • Neoplasms / blood
  • Neoplasms / diagnosis*
  • Neoplasms / immunology
  • Neoplasms / pathology
  • Neoplastic Cells, Circulating / immunology
  • Neoplastic Cells, Circulating / metabolism
  • Neoplastic Cells, Circulating / pathology*
  • Protein Binding
  • Rheology

Substances

  • Antibodies, Monoclonal
  • Biomarkers, Tumor
  • Fluorescent Dyes
  • Immunoconjugates
  • Indoles
  • DAPI
  • Leukocyte Common Antigens
  • PTPRC protein, human