Development of an Automated and Sensitive Microfluidic Device for Capturing and Characterizing Circulating Tumor Cells (CTCs) from Clinical Blood Samples.

Current analysis of circulating tumor cells (CTCs) is hindered by sub-optimal sensitivity and specificity of devices or assays as well as lack of capability of characterization of CTCs with clinical biomarkers. Here, we validate a novel technology to enrich and characterize CTCs from blood samples of patients with metastatic breast, prostate and colorectal cancers using a microfluidic chip which is processed by using an automated staining and scanning system from sample preparation to image processing. The Celsee system allowed for the detection of CTCs with apparent high sensitivity and specificity (94% sensitivity and 100% specificity). Moreover, the system facilitated rapid capture of CTCs from blood samples and also allowed for downstream characterization of the captured cells by immunohistochemistry, DNA and mRNA fluorescence in-situ hybridization (FISH). In a subset of patients with prostate cancer we compared the technology with a FDA-approved CTC device, CellSearch and found a higher degree of sensitivity with the Celsee instrument. In conclusion, the integrated Celsee system represents a promising CTC technology for enumeration and molecular characterization.

Influence of bicycle seat tube angle and hand position on lower extremity kinematics and neuromuscular control: implications for triathlon running performance.

We investigated how varying seat tube angle (STA) and hand position affect muscle kinematics and activation patterns during cycling in order to better understand how triathlon-specific bike geometries might mitigate the biomechanical challenges associated with the bike-to-run transition. Whole body motion and lower extremity muscle activities were recorded from 14 triathletes during a series of cycling and treadmill running trials. A total of nine cycling trials were conducted in three hand positions (aero, drops, hoods) and at three STAs (73°, 76°, 79°). Participants also ran on a treadmill at 80, 90, and 100% of their 10-km triathlon race pace. Compared with cycling, running necessitated significantly longer peak musculotendon lengths from the uniarticular hip flexors, knee extensors, ankle plantar flexors and the biarticular hamstrings, rectus femoris, and gastrocnemius muscles. Running also involved significantly longer periods of active muscle lengthening from the quadriceps and ankle plantar flexors. During cycling, increasing the STA alone had no affect on muscle kinematics but did induce significantly greater rectus femoris activity during the upstroke of the crank cycle. Increasing hip extension by varying the hand position induced an increase in hamstring muscle activity, and moved the operating lengths of the uniarticular hip flexor and extensor muscles slightly closer to those seen during running. These combined changes in muscle kinematics and coordination could potentially contribute to the improved running performances that have been previously observed immediately after cycling on a triathlon-specific bicycle.