Review
Image-Based Live Cell Sorting

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Highlights

  • Advancements in imaging and computational decision-making have given rise to a new method for classifying and isolating single cells from samples, which addresses major limitations of commonly used technologies, for example, fluorescence activated cell sorting (FACS).

  • Microfluidic flow, microfluidic containment, and microarray-based systems have been utilized to separate cells utilizing high-spatial resolution and real-time kinetic information.

  • From inexpensive and flexible in-laboratory devices to precise clinical tools, image-based cell sorting (IBCS) systems have broad potential.

  • Machine learning and deep neural networks can be combined with IBCS for intelligent cell selection and isolation.

  • Microfluidics and microarrays can be combined in single IBCS platforms, taking advantage of both technologies.

Technologies capable of cell separation based on cell images provide powerful tools enabling cell selection criteria that rely on spatially or temporally varying properties. Image-based cell sorting (IBCS) systems utilize microfluidic or microarray platforms, each having unique characteristics and applications. The advent of IBCS marks a new paradigm in which cell phenotype and behavior can be explored with high resolution and tied to cellular physiological and omics data, providing a deeper understanding of single-cell physiology and the creation of cell lines with unique properties. Cell sorting guided by high-content image information has far-reaching implications in biomedical research, clinical medicine, and pharmaceutical development.

Section snippets

Single-Cell Analysis and Sorting Paves the Way for Biomedical Breakthroughs

The ability to analyze individual cells has revolutionized biomedical research and clinical medicine, leading to innovations that encompass genetic engineering, regenerative medicine, and cancer immunotherapies. While cell population data provide a wealth of information, there is an inherent loss of information from bulk cell samples. Small variations between adjacent cells are known to lead to profound physiologic differences, for example, immune cells vary in their ability to combat

Microfluidic Flow IBCS Platforms

Microfluidic flow IBCS platforms image moving cells within a flow stream and, of the IBCS methods described here, are most closely related to FACS. Although powerful, FACS is limited to single time point measurements of light scatter or fluorescence emission collected from an entire cell. A FACS-like sorting system paired with cell image acquisition has proven quite challenging due to: (i) the limited time the cell spends in the interrogation beam (~10 μs), and (ii) the very short transit time

Microfluidic Containment for Imaging and Sorting

A second class of IBCS systems slows or stops cells using cell-sized, multifunctional containers such as droplets or microchambers to control cell motion and minimize image blur (Figure 3 and Table 1). Cell containment is an especially useful strategy for IBCS when sample sizes are small and efficient retrieval of viable cells is required, as these methods enable throughputs of 0.2–5 cells/s with high sorting accuracies (often >98%). Unlike flow IBCS devices, which image cells that are moving

Microarray IBCS Platforms

Cell-based microarrays enable high-throughput and high-content screening for a variety of single-cell applications. IBCS arrays employ wells, traps, or patterning to array cells that are typically plated in a stochastic fashion followed by manual or automated assays [39,40]. Positioning cells at fixed addresses solves multiple imaging challenges. Very high-quality images using standard imaging hardware and algorithms along with facile data processing are a distinct advantage of imaging

Concluding Remarks and Future Directions

The platforms developed for IBCS come in many forms, including microfluidic flow, microfluidic containment, and microarray systems, each having unique performance characteristics (Table 1). Microfluidic flow IBCS are attractive for quickly sorting large input samples, with an emphasis on throughput and speed. Microfluidic containment IBCS analyze smaller sample sizes with intermediate throughput but provide high flexibility in imaging strategies and sample manipulation. Microarray IBCS allow

Acknowledgments

This work was supported by the National Cancer Institute awards CA224763 and CA233811.

Disclaimer Statement

N.L.A. and C.E.S. disclose a financial interest in Cell Microsystems, Inc. All other authors declare no conflicts.

Glossary

Confocal imaging
an optical imaging device that scans highly focused light across an object to collect a 3D representation.
Deep neural networks
form of artificial neural network with three or more hidden layers connecting the input and output layers, often used for classification and prediction modeling.
Dielectrophoresis (DEP)
a process in which a non-uniform electric field exerts a force on an object, guiding it to a specific location or holding the object in place.
Fluorescence-activated cell

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    Twitter: @belencorlla (B. Cortés-Llanos) and @AngeloMassaro19 (A. Massaro).

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