Table 2 In vitro culture of CTCs isolated from blood samples of patients with cancer.

From: Functional analysis of circulating tumour cells: the KEY to understand the biology of the metastatic cascade

Cancer type

Isolation methods

Culturing conditions

Time in culture

Ref

Breast cancer

Multiparametric FACS analysis

First 7 days: DMEM/F12 with 5 mg/ml insulin, 0.5 mg/ml hydrocortisone, 2% B27, 20 ng/ml EGF, and 20 ng/ml FGF-2.

From day 8: EpiCult-C medium with 10% FBS and 1% penicillin/streptomycin at 37 °C, 5% CO2.

Short term

[19]

Breast cancer

CTC-iChip

Serum-free medium supplemented with EGF and bFGF (8) in hypoxic conditions (4% O2).

Long term

[21]

Breast cancer

Laser-ablated microwell-based method

High-glucose DMEM with 10% FBS and 1% penicillin–streptomycin, at 37 °C in 5% (v/v) CO2 and 1% O2 in humidified conditions.

Short term

[22, 90]

Breast cancer

Ficoll-Paque density gradient and CD45

RosetteSep negative selection

RPMI-1640, 10% FCS) 1% penicillin–streptomycin, 1% l-glutamine, 1% insulin-transferrin-selenium-A supplement (100×) liquid, 10 ng/ml FGF-2, 50 ng/ ml EGF, 0.1 lg/ml hydrocortisone, and 0.2 lg/ml cholera toxin, at 37 °C, 5% CO2.

Long term

[91]

Colon cancer

Ficoll-Paque density gradient and CD45

RosetteSep negative selection

RPMI-1640 with 2% FBS, EGF and FGF-2, insulin-transferrin-selenium supplement, l-glutamine.

Long term

[25, 27]

Non-small cell lung cancer

Herringbone-chip

7 days on a chip in a mixture of cancer-associated fibroblasts-GFP, collagen I and Matrigel, at 37 °C, 7.5% CO2, Then in culture plate with RPMI complete medium (10% FBS and 1% penicillin/streptomycin).

Short term

[92]

Small cell lung cancer

Ficoll-Hypaque density gradient

Serum-free RPMI-1640 medium supplemented with insulin, IGF-1, transferrin.

Short term

[32]

Prostate cancer

Ficoll-Paque density gradient and CD45

RosetteSep negative selection

DMEM/F12 medium, with EGF, bFGF, FGF10, R-spondin 1, DHT, B27, nicotinamide, A83-01, SB202190 and Y27632, in Matrigel.

Long term

[33]

  1. FBS foetal bovine serum, bFGF basic fibroblast growth factor, FGF fibroblast growth factor, DHT dihydrotestosterone, EGF epidermal growth factor, IGF-1 insulin-like growth factor 1.
  2. In this table are summarised some of the studies where CTC in vitro expansion have been reported.