The present invention relates to methods and devices for isolating different analyte classes from the same sample volume and, in particular, to methods and devices for isolating extracellular vesicles, EVs, and/or circulating tumor cells as a first analyte class, and cell-free nucleic acids as a second analyte class from the same sample volume of a biological sample.
Early diagnosis of diseases is often crucial for patients' chances of recovery, which is why there is an urgent need for high diagnostic sensitivity. In addition, a specific diagnosis of diseases is relevant in order to make the right treatment decisions and to minimize false-positive findings, as these are associated with a great burden for patients and high additional costs for the healthcare system due to follow-up examinations.
Consequently, in addition to high sensitivity, there is need for high diagnostic specificity. The sensitivity and specificity of a diagnostic test are defined by determining a common threshold value, which divides test results into positive and negative. This means that sensitivity and specificity are linked to each other and cannot be optimized independently of each other as long as the diagnosis is based on a single analyte.
A promising way of increasing both diagnostic sensitivity and specificity is the analysis of several analytes or analyte classes in one patient sample and at one point in time. However, this usually entails either dividing the patient sample into several sub-volumes or collecting larger sample volumes, which not only incurs costs, e.g. several blood tubes, but also increases the burden for the patient. This problem is increased by the fact that with the disease-associated analytes known today from non-invasive or minimally invasive samples, a very large amount of sample is collected anyway, e.g. 10 mL of whole blood for the analysis of cfDNA (cell-free deoxyribonucleic acid) in plasma, which is burdensome for patients. The background to this is the often very low concentration of analytes within the sample matrix, particularly in the early stages of the disease or following therapy (monitoring of minimal residual disease, MRD).
For example, centrifugal microfluidic systems can be used to provide analytes for analysis from a biological sample and/or to analyze analytes. A centrifugal microfluidic system here is a system configured to handle liquids while utilizing the centrifugal force generated during rotation. Centrifugal microfluidics deals with handling liquids in the picoliter to milliliter range in rotating systems. Such systems are usually disposable polymer cartridges which are used in or instead of centrifuge rotors, with the intention of automating laboratory processes. Standard laboratory processes such as pipetting, centrifugation, mixing or aliquoting can be implemented in a microfluidic cartridge. For this purpose, the cartridges contain channels for fluid guidance and chambers for collecting liquids. In general, such structures designed to handle fluids may be referred to as fluidics structures. In general, such cartridges may be referred to as fluidics modules.
The cartridges can be subjected to a predefined sequence of rotational frequencies, the frequency protocol, so that the liquids in the cartridges can be moved by the centrifugal force. Centrifugal microfluidics is mainly used in laboratory analysis and mobile diagnostics.
Methods and devices for isolating analytes from biological samples using centrifugal microfluidic systems are known.
Chi-Ju Kim et al, “Fully automated, on-site isolation of cfDNA from whole blood for cancer therapy monitoring”, Lab Chip, 2018, 18, pages 1321 to 1329, disclose a centrifugal microfluidic chip and an associated apparatus which can be used to isolate cfDNA from whole blood fully automatically and in less than 30 minutes. The cfDNA is bound to silica beads, washed and eluted. The fluidics are based on membrane valves which are opened or closed by a plunger.
Hyun-Kyung Woo et al, “Exodisc for Rapid, Size-Selective, and Efficient Isolation and Analysis of Nanoscale Extracellular Vesicles from Biological Sample”, ACS Nano 2017, 11, pages 1360 to 1370, disclose a fluidics module in the form of a disc having fluidics structures to isolate EVs, extracellular vesicles, by means of centrifugal microfluidics. Two nanofilters are provided in the fluidics module, by means of which EVs in the size range from 20 nm to 600 nm are isolated from biological samples within 30 minutes. At first, large particles are removed from the sample using a first filter and then EVs are isolated using a second filter. The EVs are then washed and eluted. The fluidics are based on membrane valves which are opened or closed by a plunger.
There are also methods in which two or more analyte classes are isolated from a single sample.
A method is known from EP 3 167 062 B1 in which particles, cells and/or cell pieces or other impurities are removed from a biological sample by centrifugation or filtration before microvesicles are isolated and purified and/or enriched. High-quality nucleic acids were then extracted from the microvesicles. In the method described, a biological sample is provided and brought into contact with a capture surface, under conditions sufficient to obtain cell-free DNA (deoxyribonucleic acid) and microvesicles from the biological sample on or in the capture surface. The capture surface is contacted with a phenol-based lysis reagent while cell-free DNA and the microvesicles are located on or in the capture surface, thereby releasing DNA and RNA (ribonucleic acids) from the sample and producing a homogenate. DNA, RNA or both DNA and RNA are then extracted from the homogenate.
A similar method for isolating extracellular vesicles and co-isolating cell-free DNA from bio-liquids is known from U.S. Pat. No. 10,808,240 B2. A biological sample is contacted with a solid capture surface under conditions sufficient to retain cell-free DNA and microvesicles from the biological sample on or in the capture surface. The capture surface is contacted with a GTC-based elution buffer while cell-free DNA and the microvesicles are located on or in the capture surface, thereby releasing the DNA and RNA from the sample and producing a homogenate. The DNA, the RNA, or both the DNA and the RNA are extracted from the homogenate.
A method is also known from EP 2 245 458 B1 in which a homogenate is produced which consists of DNA from extracellular vesicles and cfDNA.
It has been recognized that a major disadvantage of the methods known in known technology is that, after these methods have been carried out, the EV DNA and cfDNA (additionally RNA, depending on the method) are present as a homogenate and cannot be analyzed in a differentiated manner. The extracellular vesicles are destroyed, i.e. characteristics such as surface markers, size distribution etc. cannot be analyzed further. Extracellular vesicles contain other relevant analytes (e.g. proteins). These are lost in the known methods in which a homogenate is produced. The amount of cfDNA already represents a biomarker. This quantity is falsified by additional EV-DNA.
It has also been recognized that a remedy could be provided by analyzing different analyte classes from the identical sample volume, wherein several different analytes can increase the diagnostic sensitivity/specificity, but this has so far entailed a large sample volume. Advantageously, the used methods for pre-analytical isolation of the different analyte classes are to be compatible with one another and be able to be combined in an integrated, automated process chain. This could offer an economically attractive solution, as high costs due to manual intermediate steps and the need for several different laboratory apparatus for isolation could be avoided. At present, there is no method which makes it possible to isolate several analyte classes from an identical sample volume and in a single integrated process chain, as the existing methods would either influence/interfere with one another and/or be based on different principles that cannot be easily combined in one laboratory apparatus.
It is the object of the invention to provide methods and devices which enable analytes of different analyte classes, namely extracellular vesicles and/or circulating tumor cells on the one hand and cell-free nucleic acids on the other hand, to be isolated from the same sample volume in a way which allows implementation in an integrated process chain.
According to an embodiment, a method for isolating analytes of a first analyte class, which are extracellular vesicles and/or circulating tumor cells, and analytes of a second analyte class, which are cell-free nucleic acids, from the same sample volume of a biological sample in a centrifugal microfluidic system, having a fluidics module having a first isolation chamber containing a first isolation structure and a second isolation chamber containing a second isolation structure, may have the steps of: guiding the sample volume into the first isolation chamber so that the analytes of the first analyte class are retained by the first isolation structure, while the analytes of the second analyte class are not retained by the first isolation structure and pass through the first isolation structure as part of a residual liquid; guiding the residual liquid into the second isolation chamber so that the analytes of the second analyte class are retained by the second isolation structure; and separating the analytes of the first analyte class from the first isolation structure and separating the analytes of the second analyte class from the second isolation structure to provide the analytes of the first analyte class and the analytes of the second analyte class separately from each other for subsequent analysis, wherein the first isolation structure is a filter having a pore size in a range from 20 nanometers to 200 nanometers, advantageously in a range from 20 nanometers to 45 nanometers, wherein the second isolation structure is a surface for binding analytes, wherein the surface is formed by particles, and wherein the particles are magnetizable, the method having rotating the fluidics module to, by means of one or more stationary or movable magnets of a processing apparatus, move the magnetizable particles in the second isolation chamber to assist mixing of the particles with the residual liquid, and/or support retaining the magnetizable particles in the second isolation chamber during transfer of analytes of the second analyte class into the second collection chamber.
Another embodiment may have a centrifugal microfluidic device having a fluidics module for isolating analytes of a first analyte class, which are extracellular vesicles and/or circulating tumor cells, and analytes of a second analyte class, which are cell-free nucleic acids, from the same sample volume of a biological sample in a centrifugal microfluidic system, and a processing apparatus configured to subject the fluidics module to rotation, the fluidics module having: a first isolation chamber containing a first isolation structure; a second isolation chamber containing a second isolation structure; a first fluid line for guiding the sample volume into the first isolation chamber so that the analytes of the first analyte class are retained by the first isolation structure, while the analytes of the second analyte class are not retained by the first isolation structure and pass through the first isolation structure as part of a residual liquid; a second fluid line for guiding the residual liquid into the second isolation chamber so that the analytes of the second analyte class are retained by the second isolation structure; a first collection chamber connected to the first isolation chamber for receiving analytes of the first analyte class detached from the first isolation structure; and a second collection chamber connected to the second isolation chamber for receiving analytes of the second analyte class detached from the second isolation structure or for receiving the second isolation structure from which the analytes of the second analyte class have been detached, wherein the first isolation structure is a filter having a pore size in a range from 20 nanometers to 200 nanometers, advantageously in a range from 20 nanometers to 45 nanometers, wherein the second isolation structure is a surface for binding analytes, and wherein the surface is formed by magnetizable particles, wherein the processing apparatus has one or more stationary or movable magnets which are arranged outside the second isolation chamber in order to support mixing of magnetizable particles with the filtrate during rotation of the fluidics module and/or in order to support retention of the magnetizable particles in the second isolation chamber during transfer of analytes of the second analyte class into the second collection chamber.
Examples of the disclosure provide methods for isolating analytes of a first analyte class, which are extracellular vesicles and/or circulating tumor cells, and analytes of a second analyte class, which are cell-free nucleic acids, from the same sample volume of a biological sample in a centrifugal microfluidic system comprising a fluidics module having a first isolation chamber containing a first isolation structure, and a second isolation chamber containing a second isolation structure. The sample volume is guided into the first isolation chamber so that the analytes of the first analyte class are retained by the first isolation structure, while the analytes of the second analyte class are not retained by the first isolation structure and pass through the first isolation structure as part of a residual liquid. The residual liquid is guided into the second isolation chamber so that the analytes of the second analyte class are retained by the second isolation structure. The analytes of the first analyte class are separated from the first isolation structure and the analytes of the second analyte class are separated from the second isolation structure to provide the analytes of the first analyte class and the analytes of the second analyte class separately from each other for subsequent analysis.
Examples of the disclosure provide a fluidics module for isolating analytes of a first analyte class, which are extracellular vesicles and/or circulating tumor cells, and analytes of a second analyte class, which are cell-free nucleic acids, from the same sample volume of a biological sample in a centrifugal microfluidic system. The fluidics module comprises a first isolation chamber containing a first isolation structure, a second isolation chamber containing a second isolation structure, a first fluid line, a second fluid line, a first collection chamber, and a second collection chamber. The first fluid line is configured to guide the sample volume into the first isolation chamber so that the analytes of the first analyte class are retained by the first isolation structure, while the analytes of the second analyte class are not retained by the first isolation structure and pass through the first isolation structure as part of a residual liquid. The second fluid line is configured to guide the residual liquid into the second isolation chamber so that the analytes of the second analyte class are retained by the second isolation structure. The first collection chamber is connected to the first isolation chamber and is configured to receive analytes of the first analyte class detached from the first isolation structure. The second collection chamber is connected to the second isolation chamber and is configured to receive analytes of the second analyte class detached from the second isolation structure, or to receive the second isolation structure after the analytes of the second analyte class have been detached therefrom.
According to examples of the disclosure, analytes of different analyte classes are thus obtained from the same sample volume and provided separately from one another for further use thereof, for example an analysis or examination thereof. Since both analytes are recovered from the same sample volume, wherein the analytes of the second analyte class are recovered from the residual liquid remaining after isolation of the analytes of the first analyte class, isolation of both analyte classes from a small sample volume is possible. Furthermore, it has been recognized that it is possible to perform both isolations using a fluidics module in a centrifugal microfluidic system so that integration into a single process chain is possible.
Embodiments of the invention are explained in more detail below with reference to the accompanying drawings, in which:
In the following, examples of the present disclosure are described in detail using the accompanying drawings. It should be noted that identical elements or elements having the identical functionality are provided with identical or similar reference numerals, and a repeated description of elements provided with the identical or similar reference numerals is typically omitted. In particular, identical or similar elements may be provided with reference numerals having an identical number with a different or no lower case letter. Descriptions of elements having the identical or similar reference numerals may be interchangeable. In the following description, many details are described in order to provide a more thorough explanation of examples of the disclosure. However, it is apparent to those skilled in the art that other examples may be implemented without these specific details. Features of the various examples described may be combined with one another, unless features of a corresponding combination are mutually exclusive or such a combination is expressly excluded.
Before explaining examples of the present disclosure in more detail, definitions of some terms used herein are provided.
The term isolation is used herein to refer to methods aiming at removing the interfering components of a sample matrix, e.g. inhibitors or falsely analyzable components, and/or to increase the concentration of an analyte in a sample, e.g. by reducing the aqueous content of a sample. Isolation can be achieved either by enrichment of the analyte or by depletion of non-analyte substances. Synonymous terms for the term isolation are enrichment, extraction and purification.
In this context, a sample is a biological material which is usually taken from a person and is collected using a non-invasive or minimally invasive technique. The sample can be a liquid sample (e.g. whole blood, blood plasma, blood serum, urine, saliva, tear fluid, cerebrospinal fluid, seminal plasma) or a liquefied sample of solid origin (e.g. stool). This definition also includes samples generated on the basis of a human cell sample, e.g. a cell culture supernatant, even if the original cell sample was collected invasively.
A sample matrix refers to the components of a sample which are not to be analyzed. The matrix can make an analysis more difficult, e.g. if the analyte is only present in a very low concentration or if components of the matrix interfere with the analysis procedure.
Analytes are components to be analyzed. Analytes dissolved in the sample matrix include substances, molecules, particles, which can be analyzed in terms of number, concentration, biomarker signatures, etc. in an analysis procedure connected to isolation. Possible analytes in this context include nucleic acids, proteins, peptides, metabolites, secondary metabolites, vitamins, cells (human cells as well as fungi, bacteria or mycoplasma), exosomes and viruses.
The term analyte classes is used here to summarize those analytes which can be isolated using a single technical procedure. In this context, for example, DNA and RNA in their various forms are regarded as one analyte class, namely cell-free nucleic acids (cfNA). The heterogeneous subtypes of extracellular vesicles are also considered as one analyte class, namely extracellular vesicles (EV). This analyte class may further or alternatively include circulating tumor cells. It should be noted that depending on the nature of the analyte of interest, for example small EV versus large EV, the parameters of the isolation procedure may vary, for example varying pore sizes in filtration. According to this definition, further analyte classes may be proteins, cells and cell fragments.
The term cell-free nucleic acids (cfNA) refers to various forms of DNA and RNA which occur outside of cells in the human body. Currently, this includes circulating cell-free DNA (ccfDNA) of both nuclear and mitochondrial origin, circulating tumor DNA (ctDNA), cell-free DNA (cfDNA), cellular DNA, circulating tumor RNA (ctRNA), microRNA (miRNA), and non-coding RNA (ncRNA).
The term extracellular vesicles (EV) refers to particles released by cells. They represent a heterogeneous population of different subtypes, which currently include exosomes, microvesicles, ectosomes and apoptotic corpuscles. The size of the particles varies between a few 10 nm and a few 1 μm, depending on the subtype. Various analytes, such as proteins, nucleic acids, lipids or metabolites, are found both inside the EV and partly on its surface.
Proteins are macromolecules consisting of amino acids linked by means of peptide bonds. They perform a wide variety of functions in the human body and are involved in a plurality of disease-associated processes. The analysis of cell-free proteins in a sample matrix, e.g. blood serum, can therefore be used for diagnostics alone or in combination with other analytes.
The term cells or cell fragments is used here to refer to all human blood cells (erythrocytes, leukocytes and thrombocytes), and other circulating (e.g. in the blood) or transported (e.g. in stool) cells. An example of circulating cells in the blood are circulating tumor cells (CTCs) or tumor-associated platelets (TEPs).
The term fluidics module is used here to refer to a module, for example a cartridge, having microfluidics structures configured to enable fluid handling as described herein. A centrifugal microfluidic fluidics module (cartridge) means a corresponding module which can be subjected to rotation, for example in the form of a fluidics module insertable into a rotational body, or a rotational body.
Examples of the invention can be used in particular in the field of centrifugal microfluidics, which involves the processing of liquids in the picoliter to milliliter range. Accordingly, the fluidic structures can have suitable dimensions in the micrometer range for handling corresponding liquid volumes.
If the term radial is used here, this means radial with respect to the center of rotation around which the fluidics module or the rotational body is rotatable. In the centrifugal field, a radial direction away from the center of rotation is therefore radially decreasing and a radial direction towards the center of rotation is radially increasing. A fluid channel whose beginning is closer to the center of rotation than its end, is therefore radially decreasing, while a fluid channel whose beginning is further away from the center of rotation than its end is radially increasing. A channel having a radially increasing section therefore has directional components which increase radially or run radially inwards. It is clear that such a channel does not have to run exactly along a radial line, but can run at an angle to the radial line or be curved.
Unless otherwise stated herein, room temperature (20° C.) is to be assumed for temperature-dependent variables.
Generally, examples of the present disclosure relate to methods and devices for purifying multiple analytes from a sample volume. Examples herein relate to a method for isolating multiple different classes of analytes, for example cell-free nucleic acids and extracellular vesicles, EVs in short, from a single sample volume, wherein the sample is typically from a human and collected by means of a non- or minimally invasive technique, for example blood, urine or stool. Examples make this possible without splitting the sample volume into multiple sub-volumes, as such a split would result in a loss in absolute analyte volume per analysis, which in turn results in a loss in achievable sensitivity. Furthermore, it is to be avoided that different analyte classes are isolated together to form a single isolate, since in this way the structurally identical components of the different analytes, for example the cell-free nucleic acids and the EV-associated nucleic acids, cannot be analyzed in a differentiated manner. A centrifugal microfluidic process chain was identified as a suitable method for avoiding sample splitting, which enables the isolation of several classes of analytes from the identical sample volume, wherein the individual isolation methods are compatible with each other and do not interfere with each other. In contrast to previous methods, which entail either splitting of the sample prior to isolation or multiple serial isolation procedures, the methods described here enable automated isolation of multiple analytes in a single integrated process chain. The products of the process are multiple isolates, each containing only a single defined class of analytes.
Examples of the disclosure thus provide methods for isolating two or more analyte classes from a single sample volume in a combined, integrated process in a centrifugal microfluidic cartridge as well as fluidics modules in the form of rotating bodies and devices configured to perform such methods. The aim is to save sample material and time and to minimize manual and instrumentation effort while at the same time isolating as many analytes as possible in high purity for subsequent analyses.
The analytes of the first analyte class are separated from the first isolation structure 16 and the analytes of the second analyte class are separated from the second isolation structure 18. This is shown by arrows 28 and 30 in
In examples of the method described, the order in which the steps of separating the analytes of the first analyte class from the first isolation structure and guiding the residual liquid into the second isolation chamber take place is irrelevant. In examples, the residual liquid may first be guided into the second isolation chamber before the analytes of the first analyte class are separated from the first isolation structure. In examples of the present disclosure, the first isolation structure is configured to perform filtration based on size differences. In examples, the first isolation structure 16 is a filter having a pore size in a range of 20 nanometers to 200 nanometers, advantageously in a range of 20 nanometers to 45 nanometers. Thus, the first isolation structure enables isolating analytes of the first analyte class, i.e. extracellular vesicles and/or circulating tumor cells. Alternatively, thrombocytes could also be isolated by such filtration.
In examples, the first isolation structure has capture structures configured to bind analytes of the first analyte class. Such capture structures can be, for example, antibodies or aptamers. Alternatively, affinity-based methods may be used, for example peptides on magnetizable particles which bind components of the EV membrane. In examples, the first isolation structure may be configured to cause polymer precipitation. A polymer is added to form a lattice in which the EVs or circulating tumor cells (CTCs) are captured. Sedimentation can then be carried out to separate the lattice, i.e. to separate the analytes of the first analyte class from the first isolation structure.
In examples, separating the analytes of the first analyte class from the first isolation structure may comprise washing the analytes retained at the first isolation structure using a wash solution, eluting the analytes from the first isolation structure using an elution solution, and transferring the analytes detached from the first isolation structure to a first collection chamber. Thus, examples allow isolation and separation of the analytes of the first analyte class in a conventional manner.
In examples, the first isolation structure has a volumetrically defined chamber geometry of the first isolation chamber for sedimentation of analytes of the first analyte class. The geometrically defined chamber geometry can, for example, be provided by a channel which opens into the first isolation chamber at a certain radial height. Rotation can cause sedimentation in the first isolation chamber, through which the analytes of the first analyte class enter the chamber area, which lies radially outside the channel opening into the chamber. The residual liquid can then be guided into the second isolation chamber by drawing off the supernatant via the channel opening into the first isolation chamber at the specified radial height. In this case, the first isolation structure is formed by the lower part of the first isolation chamber. In examples, EVs can be sedimented in a polymer forming the first isolation structure, whereupon the supernatant can be removed, a dissolving buffer can be added to redissolve the polymer, and then the solution containing the EVs can be transferred. In such a case, the channel for withdrawing the supernatant may be located at the radially outer end of the first isolation chamber to withdraw the residual liquid, leaving the polymer with the analytes of the first analyte class in the first isolation chamber.
In examples, the isolation structures, in particular the second isolation structure, can be a surface for binding analytes. The surface can be formed by particles, columns, a membrane or a surface of the fluidics module. Such an isolation structure can effect solid phase isolation (bind, wash, elute) due to controlled binding conditions to a surface, for example isolation of cell-free nucleic acids or isolation of proteins. The surface can be part of the fluidics module, the cartridge, for example a channel or a chamber, or can be a body inserted into the fluidics module or a plurality of bodies inserted into the fluidics module, for example column/membrane or beads/nanoparticles).
In examples, the first or second isolation structure may comprise a surface for binding analytes formed by particles, for example beads, the particles being magnetizable, the method comprising rotating the fluidics module to move the magnetizable particles in the second isolation chamber by means of one or more stationary or movable magnets of a processing apparatus to assist mixing of the particles with the liquid in the respective chamber, for example with the residual liquid. In examples, the magnets may not only be used for mixing, but may also be configured to retain particles in the second isolation chamber when the elution liquid is transferred to the collection chamber with the analyte. Thus, in examples, one or more magnets may be stationary or movable outside the second isolation chamber to assist in retaining the magnetizable particles in the second isolation chamber when the analytes of the second analyte class are transferred to the second collection chamber.
Examples of the present disclosure provide a centrifugal microfluidic device comprising a fluidics module as described herein, and a processing apparatus configured to impart rotation to the fluidics module. The processing apparatus may include one or more stationary or movable magnets which move magnetizable particles in the second isolation chamber upon actuation of the fluidics module, i.e. upon rotation thereof, to assist in mixing the particles in the residual liquid.
In examples of the methods disclosed herein, isolating the analytes of the second analyte class comprises mixing the sample volume with a binding buffer, contacting the resulting mixture with a surface to bind the analytes of the second analyte class to the surface, washing the surface with the bound analytes using a wash buffer, eluting the analytes from the surface using an elution buffer, and transferring the analytes detached from the second isolation structure to a second collection chamber. In examples, a comparable method can be used to isolate the analytes of the first analyte class from the sample volume, wherein the detached analytes can be transferred to a first collection chamber. Examples thus enable isolation of the analytes of the first and/or second analyte classes using common bind-wash-elute methods.
In examples of the present disclosure, analytes can be isolated from the sample volume by means of centrifugation. By such centrifugation, further separation of the sample based on in differences density can be realized before, between or after filtration, for example for blood-plasma separation or for isolation of thrombocytes. Examples of the present disclosure are configured to extract analytes of two or more analyte classes from the sample volume. If three or more analytes are to be isolated, the fluidics structures are configured accordingly and have at least one further isolation chamber with at least one further isolation structure and at least one further collection chamber. The various analyte classes can then be removed from the various collection chambers of the fluidics module, the microfluidic cartridge, for analysis.
In examples, the fluidics module comprises at least one filter which is fluidically connected to the input side of the first isolation chamber, which is permeable to the analytes of the first analyte class and the analytes of the second analyte class, and which is configured to filter cells, cell fragments, particles and contamination from the sample volume. Accordingly, examples of the method comprise guiding the sample volume through a corresponding upstream filter prior to guiding the sample volume into the first isolation chamber. Thus, examples enable preparation of the sample volume for subsequent isolation of the analytes of the first analyte class and second analyte class from the sample volume.
In examples of the present disclosure, preparing the biological sample comprises one or more of the following processes:
In examples, the fluidics module has fluidics structures configured to perform one or more of the aforementioned processes.
For example, thrombocyte isolation can be performed by means of sedimentation, wherein the sediment corresponds to thrombocyte-rich plasma and the supernatant corresponds to thrombocyte-poor plasma. Depending on whether the sample volume is taken by means of a channel at a radially lower end or a radially lateral end of the sedimentation chamber, thrombocyte-poor or thrombocyte-rich plasma can thus be obtained. Furthermore, thrombocyte isolation can be achieved by means of filtration in that the fluidics module has a filter whose pore size is configured to retain the thrombocyte. The filtrate would then be thrombocyte-poor and the retentate or eluate subsequently detached from the filter would be thrombocyte-rich. The size of thrombocytes is approx. 1 to 4 μm. It is known, for example, to use filters with a corresponding pore size, such as a pore size of 600 nanometers, to retain thrombocytes.
In examples of the present disclosure, the first isolation structure is configured to retain EVs and/or CTCs, wherein separating the analytes from the first isolation structure comprises separating the EVs and/or CTCs as a whole or separated into their constituent parts from the isolation structure. In examples, EVs/CTCs may be separated while leaving the cfDNA in the flow-through by one of the following methods:—filtration,—methods where the analytes are captured, using, for example, antibodies, aptamers or affinity-based methods, such as peptides on magnetizable particles which bind components of the EV membrane;—polymer precipitation, where a polymer is added which forms a lattice in which the EVs/CTCs are captured, followed by sedimentation to separate the lattice;—sedimentation to isolate CTCs from the sample volume.
In general, in examples of the method described herein, a sample with a volume of a few microliters to several milliliters can be transferred automatically or manually into the fluidics module (the microfluidic cartridge). The fluidics module is then automatically processed further in an apparatus. Analytes of several analyte classes are successively isolated from the sample in a single process using various methods. To this end, the apparatus may be configured to subject the fluidics module to rotations by which the various liquids are moved through the fluidics structures as described herein. In examples, the fluidics module may be subjected to a corresponding frequency protocol so that the liquids in the cartridges may be moved by the centrifugal force. The fluidics structures may also be configured to support the handling of the liquids by other processes, such as hydrodynamic processes. The sample is not divided up for the respective isolation methods, but is automatically passed on by means of microfluidic connection channels so that the respective analytes are isolated from the complete sample volume.
With reference to
A blood sample is transferred to the fluidics module, 60. A blood-plasma separation is performed to obtain plasma, 62, wherein cells and cellular fragments are separated, 64. Subsequently, a thrombocyte separation can be performed to separate thrombocytes from the plasma, 66. Subsequently, protein digestion by proteinase K (PK) can be performed for protein digestion, 68, thereby obtaining PK-treated plasma, 70. The plasma thus obtained may now be subjected to coarse filtration with a large pore size, for example by a filter structure 54 as shown in
To further deplete the matrix components in the retentate 76, washing steps can be carried out using aqueous solutions, wash buffers. The EV purified in this way can then be separated from the filter for further analysis by means of an elution buffer and transferred to a collection chamber of the fluidics module as EV eluate 80. The flow through the filter, i.e. the filtrate 78, contains the cfNA, apart from the remaining sample matrix, which may now be concentrated and purified using further methods. Various methods are available for this on centrifugal microfluidic cartridges, the fluidics module, for example cfNA solid phase isolation on beads. In such solid phase isolation, cfNA is bound to beads, then washed using a wash buffer and eluted using an elution buffer and transferred to a collection chamber of the fluidics module as cfNA eluate 82. Thus, analytes of the first analyte class and analytes of the second analyte class are provided separately from each other for subsequent analysis.
In examples where the second isolation structure can be moved out of the second isolation chamber, after separating the analytes of the second analyte class from the second isolation structure, the second isolation structure can be moved out of the second isolation chamber while the analytes of the second analyte class remain in the second isolation chamber. In the above example, for example, the solid phase matrix in the form of the beads could be transferred out of the isolation chamber after elution, while the eluate remains in the isolation chamber.
As already explained above, blood plasma separation can optionally be performed upstream for blood samples using the centrifugal forces in the centrifugal microfluidic system. On the one hand, this can further reduce the manual effort entailed for sample preparation and, on the other hand, further increase the reproducibility of the entire analytical process. In contrast to manual blood-plasma separation, a centrifugal pneumatic operation can be used to remove the plasma supernatant after centrifugation of whole blood under rotation, which practically eliminates re-sedimentation effects. A further aim of an integrated, upstream blood-plasma separation may be the automatically achieved isolation of cells and cell fragments, which can be regarded as a further class of analytes. In addition to the analysis of healthy cells, the analysis of disease-associated cells, such as circulating tumor cells, CTCs, can be of particular relevance.
In examples, the sedimentation of circulating tumor cells is not a pretreatment of the biological sample, but an isolation of analytes of the second analyte class. In other examples, the isolation of the circulating tumor cells represents the isolation of analytes of a third analyte class, which precedes the isolation of EV as analytes of a first analyte class and the isolation of cfNA as analytes of a second analyte class.
In analogy to blood-plasma separation, plasma can be separated into thrombocyte-rich plasma (PRP=Platelet Rich Plasma) and thrombocyte-poor plasma (PPP=Platelet Poor Plasma) by using the inherent centrifugal force and removing the supernatant once or several times. The PRP generated in this way can be removed from the cartridge as an isolate for the analysis of thrombocytes and used, for example, for the analysis of tumor educated platelets (TEP). The generated PPP, however, can go to the further process of successive isolation of the analyte classes EV and cfNA. If cell-free DNA of mitochondrial origin (cf-mtDNA) is to be analyzed, such upstream thrombocyte isolation may be essential to prevent or minimize contamination of the cell-free mitochondrial DNA with mitochondrial DNA from lysed thrombocytes (mtDNA). TEPs can be regarded as analytes of a third analyte class, which are removed from the sample volume before the analytes of the first and second analyte classes.
Furthermore, optionally and depending on the matrix, the biological sample can be liquefied and/or homogenized before filtration, for example in the case of sputum or stool samples, or enzymatic digestion with protease (e.g. proteinase K) can be carried out. This decomposes proteins and protein aggregates which make it difficult to isolate the analytes, for example by clogging the filter membranes or binding nucleic acids. The enzymes can be separated from the analytes again by washing steps, for example the wash buffer indicated in
A filter membrane can separate an inlet-side section of the fluid chamber, in which the filter membrane is arranged, from an outlet-side section of this fluid chamber. In examples, the inlet-side section of the fluid chamber and the outlet-side section of the fluid chamber are arranged one above the other in the direction of an axis of rotation passing through the center of rotation.
During operation, the plasma sample is fed into the sample inlet chamber 83 and then filtered sequentially through the filter membranes arranged in the chambers 84 and 85. The filter membrane arranged in the chamber 84 has larger pore diameters than the filter membrane arranged in the chamber 85 so that the analytes of the first and second analyte classes may pass through, but larger matrix components are retained. The second filter membrane in the chamber 85 is designed so that cfNA may pass through, but EV is retained. This allows both analytes to be separated from the sample without loss. The cfNA filtrate is collected in the chamber 86 and transferred from there to the chamber 88 for solid phase isolation. Alternatively, the filtrate could also be transferred directly to the chamber for solid phase isolation. The EVs retained on the second filter membrane in chamber 85 are then washed with aqueous buffer solutions, which may be added manually or automatically to chamber 83 to remove matrix components which may pass through the filters. The wash solutions can then be collected in the chamber 86 after transferring the cfNA filtrate to the chamber 88. After washing the EVs, they are transferred from the filter in the chamber 85 to the collection chamber 87, from which they can be removed manually or automatically. The filtrate with the cfNA is subjected to solid phase isolation in the chamber 88 by bringing it into contact with a surface. In examples, solid phase isolation is carried out according to the bind-wash-elute method using magnetic or magnetizable particles with which the filtrate is brought into contact, which bind the NA via a silica surface. Matrix components, such as proteins, can be removed in one or more washing steps with solvent-containing liquids. The washing solutions are collected in the chamber 89. After washing, the cfNAs are eluted from the magnetizable particles using an aqueous elution buffer and then transferred to the chamber 90 for removal.
Compared to the known technology in serial single procedures, where, for example, isolation of extracellular vesicles takes place by filtration in a first apparatus, then a manual transfer and a subsequent isolation of nucleic acids by solid phase isolation in a second apparatus, the combination method presented herein allows the isolation of different analytes not only in a single apparatus, a centrifugal microfluidic processing apparatus, but also in a single consumable, namely a fluidics module in the form of a centrifugal microfluidic cartridge. In addition to the advantages of easy handling and lower material and personnel costs, this integrated process chain is expected to have an advantageous effect on the reproducibility of the isolation. This aspect is highly relevant as pre-analytical variations are considered a major obstacle in the clinical translation of circulating analytes. In contrast to the known technology in combination methods, the presented method allows the isolation of different analyte classes from a single sample volume without negatively influencing the respective analytes. Specifically, in the method described herein, the analyte class of extracellular vesicles can be separated from the analyte class of nucleic acids and isolated from the sample matrix without destroying, damaging or minimizing either analyte class to a significant extent. The resulting high-quality isolates of the respective analyte classes allow precise and reproducible analyses at single and multi-analyte level to increase sensitivity and specificity without an undesirable increase in sample volume.
Referring to
The rotating body 110 has the used fluidics structures. The used fluidics structures may be formed by cavities and channels in the cover 114, the substrate 112, or in the substrate 112 and the cover 114. In embodiments, for example, fluidics structures may be formed in the substrate 112, while fill openings and vent openings are formed in the cover 114. In embodiments, the structured substrate (including fill openings and vent openings) is arranged at the top and the cover is arranged at the bottom.
In an alternative embodiment shown in
In
The device shown in
In embodiments of the invention, the fluidics module or rotating body comprising the fluidics structures may be formed from any suitable material, for example plastic such as PMMA (polymethyl methacrylate), PC (polycarbonate), PVC (polyvinyl chloride) or PDMS (polydimethylsiloxane), glass or the like. The rotating body 110 may be considered to be a centrifugal microfluidic platform. In embodiments, the fluidics module or rotating body may be formed from a thermoplastic, such as PP (polypropylene), PC, COP (cyclic olefin polymer), COC (cyclo olefin copolymer) or PS (polystyrene).
The fluidics modules described herein thus allow several analyte classes to be isolated from an identical sample volume and removed from the process in separate isolates. Until now, to generate several isolates with only one analyte class each, either the sample was fractionated into several sub-volumes, resulting in a loss of sensitivity, or a larger sample volume was fractionated to achieve the same sensitivity, which is not feasible in practice due to the burden for patients or limited sample resources. There is no known technology in centrifugal microfluidics which offers all the principles for realization the isolation of different analyte classes (centrifugation, removal of supernatant, single and multi-stage filtration and solid phase isolation) and allows their combination in integrated, automated process chains. In particular, it was surprisingly recognized that the individual steps of the process chain presented here, namely EV filtration and cfNA solid phase isolation as well as various optional steps, do not negatively influence one another to a significant extent. For example, it was surprisingly recognized that the purification of EV by means of filtration does not result in a significant loss in cfNA due to absorption on the filter surface or in the filter volume.
Examples of the present disclosure provide a rotating body integrating one or more series-connected filter structures for filtering, which can be flowed through by means of centrifugal force and whose filter pores have a diameter between 20 nm and 200 nm, and in which a collecting structure for the flow-through is provided. The collection structure may contain an isolation structure to mix the flow-through with a buffer and subsequently bring the buffer-flow-through mixture into contact with an (active) surface to bind nucleic acids at this surface. Furthermore, the rotating body may have an integrated further fluidic structure to collect the buffer-flow-through mixture from the separation structure in the further fluidic structure, and also to collect at least one wash buffer which washes the (active) surface. In examples, the (active) surface may be formed from magnetic or magnetizable particles. In examples, a magnet may be integrated into the apparatus for applying the rotation, which can be movable and can support mixing of the beads with the liquid. In examples, the active surface may be a silica membrane.
In examples, the second isolation structure as described herein may be a separation structure as described in DE 10 2018 219 091 A1. In examples, the first and second isolation structures may be formed by isolation structures as known per se and described at the beginning.
No separate explanation is required that chambers described herein, such as isolation chambers and fluid chambers, can each have several chamber sections or can be formed by several chambers. Chambers, for example fluid chambers or isolation chambers, which are connected via a fluid line, do not have to be connected directly via the fluid line, but further fluid chambers can be arranged in between.
Although features of the invention have each been described in terms of device features or method features, it is obvious to those skilled in the art that corresponding features may also be part of a method or device. Thus, the device may be configured to perform corresponding method steps, and the respective functionality of the device may represent corresponding method steps.
In the above detailed description, various features have been partly grouped together in examples to rationalize the disclosure. This type of disclosure is not to be interpreted as intending the claimed examples to have more features than are expressly stated in each claim. Rather, as the following claims reflect, subject-matter may lie in fewer than all the features of a single disclosed example. Consequently, the following claims are hereby incorporated into the detailed description, wherein each claim may stand as its own separate example. While each claim may stand as its own separate example, it should be noted that although dependent claims in the claims refer back to a specific combination with one or more other claims, other examples also include a combination of dependent claims with the subject-matter of any other dependent claim or a combination of any feature with other dependent or independent claims. Such combinations are included unless it is stated that a specific combination is not intended. Furthermore, a combination of features of a claim with any other independent claim is intended to be also encompassed, even if that claim is not directly dependent on the independent claim.
While this invention has been described in terms of several embodiments, there are alterations, permutations, and equivalents which fall within the scope of this invention. It should also be noted that there are many alternative ways of implementing the methods and compositions of the present invention. It is therefore intended that the following appended claims be interpreted as including all such alterations, permutations and equivalents as fall within the true spirit and scope of the present invention.
Number | Date | Country | Kind |
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102021208893.7 | Aug 2021 | DE | national |
This application is a continuation of copending International Application No. PCT/EP2022/072377, filed Aug. 9, 2022, which is incorporated herein by reference in its entirety, and additionally claims priority from German Application No. 102021208893.7, filed Aug. 13, 2021, which is also incorporated herein by reference in its entirety.
Number | Date | Country | |
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Parent | PCT/EP2022/072377 | Aug 2022 | WO |
Child | 18440734 | US |