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Table 1 Merits and drawbacks in three different methods for CTCs expansion

From: The viable circulating tumor cells with cancer stem cells feature, where is the way out?

Method

CDX

Short term

Long term

CTC number

High

Low

High

Patient origin

Advanced stage only

Early and advanced stage

Advanced stage only

Condition

Experimental animal

10% FCS medium

Defined serum-free medium

Sample origin

Organ-vasculature circulation

Peripheral venous or arterial circulation

Peripheral venous or arterial circulation

Character

Tumorigenic capacity evaluation; complex procedure and individual difference

Differentiation and limited proliferation ability with significant phenotypic alterations

Phenotype stable; maintaining the tumorigenicity in non-adherent status

Research purpose

Simulate microenvironment in vivo

Expand enough CTCs for downstream analyses

Enrich and expand CTCs to establish patient-derived cell lines for long-term research

Cost

High

Cheap

Moderate

Culture cycle

Several months

1-2 weeks

Several months −1 year

Successful rate

Low

Moderate

Low