PMID- 33255664 OWN - NLM STAT- MEDLINE DCOM- 20210305 LR - 20210305 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 23 DP - 2020 Nov 25 TI - Microfluidic-Based Detection of AML-Specific Biomarkers Using the Example of Promyelocyte Leukemia. LID - 10.3390/ijms21238942 [doi] LID - 8942 AB - A microfluidic assay for the detection of promyelocytic leukemia (PML)-retinoic acid receptor alpha (RARalpha) fusion protein was developed. This microfluidic-based system can be used for rapid personalized differential diagnosis of acute promyelocyte leukemia (APL) with the aim of early initiation of individualized therapy. The fusion protein PML-RARalpha occurs in 95% of acute promyelocytic leukemia cases and is considered as diagnostically relevant. The fusion protein is formed as a result of translocation t(15,17) and is detected in the laboratory by fluorescence in situ hybridization (FISH) or reverse transcriptase polymerase chain reaction (RT-PCR). Diagnostic methods require many laboratory steps with specialized staff. The developed microfluidic assay includes a sandwich enzyme-linked immunosorbent assay (ELISA) system for PML-RARalpha on surface of magnetic microparticles in a microfluidic chip. A rapid detection of PML-RARalpha in cell lysates is achieved in less than one hour. A biotinylated PML-antibody on the surface of magnetic streptavidin coated microparticles is used as capture antibody. The bound translocation product is detected by a RARalpha antibody conjugated with horseradish peroxidase and the substrate QuantaRed. The analysis is performed in microfluidic channels which involves automated liquid processing with stringent washing and short incubation times. The results of the developed assay show that cell lysates of PML-RARalpha-positive cells (NB-4) can be clearly distinguished from PML-RARalpha-negative cells (HL-60, MV4-11). FAU - Emde, Benedikt AU - Emde B AD - Department Hamm 1, Hamm-Lippstadt University of Applied Science, 59063 Hamm, Germany. FAU - Kreher, Heike AU - Kreher H AD - Micronit GmbH, 44263 Dortmund, Germany. FAU - Baumer, Nicole AU - Baumer N AD - Department of Medicine A, Hematology and Oncology, University of Muenster, 48149 Muenster, Germany. FAU - Baumer, Sebastian AU - Baumer S AD - Department of Medicine A, Hematology and Oncology, University of Muenster, 48149 Muenster, Germany. FAU - Bouwes, Dominique AU - Bouwes D AD - Micronit GmbH, 44263 Dortmund, Germany. FAU - Tickenbrock, Lara AU - Tickenbrock L AD - Department Hamm 1, Hamm-Lippstadt University of Applied Science, 59063 Hamm, Germany. LA - eng GR - ZF4147102SB6/Research funded by "Zentrales Innovationsprogramm Mittelstand (ZIM)" by the "Bundesministerium fur Wirtschaft und Energie"/ PT - Journal Article DEP - 20201125 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers, Tumor) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Promyelocytic Leukemia Protein) RN - 0 (RARA protein, human) RN - 0 (Retinoic Acid Receptor alpha) RN - 0 (promyelocytic leukemia-retinoic acid receptor alpha fusion oncoprotein) RN - 143220-95-5 (PML protein, human) SB - IM MH - Biomarkers, Tumor/genetics/isolation & purification MH - Granulocyte Precursor Cells/metabolism/pathology MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Leukemia, Promyelocytic, Acute/*diagnosis/genetics/pathology MH - Microfluidics/methods MH - Oncogene Proteins, Fusion/*genetics/isolation & purification MH - Precision Medicine MH - Promyelocytic Leukemia Protein/*genetics MH - Retinoic Acid Receptor alpha/*genetics MH - Translocation, Genetic/genetics PMC - PMC7728129 OTO - NOTNLM OT - acute myeloid leukemia OT - bio-microfluidics OT - lab-on-a-chip OT - magnetic bead-based immunoassay OT - personalized diagnostics and medicine COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2020/12/02 06:00 MHDA- 2021/03/06 06:00 PMCR- 2020/12/01 CRDT- 2020/12/01 01:09 PHST- 2020/11/19 00:00 [received] PHST- 2020/11/23 00:00 [accepted] PHST- 2020/12/01 01:09 [entrez] PHST- 2020/12/02 06:00 [pubmed] PHST- 2021/03/06 06:00 [medline] PHST- 2020/12/01 00:00 [pmc-release] AID - ijms21238942 [pii] AID - ijms-21-08942 [pii] AID - 10.3390/ijms21238942 [doi] PST - epublish SO - Int J Mol Sci. 2020 Nov 25;21(23):8942. doi: 10.3390/ijms21238942.