Abstract
An integrated β-camera and microfluidic chip was developed that is capable of quantitative imaging of glycolysis radioassays using 18F-FDG in small cell populations down to a single cell. This paper demonstrates that the integrated system enables digital control and quantitative measurements of glycolysis in B-RafV600E–mutated melanoma cell lines in response to specific B-Raf inhibition. Methods: The β-camera uses a position-sensitive avalanche photodiode to detect charged particle–emitting probes within a microfluidic chip. The integrated β-camera and microfluidic chip system was calibrated, and the linearity was measured using 4 different melanoma cell lines (M257, M202, M233, and M229). Microfluidic radioassays were performed with cell populations ranging from hundreds of cells down to a single cell. The M229 cell line has a homozygous B-RafV600E mutation and is highly sensitive to a B-Raf inhibitor, PLX4032. A microfluidic radioassay was performed over the course of 3 days to assess the cytotoxicity of PLX4032 on cellular 18F-FDG uptake. Results: The β-camera is capable of imaging radioactive uptake of 18F-FDG in microfluidic chips. 18F-FDG uptake for a single cell was measured using a radioactivity concentration of 37 MBq/mL during the radiotracer incubation period. For in vitro cytotoxicity monitoring, the β-camera showed that exposure to 1 μM PLX4032 for 3 days decreased the 18F-FDG uptake per cell in highly sensitive M229 cells, compared with vehicle controls. Conclusion: The integrated β-camera and microfluidic chip can provide digital control of live cell cultures and allow in vitro quantitative radioassays for multiple samples simultaneously.
Molecular imaging tools such as PET can provide in vivo measurements of biochemical processes in tissue to reveal the status and monitor the therapeutic response of disease, for example, cancer (1). However, complicating factors such as tissue microenvironment (2), body clearance, cell heterogeneity, and technologic limitations in sensitivity and spatial resolution prohibit accurate measurements of biochemical processes in subpopulations and single cells. Alternatively, in vitro radioassays can provide a better connection to more specific cellular functions, such as glycolysis (3), which can be correlated with physiologic states of therapeutic responses. Changes in cellular metabolic state—for example, the many types of cancer cells that exhibit increased glycolysis rates, compared with normal cells—can be linked to several diseases (4,5).
Current technologies for in vitro radioassays can provide high sensitivity for detection of radiotracers; however, they rely on macroscopic systems, thereby limiting the level of control for small populations or single-cell cultures (6). The use of microfluidic technologies can provide a platform for integrated, digital control of small volumes of reagents and samples suitable for bioassays of small cell populations. Recent microfluidic bioassays have demonstrated the ability to measure concentrations of multiple-signal proteins in single cells among heterogeneous populations (7), low-copy-number proteins in single cells (8), and intracellular calcium ion concentrations in single cells (9). Although many techniques are available for measuring biochemical functions in microfluidic systems, the use of radiometric methods can provide high sensitivity for small amounts of radiotracers. Furthermore, radiolabeled probes that adhere to the composition and structure of the target molecule can be readily translated to clinical applications. Thus, a microfluidic radioassay platform for measuring cellular 18F-FDG uptake can complement conventional clinical techniques such as 18F-FDG PET and enable monitoring of glycolysis in response to novel clinical therapies.
Oncogenic mutations in cancer profoundly affect cellular metabolism with the activation of the Warburg effect (10), whereas oncogene inhibition with novel therapies can alter the metabolic signatures. This effect could be particularly important for the monitoring of antitumor effects of novel treatments in cancer histologies with high 18F-FDG uptake, as has been demonstrated with mutations in the mitogen-activated protein kinase pathway (11). The B-RafV600E oncogenic mutation is present in 60%–70% of melanomas and leads to uncontrolled cell growth (12,13) and increased cellular glucose metabolism (11). There are several B-Raf inhibitors in clinical development with evidence of inducing response rates in over 70% of patients with melanoma harboring the B-RafV600E mutation (14). Patients with metastatic melanoma restricted to tumors with the B-Raf oncogene have a high rate of tumor response. This was predicted in preclinical models, and the data in humans closely corroborate prior experiences in cell lines and tumor xenograph studies in mice (15–18). Patients without a response to this targeted therapy do not show a decrease in 18F-FDG uptake. Therefore, the successful implementation of these targeted therapies in patients with metastatic melanoma is critically dependent on patient stratification and monitoring of treatment course, because only patients with the mutation respond. However, current approaches based on invasive surgical biopsies are not suited for sequential target sampling and analysis. It is infrequent that patients with cancer undergo more than 1 tumor biopsy with any given treatment. Repeated tumor sampling is feasible with fine-needle aspirates, which provide single-cell suspensions amenable to ex vivo analysis using sensitive detection systems. In addition, clinical 18F-FDG PET can provide early prediction of treatment response (19). However, PET scans can be performed only every 8–12 wk in routine practice given the limitations of radiation exposure and costs. Advanced microfluid-based technologies sensitive to metabolic changes in small populations of cells obtained from fine-needle aspirates could provide a means to the sequential sampling of tumors from patients.
Compared with imaging systems that rely on the detection of penetrating high-energy photons (20), charged-particle imaging (e.g., with 18F positrons) can achieve much higher detection sensitivity and spatial resolution in a compact form factor suitable for radioassays of small cell populations (21,22). Charged-particle imaging systems have typically been dedicated for imaging ex vivo tissue sections, such as in autoradiography (23–25). Less common are systems designed for in vitro applications. One system, developed by the Medipix group, used a silicon pixel array detector for in vitro imaging of 14C-l-leucine amino acid uptake in Octopus vulgaris eggs (26). Phosphor imaging plates have also been used to detect charged particles from radiolabeled peptides in microfluidic channels; however, the system required several hours of continuous exposure to produce a single image frame (27). Recent studies have used systems with a charge-coupled device camera to detect light emitted from charged particles interacting with ultrathin phosphors (28) and from Cerenkov radiation (29). The latter work used Cerenkov radiation to image radiolabeled probes inside a microfluidic chip; however, the low sensitivity of the system and the requirement of using a light-tight box make it difficult to perform radioassays in small cell populations.
This paper describes an integrated, miniaturized, in vitro radiometric imaging system, capable of measuring the glucose utilization of a small population (1–200) of cells in a real-time fashion. The radioassay system consists of a microfluidic chip for maintaining and controlling arrays of cells integrated with a β-camera for real-time imaging of charged particles emitted from radioactive sources in vitro (Fig. 1). The uptake of 18F-FDG in melanoma cell lines and primary cells in response to specific drug therapies was monitored in a controlled in vitro microfluidic environment using the β-camera, with which simultaneous measurements can be obtained from radioactive sources confined within the microfluidic chambers. The advantages of the integrated β-camera and microfluidic chip are 2-fold. The system allows for in vitro imaging of cells in a controlled microfluidic platform without major disturbance or removal of the cell cultures—in contrast to conventional radiometric methods that use well-type γ-counters or liquid scintillation counters. In addition, the integrated system is an exquisitely sensitive technology with low background, providing a significant improvement over conventional well-type γ-counters (30).
MATERIALS AND METHODS
β-Camera
The β-camera uses a position-sensitive avalanche photodiode (PSAPD), which provides high sensitivity and spatial resolution in a rugged and compact form factor to detect emitted β-particles from the microfluidic platform (Supplemental Table 1; supplemental materials are available online only at http://jnm.snmjournals.org). The main advantage of the PSAPD over other β-imaging technologies is that it uses a simple 4-channel readout to localize β-particle events, thereby reducing the complexity of the necessary readout electronics. Originally designed for the detection of scintillation light photons (31), the PSAPD has been modified to operate in room light by passivating the top surface with aluminized Mylar (DuPont). The PSAPD was also placed within an inset of an aluminum heating block to heat the β-camera and regulate the temperature at 37°C for in vitro imaging of live cells in the microfluidic platform.
The PSAPD is a silicon semiconductor device (model P1305-P; Radiation Monitoring Devices) (31). It has a 14 × 14 mm active area and is made of a monolithic silicon semiconductor, which provides a rugged platform that can withstand repeated use for multiple experiments. The detection layer of the PSAPD, which consists of the neutral drift p-region and depletion region, is approximately 60 μm thick. When a charged particle interacts within the silicon p-n junction, charged carriers are produced via ionization and then accelerated by the electric field (2 × 105 V/cm), causing an avalanche effect whereby secondary and tertiary electrons are liberated (Fig. 1A). The avalanche results in a signal gain of approximately 1,000-fold and provides a high signal-to-noise ratio to decode the position of 18F positron events. The position of each charged particle event is localized by taking the weighted average of the 4 corner position signals using a simple algorithm (Supplemental Fig. 1) (32).
Microfluidic Chip
The microfluidic chip was fabricated from polydimethylsiloxane (33) and placed in contact with the β-camera platform to directly detect the emitted charged particles. A network of flow channels was interwoven with the microchambers for digital control of samples and reagents with the cell cultures. Nine reagent inlets were needed to supply a variety of biochemical solutions to a particular chamber in an automated fashion through multiple control channels (Figs. 1B–1D). Charged particles are highly attenuated when traversing through materials with densities comparable to water. Therefore, it was necessary to design a microfluidic chip with a minimal substrate thickness separating the radioactive cell cultures from the detector. The microfluidic chip was fabricated using a multilayer soft lithography method and designed with a substrate layer consisting of polydimethylsiloxane (100 μm thick) on top of a glass cover slip (150 μm thick). The overall sensitivity of the β-camera is highly dependent on the substrate thickness between the source and detector, which will be discussed in a separate publication.
The microfluidic channels and chambers are coated with fibronectin solution to promote cell adhesion onto the polydimethylsiloxane surface, preventing most of the cells from being washed away. When cells adhere to the bottom surface of the cell culture microchamber, they tend to form a thin monolayer where cells may occupy a total volume less than 5% of the overall microchamber volume. Therefore, to measure the uptake of 18F-FDG into the cell, it was necessary to remove the high background signal due to 18F-FDG in the extracellular solution.
Cellular Microfluidic Radioassay
Image Calibration.
As an initial test, the sensitivity of the microfluidic β-camera was calibrated using a melanoma cancer cell line (M229) incubated in a 4 × 4 microchamber array as shown in Figure 1B. Before the microfluidic radioassay, the live cells were loaded into each microchamber with the aid of a bright-field microscope (34). For each radioassay, a mixture of 18F-FDG solution was diluted with RPMI 1640 cell culture medium and loaded into the microchambers with a radioactivity concentration of 37 MBq/mL (1,000 μCi/mL) and incubated for 30 min. After 18F-FDG incubation, cell culture medium was used to wash away the extracellular 18F-FDG from each of the chambers. The efficacy of this washing procedure was measured in a separate experiment, showing that no radioactivity was left in the microfluidic channels after washing. The remaining 18F-FDG trapped inside the cells was then imaged using the β-camera with an acquisition time of 20 min. After the microfluidic radioassay had been completed, a relatively large volume (compared with the microchamber volume) of lysis buffer (10–20 μL) was used to lyse the cells from each of the microchambers into plastic vials. After all of the cell cultures were removed from each of the microchambers, the entire chip was imaged for 5 min with the β-camera to ensure that no radioactivity remained in the microchambers or microchannels. The total radioactivity in each cell culture sample was then measured for 1 min using a well-type γ-counter (1480 Wizard 3; Perkin Elmer), and the counting rate was converted to total radioactivity using a traceable calibration factor according to the National Institute of Standards and Technology for the γ-counter and branching fraction for 18F. The total radioactivity of each cell culture sample was then correlated with the region of interest (ROI) in the β-camera image.
Linearity of Microfluidic Radioassay.
The effect of extracellular 18F-FDG radioactivity concentration on the uptake of 18F-FDG into cell cultures during the radiotracer incubation period was evaluated. Two melanoma cell lines (M229 and M202) were loaded into each of the chambers with a range of 110–239 cells per chamber. Four different solutions were prepared from the same stock of 18F-FDG and diluted using RPMI 1640 cell culture medium to radioactivity concentrations of 0.037, 0.370, 3.700, and 37.00 MBq/mL (1, 10, 100, and 1,000 μCi/mL, respectively). The 4 dilutions were then loaded into the microchambers, and the cells were incubated for 30 min. After 18F-FDG incubation, cell culture medium was used to wash away the extracellular 18F-FDG from each of the chambers. The remaining 18F-FDG trapped inside the cells was then imaged using the β-camera with an acquisition time of 20 min. From the β-camera images, ROIs were drawn around the microfluidic chambers, and the total radioactivity per cell was calculated for each chamber.
Single-Cell Microfluidic Radioassay.
Two melanoma cell lines (M229 and M202) were loaded into a 4 × 4 microchamber array. The 2 left columns of the array were loaded with double-digit numbers of cells, ranging from 12 to 21 cells per chamber. The 2 right columns were loaded with a single-digit number of 0–1 cell per chamber. The cells were then incubated for 30 min in a mixture of 18F-FDG solution diluted using RPMI 1640 cell culture medium to a radioactivity concentration of 37 MBq/mL (1,000 μCi/mL). Afterward, the same steps were followed as for the linearity evaluation.
Cytotoxic Microfluidic Radioassay
Melanoma cells M257, M202, M233, and M229 were loaded into the 4 × 4 microfluidic chambers, with each cell line placed along a row of chambers. Approximately 150 cells were loaded into each of the microfluidic chambers. One day before the radioassay, the cells were cultured and rested in the microfluidic chambers using RPMI 1640 cell culture medium, with medium replenished every 6 h. PLX4032 stock solution was diluted in RPMI 1640 to 1 μM, and duplicate samples were treated with the drug (15). The remaining 2 samples from each of the cell lines were used as vehicle controls. After 20 h of incubation with PLX4032, the microfluidic radioassay was performed. 18F-FDG was diluted in a glucose-free RPMI 1640 medium to a radioactivity concentration of 3.7 MBq/mL (100 μCi/mL) and loaded into the microfluidic chambers. The 18F-FDG solution was loaded into all chambers, and the cells were incubated for 60 min to ensure adequate uptake. After 18F-FDG incubation, cell culture medium was used to wash away the extracellular 18F-FDG from each of the chambers. The remaining 18F-FDG trapped inside the cells was then imaged using the β-camera with an acquisition time of 20 min. The microfluidic radioassay was then repeated for 3 days, and images were acquired with the β-camera during each day to monitor the response of 18F-FDG uptake to PLX4032.
RESULTS
Image Calibration
An image of the β-camera calibration acquisition is shown in Figure 2A, with ROIs drawn around each microfluidic chamber. Because of the variation in the total population of cells in each chamber, ranging from 10 to 40 cells, the total signal in each microchamber also varied proportionally. The average counting rate of each microfluidic chamber measured with the β-camera was plotted against the total activity within each chamber (Fig. 2B). The absolute sensitivity of the device was 6% for this particular microfluidic chip geometry using a linear fit of the data. The calibration factor was then used to convert the β-camera counting rates to total radioactivity for all imaging experiments performed with this microfluidic chip design.
Linearity of Microfluidic Radioassay
The β-camera image of 18F-FDG uptake for cell cultures incubated in varying levels of radioactivity concentration is shown in Figure 3A. Because of the limitations of the display, the full dynamic range of the β-camera cannot be shown in a single image. The 2 images shown in Figure 3A are of the same data, with different maximum-color-intensity scales. For both cell lines (M202 and M229), the culture samples incubated with 0.037 MBq/mL (1 μCi/mL) had 18F-FDG uptake below the detection limit of the system. For the culture samples incubated in the 3 higher radioactivity concentrations, a linear correlation between the 18F-FDG radioactivity concentration and the amount of 18F-FDG uptake per cell for both cell lines (Fig. 3B) was observed after normalizing for the number of cells per microchamber. The uptake measured for M229 cells was 0.04 ± 0.00, 0.43 ± 0.04, and 3.70 ± 0.27 Bq/cell for each of the 3 highest radioactivity concentrations (0.370, 3.700, and 37.00 MBq/mL), respectively. For M202 cells, the average uptake values were 0.02 ± 0.00, 0.24 ± 0.00, and 2.13 ± 0.04 Bq/cell, respectively, for each of the 3 highest radioactivity concentrations. All error values are reported as SEM.
Single-Cell Microfluidic Radioassay
A β-camera image of the 18F-FDG uptake in single-cell cultures is shown in the two right columns of the microfluidic chip in Figure 4A. Again, because of the limitations of the display, the full dynamic range of the β-camera cannot be shown in a single image. The 2 images shown in Figure 4A are of the same data, with different maximum-color-intensity scales. For microfluidic chambers populated by a single cell, the 18F-FDG uptake was 2.85 ± 0.23 and 2.22 ± 0.49 Bq/cell for M229 and M202 cell lines, respectively (Fig. 4B). Three of the microfluidic chambers contained no cells and hence had no signal. The microfluidic chambers with a population of 10 cells or greater had 18F-FDG uptake of 3.15 ± 0.10 and 2.14 ± 0.25 Bq/cell for M229 and M202 cell lines, respectively.
Cytotoxic Microfluidic Radioassay
The total number of cells in each culture was counted, and proliferation rates over the course of the experiment were consistent for each of the cell lines treated with drug. The B-RafV600E mutant melanoma cell line M229 cultured in PLX4032 showed a decrease in proliferation rates, compared with the vehicle control cell cultures that were not treated with PLX4032, whereas the M233, M257, and M202 cell lines showed little or no response to PLX4032 exposure (Supplemental Fig. 2), as previously described using macroscopic assays (15). A qualitative decrease in the 18F-FDG uptake signal for M229 cells treated with 1 μM PLX4032, compared with vehicle control, can be seen in Figure 5B. ROIs were then drawn around the microfluidic chambers, and the total radioactivity per cell was calculated for each chamber. The highly sensitive M229 cells treated with 1 μM of PLX4032, compared with vehicle controls, showed a 30.0% ± 3.2% decrease in 18F-FDG uptake per cell on day 1, as shown in Figure 5C. Repeated experiments on the same M229 cell cultures, compared with vehicle controls, showed that additional drug treatments on days 2 and 3 also decreased the 18F-FDG uptake per cell (31.4% ± 5.1% and 29.9% ± 9.3%). As expected, there was no decrease in 18F-FDG uptake per cell in the other 3 melanoma cell lines when treated with drug, as correlates with their lack of response with exposure to the B-Raf inhibitor PLX4032.
DISCUSSION
A combination of the sensitivity of the β-camera and the precision with which the microfluidic system controls the microenvironment allows for radioassays of a single-cell culture. 18F-FDG uptake per cell for both M229 and M202 melanoma cell lines was consistent for cell populations ranging from 200 cells down to a single cell when incubated with a radioactivity concentration of 37 MBq/mL (1,000 μCi/mL) during the radiotracer incubation period.
Melanomas can have 1 of 3 driver oncogenic events in the mitogen-activated protein kinase pathway: kit mutations (3%), N-Ras mutations (15%), and B-Raf mutations (60%) (12,35). These are mutually exclusive mutations, suggesting a dominant oncogenic event in the development of this cancer and a likely therapeutic target (12). We took advantage of the specific antitumor effects of a novel B-Raf inhibitor, PLX4032, in melanoma cell lines with defined oncogenic mutations as a way to test whether the β-camera and microfluidic chip could be used to assess differential therapeutic activity (15). M229 has a homozygous B-RafV600E mutation and is highly sensitive to PLX4032, with a 50% inhibition concentration of 0.2 μM, whereas M233 has a heterozygous B-RafV600E mutation but is resistant to this therapy, with a 50% inhibition concentration of more than 10 μM (Supplemental Fig. 3A). M202 has a mutually exclusive N-Ras Q61 L mutation, and M257 is wild-type for both B-Raf and N-Ras, with both cell lines also being resistant to PLX4032 (15).
Macroscopic radioassays were also performed as a way to compare and validate the microfluidic results showing a decrease in 18F-FDG uptake of M229 cells treated with 1 μM PLX4032 (Supplemental Fig. 3B). There are several differences in protocol between the microfluidic and macroscale approaches. Compared with the macroscopic well-plate experiments, in each microfluidic chamber, a smaller population of cells was cultured. Therefore, a higher radioactivity concentration was used with the β-camera experiments, to increase the total signal available from each sample. In addition, the limited volume of each microfluidic chamber also necessitated that cell medium be replenished every 6 h during the microfluidic radioassay. These differences in protocol may affect the condition of the cells and the uptake of 18F-FDG radiotracer when comparing the results of the macroscale and microfluidic radioassays.
An advantage of the microfluidic platform is that it can provide a method for maintaining cell cultures for long periods (days) in an environment in which perturbations can be precisely controlled (36). In contrast, macroscopic studies can perform only a single radioassay on a given cell culture sample because each measurement is an endpoint study requiring that the cells be disturbed or removed from the culture environment. Compared with conventional macroscopic radioassays, which offer high sensitivity for radioactive detection using large samples, the β-camera and microfluidic chip provide digital control of small populations of cell cultures and the ability to perform radioassays of live cells in real time and in vitro.
CONCLUSION
We have developed a β-camera for imaging charged particles emitted from radiotracers in vitro using a solid-state PSAPD detector integrated with a microfluidic chip that can provide a platform for imaging live cell cultures. The high sensitivity of the β-camera allows for radioassays of small cell populations down to a single-cell level. The system provides researchers with a new tool to radioassay small cell populations that can complement traditional in vitro radioassays for screening diagnostic and therapeutic radiopharmaceuticals.
A key issue in early clinical development of novel specific pathway inhibitors is how the drug modulates its target and delivers the desired pharmacodynamic effects (14). In solid tumors, derivation of pharmacodynamic information is limiting, and most drugs are developed in a masked way (without evidence of the dose level at which the drug modulates its target). Tumor biopsies and molecular imaging using PET have been the best approaches to providing pharmacodynamic information. However, because of the patient inconvenience, risks of complications with repeated surgical or core biopsies, and the limitations of high radiation exposure and costs with repeated PET scans, these approaches are not easily used in routinely repeated procedures.
The integrated β-camera and microfluidic chip provide an assay platform that could challenge the traditional drug development paradigm by providing a means to quickly and repeatedly define in vitro effects of the kinase inhibitor on its target, starting from small tumor samples obtained by fine-needle aspiration—a procedure that is amenable to repeated tumor sampling.
DISCLOSURE STATEMENT
The costs of publication of this article were defrayed in part by the payment of page charges. Therefore, and solely to indicate this fact, this article is hereby marked “advertisement” in accordance with 18 USC section 1734.
Acknowledgments
This work was funded in part by a National Cancer Institute grant (U54 CA119347), the Caltech-UCLA Joint Center for Translational Medicine, a contract from the Office of Biological and Environmental Research of the Department of Energy (DE-FC03-02ER63420), and a National Institutes of Health Biomedical Imaging and Bioengineering training grant (5T32EB002101). Nam T. Vu and Arion F. Chatziioannou are owners of Sofie Biosciences, Inc., which has licensed the patent covering the integrated microfluidic β-camera technology from the University of California. Nam T. Vu is currently employed by Sofie Biosciences, Inc.
Footnotes
Guest Editor: David Townsend, University of Tennessee Medical Center
- © 2011 by Society of Nuclear Medicine
REFERENCES
- Received for publication May 3, 2010.
- Accepted for publication January 7, 2011.