The invention relates to the fields of cell separation and fluidic devices.
Clinically or environmentally relevant information may often be present in a sample, but in quantities too low to detect. Thus, various enrichment or amplification methods are often employed in order to increase the detectability of such information.
For cells, different flow cytometry and cell sorting methods are available, but these techniques typically employ large and expensive pieces of equipment, which require large volumes of sample and skilled operators. These cytometers and sorters use methods like electrostatic deflection, centrifugation, fluorescence activated cell sorting (FACS), and magnetic activated cell sorting (MACS) to achieve cell separation. These methods often suffer from the inability to enrich a sample sufficiently to allow analysis of rare components of the sample. Furthermore, such techniques may result in unacceptable losses of such rare components, e.g., through inefficient separation or degradation of the components.
Thus, there is a need for new devices and methods for enriching samples.
In general, the invention features devices that contain one or more structures that deterministically deflect particles, in a fluid, having a hydrodynamic size above a critical size in a direction not parallel to the average direction of flow of the fluid in the structure. An exemplary structure includes an array of obstacles that form a network of gaps, wherein a fluid passing through the gaps is divided unequally into a major flux and a minor flux so that the average direction of the major flux is not parallel to the average direction of fluidic flow in the channel, and the major flux from the first outer region is directed either toward the second outer region or away from the second outer region, wherein the particles are directed into the major flux. The array of obstacles preferably includes first and second rows displaced laterally relative to one another so that fluid passing through a gap in the first row is divided unequally into two gaps in the second row. Such structures may be arranged in series in a single channel, in parallel in the same channel, e.g., a duplex configuration, in parallel in multiple channels in a device, or combinations thereof. Each channel will have at least one inlet and at least one outlet. A single inlet and outlet may be employed for two or more structures in parallel, in the same or different channels. Alternatively, each structure may have its own inlet and outlet or a single structure may contain multiple inlets and outlets, e.g., to introduce or collect two different fluids simultaneously.
The invention further features methods of enriching and altering samples employing a device of the invention.
In preferred embodiments, the devices of the invention include microfluidic channels. In other preferred embodiments, the devices of the invention are configured to separate blood components, e.g., red blood cells, white blood cells, or platelets from whole blood, rare cells such as nucleated red blood cells from maternal blood, and stem cells, pathogenic or parasitic organisms, or host or graft immune cells from blood. The methods may also be employed to separate all blood cells, or portions thereof, from plasma, or all particles in a sample such as cellular components or intracellular parasites, or subsets thereof, from the suspending fluid. Other particles that may be separated in devices of the invention are described herein.
The invention further provides methods for preferentially lysing cells of interest in a sample, e.g., to extract clinical information from a cellular component, e.g., a nucleus or nucleic acid, of the cells of interest, e.g., nucleated fetal red blood cells. In general, the method employs differential lysis between the cells of interest and other cells (e.g., other nucleated cells) in the sample. In certain embodiments, preferential lysis results in lysis of at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, or 99% of cells of interest, e.g., red blood cells or fetal nucleated red blood cells, and lysis of less than 50%, 40%, 30%, 20%, 10%, 5%, or 1% of undesired cells, e.g. maternal white blood cells or maternal nucleated red blood cells.
By “gap” is meant an opening through which fluids and/or particles may flow. For example, a gap may be a capillary, a space between two obstacles wherein fluids may flow, or a hydrophilic pattern on an otherwise hydrophobic surface wherein aqueous fluids are confined. In a preferred embodiment of the invention, the network of gaps is defined by an array of obstacles. In this embodiment, the gaps are the spaces between adjacent obstacles. In a preferred embodiment, the network of gaps is constructed with an array of obstacles on the surface of a substrate.
By “obstacle” is meant an impediment to flow in a channel, e.g., a protrusion from one surface. For example, an obstacle may refer to a post outstanding on a base substrate or a hydrophobic barrier for aqueous fluids. In some embodiments, the obstacle may be partially permeable. For example, an obstacle may be a post made of porous material, wherein the pores allow penetration of an aqueous component but are too small for the particles being separated to enter.
By “hydrodynamic size” is meant the effective size of a particle when interacting with a flow, posts, and other particles. It is used as a general term for particle volume, shape, and deformability in the flow.
By “flow-extracting boundary” is meant a boundary designed to remove fluid from an array.
By “flow-feeding boundary” is meant a boundary designed to add fluid to an array.
By “swelling reagent” is meant a reagent that increases the hydrodynamic radius of a particle. Swelling reagents may act by increasing the volume, reducing the deformability, or changing the shape of a particle.
By “shrinking reagent” is meant a reagent that decreases the hydrodynamic radius of a particle. Shrinking reagents may act by decreasing the volume, increasing the deformability, or changing the shape of a particle.
By “labeling reagent” is meant a reagent that is capable of binding to or otherwise being localized with a particle and being detected, e.g., through shape, morphology, color, fluorescence, luminescence, phosphorescence, absorbance, magnetic properties, or radioactive emission.
By “channel” is meant a gap through which fluid may flow. A channel may be a capillary, a conduit, or a strip of hydrophilic pattern on an otherwise hydrophobic surface wherein aqueous fluids are confined.
By “microfluidic” is meant having at least one dimension of less than 1 mm.
By “enriched sample” is meant a sample containing cells or other particles that has been processed to increase the relative population of cells or particles of interest relative to other components typically present in a sample. For example, samples may be enriched by increasing the relative population of particles of interest by at least 10%, 25%, 50%, 75%, 100% or by a factor of at least 1000, 10,000, 100,000, or 1,000,000.
By “intracellular activation” is meant activation of second messenger pathways, leading to transcription factor activation, or activation of kinases or other metabolic pathways. Intracellular activation through modulation of external cell membrane antigens can also lead to changes in receptor trafficking.
By “cellular sample” is meant a sample containing cells or components thereof. Such samples include naturally occurring fluids (e.g., blood, lymph, cerebrospinal fluid, urine, cervical lavage, and water samples) and fluids into which cells have been introduced (e.g., culture media, and liquefied tissue samples). The term also includes a lysate.
By “biological sample” is meant any same of biological origin or containing, or potentially containing, biological particles. Preferred biological samples are cellular samples.
By “biological particle” is meant any species of biological origin that is insoluble in aqueous media. Examples include cells, particulate cell components, viruses, and complexes including proteins, lipids, nucleic acids, and carbohydrates.
By “component” of a cell (or “cellular component”) is meant any component of a cell that may be at least partially isolated upon lysis of the cell. Cellular components may be organelles (e.g., nuclei, peri-nuclear compartments, nuclear membranes, mitochondria, chloroplasts, or cell membranes), polymers or molecular complexes (e.g., lipids, polysaccharides, proteins (membrane, trans-membrane, or cytosolic), nucleic acids (native, therapeutic, or pathogenic), viral particles, or ribosomes), intracellular parasites or pathogens, or other molecules (e.g., hormones, ions, cofactors, or drugs).
By “blood component” is meant any component of whole blood, including host red blood cells, white blood cells, and platelets. Blood components also include the components of plasma, e.g., proteins, lipids, nucleic acids, and carbohydrates, and any other cells that may be present in blood, e.g., because of current or past pregnancy, organ transplant, or infection.
By “counterpart” is meant a cellular component, which although different at the detail level (e.g., sequence) is of the same class. Examples are nuclei, mitochondria, mRNA, and ribosomes from different cell types, e.g., fetal red blood cells and maternal white blood cells.
By “preferential lysis” is meant lysing a cell of interest to a greater extent than undesired cells on the time scale of the lysis. Undesired cells typically contain the same cellular component found in the cells of interest or a counterpart thereof or cellular components that damage the contents of cells of interest. Preferential lysis may result in lysis of at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, or 99% of cells of interest, e.g., while lysing less than 50%, 40%, 30%, 20%, 10%, 5%, or 1% of undesired cells. Preferential lysis may also result in a ratio of lysis of cells of interest to undesired cells.
Other features and advantages will be apparent from the following description and the claims.
a is a schematic depiction of a manifold of the invention.
a is a table that illustrates the nuclei recovery after Cytospin using Carney's fix solution total cell lysis procedure as described herein.
b is a series of fluorescent micrographs showing an example of nuclei FISH results using Carney's fix mediated total cell lysis. The nuclei are FISHed for X (aqua), Y (green) and Y (red) and counterstained with DAPI.
Device
In general, the devices include one or more arrays of obstacles that allow deterministic lateral displacement of components of fluids. Prior art devices that differ from those the present invention, but which, like those of the invention, employ obstacles for this purpose are described, e.g., in Huang et al. Science 304, 987-990 (2004) and U.S. Publication No. 20040144651. The devices of the invention for separating particles according to size employ an array of a network of gaps, wherein a fluid passing through a gap is divided unequally into subsequent gaps. The array includes a network of gaps arranged such that fluid passing through a gap is divided unequally, even though the gaps may be identical in dimensions.
The device uses a flow that carries cells to be separated through the array of gaps. The flow is aligned at a small angle (flow angle) with respect to a line-of-sight of the array. Cells having a hydrodynamic size larger than a critical size migrate along the line-of-sight in the array, whereas those having a hydrodynamic size smaller than the critical size follow the flow in a different direction. Flow in the device occurs under laminar flow conditions.
The critical size is a function of several design parameters. With reference to the obstacle array in
Referring to
In an array for deterministic lateral displacement, particles of different shapes behave as if they have different sizes (
Referring to
Uses of Devices of the Invention
The invention features improved devices for the separation of particles, including bacteria, viruses, fungi, cells, cellular components, viruses, nucleic acids, proteins, and protein complexes, according to size. The devices may be used to effect various manipulations on particles in a sample. Such manipulations include enrichment or concentration of a particle, including size based fractionization, or alteration of the particle itself or the fluid carrying the particle. Preferably, the devices are employed to enrich rare particles from a heterogeneous mixture or to alter a rare particle, e.g., by exchanging the liquid in the suspension or by contacting a particle with a reagent. Such devices allow for a high degree of enrichment with limited stress on cells, e.g., reduced mechanical lysis or intracellular activation of cells.
Although primarily described in terms of cells, the devices of the invention may be employed with any other particles whose size allows for separation in a device of the invention.
Array Design
Single-stage array. In one embodiment, a single stage contains an array of obstacles, e.g., cylindrical posts (
Multiple-stage arrays. In another embodiment, multiple stages are employed to separate particles over a wide range of sizes. An exemplary device is shown in
As described, in a multiple-stage array, large particles, e.g., cells, that could cause clogging downstream are deflected first, and these deflected particles need to bypass the downstream stages to avoid clogging. Thus, devices of the invention may include bypass channels that remove output from an array. Although described here in terms of removing particles above the critical size, bypass channels may also be employed to remove output from any portion of the array.
Different designs for bypass channels are as follows.
Single bypass channels. In this design, all stages share one bypass channel, or there is only one stage. The physical boundary of the bypass channel may be defined by the array boundary on one side and a sidewall on the other side (
Single bypass channels may also be designed, in conjunction with an array to maintain constant flux through a device (
Multiple bypass channels. In this design (
Multiple bypass channels may be designed, in conjunction with an array to maintain constant flux through a device (
Optimal Boundary Design. If the array were infinitely large, the flow distribution would be the same at every gap. The flux φ going through a gap would be the same, and the minor flux would be εφ for every gap. In practice, the boundaries of the array perturb this infinite flow pattern. Portions of the boundaries of arrays may be designed to generate the flow pattern of an infinite array. Boundaries may be flow-feeding, i.e., the boundary injects fluid into the array, or flow-extracting, i.e., the boundary extracts fluid from the array.
A preferred flow-extracting boundary widens gradually to extract εφ (represented by arrows in
A preferred flow-feeding boundary narrows gradually to feed exactly εφ (represented by arrows in
A flow-feeding boundary may also be as wide as or wider than the gaps of an array (
Device Design
On-Chip Flow Resistor for Defining and Stabilizing Flow
Devices of the invention may also employ fluidic resistors to define and stabilize flows within an array and to also define the flows collected from the array.
Flow Definition within the Array
Definition of Collection Fraction
By controlling the relative resistance of the product and waste outlet channels, one can modulate the collection tolerance for each fraction. For example, in this particular set of schematics, when Rproduct is greater than Rwaste, a more concentrated product fraction will result at the expense of a potentially increased loss to and dilution of waste fraction. Conversely, when Rproduct is less than Rwaste, a more dilute and higher yield product fraction will be collected at the expense of potential contamination from the waste stream.
Flow Stabilization
Each of the inlet and outlet channels can be designed so that the pressure drops across the channels are appreciable to or greater than the fluctuations of the overall driving pressure. In typical cases, the inlet and outlet pressure drops are 0.001 to 0.99 times the driving pressure.
Multiplexed Arrays
The invention features multiplexed arrays. Putting multiple arrays on one device increases sample-processing throughput and allows for parallel processing of multiple samples or portions of the sample for different fractions or manipulations. Multiplexing is further desirable for preparative devices. The simplest multiplex device includes two devices attached in series, i.e., a cascade. For example, the output from the major flux of one device may be coupled to the input of a second device. Alternatively, the output from the minor flux of one device may be coupled to the input of the second device.
Duplexing. Two arrays can be disposed side-by-side, e.g., as mirror images (
Multiplexing on a device. In addition to forming a duplex, two or more arrays that have separated inputs may be disposed on the same device (FIG. 30A). Such an arrangement could be employed for multiple samples, or the plurality of arrays may be connected to the same inlet for parallel processing of the same sample. In parallel processing of the same sample, the outlets may or may not be fluidically connected. For example, when the plurality of arrays has the same critical size, the outlets may be connected for high throughput sample processing. In another example, the arrays may not all have the same critical size or the particles in the arrays may not all be treated in the same manner, and the outlets may not be fluidically connected.
Multiplexing may also be achieved by placing a plurality of duplex arrays on a single device (
Devices of the invention also feature a small-footprint. Reducing the footprint of an array can lower cost, and reduce the number of collisions with obstacles to eliminate any potential mechanical damage or other effects to particles. The length of a multiple stage array can be reduced if the boundaries between stages are not perpendicular to the direction of flow. The length reduction becomes significant as the number of stages increases.
Additional Components
In addition to an array of gaps, devices of the invention may include additional elements, e.g., for isolating, collection, manipulation, or detection. Such elements are known in the art. Arrays may also be employed on a device having components for other types of separation, including affinity, magnetic, electrophoretic, centrifugal, and dielectrophoretic separation. Devices of the invention may also be employed with a component for two-dimensional imaging of the output from the device, e.g., an array of wells or a planar surface. Preferably, arrays of gaps as described herein are employed in conjunction with an affinity enrichment.
The invention may also be employed in conjunction with other enrichment devices, either on the same device or in different devices. Other enrichment techniques are described, e.g., in International Publication Nos. 2004/029221 and 2004/113877, U.S. Pat. No. 6,692,952, U.S. Application Publications 2005/0282293 and 2005/0266433, and U.S. Application No. 60/668,415, each of which is incorporated by reference.
Methods of Fabrication
Devices of the invention may be fabricated using techniques well known in the art. The choice of fabrication technique will depend on the material used for the device and the size of the array. Exemplary materials for fabricating the devices of the invention include glass, silicon, steel, nickel, poly(methylmethacrylate) (PMMA), polycarbonate, polystyrene, polyethylene, polyolefins, silicones (e.g., poly(dimethylsiloxane)), and combinations thereof. Other materials are known in the art. For example, deep Reactive Ion Etching (DRIE) is used to fabricate silicon-based devices with small gaps, small obstacles and large aspect ratios (ratio of obstacle height to lateral dimension). Thermoforming (embossing, injection molding) of plastic devices can also be used, e.g., when the smallest lateral feature is 20 microns and the aspect ratio of these features is less than 3. Additional methods include photolithography (e.g., stereolithography or x-ray photolithography), molding, embossing, silicon micromachining, wet or dry chemical etching, milling, diamond cutting, Lithographie Galvanoformung and Abformung (LIGA), and electroplating. For example, for glass, traditional silicon fabrication techniques of photolithography followed by wet (KOH) or dry etching (reactive ion etching with fluorine or other reactive gas) can be employed. Techniques such as laser micromachining can be adopted for plastic materials with high photon absorption efficiency. This technique is suitable for lower throughput fabrication because of the serial nature of the process. For mass-produced plastic devices, thermoplastic injection molding, and compression molding may be suitable. Conventional thermoplastic injection molding used for mass-fabrication of compact discs (which preserves fidelity of features in sub-microns) may also be employed to fabricate the devices of the invention. For example, the device features are replicated on a glass master by conventional photolithography. The glass master is electroformed to yield a tough, thermal shock resistant, thermally conductive, hard mold. This mold serves as the master template for injection molding or compression molding the features into a plastic device. Depending on the plastic material used to fabricate the devices and the requirements on optical quality and throughput of the finished product, compression molding or injection molding may be chosen as the method of manufacture. Compression molding (also called hot embossing or relief imprinting) has the advantages of being compatible with high-molecular weight polymers, which are excellent for small structures, but is difficult to use in replicating high aspect ratio structures and has longer cycle times. Injection molding works well for high-aspect ratio structures but is most suitable for low molecular weight polymers.
A device may be fabricated in one or more pieces that are then assembled. Layers of a device may be bonded together by clamps, adhesives, heat, anodic bonding, or reactions between surface groups (e.g., wafer bonding). Alternatively, a device with channels in more than one plane may be fabricated as a single piece, e.g., using stereolithography or other three-dimensional fabrication techniques.
To reduce non-specific adsorption of cells or compounds, e.g., released by lysed cells or found in biological samples, onto the channel walls, one or more channel walls may be chemically modified to be non-adherent or repulsive. The walls may be coated with a thin film coating (e.g., a monolayer) of commercial non-stick reagents, such as those used to form hydrogels. Additional examples chemical species that may be used to modify the channel walls include oligoethylene glycols, fluorinated polymers, organosilanes, thiols, poly-ethylene glycol, hyaluronic acid, bovine serum albumin, poly-vinyl alcohol, mucin, poly-HEMA, methacrylated PEG, and agarose. Charged polymers may also be employed to repel oppositely charged species. The type of chemical species used for repulsion and the method of attachment to the channel walls will depend on the nature of the species being repelled and the nature of the walls and the species being attached. Such surface modification techniques are well known in the art. The walls may be functionalized before or after the device is assembled. The channel walls may also be coated in order to capture materials in the sample, e.g., membrane fragments or proteins.
Methods of Operation
Devices of the invention may be employed in any application where the production of a sample enriched in particles above or below a critical size is desired. A preferred use of the device is in produced samples enriched in cells, e.g., rare cells. Once an enriched sample is produced, it may be collected for analysis or otherwise manipulated, e.g., through further enrichment.
The method of the invention uses a flow that carries cells to be separated through the array of gaps. The flow is aligned at a small angle (flow angle) with respect to a line-of-sight of the array. Cells having a hydrodynamic size larger than a critical size migrate along the line-of-sight in the array, whereas those having a hydrodynamic size smaller than the critical size follow the flow in a different direction. Flow in the device occurs under laminar flow conditions.
The method of the invention may be employed with concentrated samples, e.g., where particles are touching, hydrodynamically interacting with each other, or exerting an effect on the flow distribution around another particle. For example, the method can separate white blood cells from red blood cells in whole blood from a human donor. Human blood typically contains ˜45% of cells by volume. Cells are in physical contact and/or coupled to each other hydrodynamically when they flow through the array.
Enrichment
In one embodiment, the methods of the invention are employed to produce a sample enriched in particles of a desired hydrodynamic size. Applications of such enrichment include concentrating particles, e.g., rare cells, and size fractionization, e.g., size filtering (selecting cells in a particular range of sizes). The methods may also be used to enrich components of cells, e.g., nuclei. Nuclei or other cellular components may be produced by manipulation of the sample, e.g., lysis as described herein, or be naturally present in the sample, e.g., via apoptosis or necrosis. Desirably, the methods of the invention retain at least 1%, 10%, 30%, 50%, 75%, 80%, 90%, 95%, 98%, or 99% of the desired particles compared to the initial mixture, while potentially enriching the desired particles by a factor of at least 1, 10, 100, 1000, 10,000, 100,000, or even 1,000,000 relative to one or more non-desired particles. The enrichment may also result in a dilution of the separated particles compared to the original sample, although the concentration of the separated particles relative to other particles in the sample has increased. Preferably, the dilution is at most 90%, e.g., at most 75%, 50%, 33%, 25%, 10%, or 1%.
In a preferred embodiment, the method produces a sample enriched in rare particles, e.g., cells. In general, a rare particle is a particle that is present as less than 10% of a sample. Exemplary rare particles include, depending on the sample, fetal cells, nucleated red blood cells (e.g., fetal or maternal), stem cells (e.g., undifferentiated), cancer cells, immune system cells (host or graft), epithelial cells, connective tissue cells, bacteria, fungi, viruses, parasites, and pathogens (e.g., bacterial or protozoan). Such rare particles may be isolated from samples including bodily fluids, e.g., blood, or environmental sources, e.g., pathogens in water samples. Fetal cells, e.g., nucleated RBCs, may be enriched from maternal peripheral blood, e.g., for the purpose of determining sex and identifying aneuploidies or genetic characteristics, e.g., mutations, in the developing fetus. Cancer cells may also be enriched from peripheral blood for the purpose of diagnosis and monitoring therapeutic progress. Bodily fluids or environmental samples may also be screened for pathogens or parasites, e.g., for coliform bacteria, blood borne illnesses such as sepsis, or bacterial or viral meningitis. Rare cells also include cells from one organism present in another organism, e.g., an in cells from a transplanted organ.
In addition to enrichment of rare particles, the methods of the invention may be employed for preparative applications. An exemplary preparative application includes generation of cell packs from blood. The methods of the invention may be configured to produce fractions enriched in platelets, red blood cells, and white cells. By using multiplexed devices or multistage devices, all three cellular fractions may be produced in parallel or in series from the same sample. In other embodiments, the method may be employed to separate nucleated from enucleated cells, e.g., from cord blood sources.
Using the methods of the invention is advantageous in situations where the particles being enriched are subject to damage or other degradation. As described herein, devices of the invention may be designed to enrich cells with a minimum number of collisions between the cells and obstacles. This minimization reduces mechanical damage to cells and also prevents intracellular activation of cells caused by the collisions. This gentle handling of the cells preserves the limited number of rare cells in a sample, prevents rupture of cells leading to contamination or degradation by intracellular components, and prevents maturation or activation of cells, e.g., stem cells or platelets. In preferred embodiments, cells are enriched such that fewer than 30%, 10%, 5%, 1%, 0.1%, or even 0.01% are activated or mechanically lysed.
In an alternative embodiment, the device would function as a detector for abnormalities in red blood cells. The deterministic principle of sorting enables a predictive outcome of the percentage of enucleated cells deflected in the device. In a disease state, such as malarial infection or sickle cell anemia, the distortion in shape and flexibility of the red cells would significantly change the percentage of cells deflected. This change can be monitored as a first level sentry to alert to the potential of a diseased physiology to be followed by microscopy examination of shape and size of red cells to assign the disease. The method is also generally applicable monitoring for any change in flexibility of particles in a sample.
In an alternative embodiment, the device would function as a detector for platelet aggregation. The deterministic principle of sorting enables a predictive outcome of the percentage of free platelets deflected in the device. Activated platelets would form aggregates, and the aggregates would be deflected. This change can be monitored as a first level sentry to alert the compromised efficacy of a platelet pack for reinfusion. The method is also generally applicable monitoring for any change in size, e.g., through agglomeration, of particles in a sample.
Alteration
In other embodiments of the methods of this invention, cells of interest are contacted with an altering reagent that may chemically or physically alter the particle or the fluid in the suspension. Such applications include purification, buffer exchange, labeling (e.g., immunohistochemical, magnetic, and histochemical labeling, cell staining, and flow in-situ fluorescence hybridization (FISH)), cell fixation, cell stabilization, cell lysis, and cell activation.
Such methods allow for the transfer of particles from a sample into a different liquid.
In another embodiment, reagents are added to the sample to selectively or nonselectively increase the hydrodynamic size of the particles within the sample. This modified sample is then pumped through an obstacle array. Because the particles are swollen and have an increased hydrodynamic diameter, it will be possible to use obstacle arrays with larger and more easily manufactured gap sizes. In a preferred embodiment, the steps of swelling and size-based enrichment are performed in an integrated fashion on a device. Suitable reagents include any hypotonic solution, e.g., deionized water, 2% sugar solution, or neat non-aqueous solvents. Other reagents include beads, e.g., magnetic or polymer, that bind selectively (e.g., through antibodies or avidin-biotin) or non-selectively.
In an alternate embodiment, reagents are added to the sample to selectively or nonselectively decrease the hydrodynamic size of the particles within the sample. Nonuniform decrease in particles in a sample will increase the difference in hydrodynamic size between particles. For example, nucleated cells are separated from enucleated cells by hypertonically shrinking the cells. The enucleated cells can shrink to a very small particle, while the nucleated cells cannot shrink below the size of the nucleus. Exemplary shrinking reagents include hypertonic solutions.
In another embodiment, affinity functionalized beads are used to increase the volume of particles of interest relative to the other particles present in a sample, thereby allowing for the operation of a obstacle array with a larger and more easily manufactured gap size.
Enrichment and alteration may also be combined, e.g., where desired cells are contacted with a lysing reagent and cellular components, e.g., nuclei, are enriched based on size. In another example, particles may be contacted with particulate labels, e.g., magnetic beads, which bind to the particles. Unbound particulate labels may be removed based on size.
Combination with Other Enrichment Techniques
Enrichment and alteration methods employing devices of the invention may be combined with other particulate sample manipulation techniques. In particular, further enrichment or purification of a particle may be desirable. Further enrichment may occur by any technique, including affinity enrichment. Suitable affinity enrichment techniques include contact particles of interest with affinity agents bound to channel walls or an array of obstacles.
Fluids may be driven through a device either actively or passively. Fluids may be pumped using electric field, a centrifugal field, pressure-driven fluid flow, an electro-osmotic flow, and capillary action. In preferred embodiments, the average direction of the field will be parallel to the walls of the channel that contains the array.
Methods of Preferential Lysis
The invention further provides methods for preferentially lysing cells of interest in a sample, e.g., to extract clinical information from a cellular component, e.g., a nucleus, of the cells of interest. In general, the method employs differential lysis between the cells of interest and other cells (e.g., other nucleated cells) in the sample.
Lysis
Cells of interest may be lysed using any suitable method. In one embodiment of the methods of this invention, cells may be lysed by being contacted with a solution that causes preferential lysis. Lysis solutions for these cells may include cell specific IgM molecules and proteins in the complement cascade to initiate complement mediated lysis. Another kind of lysis solution may include viruses that infect a specific cell type and cause lysis as a result of replication (see, e.g., Pawlik et al. Cancer 2002, 95:1171-81). Other lysis solutions include those that disrupt the osmotic balance of cells, e.g., hypotonic or hypertonic (e.g., distilled water), to cause lysis. Other lysis solutions are known in the art. Lysis may also occur by mechanical means, e.g., by passing cells through a sieve or other structure that mechanically disrupts the cells, through the addition of heat, acoustic, or light energy to lyse the cells, or through cell-regulated processes such as apoptosis and necrosis. Cells may also be lysed by subjecting them to one or more cycles of freezing and thawing. Additionally, detergents may be employed to solubilize the cell membrane, lysing the cells to liberate their contents.
In one embodiment, the cells of interest are rare cells, e.g., circulating cancer cells, fetal cells (such as fetal nucleated red blood cells), blood cells (such as nucleated red blood cells, including maternal and/or fetal nucleated red blood cells), immune cells, connective tissue cells, parasites, or pathogens (such as, bacteria, protozoa, and fungi). Most circulating rare cells of interest have compromised membrane integrity as a result of the immune attack from the host RES (Reticulo-Endothelial-System), and accordingly are more susceptible to lysis.
In one embodiment, the cells of interest are lysed as they flow through a microfluidic device, e.g., as described in International Publications WO 2004/029221 and WO 2004/113877 or as described herein. In another embodiment, cells of interest are first bound to obstacles in a microfluidic device, e.g., as described in U.S. Pat. No. 5,837,115, and then lysed. In this embodiment, the cellular components of cells of interest are released from the obstacles, while cellular components of undesired cells remain bound.
Collection of Cellular Components
Desired cellular components may be separated from cell lysate by any suitable method, e.g., based on size, weight, shape, charge, hydrophilicity/hydrophobicity, chemical reactivity or inertness, or affinity. For example, nucleic acids, ions, proteins, and other charged species may be captured by ion exchange resins or separated by electrophoresis. Cellular components may also be separated based on size or weight by size exclusion chromatography, centrifugation, or filtration. Cellular components may also be separated by affinity mechanisms (i.e., a specific binding interaction, such antibody-antigen and nucleic acid complementary interactions), e.g., affinity chromatography, binding to affinity species bound to surfaces, and affinity-based precipitation. In particular, nucleic acids, e.g., genomic DNA, may be separated by hybridization to sequence specific probes, e.g., attached to beads or an array. Cellular components may also be collected on the basis of shape or deformability or non-specific chemical interactions, e.g., chromatography or reverse phase chromatography or precipitation with salts or other reagents, e.g., organic solvents. Cellular components may also be collected based on chemical reactions, e.g., binding of free amines or thiols. Prior to collection, cellular components may also be altered to enable or enhance a particular mode of collection, e.g., via denaturation, enzymatic cleavage (such as via a protease, endonuclease, exonuclease, or restriction endonuclease), or labeling or other chemical reaction.
The level of purity required for collected cellular components will depend on the particular manipulation employed and may be determined by the skilled artisan. In certain embodiments, the cellular component may not need to be isolated from the lysate, e.g., when the cellular component of interest may be analyzed or otherwise manipulated without interference from other cellular components. Affinity based manipulations (e.g., reaction with nucleic acid probes or primers, aptamers, antibodies, or sequence specific intercalating agents, with or without detectable labels) are amenable for use without purification of the cellular components.
In one embodiment, a device, e.g., as described in U.S. Application Publication 2004/0144651 or as described herein, is employed to isolate particulate cellular components of interest, e.g., nuclei, from the lysate based on size. In this embodiment, the particulate cellular components of interest may be separated from other particulate cellular components and intact cells using the device.
Manipulation of Cellular Components
Once released by lysis or otherwise obtained, e.g., via size based separation methods described herein, desired cellular components may be further manipulated, e.g., identified, enumerated, reacted, isolated, or destroyed. In one embodiment, the cellular components contain nucleic acid, e.g., nuclei, mitochondria, and nuclear or cytoplasmic DNA or RNA. In particular, nucleic acids may include RNA, such as mRNA or rRNA, or DNA, such as chromosomal DNA, e.g., that has been cleaved, or DNA that has undergone apoptotic processing. Genetic analysis of the nucleic acid in the cellular component may be performed by any suitable methods, e.g., PCR, FISH, and sequencing. Genetic information may be employed to diagnose disease, status as a genetic disease carrier, or infection with pathogens or parasites. If acquired from fetal cells, genetic information relating to sex, paternity, mutations (e.g., cystic fibrosis), and aneuploidy (e.g., trisomy 21) may be obtained. In some embodiments, analysis of fetal cells or components thereof is used to determine the presence or absence of a genetic abnormality, such as a chromosomal, DNA, or RNA abnormality. Examples of autosomal chromosome abnormalities include, but are not limited to, Angleman syndrome (15q11.2-q13), cri-du-chat syndrome (5p-), DiGeorge syndrome and Velo-cardiofacial syndrome (22q11.2), Miller-Dieker syndrome (17p13.3), Prader-Willi syndrome (15q11.2-q13), retinoblastoma (13q14), Smith-Magenis syndrome (17p11.2), trisomy 13, trisomy 16, trisomy 18, trisomy 21 (Down syndrome), triploidy, Williams syndrome (7q11.23), and Wolf-Hirschhorn (4p-). Examples of sex chromosome abnormalities include, but are not limited to, Kallman syndrome (Xp22.3), steroid sulfate deficiency (STS) (Xp22.3), X-linked ichthiosis (Xp22.3), Klinefelter syndrome (XXY); fragile X syndrome; Turner syndrome; metafemales or trisomy X; and monosomy X. Other less common chromosomal abnormalities that can be analyzed by the systems herein include, but are not limited to, deletions (small missing sections); microdeletions (a minute amount of missing material that may include only a single gene); translocations (a section of a chromosome is attached to another chromosome); and inversions (a section of chromosome is snipped out and reinserted upside down). In some embodiments, analysis of fetal cells or components thereof is used to analyze SNPs and predict a condition of the fetus based on such SNPs. If acquired from cancer cells, genetic information relating to tumorgenic properties may be obtained. If acquired from viral or bacterial cells, genetic information relating to the pathogenicity and classification may be obtained. For non-genetic cellular components, the components may be analyzed to diagnose disease or to monitor health. For example, proteins or metabolites from rare cells, e.g., fetal cells, may be analyzed by any suitable method, including affinity-based assays (e.g., ELISA) or other analytical techniques, e.g., chromatography and mass spectrometry.
General Considerations
Samples may be employed in the methods described herein with or without purification, e.g., stabilization and removal of certain components. Some sample may be diluted or concentrated prior to introduction into the device.
In another embodiment of the methods of this invention, a sample is contacted with a microfluidic device containing a plurality of obstacles, e.g., as described in U.S. Pat. No. 5,837,115 or as described herein. Cells of interest bind to affinity moieties bound to the obstacles in such a device and are thereby enriched relative to undesired cells, e.g., as described in WO 2004/029221.
In another embodiment of the methods of the invention employing a similar device, cells of non-interest bind to affinity moieties bound to the obstacles, while allowing the cells of interest to pass through resulting in an enriched sample with cells of interest, e.g., as described in WO 2004/029221. The sized based method and the affinity-based method may also be combined in a two-step method to further enrich a sample in cells of interest.
In another embodiment of the methods of the invention, a cell sample is pre-filtered by contact with a microfluidic device containing a plurality of obstacles disposed such that particles above a certain size are deflected to travel in a direction not parallel to the average direction of fluid flow, e.g., as described in U.S. Application Publication 2004/0144651 or as described herein.
Dimension: 90 mm×34 mm×1 mm
Array design: 3 stages, gap size=18, 12, and 8 μm for the first, second and third stage, respectively. Bifurcation ratio=1/10. Duplex; single bypass channel
Device design: multiplexing 14 array duplexes; flow resistors for flow stability
Device fabrication: The arrays and channels were fabricated in silicon using standard photolithography and deep silicon reactive etching techniques. The etch depth is 150 μm. Through holes for fluid access are made using KOH wet etching. The silicon substrate was sealed on the etched face to form enclosed fluidic channels using a blood compatible pressure sensitive adhesive (9795, 3M, St Paul, Minn.).
Device Packaging: The device was mechanically mated to a plastic manifold with external fluidic reservoirs to deliver blood and buffer to the device and extract the generated fractions.
Device Operation: An external pressure source was used to apply a pressure of 2.4 PSI to the buffer and blood reservoirs to modulate fluidic delivery and extraction from the packaged device.
Experimental conditions: human blood from consenting adult donors was collected into K2EDTA vacutainers (366643, Becton Dickinson, Franklin Lakes, N.J.). The undiluted blood was processed using the exemplary device described above (
Measurement techniques: Complete blood counts were determined using a Coulter impedance hematology analyzer (COULTER® Ac•T Diff™, Beckman Coulter, Fullerton, Calif.).
Performance:
Dimension: 90 mm×34 mm×1 mm
Array design: 1 stage, gap size=24 μm. Bifurcation ratio=1/60. Duplex; double bypass channel
Device design: multiplexing 14 array duplexes; flow resistors for flow stability
Device fabrication: The arrays and channels were fabricated in silicon using standard photolithography and deep silicon reactive etching techniques. The etch depth is 150 μm. Through holes for fluid access are made using KOH wet etching. The silicon substrate was sealed on the etched face to form enclosed fluidic channels using a blood compatible pressure sensitive adhesive (9795, 3M, St Paul, Minn.).
Device Packaging: The device was mechanically mated to a plastic manifold with external fluidic reservoirs to deliver blood and buffer to the device and extract the generated fractions.
Device Operation: An external pressure source was used to apply a pressure of 2.4 PSI to the buffer and blood reservoirs to modulate fluidic delivery and extraction from the packaged device.
Experimental conditions: human blood from consenting adult donors was collected into K2EDTA vacutainers (366643, Becton Dickinson, Franklin Lakes, N.J.). The undiluted blood was processed using the exemplary device described above at room temperature and within 9 hrs of draw. Nucleated cells from the blood were separated from enucleated cells (red blood cells and platelets), and plasma delivered into a buffer stream of calcium and magnesium-free Dulbecco's Phosphate Buffered Saline (14190-144, Invitrogen, Carlsbad, Calif.) containing 1% Bovine Serum Albumin (BSA) (A8412-100ML, Sigma-Aldrich, St Louis, Mo.).
Measurement techniques: Complete blood counts were determined using a Coulter impedance hematology analyzer (COULTER® Ac•T Diff™, Beckman Coulter, Fullerton, Calif.).
Performance: The device operated at 17 mL/hr and achieved >99% red blood cell removal, >95% nucleated cell retention, and >98% platelet removal.
Dimension: 100 mm×28 mm×1 mm
Array design: 3 stages, gap size=18, 12, and 8 μm for the first, second and third stage, respectively. Bifurcation ratio=1/10. Duplex; single bypass channel.
Device design: multiplexing 10 array duplexes; flow resistors for flow stability
Device fabrication: The arrays and channels were fabricated in silicon using standard photolithography and deep silicon reactive etching techniques. The etch depth is 140 μm. Through holes for fluid access are made using KOH wet etching. The silicon substrate was sealed on the etched face to form enclosed fluidic channels using a blood compatible pressure sensitive adhesive (9795, 3M, St Paul, Minn.).
Device Packaging: The device was mechanically mated to a plastic manifold with external fluidic reservoirs to deliver blood and buffer to the device and extract the generated fractions.
Device Operation: An external pressure source was used to apply a pressure of 2.0 PSI to the buffer and blood reservoirs to modulate fluidic delivery and extraction from the packaged device.
Experimental conditions: Human fetal cord blood was drawn into phosphate buffered saline containing Acid Citrate Dextrose anticoagulants. One milliliter of blood was processed at 3 mL/hr using the device described above at room temperature and within 48 hrs of draw. Nucleated cells from the blood were separated from enucleated cells (red blood cells and platelets), and plasma delivered into a buffer stream of calcium and magnesium-free Dulbecco's Phosphate Buffered Saline (14190-144, Invitrogen, Carlsbad, Calif.) containing 1% Bovine Serum Albumin (BSA) (A8412-100ML, Sigma-Aldrich, St Louis, Mo.) and 2 mM EDTA (15575-020, Invitrogen, Carlsbad, Calif.).
Measurement techniques: Cell smears of the product and waste fractions (
Performance: Fetal nucleated red blood cells were observed in the product fraction (
The device and process described in detail in Example 1 were used in combination with immunomagnetic affinity enrichment techniques to demonstrate the feasibility of isolating fetal cells from maternal blood.
Experimental conditions: blood from consenting maternal donors carrying male fetuses was collected into K2EDTA vacutainers (366643, Becton Dickinson, Franklin Lakes, N.J.) immediately following elective termination of pregnancy. The undiluted blood was processed using the device described in Example 1 at room temperature and within 9 hrs of draw. Nucleated cells from the blood were separated from enucleated cells (red blood cells and platelets), and plasma delivered into a buffer stream of calcium and magnesium-free Dulbecco's Phosphate Buffered Saline (14190-144, Invitrogen, Carlsbad, Calif.) containing 1% Bovine Serum Albumin (BSA) (A8412-100ML, Sigma-Aldrich, St Louis, Mo.). Subsequently, the nucleated cell fraction was labeled with anti-CD71 microbeads (130-046-201, Miltenyi Biotech Inc., Auburn, Calif.) and enriched using the MiniMACS™ MS column (130-042-201, Miltenyi Biotech Inc., Auburn, Calif.) according to the manufacturer's specifications. Finally, the CD71-positive fraction was spotted onto glass slides.
Measurement techniques: Spotted slides were stained using fluorescence in situ hybridization (FISH) techniques according to the manufacturer's specifications using Vysis probes (Abbott Laboratories, Downer's Grove, Ill.). Samples were stained from the presence of X and Y chromosomes. In one case, a sample prepared from a known Trisomy 21 pregnancy was also stained for chromosome 21.
Performance: Isolation of fetal cells was confirmed by the reliable presence of male cells in the CD71-positive population prepared from the nucleated cell fractions (
The following examples show specific embodiments of devices of the invention. The description for each device provides the number of stages in series, the gap size for each stage, ε (Flow Angle), and the number of channels per device (Arrays/Chip). Each device was fabricated out of silicon using DRIE, and each device had a thermal oxide layer.
This device includes five stages in a single array.
Array Design: 5 stage, asymmetric array
Gap Sizes:
This device includes three stages, where each stage is a duplex having a bypass channel. The height of the device was 125 μm.
Array Design: Symmetric 3 stage array with central collection channel
Gap Sizes:
This device includes three stages, where each stage is a duplex having a bypass channel. “Fins” were designed to flank the bypass channel to keep fluid from the bypass channel from re-entering the array. The chip also included on-chip flow resistors, i.e., the inlets and outlets possessed greater fluidic resistance than the array. The height of the device was 117 μm.
Array Design: 3 stage symmetric array
Gap Sizes:
This device includes three stages, where each stage is a duplex having a bypass channel. “Fins” were designed to flank the bypass channel to keep fluid from the bypass channel from re-entering the array. The edge of the fin closest to the array was designed to mimic the shape of the array. The chip also included on-chip flow resistors, i.e., the inlets and outlets possessed greater fluidic resistance than the array. The height of the device was 138 μm.
Array Design: 3 stage symmetric array
Gap Sizes:
This device includes three stages, where each stage is a duplex having a bypass channel. “Fins” were optimized using Femlab to flank the bypass channel to keep fluid from the bypass channel from re-entering the array. The edge of the fin closest to the array was designed to mimic the shape of the array. The chip also included on-chip flow resistors, i.e., the inlets and outlets possessed greater fluidic resistance than the array. The height of the device was 139 or 142 μm.
Array Design: 3 stage symmetric array
Gap Sizes:
This device includes a single stage, duplex device having a bypass channel disposed to receive output from the ends of both arrays. The obstacles in this device are elliptical. The array boundary was modeled in Femlab. The chip also included on-chip flow resistors, i.e., the inlets and outlets possessed greater fluidic resistance than the array. The height of the device was 152 μm.
Array Design: Single stage symmetric array
Gap Sizes:
Though the following examples focus on extraction of a purified population of nuclei of circulating fetal cells from whole maternal blood, the methods described are generic for isolation of cellular components from other cells.
Isolation of Fetal Nuclei
Several embodiments of a method that isolates from whole blood a purified population of nuclei from circulating cells of interest for genomic analysis are described below:
a) The method includes microfluidic processing, as described herein, of whole blood to 1) generate an enriched sample of nucleated cells by depletion of 1 to 3 log of the number of enucleated red blood cells and platelets, 2) release fetal nuclei by microfluidic processing of the enriched nucleated sample to lyse residual enucleated red cells, enucleated reticulocytes, and nucleated erythrocytes, preferentially over nucleated maternal white blood cells, 3) separate nuclei from maternal nucleated white blood cells by microfluidic processing through a size based device, and 4) analyze fetal genome using commercially available gene analysis tools.
b) The method can be designed to allow Steps 1 and 2 of Embodiment 1 in one pass through a microfluidic device, followed by use of a downstream device, or component of a larger device, for Step 3 (see
c) A combination method of microfluidic based generation of fetal nuclei in maternal blood sample, followed by bulk processing techniques, such as density gradient centrifugation to separate the fetal nuclei from maternal cells (see
d) Methods and Proof of Principle
Selective Lysis and Partitioning of Nucleated Erythrocytes. Contaminating red blood cells in donor blood samples spiked with full term cord blood were lysed using two methods, hypotonic and ammonium chloride lysis. Since enucleated red cells undergo lysis in hypotonic solution faster than nucleated cells, controlling the exposure time of the mixed cell population in the hypotonic solution will result in a differential lysis of cell populations based on this time. In this method, the cells are sedimented to form a pellet, and the plasma above the pellet is aspirated. Deionized water is then added, and the pellet is mixed with the water. Fifteen seconds of exposure is sufficient to lyse >95% of the enucleated red blood cells with minimal nucleated red blood cell lysis, 15 to 30 seconds of exposure is sufficient to lyse >70% of the nucleated red blood cells but <15% of other nucleated cells, and >30 seconds will increase the percentage of lysis of other nucleated cells. After the desired exposure time, a 10×HBSS (hypertonic balanced salt) solution is added to return the solution back to isotonic conditions. Exposure to ammonium chloride lysing solutions at standard concentrations (e.g., 0.15 M isotonic solution) will lyse the bulk of red blood cells with minimal effects on nucleated cells. When the osmolality of the lysing solution is decreased to create a hypotonic ammonium chloride solution, the bulk of nucleated red blood cells are lysed along with the mature red blood cells.
Density centrifugation methods were used to obtain an enriched population of lymphocytes. An aliquot of these lymphocytes were exposed to a hypotonic ammonium chloride solution for sufficient time to lyse >95% of the cells. These nuclei were then labeled with Hoechst 33342 (bisbenzimide H 33342), a specific stain for AT rich regions of double stranded DNA, and added back to the original lymphocyte population to create a 90:10 (cell: nuclei) mixture. This mixture was fed into a device that separated cells from nuclei based on size, as depicted in
Density Gradient Centrifugation of Lysed Product. The lysed nuclei of mixed cell suspensions that have been processed through a differential lysis procedure can be enriched by adding a sucrose cushion solution to the lysate. This mixture is then layered on a pure sucrose cushion solution and then centrifuged to form an enriched nuclei pellet. The unlysed cells and debris are aspirated from the supernatant; the nuclei pellet is re-suspended in a buffer solution and then cytospun onto glass slides.
Acid Alcohol Total Cell lysis and Nuclear RNA FISH for Targeted Cell Identification. Product obtained from a device that separated cells based on size, as depicted in
Blood was obtained from pregnant volunteer donors and diluted 1:1 with Dulbecco's phosphate buffered saline (without calcium and magnesium) (iDPBS). Blood and Running Buffer (iDPBS with 1% BSA and 2 mM EDTA) were delivered using an active pressure of 0.8 PSI to the device engaged with a manifold as described in Example 13. Blood was separated into two components nucleated cells in Running Buffer and enucleated cells and plasma proteins in Running Buffer. Both components were analyzed using a standard impedance counter. The component containing nucleated cells was additionally characterized using a propidium iodide staining solution in conjunction with a standard Nageotte counting chamber to determine total nucleated cell loss. Data collected were used to determine blood process volume (mL), blood process rate (mL/hr), RBC/platelet removal, and nucleated cell retention. The following table provides results of cell enrichments employing this device:
An exemplary manifold into which a microfluidic device of the invention is inserted is shown in
To prime the device, buffer, e.g., Dulbecco's PBS with 1% bovine serum albumin (w/v) and 2 mM EDTA, is degassed for 5-10 min under reduced pressure and while being stirred. The buffer is then pumped into the device via the buffer inlet in the manifold at a pressure of <5 psi. The buffer then fills the buffer chamber by displacing air through the hydrophobic vent filter and then fills the channels in the microfluidic device and the blood chamber. A hydrophobic vent filter connected to the blood chamber allows for the displacement of air in the chamber. Once the blood chamber is filled, buffer is pumped into the blood inlet. In certain embodiments, after 1 minute of priming at 1 psi, the blood inlet is clamped, and the pressure is increased to 3 psi for 3 minutes.
A fetal nRBC population enriched by any of the devices described herein is subjected to hypotonic shock by adding a large volume of low ionic strength buffer, e.g., deionized water to lyse enucleated RBCs and nRBCs selectively and release their nuclei. The hypotonic shock is then terminated by adding an equal volume of a high ionic strength buffer. The released nuclei, which may be subsequently harvested through gradient centrifugation such as passage through a solution of iodixanol in water, ρ=1.32 g/mL, are analyzed.
To lyse enucleated RBCs and maternal nucleated RBCs selectively, a sample enriched in fetal nRBCs is treated with a RBC lysis buffer, such as 0.155 M NH4Cl, 0.01 M KHCO3, 2 mM EDTA, 1% BSA with a carbonic anhydrase inhibitor, such as acetazolamide (e.g., at 0.1-100 mM), to induce lysis, followed by termination of the lysis process using a large volume of balanced salt buffer, such as 10× volume of 1×PBS, or balanced salt buffer, such as 1×PBS, with an ion exchange channel inhibitor such as 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid (DIDS). The surviving fetal cells may then be subjected to additional rounds of selection and analysis.
K562 cells, to simulate white blood cells, were labeled with Hoechst and calcein AM at room temperature for 30 minutes (
A sample enriched in fetal nRBC, e.g., by any of the devices or methods discussed herein, may be lysed and analyzed for genetic content. Possible methods of cell lysis and isolation of the desired cells or cell components include:
Once isolated, the desired cells or cell components (such as nuclei) may be analyzed for genetic content. FISH may be used to identify defects in chromosomes 13 and 18 or other chromosomal abnormalities such as trisomy 21 or XXY. Chromosomal aneuploidies may also be detected using methods such as comparative genome hybridization. Furthermore, the identified fetal cells may be examined using micro-dissection. Upon extraction, the fetal cells' nucleic acids may be subjected to one or more rounds of PCR or whole genome amplification followed by comparative genome hybridization, or short tandem repeats (STR) analysis, genetic mutation analysis such as single nucleotide point mutations (SNP), deletions, or translocations.
The product obtained from a device as depicted in
Chaotropic Salt or Detergent Mediated Total Lysis and Oligo-Nucleotide Mediated Enrichment of Apoptotic DNA from Fetal Nucleated RBCs. The product obtained from a device as depicted in
This is an example of titrating whole cell lysis within a microfluidic environment. A blood sample enriched using size based separation as described herein was divided into 4 equal volumes. Three of the volumes were processed through a microfluidic device capable of transporting the cells into a first pre-defined medium for a defined path length within the device and then into a second pre-defined medium for collection. The volumetric cell suspension flow rate was varied to allow controlled incubation times with the first pre-defined medium along the defined path length before contacting the second pre-defined medium. In this example DI water was used as the first pre-defined medium and 2×PBS was used as the second predefined medium. Flow rates were adjusted to allow incubation times of 10, 20, or 30 seconds in DI water before the cells were mixed with 2×PBS to create an isotonic solution. Total cell numbers of the 3 processed volumes and the remaining unprocessed volume were calculated using a Hemacytometer
All publications, patents, and patent applications mentioned in the above specification are hereby incorporated by reference. Various modifications and variations of the described method and system of the invention will be apparent to those skilled in the art without departing from the scope and spirit of the invention. Although the invention has been described in connection with specific embodiments, it should be understood that the invention as claimed should not be unduly limited to such specific embodiments. Indeed, various modifications of the described modes for carrying out the invention that are obvious to those skilled in the art are intended to be within the scope of the invention.
Other embodiments are in the claims.
This application is a continuation of U.S. application Ser. No. 11/449,149, filed on Jun. 8, 2006 (now U.S. Pat. No. 8,021,614), which application is a continuation of International Application No. PCT/US2006/012820, filed on Apr. 5, 2006, which further claims the benefit of U.S. Provisional Application Nos. 60/668,415, filed on Apr. 5, 2005, and 60/704,067, filed on Jul. 29, 2005. All of the aforementioned applications are incorporated herein by reference in their entireties.
Number | Name | Date | Kind |
---|---|---|---|
3906929 | Augspurger | Sep 1975 | A |
3924947 | Hogg | Dec 1975 | A |
4009435 | Hogg | Feb 1977 | A |
4055799 | Coster et al. | Oct 1977 | A |
4115534 | Ithakissios | Sep 1978 | A |
4190535 | Luderer et al. | Feb 1980 | A |
4415405 | Ruddle et al. | Nov 1983 | A |
4434156 | Trowbridge | Feb 1984 | A |
4508625 | Graham | Apr 1985 | A |
4584268 | Ceriani et al. | Apr 1986 | A |
4664796 | Graham et al. | May 1987 | A |
4675286 | Calenoff | Jun 1987 | A |
4729949 | Weinreb et al. | Mar 1988 | A |
4789628 | Nayak | Dec 1988 | A |
4790640 | Nason | Dec 1988 | A |
4800159 | Mullis et al. | Jan 1989 | A |
4814098 | Inada et al. | Mar 1989 | A |
4886761 | Gustafson et al. | Dec 1989 | A |
4894343 | Tanaka et al. | Jan 1990 | A |
4895805 | Sato et al. | Jan 1990 | A |
4906439 | Grenner | Mar 1990 | A |
4925788 | Liberti | May 1990 | A |
4963498 | Hillman et al. | Oct 1990 | A |
4968600 | Haraguchi et al. | Nov 1990 | A |
4971904 | Luddy | Nov 1990 | A |
4977078 | Niimura et al. | Dec 1990 | A |
4984574 | Goldberg et al. | Jan 1991 | A |
4999283 | Zavos et al. | Mar 1991 | A |
5039426 | Giddings | Aug 1991 | A |
5101825 | Gravenstein et al. | Apr 1992 | A |
5135627 | Soane | Aug 1992 | A |
5147606 | Charlton et al. | Sep 1992 | A |
5153117 | Simons | Oct 1992 | A |
5173158 | Schmukler | Dec 1992 | A |
5183744 | Kawamura et al. | Feb 1993 | A |
5186827 | Liberti et al. | Feb 1993 | A |
5215926 | Etchells, III et al. | Jun 1993 | A |
5240856 | Goffe et al. | Aug 1993 | A |
5275933 | Teng et al. | Jan 1994 | A |
5296375 | Kricka et al. | Mar 1994 | A |
5300779 | Hillman et al. | Apr 1994 | A |
5304487 | Wilding et al. | Apr 1994 | A |
5306420 | Bisconte | Apr 1994 | A |
5310674 | Weinreb et al. | May 1994 | A |
5328843 | Fukuda et al. | Jul 1994 | A |
5427663 | Austin et al. | Jun 1995 | A |
5427946 | Kricka et al. | Jun 1995 | A |
5432054 | Saunders et al. | Jul 1995 | A |
5437987 | Teng et al. | Aug 1995 | A |
5447842 | Simons | Sep 1995 | A |
5457024 | Goldbard | Oct 1995 | A |
5466574 | Liberti et al. | Nov 1995 | A |
5472842 | Stokke et al. | Dec 1995 | A |
5486335 | Wilding et al. | Jan 1996 | A |
5489506 | Crane | Feb 1996 | A |
5498392 | Wilding et al. | Mar 1996 | A |
5506141 | Weinreb et al. | Apr 1996 | A |
5541072 | Wang et al. | Jul 1996 | A |
5587070 | Pall et al. | Dec 1996 | A |
5622831 | Liberti et al. | Apr 1997 | A |
5629147 | Asgari et al. | May 1997 | A |
5635358 | Wilding et al. | Jun 1997 | A |
5637458 | Frankel et al. | Jun 1997 | A |
5637469 | Wilding et al. | Jun 1997 | A |
5639669 | Ledley | Jun 1997 | A |
5641628 | Bianchi | Jun 1997 | A |
5646001 | Terstappen et al. | Jul 1997 | A |
5648220 | Bianchi et al. | Jul 1997 | A |
5662813 | Sammons et al. | Sep 1997 | A |
5665540 | Lebo | Sep 1997 | A |
5672481 | Minshall et al. | Sep 1997 | A |
5676849 | Sammons et al. | Oct 1997 | A |
5707799 | Hansmann et al. | Jan 1998 | A |
5707801 | Bresser et al. | Jan 1998 | A |
5709943 | Coleman et al. | Jan 1998 | A |
5714325 | Bianchi | Feb 1998 | A |
5715946 | Reichenbach | Feb 1998 | A |
5726026 | Wilding et al. | Mar 1998 | A |
5731156 | Golbus | Mar 1998 | A |
5750015 | Soane et al. | May 1998 | A |
5750339 | Smith | May 1998 | A |
5753014 | Van Rijn | May 1998 | A |
5766843 | Asgari et al. | Jun 1998 | A |
5770029 | Nelson et al. | Jun 1998 | A |
5830679 | Bianchi et al. | Nov 1998 | A |
5837115 | Austin et al. | Nov 1998 | A |
5837200 | Diessel et al. | Nov 1998 | A |
5840502 | Van Vlasselaer | Nov 1998 | A |
5842787 | Kopf-Sill et al. | Dec 1998 | A |
5843767 | Beattie | Dec 1998 | A |
5846708 | Hollis et al. | Dec 1998 | A |
5856174 | Lipshutz et al. | Jan 1999 | A |
5858187 | Ramsey et al. | Jan 1999 | A |
5858188 | Soane et al. | Jan 1999 | A |
5858195 | Ramsey | Jan 1999 | A |
5858649 | Asgari et al. | Jan 1999 | A |
5861253 | Asgari et al. | Jan 1999 | A |
5863502 | Southgate et al. | Jan 1999 | A |
5866345 | Wilding et al. | Feb 1999 | A |
5869004 | Parce et al. | Feb 1999 | A |
5879624 | Boehringer et al. | Mar 1999 | A |
5882465 | McReynolds | Mar 1999 | A |
5891651 | Roche et al. | Apr 1999 | A |
5906724 | Sammons et al. | May 1999 | A |
5928880 | Wilding et al. | Jul 1999 | A |
5948278 | Sammons et al. | Sep 1999 | A |
5952173 | Hansmann et al. | Sep 1999 | A |
5957579 | Kopf et al. | Sep 1999 | A |
5962234 | Golbus | Oct 1999 | A |
5972721 | Bruno et al. | Oct 1999 | A |
5993665 | Terstappen et al. | Nov 1999 | A |
6001229 | Ramsey | Dec 1999 | A |
6004762 | Tse et al. | Dec 1999 | A |
6007690 | Nelson et al. | Dec 1999 | A |
6008007 | Fruehauf et al. | Dec 1999 | A |
6008010 | Greenberger et al. | Dec 1999 | A |
6013188 | Terstappen et al. | Jan 2000 | A |
6027623 | Ohkawa | Feb 2000 | A |
6030581 | Virtanen | Feb 2000 | A |
6033546 | Ramsey | Mar 2000 | A |
6036857 | Chen et al. | Mar 2000 | A |
6043027 | Selick et al. | Mar 2000 | A |
6045990 | Baust et al. | Apr 2000 | A |
6048498 | Kennedy | Apr 2000 | A |
6054034 | Soane et al. | Apr 2000 | A |
6056859 | Ramsey et al. | May 2000 | A |
6062261 | Jacobson et al. | May 2000 | A |
6066449 | Ditkoff et al. | May 2000 | A |
6068818 | Ackley et al. | May 2000 | A |
6071394 | Cheng et al. | Jun 2000 | A |
6074827 | Nelson et al. | Jun 2000 | A |
6083761 | Kedar et al. | Jul 2000 | A |
6086740 | Kennedy | Jul 2000 | A |
6087134 | Saunders | Jul 2000 | A |
6100029 | Lapidus et al. | Aug 2000 | A |
6100033 | Smith et al. | Aug 2000 | A |
6110343 | Ramsey et al. | Aug 2000 | A |
6120666 | Jacobson et al. | Sep 2000 | A |
6120856 | Liberti et al. | Sep 2000 | A |
6129848 | Chen et al. | Oct 2000 | A |
6130098 | Handique et al. | Oct 2000 | A |
6132607 | Chen et al. | Oct 2000 | A |
6143247 | Sheppard, Jr. et al. | Nov 2000 | A |
6143576 | Buechler | Nov 2000 | A |
6150119 | Kopf et al. | Nov 2000 | A |
6153073 | Dubrow et al. | Nov 2000 | A |
6156270 | Buechler | Dec 2000 | A |
6165270 | Konishi et al. | Dec 2000 | A |
6169816 | Ravkin | Jan 2001 | B1 |
6174683 | Hahn et al. | Jan 2001 | B1 |
6176962 | Soane et al. | Jan 2001 | B1 |
6184029 | Wilding et al. | Feb 2001 | B1 |
6184043 | Fodstad et al. | Feb 2001 | B1 |
6186660 | Kopf-Sill | Feb 2001 | B1 |
6197523 | Rimm et al. | Mar 2001 | B1 |
6200765 | Murphy et al. | Mar 2001 | B1 |
6210574 | Sammons et al. | Apr 2001 | B1 |
6210889 | Drouin et al. | Apr 2001 | B1 |
6210910 | Walt et al. | Apr 2001 | B1 |
6213151 | Jacobson et al. | Apr 2001 | B1 |
6214558 | Shuber et al. | Apr 2001 | B1 |
6235474 | Feinberg et al. | May 2001 | B1 |
6241894 | Briggs et al. | Jun 2001 | B1 |
6242209 | Ransom et al. | Jun 2001 | B1 |
6245227 | Moon et al. | Jun 2001 | B1 |
6251343 | Dubrow et al. | Jun 2001 | B1 |
6251691 | Seul | Jun 2001 | B1 |
6258540 | Lo et al. | Jul 2001 | B1 |
6265229 | Fodstad et al. | Jul 2001 | B1 |
6274337 | Parce et al. | Aug 2001 | B1 |
6274339 | Moore et al. | Aug 2001 | B1 |
6277489 | Abbott et al. | Aug 2001 | B1 |
6277569 | Bittner et al. | Aug 2001 | B1 |
6280967 | Ransom et al. | Aug 2001 | B1 |
6291249 | Mahant et al. | Sep 2001 | B1 |
6296752 | McBride et al. | Oct 2001 | B1 |
6306578 | Schellenberger et al. | Oct 2001 | B1 |
6309889 | Cutler et al. | Oct 2001 | B1 |
6315940 | Nisch et al. | Nov 2001 | B1 |
6315953 | Ackley et al. | Nov 2001 | B1 |
6319468 | Sheppard, Jr. et al. | Nov 2001 | B1 |
6331274 | Ackley et al. | Dec 2001 | B1 |
6344326 | Nelson et al. | Feb 2002 | B1 |
6355491 | Zhou et al. | Mar 2002 | B1 |
6361958 | Shieh et al. | Mar 2002 | B1 |
6365362 | Terstappen et al. | Apr 2002 | B1 |
6365562 | Fischer et al. | Apr 2002 | B1 |
6368871 | Christel et al. | Apr 2002 | B1 |
6372432 | Tocque et al. | Apr 2002 | B1 |
6376181 | Ramsey et al. | Apr 2002 | B2 |
6377721 | Walt et al. | Apr 2002 | B1 |
6379884 | Wada et al. | Apr 2002 | B2 |
6383759 | Murphy et al. | May 2002 | B1 |
6387290 | Brody et al. | May 2002 | B1 |
6387707 | Seul et al. | May 2002 | B1 |
6394942 | Moon et al. | May 2002 | B2 |
6395232 | McBride | May 2002 | B1 |
6399023 | Chow | Jun 2002 | B1 |
6432630 | Blankenstein | Aug 2002 | B1 |
6432720 | Chow | Aug 2002 | B2 |
6444461 | Knapp et al. | Sep 2002 | B1 |
6453928 | Kaplan et al. | Sep 2002 | B1 |
6454938 | Moon et al. | Sep 2002 | B2 |
6454945 | Weigl et al. | Sep 2002 | B1 |
6455260 | Muller et al. | Sep 2002 | B1 |
6465225 | Fuhr et al. | Oct 2002 | B1 |
6479299 | Parce et al. | Nov 2002 | B1 |
6488895 | Kennedy | Dec 2002 | B1 |
6495340 | Huberman et al. | Dec 2002 | B2 |
6500612 | Gray et al. | Dec 2002 | B1 |
6511967 | Weissleder et al. | Jan 2003 | B1 |
6517234 | Kopf-Sill et al. | Feb 2003 | B1 |
6521188 | Webster | Feb 2003 | B1 |
6524456 | Ramsey et al. | Feb 2003 | B1 |
6529835 | Wada et al. | Mar 2003 | B1 |
6537505 | LaBudde et al. | Mar 2003 | B1 |
6540895 | Spence et al. | Apr 2003 | B1 |
6551841 | Wilding et al. | Apr 2003 | B1 |
6569626 | Bittner et al. | May 2003 | B2 |
6576478 | Wagner et al. | Jun 2003 | B1 |
6582904 | Dahm | Jun 2003 | B2 |
6582969 | Wagner et al. | Jun 2003 | B1 |
6589791 | LaBudde | Jul 2003 | B1 |
6596144 | Regnier et al. | Jul 2003 | B1 |
6596545 | Wagner et al. | Jul 2003 | B1 |
6605453 | Ozkan et al. | Aug 2003 | B2 |
6605454 | Barenburg et al. | Aug 2003 | B2 |
6613525 | Nelson et al. | Sep 2003 | B2 |
6632619 | Harrison et al. | Oct 2003 | B1 |
6632652 | Austin et al. | Oct 2003 | B1 |
6632655 | Mehta et al. | Oct 2003 | B1 |
6635163 | Han et al. | Oct 2003 | B1 |
6637463 | Lei et al. | Oct 2003 | B1 |
6645731 | Terstappen et al. | Nov 2003 | B2 |
6664104 | Pourahmadi et al. | Dec 2003 | B2 |
6673541 | Klein et al. | Jan 2004 | B1 |
6674525 | Bardell et al. | Jan 2004 | B2 |
6685841 | Lopez et al. | Feb 2004 | B2 |
6689615 | Murto et al. | Feb 2004 | B1 |
6692952 | Braff et al. | Feb 2004 | B1 |
6743636 | Chung et al. | Jun 2004 | B2 |
6746503 | Benett et al. | Jun 2004 | B1 |
6762059 | Chan et al. | Jul 2004 | B2 |
6770434 | Shvets et al. | Aug 2004 | B2 |
6783647 | Culbertson et al. | Aug 2004 | B2 |
6805841 | Shvets et al. | Oct 2004 | B2 |
6815664 | Wang et al. | Nov 2004 | B2 |
6818184 | Fulwyler et al. | Nov 2004 | B2 |
6830936 | Anderson et al. | Dec 2004 | B2 |
6849423 | Mutz et al. | Feb 2005 | B2 |
6858439 | Xu et al. | Feb 2005 | B1 |
6875619 | Blackburn | Apr 2005 | B2 |
6878271 | Gilbert et al. | Apr 2005 | B2 |
6881315 | Iida et al. | Apr 2005 | B2 |
6893836 | Mutz et al. | May 2005 | B2 |
6893881 | Fodstad et al. | May 2005 | B1 |
6911345 | Quake et al. | Jun 2005 | B2 |
6913605 | Fletcher et al. | Jul 2005 | B2 |
6913697 | Lopez et al. | Jul 2005 | B2 |
6942978 | O'Brien | Sep 2005 | B1 |
6953668 | Israeli et al. | Oct 2005 | B1 |
6958245 | Seul et al. | Oct 2005 | B2 |
6960449 | Wang et al. | Nov 2005 | B2 |
6991917 | Mutz et al. | Jan 2006 | B2 |
7150812 | Huang et al. | Dec 2006 | B2 |
8304230 | Toner et al. | Nov 2012 | B2 |
8722423 | Bergman et al. | May 2014 | B2 |
20010007749 | Feinberg | Jul 2001 | A1 |
20010018192 | Terstappen et al. | Aug 2001 | A1 |
20010036672 | Anderson et al. | Nov 2001 | A1 |
20020005354 | Spence et al. | Jan 2002 | A1 |
20020006621 | Bianchi et al. | Jan 2002 | A1 |
20020009738 | Houghton et al. | Jan 2002 | A1 |
20020012931 | Waldman et al. | Jan 2002 | A1 |
20020019001 | Light | Feb 2002 | A1 |
20020028431 | Julien | Mar 2002 | A1 |
20020058332 | Quake et al. | May 2002 | A1 |
20020076825 | Cheng et al. | Jun 2002 | A1 |
20020086329 | Shvets et al. | Jul 2002 | A1 |
20020090741 | Jurgensen et al. | Jul 2002 | A1 |
20020098535 | Wang et al. | Jul 2002 | A1 |
20020106715 | Huberman et al. | Aug 2002 | A1 |
20020108859 | Wang et al. | Aug 2002 | A1 |
20020110835 | Kumar | Aug 2002 | A1 |
20020115163 | Wang et al. | Aug 2002 | A1 |
20020115164 | Wang et al. | Aug 2002 | A1 |
20020115201 | Barenburg et al. | Aug 2002 | A1 |
20020119482 | Nelson et al. | Aug 2002 | A1 |
20020123078 | Seul et al. | Sep 2002 | A1 |
20020123112 | Wang et al. | Sep 2002 | A1 |
20020127616 | Burchell et al. | Sep 2002 | A1 |
20020132315 | Wang et al. | Sep 2002 | A1 |
20020132316 | Wang et al. | Sep 2002 | A1 |
20020137088 | Bianchi | Sep 2002 | A1 |
20020142471 | Handique et al. | Oct 2002 | A1 |
20020160363 | McDevitt et al. | Oct 2002 | A1 |
20020164825 | Chen | Nov 2002 | A1 |
20020166760 | Prentiss et al. | Nov 2002 | A1 |
20020172987 | Terstappen et al. | Nov 2002 | A1 |
20020173043 | Merabet et al. | Nov 2002 | A1 |
20030003528 | Brxostowicz et al. | Jan 2003 | A1 |
20030017514 | Pachmann | Jan 2003 | A1 |
20030036054 | Ladisch | Feb 2003 | A1 |
20030036100 | Fisk et al. | Feb 2003 | A1 |
20030040119 | Takayama et al. | Feb 2003 | A1 |
20030049563 | Iida et al. | Mar 2003 | A1 |
20030072682 | Kikinis | Apr 2003 | A1 |
20030077292 | Hanash et al. | Apr 2003 | A1 |
20030082148 | Ludwig | May 2003 | A1 |
20030091476 | Zhou et al. | May 2003 | A1 |
20030113528 | Moya | Jun 2003 | A1 |
20030119077 | Ts'o et al. | Jun 2003 | A1 |
20030129676 | Terstappen et al. | Jul 2003 | A1 |
20030134416 | Yamanishi et al. | Jul 2003 | A1 |
20030153085 | Leary et al. | Aug 2003 | A1 |
20030159999 | Oakey et al. | Aug 2003 | A1 |
20030165852 | Schueler et al. | Sep 2003 | A1 |
20030165927 | Hulten et al. | Sep 2003 | A1 |
20030170631 | Houghton et al. | Sep 2003 | A1 |
20030170703 | Piper et al. | Sep 2003 | A1 |
20030175990 | Hayenga et al. | Sep 2003 | A1 |
20030180762 | Tuma et al. | Sep 2003 | A1 |
20030186889 | Forssmann et al. | Oct 2003 | A1 |
20030190602 | Pressman et al. | Oct 2003 | A1 |
20030199685 | Pressman et al. | Oct 2003 | A1 |
20030206901 | Chen | Nov 2003 | A1 |
20030232350 | Afar et al. | Dec 2003 | A1 |
20040005582 | Shipwash | Jan 2004 | A1 |
20040009471 | Cao | Jan 2004 | A1 |
20040018116 | Desmond et al. | Jan 2004 | A1 |
20040018509 | Bianchi | Jan 2004 | A1 |
20040018611 | Ward et al. | Jan 2004 | A1 |
20040019300 | Leonard | Jan 2004 | A1 |
20040023222 | Russell et al. | Feb 2004 | A1 |
20040043506 | Haussecker et al. | Mar 2004 | A1 |
20040048360 | Wada et al. | Mar 2004 | A1 |
20040053352 | Ouyang et al. | Mar 2004 | A1 |
20040063162 | Dunlay et al. | Apr 2004 | A1 |
20040063163 | Buffiere et al. | Apr 2004 | A1 |
20040072278 | Chou et al. | Apr 2004 | A1 |
20040077105 | Wu et al. | Apr 2004 | A1 |
20040101444 | Sommers et al. | May 2004 | A1 |
20040121343 | Buechler et al. | Jun 2004 | A1 |
20040142463 | Walker et al. | Jul 2004 | A1 |
20040144651 | Huang et al. | Jul 2004 | A1 |
20040166555 | Braff et al. | Aug 2004 | A1 |
20040214240 | Cao | Oct 2004 | A1 |
20040232074 | Peters et al. | Nov 2004 | A1 |
20040241653 | Feinstein et al. | Dec 2004 | A1 |
20040241707 | Gao et al. | Dec 2004 | A1 |
20040245102 | Gilbert et al. | Dec 2004 | A1 |
20040251171 | Iida et al. | Dec 2004 | A1 |
20050003351 | Fejgin et al. | Jan 2005 | A1 |
20050014208 | Krehan et al. | Jan 2005 | A1 |
20050042685 | Albert et al. | Feb 2005 | A1 |
20050042766 | Ohman et al. | Feb 2005 | A1 |
20050049793 | Paterlini-Brechot et al. | Mar 2005 | A1 |
20050069886 | Sun et al. | Mar 2005 | A1 |
20050092662 | Gilbert et al. | May 2005 | A1 |
20050100951 | Pircher | May 2005 | A1 |
20050118591 | Tamak et al. | Jun 2005 | A1 |
20050121604 | Mueth et al. | Jun 2005 | A1 |
20050123454 | Cox | Jun 2005 | A1 |
20050124009 | van Weeghel et al. | Jun 2005 | A1 |
20050129582 | Breidford et al. | Jun 2005 | A1 |
20050136551 | Mpock | Jun 2005 | A1 |
20050142663 | Parthasarathy et al. | Jun 2005 | A1 |
20050145497 | Gilbert et al. | Jul 2005 | A1 |
20050147977 | Koo et al. | Jul 2005 | A1 |
20050153329 | Hakansson et al. | Jul 2005 | A1 |
20050153342 | Chen | Jul 2005 | A1 |
20050164158 | Wang et al. | Jul 2005 | A1 |
20050170373 | Monforte et al. | Aug 2005 | A1 |
20050170418 | Moreland et al. | Aug 2005 | A1 |
20050175505 | Cantor et al. | Aug 2005 | A1 |
20050175981 | Voldman et al. | Aug 2005 | A1 |
20050175996 | Chen | Aug 2005 | A1 |
20050181353 | Rao et al. | Aug 2005 | A1 |
20050181463 | Rao et al. | Aug 2005 | A1 |
20050191636 | Hahn | Sep 2005 | A1 |
20050207940 | Butler et al. | Sep 2005 | A1 |
20050211556 | Childers et al. | Sep 2005 | A1 |
20050214855 | Wagner et al. | Sep 2005 | A1 |
20050236314 | Neyer et al. | Oct 2005 | A1 |
20050239101 | Sukumar et al. | Oct 2005 | A1 |
20050244843 | Chen et al. | Nov 2005 | A1 |
20050249635 | Okun et al. | Nov 2005 | A1 |
20050250111 | Xie et al. | Nov 2005 | A1 |
20050250199 | Anderson et al. | Nov 2005 | A1 |
20050252840 | Arnold et al. | Nov 2005 | A1 |
20050255001 | Padmanabhan et al. | Nov 2005 | A1 |
20050262577 | Guelly et al. | Nov 2005 | A1 |
20050266433 | Kapur et al. | Dec 2005 | A1 |
20050272049 | Banerjee et al. | Dec 2005 | A1 |
20050272103 | Chen | Dec 2005 | A1 |
20050282196 | Costa | Dec 2005 | A1 |
20050282220 | Prober et al. | Dec 2005 | A1 |
20050282293 | Cosman et al. | Dec 2005 | A1 |
20060000772 | Sano et al. | Jan 2006 | A1 |
20060008807 | O'Hara et al. | Jan 2006 | A1 |
20060008824 | Ronaghi et al. | Jan 2006 | A1 |
20060019235 | Soen et al. | Jan 2006 | A1 |
20060035386 | Hattori et al. | Feb 2006 | A1 |
20060051265 | Mohamed et al. | Mar 2006 | A1 |
20060051775 | Bianchi | Mar 2006 | A1 |
20060060767 | Wang et al. | Mar 2006 | A1 |
20060121624 | Huang et al. | Jun 2006 | A1 |
20060128006 | Gerhardt et al. | Jun 2006 | A1 |
20060134599 | Toner et al. | Jun 2006 | A1 |
20060160243 | Tang et al. | Jul 2006 | A1 |
20060223178 | Barber et al. | Oct 2006 | A1 |
20060252054 | Lin et al. | Nov 2006 | A1 |
20060252087 | Tang et al. | Nov 2006 | A1 |
20070026381 | Huang et al. | Feb 2007 | A1 |
20070026413 | Toner et al. | Feb 2007 | A1 |
20070026414 | Fuchs et al. | Feb 2007 | A1 |
20070026415 | Fuchs et al. | Feb 2007 | A1 |
20070026416 | Fuchs | Feb 2007 | A1 |
20070026417 | Fuchs et al. | Feb 2007 | A1 |
20070026418 | Fuchs et al. | Feb 2007 | A1 |
20070026419 | Fuchs et al. | Feb 2007 | A1 |
20070026469 | Fuchs et al. | Feb 2007 | A1 |
20070059680 | Kapur et al. | Mar 2007 | A1 |
20070059683 | Barber et al. | Mar 2007 | A1 |
20070059716 | Balis et al. | Mar 2007 | A1 |
20070059718 | Toner et al. | Mar 2007 | A1 |
20070059719 | Grisham et al. | Mar 2007 | A1 |
20070059774 | Grisham et al. | Mar 2007 | A1 |
20070059781 | Kapur et al. | Mar 2007 | A1 |
20070099207 | Fuchs et al. | May 2007 | A1 |
20070160503 | Sethu et al. | Jul 2007 | A1 |
20070196820 | Kapur et al. | Aug 2007 | A1 |
20070202525 | Quake et al. | Aug 2007 | A1 |
20080023399 | Inglis et al. | Jan 2008 | A1 |
20080038733 | Bischoff et al. | Feb 2008 | A1 |
Number | Date | Country |
---|---|---|
2466896 | Mar 2003 | CA |
19712309 | May 1998 | DE |
0094193 | Nov 1983 | EP |
0057907 | Dec 1986 | EP |
0405972 | Jan 1991 | EP |
0430402 | Jun 1991 | EP |
0444115 | Sep 1991 | EP |
0637996 | Feb 1995 | EP |
0689051 | Dec 1995 | EP |
0739240 | Oct 1996 | EP |
0549709 | Jan 1997 | EP |
0791659 | Aug 1997 | EP |
0500727 | Jan 1998 | EP |
0919812 | Jun 1999 | EP |
0920627 | Jun 1999 | EP |
0970365 | Jan 2000 | EP |
1198595 | Apr 2002 | EP |
1221342 | Jul 2002 | EP |
1262776 | Dec 2002 | EP |
1328803 | Jul 2003 | EP |
1338894 | Aug 2003 | EP |
1 413 346 | Apr 2004 | EP |
1409727 | Apr 2004 | EP |
1418003 | May 2004 | EP |
1462800 | Sep 2004 | EP |
1483052 | Dec 2004 | EP |
1485713 | Dec 2004 | EP |
1539350 | Jun 2005 | EP |
1561507 | Aug 2005 | EP |
2659347 | Sep 1991 | FR |
2238619 | Jun 1991 | GB |
2239311 | Jun 1991 | GB |
2005-37346 | Feb 2005 | JP |
WO8502201 | May 1985 | WO |
WO8606170 | Oct 1986 | WO |
WO9006509 | Jun 1990 | WO |
WO9107660 | May 1991 | WO |
WO9107661 | May 1991 | WO |
WO9108304 | Jun 1991 | WO |
WO9113338 | Sep 1991 | WO |
WO9116452 | Oct 1991 | WO |
WO9205185 | Apr 1992 | WO |
WO9322053 | Nov 1993 | WO |
WO9322055 | Nov 1993 | WO |
WO9429707 | Dec 1994 | WO |
WO9632467 | Oct 1996 | WO |
WO9746882 | Dec 1997 | WO |
WO9802528 | Jan 1998 | WO |
WO9808931 | Mar 1998 | WO |
WO9810267 | Mar 1998 | WO |
WO9812539 | Mar 1998 | WO |
WO9822819 | May 1998 | WO |
WO9831839 | Jul 1998 | WO |
WO9840746 | Sep 1998 | WO |
WO9857159 | Dec 1998 | WO |
WO9909042 | Feb 1999 | WO |
WO9931503 | Jun 1999 | WO |
WO9944064 | Sep 1999 | WO |
WO9961888 | Dec 1999 | WO |
WO0000816 | Jan 2000 | WO |
WO0037163 | Jun 2000 | WO |
WO0062931 | Oct 2000 | WO |
WO0135071 | May 2001 | WO |
WO0137958 | May 2001 | WO |
WO0151668 | Jul 2001 | WO |
WO0171026 | Sep 2001 | WO |
WO0181621 | Nov 2001 | WO |
WO0207302 | Jan 2002 | WO |
WO0208751 | Jan 2002 | WO |
WO0212896 | Feb 2002 | WO |
WO0228523 | Apr 2002 | WO |
WO0230562 | Apr 2002 | WO |
WO0231506 | Apr 2002 | WO |
WO0243866 | Jun 2002 | WO |
WO0244318 | Jun 2002 | WO |
WO0244319 | Jun 2002 | WO |
WO0244689 | Jun 2002 | WO |
WO02073204 | Sep 2002 | WO |
WO03018198 | Mar 2003 | WO |
WO03018757 | Mar 2003 | WO |
WO03019141 | Mar 2003 | WO |
WO03023057 | Mar 2003 | WO |
WO03031938 | Apr 2003 | WO |
WO03035894 | May 2003 | WO |
WO03035895 | May 2003 | WO |
WO03044224 | May 2003 | WO |
WO03069421 | Aug 2003 | WO |
WO03071277 | Aug 2003 | WO |
WO03071278 | Aug 2003 | WO |
WO03079006 | Sep 2003 | WO |
WO03085379 | Oct 2003 | WO |
WO03093795 | Nov 2003 | WO |
WO2004004906 | Jan 2004 | WO |
WO2004015411 | Feb 2004 | WO |
WO2004024327 | Mar 2004 | WO |
WO2004025251 | Mar 2004 | WO |
WO2004029221 | Apr 2004 | WO |
WO2004037374 | May 2004 | WO |
WO2004044236 | May 2004 | WO |
2004051230 | Jun 2004 | WO |
WO2004056978 | Jul 2004 | WO |
WO2004076643 | Sep 2004 | WO |
WO2004101762 | Nov 2004 | WO |
WO2004113877 | Dec 2004 | WO |
WO2005028663 | Mar 2005 | WO |
WO2005042713 | May 2005 | WO |
WO2005043121 | May 2005 | WO |
WO2005047529 | May 2005 | WO |
WO2005049168 | Jun 2005 | WO |
WO2005058937 | Jun 2005 | WO |
WO2005061075 | Jul 2005 | WO |
WO2005068503 | Jul 2005 | WO |
WO2005084374 | Sep 2005 | WO |
WO2005084380 | Sep 2005 | WO |
WO2005085861 | Sep 2005 | WO |
WO2005089253 | Sep 2005 | WO |
WO2005091756 | Oct 2005 | WO |
WO2005098046 | Oct 2005 | WO |
WO2005108621 | Nov 2005 | WO |
WO2005108963 | Nov 2005 | WO |
WO2005109238 | Nov 2005 | WO |
WO2005116264 | Dec 2005 | WO |
WO2005121362 | Dec 2005 | WO |
WO2006012820 | Feb 2006 | WO |
WO2006035846 | Apr 2006 | WO |
WO2006037561 | Apr 2006 | WO |
WO2006076567 | Jul 2006 | WO |
WO2006078470 | Jul 2006 | WO |
WO2006108087 | Oct 2006 | WO |
WO2006108101 | Oct 2006 | WO |
WO2006133208 | Dec 2006 | WO |
WO2007035585 | Mar 2007 | WO |
WO2007035414 | Mar 2007 | WO |
WO2007035498 | Mar 2007 | WO |
WO2007035585 | Mar 2007 | WO |
Entry |
---|
Search report dated Oct. 2, 2009 from corresponding EP application 06740612.4. |
Search report dated Oct. 5, 2009 from corresponding EP application 06749394.0. |
Supplemental Search Report dated Oct. 22, 2009 from corresponding EP application 06749394.0. |
GB Office Action for Application No. GB0612649.4 dated Aug. 12, 2010 (7 pages). |
“Cancer Genetics” Am. J. Hum. Genet., (1988) 43 (3):A35. |
“Micromechanics Imitate Blood Vessels,” Design News 15 (Mar. 22, 1993). |
Adinolfi et al., “Gene Amplification to Detect Fetal Nucleated Cells in Pregnant Women,” Lancet 2(8658):328-329 (1989). |
Adinolfi, “On a Non-Invasive Approach to Prenatal Diagnosis Based on the Detection of Fetal Nucleated Cells in Maternal Blood Samples,” Prenat Diagn. 11:799-804 (1991). |
Ahn, et al. A fully integrated micromachined magnetic particle separator. Journal of Microelectromechanical Systems. 1996; 5(3):151-158. |
Al Saadi, “Cystic Hygroma Cells as Source for Prenatal Diagnosis,” Am J Hum Genet. Supplemental to 45(4):A252-(0990); (1989). |
Al-Mufti et al., “Distribution of fetal and embryonic hemoglobins in fetal erythroblasts enriched from maternal blood,” Haematologica 86(4):357-362 (2001). |
Alvarez, “Morphology and Physiopathology of the Human Placenta,” Obstet Gynecol. 23:813-817;819-825 (1964). |
Anderson et al., “Simultaneous Fluorescence-Activated Cell Sorter Analysis of Two Distinct Transcriptional Elements within a Single Cell Using Engineered Green Fluorescent Proteins,” Proc Natl Acad Sci USA 93:8508-8511 (1996). |
Archer et al., “Cell Reactions to Dielectrophoretic Manipulation,” Biochem Biophys Res Comm. 257:687-698 (1999). |
Armani et al., “Re-configurable Fluid Circuits by PDMS Elastomer Micromachining,” Proc 12th International Conference on MEMS 17-21:222-227 (1999). |
Associate Press “Blood Test May Erase Risk of Amniocentesis,” The Worcester Telegram & Gazette A7 (Oct. 9, 1991). |
Authorized Officer L. Smith-Hewitt. Extended European Search Report in European Application No. 12169261.0, dated Jul. 23, 2012, 6 pages. |
Bartley et al., “Adrenal Hypoplasia, Mental Retardation, Microcephaly, Short Stature, and Small Testes in a Male with a Xp21 Deletion of LOCI DXS28 (C7), DXS68 (L1.4) and DXS67 (B24),” Pediatr Res. 139A (1989). (Abstract). |
Basch et al., “Cell Separation Using Positive Immunoselective Techniques,” J Immunol Methods 56:269-280 (1983). |
Bauer, “Advances in Cell Separation: Recent Developments in Counterflow Centrifugal Elutriation and Continuous Flow Cell Separation,” J Chromatogr B 722:55-69 (1999). |
Becker et al., “Fabrication of Microstructures with High Aspect Ratios and Great Structural Heights by Synchrotron Radiation Lithography, Galvanoforming, and Plastic Moulding (LIGA Process),” Microelectronic Eng. 4:35-56 (1986). |
Becker et al., “Planar Quartz Chips with Submicron Channels for Two-Dimensional Capillary Electrophoresis Applications,” J Micromech Microeng. 8:24-28 (1998). |
Beebe et al., “Functional Hydrogel Structures for Autonomous Flow Control Inside Microfluidic Channels,” Nature 404:588-590 (2000). |
Benincasa et al., “Cell Sorting by One Gravity SPLITT Fractionation,” Anal Chem. 77:5294-5301 (2005). |
Ben-Yoseph et al., “Diagnosis and Carrier Detection of Farber Disease (Ceramidase Deficiency) in Plasma and Leukocytes,” Pediatr Res. 139A-(817); (1989). |
Berenson et al., “Antigen CD34.sup.+ Marrow Cells Engraft Lethally Irradiated Baboons,” J Clin Invest. 81:951-955 (1988). |
Berenson et al., “Cellular Immunoabsorption Using Monoclonal Antibodies,” Transplantation 38:136-143 (1984). |
Berenson et al., “Positive Selection of Viable Cell Populations Using Avidin-Biotin Immunoadsorption,” J Immunol Methods 91:11-19 (1986). |
Berg H.C., Random Walks in Biology, Princeton University Press: Princeton, NJ. Ch. 4, pp. 48-64 (1993). |
Berger et al., “Design of a microfabricated magnetic cell separator,” Electrophoresis 22:3883-3892 (2001). |
Beroud et al., “Prenatal diagnosis of spinal muscular atrophy by genetic analysis of circulating fetal cells,” Lancet 361:1013-1014 (2003). |
Bertero et al., “Circulating ‘Trophoblast’ Cells in Pregnancy Have Maternal Genetic Markers,” Prenat Diagn. 8:585-590 (1988). |
Bianchi et al., “Demonstration of Fetal Gene Sequences in Nucleated Erythrocytes Isolated from Maternal Blood,” Am. J. Hum. Genet. Supplement to 45(4):A252 (0991) (1989). |
Bianchi et al., “Direct Hybridization to DNA from Small Numbers of Flow-Sorted Nucleated Newborn Cells,” Cytometry 8:197-202 (1987). |
Bianchi et al., “Fetal Nucleated Erythrocytes (FNRBC) in Maternal Blood: Erythroid-Specific Antibodies Improve Detection,” Am J Hum Genet. Supplemental to 51:996 (1992). (Abstract). |
Bianchi et al., “Isolation of Fetal DNA from Nucleated Erythrocytes in Maternal Blood,” Proc Natl Acad Sci USA 87:3279-3283 (1990). |
Bianchi et al., “Isolation of Male Fetal DNA from Nucleated Erythrocytes (NRNC) in Maternal Blood,” Pediatr Res. 139A-(818); (1989). (Abstract). |
Bianchi et al., “PCR Quantitation of Fetal Cells in Maternal Blood in Normal and Aneuploid Pregnancies” Am. J. Hum. Genet. 61:822-829, 1997. |
Bianchi et al., “Possible Effect of Gestational Age on the Detection of Fetal Nucleated Erythrocytes in Maternal Blood,” Prenat Diagn. 11:523-528 (1991). |
Bick et al., “Prenatal Diagnosis and Investigation of a Fetus with Chondrodysplasia Punctata, Ichthyosis and Kallmann Syndrome due to an Xp Deletion,” Prenat Diagn. 12:19-29 (1992). |
Bickers et al., “Fetomaternal Transfusion Following Trauma,” Obstet Gynecol. 61:258-259 (1983). |
Bigbee et al., “Monoclonal Antibodies Specific for the M- and N-Forms of Human Glycophorin A,” Mol Immunol. 20:1353-1362 (1983). |
Black et al., “Complex Mosaicism on Chorionic Sampling Confirmed Postnatally,” Am J Hum Genet. Supplemental to 45(4):A252-(0993); (1989). (Abstract). |
Bodurtha et al., “Genetic Analysis of Fat Deposition in 11-Year Old Twins.” Pediatr Res. 139A-(819); (1989). (Abstract). |
Boehm et al., “Analysis of Defective Dystrophin Genes with cDNA Probes: Rearrangement Polymorphism, Detection of Deletions in Carrier Females, and Lower Than Expected Frequency of Carrier Mothers in Isolated Cases of Deletions,” Pediatr Res. 139A-(820); (1989). (Abstract). |
Bohmer et al., “Differential Development of Fetal and Adult Haemoglobin Profiles in Colony Culture: Isolation of Fetal Nucleated Red Cells by Two-Colour Fluorescence Labelling,” Br J Haematol. 103:351-360 (1998). |
Bousse et al., “Micromachined Multichannel Systems for the Measurement of Cellular Metabolism,” Sens Actuators B Chem. 20:145-150 (1994). |
Boyer et al., “Enrichment of Erythrocytes of Fetal Origin from Adult-Fetal Blood Mixtures via Selective Hemolysis of Adult Blood Cells: An Aid to Antenatal Diagnosis of Hemoglobinopathies,” Blood 47:883-897 (1976). |
Brison et al., “General Method for Cloning Amplified DNA by Differential Screening with Genomic Probes,” Mol Cell Biol. 2:578-587 (1982). |
Brizot et al. “Maternal serum hCG and fetal nuchal translucency thickness for the prediction of fetal trisomies in the first trimester of pregnancy,” British J. Obstetrics and Gynaecology 102:127-132 (1995). |
Brizot et al., “Maternal Serum Pregnancy-Associated Plasma Protein A and Fetal Nuchal Translucency Thickness for the Prediction of Fetal Trisomies in Early Pregnancy,” Obstet Gynecol. 84(6):918-922 (1994). |
Brody et al., “Biotechnology at Low Reynolds Numbers,” Biophys J. 71:3430-3441 (1996). |
Brody et al., “Deformation and Flow of Red Blood Cells in a Synthetic Lattice: Evidence for an Active Cytoskeleton.” Biophys J. 68:2224-2232 (1995). |
Bulmer and Johnson, “Antigen Expression by Trophoblast Populations in the Human Placenta and Their Possible Immunobiological Relevance,” Placenta 6:127-140 (1985). |
Butterworth et al., “Human Cytotrophoblast Populations Studied by Monoclonal Antibodies Using Single and Double Biotin-Avidin-Peroxidase Immunocytochemistry,” J Histochem Cytochem. 33:977-983 (1985). |
Caggana, M. Microfabricated deviCes for sparse cell isolation. CNF Project #905-00. Cornell NanoScale Facility. 2003; pp. 38-39. |
Caggana, M. Microfabricated devices for sparse cell isolation. CNF Project #905-00. Cornell NanoScale Facility. 2004-2005; pp. 32-33. |
Cai et al., “A New TATA Box Mutation Detected at Prenatal Diagnosis for .beta.-Thalassemia,” Am J Hum Genet. 45:112-114 (1989). |
Cai et al., “Rapid Prenatal Diagnosis of .beta. Thalassemia Using DNA Amplification and Nonradioactive Probes,” Blood 73:372-374 (1989). |
Calin et al., “A microRNA signature Associated with prognosis and progression in chronic lymphocytic leukemia,” N Engl J Med. 353:1793-1801 (2005). |
Carlson et al., “Self-Sorting of White Blood Cells in a Lattice,” Phys Rev Lett. 79:2149-2152 (1997). |
Chamberlain et al., “Deletion Screening of the Duchenne Muscular Dystrophy Locus via Multiplex DNA Amplification,” Nucleic Acids Res. 16:11141-11156 (1988). |
Chang et al., “Biomimetic technique for adhesion-based collection and separation of cells in a microfluidic channel,” Lab Chip. 5:64-73 (2005). |
Charnas et al., “Prader Willi Syndrome in a Patient with Septo-Optic Dysplasia,” Pediatr Res. 139A(821); (1989). (Abstract). |
Charnas, et al. Prader Willi Syndrome in a Patient with Septo-Optic Dysplasia. Pediatric Research. Apr. 1989: 139A-821. |
Cheung et al., “Prenatal Diagnosis of Sickle Cell Anaemia and Thalassaemia by Analysis of Fetal Cells in Maternal Blood,” Nat Genet. 14(3):264-8 (1996). |
Chinn et al., “Reactive Ion Etching for Submicron Structures,” J Vac Sci Technol. 19:1418-1422 (1981). |
Chiu et al., “Patterned Deposition of Cells and Proteins onto Surfaces by Using Three-Dimensional Microfluidic Systems,” Proc Natl Acad Sci USA 2408-2413 (2000). |
Choolani et al., “Characterization of First Trimester Fetal Erythroblasts for Non-Invasive Prenatal Diagnosis,” Mol Hum Reprod. 9:227-235 (2003). |
Chou et al., “Sorting by Diffusion: An Asymmetric Obstacle Course for Continuous Molecular Separation,” Proc Natl Acad Sci USA 96:13762-13765 (1999). |
Chou et al., A Microfabricated Device for Sizing and Sorting DNA Molecules. Proc Natl Acad Sci USA 96:11-13 (1999). |
Christel et al. “High Aspect Ratio Silicon Microstructures for Nucleic Acid Extraction. Solid-State Sensor and Actuator Workshop,” Hilton Head, SC, Jun. 8-11, 1998, 363-366. |
Christensen et al., “Fetal Cells in Maternal Blood: A Comparison of Methods for Cell Isolation and Identification,” Fetal Diagn Ther. 20:106-112 (2005). |
Christensen, et al. Sensitivity and specificity of the identification of fetal cells in maternal blood by combined staining with antibodies against beta-, gamma- and epsilon-globin chains. Fetal Diagn Ther. 2003;18(6):479-84. (Abstract only). |
Chueh and Golbus, “Prenatal Diagnosis Using Fetal Cells from the Maternal Circulation,” West J Med. 159:308-311 (1993). |
Chueh and Golbus, “Prenatal Diagnosis Using Fetal Cells in the Maternal Circulation,” Semin Perinatol Med. 14:471-482 (1990). |
Chueh and Golbus, “The Search for Fetal Cells in the Maternal Circulation,” J Perinatol 19:411-420 (1991). |
Clayton et al., “Fetal Erythrocytes in the Maternal Circulation of Pregnant Women,” Obstetr Gynecol. 23:915-919 (1964). |
Cohen and Zuelzer, “Mechanisms of Isoimmunization II. Transplacental Passage and Postnatal Survival of Fetal Erythrocytes in Heterospecific Pregnancies,” Blood 30:796-804 (1967). |
Covone et al., “Analysis of Peripheral Maternal Blood Samples for the Presence of Placenta-Derived Cells Using Y-Specific Probes and McAb H315,” Prenat Diagn. 8:591-607 (1988). |
Covone et al., “Trophoblast Cells in Peripheral Blood from Pregnant Women,” Lancet 2(8407):841-843 (1984). |
Cremer et al., “Detection of Chromosome Aberrations in Metaphase and Interphase Tumor Cells by In Situ Hybridization Using Chromosome-Specific Library Probes,” Hum Genet. 80:235-246 (1988). |
Cremer et al., “Detection of Chromosome Aberrations in the Human Interphase Nucleus by Visualization of Specific Target DNAs with Radioactive and Non-Radioactive In Situ Hybridization Techniques: Diagnosis of Trisomy 18 with Probe L1.84,” Hum Genet. 74:346-352 (1986). |
Das et al., “Dielectrophoretic Segregation of Different Human Cell Types on Microscope Slides,” Anal Chem. 77:2708-2719 (2005). |
de Kretser et al., “The Separation of Cell Populations Using Monoclonal Antibodies Attached to Sepharose,” Tissue Antigens 16:317-324 (1980). |
Delamarche et al., “Microfluidic Networks for Chemical Patterning of Substrates: Design and Application to Bioassays,” J Am Chem Soc. 120:500-508 (1998). |
Delamarche et al., “Patterned Delivery of Immunoglobulins to Surfaces Using Microfluidic Networks,” Science 276:779-781 (1997). |
Deng et al., “Manipulation of Magnetic Microbeads in Suspension Using Micromagnetic Systems Fabricated with Soft Lithography,” Appl Phys Lett. 78(12):1775-1777 (2001). |
Deshmukh et al., “Continuous Micromixer with Pulsatile Micropumps,” Solid-State Sensor and Actuator Workshop, Hilton Head Island, South Carolina; Jun. 4-8, 2000. |
DiLella et al., “Screening for Phenylketonuria Mutations by DNA Amplification with the Polymerase Chain Reaction,” Lancet 1(8584):497-499 (1988). |
Douglas et al., “Trophoblast in the Circulating Blood During Pregnancy,” Am J Obstet Gynecol. 78:960-973 (1959). |
Doyle et al., “Self-Assembled Magnetic Matrices for DNA Separation Chips,” Science 295:2237 (2002). |
Duke et al., “Microfabricated sieve for the continuous sorting of macromolecules” Phys Rev Lett. 80:1552-1555 (1998). |
Dutta et al., “Electroosmotic Flow Control in Complex Microgeometries,” J Microelectromech Syst. 11:36-44 (2002). |
Eigen et al., “Sorting Single Molecules: Application to Diagnostics and Evolutionary Biotechnology,” Proc Nat Acad Sci USA 91:5740-5747 (1994). |
Elias, “Prenatal Blood Test Can Signal Genetic Disorders,” The Boston Globe. Oct. 8, 1991. |
Evans et al., “The Bubble Spring and Channel (BSAC) Valve: An Actuated, Bi-Stable Mechanical Valve for In-Plane Fluid Control,” Transducers '99, 1122-1125; Sendai, Japan; Jun. 7-10, 1999. |
Farber et al., “Demonstration of Spontaneous XX/XY Chimerism by DNA Fingerprinting,” Hum Genet. 82:197-198 (1989). |
Farooqui and Evans, “Microfabrication of Submicron Nozzles in Silicon Nitride,” J Microelectromech Syst. 1(2):86-88 (1992). |
Fibach et al., “Proliferation and Maturation of Human Erythroid Progenitors in Liquid Culture,” Blood 73:100-103 (1989). |
Fiedler et al., “Dielectrophoretic Sorting of Particles and Cells in a Microsystem,” Anal Chem. 70:1909-1915 (1998). |
Forestier et al., “Hematological Values of 163 Normal Fetuses between 18 and 30 Weeks of Gestation,” Pediatr Res. 20(4):342-346 (1986). |
Freemantle, “Downsizing Chemistry: Chemical Analysis and Synthesis on Microchips Promise a Variety of Potential Benefits,” Chem Eng News 27-36 (1999). |
Fu et al., “A Microfabricated Fluorescence-Activated Cell Sorter,” Nat Biotechnol. 17:1109-1111 (1999). |
Fu et al., “An Integrated Microfabricated Cell Sorter,” Anal Chem. 74:2451-2457 (2002). |
Fuhr et al., “Biological Application of Microstructures,” Top Cuff Chem. 194:83-116 (1997). |
Galbraith et al., “Demonstration of Transferrin Receptors on Human Placental Trophoblast,” Blood 55:240-242 (1980). |
Ganshirt-Ahlert et al., “Magnetic Cell Sorting and the Transferrin Receptor as Potential Means of Prenatal Diagnosis from Maternal Blood,” Am J Obstet Gynecol. 166:1350-1355 (1992). |
Ganshirt-Ahlert et al., “Noninvasive Prenatal Diagnosis: Triple Density Gradient, Magnetic Activated Cell Sorting and FISH prove to Be an Efficient and Reproducible Method for Detection of Fetal Aneuploidies from Maternal Blood,” 182 Amer Soc Hum Gene; 1992. |
Gasparini et al., “First-Trimester Prenatal Diagnosis of Cystic Fibrosis Using the Polymerase Chain Reaction: Report of Eight Cases,” Prenat Diagn. 9:349-355 (1989). |
GB Office Action for Application No. GB0612649.4 dated Aug. 12, 2010 (7 pages). cited by other. |
Giddings, “Chemistry: ‘Eddy’ Diffusion in Chromatography,” Nature 184(4683):357-358 (1959). |
Giddings, “Field-Flow Fractionation: Analysis of Macromolecular, Colloidal, and Particulate Materials,” Science 260:1456-1465 (1993). |
Giddings, Unified Separation Science, New York:John Wiley & Sons, Inc., Cover Page & Table of Contents only (1991). |
Goldberg, “Test reveals gender early in pregnancy ethicists fear use in sex selection” The Boston Globe, Jun. 27, 2005. |
Graham, “Efficiency comparison of two preparative mechanisms for magnetic separation of erythrocytes from whole blood”, J Appl Phys. 52:2578-2580 (1981). |
Greaves et al., “Expression of the OKT Monoclonal Antibody Defined Antigenic Determinants in Malignancy,” Int J Immunopharmacol. 3(3):283-299 (1981). |
Guerin et al., “A New Taq1 BO Variant Detected with the p49 Probe on the Human Y Chromosome,” Nucleic Acids Res. 16:7759 (1988). |
Hall et al., “Isolation and Purification of CD34+ Fetal Cells from Maternal Blood,” Am J Hum Genet. Supplemental to 51(4):1013 (1992). (Abstract). |
Hames et al., Nucleic Acid Hybridisation: A Practical Approach, Oxford: IRL Press Limited, 190-193 (1985). |
Han et al., “Separation of Long DNA Molecules in a Microfabricated Entropic Trap Array,” Science 288:1026-1029 (2000). |
Handyside et al., “Biopsy of Human Preimplantation Embryos and Sexing by DNA Amplification,” Lancet. 1(8634):347-349 (1989). |
Hartmann et al., “Gene expression profiling of single cells on large-scale oligonucleotide arrays,” Nucleic Acids Research. 2006; 34(21): e143. (11 pages). |
Hatch et al., “A rapid diffusion immunoassay in a T-sensor” Nat Biotechnol. 19:461-465 (2001). |
Hennerbichler et al., “Detection and relocation of cord blood nucleated red blood cells by laser scanning cytometry,” Cytometry 48:87-92 (2002). |
Henning, “Microfluidic MEMS,” Proc. IEEE Aerospace Conference 1:471-486 (1998). |
Herzenberg et al., “Fetal Cells in the Blood of Pregnant Women: Detection and Enrichment by Fluorescence-Activated Cell Sorting,” Proc Nat Acad Sci USA 76(3):1453-1455 (1979). |
Holzgreve et al., “Fetal Cells in the Maternal Circulation,” J Reprod Med. 37:410-418 (1992). |
Huang et al., “A DNA Prism for High-Speed Continuous Fractionation of Large DNA Molecules,” Nat. Biotechnol. 20:1048-1051 (2002). |
Huang et al., “Continuous Particle Separation Through Deterministic Lateral Displacement,” Science 304:987-990 (2004). |
Huang et al., “Electric Manipulation of Bioparticles and Macromolecules on Microfabricated Electrodes,” Anal Chem. 73(7):1549-1559 (2001). |
Huang et al., “Role of Molecular Size in Ratchet Fractionation,” Phys Rev Left. 89:178301-1-4 (2002). |
Huh et al., “Gravity-Driven Microhydrodynamics-Based Cell Sorter (microHYCS) for Rapid, Inexpensive, and Efficient Cell Separation and Size-Profiling,” 2nd Annual International IEEE-EMBS Special Topic Conference on Microtechnologies in Medicine and Biology Poster 180:466-469 (2002). |
Huie et al., “Antibodies to human fetal erythroid cells from a nonimmune phage antibody library,” Proc Nat Acad Sci USA 2001; 98(5): 2682-7. |
Hviid, “In-Cell PCR Method for Specific Genotyping of Genomic DNA from One Individual in a Mixture of Cells from Two Individuals: A Model Study with Specific Relevance to Prenatal Diagnosis Based on Fetal Cells in Maternal Blood.” Clin Chem. 48(12):2115-2123 (2002). |
International Preliminary Report on Patentability of International Application No. PCT/US2006/036061 (mailed Mar. 27, 2008). |
Iverson et al., “Detection and Isolation of Fetal Cells from Maternal Blood Using the Fluorescence-Activated Cell Sorter (FACS),” Prenat Diagn. 1:61-73 (1981). |
Ivker, “Direct Observation of Reptation in Artificial Gel Environments,” Bachelor of Arts thesis, Princeton University. Spring 1991. |
Jan and Herzenberg, “Fetal Erythrocytes Detected and Separated from Maternal Blood by Electronic Fluorescent Cell Sorter,” Texas Rep Biol Med. 31:575 (1973). (Abstract). |
Jansen et al., “The Effect of Chorionic Villus Sampling on the No. Of Fetal Cells Isolated From Maternal Blood and on Maternal Serum Alpha-fetoprotein Levels” Prenat Diagn. 17:953-959 (1997). |
Jayasena et al., “Aptamers: An emerging class of molecules that rival antibodies in diagnostics,” Clinical Chemistry, 1999, vol. 45, pp. 1628-1650. |
Jeon et al., “Generation of Solution and surface Gradients Using Microfluidic Systems,” Langmuir 16:8311-8316 (2000). |
Kamholz et al., “Quantitative Analysis of Molecular Interaction in a Microfluidic Channel: the T-Sensor,” Anal Chem. 71:5340-5347 (1999). |
Kan et al., “Concentration of Fetal Red Blood Cells From a Mixture of Maternal and Fetal Blood by Anti-i Serum—An Aid to Prenatal Diagnosis of Hemoglobinopathies,” Blood 43:411-415 (1974). |
Kawata et al., “Transcriptional Control of HLA-A,B,C Antigen in Human Placental Cytotrophoblast Isolated Using Trophoblast- and HLA-Specific Monoclonal Antibodies and the Fluorescence-Activated Cell Sorter,” J Exp Med. 160:633-651 (1984). |
Kelly, “A Simpler, Safer Blood Test for Birth Defects,” USA Today. (Nov. 14, 1989):1D. |
Kenis et al., “Microfabrication Inside Capillaries Using Multiphase Laminar Flow Patterning,” Science 285:83-85 (1999). |
Kim et al., “Polymer Microstructures Formed by Moulding in Capillaries,” Nature 376:581-584 (1995). |
Klinger et al., “Rapid Detection of Chromosome Aneuploidies in Uncultured Amniocytes by Using Fluorescence in Situ Hybridization (FISH),” Am J Hum Genet. 51:55-65 (1992). |
Kogan et al., “An Improved Method for Prenatal Diagnosis of Genetic Diseases by Analysis of Amplified DNA Sequences: Application to Hemophilia A,” N Engl J Med. 317(16):985-990 (1987). |
Kohn et al., “Elevated Maternal Serum Human Chorionic Gonadotropin Associated with a Chromosomal Deletion,” Prenat Diagn. 12:853-854 (1992). |
Krabchi et al., “Quantification of all fetal nucleated cells in maternal blood between the 18th and 22nd weeks of preganancy using molecular cytogenetic techniques,” Clin. Genet. 2001, 60:145-150. |
Krivacic et al., “A Rare-Cell Detector for Cancer.” Proc Natl Acad Sci USA 101:10501-10504 (2004). |
Kulch et al., “Racial Differences in Maternal Serum Human Chorionic Gonadotropin and Unconjugated Oestriol Levels,” Prenat Diagn. 13:191-195 (1993). |
Kulozik and Pawlowitzki, “Fetal Cell in the Maternal Circulation: Detection by Direct AFP-Immunofluorescence,” Hum Genet. 62:221-224 (1982). |
Kumar et al, “Cell Separation: A Review,” Pathology 16:53-62 (1984). |
Kwok and Higuchi, “Avoiding False Positives with PCR,” Nature 339:237-238 (1989). |
Lanier et al., “Subpopulations of Human Natural Killer Cells Defined by Expression of the Leu-7 (HNK-1) and Leu-11 (NK-15) Antigens,” J Immunol 131:1789-1796 (1983). |
Latt, “Prenatal Genetic Diagnosis,” eds. Avery and Taeusch. Philadelphia:W.B Saunders and Co., Cytogenetics 24-36 (1984). |
Lau et al., “A Rapid Screening Test for Antenatal Sex Determination,” Lancet 1(8367)14-16 (1984). |
Li et al., “Amplification and Analysis of DNA Sequences in Single Human Sperm and Diploid Cells,” Nature 335:414-417 (1988). |
Li et al., “Transport, Manipulation, and Reaction of Biological Cells On-Chip Using Electrokinetic Effects,” Anal Chem. 69:1564-1568 (1997). |
Lichter et al., “Delineation of Individual Human Chromosomes in Metaphase and Interphase Cells by in Situ Suppression Hybridization Using Recombinant DNA Libraries,” Hum Genet. 80:224-234 (1988). |
Lin et al., “Microbubble Powered Actuator,” Transducers '91, International Conference on Solid-State Sensors and Actuators. Digest of Technical Papers 1041-1044 (1991). |
Lipinski et al., “Human Trophoblast Cell-Surface Antigens Defined by Monoclonal Antibodies,” Proc Natl Acad Sci USA 78:5147-5150 (1981). |
Lloyd et al., “Intrapartum Fetomaternal Bleeding in Rh-Negative Women,” Obstet Gynecol. 56:285-287 (1980). |
Lo et al., “False-Positive Results and the Polymerase Chain Reaction,” Lancet 2(8612):679 (1988). |
Lo et al., “Prenatal Sex Determination by DNA Amplification from Maternal Peripheral Blood,” Lancet 2(8676):1363-1365 (1989). |
Loken et al., “Flow Cytometric Analysis of Human Bone Marrow: I. Normal Erythroid Development,” Blood 69:255-263 (1987). |
MacAdam et al., “Standardization of Ultrasound Measurements in pregnancy dating for the purposes of triple marker screening,” Am J Hum Genet. Supplemental to 51(4): 1620 (1992). (Abstract). |
Mahr et al., “Fluorescence in Situ Hybridization of Fetal Nucleated Red Blood Cells,” Am J Hum Genet. Supplement to 51(4):1621 (1992). (Abstract). |
Maren et al., “Kinetics of Carbonic Anhydrase in Whole Red Cells as Measured by Transfer of Carbon Dioxide and Ammonia,” Mol Pharmacol. 6:430-440 (1970). |
Maxwell et al., “A Microbubble-Powered Bioparticle Actuator,” J Microelectromech Syst. 12:630-640 (2003). |
McCabe et al., “DNA Microextraction from Dried Blood Spots on Filter Paper Blotters: Potential Applications to Newborn Screening,” Hum Genet. 75:213-216 (1987). |
Mehrishi et al., “Electrophoresis of Cells and the Biological Relevance of Surface Charge,” Electrophoresis 23:1984-1994 (2002). |
Melville et al., “Direct Magnetic Separation of Red Cells from Whole Blood,” Nature 255:706 (1975). |
Millar et al., “Normal Blood Cell Values in the Early Mid-Trimester Fetus,” Prenat Diagn. 5:367-373 (1985). |
Mohamed et al., “Development of a rare cell fractionation device: Application for cancer detection,” IEEE Trans Nanobioscience 3(4):251-6 (2004). |
Mohamed, et al. A Micromachined Sparse Cell Isolation Device: Application in Prenatal Diagnostics. Nanotech 2006 vol. 2; 641-644. (Abstract only). |
Mohamed, et al. Biochip for separating fetal cells from maternal circulation. J Chromatogr A. Aug. 31, 2007;1162(2):187-92. |
Moore et al., “Lymphocyte Fractionation Using Immunomagnetic Colloid and a Dipole Magnet Flow Cell Sorter,” J Biochem Biophys Methods 37:11-33 (1998). |
Mueller et al., “Identification of Extra-Villous Trophoblast Cells in Human Decidua Using an Apparently Unique Murine Monoclonal Antibody to Trophoblast,” Histochem J. 19:288-296 (1987). |
Mueller et al., “Isolation of Fetal Trophoblast Cells from Peripheral Blood of Pregnant Women,” Lancet 336:197-200 (1990). |
Muller et al., “Moderately Repeated DNA Sequences Specific for the Short Arm of the Human Y Chromosome are Present in XX Males and Reduced in Number in an XY Female,” Nucleic Acids Res. 14(3):1325-1340 (1986). |
Mullis et al., “Specific Enzymatic Amplification of DNA in Vitro: The Polymerase Chain Reaction,” Cold Spring Harb. Symp. Quant. Biol. 51:263-273 (1986). |
Nagrath, et al. Isolation of rare circulating tumour cells in cancer patients by microchip technology. Nature. 2007; 450: 1235-1241 (with Supplemental pp. 1-10). |
Newman et al., “The Transferrin Receptor,” Trends Biochem Sci. 7:397-400 (1982). |
Oakey et al., “Laminar Flow-Based Separations at the Microscale,” Biotechnol Prog. 18:1439-1442 (2002). |
Oberle et al., “Genetic Screening for Hemophilia A (Classic Hemophilia) with a Polymorphic DNA Probe,” N. Engl J Med. 312:682-686 (1985). |
Ockenhouse et al., “Activation of Monocytes and Platelets by Monoclonal Antibodies or Malaria-Infected Erythrocytes Binding to the CD36 Surface Receptor In Vitro,” J Clin Invest. 84:468-475 (1989). |
Olson et al., “An In Situ Flow Cytometer for the Optical Analysis of Individual Particles in Seawater,” Retrieved on the World Wide Web on Apr. 24, 2006 at: http://www.whoi.edu/science/B/Olsonlab/insitu2001.htm. |
Owen, et al. High gradient magnetic separation of erythrocytes. Biophys. J. 1978; 22:171-178. |
Pallavicini et al., “Analysis of Fetal Cells Sorted from Maternal Blood Using Fluorescence In Situ Hybridization,” Am J Hum Genet. Supplement to 51(4):1031 (1992). (Abstract). |
Papavasiliou et al., “Electrolysis-Bubble Actuated Gate Valve,” Solid-State Sensor and Actuator Workshop, Hilton Head Island, SC. (Jun. 4-8, 2000). |
Parano et al., “Noninvasive Prenatal Diagnosis of Chromosomal Aneuploidies by Isolation and Analysis of Fetal Cells from Maternal Blood,” Am J Med Genet. 101:262-267 (2001). |
Paterlini-Brechot et al., “Circulating tumor cells (CTC) detection: Clinical impact and future directions,” Cancer Letter. 253(2):180-204 (2007). |
Pawlik et al., “Prodrug Bioactivation and Oncolysis of Diffuse Liver Metastases by a Herpes Simplex Virus 1 Mutant That Expresses the CYP2B1 Transgene,” Cancer 95:1171-1181 (2002). |
Payne “The Development and Persistence of Leukoagglutinins in Parous Women,” Blood 19:411-424 (1962). |
Pembrey et al., “Maternal Synthesis of Haemoglobin F in Pregnancy,” Lancet 1(7816):1350-1354 (1973). |
Peng et al., “Real-time detection of gene expression in cancer cells using molecular beacon imaging: new strategies for cancer research,” Cancer Res. 2005; 65(5):1909-17. |
Petersen et al., “The Promise of Miniaturized Clinical Diagnostic Systems,” IVD Technology (Jul. 1998). |
Pinkel et al., “Cytogenetic Analysis Using Quantitative, High-Sensitivity, Fluorescence Hybridization,” Proc Natl Acad Sci USA 83:2934-2938 (1986). |
Pinkel et al., “Detection of Structural Chromosome Abberations in Metaphase Spreads and Interphase Nuclei by In Situ Hybridization High Complexity Probes Which Stain Entire Human Chromosomes,” Am J Hum Genet. Supplemental to 43(3):0471 (1988). (Abstract). |
Pinkel et al., “Fluorescence in Situ Hybridization with Human Chromosome-Specific Libraries: Detection of Trisomy 21 and Translocations of Chromosome 4,” Proc Natl Aced Sci USA 85:9138-9142 (1988). |
Pinzani et al., “Isolation by size of epithelial tumor cells in peripheral blood of patients with breast cancer: correlation with real-time reverse transcriptase-polymerase chain reaction results and feasibility of molecular analysis by laser microdissection,” Hum Pathol. 37(6):711-8 (2006). |
Price et al., “Prenatal diagnosis with fetal cells isolated from maternal blood by multiparameter flow cytometry,” Am J Obstet Gynecol. 165:1731-1737 (1991). |
Prieto, et al. Isolation of fetal nucleated red blood cells from maternal blood in normal and aneuploid pregnancies. Clin Chem Lab Med. Jul. 2002;40(7):667-72. |
Product literature for GEM, a system for blood testing: GEM Premier 3000. Retrieved on the World Wide Web on Apr. 24, 2006 at: http://www.ilus.com/premier.sub.-gem3000.sub.-iqm.asp. |
Purwosunu, et al. Clinical potential for noninvasive prenatal diagnosis through detection of fetal cells in maternal blood. Taiwan J Obstet Gynecol. Mar. 2006;45(1):10-20. |
Raeburn, “Fetal Blood Cells Found in Pregnant Women's Blood” Associated Press (Jul. 28, 1989) [electronic version]. |
Raeburn, “Fetal Cells Isolated in Women's Blood ,” Hickory (N.C.) Daily Record: B (Jul. 29, 1989). |
Raymond et al., “Continuous Separation of High Molecular Weight Compounds Using a Microliter vol. Free-Flow Electrophoresis Microstructure,” Anal Chem. 68:2515-2522 (1996). |
Ried et al., “Multicolor Fluorescence In Situ Hybridization for the Simultaneous Detection of Probe Sets for Chromosomes 13, 18, 21, X and Y in Uncultured Amniotic Fluid Cells,” Hum Mol Genet, 1:307-313 (1992). |
Rolle et al., “Increase in No. Of Circulating Disseminated Epithelial Cells After Surgery for Non-small Cell Lung Cancer Monitored by MAINTRAC is a Predictor for Relapse: A Preliminary Report,” World J Surg Oncol. 3:18 (2005). |
Ruan et al., “Identification of clinically significant tumor antigens by selecting phage antibody library on tumor cells in situ using laser capture microdissection,” Molecular & Cellular Proteomics.5(12): 2364-73 (2006). |
Saiki et al., “Diagnosis of Sickle Cell Anemia and .beta.-Thalassemia with Enzymatically Amplified DNA and Nonradioactive Allele-Specific Oligonucleotide Probes,” N. Engl J Med. 319:537-541 (1988). |
Saltus, “New Test Speeds Detection of Birth Defects,” The Boston Globe 4. (Oct. 8, 1991). |
Saltus, “Noninvasive Way Is Cited to Detect Down Syndrome in Fetuses,” The Boston Globe 8 (Nov. 12, 1992). |
Sato et al., “Individual and Mass Operation of Biological Cells Using Micromechanical Silicon Devices,” Sens Actuators A21-A23:948-953 (1990). |
Schomburg et al., “Microfluidic Components in LIGA Technique,” J Micromech Microeng. 4:186-191 (1994). |
Schroder and de la Chapelle, “Fetal Lymphocytes in the Maternal Blood,” Blood 39:153-162 (1972). |
Schroder, “Transplacental Passage of Blood Cells,” J Med Genet. 12:230-242 (1975). |
Sethu et al., “Continuous Flow Microfluidic Device for Rapid Erythrocyte Lysis,” Anal Chem. 76:6247-6253 (2004). |
Shoji et al., “Microflow Devices and Systems,” J Micromech Microeng. 4:157-171 (1994). |
Simpson et al., “Elevated Second Trimester Maternal Serum Alpha Fetoprotein (MSAFP) Is More Predictive of Certain Pregnancy Complications Than Elevated Third Trimester MSAFP: A Cohort Study,” Am J Hum Genet. 51(4):A19-65 (1992). (Abstract). |
Simpson et al., “Prenatal Genetic Diagnosis,” Chapter 6, Genetics in Obstetrics and Gynecology, New York:Grune & Stratton, 101-120 (1982). |
Sitar et al., “The use of non-physiological conditions to isolate fetal cells from maternal blood,” Exp Cell Res. 302:153-161 (2005). |
Snider, M., “Birth Defects Detected with Simple Blood Test,” USA Today. (Oct. 9, 1991). |
Sohda et al., “The Proportion of Fetal Nucleated Red Blood Cells in Maternal Blood: Estimation by FACS Analysis,” Prenat Diagn. 17:743-752 (1997).Pinket. |
Stipp, “IG Labs Licenses New Technology for Fetal Testing,” The Wall Street Journal. B5 (Aug. 10, 1990). |
Takayama et al., “Patterning Cells and Their Environments Using Multiple Laminar Fluid Flows in Capillary Networks,” Proc Natl Acad Sci USA 96: 5545-5548 (1999). |
Takayama et al., “Subcellular Position of Small Molecules,” Nature 411:1016 (2001). |
Takayasu et al., “Continuous Magnetic Separation of Blood Components from Whole Blood,” IEEE Trans. On Applied Superconductivity. 10:927-930 (2000). |
Tepperberg et al., “Prenatal Diagnosis Using Interphase Fluorescence in situ Hybridization (FISH): 2-year Multi-center Retrospective Study and Review of the Literature,” Prenat Diagn. 21:293-301 (2001). |
Theophilus et al., “Gaucher Disease: Molecular Heterogeneity and Phenotype-Genotype Correlations,” Am J Hum Genet. 45:212-225 (1989). |
Thomas et al., “Specific Binding and Release of Cells from Beads Using Cleavable Tetrameric Antibody Complexes,” J Immunol Methods 120:221-231 (1989). |
Tibbe et al., “Statistical considerations for enumeration of circulating tumor cells,” Cytometry Part A 71(3):154-62 (2007). |
Toner et al., “Blood-on-a-Chip,” Annu Rev Biol Eng. 7: 77-103 (2005). |
Tong et al., “Low Temperature Wafer Direct Bonding,” J Microelectromech Systems. 3(1):29-35 (1994). |
Trask et al., “Detection of DNA Sequences in Nuclei in Suspension by in Situ Hybridization and Dual Beam Flow Cytometry,” Science 230:1401-1403 (1985). |
Trowbridge et al., “Human Cell Surface Glycoprotein Related to Cell Proliferation is the Receptor for Transferrin,” Proc Natl Acad Sci USA 78:3039-3043 (1981). |
Turner et al., “Confinement-Induced Entropic Recoil of Single DNA Molecules in a Nanofluidic Structure,” Phys Rev Left. 88(12):128103-1-128103-4 (2002). |
UPI, “Researchers Find Safer Prenatal Tests,” The Boston Herald. 25 (Nov. 14, 1989). |
Vandelli et al., “Development of a MEMS Microvalve Array for Fluid Flow Control,” J Microelectromech Syst. 7:395-403 (1998). |
Voldman et al., “Holding Forces of Single-Particle Dielectrophoretic Traps,” Biophys J. 80:531-541 (2001). |
Volkmuth et al., “DNA Electrophoresis in Microlithographic Arrays,” Nature 358:600-602 (1992). |
Volkmuth et al., “Observation of Electrophoresis of Single DNA Molecules in Nanofabricated Arrays,” Presentation at joint annual meeting of Biophysical Society and the American Society for Biochemistry and Molecular Biology. Feb. 9-13, 1992. |
Vona et al., “Enrichment, Immunomorphological, and Genetic Characterization of Fetal Cells Circulating in Maternal Blood,” Am J Pathol 160:51-58 (2002). |
Vona et al., “Isolation by Size of Epithelial Tumor Cells: A New Method for the Immunomorphological and Molecular Characterization of Circulating Tumor Cells,” Am J Pathol. 156:57-63 (2000). |
Wachtel et al., “Fetal Cells in the Maternal Circulation: Isolation by Multiparameter Flow Cytometry and Confirmation by Polymerase Chain Reaction,” Hum Reprod. 6(10):1466-1469 (1991). |
Walknowska et al., “Practical and Theoretical Implications of Fetal/Maternal Lymphocyte Transfer,” Lancet 1(7606):1119-1122 (1969). |
Washizu et al., “Handling Biological Cells Utilizing a Fluid Integrated Circuit,” IEEE Transactions of Industry Applications 26: 352-8 (1988). |
Washizu et al., “Handling Biological Cells Utilizing a Fluid Integrated Circuit,” Industry Applications Society Annual Meeting Presentations. Oct. 2-7, 1988: I735-40. |
Weigl et al., “Microfluidic Diffusion-Based Separation and Detection,” Science 283:346-347 (1999). |
Williams et al., “Comparison of Cell Separation Methods to Enrich the Proportion of Fetal Cells in Maternal Blood Samples,” Am J Hum Genet. Supplemental to 51(4):A266 (1049) (1992). (Abstract). |
Williams et al., “Prenatal Diagnosis of 46, XX Males: Confirmation of X-Y Interchange by Fluorescence In Situ Hybridization (FISH),” Am J Genet. Supplemental to 51(4):A266(1048) (1992). (Abstract). |
Xu et al., “Dielectrophoresis of Human Red Cells in Microchips,” Electrophoresis 20:1829-1831 (1999). |
Yuan et al., “The Pumping Effect of Growing and Collapsing Bubbles in a Tube,” J Micromech Microeng. 9:402-413 (1999). |
Zborowski et al., “Red Blood Cell Magnetophoresis,” Biophys J. 84:2638-2645 (2003). |
Zhang and Manz, “High-Speed Free-Flow Electrophoresis on Chip,” Anal Chem. 75:5759-5766 (2003). |
Zhen et al., “Poly-Fish: A Technique of Repeated Hybridizations That Improves Cytogenic Analysis of Fetal Cells in Maternal Blood,” Prenat Diagn. 18(11):1181-5 (1998). |
Zheng et al., “Fetal cell identifiers: results of microscope slide-based immunocytochemical studies as a function of gestational age and abnormality,” Am J Obstet Gynecol. 180(5):1234-9 (1999). |
Zuska, “Microtechnology Opens Doors to the Universe of Small Space,” MD&DI Jan. (1997). |
Number | Date | Country | |
---|---|---|---|
20120196273 A1 | Aug 2012 | US |
Number | Date | Country | |
---|---|---|---|
60668415 | Apr 2005 | US | |
60704067 | Jul 2005 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 11449149 | Jun 2006 | US |
Child | 13232781 | US | |
Parent | PCT/US2006/012820 | Apr 2006 | US |
Child | 11449149 | US |