2013
DOI: 10.1063/1.4780062
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Label-free isolation of circulating tumor cells in microfluidic devices: Current research and perspectives

Abstract: This review will cover the recent advances in label-free approaches to isolate and manipulate circulating tumor cells (CTCs). In essence, label-free approaches do not rely on antibodies or biological markers for labeling the cells of interest, but enrich them using the differential physical properties intrinsic to cancer and blood cells. We will discuss technologies that isolate cells based on their biomechanical and electrical properties. Label-free approaches to analyze CTCs have been recently invoked as a v… Show more

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Cited by 98 publications
(74 citation statements)
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“…[8][9][10] Therefore, a fundamental understanding of the detailed fluid dynamics of blood flow and of the distribution of the wall shear stress in small vessels is essential to help detect cardiovascular diseases and to develop preventive measures and design suitable treatments. 11 Moreover, recent developments in blood sample loading and blood/tumor cell sorting devices [12][13][14] warrant the study of the viscoelastic properties of blood in microfluidic devices. a) campo@fe.up.pt and laura@campodeano.com The manipulation of real whole blood and the study of its flow dynamics in vitro are difficult because of the cost, safety, and ethics issues involved.…”
Section: Introductionmentioning
confidence: 99%
“…[8][9][10] Therefore, a fundamental understanding of the detailed fluid dynamics of blood flow and of the distribution of the wall shear stress in small vessels is essential to help detect cardiovascular diseases and to develop preventive measures and design suitable treatments. 11 Moreover, recent developments in blood sample loading and blood/tumor cell sorting devices [12][13][14] warrant the study of the viscoelastic properties of blood in microfluidic devices. a) campo@fe.up.pt and laura@campodeano.com The manipulation of real whole blood and the study of its flow dynamics in vitro are difficult because of the cost, safety, and ethics issues involved.…”
Section: Introductionmentioning
confidence: 99%
“…These technologies are typically based around microfluidic [5] or optical [6] technologies (and often in combination), to provide the levels of both precision and throughput required to make such single cell investigations feasible. In particular, the experiments seek to quantify the differences in individual cellular responses to stimuli, be they drugs, oxidative environments or nucleic acids.…”
Section: Introductionmentioning
confidence: 99%
“…Recently, there have been many attempts to develop a reliable, rapid and sensitive method for the isolation and detection of CTCs, including immunomagnetic separation, 2,3 affinity chromatography separation, 4,5 and label-free separation. [6][7][8][9][10][11][12] Despite the detection and analysis of CTCs offer a promising non-invasive diagnostic approach for the diagnosis and prognosis of cancer, its use in clinical practice remains limited because of the rarity of CTCs in blood, the difficulty of isolating CTCs and the complexity of CTCs identification and enumeration. In contrast to the isolation and detection of CTCs, the protein-based biomarker tests are easier and more convenient which do not need labor-intensive cell capture and identification and has the potential to allow rapid point-of-care use.…”
Section: Introductionmentioning
confidence: 99%