Ultrasensitive detection of circulating multiple myeloma cells by next-generation flow after immunomagnetic enrichment Article Swipe
Marta Lasa
,
Carmen González
,
Laura Notarfranchi
,
Anastasiia Zherniakova
,
Diego Alignani
,
Leire Burgos
,
Marı́a José Calasanz
,
Paula Rodríguez‐Otero
,
José J. Pérez
,
Clara Gómez
,
Verónica González‐Calle
,
Felipe de Arriba
,
Luis Palomera
,
Miguel Angel Alvarez Rivas
,
Esther Clavero Sanchez
,
Enrique M. Ocio
,
Ana Pilar González-Rodríguez
,
Sunil Lakhwani
,
Ángela Ibáñez
,
Albert Oriol
,
Anna Sureda
,
Laura Rosiñol
,
Christiane Siewert
,
Alberto Órfão
,
Juan José Lahuerta
,
Joan Bladé
,
María‐Victoria Mateos
,
Jesús F. San Miguel
,
María‐Teresa Cedena
,
Joaquín Martínez‐López
,
Noemí Puig
,
Bruno Paiva
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1182/blood.2025029234
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1182/blood.2025029234
The continuous improvement in progression-free survival (PFS) of patients with multiple myeloma (MM) raises interest in evaluating peripheral residual disease (PRD) toward more frequent readouts of tumor kinetics while preserving quality of life. We present BloodFlow, a new method combining immunomagnetic enrichment of CD138+ circulating plasma cells in peripheral blood (PB) with next-generation flow (NGF), for the detection of PRD below the 2 × 10–6 NGF threshold. BloodFlow detected PRD in 55 of 644 PB samples (8.5%) from 295 patients. Of note, 52.7% PB samples were positive using BloodFlow and negative by NGF. The lowest PRD detected by BloodFlow was 6 × 10–8. Using bone marrow measurable residual disease (MRD) status as the reference, BloodFlow showed positive and negative predictive values of 95.1% and 76.6%, respectively. Detectable PRD during maintenance or observation predicted dismal PFS and overall survival (2-year rates of 0% and 62%, respectively). BloodFlow surpassed NGF in PB and retained independent prognostic value for PFS in multivariate analysis, including transplant eligibility, the revised International Staging System, complete remission, and MRD status. BloodFlow is the first flow cytometry method that detects tumor cells below the 10–6 threshold, enabling improved minimally invasive monitoring of patients with MM.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1182/blood.2025029234
- https://ashpublications.org/blood/article-pdf/doi/10.1182/blood.2025029234/2375922/blood.2025029234.pdf
- OA Status
- bronze
- Cited By
- 4
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410611400
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410611400Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1182/blood.2025029234Digital Object Identifier
- Title
-
Ultrasensitive detection of circulating multiple myeloma cells by next-generation flow after immunomagnetic enrichmentWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-05-22Full publication date if available
- Authors
-
Marta Lasa, Carmen González, Laura Notarfranchi, Anastasiia Zherniakova, Diego Alignani, Leire Burgos, Marı́a José Calasanz, Paula Rodríguez‐Otero, José J. Pérez, Clara Gómez, Verónica González‐Calle, Felipe de Arriba, Luis Palomera, Miguel Angel Alvarez Rivas, Esther Clavero Sanchez, Enrique M. Ocio, Ana Pilar González-Rodríguez, Sunil Lakhwani, Ángela Ibáñez, Albert Oriol, Anna Sureda, Laura Rosiñol, Christiane Siewert, Alberto Órfão, Juan José Lahuerta, Joan Bladé, María‐Victoria Mateos, Jesús F. San Miguel, María‐Teresa Cedena, Joaquín Martínez‐López, Noemí Puig, Bruno PaivaList of authors in order
- Landing page
-
https://doi.org/10.1182/blood.2025029234Publisher landing page
- PDF URL
-
https://ashpublications.org/blood/article-pdf/doi/10.1182/blood.2025029234/2375922/blood.2025029234.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://ashpublications.org/blood/article-pdf/doi/10.1182/blood.2025029234/2375922/blood.2025029234.pdfDirect OA link when available
- Concepts
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Minimal residual disease, Multiple myeloma, Flow cytometry, Bone marrow, Medicine, Internal medicine, Circulating tumor cell, Blood flow, Urology, Pathology, Oncology, Gastroenterology, Immunology, Cancer, MetastasisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4Per-year citation counts (last 5 years)
- References (count)
-
22Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.were | 86 |
| abstract_inverted_index.with | 10, 52, 196 |
| abstract_inverted_index.(MRD) | 110 |
| abstract_inverted_index.(PFS) | 7 |
| abstract_inverted_index.(PRD) | 21 |
| abstract_inverted_index.52.7% | 83 |
| abstract_inverted_index.95.1% | 123 |
| abstract_inverted_index.Using | 104 |
| abstract_inverted_index.below | 61, 185 |
| abstract_inverted_index.blood | 50 |
| abstract_inverted_index.cells | 47, 184 |
| abstract_inverted_index.first | 177 |
| abstract_inverted_index.life. | 33 |
| abstract_inverted_index.note, | 82 |
| abstract_inverted_index.rates | 140 |
| abstract_inverted_index.tumor | 27, 183 |
| abstract_inverted_index.using | 88 |
| abstract_inverted_index.value | 155 |
| abstract_inverted_index.while | 29 |
| abstract_inverted_index.(8.5%) | 77 |
| abstract_inverted_index.(NGF), | 55 |
| abstract_inverted_index.10–6 | 65, 187 |
| abstract_inverted_index.76.6%, | 125 |
| abstract_inverted_index.CD138+ | 44 |
| abstract_inverted_index.dismal | 134 |
| abstract_inverted_index.during | 129 |
| abstract_inverted_index.lowest | 95 |
| abstract_inverted_index.marrow | 106 |
| abstract_inverted_index.method | 39, 180 |
| abstract_inverted_index.plasma | 46 |
| abstract_inverted_index.raises | 14 |
| abstract_inverted_index.showed | 116 |
| abstract_inverted_index.status | 111 |
| abstract_inverted_index.toward | 22 |
| abstract_inverted_index.values | 121 |
| abstract_inverted_index.(2-year | 139 |
| abstract_inverted_index.10–8. | 103 |
| abstract_inverted_index.Staging | 167 |
| abstract_inverted_index.System, | 168 |
| abstract_inverted_index.detects | 182 |
| abstract_inverted_index.disease | 20, 109 |
| abstract_inverted_index.myeloma | 12 |
| abstract_inverted_index.overall | 137 |
| abstract_inverted_index.present | 35 |
| abstract_inverted_index.quality | 31 |
| abstract_inverted_index.revised | 165 |
| abstract_inverted_index.samples | 76, 85 |
| abstract_inverted_index.status. | 173 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.complete | 169 |
| abstract_inverted_index.detected | 69, 97 |
| abstract_inverted_index.enabling | 189 |
| abstract_inverted_index.frequent | 24 |
| abstract_inverted_index.improved | 190 |
| abstract_inverted_index.interest | 15 |
| abstract_inverted_index.invasive | 192 |
| abstract_inverted_index.kinetics | 28 |
| abstract_inverted_index.multiple | 11 |
| abstract_inverted_index.negative | 91, 119 |
| abstract_inverted_index.patients | 9, 195 |
| abstract_inverted_index.positive | 87, 117 |
| abstract_inverted_index.readouts | 25 |
| abstract_inverted_index.residual | 19, 108 |
| abstract_inverted_index.retained | 152 |
| abstract_inverted_index.survival | 6, 138 |
| abstract_inverted_index.BloodFlow | 68, 89, 99, 115, 146, 174 |
| abstract_inverted_index.analysis, | 160 |
| abstract_inverted_index.combining | 40 |
| abstract_inverted_index.cytometry | 179 |
| abstract_inverted_index.detection | 58 |
| abstract_inverted_index.including | 161 |
| abstract_inverted_index.minimally | 191 |
| abstract_inverted_index.patients. | 80 |
| abstract_inverted_index.predicted | 133 |
| abstract_inverted_index.surpassed | 147 |
| abstract_inverted_index.BloodFlow, | 36 |
| abstract_inverted_index.Detectable | 127 |
| abstract_inverted_index.continuous | 2 |
| abstract_inverted_index.enrichment | 42 |
| abstract_inverted_index.evaluating | 17 |
| abstract_inverted_index.measurable | 107 |
| abstract_inverted_index.monitoring | 193 |
| abstract_inverted_index.peripheral | 18, 49 |
| abstract_inverted_index.predictive | 120 |
| abstract_inverted_index.preserving | 30 |
| abstract_inverted_index.prognostic | 154 |
| abstract_inverted_index.reference, | 114 |
| abstract_inverted_index.remission, | 170 |
| abstract_inverted_index.threshold, | 188 |
| abstract_inverted_index.threshold. | 67 |
| abstract_inverted_index.transplant | 162 |
| abstract_inverted_index.circulating | 45 |
| abstract_inverted_index.improvement | 3 |
| abstract_inverted_index.independent | 153 |
| abstract_inverted_index.maintenance | 130 |
| abstract_inverted_index.observation | 132 |
| abstract_inverted_index.eligibility, | 163 |
| abstract_inverted_index.multivariate | 159 |
| abstract_inverted_index.International | 166 |
| abstract_inverted_index.respectively. | 126 |
| abstract_inverted_index.immunomagnetic | 41 |
| abstract_inverted_index.respectively). | 145 |
| abstract_inverted_index.next-generation | 53 |
| abstract_inverted_index.progression-free | 5 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 32 |
| citation_normalized_percentile.value | 0.98336996 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |