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236    CHAPTER 9  Application of microfluidics in cancer treatment




                          Table 9.3  Some of the important existing technologies about CTC.
                          Devices             Key observations (recovery rate, throughput, purity)
                          Micropillar chip;   5-1281 CTCs/mL with 1 mL/h, detection rate 65%; 63 CTCs/
                          Herringebone chip   mL with 1.2 mL/h, detection rate 91.8 ± 5% for PC3;
                                              50.3 CTCs/mL with 8 mL/h, detection rate 98% SKBR3;
                          Micropillar chip    30 CTCs/mL with 1 mL/h, detection rate 97 ± 3%
                          Microfilter         0–12.5 CTCs/mL with 90 mL/h, detection rate 90%
                          Microchannel array  10 CTCs/mL with 36 µL/min, recover rate >95%. Using
                                              additional grooved surface can achieve over 90% capture rate
                                              with >84% purity. Throughput: 3.6 mL/h.
                          µHall: antibody labeled   Recovery rate of MDA-MB-468 99%; purity 100%; throughput
                          magnetic nanoparticles  3.25 mL/h; analyzing ovarian 7.6 CTCs/mL.
                          Portable filter     MCF-7, SK-BR-3: 5 CTCs/mL at 0.5 psi, constant pressure,
                                              detection rate >90%
                          Microsieve filter with   Undiluted whole blood with flow rate < 2 mL/min. MCF-7
                          uniform pore structure  recover rate >80%; accurately detected CTC from 8 patients.
                          Lab-on-disc: centrifugal   MCF-7: 61% capture rate; have the potential to high-
                          microfluidic size selection  throughput and easy detection by directly reading on disc.
                                              After collection, the MCF-7 still viable in 15 days cell culture.
                                              Detect 0–90 CTCs/7.5 mL. Throughput: >3 mL/min;
                                              sensitivity: 95.9 ± 3.1% recovery rate; selectivity: >2.5log
                                              WBCs depletion.


                         purity lead to the development of microfluidic chip [62]. Some of the important exist-
                         ing technologies about CTC are listed in Table 9.3.
                            CTC high-throughput entrapment chip (CTC-HTECH) is one of the newest
                         microfluidic devices based on the size and deformability of CTC that have multiple
                         rows of microconstriction channels and trapping chambers. The limitations of inef-
                         ficient capture that were observed in existing size-dependent CTC capture designs
                         have been eliminated using CTC-HTECH. The blood cells in blood flow that includes
                         blood cells and CTCs pass through the microchannel, while single CTC is captured
                         in trapping chambers. The number of CTCs is determined when trapping chambers is
                         scanned. This ability is not available in other CTC microfluidic chips based on size.
                         The cells were then detached from the flask with a trypsin-EDTA solution (Sigma
                         Aldrich). The size of prostate cancer cells is in the range of 10–15 µm which is larger
                         than blood cells [62]. The schematic of the flow configuration for the acoustophore-
                         sis cell separation is shown in Fig. 9.9.
                            The use of a syringe pump to the creation of constant flow can guarantee the
                         throughput of microfluidic devices which are designed with a limited number of
                         microchannel. The pressure will be redistributed as cells are trapped in the micro-
                         channel by using the constant flow rate to a device with a large quantity of microchan-
                         nel in an array. So the mechanical drag forces on the trapped cells within different
                         channels are varied [62]. The increased pressure will cause the cell deformation that
                         could damage cells, leading to poor recovery of viable cells [69,70]. The alteration in
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