PMID- 30426739 OWN - NLM STAT- MEDLINE DCOM- 20190516 LR - 20190516 IS - 1520-6882 (Electronic) IS - 0003-2700 (Linking) VI - 90 IP - 24 DP - 2018 Dec 18 TI - Multiplexed Label-Free Fractionation of Peripheral Blood Mononuclear Cells for Identification of Monocyte-Platelet Aggregates. PG - 14535-14542 LID - 10.1021/acs.analchem.8b04415 [doi] AB - Monocytes and platelets play key roles in atherosclerosis and thrombosis, and circulating monocyte-platelet aggregates (MPA) in blood have been widely proposed as surrogate biomarkers for cardiovascular risk stratification and monitoring antiplatelet therapies. However, conventional MPA characterization is based on whole-blood fixation and flow cytometry analysis which adversely affect cell viability and detection accuracy due to significant leukocyte and platelet contaminations. Herein, we introduce a rapid and label-free microfluidic approach for complete size-based fractionation of peripheral blood mononuclear cells (PBMCs) into monocytes, lymphocytes, and platelets. The developed biochip enables gentle sorting of intact MPA in the enriched monocytes with efficient depletion of lymphocytes and platelets for accurate MPA quantification. We first compared the developed microfluidic technology (dean flow fractionation, DFF) with standard magnetic negative isolation (MACS) and observed that DFF-sorted monocytes had similar viability, purity, and key immune functions (phagocytosis, macrophage differentiation) as MACS-sorted monocytes. As proof of concept for diabetes testing, we isolated and characterized monocytes/MPA from a cohort of healthy ( n = 5) and type 2 diabetes mellitus (T2DM) subjects ( n = 8) in PBMCs and DFF-sorted monocytes. High-speed imaging, immunofluorescence, and flow cytometry analysis clearly indicated higher levels of MPA in T2DM patients ( P < 0.05) with enhanced MPA detection sensitivity in DFF-sorted monocytes ( P < 0.05). Taken together, the developed DFF technology greatly facilitates high-throughput ( approximately 130 muL min(-1)) label-free isolation of monocyte/MPA from PBMCs and can be further developed into a clinical tool for point-of-care cardiovascular risk stratification in metabolic disorders including T2DM. FAU - Tay, Hui Min AU - Tay HM AUID- ORCID: 0000-0002-4981-5994 AD - School of Mechanical and Aerospace Engineering , Nanyang Technological University , 50 Nanyang Avenue , 639798 , Singapore. FAU - Yeap, Wei Hseun AU - Yeap WH AD - Singapore Immunology Network , Agency for Science, Technology and Research , 8a Biomedical Grove , 138648 , Singapore. FAU - Dalan, Rinkoo AU - Dalan R AD - Endocrine and Diabetes , Tan Tock Seng Hospital , 11 Jalan Tan Tock Seng , 308433 , Singapore. FAU - Wong, Siew Cheng AU - Wong SC AD - Singapore Immunology Network , Agency for Science, Technology and Research , 8a Biomedical Grove , 138648 , Singapore. AD - School of Biological Sciences , Nanyang Technological University , 60 Nanyang Drive , 637551 , Singapore. FAU - Hou, Han Wei AU - Hou HW AD - School of Mechanical and Aerospace Engineering , Nanyang Technological University , 50 Nanyang Avenue , 639798 , Singapore. AD - Lee Kong Chian School of Medicine , Nanyang Technological University , Clinical Sciences Building, 11 Mandalay Road , 308232 , Singapore. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181127 PL - United States TA - Anal Chem JT - Analytical chemistry JID - 0370536 RN - 0 (Cytokines) SB - IM MH - Blood Platelets/*cytology/metabolism MH - Case-Control Studies MH - Cell Differentiation MH - Cytokines/metabolism MH - Diabetes Mellitus, Type 2/metabolism/pathology MH - Flow Cytometry MH - Humans MH - Leukocytes, Mononuclear/cytology MH - Microfluidics/*methods MH - Microscopy, Fluorescence MH - Monocytes/*cytology/metabolism MH - Phagocytosis EDAT- 2018/11/15 06:00 MHDA- 2019/05/17 06:00 CRDT- 2018/11/15 06:00 PHST- 2018/11/15 06:00 [pubmed] PHST- 2019/05/17 06:00 [medline] PHST- 2018/11/15 06:00 [entrez] AID - 10.1021/acs.analchem.8b04415 [doi] PST - ppublish SO - Anal Chem. 2018 Dec 18;90(24):14535-14542. doi: 10.1021/acs.analchem.8b04415. Epub 2018 Nov 27.