Review Article

ctDNA Detection in Microfluidic Platform: A Promising Biomarker for Personalized Cancer Chemotherapy

Table 2

Microfluidic methods for ctDNA detection to identify rare mutational marker and presence tumor.

MethodDescriptionLimitations/achievementsReferences

Electrokinetic trappingSeparation based on properties of cfDNA, depletion of cfDNA based on charged ionscfDNA could not further purified for specific ctDNA detection.[57]
Micropillar, microcolumn packed, electrophoretic system on microchannelSeparation based on size of cfDNAInsensitivity of the microdevice; cfDNA could not further be purified for specific ctDNA detection.[58, 59]
ctDNA concentration-based microfluidic channelNarrow microchannel and nanopore microchannel for ctDNA separationNo sensitivity specification[60, 61]
qPCR and droplet-based reaction chamberThermal amplification which represents ddPCR was reported for cfDNANo sensitivity specification[62, 63]
Seven droplet-based digital PCR microfluidic systemIdentify somatic mutations by detection of ctDNA. Sensitive quantification of mutated KRAS oncogeneLimited by the number of droplets for analysis[64]
Dielectrophoretic captureElectrodes used for trapping on microfluidic to separate ctDNANo sensitivity specification[65]
Microfluidic multiplex PCRIntegrated with sequencing technology for ctDNA mutation detection and disease monitoring using plasma of ovarian and pancreatic cancer patientsSensitivity of 92% and specificity of 100%[68]
Plastic microfluidic surfaceMicropillars and immobilization buffer (IB) used for cfDNA isolation from samples of colorectal and non-small-cell lung cancer patients to detect KRAS mutation gene90% of purities in cfDNA[69]
Microfluidic platform integrated with Sanger sequencing methodDimethyl dithiobispropionimidate (DTBP) binds to the amine group of ctDNA and sodium bicarbonate was used as an elution buffer to isolate ctDNA.Identified 71.4% of mutation profile of KRAS and BRAF from colorectal cancer of patients stages I to IV within 15 minutes[71]