Evidence map›Paper›PMID 26523411›Full record

ArticleThe Analyst2016

Microfluidics for the detection of minimal residual disease in acute myeloid leukemia patients using circulating leukemic cells selected from blood.

Joshua M Jackson, James B Taylor, Małgorzata A Witek, Sally A Hunsucker, Jennifer P Waugh, Yuri Fedoriw, Thomas C Shea, Steven A Soper, Paul M Armistead

Open access · hybridAbstract read
In one paragraph

Article in The Analyst, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
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  6. Minimal Residual Disease in Acute Myeloid Leukemia: Old and New Concepts.International journal of molecular sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Joshua M JacksonDepartment of Chemistry, UNC-Chapel Hill, USA. ssoper@email.unc.edu and Center for Biomodular Multi-scale Systems for Precision Medicine, UNC-Chapel Hill, USA.
James B TaylorDepartment of Chemistry, UNC-Chapel Hill, USA. ssoper@email.unc.edu and Center for Biomodular Multi-scale Systems for Precision Medicine, UNC-Chapel Hill, USA.
Małgorzata A WitekCenter for Biomodular Multi-scale Systems for Precision Medicine, UNC-Chapel Hill, USA and Department of Biomedical Engineering, UNC-Chapel Hill, USA.
Sally A HunsuckerUniversity of North Carolina Lineberger Comprehensive Cancer Center, UNC-Chapel Hill, USA. paul_armistead@med.unc.edu.
Jennifer P WaughDepartment of Medicine, UNC-Chapel Hill, USA.
Yuri FedoriwUniversity of North Carolina Lineberger Comprehensive Cancer Center, UNC-Chapel Hill, USA. paul_armistead@med.unc.edu and Department of Medicine, UNC-Chapel Hill, USA.
Thomas C SheaDepartment of Medicine, UNC-Chapel Hill, USA.
Steven A SoperDepartment of Chemistry, UNC-Chapel Hill, USA. ssoper@email.unc.edu and Center for Biomodular Multi-scale Systems for Precision Medicine, UNC-Chapel Hill, USA.
Paul M ArmisteadUniversity of North Carolina Lineberger Comprehensive Cancer Center, UNC-Chapel Hill, USA. paul_armistead@med.unc.edu and Department of Medicine, UNC-Chapel Hill, USA.
University of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Single-Molecule Processing: Detection and Identification of Single DNAs, RNAs, and Proteins using Immobilized Nanoscale Enzymatic Reactors (INERs) and Nanoscale ElectrophoresisP41EB020594 · NIBIB · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Adam Roger Hall · 2015 to 2026
$15.2M
UNC-Duke Collaborative Clinical Pharmacology Postdoctoral Training Program-Evaluation SupplementT32GM086330 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KIM L.R. BROUWER, Daniel Gonzalez · 2011 to 2026
$8.5M
Acute Myeloid Leukemia: MRD Analysis Using Modular uFluidics and uFlow CytometryR21CA173279 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SOPER, STEVEN ALLAN · 2013 to 2015
$757k
NCI NIH HHS P30 CA016086NCI NIH HHS R21 CA173279NCI NIH HHS R21-CA173279NIBIB NIH HHS P41 EB020594NIBIB NIH HHS P41-EB020594NIGMS NIH HHS T32 GM086330
6 · The paper itself

Abstract

We report a highly sensitive microfluidic assay to detect minimal residual disease (MRD) in patients with acute myeloid leukemia (AML) that samples peripheral blood to search for circulating leukemic cells (CLCs). Antibodies immobilized within three separate microfluidic devices affinity-selected CLC subpopulations directly from peripheral blood without requiring pre-processing. The microfluidic devices targeted CD33, CD34, and CD117 cell surface antigens commonly expressed by AML leukemic cells so that each subpopulation's CLC numbers could be tracked to determine the onset of relapse. Staining against aberrant markers (e.g. CD7, CD56) identified low levels (11-2684 mL(-1)) of CLCs. The commonly used platforms for the detection of MRD for AML patients are multi-parameter flow cytometry (MFC), typically from highly invasive bone marrow biopsies, or PCR from blood samples, which is limited to <50% of AML patients. In contrast, the microfluidic assay is a highly sensitive blood test that permits frequent sampling for >90% of all AML patients using the markers selected for this study (selection markers CD33, CD34, CD117 and aberrant markers such as CD7 and CD56). We present data from AML patients after stem cell transplant (SCT) therapy using our assay. We observed high agreement of the microfluidic assay with therapeutic treatment and overall outcome. We could detect MRD at an earlier stage compared to both MFC and PCR directly from peripheral blood, obviating the need for a painful bone marrow biopsy. Using the microfluidic assay, we detected MRD 28 days following one patient's SCT and the onset of relapse at day 57, while PCR from a bone marrow biopsy did not detect MRD until day 85 for the same patient. Earlier detection of MRD in AML post-SCT enabled by peripheral blood sampling using the microfluidic assay we report herein can influence curative clinical decisions for AML patients.

Indexed as

Lab-On-A-Chip DevicesAnimalsHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteNeoplasm, ResidualNeoplastic Cells, CirculatingRecurrenceSensitivity and Specificity

Identifiers

PMID26523411
PMCPMC4701594
OpenAlexW1950247917

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.