SUPPORTING INFORMATION Rare Cell Isolation and Profiling on a Hybrid Magnetic / Size-Sorting (HMSS) Chip Jaehoon Chung, David Issadore, Adeeti Ullal, KyungHeon Lee, Ralph Weissleder, Hakho Lee SUPPLEMENTARY METHODS 1. Design of microfluidic channel The fluidic system had a triple-layer structure that defined the underpass-gap in the size sorter (5 µm in height), fluidic channel (height, HC = 50 µm), and herringbone patterns (height, HH = 50 µm). The main microfluidic channel in the magnetic filter region consisted of 64 parallel mixing channels (width, WC = 380 µm). The dimension of herringbone mixer was chosen according to the previous report1 to maximize the events of suspended cells contacting the channel bottom (see Fig. S1a for details). Cell capturing structure was implemented in the size sorter region (Fig. S1b). The capture sites were designed to trap even small cancer cells (> 5 µm in diameter). Figure S1. Fluidic structures in HMSS. (a) Design parameters for the herringbone mixer: WC = 380 µm; HC = 50 µm; LH1 = 250 µm; LH2 = 130 µm; WH1 = 150 µm; WH2 = 150 µm; HH = 50 µm). (b) Dimension of capture sites in size-sorter: gap height, 5 µm; pitch of capture site, 40 µm; diameter of capture site, 15 µm, w = 6 µm. (c) Layout of fluidic channel layer. A foot print is 35 mm × 36 mm. Magnetic capture region consists of 64 parallel channels (length, 12.5 mm) on the self-assembled magnet surface. The size capture region consists of 2 Vshaped groups. Each group contains 450 single cell capture sites. (d) Magnified view of the cell-capture region. 2. Sample preparation 1 Samples were prepared by following the workflows shown in Fig. S2. For initial device characterization, we used RBC-lysed human blood to facilitate leukocyte staining (Fig. S2a). For all molecular staining experiments, we used anti-coagulated human whole blood (Fig. S2b). Figure S2. Sample preparation steps for device characterization (a) and on-chip molecular analyses (b). 3. Microfluidic simulation We performed 3-dimensional fluidic simulations (COMSOL Multiphysics ver. 4.3a) to map out the trajectory of magnetic objects in the magnetic filter region. Figure S3 shows representative examples of particle trajectories inside a herringbone (up) and a laminar (down) fluidic channels. Indeed, the chaotic advection moved more particles to the self-assembled magnet, and thereby led to higher capture yield. 2 Figure S3. Microfluidic simulation. Three dimensional trajectories of magnetic objects inside a herringbone (top) and a simple laminar (bottom) channels were calculated. The self-assembled magnetic filter is located on the channel bottom. The herringbone patterns were not drawn for visual clarity. The dimension of the bounding box (not to scale) is 380 µm (W) × 100 µm (H) × 12.6 mm (L). The blue dots represent the initial position of magnetic objects; the red dots indicate the magnetic capture events. Supplementary Table 1. Comparison of microfluidic-based CTC isolation chips. Method Efficiency (Purity) Recovery Enrichment Cellular analysis rate 2.5 ml/hr Fluorescence Positive staining (EpCAM based) 1.2 ml/hr 3 Fluorescence Positive staining (EpCAM based) 1 ml/hr 4 Fluorescence staining Positive (size) > 100 ml/hr Fluorescence staining Positive (size) < 0.7 ml/hr 6 ~ 3000 Fluorescence staining Positive (size) > 50 µl/hr 7 Multiple microposts > 60 % > 60 % Herringbo ne-PDMS Chip ~ 92 % ~ 95 % NA > 95 % NA NA 3D membrane micro-filter ~ 86% NA ~ 1000 Capture structure array ~ 80% > 95 % NA Flow focusing + Ratchet ~ 97 % Herringbo nenanopillar chip Filter Gradated segregati on Immunomagnetic Dead-end collection chamber DEP (Dielectro -phoresis) DEP-FFF (field flow fractionati on) Hydrodynamic Flow rate Ref. Positive (EpCAM based) 106 Affinity Fluorescence staining Enrichment Method (+ / -) ~ 95 % ~ 90 % NA Fluorescence staining Positive (size) 2 ml/hr 8 Stacked magnets ~ 90 % NA NA NA Positive (EpCAM based) 10 ml/hr ~ 90 % NA NA NA Positive (EpCAM based) 1.2 ml/hr 10 ApoStream ~99 % (double enrichment) > 71 % 16 NA Positive (Label free) 1 ml/hr ~ 75 % 70 ~ 90 % NA NA Positive (Label free) 1.2 ml/hr 12 Pinched flow fractionation ~ 85 % > 80 % 1.2 × 104 NA Positive (size) 1.2 ml/hr 2 5 9 11 13 3 Inertial & dean drag ~ 90 % ~ 80 % NA NA Positive (size) 60 ml/hr 14 Multistage MOFF NA 98.9 % 163 NA Positive (size) 7.5 ml/hr 15 99 % NA > 40 Fluorescence staining Positive (size) 120 ml/hr 16 ~ 96% 96 % < 50 NA Positive (Deformability) 7.5 ml/hr 17 MOFF-DEP (multi-orifice flow fractionation) NA ~ 76 % 162 NA Positive (Label free) 7.5 ml/hr ~ 90 % > 87 % ~ 2000 Fluorescen ce staining Hybrid (Pos. & Neg.) ~ 10 ml/hr DLD (determini stic lateral displace Deformab ment) ilitybased separatio n Hybrid HMSS (Magnetic + Size) 18 SUPPLEMENTARY REFERENCES 1 T. 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