Evidence map›Paper›PMID 36176621›Full record

ArticleBioengineering & translational medicine2022

Design and validation of a tunable inertial microfluidic system for the efficient enrichment of circulating tumor cells in blood.

Alejandro Rodríguez-Pena, Estibaliz Armendariz, Alvaro Oyarbide, Xabier Morales, Sergio Ortiz-Espinosa, Borja Ruiz-Fernández de Córdoba, Denis Cochonneau, Iñaki Cornago, Dominique Heymann, Josepmaría Argemi and 6 more

Abstract read
In one paragraph

Article in Bioengineering & translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

16 authors.

Alejandro Rodríguez-PenaProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.ORCID https://orcid.org/0000-0002-0024-078X
Estibaliz ArmendarizAutomotive and Mechatronics R&D Foundation (Naitec) Pamplona Spain.
Alvaro OyarbideProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Xabier MoralesProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Sergio Ortiz-EspinosaProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Borja Ruiz-Fernández de CórdobaProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Denis CochonneauInstitut de Cancérologie de l'Ouest, "Tumor Heterogeneity and Precision Medicine" Lab., Blvd Jacques Monod Saint-Herblain France.
Iñaki CornagoAutomotive and Mechatronics R&D Foundation (Naitec) Pamplona Spain.
Dominique HeymannInstitut de Cancérologie de l'Ouest, "Tumor Heterogeneity and Precision Medicine" Lab., Blvd Jacques Monod Saint-Herblain France.
Josepmaría ArgemiLiver Unit, Clinica Universitaria de Navarra Pamplona (Navarra) Spain.
Delia D'AvolaLiver Unit, Clinica Universitaria de Navarra Pamplona (Navarra) Spain.
Bruno SangroLiver Unit, Clinica Universitaria de Navarra Pamplona (Navarra) Spain.
Fernando LecandaProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Ruben PioProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Iván Cortés-DomínguezProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.
Carlos Ortiz-de-SolórzanoProgram in Solid Tumors Center for Applied Medical Research (CIMA) Pamplona Spain.ORCID https://orcid.org/0000-0001-8720-0205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The analysis of circulating tumor cells (CTCs) in blood is a powerful noninvasive alternative to conventional tumor biopsy. Inertial-based separation is a promising high-throughput, marker-free sorting strategy for the enrichment and isolation of CTCs. Here, we present and validate a double spiral microfluidic device that efficiently isolates CTCs with a fine-tunable cut-off value of 9 μm and a separation range of 2 μm. We designed the device based on computer simulations that introduce a novel, customized inertial force term, and provide practical fabrication guidelines. We validated the device using calibration beads, which allowed us to refine the simulations and redesign the device. Then we validated the redesigned device using blood samples and a murine model of metastatic breast cancer. Finally, as a proof of principle, we tested the device using peripheral blood from a patient with hepatocellular carcinoma, isolating more than 17 CTCs/ml, with purity/removal values of 96.03% and 99.99% of white blood cell and red blood cells, respectively. These results confirm highly efficient CTC isolation with a stringent cut-off value and better separation results than the state of the art.

Indexed as

cell enrichmentcell sortingcirculating tumor cellsCTCinertial forcesliquid biopsy

Identifiers

PMID36176621
PMCPMC9472016

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Registered trials

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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.