Microfluidic cell sorting by stiffness to examine heterogenic responses of cancer cells to chemotherapy

Cell Death Dis. 2018 Feb 14;9(2):239. doi: 10.1038/s41419-018-0266-x.

Abstract

Cancers consist of a heterogeneous populations of cells that may respond differently to treatment through drug-resistant sub-populations. The scarcity of these resistant sub-populations makes it challenging to understand how to counter their resistance. We report a label-free microfluidic approach to separate cancer cells treated with chemotherapy into sub-populations enriched in chemoresistant and chemosensitive cells based on the differences in cellular stiffness. The sorting approach enabled analysis of the molecular distinctions between resistant and sensitive cells. Consequently, the role of multiple mechanisms of drug resistance was identified, including decreased sensitivity to apoptosis, enhanced metabolism, and extrusion of drugs, and, for the first time, the role of estrogen receptor in drug resistance of leukemia cells. To validate these findings, several inhibitors for the identified resistance pathways were tested with chemotherapy to increase cytotoxicity sevenfold. Thus, microfluidic sorting can identify molecular mechanisms of drug resistance to examine heterogeneous responses of cancers to therapies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects
  • Apoptosis / genetics
  • Biomechanical Phenomena
  • Caffeic Acids / pharmacology
  • Cell Separation / instrumentation
  • Cell Separation / methods*
  • Cell Survival / drug effects
  • Clarithromycin / pharmacology
  • Daunorubicin / pharmacology
  • Drug Combinations
  • Drug Resistance, Neoplasm / genetics*
  • Elastic Modulus
  • Fulvestrant / pharmacology
  • Gene Expression Regulation, Neoplastic*
  • Gene Regulatory Networks
  • Humans
  • Jurkat Cells
  • K562 Cells
  • Ketoconazole / pharmacology
  • Lab-On-A-Chip Devices*
  • Neoplasm Proteins / genetics*
  • Neoplasm Proteins / metabolism

Substances

  • Antineoplastic Agents
  • Caffeic Acids
  • Drug Combinations
  • Neoplasm Proteins
  • Fulvestrant
  • Clarithromycin
  • Ketoconazole
  • caffeic acid
  • Daunorubicin