Circulating tumor cells (CTC) quantified in
cancer patients' blood can predict disease outcome and response to
therapy. However, the CTC analysis platforms commonly used cannot capture live CTCs and only apply to
tumors of epithelial origin. To address these limitations, we have developed a novel
cancer detection platform which measures
telomerase activity from live CTCs captured on a
parylene-C slot microfilter. Using a constant low-pressure delivery system, the new microfilter platform was capable of cell capture from 1 mL of whole blood in less than 5 minutes, achieving 90% capture efficiency, 90% cell viability, and 200-fold sample enrichment. Importantly, the captured cells retained normal morphology by scanning electron microscopy and could be readily manipulated, further analyzed, or expanded on- or off-filter.
Telomerase activity--a well-recognized universal
cancer marker--was reliably detected by quantitative PCR from as few as 25
cancer cells added into 7.5 mL of whole blood and captured on the microfilter. Moreover, significant
telomerase activity elevation was also measured from patients' blood samples and from single
cancer cells lifted off of the microfilter. Live CTC capture and analysis is fast and simple yet highly quantitative, versatile, and applicable to nearly all solid
tumor types, making this a highly promising new strategy for
cancer detection and characterization.