2022
DOI: 10.1038/s41467-022-31009-9
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High throughput, label-free isolation of circulating tumor cell clusters in meshed microwells

Abstract: Extremely rare circulating tumor cell (CTC) clusters are both increasingly appreciated as highly metastatic precursors and virtually unexplored. Technologies are primarily designed to detect single CTCs and often fail to account for the fragility of clusters or to leverage cluster-specific markers for higher sensitivity. Meanwhile, the few technologies targeting CTC clusters lack scalability. Here, we introduce the Cluster-Wells, which combines the speed and practicality of membrane filtration with the sensiti… Show more

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Cited by 45 publications
(35 citation statements)
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References 57 publications
(58 reference statements)
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“…In addition to single CTCs, CTCs can be found in the blood as cell aggregates, known as CTC clusters composed of several CTCs or CTCs and neutrophils 25 . These CTC clusters have differential biological features such as an enhanced survival and metastatic potential 25 .…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…In addition to single CTCs, CTCs can be found in the blood as cell aggregates, known as CTC clusters composed of several CTCs or CTCs and neutrophils 25 . These CTC clusters have differential biological features such as an enhanced survival and metastatic potential 25 .…”
Section: Resultsmentioning
confidence: 99%
“…In addition to single CTCs, CTCs can be found in the blood as cell aggregates, known as CTC clusters composed of several CTCs or CTCs and neutrophils 25 . These CTC clusters have differential biological features such as an enhanced survival and metastatic potential 25 . To challenge CTC-Tracer on a complex task with various types of RNA-seq data of CTCs, we applied it to a recently derived complex dataset.…”
Section: Resultsmentioning
confidence: 99%
“…Currently, the commonly used multi-cell population capture and release methods tend to lose effective information of heterogeneity, thus failing to realize the analysis and study of the CTC genome, proteome, and RNA at different stages of tumor metastasis and the evaluation of anti-tumor therapy and drug resistance at different stages. , To solve this problem, methods like high-purity capture of CTCs and non-destructive site release of CTCs are conducted to analyze heterogeneous single cells maintaining the activity and privity at a specific stage. , In this process, some advanced technologies are developed: (1) Microfluidic chips, to realize precise manipulation and analysis of single cells, which gradually becomes an important platform for cell biology research. , (2) Gradient magnetic field sorting can separate magnetic labeled cells into different subpopulations based on cell surface antigen expression levels. (3) Light-responsive intelligent interfaces have been increasingly used to regulate cell adhesion behavior due to their advantages of non-invasiveness, little disturbance to biological systems, and high temporal and spatial resolution. Combining the microfluidic chip, gradient magnetic field, and light-responsive intelligent interface to give full play to their respective advantages in the analysis of CTCs, the rapid, high-purity, and accurate analysis of CTCs in blood samples can be achieved.…”
Section: Introductionmentioning
confidence: 99%
“…In general, CTCs are extremely rare in blood samples and range from one to a hundred cells in a 7.5 mL tube of human blood, depending on the stage of the disease [9]. CTC clusters are even rarer and constitute only 2-5% of all CTCs [17]. However, CTC clusters are disproportionately e cient at seeding metastases.…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, CTCs and CTC clusters are valuable biomarkers to determine prognosis, monitor therapy, assess risk of recurrence, and possibly in the future to aid in early cancer detection and screening [3][4][5][6][7][8][9][10][11][12]. Over the past decade, numerous CTC capturing techniques have been developed [17,[18][19][20]. The different enrichment and isolation processes either leverage the morphological characteristics of CTCs which include size/deformability-based separation [21][22][23] and density-gradient centrifugation [24,25], or rely on immunoa nity-based separation through targeting speci c cell surface epitope expression [26,27].…”
Section: Introductionmentioning
confidence: 99%