"Circulating epithelial tumor cells as a biomarker to predict treatment failure of radiotherapy in breast and prostate cancer"

Dorothea Schott, Matthias Maurer, Monika Pizon, Katharina Pachmann; Abstract 1936: Circulating epithelial tumor cells as a biomarker to predict treatment failure of radiotherapy in breast and prostate cancer. Cancer Res 15 April 2025; 85 (8_Supplement_1): 1936.
https://doi.org/10.1158/1538-7445.AM2025-1936 Radiotherapy is a central component in the treatment of breast and prostate cancer. While local recurrences are effectively reduced, distant relapses still occur. In this study, the maintrac®-method was used to analyze the number and characteristics of circulating epithelial tumor cells (CETCs/CTCs) during radiotherapy to identify potential biomarkers for an increased risk of metastasis. An increase in cell numbers in breast cancer patients, particularly after neoadjuvant therapy, was associated with a higher risk of relapse. Similarly, in prostate cancer, a rise in CETC/CTC counts during radiotherapy indicated an increased risk of recurrence, although not all patients with rising cell numbers experienced relapse. Additionally, an increase in PD-L1 expression on CETCs/CTCs over the course of radiotherapy correlated with the occurrence of relapses.