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Bionanotechnology used for capturing and restraining circulating tumor cells: eliminating the suffering and death from cancer metastasis Haiyan Dong, Yusheng Lu, Jianguo Xu, Ning Zheng, Jian Liu, Lee Jia¶ Cancer Metastasis Alert and Prevention Center, and Pharmaceutical Photocatalysis of State Key Laboratory of Photocatalysis on Energy and Environment, College of Chemistry, Fuzhou University, Fuzhou 350002, China. ¶ Corresponding authors: [email protected] Keywords: circulating tumor cells; cancer metastasis; cell surface biomarker; antibody/aptamer nanomaterials; cancer metastasis chemoprevention Abstract: During the four decades, the number of cancer survivors has increased from 3 million in 1971 to nearly 14.5 million by 2014 in USA alone (1). This is worthy to celebrate, but this global expanding population has highlighted the problem of cancer relapse and metastasis, which is the primary cause of cancer suffering and mortality, and threatens the cancer survivors daily. Among those cancer survivors 30-70% will eventually face the metastatic nightmares within 2-5 years after surgery. The root cause of cancer metastasis can be traced down to the presence of circulating tumor cells (CTCs) or circulating tumor DNA (ctDNA, fragments mainly released from necrotic and apoptotic tumor cells) in the blood of cancer survivors (2). CTCs in cancer survivors often show a low rate of proliferation when cancer survivors are in remission and/or asymptomatic. Thus current anticancer chemotherapeutic, or target agents, and their related nanomaterial conjugates that are originally designed to target highly proliferating cancer cells cannot be used for killing CTCs in addition to their intolerable side effects. During the past ten years, CTCs have received enormous attention as new theranostical biomarkers. However, little is known and done about utilization of bionanotechnology for specifically capturing CTCs and restraining their activity in the bloodstream of the asymptomatic cancer survivors in order to prevent the future cancer metastasis. We have developed technology to separate and sort CTCs from patient blood, developed various cancer metastasis chemopreventive agents with good safe and effective profiles to prevent CTCs from starting activation-adhesion-invasion-extravasation metastasis cascade. Based on our cell surface biomarker analysis that revealed that a single cell usually expresses various surface biomarkers at different abundance, we have been developing safe bionanomaterials-conjugated with more than one (n>1) antibodies and aptamers that can recognize, capture and restrain CTCs with enhanced specificity and efficacy, including aptamer cyclization technology that enhances aptamer biostability via resistance to exonuclease digestion. In this presentation, we will summarize the current status of CTCs research, and propose a conceptual framework of using bionanotechnology for capturing and restraining circulating tumor cells to eliminate the suffering and death from cancer metastasis. References: [1] DeSantis, et al. Cancer treatment and survivorship statistics, 2014. CA Cancer J. Clin. 2014; 64 252-271. [2] Alix-Panabieres and Pantel. Challenges in circulating tumour cell research. Nat. Rev. Cancer. 2014; 14:623-31. [3] Xie, JJ., Lu, Y., Dong, HY., Zhao, RL., Chen, HN., Shen, WY., Sinko, PJ., Zhu, Y., Wang, JC., Shao, JW., Gao, Y., Xie, FW., Jia, L. Enhanced specificity in capturing and restraining circulating tumour cells with dual antibody-dendrimer conjugates. Adv. Funct. Mater. 2015, 25, 1304–1313