Liquid biopsy and therapeutic response: Circulating tumor cell cultures for evaluation of anticancer treatment

• Published in: Science advances 2016-07, Vol.2 (7), p.e1600274-e1600274
• Main Authors: Khoo, Bee Luan, Grenci, Gianluca, Jing, Tengyang, Lim, Ying Bena, Lee, Soo Chin, Thiery, Jean Paul, Han, Jongyoon, Lim, Chwee Teck
• Format: Article
• Language: English
• Subjects: Antineoplastic Agents - toxicity; Biopsy; Breast Neoplasms - diagnosis; Breast Neoplasms - metabolism; Breast Neoplasms - pathology; Cancer; Cell Culture Techniques; Doxorubicin - toxicity; Female; Humans; In Situ Hybridization, Fluorescence; MCF-7 Cells; Microfluidic Analytical Techniques; Neoplasm Metastasis; Neoplastic Cells, Circulating - drug effects; SciAdv r-articles; Tumor Cells, Cultured
• ISSN: 2375-2548; 2375-2548
• DOI: 10.1126/sciadv.1600274

The lack of a robust anticancer drug screening system to monitor patients during treatment delays realization of personalized treatment. We demonstrate an efficient approach to evaluate drug response using patient-derived circulating tumor cell (CTC) cultures obtained from liquid biopsy. Custom microfabricated tapered microwells were integrated with microfluidics to allow robust formation of CTC clusters without pre-enrichment and subsequent drug screening in situ. Rapid feedback after 2 weeks promotes immediate intervention upon detection of drug resistance or tolerance. The procedure was clinically validated with blood samples (n = 73) from 55 patients with early-stage, newly diagnosed, locally advanced, or refractory metastatic breast cancer. Twenty-four of these samples were used for drug evaluation. Cluster formation potential correlated inversely with increased drug concentration and therapeutic treatment. This new and robust liquid biopsy technique can potentially evaluate patient prognosis with CTC clusters during treatment and provide a noninvasive and inexpensive assessment that can guide drug discovery development or therapeutic choices for personalized treatment.