MagPure 芯片:一种基于免疫磁珠的微流控装置,用于从液体活检中高效纯化循环肿瘤细胞。
MagPure chip: an immunomagnetic-based microfluidic device for high purification of circulating tumor cells from liquid biopsies.
机构信息
Institut des Nanotechnologies de Lyon, INL UMR5270, Université Claude Bernard Lyon 1, Villeurbanne, France.
Laboratoire de Biochimie et Biologie Moléculaire, CICLY UR3738, Groupe Hospitalier Sud, Hospices Civils de Lyon, Pierre Bénite, France.
出版信息
Lab Chip. 2022 Oct 25;22(21):4151-4166. doi: 10.1039/d2lc00443g.
The isolation of circulating tumor cells (CTCs) directly from blood, as a liquid biopsy, could lead to a paradigm shift in cancer clinical care by providing an earlier diagnosis, a more accurate prognosis, and personalized treatment. Nevertheless, CTC-specific challenges, including their rarity and heterogeneity, have hampered the wider use of CTCs in clinical studies. Microfluidic-based isolation technologies have emerged as promising tools to circumvent these limitations but still fail to meet the constraints of high purity and short processing time required to ensure compatibility with clinical follow-up. In this study, we developed an immunomagnetic-based microfluidic device, the MagPure chip, to achieve the negative selection of CTCs through the depletion of white blood cells (WBCs) and provide highly purified samples for subsequent analysis. We demonstrate that the MagPure chip depletes all magnetically labeled WBCs (85% of WBCs were successfully labeled) and ensures a CTC recovery rate of 81%. In addition, we show its compatibility with conventional biological studies, including 2D and 3D cell culture, as well as phenotypic and genotypic analyses. Finally, we successfully implemented a two-step separation workflow for whole blood processing by combining a size-based pre-enrichment system (ClearCell FX1®) with the MagPure chip as a subsequent purification step. The total workflow led to high throughput (7.5 mL blood in less than 4 h) and high purity (947 WBCs per mL remaining, 99.99% depletion rate), thus enabling us to quantify CTC heterogeneity in size and tumor marker expression level. This tumor-marker-free liquid biopsy workflow could be used in a clinical context to assess phenotype aggressiveness and the prognosis rate.
从血液中直接分离循环肿瘤细胞 (CTC),作为液体活检,可以通过更早的诊断、更准确的预后和个性化治疗,带来癌症临床护理的范式转变。然而,CTC 特异性的挑战,包括其稀有性和异质性,阻碍了 CTC 在临床研究中的更广泛应用。基于微流控的分离技术已经成为一种很有前途的工具,可以克服这些限制,但仍然无法满足高纯度和短处理时间的要求,以确保与临床随访的兼容性。在本研究中,我们开发了一种基于免疫磁珠的微流控设备,即 MagPure 芯片,通过耗尽白细胞 (WBC) 来实现 CTC 的阴性选择,并为后续分析提供高度纯化的样本。我们证明 MagPure 芯片可以耗尽所有被标记的磁珠白细胞 (85%的 WBC 被成功标记),并确保 81%的 CTC 回收率。此外,我们还展示了它与传统生物学研究的兼容性,包括 2D 和 3D 细胞培养,以及表型和基因型分析。最后,我们成功地实施了两步分离工作流程,用于全血处理,即将基于尺寸的预富集系统 (ClearCell FX1®) 与 MagPure 芯片相结合,作为后续的纯化步骤。整个工作流程具有高通量 (不到 4 小时处理 7.5 毫升血液) 和高纯度 (每毫升剩余 947 个白细胞,99.99%的耗竭率),从而使我们能够量化 CTC 在大小和肿瘤标志物表达水平上的异质性。这种无肿瘤标志物的液体活检工作流程可用于临床评估表型侵袭性和预后率。