Page 90 - IJB-9-4
P. 90

International Journal of Bioprinting                                       Laser transfer for CTC isolation



            gene and for the exon 11 of BRAF gene, all of which include   Trypan Blue staining were considered viable, whereas
            mutational hot spots.                              those stained with Trypan Blue were considered nonviable.
               The primers used were as follows:               CTC-stained cells were selected and isolated in 96-well
                                                               plates containing RPMI medium (GibcoTM), 10% of FBS
              •  TP53 forward primer:                          (Sigma) and 10% of acclimated medium (from established
                 5ʹ-GGCTTTGGGACCTCTTAACC-3ʹ                    cultures from which cells were removed), under normal
              •  TP53 reverse primer:                          cell incubation environment (37°C, 5% CO ). Proliferation
                                                                                                 2
                 5ʹ-TAACTGCACCCTTGGTCTCC-3ʹ                    was observed after 9 days and maintained at day 14.
              •  BRAF forward primer:                          4. Results and discussion
                 5ʹ-CACTTGGTAGACGGGACTCG-3ʹ
                                                               4.1. Single CTC isolation using BA-LIFT and SCS
              •  BRAF reverse primer:                          Our assessment experiments used a classic approach in
                 5ʹ-GTTTATTGATGCGAACAGTGA-3ʹ                   which a CTC was defined as a CK-positive, CD45-negative,
               PCR products were analyzed by agarose gel       nucleated intact cell. In our case, MDA-MB-231 (cancer
            electrophoresis coupled with fluorescence detection.  cell line from human breast carcinoma) simulates the
                                                               characteristics of a true CTC. As indicated previously, the
            3.10. Sanger sequencing                            first step before CTC isolation comprises the enrichment of
            DNA sequencing is considered the gold standard for   the sample. This step consists of cell blood subpopulation
            detection of mutations. This method allows determination   separation by Ficoll density gradient centrifugation; CTCs
            of the order of nucleotides in a target DNA sequence.   will be present in the peripheral blood mononuclear cell
                                                                             [74]
            The Sanger chain-termination method is commonly used   (PBMCs) fraction . Depending on the approach followed
            in molecular diagnostic laboratories. In this method,   for cell identification, the pellet should be fixated or not and
            the incorporation of a chemically modified nucleotide   the staining could be used for positive selection (EpCAM,
            (dideoxynucleotide) terminates extension of the DNA   Vimentin or another specific CTCs markers) or negative
            strand at the point of incorporation. This results in a   selection (CD45 leukocyte staining) (Figure 6).
            mixture of DNA fragments of various lengths. Each     In this study, we performed a negative selection using
            dideoxynucleotide (A, T, C, or G) was labeled with different   a phycoerythrin-conjugated monoclonal antibody against
            fluorescent dye,  allowing  their  individual  detection. The   CD45 (α-CD45/PE, clone 2D1, Biolegend). Nonfixated
            newly synthesized and labeled DNA fragments were   cells were incubated for 30 min at 4°C. Once the liquid
            separated by size through capillary gel electrophoresis.   sample has been prepared and deposited in the donor
            The fluorescence was detected by an automated sequence   substrate, cells to be transferred were identified with the
            analyzer  (Applied  Biosystems  3130xl  y 3730xl  genetic   vision and fluorescence systems previously described.
            analyzer) and the order of nucleotides in the target DNA
            was depicted as a sequence electropherogram.          MDA-MB-231 cells (negative for CD45) were
                                                               transferred by shooting a single laser pulse at the
            3.11. Immunofluorescence staining                  cell location with a focused laser beam diameter of
            After  blocking  by  10%  FBS  for  10  min,  cells  were   approximately 20 µm and an effective laser pulse energy
                                                                                                    2
            incubated with α-CD45/PE clone (2D1) (Biolegend), then   of 5.5 µJ, resulting in a laser fluence of 3.5 J/cm . This laser
            permeabilized with 0.2% Triton for 10 min, stained with   transfer system allows us to isolate the number of cells
            anticytokeratin-FITC human clone (CK3-6H5) (Miltenyi   that we determine and collect them in the most suitable
            Biotec) for 60 min, and finally mounted with Hoechst   platform for the experiments.
            33342.                                                For our proof of concept, a known number of MDA-
               Trypan Blue (Sigma) staining was used to determine   MB-231 cells suspended in PBS were spiked into 7.5 mL
            viability of the transferred cells. The cells that are not   of whole blood. We performed two types of transfer
            stained  by  Trypan  Blue  are  considered  viable,  whereas   experiments. First, we addressed the problem of isolating
            those stained by Trypan Blue were considered nonviable.   a single cell in a tube. Second, we isolated 25 cells, which
            In this study, we did not perform any other experiments to   were transferred one by one into a tube. In both types of
            evaluate cell viability.                           experiments, the collector tubes contain 4 µL of PBS. Once
                                                               the cells were transferred, DNA was extracted and amplified
            3.12. Cell viability and proliferation assay       with REPLI-g Single Cell kit (QIAGEN) , which contains
                                                                                              [75]
            Trypan Blue (Sigma) staining was used to determine   an optimized Phi29  polymerase formulation as well as
            viability right after the transference process. Cells without   buffers and reagents for whole genome amplification


            Volume 9 Issue 4 (2023)                         82                         https://doi.org/10.18063/ijb.720
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