Abstract. Techniques for cancer cell separation and retrieval from peripheral blood are not only used to prevent cancer metastasis, but also to understand its underlying mechanisms. We developed a surface-modified membrane with high specificity for cancer cells. Ethanolamine groups were introduced to the surface of the nylon net filter, and human colon cancer cell line Colo201 cells were suspended in peripheral blood derived from healthy volunteers. Subsequently, these blood samples were transmitted through 20 surface-modified nylon filters. The number of cancer and blood cells in the blood samples was calculated using flow cytometry before and after filtering. Nylon net filters coated with ethanolamine groups trapped approximately 90% of the Colo201 cells, while unmodified nylon net filters were unable to trap them. On the other hand, no significant differences were observed in the filtration rate of hematocyte components between the unmodified nylon net filter and the nylon net filter coated with ethanolamine groups. These data indicate that nylon net filters coated with ethanolamine groups are able to trap Colo201 cells at a higher specificity than unmodified nylon net filters, effectively isolating and removing them from the blood, and suggest the potential benefits of the prevention of metastasis, cancer assessment and examination technologies as essential pre-treatment strategies.
IntroductionThe prevention of metastasis is the single most important aim of cancer therapy. Metastasis of the primary cancer begins when cancer cells migrate from the primary cancer via the peripheral circulation and are transported to the affected organ (1). Consequently, techniques for cancer cell separation and retrieval from peripheral blood are used not only to prevent cancer metastasis, but also to understand its underlying mechanisms. These techniques have various potential applications, such as in the clinical assessment of cancer.Currently used techniques include the isolation of cancer cells from within the blood, magnetic bead separation (2-5) and density-gradient centrifugation (6-9); however, these are subject to problems associated with cost and operability. With regard to clinical applications, great demands are placed on devices that can be sterilized. Sterilization techniques following cancer cell isolation are complex; returning blood to the body is not ideal from an infection prevention standpoint. As a result, cancer cell isolation from blood using existing technology should primarily be used for clinical assessment (10). However, we believe that removing cancer cells from blood and then returning the blood back to a patient can lead to the effective prevention of cancer metastasis. Consequently, it is necessary to develop a low-cost polymer membrane that can be used for straightforward cellular separation. To ensure that high-polymer materials can easily be sterilized, a high level of safety must be assured. Moreover, to ensure easy access to a low-cost high-volume supply, a highly convenient disposable medi...