More specific screening systems for cervical cancer may become necessary as the human papillomavirus (HPV) vaccine becomes more widespread. Although p16/Ki-67 dual-staining cytology has several advantages, it requires advanced diagnostic skills. Here, we developed an automated on-chip immunostaining method using a microfluidic device. An electroactive microwell array (EMA) microfluidic device with patterned thin-film electrodes at the bottom of each microwell was used for single-cell capture by dielectrophoresis. Immunostaining and dual staining for p16/Ki-67 were performed on diagnosed liquid cytology samples using the EMA device. The numbers of p16/Ki-67 dual-stained cells captured by the EMA device were determined and compared among the cervical intraepithelial neoplasia (CIN) lesion samples. Seven normal, fifteen CIN grade 3, and seven CIN grade 2 samples were examined. The percentage of dual-positive cells was 18.6% in the CIN grade 2 samples and 23.6% in the CIN grade 3 samples. The percentages of dual-positive staining increased significantly as the severity of the cervical lesions increased. p16/Ki67 dual immunostaining using the EMA device is as sensitive as the conventional method of confirming the histopathological diagnosis of cervical samples. This system enables a quantified parallel analysis at the individual cell level.
Validation of an on-chip p16ink4a/Ki-67 dual immunostaining cervical cytology system using microfluidic device technology
Kei Hashimoto,Tomoo Kumagai,Kyosuke Nomura,Yuko Miyagawa,Saori Tago,Kazuki Takasaki,Yuko Takahashi,Haruka Nishida,Takayuki Ichinose,Mana Hirano,H. Hiraike,Osamu Wada-Hiraike,Yuko Sasajima,Soo Hyeon Kim,K. Nagasaka
Published 2023 in Scientific Reports
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- Publication year
2023
- Venue
Scientific Reports
- Publication date
2023-10-10
- Fields of study
Medicine, Engineering
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Semantic Scholar, PubMed
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