Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip

Long-term management for leukemia is challenging due to the painful and invasive procedure of bone marrow (BM) biopsy. At present, non-invasive liquid (blood) biopsy is not utilized for leukemia, due to lower counts of leukemia blast cells in the blood. Here, we described a robust system for the sim...

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Main Authors: Khoo, Bee Luan, Shang, Menglin, Ng, Chin Hin, Lim, Chwee-Teck, Chng, Wee Joo, Han, Jongyoon
Other Authors: Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Format: Article
Language:English
Published: Springer 2020
Online Access:https://hdl.handle.net/1721.1/128873
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author Khoo, Bee Luan
Shang, Menglin
Ng, Chin Hin
Lim, Chwee-Teck
Chng, Wee Joo
Han, Jongyoon
author2 Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
author_facet Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Khoo, Bee Luan
Shang, Menglin
Ng, Chin Hin
Lim, Chwee-Teck
Chng, Wee Joo
Han, Jongyoon
author_sort Khoo, Bee Luan
collection MIT
description Long-term management for leukemia is challenging due to the painful and invasive procedure of bone marrow (BM) biopsy. At present, non-invasive liquid (blood) biopsy is not utilized for leukemia, due to lower counts of leukemia blast cells in the blood. Here, we described a robust system for the simultaneous detection and enrichment of rare blast cells. Enrichment of blast cells was achieved from blood with a one-step microfluidic blast cell biochip (BCB) sorting system, without specific targeting of proteins by antibodies. Non-target cells encountered a differential net force as compared to stiffer blast cells and were removed. The efficiency of the BCB promotes high detection sensitivity (1 in 10<jats:sup>6</jats:sup> cells) even from patients with minimal residual disease. The procedure was validated using actual blast cells from patients with various types of leukemia. Outcomes were compared to current evaluation standards, such as flow cytometry, using BM aspirates. Blast cell detection efficiency was higher in 55.6% of the patients using the BCB as compared to flow cytometry, despite the lower concentrations of blast cells in liquid biopsy. These studies promote early-stage detection and routine monitoring for minimal residual disease in patients.
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spelling mit-1721.1/1288732022-10-01T15:32:49Z Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip Khoo, Bee Luan Shang, Menglin Ng, Chin Hin Lim, Chwee-Teck Chng, Wee Joo Han, Jongyoon Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science Massachusetts Institute of Technology. Department of Biological Engineering Singapore-MIT Alliance in Research and Technology (SMART) Long-term management for leukemia is challenging due to the painful and invasive procedure of bone marrow (BM) biopsy. At present, non-invasive liquid (blood) biopsy is not utilized for leukemia, due to lower counts of leukemia blast cells in the blood. Here, we described a robust system for the simultaneous detection and enrichment of rare blast cells. Enrichment of blast cells was achieved from blood with a one-step microfluidic blast cell biochip (BCB) sorting system, without specific targeting of proteins by antibodies. Non-target cells encountered a differential net force as compared to stiffer blast cells and were removed. The efficiency of the BCB promotes high detection sensitivity (1 in 10<jats:sup>6</jats:sup> cells) even from patients with minimal residual disease. The procedure was validated using actual blast cells from patients with various types of leukemia. Outcomes were compared to current evaluation standards, such as flow cytometry, using BM aspirates. Blast cell detection efficiency was higher in 55.6% of the patients using the BCB as compared to flow cytometry, despite the lower concentrations of blast cells in liquid biopsy. These studies promote early-stage detection and routine monitoring for minimal residual disease in patients. 2020-12-21T16:19:56Z 2020-12-21T16:19:56Z 2019-12 2019-06 2020-12-17T13:16:12Z Article http://purl.org/eprint/type/JournalArticle 2397-768X https://hdl.handle.net/1721.1/128873 Khoo, Bee Luan et al. "Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip." npj Precision Oncology 3, 1 (December 2019): 30 en http://dx.doi.org/10.1038/s41698-019-0102-5 npj Precision Oncology Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/ application/pdf Springer Nature
spellingShingle Khoo, Bee Luan
Shang, Menglin
Ng, Chin Hin
Lim, Chwee-Teck
Chng, Wee Joo
Han, Jongyoon
Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
title Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
title_full Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
title_fullStr Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
title_full_unstemmed Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
title_short Liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
title_sort liquid biopsy for minimal residual disease detection in leukemia using a portable blast cell biochip
url https://hdl.handle.net/1721.1/128873
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