Laboratory Medicine ›› 2015, Vol. 30 ›› Issue (10): 1011-1016.DOI: 10.3969/j.issn.1673-8640.2015.10.012

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Esablishment on isolation and identification kit for circulating tumor cells in breast cancer

ZHANG Jian1, FENG Xiaoyan2, SUN Tingting3, WANG Kai4, ZHANG Xirui3, GAO Jiefeng3, LIANG Xiaofei4, KANG Xiangdong5, PENG Junjie6, ZHANG Heqiu2, MIAO Chaoliang7, SHEN Hebai3   

  1. 1.Shanghai Center for Clinical Laboratory, Shanghai 200126, China
    2. Biological Diagnostic Laboratory, Institute of Basic Medicine, Academy of Military Medical Sciences, Beijing 100850, China
    3.Shanghai Baihuikang Bio-Sci&Tech Co.,Ltd., Shanghai 201900, China
    4. Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200032, China
    5. Department of Clinical Laboratory, Putuo Central Hospital, Shanghai 200062, China
    6. Department of Colorectal Surgery, Shanghai Cancer Center, Fudan University, Shanghai 200032, China
    7. Liaocheng Cancer Hospital, Shandong Liaocheng 252000, China
  • Received:2015-04-07 Online:2015-10-30 Published:2015-11-04

Abstract: Objective

To investigate the clinical application significance of epithelial cell adhesion molecule (EpCAM)lipid immune magnetic particles and human breast mammaglobin (hMAM) monoclonal antibody in breast cancer circulating tumor cell (CTC) isolation and identification kit.

Methods

Breast cancer MCF-7 cells were mixed in healthy fresh blood samples, and the isolation ability of EpCAM lipid immune magnetic particles on breast cancer was analyzed by immune magnetic particle isolating technique. A comparison between EpCAM lipid immune magnetic particles and Cell Tracks ® AutoPrep® System (CellSearchTM) magnetic particles for the capture efficiency of MCF-7 cells was performed in a simulation experiment, and the hematological items were determined.

Results

The results of fluorescence microscopy showed that the capture ability of EpCAM lipid immune magnetic particle was significantly stronger than that of nanoparticles without antibody. The results of laser scanning confocal microscopy showed that the modification of EpCAM lipid immune magnetic particle antibody significantly enhanced the efficiency and specificity of magnetic particles capturing MCF-7 cells. Simulation experiment results showed that the capturing results of EpCAM lipid immune magnetic particles of 10, 20, 40, 80, 150 and 200 MCF-7 cells were close to CellSearchTM magnetic particles. In the blood samples from patients with breast cancer, the CTC capturing efficiencies of EpCAM lipid immune magnetic particles and CellSearchTM magnetic particles were almost the same, in some cases, the CTC capturing efficiency of EpCAM lipid immune magnetic particles was significantly better than that of CellSearchTM magnetic particles.

Conclusions

The research on the establishment of EpCAM lipid immune magnetic particles and hMAN monoclonal antibody based on CTC isolation and identification kit has high capturing efficiency of CTC in blood samples from patients with breast cancer. It will provide a strong support for the early diagnosis, pre-operation and post-operation analysis and treatment effect evaluation.

Key words: Circulating tumor cell, Epithelial cell adhesion molecule, Immune magnetic particle, Human breast mammaglobin

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