This invention belongs to the fields of
biotechnology and precision
oncology, and discloses a serum-free amplification method for circulating
tumor cells (CTCs) based on
apoptosis selectivity, along with a dedicated culture medium. This addresses the problems of existing CTC technologies, which rely on physical capture leading to impaired
cell viability and low culture success rates. The invention involves mild
density gradient centrifugation and
erythrocyte lysis of anticoagulated
whole blood from patients to obtain a mixed
population of leukocytes containing CTCs. This
population is then seeded into a serum-free, selective
apoptosis medium for three-dimensional culture. The medium contains
apoptosis inhibitors and
specific growth factors. Utilizing the difference between
tumor cells' anti-apoptosis and
normal blood cells' susceptibility to apoptosis, leukocyte apoptosis is induced within 4-7 days, while simultaneously supporting CTC survival, adhesion, and clonal proliferation, enabling the amplification of individual CTCs into
cell clusters. This method preserves the original activity and heterogeneity of CTCs, is simple to operate, and has good reproducibility, providing a highly
active cell source for CTC
molecular identification,
drug sensitivity testing, and
metastasis mechanism research.