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Abstract
The presence of Circulating Tumor Cells (CTCs) in bloodstream of patients with epithelial cancers is an important intermediate step in cancer metastasis and can provide valuable insights into disease detection, staging and personalized treatment. As compared to obtaining a tissue biopsy which is invasive and painful, ‘‘liquid biopsy’’ for CTCs detection can be easily performed via a routine blood draw. The presence and number of CTCs in peripheral blood has been associated with the severity of the disease and have potential use for early detection, diagnosis, prognosis and treatment monitoring purposes. The isolation of CTCs using microfluidics is attractive as the flow conditions can be accurately manipulated to achieve an efficient separation. Here, we demonstrate several effective separation methods by utilizing the unique differences in the mechanical properties such as size and deformability of cancer cells from that of blood cells. By exploiting the fluid dynamics in specially designed microfluidic channels, CTCs which are generally stiffer and larger can be physically separated from the more deformable blood constituents. Using this label-free approach, we are able to retrieve viable CTCs that are not only suitable for downstream molecular analysis such as genetic or RNA sequencing, but also for expansion and culture. With blood specimens from cancer patients, we confirmed successful detection, isolation and retrieval of CTCs. Identification of CTCs via their mechanical signatures will not only aid in the determination of malignancy and disease, but also enable personalized treatment by the possible detection of any actionable mutation unique to individual patient.
Biography Professor Lim is a Provost’s Chair Professor at the Department of Biomedical Engineering as well as a Principal Investigator at the Mechanobiology Institute at the National University of Singapore. His research interests include the mechanobiology of human diseases and the development of microfluidic technologies for disease detection, diagnosis and therapy. He has authored more than 300 peer-reviewed papers and delivered more than 290 invited talks. He is an elected Fellow of the American Institute for Medical and Biological Engineering as well as an elected member of the World Council of Biomechanics. He currently sits on the editorial boards of more than 12 international journals. Prof Lim has co-founded four startups which are commercializing technologies developed in his lab. He and his team have garnered more than 50 research awards and honors including the top Asian Scientist 100 (2016), Vladimir K. Zworykin Award (2015), University’s Outstanding Researcher Award & Outstanding Innovator (2014), the Credit Suisse Technopreneur of the Year Award and Wall Street Journal Asian Innovation Award (Gold) (2012) and the President's Technology Award (2011). |