Results.<br>1. Detection process<br><br>In this study, patients with colorectal cancer in the group will be tested for exosorcular blood samples and corresponding tissue samples, the selected IML preparation process is shown in Figure 1, antibodies and GHDC reactions to form antibody-GHDC compound derivatives, and then combined with DOPC, cholesterol and Fe3O4-HMN using inverse one-step legal preparation MIL.<br><br>Subsequent tests were also shown in Figure 1 after DNA from circulating tumor cell sources and DNA from tissue sources was obtained.<br><br>By comparing with the data in the public database, it is learned that the target miRNA presents downward expression in colorectal cancer, designs a series of experiments to verify, and studies the role of target miRNA in the development of colorectal cancer.<br><br>Performance evaluation of CTC separation detection system<br><br>The microstructure and physical and chemical characteristics of IMLs are shown in Figure 2.<br><br>The UV absorption spectrum of MIL is shown in Figure 2A, and EpCAM-IML and EGFR-IML have clear UV absorption peaks around 280 nm.<br><br>Ultraviolet absorption results show that antibodies have been established on the surface of magnetic nanoparticles, with an antibody content of 0.1 mg/mg on the surface of nanoparticles.<br><br>It can be seen from the magnetic saturation curve (Figure 2B) that the prepared microcircule has a high saturation magnetization strength, showing super-flugic properties, which can be used effectively for the separation of tumor cells.<br><br>The particle size analyzer was used to detect particle size changes, and the results showed that the EpCAM antibody and the EGFR antibody were modified to 180 nm and 202 nm, respectively (Figure 2C).<br><br>The small particle size helps to improve the stability of antibody magnetic lipids in aqueous solutions, and the EpCAM and EGFR lipid beads prepared in this study meet the expected requirements.<br><br>In addition, epCAM-IML and EGFR-IML have surface capacities of 0.06±0.02 mV, which is neutral and reduces nonse specific adsorption interference caused by positive currents reported in previous studies (Figure 2D).<br><br>Under the atomic force microscope, the two particles have similar spherical shapes, but have relatively low distribution uniformity, particle diameters greater than 100 nm, and thicker particle surfaces (Figure 2E-2F). <br><br>IML's ability to target colorectal cancer cells<br><br>The analysis of EpCAM-MIL cytotoxicity prepared for this experiment showed that the survival rate of SW480 and LOVE cells decreased gradually with the extension of treatment time at epCAM MIL at the same concentration. When the concentration of EpCAM-MIL is higher than 200 μg/mL, its cytotoxicity to colorectal cancer cells gradually increases (Figure 3A-3B).<br><br>The above results show that the two IMLs have the same inhibitory effect on tumor cells, and the inhibition ability is only related to the concentration of added IML.<br><br>Laser scanning concentred microscope results showed that the red fluorescence intensity in the nucleus of SW480 cells was significantly higher than that of LOVE cells, indicating that the expression level of APC in SW480 cells was significantly lower than that of PC-3 cells (Figure 3C).<br><br>CTC was isolated from blood samples of colorectal cancer patients, and the fluorescent antibody was dyed and observed with a fluorescent microscope.<br><br>The imaging results show in Figure 3D that the cell binds to MIL in white light, and there are obvious magnetic nanoparticles around the cell.<br><br>CK8, 18, 19-FITC has high green-positive fluorescence, DAPI has blue high-positive fluorescence, CD45 is negative, and cells larger than 8 m in diameter can be determined to be CTC.<br><br>When the tumor size is 50 mm3, 100 mm3, 200 mm3, the CTC count in the outer blood is 4 /mL, 19 /mL, 37 /mL (Figure 3E).
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