Antibody-based Circulating Tumor Cells (CTCs) detection is the most convenient way to monitor cancer metastasis. However, the equipment for CTC detection is unaffordable for most regional hospitals.
Therefore, we aim to develop an automatic CTC quantification device, namely CTC-FAST device, for CTC detection.
The CTC-FAST device is composed of three main systems:
The first one is the fluid propulsion system for propelling CTCs for capture, labeling, and detection. The secondary one is the microfluidic technology for cell alignment.
The final one is the fluorescence detection system for detecting the emitting light from fluorescence-labeled CTC after laser excitation.
The operation of these systems is controlled by software we developed (software link).
The goal of the fluid propulsion system is to build up the prototype for automatically processing CTC capture and labeling. Accordingly, this system should allow washing buffer and labeling reagent to flow in and out of the main chamber step by step.
In addition, this prototype also allows us to manually measure the operating time of the whole automatic process, which is important in clinical application.
The whole process of the fluid Propulsion System in CTC-FAST device is as follows:
▲ Peristaltic pump (12V/5W): to provide a constant force for fluid propulsion.
We used Arduino's I/O ports to control the liquid flow sequence of each container. Because the voltage output of Arduino is too weak for peristaltic pump activation, relays are connected to Arduino for amplification.
▲ Microprocessor System: Arduino UNO R3
The conventional Arduino microprocessor
▲ Power control switch: 12V Relay
A voltage-controlled initiator is employed to activate high-voltage circuits with the aid of Arduino's low-voltage source inputs.
▲ Buffer chamber:
to prevent the countercurrent and cross contamination among buffers and reagents.
▲ Non-return valve:
to prevent cross-contamination among buffers, reagents, and waste.
▲ The main chamber:
The main chamber is a diamond shape to avoid the accumulation of sample cells at the corners of the chamber.
▲ MG-996 Servo motor
The servo motor is applied to precisely swing the main chamber with an angle of ± 6° by setting the time.
▲ The production of sheath fluid: tri-syringe push device
Driving force: stepper motor & DM-542 controller
▲ The stabilizer of faying surface between tri-syringe push device and microfluidic system
▲ Buck/Boost converter:
Boost: XL2006 DC-DC Boost Module; Buck: LM2596 DC-DC Buck Module
▲ Control device: Rotary encoder
The display screen's forward, reverse, and push button functions enable the selection, confirmation, and modification of manipulation variables.
▲ Screen Display: LCD1602
The interface displays the presently controlled mode and every manipulation variable. The design draws inspiration from a laboratory 3D printer, which employs a rotary encoder and screen as its control system.
▲ Confirmation Key Alert: Buzzer
Buzzer provides users with tactile feedback of successful operation.
▲ First experimental control interface Buzzer
Since CTC-FAST is still in the developmental stage, our initial program design logic is specifically focused on "finding the various manipulation variables needed in each step", of the program operation flow as follows.
To successfully count the number of CTCs in the sample, we apply microfluidic technology to align the cells for detection after CTC labeling. The microfluidic confinement effect is applied to precisely align CTCs in micron-scale tubes. Accordingly, we designed a trident-shaped microchannel, with the main flow channel at 150 microns and the other two channels at 300 microns.
▲ Trident microchannel seal formula
▲ Calculation of tube diameter after microchannel sealing
▲ UV irradiator
▲ Trident Microchannel Design
▲ Ozone Machine
▲ Microchannel
▲ Height of microchannel shell
▲ Thickness of microchannel
▲ Length of needle
After the microchannel aligns the individual cells, we designed a fluorescence detection system to detect the mGL-labeled CTCs. The mGL protein labeling the CTCs could be stimulated by laser light at 488 nm wavelength and emits light at 513 nm for detection.
▲ Laser focus system, Fluorescence detection system
▲ Overview of equipment for detecting photodiode limitation
▲ Polarizers & piezoelectric tank
▲ Multiple acrylic sheets
▲ The experimental data and graph of the relationship between light intensity and voltage.
▲ Inverted Amplifier Circuit
▲ No discernible difference without (left) and with amplifier circuit (right)
After searching for related papers, we found that this result is due to LM3588 being a general-purpose amplifier, so its amplification precision is not enough to amplify small signals. Therefore, we changed to an instrumentation amplifier, AD620, and referred to the circuit diagram below for trial use. This time it successfully amplified the small signal generated by the photodiode.
▲ Amplification Circuit of AD620
▲ Voltage before amplification was 0.0008V, after amplification, 0.392V, a 490-fold amplification
▲ Voltage Sensor
▲ AD620 amplifier module
▲ The laser beam pass through the quartz tube
▲ The holder of filter and photodiode
▲ Measurement data and trend charts for various fluorescence concentrations with and without the laser turned on.
▲ Calculation of concentration of CTC-mimic mGL solution
▲ Trend chart for two consecutive measurements of fluorescent substances with 1 to 10 equivalent CTCs (with amplifier).
▲ Results of fluorescent substance measurement without the amplifier.
Hongyun zheng (Ed.). (n.d.). Detection of Folate Receptor‐positive Circulating Tumor Cells as a Biomarker for Diagnosis, Prognostication, and Therapeutic Monitoring in Breast Cancer. J Clin Lab Anal. 2022 Jan; 36(1): E24180.