Comparative application of microfluidic systems in circulating tumor cells and extracellular vesicles isolation; a review

IF 3 4区 医学 Q3 ENGINEERING, BIOMEDICAL
Razieh Rezaei Adriani, Seyed Latif Mousavi Gargari
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引用次数: 3

Abstract

Cancer is a prevalent cause of mortality globally, where early diagnosis leads to a reduced death rate. Many researchers' common strategies are based on personalized diagnostic methods with rapid response and high accuracy. This technology was developed by applying liquid biopsy instead of tissue biopsies in the case of tumor cell analysis that facilitates point-of-care testing for cancer diagnosis and treatment. In recent years, significant progress in microfluidic technology led to the successful isolation, analysis, and monitoring of cancer biomarkers in body liquid biopsy with merits like high sensitivity and flexibility, low sample usage, cost effective, and the ability of automation. The most critical and informative markers in body liquid refer to circulating tumor cells (CTCs) and extracellular vesicles derived from tumors (EVs) that carry various biomarkers in their structure (DNAs, proteins, and RNAs) as compared to ctDNA. The released ctDNA has a low half-life and decreased sensitivity due to large amounts of nucleic acid in serum. This review intends to highlight different cancer screening tests with a particular focus on the details regarding the only FDA-approved and awaiting technologies for FDA clearance to isolate CTCs and EVs based on microfluidics systems.

Graphical abstract

Abstract Image

微流控系统在循环肿瘤细胞和细胞外囊泡分离中的比较应用回顾
癌症是全球普遍的死亡原因,早期诊断可降低死亡率。许多研究人员的共同策略是基于快速反应和高精度的个性化诊断方法。该技术是通过在肿瘤细胞分析中应用液体活检代替组织活检来开发的,这有助于癌症诊断和治疗的即时检测。近年来,微流控技术取得了重大进展,成功地分离、分析和监测了体液活检中的癌症生物标志物,具有灵敏度高、灵活性强、样品使用量少、成本效益高、自动化能力强等优点。体液中最关键和信息丰富的标志物是循环肿瘤细胞(CTCs)和来源于肿瘤的细胞外囊泡(ev),与ctDNA相比,它们在结构中携带各种生物标志物(dna、蛋白质和rna)。释放的ctDNA具有较低的半衰期,并且由于血清中含有大量的核酸而降低了敏感性。本综述旨在重点介绍不同的癌症筛查测试,并特别关注FDA批准的基于微流体系统的ctc和ev分离技术的细节。图形抽象
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来源期刊
Biomedical Microdevices
Biomedical Microdevices 工程技术-工程:生物医学
CiteScore
6.90
自引率
3.60%
发文量
32
审稿时长
6 months
期刊介绍: Biomedical Microdevices: BioMEMS and Biomedical Nanotechnology is an interdisciplinary periodical devoted to all aspects of research in the medical diagnostic and therapeutic applications of Micro-Electro-Mechanical Systems (BioMEMS) and nanotechnology for medicine and biology. General subjects of interest include the design, characterization, testing, modeling and clinical validation of microfabricated systems, and their integration on-chip and in larger functional units. The specific interests of the Journal include systems for neural stimulation and recording, bioseparation technologies such as nanofilters and electrophoretic equipment, miniaturized analytic and DNA identification systems, biosensors, and micro/nanotechnologies for cell and tissue research, tissue engineering, cell transplantation, and the controlled release of drugs and biological molecules. Contributions reporting on fundamental and applied investigations of the material science, biochemistry, and physics of biomedical microdevices and nanotechnology are encouraged. A non-exhaustive list of fields of interest includes: nanoparticle synthesis, characterization, and validation of therapeutic or imaging efficacy in animal models; biocompatibility; biochemical modification of microfabricated devices, with reference to non-specific protein adsorption, and the active immobilization and patterning of proteins on micro/nanofabricated surfaces; the dynamics of fluids in micro-and-nano-fabricated channels; the electromechanical and structural response of micro/nanofabricated systems; the interactions of microdevices with cells and tissues, including biocompatibility and biodegradation studies; variations in the characteristics of the systems as a function of the micro/nanofabrication parameters.
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