皮膚パッチによる家庭用メラノーマ検査法(At-Home Melanoma Testing With Skin Patch Test)

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2025-07-28 ミシガン大学

ミシガン大学の研究チームは、皮膚がん(メラノーマ)を家庭で簡便に検査できる「ExoPatch」を開発した。星型マイクロニードル付きパッチで皮膚下の液体中のエクソソームを15分で採取し、簡易ストリップで判定可能。マウスや豚皮膚での試験では、がん部位からの回収量は健常組織の約11倍、検出感度も高い。出血や痛みは最小限で、今後の臨床試験や他がん種への応用も期待されている。

皮膚パッチによる家庭用メラノーマ検査法(At-Home Melanoma Testing With Skin Patch Test)
The silicone patch for at-home melanoma testing has star-shaped microneedles, just 0.6 millimeters long, that press into skin without drawing blood. A gel that coats the needles attracts exosomes that come from cancerous cells. Image credit: Jeremy Little, Michigan Engineering.

<関連情報>

星型シリコンマイクロニードルを用いた迅速なポイントオブケアメラノーマエクソソームの分離と検出(ラテラルフローアッセイによる) Stellate silicon microneedles for rapid point-of-care melanoma exosome isolation and detection via a lateral flow assay

Scott M. Smith, Abha Kumari, Joseph P. Marvar, Nna-Emeka Onukwugha, Yoon-Tae Kang, Sunitha Nagrath
Biosensors and Bioelectronics  Available online 16 May 2025
DOI:https://doi.org/10.1016/j.bios.2025.117560

Abstract

Melanoma is the most aggressive type of skin cancer with high mortality rates. Early diagnosis is crucial because it significantly improves treatment outcomes, but conventional methods relying on dermoscopy and lesion biopsy have limitations in accuracy during early stages and are invasive. Liquid biopsies offer a minimally invasive alternative, particularly for routine screening. The abundance of cancer cell-driven extracellular vesicles in interstitial fluid can be utilized for point-of-care cancer diagnostics. Here, we developed a stellate silicon microneedle patch, the ExoPatch, coated with Annexin V functionalized hydrogel to isolate melanoma-specific exosomes. The ExoPatch captures exosomes directly from the skin, followed by dissolution of the hydrogel to release the exosomes, which are then detected using a lateral flow immunoassay specific to melanoma markers (MCAM and MCSP). After validating with cell line derived extracellular vesicles and testing with mouse tissue, the ExoPatch isolated 11.5 times more protein from melanoma tissue compared to healthy tissue. Additionally, the ExoPatch effectively distinguished between melanoma and healthy tissues, with its specificity confirmed through Western Blot and electron microscopy analysis. The ExoPatch with melanoma mouse samples produced a 3.5-fold higher signal in the lateral flow immunoassay compared to that of healthy controls. The ExoPatch presents a promising point-of-care diagnostic tool for melanoma, offering significant advantages in terms of rapidness, minimal invasiveness, and ease of use. It has the potential to enhance early detection and routine monitoring in melanoma patients, ultimately improving patient outcomes by reducing the reliance on traditional, invasive biopsies.

医療・健康
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