A novel microneedle device for controlled and reliable liquid biopsy of the human inner ear.


Journal

Hearing research
ISSN: 1878-5891
Titre abrégé: Hear Res
Pays: Netherlands
ID NLM: 7900445

Informations de publication

Date de publication:
15 09 2019
Historique:
received: 12 02 2019
revised: 16 06 2019
accepted: 20 06 2019
pubmed: 30 7 2019
medline: 18 11 2020
entrez: 30 7 2019
Statut: ppublish

Résumé

Sensorineural hearing loss is the most common sensory deficit worldwide, yet our understanding of the underlying pathophysiology is limited by the challenges of access to the inner ear in a safe and reliable manner. We present a novel microneedle device for trans-round window membrane liquid biopsy, which utilizes controlled depth of perforation and microliter aspiration control to safely biopsy fluids of the inner ear. Of eleven devices tested in fresh frozen human temporal bones, seven demonstrated alignment between electrical, visual and tactile detection of round window membrane perforation, and nine were successful in aspiration of meaningful diagnostic samples from the perilymphatic space. Purity of the average perilymph sample was 69% for a 5 μL sample volume, equivalent to 3.5 μL attributable to perilymph. Diagnostic success was shown both by transmastoid facial recess and transcanal tympanotomy approach. This device can enable new advances in the understanding of inner ear pathology, and brings us one step closer to liquid biopsy of the inner ear becoming a routine part of clinical care.

Identifiants

pubmed: 31353070
pii: S0378-5955(19)30056-5
doi: 10.1016/j.heares.2019.06.004
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

107761

Informations de copyright

Copyright © 2019. Published by Elsevier B.V.

Auteurs

Samuel Early (S)

Department of Otolaryngology and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, 243 Charles St., Boston, MA, 02114, USA; Department of Otolaryngology, Harvard Medical School, 243 Charles St., Boston, MA, 02114, USA; University of California San Diego School of Medicine, 9500 Gilman Dr., La Jolla, CA, 92093, USA.

In Seok Moon (IS)

Department of Otolaryngology and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, 243 Charles St., Boston, MA, 02114, USA; Department of Otolaryngology, Harvard Medical School, 243 Charles St., Boston, MA, 02114, USA.

Krishna Bommakanti (K)

Department of Otolaryngology and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, 243 Charles St., Boston, MA, 02114, USA; Department of Otolaryngology, Harvard Medical School, 243 Charles St., Boston, MA, 02114, USA; University of California San Diego School of Medicine, 9500 Gilman Dr., La Jolla, CA, 92093, USA.

Ian Hunter (I)

BioInstrumentation Laboratory, Department of Mechanical Engineering, Massachusetts Institute of Technology, 77 Massachusetts Ave., Cambridge, MA, 02139, USA.

Konstantina M Stankovic (KM)

Department of Otolaryngology and Eaton-Peabody Laboratories, Massachusetts Eye and Ear, 243 Charles St., Boston, MA, 02114, USA; Department of Otolaryngology, Harvard Medical School, 243 Charles St., Boston, MA, 02114, USA; Program in Speech and Hearing Bioscience and Technology, Harvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA; Harvard Program in Therapeutic Science, Harvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA. Electronic address: konstantina_stankovic@meei.harvard.edu.

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Classifications MeSH