Microfluidic Chips for Detecting the t(4;14) Translocation and Monitoring Disease during Treatment Using Reverse Transcriptase-Polymerase Chain Reaction Analysis of IgH-MMSET Hybrid Transcripts

Diagnosis platforms incorporating low-cost microfluidic chips enable sensitive, rapid, and accurate genetic analysis that could facilitate customized therapies tailored to match the vulnerabilities of any types of cancer. Using ex vivo cancer cells, we have detected the unique molecular signature an...

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Veröffentlicht in:The Journal of molecular diagnostics : JMD 2007-07, Vol.9 (3), p.358-367
Hauptverfasser: VanDijken, Jaron, Kaigala, Govind V, Lauzon, Jana, Atrazhev, Alexey, Adamia, Sophia, Taylor, Brian J, Reiman, Tony, Belch, Andrew R, Backhouse, Christopher J, Pilarski, Linda M
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container_end_page 367
container_issue 3
container_start_page 358
container_title The Journal of molecular diagnostics : JMD
container_volume 9
creator VanDijken, Jaron
Kaigala, Govind V
Lauzon, Jana
Atrazhev, Alexey
Adamia, Sophia
Taylor, Brian J
Reiman, Tony
Belch, Andrew R
Backhouse, Christopher J
Pilarski, Linda M
description Diagnosis platforms incorporating low-cost microfluidic chips enable sensitive, rapid, and accurate genetic analysis that could facilitate customized therapies tailored to match the vulnerabilities of any types of cancer. Using ex vivo cancer cells, we have detected the unique molecular signature and a chromosomal translocation in multiple myeloma. Multiple myeloma is characterized by IgH rearrangements and translocations that enable unequivocal identification of malignant cells, detected here with integrated microfluidic chips incorporating genetic amplification via reverse transcriptase-polymerase chain reaction and capillary electrophoresis. On microfluidic chips, we demonstrated accurate and versatile detection of molecular signatures in individual cancer cells, with value for monitoring response to therapy, detecting residual cancer cells that mediate relapse, and evaluating prognosis. Thus, testing for two clinically important molecular biomarkers, the IgH VDJ signature and hybrid transcripts signaling the t(4;14) chro-mosomal translocation, with predictive value in diagnosis, treatment decisions, and monitoring has been efficiently implemented on a miniaturized microfluidic system.
doi_str_mv 10.2353/jmoldx.2007.060149
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Algorithms
Bone Marrow - metabolism
Chromosomes, Human, Pair 14
Chromosomes, Human, Pair 4
Disease Progression
Gene Expression Profiling - methods
Genes, Immunoglobulin Heavy Chain
Genes, Neoplasm
Humans
Microfluidic Analytical Techniques - methods
Monitoring, Physiologic - methods
Multiple Myeloma - diagnosis
Multiple Myeloma - genetics
Oncogene Proteins, Fusion - analysis
Oncogene Proteins, Fusion - genetics
Oncogene Proteins, Fusion - metabolism
Pathology
Regular
Reverse Transcriptase Polymerase Chain Reaction - methods
Sensitivity and Specificity
Translocation, Genetic
title Microfluidic Chips for Detecting the t(4;14) Translocation and Monitoring Disease during Treatment Using Reverse Transcriptase-Polymerase Chain Reaction Analysis of IgH-MMSET Hybrid Transcripts
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