Devices and method for enrichment and alteration of cells and other particles

Information

  • Patent Grant
  • 9174222
  • Patent Number
    9,174,222
  • Date Filed
    Wednesday, September 14, 2011
    13 years ago
  • Date Issued
    Tuesday, November 3, 2015
    9 years ago
Abstract
The invention features devices and methods for the deterministic separation of particles. Exemplary methods include the enrichment of a sample in a desired particle or the alteration of a desired particle in the device. The devices and methods are advantageously employed to enrich for rare cells, e.g., fetal cells, present in a sample, e.g., maternal blood and rare cell components, e.g., fetal cell nuclei. The invention further provides a method 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.
Description
BACKGROUND OF THE INVENTION

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.


SUMMARY OF THE INVENTION

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.





BRIEF DESCRIPTION OF THE DRAWINGS


FIGS. 1A-1E are schematic depictions of an array that separated cells based on deterministic lateral displacement: (A) illustrates the lateral displacement of subsequent rows; (B) illustrates how fluid flowing through a gap is divide unequally around obstacles in subsequent rows; (C) illustrates how a particle with a hydrodynamic size above the critical size is displaced laterally in the device; (D) illustrates an array of cylindrical obstacles; and (E) illustrates an array of elliptical obstacles.



FIG. 2 is a schematic description illustrating the unequal division of the flux through a gap around obstacles in subsequent rows.



FIG. 3 is a schematic depiction of how the critical size depends on the flow profile, which is parabolic in this example.



FIG. 4 is an illustration of how shape affects the movement of particles through a device.



FIG. 5 is an illustration of how deformability affects the movement of particles through a device.



FIG. 6 is a schematic depiction of deterministic lateral displacement. Particles having a hydrodynamic size above the critical size move to the edge of the array, while particles having a hydrodynamic size below the critical size pass through the device without lateral displacement.



FIG. 7 is a schematic depiction of a three-stage device.



FIG. 8 is a schematic depiction of the maximum size and cut-off size (i.e., critical size) for the device of FIG. 7.



FIG. 9 is a schematic depiction of a bypass channel.



FIG. 10 is a schematic depiction of a bypass channel.



FIG. 11 is a schematic depiction of a three-stage device having a common bypass channel.



FIG. 12 is a schematic depiction of a three-stage, duplex device having a common bypass channel.



FIG. 13 is a schematic depiction of a three-stage device having a common bypass channel, where the flow through the device is substantially constant.



FIG. 14 is a schematic depiction of a three-stage, duplex device having a common bypass channel, where the flow through the device is substantially constant.



FIG. 15 is a schematic depiction of a three-stage device having a common bypass channel, where the fluidic resistance in the bypass channel and the adjacent stage are substantially constant.



FIG. 16 is a schematic depiction of a three-stage, duplex device having a common bypass channel, where the fluidic resistance in the bypass channel and the adjacent stage are substantially constant.



FIG. 17 is a schematic depiction of a three-stage device having two, separate bypass channels.



FIG. 18 is a schematic depiction of a three-stage device having two, separate bypass channels, which are in arbitrary configuration.



FIG. 19 is a schematic depiction of a three-stage, duplex device having three, separate bypass channels.



FIG. 20 is a schematic depiction of a three-stage device having two, separate bypass channels, wherein the flow through each stage is substantially constant.



FIG. 21 is a schematic depiction of a three-stage, duplex device having three, separate bypass channels, wherein the flow through each stage is substantially constant.



FIG. 22 is a schematic depiction of a flow-extracting boundary.



FIG. 23 is a schematic depiction of a flow-feeding boundary.



FIG. 24 is a schematic depiction of a flow-feeding boundary, including a bypass channel.



FIG. 25 is a schematic depiction of two flow-feeding boundaries flanking a central bypass channel.



FIG. 26 is a schematic depiction of a device having four channels that act as on-chip flow resistors.



FIGS. 27 and 28 are schematic depictions of the effect of on-chip resistors on the relative width of two fluids flowing in a device.



FIG. 29 is a schematic depiction of a duplex device having a common inlet for the two outer regions.



FIG. 30A is a schematic depiction of a multiple arrays on a device. FIG. 30B is a schematic depiction of multiple arrays with common inlets and product outlets on a device.



FIG. 31 is a schematic depiction of a multi-stage device with a small footprint.



FIG. 32 is a schematic depiction of blood passing through a device.



FIG. 33 is a graph illustrating the hydrodynamic size distribution of blood cells.



FIGS. 34A-34D are schematic depictions of moving a particle from a sample to a buffer in a single stage (A), three-stage (B), duplex (C), or three-stage duplex (D) device.



FIG. 35A is a schematic depiction of a two-stage device employed to move a particle from blood to a buffer to produce three products. FIG. 35B is a schematic graph of the maximum size and cut off size of the two stages.



FIG. 35C is a schematic graph of the composition of the three products.



FIG. 36 is a schematic depiction of a two-stage device for alteration, where each stage has a bypass channel.



FIG. 37 is a schematic depiction of the use of fluidic channels to connect two stages in a device.



FIG. 38 is a schematic depiction of the use of fluidic channels to connect two stages in a device, wherein the two stages are configured as a small footprint array.



FIG. 39A is a schematic depiction of a two-stage device having a bypass channel that accepts output from both stages. FIG. 39B is a schematic graph of the range of product sizes achievable with this device.



FIG. 40 is a schematic depiction of a two-stage device for alteration having bypass channels that flank each stage and empty into the same outlet.



FIG. 41 is a schematic depiction of a device for the sequential movement and alteration of particles.



FIG. 42A is a photograph of a device of the invention. FIGS. 42B-43E are depictions the mask used to fabricate a device of the invention. FIG. 42F is a series of photographs of the device containing blood and buffer.



FIGS. 43A-43F are typical histograms generated by the hematology analyzer from a blood sample and the waste (buffer, plasma, red blood cells, and platelets) and product (buffer and nucleated cells) fractions generated by the device of FIG. 42.



FIGS. 44A-44D are depictions the mask used to fabricate a device of the invention.



FIGS. 45A-45D are depictions the mask used to fabricate a device of the invention.



FIG. 46A is a micrograph of a sample enriched in fetal red blood cells.



FIG. 46B is a micrograph of maternal red blood cell waste.



FIG. 47 is a series of micrographs showing the positive identification of male fetal cells (Blue=nucleus, Red=X chromosome, Green=Y chromosome).



FIG. 48 is a series of micrographs showing the positive identification of sex and trisomy 21.



FIGS. 49A-49D are depictions the mask used to fabricate a device of the invention.



FIGS. 50A-50G are electron micrographs of the device of FIG. 49.



FIGS. 51A-51D are depictions the mask used to fabricate a device of the invention.



FIGS. 52A-52F are electron micrographs of the device of FIG. 51.



FIGS. 53A-53F are electron micrographs of the device of FIG. 45.



FIGS. 54A-54D are depictions the mask used to fabricate a device of the invention.



FIGS. 55A-55S are electron micrographs of the device of FIG. 54.



FIGS. 56A-56C are electron micrographs of the device of FIG. 44.



FIG. 57 is a flowchart describing the isolation of fetal red blood cell nuclei.



FIG. 58 is a schematic graph of the course of lysis of cells in a maternal blood sample.



FIG. 59 is a schematic diagram of a microfluidic method to enrich the cells of interest and preferentially lyse the cells of interest in the enriched sample. The sample is first enriched by size-based direction of cells of interest into a preferred channel, and the cells of interest are then selectively lysed by controlling their residence time in a lysis solution.



FIG. 60 is a schematic diagram of a microfluidic method of size-based isolation of the nuclei of the lysed cells of interest from non-lysed whole cells of non-interest. The cells of non-interest are directed into the waste, while the nuclei are retained in the desired product streams.



FIG. 61 is a flowchart describing an alternate method for the separation of fetal nuclei from maternal white blood cells.



FIG. 62 is a schematic diagram of a device of the invention employing a substantially constant gap width and flow-feeding and flow-extracting boundaries.



FIG. 63
a is a schematic depiction of a manifold of the invention. FIG. 63b is a photograph of a manifold of the invention.



FIG. 64 is a graph of the percentage of viable cells as a function of exposure to a hypotonic lysis solution.



FIG. 65 is a graph of hemolysis of whole blood as a function of time in a lysis buffer.



FIG. 66
a is a table that illustrates the nuclei recovery after Cytospin using Carney's fix solution total cell lysis procedure as described herein.



FIG. 66
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.



FIG. 67 is a flowchart detailing various options for lysis of cells and nuclei.





DETAILED DESCRIPTION OF THE INVENTION

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 FIG. 1, each row of posts is shifted horizontally with respect to the previous row by Δλ, where λ is the center-to-center distance between the posts (FIG. 1A). The parameter Δλ/λ (the “bifurcation ratio,” ε) determines the ratio of flow bifurcated to the left of the next post. In FIG. 1, ε is ⅓, for the convenience of illustration. In general, if the flux through a gap between two posts is φ, the minor flux is εφ, and the major flux is (1−εφ) (FIG. 2). In this example, the flux through a gap is divided essentially into thirds (FIG. 1B). While each of the three fluxes through a gap weaves around the array of posts, the average direction of each flux is in the overall direction of flow. FIG. 1C illustrates the movement of a particles sized above the critical size through the array. Such particles move with the major flux, being transferred sequentially to the major flux passing through each gap.


Referring to FIG. 2, the critical size is approximately 2Rcritical, where Rcritical is the distance between the stagnant flow line and the post. If the center of mass of a particle, e.g., a cell, falls at least Rcritical away from the post, the particle would follow the major flux and move along the line-of-sight of the array. If the center of mass of a particle falls within Rcritical of the post, it follows the minor flux in a different direction. Rcritical can be determined if the flow profile across the gap is known (FIG. 3); it is the thickness of the layer of fluids that would make up the minor flux. For a given gap size, d, Rcritical can be tailored based on the bifurcation ratio, 8. In general, the smaller 8, the smaller Rcritical.


In an array for deterministic lateral displacement, particles of different shapes behave as if they have different sizes (FIG. 4). For example, lymphocytes are spheres of ˜5 μm diameter, and erythrocytes are biconcave disks of ˜7 μm diameter, and ˜1.5 μm thick. The long axis of erythrocytes (diameter) is larger than that of the lymphocytes, but the short axis (thickness) is smaller. If erythrocytes align their long axes to a flow when driven through an array of posts by the flow, their hydrodynamic size is effectively their thickness (˜1.5 μm), which is smaller than lymphocytes. When an erythrocyte is driven through an array of posts by a hydrodynamic flow, it tends to align its long axis to the flow and behave like a ˜1.5 nm-wide particle, which is effectively “smaller” than lymphocytes. The method and device may therefore separate cells according to their shapes, although the volumes of the cells could be the same. In addition, particles having different deformability behave as if they have different sizes (FIG. 5). For example, two particles having the undeformed shape may be separated by deterministic lateral displacement, as the cell with the greater deformability may deform when it comes into contact with an obstacle in the array and change shape. Thus, separation in the device may be achieved based on any parameter that affects hydrodynamic size including the physical dimensions, the shape, and the deformability of the particle.


Referring to FIGS. 6 and 7, feeding a mixture of particles, e.g., cells, of different hydrodynamic sizes from the top of the array and collecting the particles at the bottom, as shown schematically, produces two products, the output containing cells larger than the critical size, 2Rcritical, and waste containing cells smaller than the critical size. Although labeled “waste” in FIG. 7, particles below the critical size may be collected while the particles above the critical size are discarded. Both types of outputs may also be desirably collected, e.g., when fractionating a sample into two or more sub-samples. Cells larger than the gap size will get trapped inside the array. Therefore, an array has a working size range. Cells have to be larger than a critical size (2Rcritical) and smaller than a maximum pass-through size (array gap size) to be directed into the major flux.


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 (FIG. 1D). In certain embodiments, the array has a maximum pass-through size that is several times larger than the critical size, e.g., when separating white blood cells from red blood cells. This result may be achieved using a combination of a large gap size d and a small bifurcation ratio ε. In preferred embodiments, the ε is at most 1/2, e.g., at most 1/3, 1/10, 1/30, 1/100, 1/300, or 1/1000. In such embodiments, the obstacle shape may affect the flow profile in the gap; however, the obstacles can be compressed in the flow direction, in order to make the array short (FIG. 1E). Single stage arrays may include bypass channels as described herein.


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 FIG. 7. The device shown has three stages, but any number of stages may be employed. Typically, the cut-off size (i.e. critical size) in the first stage is larger than the cut-off in the second stage, and the first stage cut-off size is smaller than the maximum pass-through size of the second stage (FIG. 8). The same is true for the following stages. The first stage will deflect (and remove) particles, e.g., that would cause clogging in the second stage, before they reach the second stage. Similarly, the second stage will deflect (and remove) particles that would cause clogging in the third stage, before they reach the third stage. In general an array can have as many stages as desired.


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 (FIGS. 9-11). Single bypass channels may also be employed with duplex arrays such that a central bypass channel separates the two arrays (i.e., two outer regions) (FIG. 12).


Single bypass channels may also be designed, in conjunction with an array to maintain constant flux through a device (FIG. 13). The bypass channel has varying width designed to maintain constant flux through all the stages, so that the flow in the channel does not interfere with the flow in the arrays. Such a design may also be employed with an array duplex (FIG. 14). Single bypass channels may also be designed in conjunction with the array in order to maintain substantially constant fluidic resistance through all stages (FIG. 15). Such a design may also be employed with an array duplex (FIG. 16.)


Multiple bypass channels. In this design (FIG. 17), each stage has its own bypass channel, and the channels are separated from each other by sidewalls, e.g., to prevent the mixing of the contents of different channels. Large particles, e.g., cells are deflected into the major flux to the lower right corner of the first stage and then into in a bypass channel (bypass channel 1 in FIG. 17). Smaller cells that would not cause clogging in the second stage proceed to the second stage, and cells above the critical size of the second stage are deflected to the lower right corner of the second stage and into in another bypass channel (bypass channel 2 in FIG. 17). This design may be repeated for as many stages as desired. In this embodiment, the bypass channels are not fluidically connected, allowing for separate collection and other manipulations. The bypass channels do not need to be straight or be physically parallel to each other (FIG. 18). Multiple bypass channels may also be employed with duplex arrays (FIG. 19).


Multiple bypass channels may be designed, in conjunction with an array to maintain constant flux through a device (FIG. 20). In this example, bypass channels are designed to remove an amount of flow so the flow in the array is not perturbed, i.e., substantially constant. Such a design may also be employed with an array duplex (FIG. 21). In this design, the center bypass channel may be shared between the two arrays in the duplex.


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 FIG. 22) from each gap at the boundary (d=24 μm, ε=1/60). For example, the distance between the array and the sidewall gradually increases to allow for the addition of εφ to the boundary from each gap along that boundary. The flow pattern inside this array is not affected by the bypass channel because of the boundary design.


A preferred flow-feeding boundary narrows gradually to feed exactly εφ (represented by arrows in FIG. 23) into each gap at the boundary (d=24 μm, ε=1/60). For example, the distance between the array and the sidewall gradually decreases to allow for the addition of εφ to each gap along the boundary from that boundary. Again, the flow pattern inside this array is not affected by the bypass channel because of the boundary design.


A flow-feeding boundary may also be as wide as or wider than the gaps of an array (FIG. 24) (d=24 μm, ε=1/60). A wide boundary may be desired if the boundary serves as a bypass channel, e.g., to allow for collection of particles. A boundary may be employed that uses part of its entire flow to feed the array and feeds εφ into each gap at the boundary (represented by arrows in FIG. 24).



FIG. 25 shows a single bypass channel in a duplex array (ε=1/10, d=8 nm). The bypass channel includes two flow-feeding boundaries. The flux across the dashed line 1 in the bypass channel is Φbypass. A flow φ joins Φbypass from a gap to the left of the dashed line. The shapes of the obstacles at the boundaries are adjusted so that the flows going into the arrays are εφ at each gap at the boundaries. The flux at dashed line 2 is again Φbypass.


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. FIG. 26 shows a schematic of planar device; a sample, e.g., blood, inlet channel, a buffer inlet channel, a waste outlet channel, and a product outlet channel are each connected to an array. The inlets and outlets act as flow resistors. FIG. 26 also shows the corresponding fluidic resistances of these different device components.


Flow Definition within the Array



FIGS. 27 and 28 show the currents and corresponding widths of the sample and buffer flows within the array when the device has a constant depth and is operated with a given pressure drop. The flow is determined by the pressure drop divided by the resistance. In this particular device, Iblood and Ibuffer are equivalent, and this determines equivalent widths of the blood and buffer streams in 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 (FIG. 29). In such an arrangement, the critical size of the two arrays may be the same or different. Moreover, the arrays may be arranged so that the major flux flows to the boundary of the two arrays, to the edge of each array, or a combination thereof. Such a duplexed array may also contain a central bypass channel disposed between the arrays, e.g., to collect particles above the critical size or to alter the sample, e.g., through buffer exchange, reaction, or labeling.


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 (FIG. 30B). A plurality of arrays, duplex or single, may be placed in any possible three-dimensional relationship to one another.


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. FIG. 31 shows a small-footprint three-stage array.


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. FIG. 32 shows schematically that cells are densely packed inside an array and could physically interact with each other.


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.



FIG. 33 shows a typical size distribution of cells in human peripheral blood. The white blood cells range from ˜4 μm to ˜18 μm, whereas the red blood cells are ˜1.5 μm (short axis). An array designed to separate white blood cells from red blood cells typically has a cut-off size (i.e., critical size) of 2 to 4 μm and a maximum pass-through size of greater than 18 μm.


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. FIG. 34A shows this effect schematically for a single stage device, FIG. 34B shows this effect for a multistage device, FIG. 34C shows this effect for a duplex array, and FIG. 34D shows this effect for a multistage duplex array. By using such methods, blood cells may be separated from plasma. Such transfers of particles from one liquid to another may be also employed to effect a series of alterations, e.g., Wright staining blood on-chip. Such a series may include reacting a particle with a first reagent and then transferring the particle to a wash buffer, and then to another reagent.



FIGS. 35A, 35B, 35C illustrate a further example of alteration in a two-stage device having two bypass channels. In this example, large blood particles are moved from blood to buffer and collected in stage 1, medium blood particles are moved from blood to buffer in stage 2, and then small blood particles that are not removed from the blood in stages 1 and 2 are collected. FIG. 35B illustrates the size cut-off of the two stages, and FIG. 35C illustrates the size distribution of the three fractions collected.



FIG. 36 illustrates an example of alteration in a two-stage device having bypass channels that are disposed between the lateral edge of the array and the channel wall. FIG. 37 illustrates a device similar to that in FIG. 36, except that the two stages are connected by fluidic channels. FIG. 38 illustrates alteration in a device having two stages with a small footprint. FIGS. 39A-39B illustrates alteration in a device in which the output from the first and second stages is captured in a single channel. FIG. 40 illustrates another device for use in the methods of the invention.



FIG. 41 illustrates the use of a device to perform multiple, sequential alterations on a particle. In this method, a blood particle is moved from blood into a reagent that reacts with the particle, and the reacted particle is then moved into a buffer, thereby removing the unreacted reagent or reaction byproducts. Additional steps may be added.


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.


EXAMPLES
Example 1
A Silicon Device Multiplexing 14 3-Stage Array Duplexes


FIGS. 42A-42E show an exemplary device of the invention, characterized as follows.


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 (FIG. 42F) 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: FIGS. 43A-43F shows typical histograms generated by the hematology analyzer from a blood sample and the waste (buffer, plasma, red blood cells, and platelets) and product (buffer and nucleated cells) fractions generated by the device. The following table shows the performance over 5 different blood samples:















Performance Metrics











Sample

RBC
Platelet
WBC


number
Throughput
removal
removal
loss





1
4 mL/hr
100%
99%
<1%


2
6 mL/hr
100%
99%
<1%


3
6 mL/hr
100%
99%
<1%


4
6 mL/hr
100%
97%
<1%


5
6 mL/hr
100%
98%
<1%









Example 2
A silicon device multiplexing 14 single-stage array duplexes


FIG. 44 shows an exemplary device of the invention, characterized as follows.


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.


Example 3
Separation of Fetal Cord Blood


FIG. 45 shows a schematic of the device used to separate nucleated cells from fetal cord blood.


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 (FIG. 46A-46B) were prepared and stained with modified Wright-Giemsa (WG16, Sigma Aldrich, St. Louis, Mo.).


Performance: Fetal nucleated red blood cells were observed in the product fraction (FIG. 46A) and absent from the waste fraction (FIG. 46B).


Example 4
Isolation of Fetal Cells from Maternal Blood

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 (FIG. 47). In the single abnormal case tested, the trisomy 21 pathology was also identified (FIG. 48).


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.


Example 5

This device includes five stages in a single array.


Array Design: 5 stage, asymmetric array


Gap Sizes:






    • Stage 1: 8 μm

    • Stage 2: 10 μm

    • Stage 3: 12 μm

    • Stage 4: 14 μm

    • Stage 5: 16 μm


      Flow Angle: 1/10


      Arrays/Chip: 1





Example 6

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:






    • Stage 1: 8 μm

    • Stage 2: 12 μm

    • Stage 3: 18 μm

    • Stage 4:

    • Stage 5:


      Flow Angle: 1/10


      Arrays/Chip: 1


      Other: Central collection channel






FIG. 49A shows the mask employed to fabricate the device. FIGS. 49B-49D are enlargements of the portions of the mask that define the inlet, array, and outlet. FIGS. 50A-50G show SEMs of the actual device.


Example 7

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:






    • Stage 1: 8 μm

    • Stage 2: 12 μm

    • Stage 3: 18 μm

    • Stage 4:

    • Stage 5:


      Flow Angle: 1/10


      Arrays/Chip: 10


      Other: Large fin central collection channel on-chip flow resistors






FIG. 51A shows the mask employed to fabricate the device. FIGS. 51B-51D are enlargements of the portions of the mask that define the inlet, array, and outlet. FIGS. 52A-52F show SEMs of the actual device.


Example 8

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:






    • Stage 1: 8 μm

    • Stage 2: 12 μm

    • Stage 3: 18 μm

    • Stage 4:

    • Stage 5:


      Flow Angle: 1/10


      Arrays/Chip: 10


      Other: Alternate large fin central collection channel on-chip flow resistors






FIG. 45A shows the mask employed to fabricate the device. FIGS. 45B-45D are enlargements of the portions of the mask that define the inlet, array, and outlet. FIGS. 532A-532F show SEMs of the actual device.


Example 9

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:






    • Stage 1: 8 μm

    • Stage 2: 12 μm

    • Stage 3: 18 μm

    • Stage 4:

    • Stage 5:


      Flow Angle: 1/10


      Arrays/Chip: 10


      Other: Femlab optimized central collection channel (Femlab 1) on-chip flow resistors






FIG. 54A shows the mask employed to fabricate the device. FIGS. 54B-54D are enlargements of the portions of the mask that define the inlet, array, and outlet. FIGS. 55A-55S show SEMs of the actual device.


Example 10

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:






    • Stage 1: 24 μm

    • Stage 2:

    • Stage 3:

    • Stage 4:

    • Stage 5:


      Flow Angle: 1/60


      Arrays/Chip: 14


      Other:

    • Central barrier

    • Ellipsoid posts

    • On-chip resistors

    • Femlab modeled array boundary






FIG. 44A shows the mask employed to fabricate the device. FIGS. 44B-44D are enlargements of the portions of the mask that define the inlet, array, and outlet. FIGS. 56A-56C show SEMs of the actual device.


Example 11

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



FIG. 57 shows a flowchart for a method of isolating fetal nuclei from a maternal blood sample. The method results in the preferential lysis of red blood cells (FIG. 58).


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 FIGS. 59 & 60). FIG. 59 shows a schematic diagram of a microfluidic device for producing concomitant enrichment and lysis. The device employs two regions of obstacles that deflect larger cells from the edges of the device, where the sample is introduced, into a central channel containing a lysis solution (e.g., a duplex device as described herein). For maternal blood, the regions of obstacles are disposed such that maternal enucleated red blood cells and platelets remain at the edges of the device, while fetal nucleated red blood cells and other nucleated cells are deflected into a central channel. Once deflected into the central channel, the fetal red blood cells (cells of interest) are lysed. FIG. 60 shows a schematic diagram for a microfluidic device for separating nuclei (cellular component of interest) from unlysed cells. The device is similar to that of FIG. 59, except the obstacles are disposed such that nuclei remain at the edges of the device, while larger particles are deflected to the central channel.


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 FIG. 61).


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 FIG. 60, and the waste and product fractions were collected and the cell:nuclei ratio contained in each fraction were measured.


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 FIG. 60, was exposed to an acid alcohol solution (methanol:acetic acid 3:1 v/v) for 30 minutes on ice resulting in the lysis of >99% of enucleated cells and >99.0% lysis of nucleated cells. A hypotonic treatment by exposing the cells to salt solution (0.6% NaCl) for 30 minutes to swell the nuclei before acid alcohol lysis can also be included. The released nuclei can be quantitatively deposited on to a glass slide by cytospin and FISHed (FIGS. 66a and 66b). The cells of interest, such as fetal nucleated erythrocytes, can be identified using RNA-FISH with probes for positive selection, such as zeta-, epsilon, gamma-globins, and negative selection such as beta-globin or analyzing the length of telomeres. Other methods for distinguishing between fetal and non-fetal cells are known in the art, e.g., U.S. Pat. No. 5,766,843.


Example 12


FIG. 62 shows a device that is optimized for separation of particles in blood. It is a one-stage device with a fixed gap width of 22 μm, with 48 multiplexed arrays for parallel sample processing. The parameters of the device are as follows:


















Array Design:
L5



Gap Sizes:
Stage 1: 22 μm



Flow Angle:
1/50



Arrays/Chip:
48



Nominal Depth
150 μm



Device Footprint
32 mm × 64 mm



Design Features
Multiplexed single arrays




Optimized bypass channels




Flow stabilization




Flow-feeding and Flow-




extracting boundaries










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:



















Volume
26.5
8 
15.4
17  
19  


Processed


(mL)


Throughput
10.6
10.0
11.8
9.8
9.8


(mL/h)


WBC in the
0.013%
0.012%
0.005%
0.014%
0.030%


waste/input


WBC


(Nageotte)


RBC
99.993% 
99.992% 
99.997% 
99.995% 
99.999% 


Removal


Platelet
>99.6%
>99.7%
>99.7%
>99.7%
>99.7%


Removal









Example 13

An exemplary manifold into which a microfluidic device of the invention is inserted is shown in FIG. 63. The manifold has two halves between which a microfluidic device of the invention is disposed. One half of the manifold includes separate inlets for blood and buffer, each of which is connected to a corresponding fluid reservoir. The channels in the device are oriented so that they connect to the reservoirs via through holes in the device. Typically, the device is oriented vertically, and the processed blood is collected as it drips out of the product outlet. A region around the product outlet of the microfluidic device may also be marked with a hydrophobic substance, e.g., from a permanent marker, to limit the size of drops formed. The device also includes two hydrophobic vent filters, e.g., 0.2 μm PTFE filters. These filters allow air trapped in the device to be displaced by aqueous solutions, but do not let the liquid pass at low pressures, e.g., <5 psi.


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.


Example 14

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.



FIG. 64 illustrates the selective lysis of fetal nRBCs vs. maternal nRBCs as a function of the duration of exposure to lysing conditions. This selective lysis procedure also can be used to lyse selectively fetal nRBCs in a population of cells composed of fetal nRBC, maternal nRBC, enucleated fetal and maternal RBCs, and fetal and maternal white blood cells. Using distilled water to induce hypotonic shock for a given time period and then adding an equal volume of 10× salt solution, such as PBS, to halt it, fetal nRBCs and maternal nRBCs were lysed over time during which the number of lysed (non-viable) fetal nRBCs increased by a factor of 10, whereas the number of lysed maternal nRBCs increased by a smaller multiple. At any given time point, the lysed cells were stained with propidium iodide and were concentrated through gradient centrifugation to determine the ratio of lysed fetal nRBCs vs. maternal nRBCs. An optimized time duration can be determined and applied to enrich selectively for fetal nRBCs nuclei.


Example 15

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 (FIG. 65). These labeled K562 cells were added to blood specimens, followed by the addition of buffer (0.155 M NH4Cl, 0.01 M KHCO3, 2 mM EDTA, 1% BSA, and 10 mM acetazolamide) (the ratio of buffer volume to spiked blood volume is 3:2). The spiked blood specimens were incubated at room temperature for 4 hours with periodic gentle agitation. The fraction of viable cells in each spiked specimen were determined by measuring the green fluorescence at 610 nm at multiple time-points. Cell lysis is observed only after three minutes of treatment (in the absence of DIDS).


Example 16

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:

    • a) A sample enriched in fetal nRBC may be subjected to total cell lysis to remove cytoplasm and isolate the nuclei. Nuclei may be immobilized through treatment with fixing solution, such as Carnoy's fix, and adhesion to glass slides. The fetal nuclei may be identified by the presence of endogenous fetal targets through immunostaining for nuclear proteins and transcription factors or through differential hybridization, RNA FISH of fetal pre-mRNAs (Gribnau et al. Mol Cell 2000. 377-86; Osborne et al. Nat. Gene. 2004. 1065-71; Wang et al. Proc. Natl. Acad. Sci. 1991. 7391-7395; Alfonso-Pizarro et al. Nucleic Acids Research. 1984. 8363-8380.) These endogenous fetal targets may include globins such as zeta-, epsilon-, gamma-, delta-, beta-, alpha- and non-globin targets such as I-branching enzyme (Yu et al., Blood. 2003 101:2081), N-acetylglucosamine transferase, or IgnT. The oligo nucleotide probes employed by RNA FISH may be either for intron-exon boundaries or other regions, which uniquely identify the desired target or by analyzing the length of telomeres.
    • b) A sample enriched in fetal nRBC may be lysed selectively using treatments with buffers and ion exchange inhibitors described in example 15 to isolate fetal cells. The surviving fetal cells may be further subjected to selection by the presence or absence of intracellular markers such as globins and I-branching beta 1,6-N-acetylglucosaminyltransferase or surface markers such as antigen I. In another embodiment, the enriched fetal nRBCs can be subjected to selective lysis to remove both the enucleated RBCs and maternal nRBCs as described in Example 15, followed by a complement mediated cell lysis using an antibody against CD45, a surface antigen present in all nucleated white blood cells. The resulting intact fetal nRBCs should be free of any other contaminating cells.
    • c) A sample enriched in fetal nRBC may be lysed through hypotonic shock as described in Example 14 to isolate fetal nuclei. Nuclei may be immobilized through treatment with fixing solution, such as Carnoy's fix, and adhesion to glass slides.


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.


Example 17

The product obtained from a device as depicted in FIG. 60 including 3 ml of erythrocytes in 1×PBS is treated with 50 mM sodium nitrite/0.1 mM acetazolamide for 10 minutes. The cells are then contacted with a lysis buffer of 0.155 M NH4Cl, 0.01 M KHCO3, 2 mM EDTA, 1% BSA and 0.1 mM acetazolamide, and the lysis reaction is stopped by directly dripping into a quenching solution containing BAND 3 ion exchanger channel inhibitors such as 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid (DIDS). The enucleated RBCs and nucleated RBCs are counted after Wright-Giemsa staining, and FISH is used to count the fetal nRBCs. Values are then compared to an unlysed control. One such experimental result is shown below:

















Before
After
Cell



Lysis
Lysis
Recovery %





















eRBCs
2.6 × 106
0.03 × 106
~1%



nRBCs
42
26
62%



fnRBCs
 6
 4
68%










Example 18

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 FIG. 60 is lysed in a chaotropic salt solution, such as buffered guanidinium hydrochloride solution (at least 4.0 M), guanidinium thiocyanate (at least 4.0 M) or a buffered detergent solution such as tris buffered solution with SDS. The cell lysate is then incubated at 55° C. for 20 minutes with 10 μl of 50 mg/ml protease K to remove proteins and followed by a 5 minutes at 95° C. to inactive protease. The fetal nRBCs undergo apoptosis when entering maternal blood circulation, and this apoptotic process leads to DNA fragmentation of fetal nRBC DNA. By taking advantage of reduced size of fetal nRBCs DNA and higher efficiency of isolating smaller DNA fragments over intact genomic DNA using oligonucleotide mediated enrichment, the apoptotic fetal nRBCs DNA can be selectively enriched through hybridization to oligonucleotides in solution, attached to beads, or bound to an array or other surface in order to identify the unique molecular markers such as short tandem repeats (STR). After hybridization, the unwanted nucleic acids or other contaminants may be washed away with a high salt buffered solution, such as 150 mM sodium chloride in 10 mM Tris HCL pH 7.5, and the captured targets then released into a buffered solution, such as 10 mM Tris pH 7.8, or distilled water. The apoptotic DNA thus enriched is then analyzed using the methods for analysis of genetic content, e.g., as described in Example 16.


Example 19


FIG. 67 shows a flowchart detailing variations on lysis procedures that may be performed on maternal blood samples. Although illustrated as beginning with Enriched Product, e.g., produced using the devices and methods described herein, the processes may be performed on any maternal blood sample. The chart illustrates that lysis may be employed to lyse (i) wanted cells (e.g., fetal cells) selectively, (ii) wanted cells and their nuclei selectively, (iii) all cells, (iv) all cells and their nuclei, (v) unwanted cells (e.g., maternal RBCs, WBCs, platelets, or a combination thereof), (vi) unwanted cells and their nuclei, and (vii) lysis of all cells and selective lysis of nuclei of unwanted cells. The chart also shows exemplary methods for isolating released nuclei (devices and methods of the invention may also be sued for this purpose) and methods for assaying the results.


Example 20

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



















Starting Cell
Final Cell
%



Sample
Count
Count
Remaining






















1
unprocessed
6.6 × 106
6.6 × 106
100% 



2
10 second
6.6 × 106
7.2 × 105
10.9% 




exposure



3
20 second
6.6 × 106
4.6 × 105
6.9%




exposure



4
30 second
6.6 × 106
3.4 × 105
5.2%




exposure










Other Embodiments

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.

Claims
  • 1. A method for transferring particles from a first fluid to a second fluid, wherein said second fluid is different from said first fluid, the method comprising: (a) applying a first fluid comprising particles to a first channel of a device, wherein said device comprises at least two channels;(b) flowing said first fluid through said first channel in said device wherein said first channel comprises at least one array of obstacles that, in response to the flow of said first fluid, laterally displaces said particles within said array towards a second channel, wherein each of said arrays comprises a plurality of rows of obstacles wherein each row comprises a plurality of obstacles and is shifted laterally with respect to a previous row by a distance smaller than a distance between obstacles in said previous row, wherein said distance between obstacles in a row is the same in all rows in a given array, and wherein said lateral shift of rows and said distance cause each of said arrays to direct particles having a hydrodynamic size above a critical size and below said distance between obstacles into the array and in a direction towards said second channel;(c) flowing said second fluid through said second channel in said device and flowing particles laterally displaced in step (b) through said second channel, wherein said second channel is arranged along at least a portion of said at least one array of obstacles in said first channel; and(d) continuing the flow of particles in step (c) until said particles exit said second channel in said second fluid.
  • 2. The method of claim 1, wherein said particles are cells.
  • 3. The method of claim 2, wherein said cells are lysed, stained or labeled in either said first channel or said second channel.
  • 4. The method of claim 3, wherein said cells are fluorescently labeled.
  • 5. The method of claim 1, wherein said particles are contacted in said first channel, said second channel, or in both said channels, with a reagent that chemically or physically alters the particles.
  • 6. The method of claim 1, wherein particles exiting said second channel in step (d) enter a third channel comprising a third fluid, wherein said third fluid is different from said second fluid.
  • 7. The method of claim 1, wherein said device comprises at least one bypass channel that is devoid of obstacles that laterally displace said particles.
  • 8. The method of claim 1, wherein said particles are laterally displaced into a channel in which said particles react with a reagent and the reacted particles are then moved into a separate channel to remove unreacted reagent or reaction byproducts.
  • 9. The method of claim 1, wherein reagents are added to said particles to increase the hydrodynamic size of said particles.
  • 10. The method of claim 1, wherein said first channel comprises at least two arrays of obstacles, and wherein said critical size of the first array is larger than a critical size of the second array.
  • 11. A method for transferring cells from a blood sample to a second fluid, wherein said second fluid is different from said blood sample, the method comprising: (a) applying a blood sample comprising cells to a device, wherein said device comprises at least two channels;(b) flowing said blood sample through a first channel in said device wherein said first channel comprises at least one array of obstacles that, in response to the flow of said blood sample, laterally displaces said cells within said array towards a second channel, wherein each of said arrays comprises a plurality of rows of obstacles wherein each row comprises a plurality of obstacles and is shifted laterally with respect to a previous row by a distance smaller than a distance between obstacles in said previous row, wherein said distance between obstacles is the same in all rows in a given array, and wherein said lateral shift of rows and said distance cause each of said arrays is configured to direct particles having a hydrodynamic size above a critical size and below said distance between obstacles into the array and in a direction towards said second channel;(c) flowing said second fluid through said second channel in said device and flowing the cells laterally displaced in step (b) through said second channel, wherein said second channel is arranged along at least a portion of said at least one array of obstacles in said first channel; and(d) continuing the flow of cells in step (c) until said cells exit said second channel in said second fluid.
  • 12. The method of claim 11, wherein said at least one array of obstacles is configured to separate red blood cells from other cells.
  • 13. The method of claim 12, wherein said other cells are contacted in said first channel, in said second channel, or in both said channels with a reagent that chemically or physically alters the cells.
  • 14. The method of claim 13, wherein said other cells are lysed, stained or labeled in either said first channel or said second channel.
  • 15. The method of claim 14, wherein said other cells are fluorescently labeled.
  • 16. The method of claim 11, wherein said array of obstacles is configured to separate white blood cells from red blood cells and platelets in the blood.
  • 17. The method of claim 16, wherein said white blood cells are contacted in said first channel, and/or in said second channel, or in both said channels with a reagent that chemically or physically alters the cells.
  • 18. The method of claim 11, wherein said cells from said blood sample are laterally displaced into a channel in which said cells react with a reagent and the reacted cells are then moved into a separate channel to remove unreacted reagent or reaction byproducts.
  • 19. The method of claim 11, wherein reagents are added to said cells to increase the hydrodynamic size of said cells.
CROSS-REFERENCE TO RELATED APPLICATIONS

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.

US Referenced Citations (435)
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
Foreign Referenced Citations (135)
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
Non-Patent Literature Citations (263)
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).
Related Publications (1)
Number Date Country
20120196273 A1 Aug 2012 US
Provisional Applications (2)
Number Date Country
60668415 Apr 2005 US
60704067 Jul 2005 US
Continuations (2)
Number Date Country
Parent 11449149 Jun 2006 US
Child 13232781 US
Parent PCT/US2006/012820 Apr 2006 US
Child 11449149 US