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Research Article | Open Access

A Device for the Removal of Peripheral Blood Circulating Tumor Cells and Inhibiting Their Biodistribution

Jun Luo1,§Lei Xing1,3,§Ming-Tao Yu1,§Ying Sun1Wen-Jia Wang1Xing Wan1Xiao-Jie Wang1Yang-Ze Ji1Yi Wang1Tian-Jiao Zhou1Hu-Lin Jiang1,2,3( )
State Key Laboratory of Natural Medicines, Department of Pharmaceutics, China Pharmaceutical University, Nanjing 210009, China
Department of Precision Medicine, School of Medicine, Sungkyunkwan University, Suwon 16419, Republic of Korea
NMPA Key Laboratory for Research and Evaluation of Pharmaceutical Preparations and Excipients, China Pharmaceutical University, Nanjing 210009, China

§These authors contributed equally to this work.

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Abstract

Circulating tumor cells (CTCs) significantly impact the overall survival and progression-free survival of cancer patients. However, the current strategies for CTC separation and enrichment are limited as they analyze only small-volume blood samples, which is insufficient to comprehensively profile the distribution of CTCs in the blood and eliminate them. To address this issue, we developed a peripheral blood CTC removal device (PBCRD) inspired by hemoperfusion. It comprises systems for CTC-capturing and returning purified blood into circulation. The CTC capturing system consists of antibody-modified functional microspheres (AFMPs), while the purified blood returning system includes a peristaltic circulation pump for clinical blood perfusion and catheters. The PBCRD can efficiently capture, enrich, and remove CTCs from peripheral circulation in real-time, effectively inhibiting their biodistribution. The high biocompatibility of AFMPs ensures that PBCRD is safe and does not cause injuries. Overall, this work provides a new class of ideas for the effective capture and removal of CTCs from the peripheral circulation, which is expected to be an effective strategy to assist in the clinical treatment of tumors and inhibit metastasis.

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Nano Biomedicine and Engineering
Pages 386-401

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Cite this article:
Luo J, Xing L, Yu M-T, et al. A Device for the Removal of Peripheral Blood Circulating Tumor Cells and Inhibiting Their Biodistribution. Nano Biomedicine and Engineering, 2025, 17(3): 386-401. https://doi.org/10.26599/NBE.2025.9290114

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Received: 06 December 2024
Revised: 13 January 2025
Accepted: 15 January 2025
Published: 26 February 2025
© The Author(s) 2025.

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY) (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.