Ex Parte Winquist et alDownload PDFPatent Trial and Appeal BoardMay 3, 201812528849 (P.T.A.B. May. 3, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 12/528,849 12/15/2009 23570 7590 05/07/2018 PORTER WRIGHT MORRIS & ARTHUR, LLP INTELLECTUAL PROPERTY GROUP 41 SOUTH HIGH STREET 29THFLOOR COLUMBUS, OH 43215 Ola Winquist UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www .uspto.gov ATTORNEY DOCKET NO. CONFIRMATION NO. 4007636-185958 7461 EXAMINER HIBBERT, CATHERINE S ART UNIT PAPER NUMBER 1636 NOTIFICATION DATE DELIVERY MODE 05/07/2018 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address( es): ipdocket@porterwright.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte OLA WINQUIST and MAGNUS THORN Appeal2017-004106 Application 12/528,849 Technology Center 1600 Before DEMETRA J. MILLS, ERIC B. GRIMES, and ELIZABETH A. LA VIER, Administrative Patent Judges. MILLS, Administrative Patent Judge. DECISION ON APPEAL This is an appeal 1 under 35 U.S.C. § 134. The Examiner has rejected claims 114, 115, 117-121, 123, 126, and 128-130 for obviousness. We have jurisdiction under 35 U.S.C. § 6(b ). We REVERSE and enter a NEW GROUND OF REJECTION pursuant to our authority under 37 C.F.R. § 41.50(b). 1 The Appeal Brief states "[ t ]he real party in interest for the present application is the Assignee, Sentoclone International AB." App. Br. 1. 1 Appeal2017-004106 Application 12/528,849 STATEMENT OF CASE The following claim is representative. 114. A method for detecting a cancer cell in a biological sample comprising a single-cell suspension of sentinel or metinel lymph node cells, wherein the biological sample comprising a single-cell suspension of sentinel or metinel lymph node cells is a sample in which the presence of a cancer cell is unknown, comprising: i) adding to said biological sample comprising a single- cell suspension of sentinel or metinel lymph node cells a panel of agents which bind to two or more different extracellular markers, wherein at least one of the agents binds to an extracellular marker that is specific for cancer and is selected from the group consisting of: markers for colon cancer cells selected from the group consisting of carcino embryonic antigen (CEA), carbohydrate antigen 15-3 (CA15-3), carbohydrate antigen 125 (CA125), carbohydrate antigen 19-9 (CA19-9), carbohydrate antigen 242 (CA242), Ep-CAM, G250, RCASl, STN, and TA-90; markers for urinary bladder cancer cells selected from the group consisting ofBC-10, CA19-9, carcino embryonic antigen (CEA)1 and NY-ES0-1; markers for malignant melanoma cells selected from the group consisting ofMSH-R, NY-ES0-1, and TA-90; markers for breast cancer cells selected from the group consisting of CA15-3, CA125, carcino embryonic antigen (CEA), Ep-CAM, NY-ES0-1, PRL-R, RCASl, STN, and TA- 90· ' markers for prostate cancer cells selected from the group consisting ofEp-CAM1 NY-ES0-1, PRL-R, PSMA1RCAS1, andB2M; markers for ovarian cancer cells selected from the group consisting ofCA15-3, CA125, G250, RCASl, STN and B2M; and 2 Appeal2017-004106 Application 12/528,849 markers for lung cancer cells selected from the group consisting of CA 15-3, CA 125, carcino embryonic antigen (CEA), Ep-CAM, RCASl, and TA-90; ii) subjecting the biological sample to flow cytometry; and iii) detecting any binding of one or more of said agents to an extracellular marker, wherein binding of an agent that is specific for cancer to an extracellular marker is indicative of a cancer cell in the biological sample_,_ wherein steps (i)-(iii) are performed in 25 minutes or less. Cited References L.G. Durrant et al., Enhanced recognition of human colorectal tumour cells using combinations of monoclonal antibodies, 60 BR. J. CANCER 855-860 (1989) ("Durrant") Wilma E. Mesker, Automated Analysis of Multiple Sections for the Detection of Occult Cells in Lymph Nodes, 9 CLINICAL CANCER RESEARCH 4826-4834 (2003) ("Mesker") BECTON DICKINSON BIOSCIENCES, INTRODUCTION TO FLOW CYTOMETRY: A LEARNING GUIDE (2002) ("Guide") UT Health Science Center, FAQ/or Flow Cytometry (updated Feb. 26, 2015), http://research.uthscsa.edu/facs/faq.asp (last visited Oct. 17, 2016) ("Flow Cytometry") Ground of Rejection Claims 114, 115, 117-121, 123, 126, and 128-130 are rejected under 35 U.S.C. § 103(a) as being unpatentable over Durrant in view of Mesker. FINDINGS OF FACT The Examiner's findings of fact are set forth in the Final Office Action at pages 2-17. 3 Appeal2017-004106 Application 12/528,849 PRINCIPLES OF LAW In making our determination, we apply the preponderance of the evidence standard. See, e.g., Ethicon, Inc. v. Quigg, 849 F.2d 1422, 1427 (Fed. Cir. 1988) (explaining the general evidentiary standard for proceedings before the Office). "The combination of familiar elements according to known methods is likely to be obvious when it does no more than yield predictable results." KSR Int'! Co. v. Teleflex Inc., 550 U.S. 398, 416 (2007). The Examiner must provide specific factual findings predicated on sound technical and scientific reasoning to support his or her conclusion of common knowledge. See, In re Soli, 317 F .2d 941, 946 ( CCP A 1963 ); In re Chevenard, 139 F.2d 711, 713 (CCPA 1943). Pending Obviousness Rejection The Examiner finds that Durrant teaches each element claimed except using a biological sample comprising sentinel or metinel lymph node cells, and that the procedure is capable of being performed in 25 minutes or less. Ans. 3. The Examiner cites Mesker as disclosing a method for detecting a cancer cell in a biological sample comprising sentinel or metinel lymph node cells and CEA antibodies. Ans. 3. The Examiner cites "Guide" and Flow Cytometry as evidence that the flow cytometry procedure described in Durrant provides a result in less than 25 minutes. Ans. 8-9. The Examiner concludes that one of ordinary skill in the art would have been motivated to combine the elements of the cited references, specifically using sentinel lymph node samples such used by Mesker et al for the flow cytometry technique of Dur[ r ]ant et al to arrive at the instantly claimed invention for 4 Appeal2017-004106 Application 12/528,849 the rationale of improving correct negative detection probability combined with improved correct positive detection, improving speed and efficiency, and for being able to determine the origin of metastasis. Durant et al disclose that although expression of CEA on colorectal tumours have previously been shown [by] immunoperoxidase staining, they recite that "there are advantages in analyzing tumour cell suspensions by indirect immunofluorescence and flow cytometric analysis" (page 857, lines 1-5). Final Act. 5. The Examiner further concludes that In view of the high level of skill in the art, one of ordinary skill in the art would have had a reasonable expectation of success to use sentinel lymph node samples as shown by Mesker et al in combination with the flow cytometry methods of Dur[ r ]ant et al because both references are in the same field of study and seek to solve the same problem and have successfully used the CEA marker in combination with a general epithelial marker to detect cancer cells with high accuracy. Final Act. 6. Appellants contend that At page 8, the Examiner's Answer newly cites "Introduction to Flow Cytometry: A Leaming Guide" (December 2002) (no publisher listed) and at page 9, the Examiner's Answer newly cites "UT Health Science Center FAQ for Flow Cytometry" (updated February 28, 2015 and printed October 17, 2016). Neither of these references were previously cited in the prosecution of this application. Reply Br. 1. Appellants contend that "[ n ]either Durrant nor Mesker provide one of ordinary skill in the art with any apparent reason to use Mesker's lymph node cells in Dur[r]ant's study of antibodies and antibody combinations" and "neither of these references provide one of ordinary skill in the art with a reasonable expectation of success." App. Br. 7. Appellants further argue 5 Appeal2017-004106 Application 12/528,849 that, "Durrant does not teach or suggest a method for detecting a cancer cell in a biological sample or, more specifically, a biological sample in which the presence of cancer cells is unknown," and that "Durrant provides no suggestion or recognition if the presence of cancer cells could be detected in a single-cell suspension of sentinel or metinel lymph node cells using flow cytometry." App. Br. 9. ANALYSIS Claims 114, 115, 117-121, 123, 126, and 128-130 are on appeal. We acknowledge Appellants' argument that the "Introduction to Flow Cytometry: A Leaming Guide," published December 2002, and UT Health Science Center "FAQ for Flow Cytometry" updated 02/26/2015, references were not properly cited in the rejection. In view of the Examiner's error in failing to properly cite these references, we reverse the pending rejection and enter a new ground of rejection, by adding "Guide" and "Flow Cytometry" to the original rejection, as well as an additional reference, U.S. Patent 6,558,916, issued May 6, 2003 to Veerapandian. NEW GROUND OF REJECTION Claims 114, 115, 117-121, 123, 126, and 128-130 are rejected under 35 U.S.C. § 103(a) as being unpatentable over Durrant in view of Mesker, Veerapandian, "Introduction to Flow Cytometry: A Leaming Guide," published December 2002, and UT Health Science Center "FAQ for Flow Cytometry" updated 02/26/2015. Durrant and Mesker are discussed above in the Examiner's original rejection. Durrant does not specifically disclose that the flow cytometry 6 Appeal2017-004106 Application 12/528,849 process including adding agents that bind to biological markers to a single cell suspension, subjecting the sample to flow cytometry, and detecting the binding of the agents, takes 25 minutes or less. Veerapandian2 discloses a flow cytometry method for real-time measurement of patient cellular responses. Veerapandian, Title, Fig. 19. The method may involve contacting and processing a single cell suspension. Id. at col. 24, 11. 45---60. Multiwell plate panels may be used. Id. at col. 65, 1. 20. Individual cells may be tagged with an antibody specific for a cell type. Id. at col. 59, 11. 49--50; col. 68, 11. 28-31. Antibody labeling and staining of cells "is within 15 minutes on ice." Id. at col. 60, 11. 25-51. Cells are then analyzed by the flow cytometer (PCM). Id. at col. 60, 11. 59-- 63. The PCM flow rate was was chosen so that the reaction time from mixing to detection was forty seconds; and the time to complete an additional reagent concentration gradient run was 5 minutes. Id. at col. 48, 11. 40-44, col. 49, 11. 5-6. The cells may be cancer cells. Id. at col. 21, 11. 25-27. Thus, in Veerapandian, the total run time for one cell is on the order of about 16 minutes (including binding of antibody label marker and staining incubation time of 15 minutes, plus flow cytometry rate of 40 seconds for detection of markers for one cell; Example 8A), which is within the claimed time of 25 minutes or less. 2 Veerapandian et al., US 6,558,916 B2, issued May 6, 2003 (filed Feb. 7, 2001) ("Veerapandian"). 7 Appeal2017-004106 Application 12/528,849 As further evidenced by page 39 of "Guide", one of ordinary skill in the art of flow cytometry would have understood that about 300 cells per second could be detected (i.e., 18,000 cells per minute), as early as 2002. Therefore, it would have been obvious to one of ordinary skill in the art at the time of the invention to use Mesker's CEA reactive lymph node cells in Durrant's flow cytometry assay using anti-CEA antibodies, because Durrant suggests that although expression of CEA on colorectal tumors has previously been shown by immunoperoxidase staining (the method of Mesker), Durrant recites that "there are advantages in analyzing tumour cell suspensions by indirect immunofluorescence and flow cytometric analysis" (Durrant 857 (lines 1-5)). There would have been a reasonable expectation of success because Mesker discloses that sentinel lymph nodes reacted with CEA antibody can detect tumor node metastasis (Mesker 4829), and Durrant discloses that multiple antibodies, including CEA antibody, can be used to detect cancer in a cell flow cytometry assay. Veerapandian evidences that it was known in the art at the time of the invention that a single cell suspension of cells, which may be cancer cells, can be reacted with first or second antibodies and detected in a flow cytometer in 25 minutes or less. As to Appellants' arguments of record, we are not persuaded by Appellants' argument that, "Durrant does not teach or suggest a method for detecting a cancer cell in a biological sample or, more specifically, a biological sample in which the presence of cancer cells is unknown." App. Br. 7. One of ordinary skill in the art would readily recognize that, in the assay of Durrant, whether an antibody set reacts or fails to react with a sample is indicative of a positive or negative result, whether the nature of cancer cells in a sample is known or unknown. Durrant and Veerapandian 8 Appeal2017-004106 Application 12/528,849 provide a suggestion or recognition that the presence of cancer cells could be detected in a single-cell suspension of cancer cells using flow cytometry. CONCLUSION OF LAW The Examiner's§ 103 rejection is reversed, and a New Ground of Rejection is added. Pursuant to 37 C.F.R. § 41.50(b), we enter a NEW GROUND OF REJECTION of claims 114, 115, 117-121, 123, 126, and 128-130 under 35 U.S.C. § 103 as being unpatentable over Durrant in view of Mesker, Veerapandian, and "Guide." This decision contains a new ground of rejection pursuant to 37 C.F.R. § 41.50(b). 37 C.F.R. § 41.50(b) provides "[a] new ground of rejection pursuant to this paragraph shall not be considered final for judicial review." 37 C.F.R. § 41.50(b) also provides: When the Board enters such a non-final decision, the Appellant, within two months from the date of the decision, must exercise one of the following two options with respect to the new ground of rejection to avoid termination of the appeal as to the rejected claims: ( 1) Reopen prosecution. Submit an appropriate amendment of the claims so rejected or new Evidence relating to the claims so rejected, or both, and have the matter reconsidered by the examiner, in which event the prosecution will be remanded to the examiner. The new ground of rejection is binding upon the examiner unless an amendment or new Evidence not previously of Record is made which, in the opinion of the examiner, overcomes the new ground of rejection designated in the decision. Should the examiner reject the claims, appellant may again appeal to the Board pursuant to this subpart. 9 Appeal2017-004106 Application 12/528,849 (2) Request rehearing. Request that the proceeding be reheard under§ 41.52 by the Board upon the same Record. The request for rehearing must address any new ground of rejection and state with particularity the points believed to have been misapprehended or overlooked in entering the new ground of rejection and also state all other grounds upon which rehearing is sought. Further guidance on responding to a new ground of rejection can be found in the Manual of Patent Examining Procedure§ 1214.01. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(l )(iv). REVERSED; 37 C.F.R. § 41.50(b) 10 Application/Control No. Applicant(s)/Patent Under Patent 12/528,849 Appeal No. 2017-004106 Notice of References Cited Examiner Art Unit 1636 Page 1 of 1 U.S. PATENT DOCUMENTS * Document Number Date Country Code-Number-Kind Code MM-YYYY Name Classification A US- 6,558,916 Veerapandian et al. , May 6, 2003 B US- c US- D US- E US- F US- G US- H US- I US- J US- K US- L US- M US- FOREIGN PATENT DOCUMENTS * Document Number Date Country Code-Number-Kind Code MM-YYYY Country Name Classification N 0 p Q R s T NON-PATENT DOCUMENTS * Include as applicable: Author, Title Date, Publisher, Edition or Volume, Pertinent Pages) u v w x *A copy of this reference is not being furnished with this Office action. (See MPEP § 707.05(a).) Dates in MM-YYYY format are publication dates. Classifications may be US or foreign. U.S. Patent and Trademark Office PT0-892 (Rev. 01-2001) Notice of References Cited Part of Paper No. c12) United States Patent Veerapandian et al. (54) CELL FLOW APPARATUS AND METHOD FOR REAL-TIME MEASUREMENTS OF PATIENT CELLULAR RESPONSES (75) Inventors: Pandi Veerapandian, San Diego, CA (US); Gregory Kaler, San Diego, CA (US) (73) Assignee: Axiom Biotechnologies, Inc., San Diego, CA (US) ( *) Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 U.S.C. 154(b) by 0 days. (21) (22) (65) (63) (51) (52) (58) This patent is subject to a terminal dis- claimer. Appl. No.: 09/779,690 Filed: Feb.7,2001 Prior Publication Data US 2002/0086340 Al Jul. 4, 2002 Related U.S. Application Data Continuation-in-part of application No. 09/568,778, filed on May 10, 2000, now Pat. No. 6,242,209, which is a continu- ation of application No. 09/370,786, filed on Aug. 5, 1999, now Pat. 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SOFTWARE GRADIENT DEVICE !lJ 121 CONTROLLER GRADIENT DEVICE 117 ~1---1 CAL/BRA TION REACTION DEVELOPING LINES 115 119 UNIT 123 COMPUTER DRAIN ~---l DETECTOR i-----------__J FIG. 1A U.S. Patent May 6, 2003 Sheet 2 of 65 US 6,558,916 B2 101 !OJ 125 TEST COMPOUNDS ~---.----------i STANDARDS SAMPLER SAMPLER !05 109 107 SOFTWARE GRADIEN.T DEVICE llJ CELL SUSPENSION !21 CONTROLLER GRADIENT DEVICE 117 i...-1-----i CALI BR A Tl ON REACTION DEVELOPING LINES COUPLING SYSTEM UNIT 115 120 119 123 COMPUTER DRAIN }-olll----; DETECTOR ~--------------' FIG. 1B U.S. Patent May 6, 2003 Sheet 3 of 65 US 6,558,916 B2 SAMPLE LASER(S) SAMPLE/LASER - INTERCEPT PARAMETER 1 PARAMETER 2 PARAMETER 3 - PARAMETER 4 - PARAMETER 5 - - PARAMETER 6 PARAMETER 7 AND HIGHER SIGNAL PROCESSING • I DATA OUTPUT I ~ DATA MANIPULATION t I DATA STORAGE I FIG. 2 FIG. 3A 20! AUTOSAMPLER COMPOUNDS 207 2!! 24J. GRADIENT PUMP 24! PUMP -205 215 213 AUTOSAMPLER STANDARDS I ,2/7 M L BUFFER '209 22! -227 ( MIXING CHAMBER GRADIENT PUMP 23! 235 PUMP 245 REACTION DEVELOPING LINES 247- DETECTOR I .., r 249 ·223 225 219 233 CAL) BR. MAX CAL) BR. MIN 237- ~ • rJ'l • ~ ~ """'" ~= """'" ~ = '"< !?' N c 6 Cf'l ::r (!;) (!;) """ ... ~ ...... 0-, Ul e 00 "" 111 (Ii CIJ 't.c ~ "" t:= N U.S. Patent May 6, 2003 Sheet 5 of 65 20/ COMPOUNDS 207 2// 243 GRADIENT PUMP 241 PUMP 213 :205 AUTOSAMPLER 2/5 STANDARDS M 22/ 227 MIXING CHAMBER REACTION DEVELOPING LINES 247 251 L GRADIENT PUMP PUMP 249 DETECTOR 1-------l._... DRAIN FIG. 3B US 6,558,916 B2 2/9 223 225 233 CALJBR. MAX CALIBR. MIN 237 U.S. Patent May 6, 2003 Sheet 6 of 65 JOJ JO! AUTOSAMPLER COMPOUNDS Ni 307 PROPORTIONING VALVE J49 347 305 BUFFER 359 DRAIN 315 305 AUTOSAMPLER STANDARDS Jll ANTAGONISTS M· J 317 331 MIXING CHAMBER 3JJ J42 348 PRIMING VALVE 351 345 357 PER/STAL TIC PUMP FIG. 4A AGONISTS Lk PROPORTIONING VALVE JJ5 PRIMING VALVE REACTION DEVELOPING LINES US 6,558,916 B2 319 J05 325 337 CALIBRATION MAX 339 341 353 355 U.S. Patent May 6,2003 Sheet 7 of 65 US 6,558,916 B2 JOJ, JO! AUTOSAMPLER COMPOUNDS Ni 307 PROPORTIONING VALVE 312 349 347 305 BUFFER 359 DRAIN 315 305 AUTOSAMPLER STANDARDS JI/ ANTAGONISTS Mj 317 323 331 MIXING CHAMBER 332 333 342 348 PRIMING VALVE 351 345 -357 PER/STAL TIC PUMP FIG. 4B AGONISTS Lk PROPORTIONING VALVE 335 J40 PRIMING VALVE REACTION DEVELOPING LINES COUPLING SYSTEM 319 J05 325 337 CALIBRATION MAX J.39 CALIBRATION MIN 34! 353 36! J55 U.S. Patent May 6, 2003 Sheet 8 of 65 US 6,558,916 B2 NO 405 401 PROVIDE CELt-/COMPOUND MIXTURE TO DETECTOR YES~---< NO ADD STANDARD AGONIST ADD STANDARD ANTAGONIST TO RECEPTOR Ri TO RECEPTOR R. I YES 413 THE COMPOUND IS AGONIST TO THE RECEPTOR Ri YES THE COMPOUND IS ANTAGONIST TO THE RECEPTOR Ri 417 GO TO THE POTENCY MODE FIG. 5 415 407 NO FIG. 6 AGONIST REGISTER CONCENTRATION DEPENDENCE OF CELL RESPONSE ACTIVATION CALCULATE EC50 505 503 ANTAGONIST 507 REGISTER CONCENTRATION DEPENDENCE OF INHIBITION OF CELL RESPONSE IN THE PRESENCE OF A STANDARD 509 AGONIST CALCULATE IC50 513 51! REGISTER CONCENTRATION DEPENDENCIES OF CELL RESPONSE ACTIVATION WITH STANDARD AGONIST IN THE PRESENCE OF SEVERAL CONCENTRATIONS OF THE COMPOUND CALCULATE pA2; DETERMINE THE NATURE OF INHIBITION: COMPETITIVE/NONCOMPETITIVE ~ • rJ'l • ~ ~ """'" ~= """'" ~ = '"< "'"" N c 6 Cf'l ::r (!;) (!;) """ \C:) ~ ...... "" Ul e 00 "" 111 (Ii CIJ ~ ~ "" t:= N U.S. Patent May 6, 2003 Sheet 10 of 65 US 6,558,916 B2 FIG. 7A FIG. 7B FIG. 7C FIG. 70 FIG. 7 U.S. Patent May 6,2003 Sheet 11 of 65 US 6,558,916 B2 FIG. 7A 614 TURN OFF PROPORTIONING VALVE 327 START 600 602 SET INITIAL PARAMETERS SET AUTOSAMPLERS AND VALVES INTO ORIGINAL POSITION TURN PUMP ON 604 606 608 CLOSE PRIMING VALVES 345 & 313 610 TURN ON PROPORTIONING VALVE 327 DELAY 616 OPEN PRIMING VALVE 313 TURN ON PROPORTIONING VALVE 311 612 620 618 CLOSE PRIMING VALVE 329 U.S. Patent May 6, 2003 Sheet 12 of 65 626 TURN ON DIVERTING VALVES 333 & 335 621 TURN OFF PROPORTIONING VALVE 311 622 627 DELAY TURN OFF DIVERTING VALVE 335 629 DELAY FIG 7B 628 US 6,558,916 B2 624 OPEN PRIMING VALVE 329 U.S. Patent May 6,2003 Sheet 13 of 65 /632 OPEN PRIMING VALVE 345 640 TURN OFF DIVERTER VALVE 347 630 TURN OFF DIVERTING VALVE 333 635 DELAY TURN ON DIVERTER VALVE 347 636 637 TURN OFF PUMP 642 643 FIG. 7C US 6,558,916 B2 634 CLOSE PRIMING VALVE 341 638 OPEN PRIMING VALVE 341 FIG. 7D PRIMING VALVES STEP 345 341 313 329 START - - - - 608 + + 612 614 616 - 618 + 620 622 624 - 626 628 630 632 - + 636 638 - STOP - - - - DIVERTING VALVES 335 333 347 - - - + + - - + - - - - PROPORTIONING VALVES 327 311 - - + - + - - - ~ • rJ'l • ~ ~ """'" ~= """'" ~ = '"< !?' N c 6 Cf'l ::r (!;) (!;) """ """' """ ~ """= ~ VI e 00 "" 111 (Ii CIJ ~ ~ "" t:= N U.S. Patent May 6, 2003 Sheet 15 of 65 US 6,558,916 B2 FIG. BA FIG. BB FIG. BC FIG. 80 FIG. BE FIG. BF FIG. BC FIG. 8 U.S. Patent May 6,2003 Sheet 16 of 65 US 6,558,916 B2 FIG. BA TURN OFF VALVES: 327 & 311; 700 SET INITIAL PARAMETERS 706 702 704 335, 333 & 34 7 345, 341, 313 & 329 SET AUTOSAMPLERS INTO ORIGINAL POSITION 708 TURN. PUMP ON REGISTER BASAL ·SIGNAL "BS" 709 SAVE BASAL SIGNAL INCREMENT COUNTER N N. =N. 1 +1 I 1- 7/J 710 712 714 STR ~__.__, M FROM FfG BEi U.S. Patent May 6, 2003 Sheet 17 of 65 US 6,558,916 B2 717 SET COUNTER N TO N=O 719 725\ FLAG COMPOUND Ni "POSITIVE" K FROM FIG. Be 7/J MOVE AUTOSAMPLER 301 TO POSITION Ni TURN PROPORTIONING VALVE 311 ON 718 720 722 REGISTER COMPOUND INDUCED SIGNAL SNi 72.J SAVE SNi NO FIG. BB 726 FLAG COMPOUND Ni "NEGATIVE" L TO FIG. Bf U.S. Patent May 6, 2003 Sheet 18 of 65 FROM FIG. Bb K 730 INCREMENT 01-----....i COUNTER M: ~-----{ p US 6,558,916 B2 FROM FIG. Bd Mj =Mj-1+ 1 FROM FIG. Be YES N TO FIG. Be 734 736 738 740 MOVE AUTOSAMPLER 315 TO M j POSITION TURN PROPORTIONING VALVE 327 ON REGISTER & SAVE SIGNAL SN i M j TURN PROPORTIONING VALVES 311 & 327 OFF 742 MOVE AUTOSAMPLER 315 TO POSITION M=O FIG. BC U.S. Patent 75! May 6, 2003 Sheet 19 of 65 FLAG 744 TURN PROPORTIONATING VALVE 327 ON 746 748 TURN PROPORTIONATING VALVE 327 OFF 752 US 6,558,916 B2 FLAG COMPOUND Nr - "POSITIVE" ANTAGONIST Mj - "POSITIVE" COMPOUND Nr- "POSITIVE" ANTAGONIST Mj - "NEGATIVE" 753 SAVE DATA IN DATABASE 0 TO FIG. Be FIG BD U.S. Patent May 6, 2003 Sheet 20 of 65 US 6,558,916 B2 Bf SET N --- COUNTER M TO i-----R FROM FIG. Be ZERO FROM FIG. Bf MOVE AUTOSAMPLERS 301 & 315 TO ZERO POSITION TURN PROPORTION A TING VALVES 311 & 327 ON WASH·DELAY TURN PROPORTIONATING VALVES 311 & 327 OFF M TO FIG. Ba FIG. BE U.S. Patent May 6, 2003 Sheet 21 of 65 INCREMENTAL S 1---..-i COUNTER: i-.----1 Q US 6,558,916 B2 FROM FIG. Bg .____L_K ____,LK.---_1+_1 ----' FROM FIG. Be 796 YES )-------.-! R 768 MOVE AUTOSAMPLER 315 TO POSITION LK 770 TURN ON 327 TURN OFF 311 REGISTER & SAVE SIGNAL SLK 776 780 REGISTER SIGNAL SL~Ni TURN OFF 327 TURN OFF 311 FIG. BF U.S. Patent May 6, 2003 Sheet 22 of 65 FLAG MOVE AUTOSAMPLER 315 TO POSITION "o" TURN PROPORTIONATING VALVE 327 ON 786 TURN PROPORTIONING VALVE 327 OFF 790 US 6,558,916 B2 784 785 787 792 FLAG STANDARD L~- "POSITIVE" STANDARD Lk·_ "NEGATIVE" SAVE DATA IN DATABASE s TO FIG. Bf 794 FIG. BC U.S. Patent May 6, 2003 Sheet 23 of 65 US 6,558,916 B2 FIG. 9A FIG. 9B FIG. 9C FIG. 90 FIG. 9£ FIG. 9 U.S. Patent 808 May 6, 2003 Sheet 24 of 65 US 6,558,916 B2 800 802 SET INITIAL PARAMETERS AND INCREMENTAL COUNTERS L, M AND N TO ZERO 804 INCREMENT. COUNTER N ~------{ X Ni =Ni-1+1 -----.------~FROM FIGS. 9c & 9e SET INCREMENTAL COUNTER N TO ZERO FIC. 9A YES TURN PUMP ON TURN DIVERTING VALVE 333 ON REGISTER MAX CALIBRATION SIGNAL TURN Dl_VERTING VALVE 335 ON REGISTER MIN CALIBRATION SIGNAL 816 820 824 832 836 U.S. Patent YES 846' TO FIG. 9c May 6, 2003 Sheet 25 of 65 TURN DIVERTING VALVES 335 & 333 OFF: FIG. 9B US 6,558,916 B2 844 NO 848 TO FIG. 9e U.S. Patent May 6, 2003 Sheet 26 of 65 US 6,558,916 B2 FROM FIG. 9b 850 MOVE AUTOSAMPLER 301 TO POSITiON N 1 860 TURN GRADIENT MODE OF PROPORTIONING VALVE 311 ON REGISTER DOSE RESPONSE OF A COMPOUND N1 STIMULATED SIGNAL INCREMENT COUNTER M .---~~ M·=M. 1 +1 J 1- NO YES v FROM FIG. 9d -------852 854 856 CALCULATE ACTIVATION PARAMETERS FOR THE COMPOUND Ni 858 SAVE DATA IN A DATABASE 9a FIG. 9C U.S. Patent May 6, 2003 Sheet 27 of 65 -----------...---------- MOVE AUTOSAMPLER 315 /864 TO POSITION M j TURN PROPORTIONATING ~866 VALVE 311 ON TURN GRADIENT MODE OF r 868 PROPORTIONING VALVE 327 ON I /870 REGISTER DOSE RESPONSE INHIBITION BY Mj STANDARD OF A COMPOUND N 1 STIMULATED SIGNAL ,, /871 US 6,558,916 B2 /872 TURN PROPORTIONATING V VALVES TO FIG. 9c 311 AND 327 OFF CALCULATE INHIBITION PARAMETERS FOR THE STANDARD Mj FIG. 90 /874 SAVE DATA IN A DATABASE U.S. Patent May 6,2003 Sheet 28 of 65 US 6,558,916 B2 876 INCREMENT FROM FIG. 9b COUNTER L~-----~ Lk =Lk-1+1 FIG. 9£ "\------.rx TO FIG. 9o NO MOVE AUTOSAMPLER MOVE AUTOSAMPLER 301 TO POSITION N; 315 TO POSITION Lk 882 892 CALCULATE ACTIVATION PARAMETERS FOR THE STANDARD Lk 894 SAVE DATA IN A DATABASE 896 CALCULATE INHIBITION PARAMETERS FOR THE COMPOUND Ni TURN GRADIENT MODE OF PROPORTIONING VALVE 327 ON 884 886 REGISTER DOSE RESPONSE OF Lk STANDARD STIMULATED SIGNAL TURN GRADIENT MODE OF PROPORTIONING VALVE 311 ON 888 REGISTER Ni COMPOUND DOSE DEPENDENT INHIBITION OF A STANDARD Lk STIMULATED SIGNAL 890 TURN OFF PROPORTIONATING VALVES 327 AND 311 U.S. Patent 750 ~ 500 c ,=., + N 0 () L__J 250 0 750 ~ 500 c ,=., + N 0 () L__J 250 0 10-1 May 6, 2003 0 25 I I 11111 1 o0 Sheet 29 of 65 FIG. 10 50 75 ET-1 , pM FIG. 11 I I I I 11111 I I I 10 1 Log [ET-1, pM] US 6,558,916 B2 BQ-123, nM 0 10 40 100 BQ-123, nM 0 10 40 125 I 11111 I I 111 ii 10 2 10 U.S. Patent 500 2 c ~ c ,:.=, + 250 N 0 u L__J 0 -0.2 500 ~ c c ,:.=, + 300 N 0 u L__J 100 May 6,2003 Sheet 30 of 65 US 6,558,916 B2 FIC.12 ' BQ-123 ET-1 t 0.0 0.2 0.4 0 25 ET-1 ' pM BQ-123, »M FIC. 13 100 300 BQ-123, nM F/C, 14 IJ/2 /JOI IJOfJ SUPPLY CELLS FROM· NEW CELL LINE 1302 SUPPLY CELLS ADD STANDARD AGONIST H FROM ORIGINAL TO CELLS CELL LINE SUPPLY MIXTURE TO DETECTOR 1304 INCREMENT.STANDARD AGONIST COUNTER /309-... REGISTER I !JO? _/I POTENCY PROFILE I INCREMENT CELL I COUNTER ' I RECORD /308/I POTENCY. PROFILE I ~'' .. II .. -· ,... ....... ,.... I I II.·--"' It:.~ /J!!-- ............_r ,,/" ( END) RESET STANDARD I· I ..)/..) - AGONIST COUNTER ~ • rJ'l • ~ ~ """'" ~= """'" ~ = '"< !?' N c 6 C/'.J ::r (!;) (!;) """ ~ ~ ~ """= ~ VI e 00 "" 111 (Ii CIJ "' ""' ~ "" t:= N U.S. Patent May 6, 2003 1407 ..-----I SUPPLY HOST CELLS 1408 COMBINE HOST CELLS WITH AGONIST 1409 SUPPL y_ MIXTURE TO DETECTOR Sheet 32 of 65 US 6,558,916 B2 1401 SUPPLY TRANFECTED CELLS 1402 COMBINE TRANSFECTED CELLS WITH STANDARD AGONIST 1403 SUPPLY MIXTURE TO DETECTOR 1404 1405 ~Y_E_S~~~~~~~ INCREMENT.STANDARD AGONIST COUNTER NO NO 1412 YES END FIG. 15 U.S. Patent May 6, 2003 Sheet 33 of 65 US 6,558,916 B2 FIG. 16A FIG. 16B FIG. 16C FIG. 160 FIG. 16£ FIG. 16F FIG. 16 U.S. Patent May 6,2003 Sheet 34 of 65 US 6,558,916 B2 1500 1502 1503 1506 TURN OFF VALVES SET INITIAL PARAMETERS .----------------. ENTER: LMAX CMAX 311 & 3~27, 333 ..,.... __ ___.__ _ ~ 335 & 347, 313 329, 341 & 345 1508 TURN. PUMP 357 ON 1504 MOVE AUTOSAMPLERS TO ZERO. POSITION 1-------~p 1510 .___-.--______. FROM FIG. 16f 1512 REGISTER BASAL .SIGNAL SAVE BASAL SIGNAL "Bs. " I FIG. 16A U.S. Patent May 6, 2003 Sheet 35 of 65 US 6,558,916 B2 1514 INCREMENT COUNTER L 0 t--~ · ~----1 M Lk =Lk-1+1 FROM FIG. 16e ....___ _______ _____, FROM FIG. 16c 1516 N~-----{ TO FIG. 16f 1518 MOVE AUTOSAMPLER 315 AT POS.ITION Lk TURN PROPORTIONING VALVE 327 ON 1521 REGISTER AGONIST INDUCED SIGNAL SLk SAVE AGONIST INDUCED SIGNAL Slk FIG. 16B 1520 1522 1523 U.S. Patent 1540 FLAG AGONIST Lk AS "POSI Tl VE" K TO FIG. 16d May 6, 2003 Sheet 36 of 65 TURN PROPORTIONING VALVE 327 OFF MOVE AUTOSAMPLER 315 TO ZERO POSITION TURN PROPORTIONING VALVE 327 ON US 6,558,916 B2 1530 1532 1534 1536 WASH DELAY TURN PROPORTIONING VALVE 327 OFF 1538 1542 YES FLAG r----~ AGONIST Lk AS "NEGATIVE" M TO FIG. 16b FIG. 16C U.S. Patent May 6, 2003 Sheet 37 of 65 US 6,558,916 B2 16c !550 MOVE AUTOSAMPLER 315 AT Lk POSITION TURN GRADIENT MODE OF PROPORTIONING VALVE 327 ON REGISTER DOSE RESPONSE OF A STANDARD AGONIST ~ STIMULATED SIGNAL CALCULATE POTENCY PARAMETERS FOR THE STANDARD AGONIST Lk SAVE DATA IN THE DATABASE FIG. 160 1552 1554 1556 1558 U.S. Patent May 6, 2003 Sheet 38 of 65 TURN PROPORTIONING VALVE 327 OFF MOVE AUTOSAMPLER 315 AT ZERO POSITIOB TURN PROPORTIONING VALVE 327 ON WASHING DELAY TURN PROPORTIONING VALVE 327 OFF 0 TO FIG. 16b FIG. 16£ US 6,558,916 B2 U.S. Patent May 6, 2003 TO FIG. 16a p SWITCH MUL TYCHANNEL VALVE 347 TO NEXT POSITION SET COUNTER L TO L = 0 Sheet 39 of 65 US 6,558,916 B2 FROM FIG. 16b N INCREMEN.TAL CELL COUNTER Ci =Ci +1 NO MOVE AUTO$AMPLER 315 TO ZERO POSITION TURN PROPORTIONING VALVE 327 ON WASH ·DELAY TURN PROPORTIONING VALVE 327 OFF TURN PUMP 357 OFF STOP FIG. 16F U.S. Patent May 6, 2003 Sheet 40 of 65 US 6,558,916 B2 FIG. 17A FIG. 17B FIG. 17C FIG. 170 FIG. 17£ FIG. 17F FIG. 17C FIG. 17 U.S. Patent May 6,2003 FIG. 17A _:_606' ~ ·-·-- 33, 335, & 34 7 Sheet 41 of 65 US 6,558,916 B2 START SET INITIAL PARAMETERS ENTER LMAX 1600 1602 1603 1604 SET AUTOSAMPLERS AT ZERO. POSITION RN OFF VALVE~J): 311 & 327 . 329, 341 & 345 [ ____ , __ -,---___ _____I SET VALVE 347 TO POSITION 1 TURN PUMP 357 ON 1612 REGISTER HOST CELL BASAL. SIGNAL SAVE BASAL SIGNAL FOR HOST CELLS "(BS)Hc" -···---- - ---- 1608 1610 1614 1616 U.S. Patent FIG. 17B May 6, 2003 Sheet 42 of 65 SET VALVE 347 TO POSITION 2 1622 DELAY US 6,558,916 B2 1620 1624 REGISTER TRANSFECTED CELL BASAL SIGNAL SAVE BASAL SIGNAL FOR TRANSFECTED CELLS ,, (BS) TC" TURN PUMP 357 OFF 1626 1628 U.S. Patent May 6, 2003 Sheet 43 of 65 US 6,558,916 B2 1630 INCREMENT 0 r----~ COUNTER L ~-------\ M FROM FIG. 17e Lk =~+1+ 1 FROM FIG. 17d !632 YES N~-----< TO FIG. 179 MOVE AUTOSAMPLER 315 AT POSiTION Lk TURN PUMP 357 ON TURN PROPORTIONING VALVE 327 ON !634 1636 1638 !640 DELAY REGISTER AGONIST INDUCED SIGNAL IN TRANSFECTED CELLS (SLK )re 1642 1643 SAVE SIGN.AL (SLK)Tc IN A DATABASE FIG. 17C U.S. Patent May 6, 2003 Sheet 44 of 65 TURN PROPORTIONING VALVE 327 OFF MOVE AUTOSAMPLER 315 TO ZERO POSITION TURN PROPORTIONING VALVE 327 ON US 6,558,916 B2 1644 1646 1648 1650 1656 WASH-DELAY TURN PROPORTIONING VALVE ·327 OFF TURN PUMP FLAG AGON I ST L AS ..,.Y._E_S--< NO "POSITIVE TC,, K TO FIG. 17e FIG 170 165.2 1654 1660 FLAG AGONIST Lk AS "NEGATIVE" M TO FIG. 17c U.S. Patent !676 May 6,2003 Sheet 45 of 65 FROM FIG. 17d MOVE AUTOSAMPLER 315 AT POSITION LK SET VALVE 347 TO POSITION 1 TURN VALVE 327 ON TURN PUMP 357 ON !662 !664 !666 1668 1670 DELAY US 6,558,916 B2 1672 REGISTER AGONIST INDUCED SIGNAL IN HOST CELLS, (SLk ~c !678 FLAG AS "POSITIVErc ~-Y--=E=-=S-< NO FLAG AS "POSITIVE TC NEGATIVEHc" NEGA Tl VE He" SAVE DATA IN A DATABASE FIG 17£ U.S. Patent May 6, 2003 Sheet 46 of 65 SET VALVE 347 TO POSITION 2 TURN VALVE 327 OFF MOVE AUTOSAMPLER 315 AT ZERO POSITION TURN VALVE 327 ON WASH DELAY TURN VALVE 327 OFF TURN PUMP 357 OFF 0 TO FIG. 17c FIG. 17F US 6,558,916 B2 U.S. Patent May 6, 2003 Sheet 47 of 65 FROM FIG. 1 7c 1700 SET COUNTER L TO L=O 1702 MOVE AUTOSAMPLERE 315 AT ZERO POSITION TURN VALVE 327 ON !704 !706 WASH DELAY !708 TURN VALVE 327 OFF !710 TURN PUMP 357 OFF 1712 FIG. 17C US 6,558,916 B2 U.S. Patent May 6, 2003 Sheet 48 of 65 US 6,558,916 B2 UNLABELED CELLS HARVEST CELLS LOAD CELLS WITH BIORESPONSE INDICATORS WASH AND _RESUSPEND CELLS FOR ANALYSIS I' EXPOSE CELLS TO TEST MIXTURES COMPRISING TES_T COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) IN MIXING APPARATUS DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR I DATA ANALYSIS I' DATA OU_TPUT TO FIG 18 DATABASE U.S. Patent May 6,2003 Sheet 49 of 65 US 6,558,916 B2 LABEL CELLS WITH I UNLABELED CELLS I CELL TYPE INDICATOR I I I HARVEST CELLS I LABEL CELLS WITH ~------1cELL TYPE SPECIFIC ANTIBODIES LOAD CELLS WI TH RESPONSE INDICATOR WASH AND RESUSPEND CELLS FOR ANALYSIS EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) IN MIXING APPARATUS DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR ' " I DATA ANALYSIS I FIG. 19 DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 50 of 65 US 6,558,916 B2 UNLABELED CELLS I HARVEST CELLS I LOAD CELLS WITH SEVERAL RESPONSE iNDICATORS WASH AND RESUSPEND CELLS FOR ANALYSIS EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND.(S) + STANDARD(S) IN MIXING APPARATUS ' DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR , SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR ' I DATA ANALYSIS I DATA OUTPUT TO DATABASE FIG. 20 U.S. Patent May 6, 2003 Sheet 51 of 65 LABEL CELLS WITH CELL TYPE INDICATORS UNLABELED CELLS l.___ __ --11-i: HARVEST CELLS I US 6,558,916 B2 LABEL CELLS WITH CELL TYPE SPECIFIC ANTIBODIES LOAD CELLS WITH RECEPTOR ACTIVITY IN°DICATOR(S) WASH AND RESUSPEND CELLS FOR AN AL YSI S EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) IN MIXING APPARATUS DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR I DATA ANALYSIS I DA TA OUTPUT TO DATABASE FIG. 21 U.S. Patent May 6, 2003 Sheet 52 of 65 US 6,558,916 B2 LABEL CE.LLS WITH LABEL CELLS WI TH CELL TYPE INDICATORS CELL TYPE SPECIFIC ANTIBODIES LABEL CELLS WI TH CELL TYPE SPECIFIC I UNLABELED CELLS I ANTIBODIES i I L-1 HARVEST CELLS: I t UNLOADED CELL SET LOAD CELLS WITH ca2+, IF NECESSARY OTHER ION. OR OTHER BIORESPONSE INDICATORS ' WASH AND_RESUSPEND CELLS FOR ANAL YSlS • EXPOSE CELLS TO TEST MIXTURES EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) TEST COMPOUND(S) + STANDARD(S) AND TO CATIONS IN AND TO BIOSTAINS IN MIXING APPARATUS MIXING APPARATUS I • DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND/OR MUL Tl PARAMETRIC ANALYSIS BY DETECTOR • I DATA ANALYSIS I DATA OUTPUT TO DATABASE FIG. 22 U.S. Patent May 6, 2003 Sheet 53 of 65 US 6,558,916 B2 LABEL CELLS WITH I UNLABELED CELLS I CELL TYPE INDICATORS I FIG. 23 I I HARVEST CELLS I LABEL CELLS WI TH ~---~ CELL TYPE SPECIFIC ANTIBODIES '' LOAD CELLS WITH RESPONSE INDICATOR(S) INDICATIVE OF THE ACTIVITY OF SECOND MESSENGERS WASH AND RESUSPEND CELLS FOR ANALYSIS EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) IN MIXING APPARATUS DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BT DETECTOR I DATA ANALYSIS I DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 54 of 65 US 6,558,916 B2 LABEL CELLS WITH CELL I UNLABELED CELLS I TYPE INDICATORS • I : HARVEST CELLS I • LABEL CELLS WITH CELL TYPE SPECIFIC ANTIBODIES • LOAD CELLS WITH BIORESPONSE INDICATOR(S) INDICATIVE OF APOPTOSIS OR CELLULAR TOXI Cl TY t WASH AND RESUSPEND CELLS FOR. ANALYSIS ' EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST· COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) ' INCUBATE (,:ELLS WITH TEST MIXTURES • RAPIDLY INPUT ~XPOSED CELLS TO MIXING APPARATUS ' EXPOSE CELLS TO APOPTOSIS SENSING COMPOUND(S) OR APOPTOSIS DETECTING COMPOUND(S) IN MIXING APPARATUS • DELIVER SAMPLE FROM APPARATUS TO DETECTOR t SINGLE PARTICLE AND /OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR • I DATA ANALYSIS I IC.24 t DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 55 of 65 US 6,558,916 B2 LABEL CELL$ WITH CELL I UNLABELED CELLS I TYPE INDICATORS ' I - HARVEST CELLS I ' LABEL CELLS WI TH CELL TYPE SPECIFIC ANTIBODIES + LOAD CELLS WITH BIORESPONSE INDICATOR(S) INDICATIVE OF NECROSIS + WASH AND RESUSPENDI CELLS FOR ANALYSIS ' EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST ·COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) ' I INCUBATE CELLS WITH I TEST MIXTURES + RAPIDLY INPUT EXPOSED CELLS TO MIXING APPARATUS ' EXPOSE CELLS TO NECROSIS SENSING COMPOUND(S) OR NECROSIS DETECTING COMPOUNO(S) IN MIXING APPARATUS • DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR ' SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR ' FIG. . 25 I DATA ANALYSIS I ' DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 56 of 65 US 6,558,916 B2 LABEL CELLS WITH CELL TYPE INDICATORS UNLABELED CELLS FIG. 26 '---------1-i HARVEST CELLS LABEL CELL$ WI TH CELL TYPE SPECIFIC ANTIBODIES LOAD CELLS WITH BIORESPONSE JN DI CA TOR(S) INDICATIVE OF NECROSIS AND APOPTOSIS WASH AND RESUSPEND CELLS FOR ANALYSIS EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) INCUBATE CELLS WITH TEST MIXTURES RAPIDLY INPUT EXPOSED ·CELLS TO MIXING APPARATUS EXPOSE CELLS TO NECROSIS AND APOPTOSIS SENSIN_G COMPOUNDS OR NECROSIS AND APOPTOSIS DETECTING COMPOUNDS IN MIXING APPARATUS DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND/OR MUL Tl PARAMETRIC ANALYSIS BY DETECTOR DATA ANALYSIS DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 57 of 65 US 6,558,916 B2 LABEL CELLS WITH CELL .TYPE I UNLABELED CELLS I INDICATORS I : HARVEST CELLS I LABEL . CELLS WI TH CELL TYPE SPECIFIC ANTIBODIES LOAD CELLS WITH BIORESPONSE INDICA TOR(S) WASH AND RESUSPEND CELLS FOR ANALYSIS EXPOSE CELLS TO TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) IN MIXING APPARATUS DELIVER SAMPLE FROM MIXING APPARATUS TO DETECTOR SINGLE PARTICLE AND /OR MULTIPARAMETRIC ANALYSIS BY DETECTOR EXPAND AND FLUORESCENCE-ACTIVATED CELL SORTING REANALYZE DECISIONS BY DETECTOR TO SELECT i-.. SELECT!;D CELL DESIRED SUBPOPULATION OF CELLS POPULATIONS TO CONFIRM HOMOGENEITY I DATA ANALYSIS I DATA OUTPUT TO DATABASE FIG. 27 U.S. Patent May 6,2003 Sheet 58 of 65 US 6,558,916 B2 EXPOSE CELLS TO TEST COMPOUNDS INCUBATE CELLS WITH TEST COMPOUND(S) l FIG. 28 PREPARE ADDRESSABLE ANTIBODY COATED MICROSPHERES LYSE CELLS AND ADD ANTIBODY-COATED MICROSPHERES I INCUBATE I t INPUT BEAD SAMPLE INTO MIXING APPARATUS ADD SECONDARY ANTIBODY· TO BEAD SAMPLE SINGLE PARTICLE AND/OR MUL Tl PARAMETRIC ANALYSIS BY DETECTOR I DATA ANALYSIS I t DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 59 of 65 US 6,558,916 B2 EXPOSE CELLS TO TEST COMPOUND(S) PREPARE ADDRESSABLE OLIGONU~LEOTIDE PROBE-COATED MICROSPHERES INCUBATE CELLS WITH TEST COM.POUND(S) FIG. 29 LYSE CELL AND ADD OLIGONUCLEOTIDE PROBE-COATED MICROSPHERES AND BIOTINYLATED OLIGONUCLEOTIDE PROBES I INCUBATE I t INPUT BEAD SAMPLE INTO MIXING APPARATUS ADD ANTI-BIOTIN ANTIBODY· TO BEAD SAMPLE SINGLE PARTICLE AND/OR MULTIPARAMETRIC ANALYSIS BY DETECTOR I DATA ANALYSIS I + DATA OUTPUT TO DATABASE U.S. Patent May 6, 2003 Sheet 60 of 65 US 6,558,916 B2 ISOLATE GENOMIC DNA FROM CELLS ' I PCR AMPLIFY DNA I • MINISEQUENCING REACTION TO INSERT FLUORESCENT BASE AT SNP SITE + INPUT EXTENDED FLUORESCENT PRIMERS FROM WELL TO MIXING APPARATUS t ADD STREPTAVIDIN-COATED BEADS TO EXTENDED PRIMERS IN MIXING APPARATUS t PERMIT BINDING OF PRIMERS TO BEADS ' SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR ' I DATA ANALYSIS I ' DATA OUTPUT TO DATABASE FIG. 30 U.S. Patent May 6,2003 Sheet 61 of 65 US 6,558,916 B2 PREPARE UNIQUE ADDRESSABLE POPULATIONS OF BEADS COUPLED WITH DISTINCT, FLUORESCENT ENZYME-SPECIFIC SUBSTRATES ! INPUT BEAD POPULATIONS INTO MIXING APPARATUS 1 MIX SUBSTRATE COATED BEADS WITH ENZYME TARGET IN THE PRESENCE OF TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) ' SET REACTION TIME IN MIXING APPARATUS ACCORDING TO DESIRED KINETIC PARAMETERS SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR DA TA ANALYSIS DATA OUTPUT TO DATABASE FIG. 31 U.S. Patent May 6,2003 Sheet 62 of 65 US 6,558,916 B2 PREPARE UNIQUE ADDRESSABLE POPULATIONS OF-BEADS COUPLED WITH DISTINCT BIOMOLECULES r INPUT BEAD POPULATIONS INTO MIXING APPARATUS ' MIX MOLECULAR TARGET-COATED BEADS WITH COGNATE MOLECULAR TARGET IN THE PRESENCE OF TEST COMPOUND(S) IN MIXING APPARATUS SET REACTION TIME IN MIXING APPARATUS ACCORDING TO DESIRED KINETIC PARAMETERS SINGLE PARTICLE AND/OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR I DATA ANALYSIS I DATA OUTPUT TO DATABASE FIG. 32 U.S. Patent May 6, 2003 Sheet 63 of 65 US 6,558,916 B2 PREPARE UNIQUE ADDRESSABLE POPULATIONS OF BEADS COUPLED ~TH REC~PTOR TARGETS --·- INPUT BEAD POPULATIONS INTO MIXING APPARATUS ! t MIX RECEPTOR TARGET-COATED BEADS WITH FLUORESCENT LIGANDS IN THE PRESENCE OF TEST MIXTURES COMPRISING TEST COMPOUND(S) OR TEST COMPOUND(S) + STANDARD(S) , ' SET REACTION TIME IN MIXING APPARATUS ACCORDING TO DESIRED KINETIC PARAMETERS t ~·~· L SINGLE PARTICLE AND /OR MUL TIPARAMETRIC ANALYSIS BY DETECTOR r DATA ANALYSIS DATA OUTPUT TO DATABASE r----- ----- Figure 34: Toxicity Screening by Flow Cytometry 100~~-----~~~--~~~------~~~~------ Ill .... c (]) 90 > 70 w ro E 60 l- o c .0 <( ...... 0 >- 0 c Q) ::J O" (]) 1- u. 40 30 20 10 0' I "'"'' Y; Calcium Glutathione Pl. Mcmb. 1 Pl. Mcrnb. 2 Side Sctr. Forw. Sctr. Parameter ---- ------------ 0 Oubain IZJ Etoposide El Acetaminophen 0 lbuprofcn G Control ---_-------=------ ~ • rJ'l • ~ ~ """"' ~= """"' ~ = '-< "'"" N c 6 C/'.J ::r (!;) (!;) """ "" """ ~ """= "" VI e 00 ~O'I Ol Ol CIJ ~ ~ O'I t:= N Plasma Membrane Plasma Membrane I Probe 1 Probe 2 ---- 111 uM 40% 34% DSOOnM 29% 28% -·----·--·· 111250 nM 25% 21% D 125 nM 10% 11% m63nM 11% 8% &131 nM 7% 6% -----~~---- £316 nM 7% 5% l?JB nM 8% 6% L___ ____ ctmomycm }::'.: ~ti~ t} §~~ {Calcium]i I Light Scatter 54% 55% 60% 55% ~, 42% 50% ---------------~ 26% 41% --------- - ---- - -------- 17% 33% 11% 30% ----- 12% 24% 11% 24% ~ • rJ'l • ~ ~ """'" ~= """'" ~ = '"< !?' N c 6 Cf'l ::r (!;) (!;) """ ~ VI ~ """= ~ VI e 00 ~~ Ol Ol CIJ ~ ""' ~ ~ t:= N US 6,558,916 B2 1 CELL FLOW APPARATUS AND METHOD FOR REAL-TIME MEASUREMENTS OF PATIENT CELLULAR RESPONSES RELATED APPLICATIONS 5 2 surface molecules, the cell response would be abnormal causing malfunctioning of a tissue or an organ. In eukaryotic cells, receptor molecules determine the selective response of the cell. Each type of receptor can interact only with a specific set of ligand molecules. For example, adrenergic receptors interact with adrenaline and noradrenaline, cholinergic receptors interact with acety lcholine, serotoninergic receptors interact with 5-hydroxytriptamine, dopamineergic with DOPA and so on. The present application is a continuation-in-part of U.S. patent application Ser. No. 09/568,778 filed May 10, 2000, now U.S. Pat. No. 6,242,209 the disclosure of which is incorporated herein by reference in its entirety, which is a continuation of U.S. patent application Ser. No. 09/370, 786, filed Aug. 5, 1999, now U.S. Pat. No. 6,280,967 which is a continuation-in-part of U.S. patent application Ser. No. 09/317,793, filed May 24, 1999 now U.S. Pat. No. 6,096,509 which is a continuation of U.S. patent application Ser. No. 08/904,904, filed Aug. 1, 1997 (now U.S. Pat. No. 5,919, 646, issued Jul. 6, 1999), which was a continuation-in-part of U.S. patent application Ser. No. 08/691,356 filed Aug. 2, 1996 (now U.S. Pat. No. 5,804,436, issued Sep. 8, 1998), the disclosures of which are incorporated herein by reference in their entireties. rn The cells derived from the different tissues invariably express specific sets of tissue receptors. Different types of receptors are connected to different signal transduction pathways. For example, nicotinic cholinergic receptor, upon binding acetylcholine molecule, directly activates sodium 15 channel (Claudio et al., 1987, is incorporated herein by reference). G-protein coupled receptors activate enzymes of second messenger pathways, for example, adenylate cyclase or phospholipase C with subsequent activation of cAMP or phosphoinositide cascades (Divecha and Itvine, 1995, is FIELD OF THE INVENTION This invention relates generally to an apparatus for screening and the pharmacological profiling of compounds modulating a cellular physiological response. This invention also relates to devices for rapid assessment of the properties 20 incorporated herein by reference). Receptor tyrosine kinases activate cascade of MEK/MAPK kinases leading to cell differentiation and proliferation (Marshall, 1995 and Herskowitz, 1995, are incorporated herein by reference)]. Cytokine receptors activate JAK/STAT cascade which in 25 turn can regulate other pathways as well as activate gene transcription (Hill & Treisman, 1995, is incorporated herein by reference). Together with the receptors, the cell surface meirane carries ion pumps, ion transporters and ion channels. These molecular assemblies work in concert to maintain intracel- lular ion homeostasis. Any changes in the activity of these systems would cause a shift in the intracellular concentra- tions of ions and consequently to the cell metabolic of compounds that modulate the activities of cells. The compounds investigated may be involved in regulating the activity of signal transduction pathways, cellular responses, 30 cell surface receptors, ion channels, non-selective pores, second messenger pathways, dov-'llstream signal transduc- tion pathways, apoptosis, cellular necrosis or any other cellular responses. The devices and methods of the present invention may also be used to perform biochemical analyses, such as Western analyses, Northern analyses, detection of single nucleotide polymorphisms (SNPs), detection of enzymatic activities, or molecular assembly 35 response. Ion pumps act to maintain transmembrane ion gradients utilizing ATP as a source of energy. The examples of the ion pumps are: Na+;K+-ATPase maintaining transmembrane gradient of sodium and potassium ions, Ca2 + -ATPase main- assays. In some embodiments, this invention relates to methods and apparatus for detecting, evaluating and characterizing the ability and potency of substances to act as agonists or antagonists against receptors and ion channels localized on a cell surface membrane. 40 taining transmembrane gradient of calcium ions and H+ -ATPase maintaining transmembrane gradient of protons. BACKGROUND INFORMATION Ion transporters use the electrochemical energy of trans- membrane gradients of one ion species to maintain gradients of other ion counterpart. For example, the Na+/Ca2 +- 45 exchanger uses the chemical potential of the sodium gradi- ent directed inward to pump out calcium ions against their chemical potential. Biological cells contain receptor molecules located on their external membrane. The function of these receptors is to "sense" the cell environment and supply the cell with an 50 input signal about any changes in the environment. In eukaryotic organisms such cell environment is comprised of the neighboring cells and the function of the receptor is to allow cells to communicate with each other directly (the paracrine regulatory system) or indirectly (the endocrine 55 regulatory system) thus achieving harmonized response of a tissue, organ or a whole organism. In prokaryotic cells, the surface localized receptors provide a means for detecting extracellular environment. Ion channels, upon activation, allow for the ions to move across the cell membrane in accordance with their electro- chemical potential. There are two main types of ion chan- nels: voltage operated and ligand-gated. Voltage operated channels are activated to the open state upon changes in transmembrane electric potential. Sodium channels in the neuronal axon or L-type calcium channels in neuromuscular junctions exemplify this kind of channel. Ligand-gated channels are activated to the open state upon binding a certain ligand with the chemoreceptor part of their mol- ecules. The classical example of ligand-gated channels is nicotinic cholinergic receptor which, at the same time, is the 60 sodium channel. Having received such a signal, neurotransmitters, hormones, chemoattractant or chemorepellant substances for example, the surface localized receptors transmit this information about extracellular environment into the cell through specific intracellular pathways in such a way that the cell responds in the specific fashion to accommodate 65 these changes. When there is an altered supply of the external signal molecules or an altered activity of the cell There are numerous methods for detecting ligand/receptor interaction. The most conventional are methods where the affinity of a receptor to a substance of interest is measured in radioligand binding assays. In these assays, one measures specific binding of a reference radiolabeled ligand molecule in the presence and in the absence of different concentrations of the compound of interest. The characteristic inhibition US 6,558,916 B2 3 parameter of the specific binding of the reference radiola- beled ligand with the compound of interest, IC50 , is taken as a measure of the affinity of the receptor to this compound (Weiland & Molinoff, 1981 and Swillens et all., 1995, are incorporated herein by reference). Recent advances in 5 microchip sensor technology made it possible to measure direct interactions of a receptor molecule with a compound of interest in real time. This method allows for determination 4 cell from extracellular environment through specialized voltage-independent Ca2 +-selective channels triggered by specific ligands. In nonexcitable cells, hyperpolarization of the plasma cell membrane also enhances entry of calcium ions through passive transmembrane diffusion along the electric potential. For example, opening of potassium chan- nels brings the membrane potential to more negative values inside the cell, thus facilitating Ca2 + entry across the plasma membrane. Excitable cells contain voltage-dependent Ca2 + of both association and dissociation rate constants with subsequent calculation of the affinity parameter (F _gerstam et al., 1992, is incorporated herein by reference). While being very precise and convenient, these methods do not allow to distinguish between agonist and antagonist activity of the compound. The type of biological activity of the compounds, agonist or antagonist, may be determined in the cell based assays. In the methods described in Harpold & Brust, 1995, which is incorporated herein by reference, cells cotransfected with a receptor gene and reporter gene construct, are used to provide means for identification of agonist and antagonist potential pharmaceutical compounds. These methods are inconvenient because they require very laborious manipu- lations with gene transfection procedures, are highly time consuming and use artificially modified cells. Besides, to prove that the agonistic effect of a particular compound is connected to the stimulation of a transfected receptor, sev- eral control experiments with a positive and negative control cell lines should be performed as well. 10 channels on their plasma membrane, which, upon membrane depolarization, open for a short period of time and allow inflow of Ca2 + from external media into cytoplasm. The endoplasmic reticulum membrane as well as plasma mem- brane of the excitable cells contains InsP 3 receptors and Ca2 +-sensitive ryanodine receptors (RyR) releasing Ca2 + 15 from intracellular stores upon membrane receptor triggered phospholipase C activation or depolarization-induced short burst of Ca2 + entry into cell cytoplasm from extracellular media respectively. 20 It is well established that G-protein coupled serpentine receptors initiate Ca2 + mobilization through the activation of phospholipase Cf3 (Sternweis and Smrcka, 1992, is incor- porated herein by reference) whereas tyrosine kinase recep- tors activate phospholipase Cy with subsequent intracellular Ca2 + mobilization (Berridge & Irvine, 1989, is incorporated 25 herein by reference). Most closely related to the methods of this invention are the methods described in Paree et al., 1994, which is incorporated herein by reference. These prior art methods use natural cells and are based on registering the natural cell responses, such as the rate of metabolic acidification, to the biologically active compounds. The disadvantage of the prior art is low throughput speed, each measurement point 35 taking about three minutes. Another disadvantage of the prior art is the use of cells immobilized on the internal surface of the measuring microflow chamber. This leads to the necessity of using separate silicon sensors, or cover slips, with the cells adherent to them for each concentration point 40 of the agonist or antagonist, for the receptors that undergo desensitization upon binding to the agonist molecule. This results in high variability of the experimental results. There are many plasma membrane G-protein coupled serpentine receptors, tyrosine kinase growth factor receptors and voltage- and ligand-regulated channels known to initiate 30 intracellular Ca2 + mobilization. Ca2 + plays an essential role in many functional processes of a cell. For example, Ca2 + affects the cell cycle (Means, 1994, is incorporated herein by reference) and activates specific transcription factors (Sheng et al., 1991, is incor- porated herein by reference). Scores of receptors and ion channels use the Ca2 + signal to initiate events as basic as cell Ionized calcium, unlike other intracellular ion events, e.g. changes in the intracellular concentrations of protons, 45 sodium, magnesium, or potassium, serves as the most com- mon element in different signal transduction pathways of the cells ranging from bacteria to specialized neurons (Clapham, 1995, is incorporated herein by reference). There are two major pools which supply signal transduction pathways in 50 the cell with the calcium ions, extracellular space and the endoplasmic reticulum. There are several mechanisms to introduce small bursts of calcium into cytosol for signal transduction. Both excitable and nonexcitable cells have on their 55 motility, contraction, secretion, division etc. Increases in cytosolic and, consequently, in nuclear con- centration of the Ca2 + can also be a cell death promoting signal. For example, prolonged increase in free Ca2 + acti- vates degradation processes in programmed cell death, apoptosis, activates nucleases that cleave DNA and degrade cell chromatin, promotes DNA digestion by direct stimula- tion of endonucleases, or indirectly by activation of Ca2 + - dependent proteases, phosphatases and phospholipases, resulting in a loss of chromatin structural integrity (Nicotera et all., 1994, is incorporated herein by reference). A development of intracellular fluorescent calcium indi- cators (Grynkiewicz et all., 1985, is incorporated herein by reference) made it possible for intracellular concentration of free calcium to be measured directly in the living cell. Thus the ability to register changes in intracellular calcium con- centration provide the means for monitoring effects of different compounds useful in treating various diseases, whose action is thought to be a result of an interaction with membrane receptors and ion channels. With the advent of combinatorial chemistry approaches to identify pharmacologically useful compounds, it is increas- ingly evident that there is a need for methods and appara- plasma membrane predominantly two receptor classes, G-protein coupled serpentine receptors (GPCSR) and the receptor tyrosine kinases (RTK), that control calcium entry into cell cytoplasm. Both GPCSR and RTK receptors acti- vate phospholipase C to convert phosphatidylinositol into inositol(l,4,5)-trisphosphate (InsP 3 ) and diacylglicerol. InsP 3 acts as an intracellular second messenger and activates specialized receptor that spans the endoplasmic reticular membrane. The activation of this receptor triggers release of calcium ions from the endoplasmic reticulum (Berridge, 1993, is incorporated herein by reference). The calcium ions can also enter the cytoplasm of excitable and nonexcitable 60 tuses capable of performing automated characterization of pharmacological profiles and corresponding potencies of the compounds in synthesized combinatorial libraries. This would enable the rapid screening of a large number of compounds in the combinatorial library the identification of 65 those compounds which have biological activity, and the characterization of those compounds in terms of potency, affinity and selectivity. US 6,558,916 B2 5 It is an object of this invention to provide methods for screening and the quantitative characterization of potentially pharmacologically effective compounds that specifically interact with and modulate the activity of cell membrane receptors, ion pumps and ion channels using living cells. It is an additional object of this invention to provide methods capable of characterizing an affinity of the active compounds to the binding sites of the cell. It is another additional object of this invention to provide methods to distinguish between agonistic and antagonistic activity of the compounds. It is yet another additional object of this invention to provide methods to determine the nature of the receptor, ion channel or ion pump entity which is sensitive to the active compounds discovered during the screening process. It is yet another additional object of this invention to provide methods to characterize cell receptor pattern for particular cell source tissue. 5 6 cells is mixed with flows of the compound and a standard substance. The effects of the compound alone and in mixture with the standard substance are measured and provide the means for pharmacological profiling of the compounds, drug screening and cell receptor pattern characterizing. In a preferred embodiment of the invention, the com- pounds to be screened and standard agonist and antagonist substances are organized in a 96-well plate format, or other regular t\vo dimensional array, such as a 48-well and 24-well rn plate format or an array of test tubes. In another preferred embodiment of the invention, the non-adherent cells are grown in a suspension of freely flowing cells by growing them in an appropriate cell cultivating system. In another preferred embodiment of the invention, the 15 naturally adherent cells which need attachment to a surface for their growth, are grown in the appropriate cell cultivating system containing commercially available micro spherical beads to which the cells adhere during the growth. It is yet another additional object of this invention to 20 perform each of the above methods on each member of a series of cell types. In yet another preferred embodiment of the invention, the naturally adherent cells which need attachment to a surface for their growth, are grown in the cell culture flasks with a subsequent detachment of the cells from the flask bottom with an appropriate detaching reagent. It is yet another additional object of the invention to determine the pattern of cell surface receptors expressed in one or more cell types. It is yet another additional object of the invention to confirm that a test compound influences the activity of a particular receptor. It is yet an additional object of the invention to determine the activity of a given receptor in a variety of cell types in which it is expressed. It is a specific object of this invention to provide an apparatus for fulfillment of the objectives above. In accordance with the present invention, either eukary- 25 otic or prokaryotic cells can be used. The cells can be transfected with a gene coding to express a receptor of interest, for example, an orphaned receptor. In addition, the variety of compounds having biologically relevant activity may be used including but not limited to neurotransmitters, 30 hormones, toxins, receptor activators and inhibitors, ion channel<> and ion pump modulators, irritants and/or drugs. It is yet another additional object of this invention to 35 provide an apparatus for fulfillment of each of the objectives above for each member of a series of cell types. The cells grown in accordance with the preferred embodi- ments described above, are mixed \Vith an appropriate fluorescent dye, for example FURA-2AM for measurements concentrations of intracellular calcium or BCECF-AM for measurements of intracellular pH, and are incubated in the appropriate conditions to allow the dye to penetrate into the cell. The cells loaded with a dye are supplied to the appa-At least some of these and other objectives are addressed by the various embodiments of the invention disclosed herein. SUMMARY OF THE INVENTION The present invention addresses the above and other needs by providing a method and corresponding apparatuses which allows the automated characterization of pharmaco- logical profiles and corresponding potencies of compounds in synthesized combinatorial libraries. This enables the rapid screening of a large number of compounds in the combina- torial library, the identification of those compounds which have biological activity, and the characterization of those compounds in terms of potency, affinity and selectivity. A variety of effects caused by the compounds to be screened may be detected and quantitatively characterized according to the present invention. Preferably, these effects include but are not limited to changes in intracellular con- centration of ionized calcium, cAMP or pH, transmembrane potential and other physiological and biochemical charac- teristics of living cell which can be measured by a variety of conventional means, for example using specific fluorescent, luminescent or color developing dyes. 40 ratus. In the apparatus, the cells are successively mixed with a solutions of the compounds to be tested. The methods of the present invention may be performed automatically using the apparatti disclosed herein. In particular, the cells or particles may be automatically mixed 45 with test compound(s) and or standard compound(s). The cells or particles may be automatically delivered to the detector. The detector may automatically analyze the cells for particular characteristics, automatically identify test compounds having the desired cellular effects, or automati- 50 cally identify the presence of a particular molecule in a sample. In some embodiments, a coupling device may automatically deliver the cells or particles to the detector. Calibration solutions may be input automatically. In addition, gradients of test compounds or standard com- 55 pounds may be automatically provided. The automation of the present methods increases the number of samples which can be evaluated over a given time period. A first embodiment of the present invention is a method for identifying compounds which produce a cellular 60 response comprising: The present invention also includes methods of screening for agonist or antagonist activity of drugs, methods of characterizing their potency profiles, methods of identifying the receptor expression pattern of cell membrane ("receptor 65 fingerprinting") and methods of determining toxicity pro- files for the compounds. In these methods, a steady flow of (a) using an apparatus to combine a suspension of cells with one or more test compounds to form test mixtures; (b) directing the test mixtures through a detection zone, the detection zone being capable of detecting a plurality of cellular responses simultaneously; and (c) simultaneously measuring a plurality of cellular responses to the one or more test compounds in the US 6,558,916 B2 7 suspended cells as the test mixtures are flowing through the detection zone. In one aspect of the first embodiment, the plurality of cellular responses includes a cellular response selected from the group consisting of activation or inhibition of a receptor 5 mediated response, activation or inhibition of an ion channel, activation or inhibition of a non-selective pore, activation or inhibition of a second messenger pathway at a point downstream of a receptor or channel, activation or inhibition of apoptosis, and activation or inhibition of eel- 10 lular necrosis, and cellular toxicity. In another aspect of the first embodiment, the plurality of cellular responses are measured by contacting the cells with one or more response indicating reagents which generate signals indicative of particular cellular responses. For example, the signal generated by the response indicating 15 reagent<> may be fluorescence. In another aspect of the first embodiment, the step of directing the test mixtures through a detection zone com- prises directing the text mixtures through a detection zone which is capable of detecting the cellular responses in 20 individual cells. In another aspect of the first embodiment, the step of directing the test mixtures through a detection zone com- prises directing the test mixtures through a flow cytometer. In another aspect of the first embodiment, the step of 25 simultaneously measuring a plurality of cellular responses comprises measuring the plurality of cellular responses in the suspended cells as a slug is flowing through the detection zone. In another aspect of the first embodiment, the suspension 30 of cells comprises more than one type of cell. A second embodiment of the present invention is a method for identifying compounds which produce a cellular response comprising: (a) using an apparatus to combine a suspension of cells with one or more test compounds to form test mixtures; 35 (b) directing the test mixtures through a detection zone, the detection zone being capable of detecting cellular responses in individual cells; and (c) measuring one or more cellular responses to the one or more test compounds in individual suspended cells as 40 the test mixtures are flowing through the detection zone. 8 A third embodiment of the present invention is a method of determining whether a sample contains one or more molecules comprising: using an apparatus to combine one or more agents capable of binding one or more molecules with the sample to form test mixtures; directing the test mixtures through a detection zone; and determining whether the one or more agents are bound to the one or more molecules as the one or more agents are flowing through the detection zone. In one aspect of the third embodiment, the one or more agents are fixed to a solid support. For example, a plurality of agents capable of binding a plurality of molecules may be fixed to uniquely identifiable solid supports. The determin- ing step may comprise detecting a signal from an individual solid support wherein the signal indicates that the agent on the solid support has bound to the molecule. In another aspect of the third embodiment, the one or more agents are selected from the group consisting of antibodies, nucleic acids, polypeptides, enzymatic substrates, and receptors. In another aspect of the third embodiment, the one or more molecules are selected from the group consisting of polypeptides, nucleic acids, receptor ligands, enzymatic agonists and enzymatic antagonists. A fourth embodiment of the present invention is a method of determining whether a sample contains one or more polypeptides comprising: attaching one or more antibodies which specifically bind the one or more polypeptides to solid supports; using an apparatus to combine the one or more antibodies attached to solid supports with samples to form test mixtures; directing the test mixtures through a detection zone; and determining whether the one or more antibodies are bound to the one or more polypeptides as the solid supports are flowing through the detection zone. In one aspect of the fourth embodiment, a plurality of antibodies which specifically bind to a plurality of polypep- tides are fixed to uniquely identifiable solid supports. The determining step may comprise detecting a signal from an individual solid support wherein the signal indicates that the antibodies have bound to the molecules. The signal may be generated by detectably labeled secondary antibodies which In one aspect of the second embodiment, the one or more cellular responses is selected from the group consisting of activation or inhibition of a receptor mediated response, activation or inhibition of an ion channel, activation or inhibition of a non-selective pore, activation or inhibition of 45 bind the molecules. A fifth embodiment of the present invention is a method of determining whether a sample contains one or more nucleic acids comprising: a second messenger pathway at a point downstream of a receptor or channel, activation or inhibition of apoptosis, and activation or inhibition of cellular necrosis, and cellular 50 toxicity. In another aspect of the second embodiment, wherein the one or more cellular responses is measured by contacting the cells with one or more response indicating reagents which generate signals indicative of particular cellular responses. 55 For example, the signal generated by the response indicating reagents may be fluorescence. attaching one or more nucleic acid probes which specifi- cally bind the nucleic acids to solid supports; using an apparatus to combine the one or more probes attached to the solid supports with samples to form test mixtures; directing the test mixtures through a detection zone; and determining whether the one or more probes are bound to the one or more nucleic acids as the solid supports are flowing through the detection zone. In one aspect of the fifth embodiment, a plurality of nucleic acid probes are fixed to uniquely addressable solid In another aspect of the second embodiment, the step of directing the test mixtures through a detection zone com- prises directing the test mixtures through a flow cytometer. In another aspect of the second embodiment, the suspen- sion of cells comprises more than one type of cell. 60 supports. The determining step may comprise detecting a signal from an individual solid support wherein the signal indicates that the probes have bound to the nucleic acids. The signal may be generated by detectable nucleic acid In another aspect of the second embodiment, the step of simultaneously measuring a plurality of cellular responses comprises measuring the plurality of cellular responses in 65 the suspended cells as a slug is flowing through the detection zone. probes which bind the nucleic acids. A sixth embodiment of the present invention is a method of determining whether a sample contains one or more single nucleotide polymorphisms comprising: US 6,558,916 B2 9 performing an extension reaction on a nucleic acid sample using one or more nucleic acid primers having a 3' end immediately adjacent to the polymorphic base of one or more single nucleotide polymorphisms, thereby incor- porating one base into the nucleic acid primers; attaching the extended primers to solid supports; 5 directing the solid supports having primers attached thereto through a detection zone in an apparatus; and determining the identities of the bases incorporated in the 10 extension reaction. In one aspect of the sixth embodiment, a plurality of primers are fixed to uniquely identifiable solid supports. The determining step comprises detecting a signal from an individual solid support wherein the signal is indicative of 15 the identity of the polymorphic base in a SNP. The signal may be generated by detectably labeled nucleotides incor- porated in the extension reaction. In another aspect, the first embodiment further comprises the steps of: 20 (d) combining a suspension of the cells with one or more standard compounds having a known effect on the cellular response of the cells to form standard mixtures; ( e) directing the standard mixtures through the detection zone; and (f) measuring the cellular response of the cells to the one or more standard compounds. 25 In the above aspect of the first embodiment, the one or more standard compounds and the one or more test com- pounds may be simultaneously mixed with the cells in the 30 combining steps, and the measuring step detects the known effect or an alteration of the known effect. The one or more standard compounds is an antagonist of the cellular response. The one or more standard compounds is an agonist 10 A ninth embodiment of the present invention is an appa- ratus comprising: a test compound source; a test substrate source; a mixing chamber in fluid communication with said test compound source and said test substrate source, wherein said mixing chamber is adapted for combining a test compound received from said test compound source with a test substrate received from said test substrate source to generate a mixture; and a detector in fluid communication with said mixing chamber, said detector being capable of detecting an interaction between said test compound and said test substrate while said mixture is passing through said detector. A tenth embodiment of the present invention is an appa- ratus comprising: one or more sample inputs for sequentially providing multiple samples, the samples comprising one or more test compounds to be evaluated for the ability to produce a cellular response or a solution to be evalu- ated for the presence of molecules; one or more cell or particle inputs for providing a cell suspension or particles; a mixing zone, coupled to the sample input, for receiving the samples, receiving the cell suspension or particles from the cell or particle input and mixing each sample with the cell suspension or particles; and a detector capable of detecting a plurality of signals simultaneously, the detector being coupled to the mix- ing zone and being capable of simultaneously measur- ing a plurality of cellular responses in the suspended cells or simultaneously determining whether a plurality of molecules are present in the samples. of the cellular response. The suspension of cells may com- prise more than one cell type. The step of directing the test mixtures through a detection zone may compri<>e directing the test mixtures through a flow cytometer. 35 In one aspect of the tenth embodiment, the detector detects a signal from a single cell in the cell suspension or from a single particle. A seventh embodiment of the present invention is a method of obtaining cells having a desired phenotype or 40 cellular response profile comprising the steps of: In another aspect of the tenth embodiment, the detector is a flow cvtometer. In an~ther aspect of the tenth embodiment, the apparatus further comprises a coupler disposed between the mixing zone and the detector. The coupler may deliver slugs com- prising the samples and the cell suspension or particles to the detector. In some embodiments the coupler delivers substan- (a) using an apparatus to combine a suspension of cells with one or more compounds which produce a cellular response to form test mixtures; (b) directing the test mixtures through a detection zone, the detection zone being capable of detecting a plurality 45 tially undiluted slugs to the detector. In another aspect of the tenth embodiment, the detector delivers cells having a desired phenotype or cellular response to a receptacle. of cellular parameters simultaneously; In another aspect of the tenth embodiment, the sample input is an automated robotic sampler capable of selecting a (c) simultaneously measuring a plurality of cellular parameters in the suspended cells as the test mixtures are flowing through the detection zone; and SD specified test compound from a library of test compounds. (d) delivering cells having a desired phenotype or cellular response profile into a receptacle. An eighth embodiment of the present invention is a method of obtaining cells having a desired phenotype or 55 cellular response profile comprising the steps of: (a) using an apparatus to combine a suspension of cells with one or more compounds which produce a cellular response to form test mixtures; (b) directing the test mixtures through a detection zone, 60 the detection zone being capable of detecting cellular responses in individual cells; (c) simultaneously measuring a plurality of cellular parameters in the suspended cells as the test mixtures are flowing through the detection zone; and (d) delivering cells having a desired phenotype or cellular response profile into a receptacle. 65 The device may further comprise a controller, coupled to the sample input, for controlling the operation of the test com- pound sampler; and a computer, coupled to the controller, for sending com- mand signals to the controller in accordance with a software program implemented by the computer, thereby controlling the selection and retrieval of test compounds by the sample input from the test com- pound library. The apparatus may further comprise a gradient pump having an input and an output, coupled to the sample input, for adjusting the concentration level of the test compound transferred to the mixing zone from the sample input, wherein: the sample input comprises: a first intake nozzle for receiving the specified test com- pound; a second intake nozzle for receiving a buffer solution; and US 6,558,916 B2 11 wherein the gradient pump is coupled to the first and second intake nozzles and receives specified concen- trations of the test compound by adjusting the amount 12 from the cell or particle input and mixing each sample with the cell suspension or particles; and a detector which detects one or more signals from a single cell or particle, the detector being coupled to the mixing zone and being capable of measuring one or more cellular responses in the suspended cells or determining whether one or more molecules are present in the samples. In one aspect of the elventh embodiment, the apparatus of test compound and buffer solution received by the first and second intake nozzles, respectively, wherein 5 the buffer solution is a diluting agent of the test compound. The apparatus may further comprise a sec- ond pump, coupled to an input of the mixing zone, for pumping the suspension of cells or the particles from the cell or particle input into the mixing zone. The apparatus may further comprise a reaction developing line, having an input coupled to an output of the mixing zone and an output in fluid communication with the detector wherein the reaction developing line provides rn further comprises a coupler disposed between the mixing zone and the detector. The coupler may deliver slugs com- prising the samples and the cell suspension or particles to the detector. The coupler may deliver substantially undiluted slugs to the detector. The apparatus may further comprise an a reaction time delay for a mixture received from the mixing zone. The apparatus may further comprise: 15 input system for inputting solutions into the mixing zone. a pump, coupled to the output of the detector, for providing negative pressure to the apparatus; a proportionating valve, coupled to the sample input, for adjusting the concentration level of the test compound transferred to the mixing zone from the 20 sample input, wherein the sample input further com- prises: a first intake nozzle for receiving the specified test compound; a second intake nozzle for receiving a buffer solu- 25 tion; and the proportionating valve receives specified concen- trations of the test compound by adjusting the amount of test compound and buffer solution received by the first and second intake nozzles, 30 respectively, wherein the buffer solution is a dilut- ing agent of the test compound. In another aspect of the tenth embodiment, the apparatus further comprises a plurality of cell suspension reservoirs. In another aspect of the tenth embodiment, the apparatus 35 further comprises a standard compound sampler, coupled to the mixing zone, for providing one or more standard com- pounds having a known effect on the cellular response of the suspended cells or a known interaction with the particles, wherein the mixing zone receives the one or more standard 40 compounds from the standard compound sampler and mixes the one or more standard compounds with the suspended cells or particles and the detector measures the cellular response of the suspended cells to the one or more standard compounds or the interaction between the one or more 45 standard compounds and the particles. The mixing zone may simultaneously mix the sample and the one or more standard compounds with the suspended cells or the particles and the detector detects the known effect or an alteration of the known effect on the cellular responses of the suspended cells 50 or the known interaction between the standard compound and the particles or an alteration of the known interaction between the standard compound and the particles. The standard compound sampler may be an automated robotic sampler capable of selecting a specified standard compound 55 from a library of standard compounds. A elventh embodiment of the present invention is an apparatus comprising: The detector may deliver cells having a desired phenotype or cellular response to a receptacle. An twelfth embodiment of the present invention is an apparatus comprising: a sample input for sequentially providing multiple samples, the samples comprising one or more test compounds to be evaluated for the ability to produce a cellular response or a solution to be evaluated for the presence of molecules; a cell or particle input for providing a cell suspension or particles; a mixing zone, coupled to the sample input, for receiving the samples, receiving the cell suspension or particles from the cell or particle input and mixing each sample with the cell suspension or particles; and a detector capable of detecting a plurality of signals simultaneously, the detector being coupled to the mix- ing zone and being capable of simultaneously measur- ing a plurality of cellular responses in the suspended cells or simultaneously determining whether a plurality of molecules are present in the samples. In one aspect of the twelfth embodiment, the detector detects a signal from a single cell in the cell suspension or from a single particle. In another aspect of the twelfth embodiment, the detector is a flow cytometer. In another aspect of the twelfth embodiment, the appara- tus further comprises a coupler disposed between the mixing zone and the detector. The coupler may deliver slugs com- prising the samples and the cell suspension or particles to the detector. The coupler may deliver substantially undiluted slugs to the detector. In another aspect of the twelfth embodiment, the appara- tus further comprises an input system for inputting solutions into the mixing zone. In another aspect of the twelfth embodiment, the detector delivers cells having a desired phenotype or cellular response to a receptacle. In another aspect of the twelfth embodiment, the appara- tus further comprises a standard compound sampler, coupled to the mixing zone, for providing one or more standard compounds having a known effect on the cellular response a sample input for sequentially providing multiple samples, the samples comprising one or more test compounds to be evaluated for the ability to produce a cellular response or a solution to be evaluated for the presence of molecules; a cell or particle input for providing a cell suspension or particles; 60 of the suspended cells or a known interaction with the particles, wherein the mixing zone receives the one or more standard compounds from the standard compound sampler and mixes the one or more standard compounds with the suspended cells or particles and the detector measures the a mixing zone, coupled to the sample input, for receiving the samples, receiving the cell suspension or particles 65 cellular response of the suspended cells to the one or more standard compounds or the interaction between the one or more standard compounds and the particles. The mixing US 6,558,916 B2 13 zone may simultaneously mix the sample and the one or more standard compounds with the suspended cells or the particles and the detector detects the known effect or an alteration of the known effect on the cellular responses of the suspended cells or the known interaction between the stan- 5 ::imal cell response or maximum interaction of particles with a molecule when mixed with the cell 5 suspension or particles; a calibration minimum solution which provides for minimal cell response or minimal interaction of a particle with a molecule when mixed with the cell suspension or particles; 10 a diverting valve having a first input coupled to the calibration maximum solution and a second input coupled to the calibration minimum solution, for switching between the flow of either the calibra- tion maximum solution or calibration minimum solution; and 15 a pump, coupled to the output of the diverting valve and an input of the switching valve, for pumping either the calibration maximum or calibration minimum solution from the diverting valve into the switching valve. The apparatus may further 20 comprise a second pump, coupled to an input of the first mixing zone, for pumping the suspension of cells or the particles from the cell or particle input into the first mixing zone. The apparatus may further comprise a reaction developing line, 25 having an input coupled to an output of the first mixing zone and an output coupled to an input of the detector, for providing a flow path and a reaction time delay for a mixture received from the first mixing zone and for providing the mixture 30 to the detector. The apparatus may further com- pri<>e: a controller, coupled to the first and second gradient pumps, the sample input, the standard compound sampler and the switching valve, 35 the first and second mixing zones, the first and second pumps and the diverting valve for con- trolling their operation; and a computer, coupled to the controller, for sending command signals to the controller in accor- 40 dance with a software program implemented by the computer, wherein the computer is also coupled to the detector in order to send and receive signals indicative of a cellular response or the presence of a molecule in a sample to 45 and from the detector. The detector may detect a plurality of cellular responses including a cellular response selected from the group con- sisting of activation or inhibition of a receptor mediated response, activation or inhibition of 50 an ion channel, activation or inhibition of a non-selective pore, activation or inhibition of a second messenger pathway at a point down- stream of a receptor or channel, activation or inhibition of apoptosis, activation or inhibition 55 of cellular necrosis, and cellular toxicity. The apparatus may further comprise: a pump, coupled to the output of the detector, for provid- ing negative pressure to the apparatus; a proportionating valve, coupled to the sample input, for 60 adjusting the concentration level of the test compound transferred to the mixing zone from the sample input, wherein the sample input further comprises: a first intake nozzle for receiving the specified test compound; 65 a second intake nozzle for receiving a buffer solution; and 16 the proportionating valve receives specified concentra- tions of the test compound by adjusting the amount of test compound and buffer solution received by the first and second intake nozzles, respectively, wherein the buffer solution is a diluting agent of the test compound. The apparatus may further comprise: an automated standard compound sampler capable of selecting a specified standard compound from a library of standard compounds, the standard com- pound sampler including a third intake nozzle for receiving the specified standard compound and a fourth intake nozzle for receiving a buffer solution; and a second proportionating valve, coupled to the third and fourth intake nozzles, for receiving specified concen- trations of the standard compound by adjusting the amount of standard compound and buffer solution received by the third and fourth intake nozzles, respectively, wherein the buffer solution is a diluting agent of the standard compound. The apparatus may further comprise: a first priming valve, coupled to the output of the first proportionating valve, for receiving the specified concentration of the test compound and providing the test compound to the mixing zone; a second priming valve, coupled to the output of the second proportionating valve, for receiving the specified concentration of the standard compound and providing the standard compound to the mixing zone. The apparatus may further comprise: a calibration unit including a calibration maximum solution which provides for maximal cell response or maximum interaction with particles when mixed with the cell suspension or particles and a calibration minimum solution which provides for minimal cell response or minimal interaction with particles when mixed with the cell suspension; a first diverting valve, having a first input coupled to the calibration maximum solution and a second input coupled to the calibration minimum solution, for switching between the flow of either the calibration maximum solution or calibration minimum solution; a second diverting valve, having a first input coupled to the output of the mixing zone and a second input coupled to the output of the first diverting valve, for switching between the flow of either a calibration solution from the first diverting valve or a mixture from the mixing zone; a third priming valve, coupled to the output of second diverting valve, for receiving a mixture from the second diverting valve; and a second mixing zone, coupled to the output of the third priming valve, for mixing a mixture provided by the third priming valve with the cell suspension or particles, wherein the cell or particle input and the detector are coupled to the second mixing zone instead of the first mixing zone. The apparatus may further comprise a reaction developing line, having an input coupled to the output of the second mixing zone and an output coupled to an input of the detector, for providing a flow path and a reaction time delay for a mixture received from the second mixing zone before the mixture reaches US 6,558,916 B2 17 the detector. The cell or particle input may com- prise: a cell suspension or particle reservoir; a buffer reservoir; a third diverting valve, having a first input coupled to 5 the cell suspension or particle reservoir and a second input coupled to the buffer reservoir, for adjusting the concentration of the cell suspension 18 the interaction between the one or more standard compounds and the particles. The mixing zone may simultaneously mix the one or more test compounds and the one or more standard compounds with the suspended cells or the par- ticles and the detector detects the known effect or an alteration of the known effect on the cellular responses of the suspended cells or the known interaction between the one or more standard compounds and the particles or an alteration of the known interaction between the one or more standard or the particles, wherein the buffer is a diluting agent of the cell suspension or particles; and 10 compounds and the particles. The apparatus may further comprise: a fourth priming valve, coupled to the output of the third diverting valve, for receiving the cell sus- pension or particle mixture from the third divert- ing valve and providing this mixture to the second mixing zone. The detector may detect a plurality 15 of cellular responses including a cellular response selected from the group consisting of activation or inhibition of a receptor mediated response, acti- vation or inhibition of an ion channel, activation or inhibition of a non-selective pore, activation or 20 inhibition of a second messenger pathway at a point downstream of a receptor or channel, acti- vation or inhibition of apoptosis, activation or inhibition of cellular necrosis, and cellular toxic- ity. The apparatus may further comprise a plurality 25 of cell suspension reservoirs. A thirteenth embodiment of the present invention is an apparatus comprising: a sample input for sequentially providing multiple samples, the samples comprising one or more test 30 compounds to be evaluated for the ability to produce a cellular response or a solution to be evaluated for the presence of molecules; a cell or particle input for providing a cell suspension or particles; a mixing zone, coupled to the sample input, for receiving the samples, receiving the cell suspension or particles from the cell or particle input and mixing each sample with the cell suspension or particles; and 35 a detector which detects one or more signals from a single 40 cell or particle, the detector being coupled to the mixing zone and being capable of measuring one or more cellular responses in the suspended cells or determining whether one or more molecules are present in the samples. 45 In one aspect of the thirteenth embodiment, the detector is a flow cytometer. In another aspect of the thirteenth embodiment, the detec- tor delivers cells having a desired phenotype or cellular response to a receptacle. SD In another aspect of the thirteenth embodiment, further comprising a coupler disposed between the mixing zone and the detector. The coupler may deliver slugs comprising the samples and the cell suspension or particles to the detector. The coupler may deliver substantially undiluted slugs to the 55 detector. In another aspect of the thirteenth embodiment, the appa- ratus further comprises a standard compound sampler, coupled to the mixing zone, for providing a sample of one or more standard compounds having a known effect on the 60 cellular response of the suspended cells or a known inter- action with the particles, wherein the mixing zone receives the sample of the one or more standard compounds from the standard compound sampler and mixes the one or more standard compounds with the suspended cells or particles 65 and the detector measures the cellular response of the suspended cells to the one or more standard compounds or a first gradient device, coupled to the sample input, for automatically adjusting the concentration level of the one or more test compounds transferred to the mixing zone from the sample input; and a second gradient device, coupled to the stand compound sampler, for automatically adjusting the concentration level of the one or more standard compounds trans- ferred to the mixing zone from the standard compound sampler. The apparatus may further comprise a switch- ing valve, coupled to the first and second gradient devices at an input of the switching valve and coupled to the mixing zone at an output of the switching valve, for selectively switching the flow of a concentration of the one or more test compounds or a concentration of the standard compound or both to the mixing zone where the one or more test compounds and/or the one or more standard compounds are then mixed with the suspension of cells or the particles. The apparatus may further comprise a calibration unit, coupled to the sv-ritching valve, wherein the switching valve also selectively switches the flow of a calibration solution provided by the calibration unit into the mixing zone where the calibration solution is mixed with the sus- pension of cells or the particles. The apparatus may further comprise reaction developing lines coupled to the output of the mixing zone, for receiving a mixture of the cell suspension or the particles mixed with either the one or more test compounds, the one or more standard compounds or the calibration solution, and providing a flow path for the mixture such that there is adequate time for the suspended cells or particles to react with the one or more test compounds, the standard compound or the calibration solution, wherein the reaction developing lines is further coupled to the input of the detector which receives the mixture from the reaction developing lines. The detector may detect one or more cellular responses selected from the group consisting of are selected from the group consisting of activation or inhibition of a receptor mediated response, activation or inhibition of an ion channel, activation or inhibition of a non-selective pore, activa- tion or inhibition of a second messenger pathway at a point downstream of a receptor or channel, activation or inhibition of apoptosis, activation or inhibition of cellular necrosis, and cellular toxicity. The apparatus may further comprise: a controller, coupled to the first and second gradient devices, the sample input, the standard compound sampler, the sv-ritching valve, and the coupler for controlling their operation; and a computer, coupled to the controller, for sending command signals to the controller in accordance with a software program implemented by the computer, wherein the computer is also coupled to the detector in order to send and receive signals indicative of a cellular response or the presence of a molecule in the sample to and from the detector. US 6,558,916 B2 19 In another aspect of the thirteenth embodiment, the sample input is an automated robotic sampler capable of selecting a specified test compound from a library of test compounds. The apparatus may further comprise: a controller, coupled to the sample input, for controlling 5 the operation of the test compound sampler; and a computer, coupled to the controller, for sending com- mand signals to the controller in accordance with a software program implemented by the computer, thereby controlling the selection and retrieval of test 10 compounds by the sample input from the test com- pound library. The apparatus may further comprise a gradient pump having an input and an output, coupled to the sample input, for adjusting the concentration level of the test compound transferred to the mixing 15 zone from the sample input, wherein: the sample input comprises: a first intake nozzle for receiving the specified test compound; a second intake nozzle for receiving a buffer solu- 20 tion; and wherein the gradient pump is coupled to the first and second intake nozzles and receives specified concen- trations of the test compound by adjusting the amount of test compound and buffer solution 25 received by the first and second intake nozzles, respectively, wherein the buffer solution is a diluting agent of the test compound. The apparatus may further comprise: 30 a pump, coupled to the output of the detector, for provid- ing negative pressure to the apparatus; a proportionating valve, coupled to the sample input, for adjusting the concentration level of the test compound transferred to the mixing zone from the sample input, 35 wherein the sample input further comprises: a first intake nozzle for receiving the specified test compound; a second intake nozzle for receiving a buffer solution; and 40 the proportionating valve receives specified concentra- tions of the test compound by adjusting the amount of test compound and buffer solution received by the first and second intake nozzles, respectively, wherein the buffer solution is a diluting agent of the test compound. 45 The apparatus may further comprise: an automated standard compound sampler capable of selecting a specified standard compound from a library of standard compounds, the standard com- pound sampler including a third intake nozzle for 50 receiving the specified standard compound and a fourth intake nozzle for receiving a buffer solution; and a second proportionating valve, coupled to the third and fourth intake nozzles, for receiving specified concen- 55 trations of the standard compound by adjusting the amount of standard compound and buffer solution received by the third and fourth intake nozzles, respectively, wherein the buffer solution is a diluting agent of the standard compound. The apparatus may 60 further comprise: a first priming valve, coupled to the output of the first proportionating valve, for receiving the specified concentration of the test compound and providing the test compound to the mixing zone; 65 a second priming valve, coupled to the output of the second proportionating valve, for receiving the 20 specified concentration of the standard compound and providing the standard compound to the mixing zone. The apparatus may further comprise: a calibration unit including a calibration maximum solution which provides for maximal cell response or maximum interaction with particles when mixed with the cell suspension or particles and a calibration minimum solution which provides for minimal cell response or minimal interaction with particles when mixed with the cell suspension; a first diverting valve, having a first input coupled to the calibration maximum solution and a second input coupled to the calibration minimum solution, for switching between the flow of either the calibration maximum solution or calibration minimum solution; a second diverting valve, having a first input coupled to the output of the mixing zone and a second input coupled to the output of the first diverting valve, for switching between the flow of either a calibration solution from the first diverting valve or a mixture from the mixing zone; a third priming valve, coupled to the output of the second diverting valve, for receiving a mixture from the second diverting valve; and a second mixing zone, coupled to the output of the third priming valve, for mixing a mixture provided by the third priming valve with the cell suspension or particles, wherein the cell or particle input and the detector are coupled to the second mixing zone instead of the first mixing zone. The apparatus may further comprise a reaction developing line, having an input coupled to the output of the second mixing zone and an output coupled to an input of the detector, for providing a flow path and a reaction time delay for a mixture received from the second mixing zone before the mixture reaches the detector. The cell or particle input may comprise: a cell suspension or particle reservoir; a buffer reservoir; a third diverting valve, having a first input coupled to the cell suspension or particle reservoir and a second input coupled to the buffer reservoir, for adjusting the concentration of the cell suspension or the particles, wherein the buffer is a diluting agent of the cell suspension or particles; and a fourth priming valve, coupled to the output of the third diverting valve, for receiving the cell suspen- sion or particle mixture from the third diverting valve and providing this mixture to the second mixing zone. The detector may detect a plurality of cellular responses including a cellular response selected from the group consisting of activation or inhibition of a receptor mediated response, activation or inhibition of an ion channel, activation or inhibi- tion of a non-selective pore, activation or inhibition of a second messenger pathway at a point down- stream of a receptor or channel, activation or inhi- bition of apoptosis, activation or inhibition of cellu- lar necrosis, and cellular toxicity. The apparatus may further comprise a plurality of cell suspension res- ervoirs. In another aspect, the invention relates to a method for determining the effect of each of a plurality of test agents on cells from a subject comprising: (a) obtaining cells from the subject; (b) combining each of a plurality of samples comprising the cells with one or more of the test agents to form each of a plurality of test mixtures; and US 6,558,916 B2 21 (c) sequentially directing each of said plurality of test mixtures through a detection zone in an apparatus, said detection zone being capable of detecting the effect of said agents on said cells. 22 Further, the above cellular analysis may comprise measuring the level of activity of one or more multidrug resistance transporters in said cells. In an embodiment, the above method further comprises 5 determining whether said one or more test agents has a desired effect on said cells from said subject. In another embodiment, the test agent of the above methods comprises test cells. Within this embodiment, the subject may be a mammal. The mammal may be selected from the group consisting of mouse, rat, rabbit, dog, cat, sheep, goat, cattle, pig, monkey, and human. In another embodiment, the above method further com- prises using an automated and computer controlled appara- tus to sequentially combine each of a plurality of samples comprising said cells with one or more said agents. In a further embodiment, the agents in the above method are selected from the group consisting of chemical compounds, biological molecules, and test cells. The agents may be chemical compounds. In an embodiment, the subject in the above method is a mammal. The mammal may be selected from the group consisting of mouse, rat, rabbit, dog, cat, sheep, goat, cattle, pig, monkey, and human. In other embodiments, the mam- mal is a human. In another embodiment, the cells are normal cells. The normal cells may be selected from the group consisting of cells involved in generating or modulating an immune system. In another embodiment, however, the cells are abnormal cells. The abnormal cells are selected from the group con- sisting of cancer cells. In yet another embodiment, the test agents are selected from the group consisting of agents for treating cancer, immunosuppressive drugs, antibiotics, anti-inflammatory drugs, neurotransmitters, growth hormones, and analgesics. An embodiment of the invention provides for the test mixtures of the above method to further comprise one or more response indicating agents. The response indicating agents may indicate a decrease or cessation of replication, or thev mav indicate cell death. In an~ther embodiment, the plurality of test mixtures vary according to a condition selected from the group consisting of the concentration of said one or more test agents, incu- bation condition, type of cell, type of test agent, and number of test agents, or a combination thereof. In further embodiments, the detection zone is capable of detecting a plurality of cellular responses simultaneously. In an embodiment, the determining step comprises simul- taneously measuring a plurality of said extent of response of said cells to said one or more test compounds as each of said plurality of test mixtures are flowing through said detection zone. In another embodiment, the detection zone is capable of detecting a cellular response as a single cell is flowing through said detection zone. The detection zone may com- prise a flow cytometer. In another of the invention, the above method further comprises conducting a genetic analysis to determine whether said subject is likely to have a desirable or adverse response to said one or more test agents. The genetic analysis may comprise determining whether said subject has an allele of one or more single nucleotide polymorphisms which indicates that said subject will have said desirable or adverse response. Another embodiment of the invention provides for the above method further comprising conducting a cellular analysis to determine whether said subject is likely to have a desirable or adverse response to said one or more test compounds. The above cellular analysis may comprise determining whether said one or more test compounds will be maintained at effective concentrations in said cells. In another embodiment, the cells are normal cells. These normal cells may be cells involved in generating or modu-rn lating an immune response. In vet another embodiment, the cells are abnormal cells. Thes.; abnormal cells may be cancer cells. In an embodiment, the test agents are selected from the group consisting of agents for treating cancer, immunosup- 15 pressive drugs, antibiotics, anti-inflammatory drugs, neurotransmitters, growth hormones, and analgesics. In another embodiment, the test mixtures further comprise one or more response indicating agents. The response indi- cating agents may indicate a decrease or cessation of repli- 20 cation. The response indicating agents may instead indicate cell death. In an embodiment, the plurality of test mixtures vary according to a condition selected from the group consisting of the concentration of said one or more test agents, incu- 25 bation condition, type of cell, type of test agent, and number of test agents, or a combination thereof. In a further embodiment, the detection zone is capable of detecting a plurality of cellular responses simultaneously. In still another embodiment, the determining step com- 30 prises simultaneously measuring a plurality of said extent of response of said cells to said one or more test compounds as each of said plurality of test mixtures are flowing through said detection zone. In vet other embodiments, the detection zone is capable of 35 detecting a cellular response as a single cell is flowing through said detection zone. The detection zone may com- prise a flow cytometer. In another embodiment, the above method further com- prises conducting a genetic analysis to determine whether 40 said subject is likely to have a desirable or adverse response to said one or more test agents. Another embodiment relates to the above method further comprising conducting a genetic analysis to determine whether said subject is likely to have a desirable or adverse response to said test cells. The genetic 45 analysis may comprise determining whether said subject has an allele of one or more single nucleotide polymorphisms which indicates that said subject will have said desirable or adverse response. In an embodiment, the above method further comprising 50 conducting a cellular analysis to determine whether said subject is likely to have a desirable or undesirable response to said test cells. The cellular analysis may comprise deter- mining whether said test cells express one or molecules on their surface which will cause a desirable or undesirable 55 response. The one or molecules may comprise major histo- compatibility molecules. 60 In vet another embodiment, the test agents are test cells from 'a candidate organ or tissue to be tested for use in an organ or tissue transplant. Further details on the latter aspects of the invention are set forth in Example 22. BRIEF DESCRIPTION OF THE DRAWINGS FIGS. lA and lB are block-diagrams of one embodiment 65 of the combinatorial screening apparatus of the present invention which do not include or do include a coupling system. US 6,558,916 B2 23 FIG. 2 illustrates the multiparametric capacity of the FCM, and indicates the flow of information obtained from the FCM 24 FIG. 22 is a flow diagram of a method for analyzing the activity of ion channels or non-selective pores. FIGS. 3A and 3B are block-diagrams of a positive pres- sure fluidic system which do not include or do include a 5 coupling system and which may be used in a combinatorial screening apparatus of the present invention. FIG. 23 is a flow diagram of a method for measuring the activity of second messengers. FIG. 24 is a flow diagram of a method for measuring cellular apoptosis or cellular toxicity. FIG. 25 is a flow diagram of a method for measuring cellular necrosis. FIGS. 4A and 4B are block-diagrams of one embodiment FIG. 26 is a flow diagram of a method for measuring cellular necrosis and cellular apoptosis or cellular toxicity. of a preferred system which do not include or do include a coupling system and which may be used in a combinatorial 10 screening apparatus of the present invention. FIG. 27 is a flow diagram of a method for obtaining or cloning populations of cells having a desired phenotype or cellular response profile obtain or clone populations of cells 15 having a desired phenotype or cellular response profile FIG. 28 is a flow diagram of a method for detecting the presence of one or more polypeptides in a sample. FIG. 5 represents a simplified algorithm of a screening mode which may be utilized in a combinatorial screening apparatus of the present invention. FIG. 6 represents a simplified algorithm for a potency mode which may be utilized in a combinatorial screening apparatus of the present invention. FIG. 7 is a flow diagram of a preferred primary mode operation which may be implemented by a combinatorial 20 screening apparatus of the present invention. FIG. 7 com- prises the combination of FIGS. 7a-7d. FIG. 29 is a flow diagram of a method for detecting the presence of one or more nucleic acids in a sample. FIG. 30 is a flow diagram of a method for detecting the identities of one or more polymorphic nucleotides in a nucleic acid sample. FIG. 8 is a flow diagram of a preferred screening mode operation which may be implemented by a combinatorial screening apparatus of the present invention. FIG. 8 com- prises the combination of FIGS. 8a-8g. FIG. 9 is a flow diagram of a preferred potency mode operation which may be implemented by a combinatorial screening apparatus of the present invention. FIG. 9 com- prises the combination of FIGS. 9a-9e. FIG. 10 represents the experimental results of ET-1 dose dependent Ca2 + mobilization in the presence of BQ-123. FIG. 11 represents the semi logarithmic transformation of the data of the FIG. 9. FIG. 12 represents the experimental results of dose depen- dent inhibition of ET-1 induced Ca2 + mobilization in the TE-671 cells with BQ-123. FIG. 31 is a flow diagram of a method for analyzing 25 enzymatice activities. 30 FIG. 32 is a flow diagram of a method for performing molecular assembly assays. FIG. 33 is a flow diagram of a method for evaluating the interactions of receptors with ligands. FIG. 34 is a bar graph of the frequency of abnormal events detected by changes in intracellular calcium, glutathione, plasma membrane integrity(PI and TO-PR03 exclusion) and forward and side light scatter for HL-60 cells treated with a Oubain(12 uM), Actinomycin D (400 nM), Ibuprofen (70 35 uM), Etopside (5 uM), Acetaminophen (70 uM), FCCP (12 uM) and untreated control cells. FIG. 35 is a dose response curve for actinomycin D. FIG. 13 represents the experimental results of ET-1 dose dependent Ca2 + mobilization in TE-671 cells with the sub- 40 sequent inhibition with the BQ-123. DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 14 represents a simplified algorithm for cell mapping mode which may be utilized in a combinatorial screening apparatus of the present invention. FIG. 15 represents a simplified algorithm for functional 45 characterization of orphaned receptors mode which may be utilized in a combinatorial screening apparatus of the present The present invention provides for real-time, continuous monitoring and detection of the physiological or pharmaco- logical effect of a test compound on a series of cell types or on a single cell type. In its simplest embodiment, the present invention comprises a method and apparatus for continu- ously contacting a single cell suspension, a series of cell suspensions, each of which contains a single cell type included in the series of cell types to be tested, a single cell invention. FIG. 16 represents a flow diagram of a preferred cell mapping mode operation which may be implemented by a combinatorial screening apparatus of the present invention. FIG. 16 comprises the combination of FIGS. l6a-l6f FIG. 17 represents a flow diagram of a preferred orphaned receptor determination mode operation which may be imple- mented by a combinatorial screening apparatus of the present invention. FIG. 17 comprises the combination of FIGS. 17a-17g. FIG. 18 is a flow diagram of a method for measuring cellular responses. FIG. 19 is a flow diagram of a method for measuring cellular responses in cell populations containing more than one type of cell. FIG. 20 is a flow diagram of a method for measuring a plurality of cellular responses simultaneously. FIG. 21 is a flow diagram of a method for analyzing receptor activity. 50 suspension containing more than one cell type, or a series of cell suspensions containing more than one cell type with a predetermined concentration of at least one potentially active compound, preferably with predetermined concentra- tions of at least two active compounds. Then, intracellular 55 changes that occur in response to contact between the cells and the active compounds are continuously measured as the suspensions pass a detector. In some embodiments, a plu- rality of cellular responses can be simultaneously evaluated. In some embodiments, one or more cellular responses are 60 evaluated in a single cell. In other embodiments, the present invention comprises a method and apparatus for continuously contacting particles, or a series of particles, each of which contains a particle type included in the series of particles to be tested, a single 65 particle preparation containing more than one type of particle, or a series of particle preparations containing more than one type of particle with a predetermined concentration US 6,558,916 B2 25 of at east one molecule to be tested for interaction with the particles. In some embodiments, the particles are contacted with predetermined concentrations of at least two molecules. Then, interactions between the particles and the molecules are continuously measured as the particles and the test 5 molecules pass a detector. In some embodiments, a plurality of interactions can be simultaneously evaluated. In some embodiments, one or more interactions are evaluated in a particle. 26 controller. The controller can continuously monitor the results of each step of the process, and can automatically alter the testing paradigm in response to those results. The incubation period after mixing of the compound or compounds and the cells can advantageously be controlled by passing that mixture through a length of tubing connect- ing the mixing zone with the detector. After mixing with the test compound or compounds, the cell suspension or par- ticles may be delivered to the detector, such as a flow In other embodiments, the present invention allows the monitoring of the physiological effects of test compounds, the pharmacological effects of test compounds, or the bio- chemical properties of cells to be measured at the level of individual cells or in each of the cell types in a heteroge- neous population of cells. In further embodiments, the present invention allows the simultaneous examination of multiple characteristics of each cell or cell type or the examination of heterogeneous or mixed cell populations. rn cytometer, directly through the tubing. Alternatively, after mixing with the test compound or compounds, the cell suspension or particles may be delivered to the detector, such as a flow cytometer, via a coupling system. The coupling system is disposed between the mixing 15 chamber and the detector as illustrated in FIGS. lB, 3B, and 4B. Preferably, the coupling system rapidly provides the samples to the detector to optimize the number of samples which can be analyzed in a given time period. A variety of It is contemplated that the present invention will be of major value in high-throughput screening; e.g., in screening 20 a large number of candidate compounds for activity against one or more cell types. It has particular value, for example, coupling systems are known to those skilled in the art. More preferably, the coupler is a device which captures a slug comprising the cell and test compound(s) mixture from the output tubing connected to the mixing chamber and delivers the slug to the detector under conditions which minimize oscillations. Such a device will be referred to in screening synthetic or natural product libraries for active compounds or biochemical characterization. It is also contemplated that the present invention will be of major value in high-throughput screening of a sample for a plurality of molecules, such as biological molecules. The present invention can be used to screen a sample for the presence of a large number of biological molecules such as polypeptides, receptor ligands, enzymatic substrates, ago- ni<>ts or antagonists of enzymatic or receptor activity, or nucleic acids. 25 hereinafter as a Plug Flow Coupler (PFC). Preferably, the slug is isolated from the output tubing from the mixing chamber to a separate piece of tubing and rapidly delivered to the detector, such as a flow cytometer. Isolating the In one preferred embodiment, a test compound, a standard compound, and a cell suspension containing the cell type to 30 sample slug from the output tubing connected to the mixing chamber helps to reduce the effects of the oscillatory hydro- dynamics of the peristaltic pump-driven output tubing, thereby enhancing the quality of the data. For example, the PFC may deliver the sample under positive air pressure. 35 Preferably, the PFC selects a substantially undiluted por- tion of the sample slug for analysis instead of analyzing the entire slug. During transit through the tubing from the mixing point, diffusion of the cells and test compound(s) occurs resulting in dilution of the test compound(s) con- be tested or particle preparation, or a member of the series 40 tacted by the cells. Thus, in this preferred embodiment, diluted portions of the slug are not analyzed. Timing and other activities of the PFC may be controlled through a special section of software that will be incorporated within of cell types or series of particles to be tested are continu- ously mixed together and, after an incubation period, are passed by a detector that measures one or more cellular responses, one or more interactions between the molecules and the particles, or the concentration in the cells or in the intracellular medium of at least one analyte. In a preferred embodiment, the detector comprises a device capable of analyzing individual cells, individual cell types in a cell suspension, individual particles in a sample, individual 45 particle types in a sample, individual components in a sample, or individual types of components in a sample. In some embodiments, the detector is capable of evaluating a plurality of cellular responses or a plurality of interactions between particles and molecules simultaneously. Preferably, the detector is a flow cytometer (FCM) which permits the analysis or characterization of individual cells, individual cell types in a cell suspension, individual particles in a sample, individual particle types in a sample, individual components in a sample, or individual types of components 55 in a sample. In some embodiments, the detector may be capable of delivering cells exhibiting a desired set of param- eters to a receptacle, thereby separating desired cells from undesired cells. For example, the detector may be a fluo- rescence activated cell sorter. Alternatively, the detector may 60 comprise a microscope based imaging system such as those available from Bio-Rad (Eugene, OR) or Zeiss(, Germany). In one embodiment, the concentration of the test compound and/or the standard compound is varied over time to gen- erate dose/response curves as output from the detector. It is preferred that the apparatus of the present invention is under the control of a computer or other programmable the software that controls the overall system. Preferably, the PFC is the PFC described in the U.S. Patent Application entitled "Plug-Flow Cytometry for High Throughput Screening and Drug Discovery", filed Jun. 10, 1999, the corresponding PCT application of which is pub- lished as WO 00/20873, which is incorporated herein by 50 reference in its entirety, including any drawings. However, it will be appreciated that any device which provides a sample slug may be used. In embodiments in which the detector is directly coupled to the mixing chamber via the reaction lines, the incubation period will thus be determined by the flow rate and the length of the tubing. In embodiments where a coupling system is used, the incubation period is determined by the amount of time it takes for the cell suspension or particles to pass from the mixing chamber, through the coupling system, and into the detector. Incubation periods can vary by several orders of magnitude, depending on the particular analyte and the resultant reaction time. For example, the incubation period could be as little as one second or a fraction of a second for rapid or short-lived physiological responses, or as 65 long as several minutes or even hours. The analyte can be any analyte that is readily detectable by detectors, such as flow cytometers, and/or detector/ US 6,558,916 B2 27 chemistry combinations. Thus, various ion or electrolyte concentrations, colorimetric changes, optical density changes, fluorescence, luminescence, pH, gas production, and the like are all readily adaptable for use in the present method and apparatus. 5 28 more particle types to be tested); a calibration unit 117, for supplying calibration solutions to the switching valve 111 so that the calibration solutions may be mixed with the cell suspension or particles in predetermined ratios; a reaction In detecting ion or electrolyte changes, calorimetric or fluorescent dyes are one particularly preferred embodiment. For example, calcium ion is detectable by such probes as Fura-2, Indo-1, Fura Red or Quin-2, sodium ions by SBFL, proton ions by BCECF, SNAFL, DM-NERF, magnesium 10 ions by Mag-Fura-2 or Mag-Fura-5, chloride ions by SPO, SPA or MOAE. All these dyes are commercially available, developing lines unit 115, for receiving the cell suspensions or particles mixed with either the compound/standard solu- tion mixture or the calibration solution and for transferring this mixture to a detector 119; and a drain 121 for receiving and draining the mixture from detector 119 after the cell response or particle interaction has been detected and mea- sured by detector 119. A controller 109 is coupled to the test compound sampler 101, the standards sampler 103, gradient devices 105 and 107 and switching valve 111. The controller controls the above devices by receiving command signals from a computer 123 which in turn generates, sends and receives signals in accordance with a software program 125. for example, from Molecular Probes, Inc., Oregon. In some embodiments, it may be desirable to correlate the parameter of transit time from the final mixing point with 15 compound concentration in order to conduct compound concentration-cell response measurements. In such embodiments, the device may include a calibration unit between the mixing point and the detector to determine the amount of signal generated by different concentrations of 20 compounds. For example, the calibration unit may deter- mine the amount of fluorescence generated by different concentrations of fluorescent materials. In embodiments which include a PFC, the calibration unit may be inserted in the output tubing from the mixing point just upstream of the 25 PFC. The mixing zone 112 can constitute a chamber, a tube, a series of baffles, or any other structure in which mixing can occur. In some embodiments, the computer 123 may also control the operation of the coupling system 120. In further embodiments, the computer 123 may synchronize the cou- pling system 120 with the test compound sampler 101 such that the next sample slug is delivered to the detector shortly after the analysis of the current sample slug is completed, thereby optimizing the number of samples which may be analyzed in a given time period. In further embodiments, the In one embodiment, the calibration unit may comprise a light emitting diode (LED), a glass cuvette and a fluores- cence detector in line immediately before the PFC. The glass cuvette is inserted into the output line from the mixing point just upstream of the PFC. The LED provides light to the cuvette. A light sensing device, such as a fiber optic based microfluorimeter, is aligned at right angles to the LED source to collect fluorescence emissions from the cuvette. The single step and gradient forming systems of the mixing apparatus are used to form a pre-gradient slug and a con- centration gradient of a solution of fluorescent material such as fluorescein. As the gradient of fluorescent material passes through the cuvette, its fluorescent signature is registered by the microfluorimeter. The fluorescence intensity is an index of the concentration of the fluorescent material. The con- centration of the fluorescent material is correlated with its time of transit to calibrate the gradient formed by the mixing apparatus. FIGS. lA and lB illustrate schematic configurations of some embodiments of the apparatus of the present invention. The embodiments shown in FIGS. lA and lB consist of a test compound sampler 101, for receiving and holding a sample of a compound to be tested; a standards sampler 103, for receiving and holding a sample of a standard solution ( e.g, a buffer and/or a known agonist or antagonist) to be mixed with the compound to be tested; a concentration gradient device 105 connected to compound sampler 101 for controlling the flow volume of the compound to be tested; a concentration gradient device 107, connected to standards sampler 103, for controlling the flow volume of the standard solution; a switching valve 111 for receiving a compound/ standard solution mixture or a calibration solution and for directing them to the mixing zone 112 for mixing one of these solutions with cell suspensions containing one or more cell types to be tested, a member of a series of one or more cell types to be tested, or one or more types of particles to be tested; at least one cell suspension or particle reservoir 113 (and, where a series of cell types or particles is to be examined, a plurality of cell suspension or particle reservoirs each of which contains a cell suspension of one of the cell types in the series to be examined or a preparation of one or computer 123 may also control the operation of the stan- dards sampler 103. It will also be appreciated that the operation of the preceding devices may be controlled by 30 more than one computer. While the embodiments shown in FIGS. lA and lB include a standards sampler 103, gradient device 107, switching valve 111, and calibration unit 117, it will be appreciated that these aspects of the device need not be 35 present if the analysis being performed does not require the use of a standard compound(s) or calibration solution(s). Likewise, when the analysis being performed does not require a concentration gradient of the test compound(s), the device need not include a gradient device 105 connected to 40 the test compound sampler 101. After a compound and/or standard is mixed with cells or particles in mixing zone 112, which is readily commercially available and in the preferred embodiment is the static mixer 125-1345 (Bio Rad), this mixture is then sent through 45 reaction developing lines 115 so that it may be mixed more thoroughly and provided with enough time for its reagents to thoroughly react with one another. The detector 119, is connected to the reaction developing lines unit 115, and receives the cell or particle/compound/standard mixture 50 from the reaction developing lines 115. In a preferred embodiment, each of the samplers 101 and 103 include a sipper nozzle which may be positioned into a vial containing a respective compound or standard solution. These samplers are well-known in the art and are readily 55 available commercial products, e.g A/S 300 Autosampler, Catalog# 15006330, Scientific Measurement Systems, Inc., Colorado. For handling multiple samples, conventional automated or robotic equipment (not shown) may be used to supply the apparatus with the samples. Banks of different 60 samples, arranged in 48 or 96 well plate format for example, can ea-;ily be accommodated by such automated sampling equipment. The gradient devices 105 and 107 are also readily avail- able commercial devices, e.g, GP40 Gradient Pump 65 (Dionex). Depending on the mode of action, the correspond- ing concentration gradient devices 105 and 107 can prepare either discrete concentrations or continuous gradients of US 6,558,916 B2 29 concentrations of the compound to be tested or the standard substance (agonist or antagonist) by diluting them with buffer. For example, if a continuous curve of cell response or particle interactions versus compound concentration in the presence of a standard substance is desired, the computer 5 123 will instruct the controller 109 to control the gradient devices 105 and 107 in such a way that continuous gradients of respective compound and a predetermined constant con- centration of standard solution are provided to switching valve 111. Alternatively, if a continuous curve of cell 10 response or particle interaction versus standard solution concentration in the presence of a compound is desired, the computer 123 will instruct the controller 109 to control the gradient devices 105 and 107 such a way that continuous gradients of the respective standard solution and a prede- 15 termined constant concentration of the respective compound are provided to switching valve 111. The calibration unit 117, connected to the switching valve 111, supplies calibration solutions needed to calibrate the output signal, MAX and MIN, of the apparatus. In a pre- 20 ferred embodiment, this calibration unit consists of a divert- ing valve which is a readily available commercial device, e.g.,. the SV3-2 Diverter Valve, (Bio-Rad). The diverter valve alternates supply of two calibration solutions to the switching valve 111. The switching valve 111 combines 25 outflows from the gradient devices 105 and 107 or, alternatively, from the calibration unit 117 with a cell flow or particle flow from a cell suspension or particle reservoir 113 (or from one of a plurality of cell suspension or particle reservoirs 113 each of which contains one or more cell types 30 or particle preparations each of which contains one or more particle types in a series of cell types or particle preparations to be examined) and directs the mixed flow into one of the reaction developing lines 115. The switching valve 111 is of a type which is well-known in the industry and in a preferred 35 embodiment is the 3-way microvalve 4-8-900 manufactured by General Valve Corp. The cell suspension or particle reservoir(s) 113 are also of a type which is well known in the art and in a preferred embodiment is a regular glass beaker. Cells or particles are maintained in suspension pending 40 introduction into the device by simple low shear stirring. The reaction developing lines 115 are typically tubes made from a non-corrosive material, having a specified diameter, through which the above mentioned mixture of cell suspension or particle preparation, compound and stan- 45 dard solution may flow. For example, polyethylene, polypropylene, or polytetrafluoroethylene tubing can be used. Tubing to which cells or particles and other reagents will not stick is particularly preferred. The diameter of the tubing is a matter of choice. Capillary tubing having an inner 50 diameter of from about 0.2 mm to about 2 mm is particularly advantageous, because it allows the use of very small sample sizes. This tubing is typically set in a winding configuration so that as the mixture flows through it, the mixture is thor- 55 oughly agitated and mixed. Even if the mixture is well mixed before introduction into the tubing, a spiral or wound configuration allows long tubing lengths in a compact area. These reaction developing lines 115 are commercially avail- able and in one embodiment may be formed by Teflon 60 tubing. The mixture of a cell suspension containing one or more cell types to be tested, one or more cell types included in a series of cell types to be tested, particle preparations con- taining one or more particle types, or particle preparations 65 containing one or more particle types included in a series of particle preparations to be tested and compound/standard 30 solution, also referred to as "reaction suspension," enters the detector's flow-through optical cell or other detection zone with a time delay or incubation period determined by the length of the reaction developing line 115. Once the reaction suspension reaches detector 119, the detector 119 can mea- sure the cell suspension response to the specified concen- tration of the test compound or the presence of a particular molecule in the sample. In a preferred embodiment, the detector 119 measures a fluorescence signal from the calcium sensitive dye, FURA2, spectral characteristics of which depend on a concentration of the intracellular ionized calcium, in order to determine the level of cell activity. In order to make this measurement, the detector 119 alternately irradiates the reaction suspension passing through a flow-through optical quvette, with the light of the wavelengths 340 nm and 380 nm and measures fluorescence intensity at 540 nm. The ratio (R) of the fluorescence intensities registered at 540 nm upon excitation at 340 nm and 380 nm, respectively, is transmitted to the computer 123. The computer 123 calculates the concentra- tion of the intracellular ionized calcium in accordance with the following equation which is well-known in the art: where Kd is the dissociation constant of calcium/FURA2 complex and Rm;n and Rmax are the ratios obtained in the presence of the calibration solutions MIN and MAX, respectively, and If and lb are the fluorescence intensities measured at 540 nm upon excitation at 380 nm in the presence of calibration solutions MIN and MAX respectively. In another preferred embodiment, the detector irradiates the mixture of cells or particles with test compound(s) with laser light of one or more wavelengths. The irradiation and emission wavelengths may be any wavelengths suitable for the particular cellular responses or particle interactions to be measured. It will be appreciated that the detector may detect any type of signal suitable for detecting the cellular responses or particle interactions and is not limited to detectors based on light. A computer 123, connected to the detector 119, dictates its operation. The computer 123 is also connected to or is a part of the controller 109 which controls the first and second gradient devices 105 and 107, switching valve 111 as well as test compound sampler 101 and standard sampler 103 in a=ordance with a software 125 implemented within the computer 123. The detector 119 is capable of measuring the particular desired signal, whatever its origin. An optical detector 119, may be a spectrophotometer, spectrofluorometer, or a luminometer, each of which have a flow-through optical cell. These devices are well-known in the art and are commercially available. For example, one embodiment of the apparatus of the present invention may use an AMINCO-Bowman Series 2 Luminescence Spectrof- luorometer (Fa-256, Spectronic Instruments, Inc.). If the detector is a direct ion measuring device, it can, for example, comprise a pH sensor or an ion selective electrode. Sodium, calcium, and potassium detectors are examples of such devices. Detectors of this type are commercially available. In the embodiment of FIG. lB, the apparatus further includes a coupling system 120, such as the plug flow coupling systems described above. The coupling system 120 is disposed between the mixing chamber 112 and the detec- tor 119. In a preferred embodiment, the detector 119 comprises a device capable of analyzing individual cells, individual cell US 6,558,916 B2 31 types in a cell suspension, individual particles in a sample, individual particle types in a sample, individual components 32 level and flow of a standard solution (agonist or antagonist) into the mixing zone 227. Each of the gradient pumps, 211 and 225, respectively, may advantageously have two inlet tubing lines and one outlet tubing line, the outlet tubes being connected to each other through the mixing zone 227. A controller (109 of FIGS. lA and lB) which is not shown in FIGS. 3A and 3B controls the operation of autosamplers 201 and 213 and gradient pumps 211 and 225 by supplying remote signals to start/stop the pumping. In a preferred in a sample, or individual types of components in a sample. Preferably, the detector has the ability to simultaneously resolve multiple characteristics or properties derived from 5 each particle or cell. For example, in one embodiment, the detector is a flow cytometer (FCM). The FCM may be any current or future system, such as the Epics Elite from Beckman-Coulter or the FACSCalibur from Becton- Dickinson. The single particle/single cell, multiparametric properties permit resolution of subsets of particles or cells within a heterogeneous population. For example, subsets of cells from within heterogeneous cell populations or mixed cell populations which respond to a particular test compound rn embodiment, gradient pumps 211 and 225 may be the GP 40 Gradient Pump manufactured by Dionex. The mixing zone 227 receives the compound solution flowing through gradient pump 211 and, optionally, a stan- dard solution flowing through the gradient pump 225, and or test compounds may be resolved from the entire popu- lation by this technique. Alternatively, subsets of particles in heterogeneous or mixed populations which possess particu- lar properties may be resolved from the population. Preferably, the detector also has the ability to measure properties that can not be resolved using standard fluori- metric techniques. FIG. 2 illustrates the multiparametric capacity of the FCM, and indicates the flow of information obtained from the FCM. For the simultaneous analysis of multiple parameters, a sample, such as an individual cell, particle, or components, or individual cell types, particle types, or component types, 15 mixes the compound and standard substances together. A diverting valve 235 alternates the supply of either the calibration solution for maximal response 233 or the cali- bration solution for minimal response 237. The diverting valve 235 preferably includes two inlet tubes, one tube for 20 each of the two different calibration solutions 233, 237, and one outlet tube connected to a pump 231. The diverting valve 235 is well-known in the art and can be implemented by the SV-3 Diverter Valve (BioRad). The controller (109 of FIGS. lA and lB) which is not shown in FIGS.3A and 3B, 25 sends signals to the diverter valve 235 which switches intake ports to connect one calibration solution 233 or another, 237, to the intake of the pump 231. The pump 231 for supplying calibration solutions to the fluidic system is also shown in FIGS. 3A and 3B. The pump 231 receives either the cali- is exposed to an agent which produces a signal detectable by the detector. The signal may be a fluorescent signal or a non-fluorexcent signal. After the cell or particle samples are delivered from the mixing system, they are interrogated by one or more detection agents, such as lasers, and, if the sample possesses one or more of the parameters being evaluated, a signal indicative of the presence of that param- eter is generated and processed to provide a data output which may be manipulated or stored using conventional 35 procedures. 30 bration max. solution 233 or the calibration min. solution 237 from diverting valve 235 and then pumps the received calibration solution to switching valve 229. The outlet tube of pump 231 is connected to an input of the switching valve 229. The pump 231 is advantageously a standard piston pump which is well-known in the art. In a preferred embodiment, the pump 231 is the series 1350 Soft-Start All of the detectors described above can be controlled by means of a computer 123 during the data acquisition pro- cess. The apparatus of the present invention is contemplated in two different specific embodiments. A positive pressure system may be created with piston pumps or other suitable pumps supplying reagents under positive pressure. Alternatively, a negative pressure system may be created with a peristaltic pump or other suitable pump drawing reagents through the system. The negative pressure system is the simplest embodiment, because a large number of input sources can be driven by a single downstream pump. FIGS. 3A and 3B illustrate schematic configurations of some embodiments of a positive pressure fluidic system. In a preferred embodiment, this system operates automatically under the control of a programmable controller, as will be explained in more detail below. This embodiment includes an autosampler 201 which hold<> one or more compounds to be tested 203 and buffer 205 which may be mixed with the compound 203 in order to provide various concentrations of the compound 203; intake nozzles, or ports, 207 and 209 for receiving a compound and buffer, respectively and deliver- ing the same to a gradient pump 211 which controls the concentration level and flow of a test compound 203 into a mixing zone 227; an autosampler 213 which holds one or more standards (i.e., antagonists 215 and/or agonists 217) and a buffer 219 which may be mixed with the standard 215 or 217, in order to provide various concentrations of the standard; intake nozzles, or ports, 221 and 223, for receiving a standard and buffer, respectively, and providing the same to a gradient pump 225 which controls the concentration Pump (BioRad). The switching valve 229 alternates the supply of either the compound/standard mixture or one of the calibration solutions to a mixing zone 239. A pump 241 40 supplies cells or particles from a cell suspension or particle reservoir 243 containing one or more cell types or one or more particle types to be tested (or from one of a plurality of cell suspension or particle reservoirs 243 each containing one or more cell types or one or more particle types included 45 in a series of cell types or particle types to be examined) to the mixing zone 239. The pump 241 receives cells or particles from the cell suspension or particle reservoir 243 from an inlet tube and pumps the received cells or particles through an outlet tube to one intake of the mixing zone 239. 50 The compound/standard solutions or calibration solutions come through another intake of mixing zone 239. Both mixing zones 227 and 239, are well known in the art and in a preferred embodiment may be implemented by the Static Mixer, 125-1345 (BioRad). The pump 241 can be a standard 55 piston pump which is well-known in the art. In a preferred embodiment, the pump 241 is the series 1350 Soft-Start Pump (BioRad). The mixture of cells or particles and compound/standard solution or cells and a calibration solu- tion is then fed from mixing zone 239 to reaction developing 60 lines 245. The length of these lines, combined with the flow rate, determines the incubation period; i.e., the time elapsed from the point where the cells or particles are mixed with the compound/standard mixture or the calibration mixture to the point of reaching detector 247. The detector 247 then 65 measures the amount of cell response or particle interaction due to the compound/standard mixture or the calibration solution. After the cell response or particle interaction has US 6,558,916 B2 33 been measured by detector 247, the mixture is then drained from the detector via drain 249. In the embodiment of FIG. 3B, the apparatus further includes a coupling system 251, such as the plug flow coupling systems described above. The coupling system 251 5 is disposed between the mixing chamber 239 and the detec- tor 247. 34 calibration solutions and one outlet tube connected to another diverting valve 333. The diverting valve 333 can have two inlet tubes, one for receiving a compound/standard solution mixture and the other for receiving one of the calibration solutions 337 or 339. The diverting valve 333 then alternates the supply of either the compound/standard mixture or one of the calibration solutions through an outlet tube to a priming valve 341 which then delivers the received fluid to a mixing zone 343. A third diverting valve 347 As discussed above, while the embodiments shown in FIGS. 3A and 3B include an autosampler 213, antagonists 215 and/or agonists 217, buffer 219, intake nozzles or ports 221 and 223, gradient pump 225, pump 231, diverting valve 235, calibration solutions 233 and 237, and switching valve 229, it will be appreciated that these aspects of the device need not be present if the analysis being performed does not require the use of a standard compound(s) or calibration solution(s). Likewise, when the analysis being performed does not require a concentration gradient of the test compound(s), the device need not include a gradient pump 211, buffer 205 or port 209, but instead may include a pump for delivering the test compound(s) to the mixing chamber. rn alternates the supply of either cells or particles from a cell suspension or particle reservoir 349 containing one or more cell types or one or more particle types to be tested (or from one of a plurality of cell suspension or particle reservoirs each containing one or more cell types or one or more 15 particle types included in a series of cell types or particle types to be tested) or the buffer solution 305 through an outlet tubing 346 to a priming valve 345 which then delivers either the cells or particles or buffer to the mixing zone 343 where it is mixed with either a compound/standard mixture FIGS. 4A and 4B illustrate schematic configurations of some embodiments of the negative pressure fluidic system. As shown in FIGS. 4A and 4B, one preferred embodiment includes an autosampler 301 which holds one or more compounds (N;) 303 and a buffer 305, the autosampler 301 further including two intake nozzles, or ports, 307 and 309, 20 or one of the calibration solutions received from priming valve 341. The diverting valves 333, 335 and 347 may be of any type which is well known in the art, for example, a SV-3 Diverter Valve (BioRad). This mixture is then sent to reac- tion developing lines 353 which determine the time elapsed 25 from the point where the cells or particles are mixed \vith the compound/standard mixture or one of the calibration solu- tions to the point where the mixture reaches the detector optical cell 355. As explained above, the reaction developing lines 353 and the detector 355 may be of any type which are for receiving the compound (N,) 303 and buffer 305, respec- tively; a proportionating valve 311 for preparing dilutions of the compound 303 with the buffer 305 in predetermined or specified proportions and delivering this mixture to a prim- ing valve 313; an autosampler 315 which holds standard antagonists (M) 317 agonists (Lk) 319 and the buffer 305, the autosampler 315 further including two intake nozzles 323 and 325 for receiving the standard and the buffer, respectively; a proportionating valve 327 for preparing 35 dilutions of the standard substance 317 or 319 with buffer 30 well-known in the art. A peristaltic pump 357, used as a negative pressure pump, can advantageously supply the necessary pressure required to make the various solutions and mixtures described above flow through the various valves (311, 313, 327, 329, 333, 335, 341, 345 and 347) mixing zones (331 and 343), the reaction developing lines 353, the detector 355, and finally to the drain 359. Suitable peristaltic pumps 357 are well- known in the industry and in a preferred embodiment may be implemented by a EP-1 Econo Pump (BioRad). The 305 in predetermined or specified proportions and delivering this mixture to a priming valve 329. The proportionating valves 311 and 327 may be of any type which is well-known in the art. In a preferred embodiment these valves 311 and 327 are the series 4 miniature solenoid type valves ( 4-8-900 General Valve Corp.) working in a proportioning frequency mode. Similarly, priming valves 313 and 329 may be of any "normally opened" type which is well-known in the art and, in a preferred embodiment, are the series 4 miniature sole- noid type valves ( 4-39-900) manufactured by General Valve Corp. 40 pumps, valves, detectors, and other active components of the system are preferably under the automated control of a programmable controller, as explained in more detail below. In the embodiment of FIG. 4B, the apparatus further includes a coupling system 361, such as the plug flow 45 coupling systems described above. The coupling system 361 is disposed between the mixing chamber 343 and the detec- tor 355. A mixing zone 331 mixes a compound solution received from priming valve 313 and a standard solution received from priming valve 329. The first mixing zone 331, as with 50 the other mixing zones discussed herein, can constitute a simple "Y" connector; a chamber having a diameter several times that of the tubing; a length of tubing; a serpentine, baffled chamber; a chamber containing a mechanical rotat- ing mixer; or any other suitable structure. Typically, the 55 method will involve very small quantities of liquid (e.g., a full concentration gradient run can be accomplished with as little as 0.3 ml of sample). Thus, the volumes to be mixed are small and the mixing zone should have small internal volume and high mixing efficacy. These types of mixers are 60 well known in the art and in a preferred embodiment may be implemented by the Visco JetD Micro-Mixer (#TCMA0120113T) manufactured by The Lee Company. A diverting valve 335 alternates the supply of either a calibration solution for maximal response 337 or a calibra- 65 tion solution for minimal response 339. The diverting valve 335 includes two inlet tubes for receiving the two different As discussed above, while the embodiments shown in FIGS. 4A and 4B include components for supplying a standard(s) and a calibration solution(s), it will be appreci- ated that these aspects of the device need not be present if the analysis being performed does not require the use of a standard compound(s) or calibration solution(s). Likewise, when the analysis being performed does not require a concentration gradient of the test compound(s), the device need not include components which provide a gradient, but instead may include a pump for delivering the test compound(s) to the mixing chamber. The apparatus in the present invention preferably has two primary modes of action, a screening mode and a potency mode. FIG. 5 shows an algorithm that may be used in the invention to detect one or more cell responses or the presence of one or more molecules during the screening mode. First, a cell or particle/compound mixture or a sample is provided to a detector (step 401). Next, the apparatus determines if the compound, upon contact with the cells, US 6,558,916 B2 35 triggers any cell response or whether the sample contains a molecule (step 403). There are two possibilities: either the compound does not produce any of the responses being analyzed or the sample does not contain any of the mol- ecules being analyzed (NO), or it induces one or more of the 5 cell responses or does contain one or more of the molecules (YES). Cell response is determined by monitoring the signal from the detector for the particular analyte or analytes being detected. Similarly, the presence of one or more molecules in the sample is determined by monitoring the signal from rn the detector for the presence of signal which will be pro- duced if the particular molecule or molecules being analyzed is present. The control system first calibrates to establish a baseline and a maximal response, and any signal from the detector falling between those values is considered to be a 15 positive response. If the compound causes no cell response or no particle binding, (NO), as measured by the monitoring part of the apparatus, the cells or particles are successively and auto- matically brought into contact with a mixture of the com- 20 pound and the standard substances from a predetermined set of agonist solutions (step 407). Each solution in the set contains one or more ingredients that initiates cell response or that binds to particles in the absence of the test compound, e.g., through the stimulation of a known cell receptor, ion 25 pump or ion channel molecules or through a known molecu- lar interaction. Next, a determination is made as to whether a cell response or particle interaction normally triggered with a particular agonist is suppressed by the particular compound (step 411). The apparatus will keep repeating an 30 admixture of different standard agonist substances with the compound until it detects that the cell response or particle interactions triggered with a particular standard agonist is suppressed in the presence of the compound, or until all agonists available to the machine have been tested. If in step 35 411, it is determined that a cell response or particle inter- action normally triggered with a particular agonist is sup- pressed by the particular compound (YES), that compound is categorized as an antagonist to the receptor Ri (step 415). After this happens, the instrument is switched over to the 40 potency mode of action if instructed by the software man- aging the apparatus' performance (step 417). If the contact of the cells or particles with the compound does initiate the cell response or particle interaction, (YES), as measured by the monitoring part of the apparatus, the 45 cells or particles are automatically brought into contact with successive mixtures of the compound and the standard substance from a predetermined set of antagonist solutions (step 405). Each solution in the antagonist set contains one or more ingredients that block the cell response or particle 50 interaction initiated by at least one known agonist, for example through the stimulation of a known cell receptor, ion pump or ion channel molecules. Next, a determination is made as to whether a cell response or particle interaction triggered with the compound is suppressed in the presence 55 of a particular standard antagonist (step 409). The apparatus will keep repeating an admixture of different standard antagonist substances with the compound until it detects that the cell response or particle interaction triggered with the compound is suppressed in the presence of particular stan- 60 dard antagonist, or until all the antagonists have been tested. If it is determined in step 409, that a cell response or particle interaction triggered with the compound is suppressed by the particular antagonist (YES), that compound will be charac- terized as an agonist to the receptor Ri or other molecule on 65 the cell or particle (step 413). After this happens, the instrument is switched over to the potency mode of action if 36 instructed by the software managing the apparatus' perfor- mance (step 417). By using known sets of standard agonist and antagonist substances to different receptors, it is possible to screen the compounds against several receptor types and subtypes for specificity and selectivity. When a series of cell types or particle types is to be tested, the process can be repeated for each of the cell types or particle types included in the series of cell types or particle types to be tested in order to evaluate the compounds' activities in a number of cell types or interactions with a number of particle types. For example, for the endothelin receptor, stimulation of which is indicated by an increase in intracellular concentra- tion of ionized calcium, the following receptor subtype specific antagonists may be used: BQ-123, BQ-788, BQ-153, BQ-485, BMS-182874 PD 151, 242, and the following receptor subtype specific agonists may be used: endothelin-1, endothelin-2, and endothelin-3. Sarafotoxin S6c, IRL 1620, BQ-3020. For calcium channels, there are sets of channel type specific agonists and antagonists which can be used in a preferred embodiment. For example, agonists of intracellu- lar calcium channels are: Ins (1,4,5)P3 , Ryanodine, Caffeine, Heparine, Perchlorate, and their antagonists are: Decavanadte, Ruthenium Red and high concentrations of Ryanodine. As discussed above, while the embodiments shown in FIG. 5 include steps for supplying a standard(s), it will be appreciated that these steps need not be present if the analysis being performed does not require the use of a standard compound(s). Instead, the algorithm simply deter- mines whether the cells responded to the test compound(s) or whether the sample contains a molecule. In another embodiment, the screening mode is used for the characterization of the cell receptor pattern, commonly known asD receptor fingerprintingD. In accordance \Vith this embodiment, a cell type to be tested or a series of cell types are screened against standard substances from a pre- determined set of agonist solutions. Each solution in the set contains one or more ingredients that initiates cell response through the stimulation of a known cell receptor. In this way, the patterns of receptor expression in two or more cell types may be evaluated. When one or more of the cell types respond to the particular agonist substance, the instrument is switched over to the potency mode of action if instructed by the software managing the apparatus' performance. FIG. 6 shows one algorithm that may be used in the invention in the preferred potency mode. The first step in the potency mode is to determine whether a particular com- pound has been categorized as an agonist or antagonist (step 501). The apparatus then prepares continuous concentration gradients of either the standard substance or the compound being tested. If the compound has been categorized as an agonist for one or more of the cell types or particle interactions to be tested during the screening mode, the apparatus will mea- sure and register the concentration dependence of the cell response in the responding cells or the particle interaction (step 503). During step 503, the apparatus will generate continuous experimental activation curves for the activatory compound. From these curves, one can calculate the potency of the compound in terms, for example, of EC50 (the effective concentration of an activator which causes 50% of the maximal stimulatory response of the cells)(step 505). This calculation can be performed using well known in the art curve fitting software. In a preferred embodiment this software may be implemented by the graphical software PRISM, manufactured by GraphPad, Inc. US 6,558,916 B2 37 If the compound is determined to be an antagonist for one 38 A continuous flow diagram of a preferred system priming process is shown in FIGS. 7a-7d for the preferred negative pressure fluidics system presented in FIGS. 3A and 3B. Referring to FIG. 7a, the system priming program begins from a start state 600 and enters state 602 where it sets all parameters to their initial values. These initial parameters include, but are not limited to, the internal initialization of software variables and subroutines. Once the initial parameters are determined, autosamplers 301 and 302 (FIGS. 4A and 4B), position their correspond- ing intake nozzles 307 and 323 at "zero" position (Step 604). Each autosampler, in its "zero" position, contains a reservoir 305 filled with a washing buffer. During step 604, the power supply which supplies power to proportioning valves 311 or more of the cell types or particle interactions to be tested during the screening mode, the apparatus will measure and register the concentration dependence of cell response or particle interaction inhibition in these cell types or particle 5 types in the presence of a standard agonist (step 507). During step 507, the apparatus will generate continuous experimental inhibition curves for the antagonist compound taken at constant concentrations of the standard agonist substance. From these curves, one can calculate the potency 10 of the compound in terms, for example, of IC50 (the effective concentration of a blocker which causes 50% of the maximal inhibitory response cells or 50% of the maximal level of particle interaction) (step 509). The calculation of the IC50 valves can also be implemented in a preferred embodiment with the PRISM software package. 15 and 327 (FIGS. 4A and 4B), to diverting valves 333, 335 and 347 (FIGS. 4A and 4B), and to priming valves 313, 329, 341 and 345 (FIGS. 4A and 4b) is turned off. In the preferred embodiment, the priming valves, 313, 329, 341and345, are If the compound is determined to be an antagoni<>t for one or more of the cell types or particle types to be tested, the apparatus will also measure and register the concentration dependence of the cell response or particle interaction in these cell types or particle types to a standard agonist 20 substance in the presence of several concentrations of the antagonist compound (step 511). During step 511, the appa- ratus will generate a series of continuous experimental activation curves for the standard agonist substance taken at different discrete concentrations of the antagonist com- 25 pound. The apparatus will then calculate the affinity and the potency of the compound in terms, for example, of p~ values and determine whether the antagonist is competitive or non-competitive (step 513). The p~ value is proportional normally opened in a non-powered state (off); the propor- tioning valves, 311 and 327, in the non-powered (off) state, connect their outlets 312 and 328 with respective "normally opened" intake ports, 309 and 325; and in the non-powered (off) state, the diverting valve 335 connects its common outlet 334 with the "normally opened" intake port 336, diverting valve 333 connects its common outlet 342 with the "normally opened" intake port 332, and diverting valve 347 connects its common outlet 346 with the ''normally opened" intake port 348. After the system has been initialized, peristaltic pump 357 is started (Step 606) and priming valves 313 and 345 are turned on (Step 608). In the powered state, the priming valves 313 and 345 are closed. This forces the buffer flow through tubing 325, outlet tubing 328 of proportioning valve 327, priming valve 329, mixing zone 331, intake tubing 332 to a negative logarithm of the binding constant of a ligand/ 30 receptor complex and is a measure of the affinity of the ligand to the receptor: the bigger pA2 value, the higher the compound's affinity to the receptor. Practically, pA2 value can be calculated from the shift of the activation curves in the presence of different concentrations of the antagonist compound and can be implemented by the formula: 35 and outlet tubing 342 of the diverting valve 333, priming valve 341, mixing zone 343, a reaction developing line 353, detector 355, pump 357 and then into a drain container 359. pA 2 -Log(R-1)-Log B, where R is a ratio of equipotent concentrations of the standard agonist substance measured both in the pres- ence of discrete concentration (B) of the antagonist compound and without the antagonist. In a preferred embodiment the equipotent concentrations of the stan- dard agonist substance can be found from the PRISM software activation curves. With the above sets of experimental curves, one can evaluate the potency and the pharmacological profile for the compound under investigation in accordance with Cheng-Prusoff (Cheng & Prusoff, 1973, incorporated herein by reference), Gaddum (Gaddum, 1957, incorporated herein by reference) or Schild (Arunlakshana & Schild, 1959, incorporated herein by reference) analyses. A detailed description of the operation of the negative pressure fluidics system of FIGS. 4A and 4B is given below. Referring again to FIGS. lA and lB, computer 123 implement<> software code 125 to provide control signals to 40 a controller 109 which controls the various valves, chambers etc. of the system. This control signal is delayed in order to provide adequate time for liquid to fill the fluidic lines (Step 610). Next, the proportioning valve 327 is turned on (Step 612). While proportioning valve 327 is in the powered state, 45 the buffer located at "zero" position of the autosampler 315 will flow through tubing 323, outlet tubing 328 of propor- tioning valve 327, priming valve 329, mixing zone 331, intake tubing 332 and outlet tubing 342 of diverting valve 333, priming valve 341, mixing zone 343, a reaction devel- 50 oping line 353, detector 355, pump 357 and then into a drain container 359. The process is started when a computer prompts an 55 operator to chose a mode of operation from a choice of three modes: system priming mode, screening mode and potency profiling mode. In the presently preferred top-level process, the first choice is to perform system priming. Referring to FIGS. 4A and 4B, before the priming process starts, the 60 operator is prompted to place the nozzles of intake ports 309, 325 and 351 into a reservoir 305 filled \Vith a buffer, the nozzles of the intake ports 336 and 338 into reservoirs 337 and 339, respectively, filled with corresponding calibration solutions, and the nozzle of the intake port 348 into one of 65 the cell suspension or particle reservoirs 349 filled with one After energizing the proportioning valve 327, the control signal is delayed again (Step 613) in order to provide the time needed for the buffer to fill out the fluidics system. After the delay in Step 613, the control signal will set the proportioning valve 327 to its off position (Step 614), turn off (open) priming valve 313 (Step 616) and turn on (close) the priming valve 329 (Step 618). This will fill out fluidic lines 309, 312, 332, 342, priming valve 341, mixing zone 343, a reaction developing line 353, detector 355 and pump 357 during a delay (Step 619) which is needed for the lines to be filled with buffer 305. Next, the proportioning valve 311 is powered (Step 620) for a time duration controlled by Step 621. During this delay period, the same fluidic lines are being fed with the buffer located at "zero" position of the autosampler 301, coming through the nozzle 307. or more cell types or one or more particle types to be tested. US 6,558,916 B2 39 After the delay period (Step 621) the control signal simultaneously turns off both proportioning valve 311 (Step 622) and priming valve 329 (Step 624) and turns on both diverting valve 335 and diverting valve 333 (Step 626). During a delay period, determined by Step 627, the liquid flow will be directed from intake tubing 338 and outlet tubing 334 of the diverting valve 335 through the intake tubing 340 and the outlet tubing 342 of the diverting valve 333 through the priming valve 341, the mixing zone 343 and further through the reaction developing line 353, the detec- tor 355, the pump 357 and then to the drain container 359. Then the control signal turns off diverting valve 335 (Step 628), which allows the same fluidic lines to be fed from intake tubing 336. The length of time required i<> a function of the length of the different lines involved and the rate of fluid flow through the system, which for any particular system can be readily determined. After the delay provided by Step 629, the control signal turns off diverting valve 333 (Step 630), turns off (opens) priming valve 345 (Step 632) and turns on (closes) priming valve 341 (Step 634). Under these conditions, the liquid flow will be directed from the intake tubing 348 to outlet tubing 346 of diverting valve 347, through the priming valve 345, the mixing zone 343, the reaction developing line 353, the detector 355, the pump 357 and then to the drain container 359. The time required for the above liquid flow to occur is provided by a delay period in Step 635. After this delay, the control signal turns on diverting valve 347 (Step 636), which allows the same fluidic lines to be filled with the buffer 305 coming from tubing 351, during a delay period provided in Step 637. 40 occupied by a wash buffer reservoir 305 (Step 704), and turns off proportioning valves 311 and 327, diverting valves 333, 335 and 347, and priming valves 313, 329, 341and345 (Step 706). In a turned off state, priming valves 313, 329, 5 341 and 345, are normally opened, proportioning valves 311 and 327 connect, respectively, their outlets 312 and 328 \Vith corresponding "normally opened" intake ports 309 and 325, diverting valve 335 connects its common outlet 334 with "normally opened" intake port 336, diverting valve 333 rn connects its common outlet 342 with the "normally opened" intake port 332, and diverting valve 347 connects its com- mon outlet 346 with the "normally opened" intake port 348. After the system has been initialized, pump 357 is started (Step 708). This will force the wash buffer from the "zero" 15 positioned reservoirs of both autosamplers 301 and 315 to run through nozzles 309 and 325 and outlet ports 312 and 328 of proportioning valves 311 and 327, respectively, priming valves 313 and 329, mixing zone 331, intake port 332 and outlet port 342 of diverting valve 333, priming 20 valve 341, mixing zone 343, a reaction developing line 353, detector 355, pump 357 and then into a drain container 359. In mixing zone 343 this flow is mixed with cell suspensions or particle preparations, which contain one or more cell types or one or more particle types to be tested, from cell 25 suspension or particle reservoir(s) 349 coming from intake tubing 348 and an outlet port 346 of diverting valve 347 through priming valve 345. Thus, the total flow passing mixing zone 343 is a sum of three flows, one of each coming from the proportioning valves 311 and 327 and one coming 30 from diverting valve 347. During this step, both proportion- ing valves supply wash buffer 305 from the reservoirs located at "zero" position of each autosampler in such a way that the final mixture consists of one part cell suspension or After the delay provided by Step 637, the control signal turns off (opens) priming valve 341 (Step 638), and turns off the diverting valve 347 (Step 640). The control signal then turns off pump 357 (Step 642). Finally, the priming program 35 ends the system priming mode and all components of the fluidics system are filled with liquids (Step 643). particle preparation and two parts wash buffer 305. After the delay determined in step 709, which is needed for the flow of the mixture of the cell suspension or particle types containing one or more cell types or particle types to be tested (or a member of a series of cell types or particle types to be tested) and wash buffer 305 to stabilize, detector The state of the valves at each step of the program is shown in FIG. 7d. Priming valves 345, 341, 313 and 329 are of a two-way normally opened type. Diverting valves 335, 333 and 347 are of a three-way type with one common outlet port and one each normally opened and normally closed intake ports. Proportionating valves 311 and 327 are also of the three-way type similar to diverting valves 335, 333 and 347. The symbols''-" and"+" indicate turned off and turned on state of the valves. The state of all the valves after the priming mode is finished is the same as at the initial state. After the priming of the system is done, the operator is prompted to start either the screening or potency profiling mode. If screening mode is chosen, the operator is prompted to specify how many compounds are located in the set of compounds to be tested, N,,,=, and how many antagonists, M,,,ax' and agonists, L,,,ax' solutions are located in the respective sets of the standards. If potency profiling mode is chosen, the operator is prompted to specify which com- pounds in a set should be measured. A continuous flow diagram of the presently preferred screening mode with the negative pressure fluidics system of FIGS. 4A and 4B is shown on FIGS. 8a-8g. The screening program begins from a start state 700 and enters state 702 where it sets all parameters to their initial values. These initial parameters include, but are not limited to, the internal initialization of software variables and sub- routines. Once the initial parameters are determined, the autosam- plers 301 and 315 (FIGS. 4A and 4B) position the intake no=les 307 and 323 at the corresponding "zero" position 40 355 registers a basal signal produced by the cells or particles alone, BS (Step 710). After the BS signal is registered, it is saved as a reference (Step 712) and computer 123 (FIGS. lA and lB) triggers incremental counter N (Step 714). The numerical content of the incremental counter N is 45 increased by unity each time it is triggered thus determining the position of the nozzle of intake port 307 of autosampler 301 which samples the sets of compounds 303 to be tested. Next, the numerical content, N;, of the incremental counter is checked against an entered maximum number of the 50 compounds to be tested, N,,,ax (Step 716). If N; does not exceed N,,,ax, autosampler 301 positions nozzle 307 into the compound reservoir located at the N; position of a rack of compounds 303. Next, proportioning valve 311 is switched on to open its "normally closed" intake port 307 to the 55 common output port 312 (Step 720). During Step 720, the combined flow in mixing zone 343 and afterwards in detec- tor 355, is composed of one portion of buffer 305 coming through nozzle 325 of proportioning valve 327, one portion of the compound 303 to be tested coming from nozzle 307 60 of proportioning valve 311 and one portion of the cell suspension or particle preparation containing one or more cell types or one or more particle types to be tested coming from the intake tubing 348 which is "normally opened" to the output port 346 of diverting valve 347. After a delay 65 provided by Step 721, which is needed for the mixing process to stabilize, detector 355 registers a signal, SN;, produced by the cells or particles in the presence of the given US 6,558,916 B2 41 42 compound, N; (Step 722). After the SNi signal is registered, its value is saved as a reference value (Step 723). The value of the SNi signal is then compared with the value of the reference basal signal, BS (Step 724). If the SN,. signal is greater than the BS signal, the computer 123 (FIGS. lA and 5 lB) will "flag" the corresponding compound as "positive" (Step 725), which means that the compound stimulates the cell signal or interacts with the particle. If SN; is greater than BS, the computer 123 controls a set of antagonists and calculates corresponding coordinates for positioning the rn no=le 323 of autosampler 315 over the antagonist contain- ing reservoirs located in rack 317. If SN; is less than BS, computer 123 will "flag" the corresponding compound as "negative" (Step 726). In this case, the computer 123 controls a set of agonists and calculates corresponding 15 coordinates for positioning the nozzle 323 of autosampler 315 over the agonist containing reservoirs located in rack 319. flagged as "positive" and the standard antagonist Mj is flagged as "negative" (Step 752). After the data is flagged, the data, containing the ID number of the compound N; with its flag value and ID number of the standard antagonist Mj with its flag value is transferred into a database (Step 753). After the data is saved the program loops back to trigger the incremental counter M (Step 730), to increase its count by one and Step 754 is repeated until the condition 732 is achieved. When the condition determined in the decision step 732 is met, that is the compound has been tested against all standard antagonists in a given set, the program resets the content of incremental counter M to zero (Step 755), and both autosampler 301 and autosampler 315 position their respective nozzles 307 and 323 to "zero" position, where the reservoirs with a washing buffer 305 are located (Step 756). Next, both proportioning valves 311 and 327 are turned on (Step 758). This opens "normally closed" intake ports 307 and 323 to the corresponding outlet port<> 312 and 328. Each time the condition, "SN;>BS", is satisfied, the program flow will go through loop K-0 of the incremental counter M (Step 730). The incremental counter, M, increases the count number by one each time it is triggered and thus determines the successive positions of nozzle 323 of autosampler 315 which serves the set of standard antagonists located on rack 317. Next, computer 123 checks if the numerical content of the incremental counter (M) exceeds the maximum number of standards to be tested (M,,,a.J entered by the operator (Step 732). If M 1 is less than or equal to Mmax' autosampler will position nozzle 323 into the standard antagonist reservoir, located on rack 317 corresponding to the numerical content of the incremental counter, Mj (Step 734). Next, proportion- ing valve 327 is switched over to connect its "normally closed" intake port 323 with the outlet port 328 (Step 736). During Step 736, the combined flow through mixing zone 343, reaction developing lines 353 and detector 355 is composed of one portion of standard antagonist coming from proportioning valve 327, one portion of the compound to be tested, coming from proportioning valve 311 and one portion of the cell suspension or particle preparation con- taining one or more cell types or one or more particle types to be tested coming from diverting valve 347. Next, detector 355 registers and saves (Step 738) for further comparison, a signal, SN;Mj, produced by a given compound, N,., in the presence of a given standard antagonist, Mj. Then, both proportioning valves 311and327 are turned off (step 740). This closes intake ports 307 and 323 and opens intake ports 309 and 325 to the corresponding outlet ports 312 and 328. Autosampler 315 then positions no=le 323 into "zero" position occupied by wash buffer reservoir 305. The proportioning valve 327 is then turned on again to open its "normally closed" intake port 323 into the outlet port 328 (Step 744) and the content of nozzle 323 is washed out (Step 746). Next, proportioning valve 327 is turned off to close intake port 323 and to open "normally opened" intake port 325. During this process, the fluidic lines are washed with buffer coming from nozzle 325 of autosampler 315. 20 During this washing delay period determined by Step 760, the contents of both nozzle 312 and nozzle 328 are washed out with buffer 305. After Step 760 is finished, both pro- portioning valves 311 and 327 are turned off (Step 762). After the washing delay period (Step 760), the program 25 loops back to the incremental counter N content of which is incremented by one (Step 714) by triggering signal S,r from the computer 123 (FIGS. lA and lB). Then, the numerical content N,. of counter N is compared with the maximum number, Nmax' of the compounds to be tested. If N,. exceeds 30 N,,,ax' the content of incremental counter N is zeroed (Step 717) and the screening mode is stopped (Step 719). Otherwise, Step 715 will be repeated with the next com- pound. If the condition of the decision process 724, SNi>BS, is 35 not satisfied, the Ni compound is flagged as "negative" (Step 726) and the incremental counter Lis triggered (Step 764). The incremental counter L is increased by one (Step 764) each time it is triggered and thus determines the su=essive positions of nozzle 323 of autosampler 315 relative to the set 40 of standard agonists located on rack 319. Next, the numeri- cal content, Lb of incremental counter L is compared with the maximum number, L,,,=, of standard agonists to be used (step 766). If Lk is less than or equal to the Lmax' autosampler 315 45 positions nozzle 323 into the standard agonist reservoir in rack 319, which corresponds to the numerical content, Lk, of incremental counter L. Next, proportioning valve 327 is turned on to open its "normally closed" intake port 323 to outlet port 328 and proportioning valve 311 is turned off to 50 close its intake port 307 and open intake port 309 to outlet port 312 (Step 770). During step 770, the combined flow coming through mixing zone 343, reaction developing lines 353 and detector 355 is composed of one portion of standard agonist 319 coming from inlet port 323 of proportioning 55 valve 327, one portion of buffer 305, coming from inlet port 309 of proportioning valve 311 and one portion of the cell suspension or particle preparation containing one or more cell types or one or more particle types to be tested coming from the diverting valve 347. After a delay period provided by Step 772, which is needed for the mixing process to stabilize, a signal, SLk, produced by a given standard agonist, Lk is registered and saved (Step 774). Next, proportioning valve 311 is turned on to open its "normally closed" intake port 307 to outlet port Next, Computer 123 (FIGS. lA and lB) compares signal, SN;, measured in the presence of a compound N; alone, with 60 the signal, SN;Mj, measured in the presence of both a compound Ni and a standard antagonist, Mj (Step 750). If the signal in the presence of a standard antagonist, Mpis lower than the signal generated by a compound N; alone, SN;Mj set forth in Example 1.) 15 valve 341 into the mixing zone 343, where it was mixed with a suspension of TE-671 cells to provide a final concentration of cells 4x105 cells/ml. At the same time, BQ-123, as a standard antagonist solution, was also directed to the mixing zone 331 at a predetermined concentration prepared by 20 mixing BQ-123 with DPBS in the proportioning valve 327, in a ratio of 1:1 with the ET-1 solution. In mixing zone 343, the mixed flow of BQ-123 at constant concentration, and ET-1 at a continuously changing in time concentration is mixed with cells in a ration of 2: 1. This gives three fold final Alternatively, if one wishes to determine the pattern of natural expression of receptors responsible for Ca2 + signal- ing pathway, then one may use the cells of particular interest and then using a set of agonists known to exert their activity through Ca2 + mobilization, to characterize the cells by what type of the receptors are expressed in these particular cells. This set of agonists may consist of acethylcholin, adrenaline, noradrenaline, 5-hydroxitriptamine, DOPA, NMDA, AMPA, Angiotensin II, Bradykinin, Bombesin, Opioid, Endothelin-1 Neuropeptide Y, TNF, PDGF, FGF and so on. The following examples illustrate specific, non-limiting experiments, or compound profiling operations, in accor- dance with the present invention. EXAMPLE 1 TE-671 cells, human medulloblastoma (ATCC CRL 8805), naturally express endothelin subtype A receptor E'J'."R. This receptor belongs to the family of seven transmembrane-spanning G-protein coupled receptors and is known to activate calcium mobilization in the cell cytoplasm upon binding to its specific agonist endothelin-1, a 21-amino acid peptide. To characterize the affinity of the agonist for the receptor, conventional methods measure the physiologi- cal response of the cell in the presence of several concen- trations of the agonist or antagonist (Sakamoto, A. et al., 1994, incorporated herein by reference). FIG. 10 illustrates a measurement of the activation of intracellular calcium mobilization (Ca2 + measured in nano- molar concentration) as a function of the concentration of endothelin-1 (ET-1, measured in picomolar concentration), using the apparatus and method of the present invention. The apparatus was a negative pressure computer controlled unit as described above. This run was performed in the presence of several concentrations of E'J'."R specific competitive antagonist BQ-123 (shown in nanomolar concentration). 25 dilution for each component of the flow passing through mixing zone 343 and eventually, detector 355. The propor- tioning valve 327, was programmed for the first, second and third runs to give fmal BQ-123 concentration of zero, 10 nM and 40 nM, respectively. The proportioning valve 311 was 30 preprogrammed to give a final concentration of ET-1 in each run from 0 to 100 pM. Changes in intracellular calcium ion concentration in the TE-671 cells passing through the detec- tor 315, were measured in real time as a function of ET-1 concentration using fluorescent dye FURA-2 as described 35 above. The flow rate and the length of the reaction developing line were chosen so that the time interval from the point of mixing the cells with the compound to the point of signal detection in the flow-through optical cell was 40 seconds. 40 The time required for the complete concentration gradient run to generate the curves in FIG. 10 was five minutes using the present invention. In contrast, in a conventional assay using the phosphatidylinositol turnover rate as an indicator of ETAR stimulation, it usually takes several hours to get 45 only a few concentration points on the response curve, and it would take an inordinate amount of time to generate a complete curve as shown in FIG. 10. FIG. 11 is a logarithmic transformation of the data in FIG. 10, which is used in the art to calculate maximal cell SD response in the presence of antagonist as well as EC50 value for agonist and pA2 value for antagonist. The EC50 value calculated from the activation curve without BQ-123 is equal to 10 pM and one can see that the activation curves in FIG. 11 are parallel shifted to the right in the presence of 55 BQ-123, which is known in the art as characteristic for competitive type of inhibition. The average pA2 value calculated from the two different concentrations of BQ-123 is equal to 7.96. This corresponds to inhibition constant, K 1 , for BQ-123 of 11 nM. The EC50 and pA2 values are in close agreement with the literature data (Masaki Ihara et al., 1992, is incorporated herein by reference). EXAMPLE 2 FIG. 12 illustrates the inhibition of ET-1 induced intrac- TE-671 cells were prepared for use in the cell physiom- 60 eter of the present invention by growing them in a T75 flask until confluence. The growth media was decanted and the cells were washed twice with Dulbecco's phosphate buff- ered saline (DPBS) and supplemented with a fresh DPBS containing 2 ,uM FURA-2AM, which easily penetrates into cell cytoplasm and is hydrolyzed there with nonspecific esterases to form FURA 2, a dye which is sensitive to the 65 ellular calcium mobilization with BQ-123 in TE-671 cells. The same cell physiometer apparatus and cell preparation procedure was used here as in Example 1. US 6,558,916 B2 49 In this experiment, ET-1 was introduced at a constant concentration from the "standard" sipper nozzle of the inventive apparatus and BQ-123 was introduced through the "compound" no=le of the apparatus. In this example, as in Example 1, the concentration run was five minutes and the 5 reaction time (from mixing to detection) was forty seconds. Briefly, after calibration of the device of FIG. 4A with minimum and maximum standards (337, 339), ET-1 solution, an agonist standard solution, was directed at a predetermined concentration prepared by proportioning rn valve 327 by mixing it with DPBS buffer, through priming valve 329, mixing zone 331, diverting valve 333 and prim- ing valve 341 and then into mixing zone 343, where it was mixed with a suspension of TE-671 cells to provide a final concentration of cells of 4x105 cells/ml. At the same time, 15 DPB in volumetric ratio of 1:1 to ET-1 solution was directed through intake port 309 and outlet port 312 of proportioning valve 311, priming valve 313 to mixing zone 331 and further through fluidics system to the detector 355. After the intra- cellular calcium concentration in the presence of the stan- 20 , mixtures of a known agonist and a known antagonist, or compounds whose activity is unknown as described above. This process is performed for each of the cell types to be tested to determine the nature and magnitude 20 of the cellular response in each cell type. To facilitate the analysis of multiple cell types, each of the cell types may be placed in one of a plurality of cell suspension reservoirs in the devices described above. FIG. 14 shows an algorithm that may be used in the invention to perform cell mapping and cell receptor "fin- gerprinting". First, cells are mixed with standard agonist (step 1301) and the mixture is provided to a detector (step 1302). Next, the apparatus determines if this standard agonist, upon contact v-rith the cells, triggers any cell response (step 1303). There are two possibilities: either the standard agonist does not produce any response (NO), or it induces the cell response (YES). Cell response is determined by monitoring the signal from the detector for the particular standard agonist being evaluated. The control system first calibrates to establish a baseline and a maximal response, and any signal from the detector falling between those values is considered to be a positive response. If the standard agonist causes no cell response, (NO), as measured by the monitoring part of the apparatus, the system increments an agonist counter (step 1309) which indicates that a next standard agonist in a specified set of agonists will be tested with a particular cell line. The system then deter- mines if all available agonists have been tested (step 1305). 15 are then repeated. In one embodiment, the apparatus will keep repeating an admixture of different standard agonist substances with the cells until it detects that all agonists available to the apparatus have been tested with all cell lines available to the apparatus. FIG. 15 shows an algorithm that may be used in the invention to perform transfected receptor characterization, particularly, of an orphaned receptor. First, in step 1401, an apparatus supplies cells transfected with a gene which produces a known orphan receptor, and mixes them with a 25 standard agonist (step 1402). The mixture is provided to a detector (step 1403). Next, the apparatus determines if this standard agonist, upon contact with the cells, triggers any cell response (step 1404). There are two possibilities: either the standard agonist does not produce any response (NO), or 30 it induces the cell response (YES). Cell response is deter- mined by monitoring the signal from the detector for the particular standard agonist being evaluated. The control system first calibrates to establish a baseline and a maximal response, and any signal from the detector falling between 35 those values is considered to be a positive response. If the standard agonist causes no cell response, (NO), as measured by the monitoring part of the apparatus, the system increments a standard agonist counter (step 1405) which indicates that a next standard agonist in a specified set of 40 standard agonists will be tested with the transfected cells. The system then determines whether all available standard agon~ts have already been tested v-rith the tranfected cells (step 1406). If not, the process moves back to step 1401 in which fresh cells from the same transfected cell line are If all standard agonists have not been tested with a particular 45 cell line, fresh cells from the original cell line are then supplied to the system (step 1306). These new cells are then automatically brought into contact with the next standard agonist from the predetermined set of agonist solutions (step 1301). Each agonist solution in the set contains one or more 50 ingredients that are known to initiate cell response through the stimulation of a known cell receptor, ion pump or ion channel molecules. The apparatus will keep repeating an admixture of different standard agonist substances with the cells until it detects that the cell response is triggered v-rith 55 a particular standard agonist, or until all agonists available automatically brought into contact with the next standard agonist from the predetermined set of agonist solutions (step 1402). Each standard agonist solution in the set contains one or more ingredients that are known to initiate cell response through the stimulation of a known cell receptor, ion pump or ion channel molecule. The apparatus will keep repeating an admixture of different standard agonist substances with the transfected cells until it detects that the cell response is triggered with a particular standard agonist, or until all agonists available to the machine have been tested. If in step 1404 it is determined that the contact of the transfected cells v-rith the standard agonist does initiate the cell response, (YES), as measured by the monitoring part of the apparatus, the process then supplies host cells (step 1407) to be mixed v-rith the same standard agonist (step to the machine have been tested. If in step 1303, it is determined that a particular agonist triggers a cell response, the process is switched over to the potency mode of action (step 1306) in which the cellular response at various concentration levels of the standard agonist is recorded. After step 1306 has been completed, the process then records the potency parameters, or profile, representing the level of cellular response produced in a given cell line at various concentration levels of the standard agonist (step 1307). The process then once again determines if all available standard agonists have been tested (step 60 1408). This mixture is then supplied to the detector (step 1409) for measuring the cellular response produced by the standard agonist on the host cells. Next, the system deter- mines if the standard agonist produces a cellular response in the host cell (step 1410). If a cell response i<> detected (YES) 65 the system then increments the standard agonist counter (step 1405) after which the system determines if all available agonists have been tested (step 1410). If all available ago- US 6,558,916 B2 53 nists have been tested, the process is complete (step 1412). If all available standard agonists have not been tested, the process moves back to step 1401 where fresh transfected cells are supplied to be mixed with the next standard agonist in the set of standard agonists (step 1402), and the process 5 steps described above are repeated. If in step 1410, no cell response is produced in the host cell by the standard agonist the process has detected a difference bet\veen the host cell and the transfected cell. At this point, the process is complete (step 1412). In one rn embodiment, the apparatus will keep repeating an admixture of different standard agonist substances with the cells until it detects that a particular agonist stimulates a response in the cells transfected with an orphaned receptor, and do not stimulate a response on host cells or until all standard 15 solutions available to the machine have been tested. 54 a first flow coming from the proportioning valve 311, a second flow coming from the valve 327 and a third flow coming from the multichannel diverting valve 347. During this step, both proportioning valves supply wash buffer 305 from the reservoirs located at "zero" position of each autosampler in such a way that the final flowing mixture consi-;ts of one part of cell suspension 349 and two parts of wash buffer 305. After a delay determined in step 1509, which is needed for the flow of the mixture of cell suspension 349 and wash buffer 305 to stabilize, detector 355 registers a basal signal produced by the cells alone (Step 1510). After the basal signal is registered, it is saved as a reference signal, BS; (Step 1512) and computer 123 (FIGS. lA and lB) incre- ments counter L (Step 1514). The numerical content of the incremental counter L is increased by one each time it is triggered. The numeric value of the counter determines the position of the nozzle of intake port 323 of autosampler 315 that samples the sets of standard 20 agonists 319 to be tested. Next, in step 1516, the numerical content, Lk, of the incremental counter L is compared with the previously entered (Step 1503) value of maximal number of the standard agonists to be tested, L,,,ax· A continuous flow diagram of the presently preferred cell mapping and cell receptor "fingerprinting" mode with the negative pressure fluidics system of FIGS. 4A and 4B is shown on FIGS. 16a-16f. To practice this mode, diverting valve 347 is replaced by a multichannel diverting valve 347 which allows multiple reservoirs, each with a different cell suspension, to be connected separately to the common outlet 346 so that once an experiment with a particular cell line is complete, the valve 347 may switch over to a next cell 25 reservoir. The screening program starts from a state 1500 and enters state 1502 where it sets all parameters to their initial values. These initial parameters include, but are not limited to, zeroing counters, the internal initialization of software vari- ables and subroutines. Once the initial parameters are set, the software requests an operator to enter values for a maximum number of standard agonists, LMAX, and a maximum number of cell lines, C,\L4X, to be used in the experiment (Step 1503). The autosaniplers 301 and 315 (FIGS. 4A and 4B) position the intake nozzles 307 and 323 at the corresponding "zero" positions occupied by a wash buffer reservoir 305 (Step 1504), and turns off proportioning valves 311 and 327, diverting valves 333, 335 and 347, as well as priming valves 313, 329, 341 and 345 (Step 1506). In a turned off state, priming valves 313, 329, 341and345, are normally opened, proportioning valves 311 and 327 connect, respectively, their outlets 312 and 328 with corresponding "normally opened" intake ports 309 and 325, diverting valve 335 connects its common outlet 334 with "normally opened" intake port 336, diverting valve 333 connects its common outlet 342 with the "normally opened" intake port 33 2, and multichannel diverting valve 347 connects its common outlet 346 with the first intake port 348 connected with the reservoir containing first cell suspension under investiga- tion. If Lk does not exceed L,,,ax' autosampler 315 positions nozzle 323 into the standard agonist reservoir located at the Lk position of a rack of standard agonists 319 (Step 1518). Next, proportioning valve 327 is switched ON to open its "normally closed" intake port 323 to the common output port 328 (Step 1520). During Step 1520, the combined flow 30 in mixing zone 343 and afterwards in detector 355, is composed of one portion of buffer 305 coming through nozzle 309 of proportioning valve 311, one portion of the standard agonist 319 to be tested, coming from nozzle 323 of proportioning valve 327 and one portion of particular cell 35 suspension 349 coming from one of the multitude of the cell reservoirs through the intake tubing 348 to the output port 346 of multichannel diverting valve 347. After a delay provided by Step 1521, which is needed for the mixing process to stabilize, detector 355 registers a standard agonist 40 induced signal, SLk, produced by given cells in the presence of the given standard agonist, Lk (Step 1522). After the SLk signal is registered, its value is saved as a value, SLk (Step 1523) and the apparatus proceeds to step 1530 where the proportioning valve 327 is turned OFF, thus connecting 45 normally opened intake port 325 with buffer 305. In step 1532, autosampler 315 moves its nozzle 323 to a zero position occupied with reservoir filled with washing buffer. Proportioning valve 327 is turned ON Step 1534), connect- ing the normally closed inlet port 323 with outlet port 328. 50 Delay, determined in step 1536, allows for the flow path composed of intake port 323 and outlet port 328 of the proportioning valve 327, priming valve 329, mixing zone 331, intake port 332 and outlet port 342 of the diverting valve 333, priming valve 341, mixing zone 343, reaction After the system has been initialized, pump 357 is started (Step 1508). This will force the wash buffer from the "zero" positioned reservoirs of both autosamplers 301 and 315 to run through no=les 309 and 325 and outlet ports 312 and 328 of proportioning valves 311 and 327, respectively, priming valves 313 and 329, mixing zone 331, intake port 332 and outlet port 342 of diverting valve 333, priming 60 valve 341, mixing zone 343, a reaction developing line 353, detector 355, pump 357 and then into a drain container 359. 55 developing lines 353 and detector 355 to be washed clean of the remains of the previous compound. After the delay, the proportioning valve 327 is turned OFF in the step 1538, thus bringing the system into original state. Next, the value of the standard agonist induced signal, SLb is compared with the value of the reference basal signal, BS; (Step 1544). If the SLk signal is greater than the BS; signal, the computer 123 (FIGS. lA and lB) will "flag" the corresponding standard agonist as "positive" (Step 1540), which means that the particular cells express a receptor In mixing zone 343 this flow is mixed with the cell suspen- sion 349 coming from intake tubing 348 connected with the first cell line, and an outlet port 346 of the multichannel 65 diverting valve 347 through priming valve 345. Thus, the total flow passing mixing zone 343, is a sum of three flows, which is stimulated by the particular agonist. If SLk is not greater than BS;, computer 123 will "flag" the corresponding standard agonist as "negative" (Step 1542), which means US 6,558,916 B2 55 that the particular cells do not contain a receptor which can be stimulated by the particular agonist. 56 respectively, with corresponding "normally opened" intake ports 309 and 325, outlet 334 of diverting valve 335 is connected with "normally opened" intake port 336, common outlet 342 of diverting valve 333 is connected with the Each time the condition, "SL,;>BS/', is satisfied, the program flow will go through loop K-0 initiating the gradient mode of action. In the gradient mode, step 1550 moves autosampler 315 at a position corresponding to the Lk value determined in step 1514. After that, the proportioning valve 327 is turned on to operate in the gradient mode (step 1552). In step 1554, the dose response curve is registered for the standard agonist stimulated signal. Step 1556 calculates a potency parameter that could be determined as some specific concentration of the agonist causing a specific level 5 "normally opened" intake port 332. After the system has been initialized, diverting valve 347 is set to connect its common outlet 346 with the reservoir containing host cells, position 1, (Step 1608). The pump 357 is started to pump liquid (Step 1610). This will force the of a signal. The data are saved in step 1558. After the data are saved, the proportioning valve 327 is turned OFF (step 1560), autosampler 315 is moved to a zero position (step 1562), proportioning valve 327 is turned ON (step 1564) and, after a washing delay period determined in step 1566, the valve 327 is turned OFF again (step 1568). After step 1568 has been performed, the process goes back, through line 0, to the incremental counter L (step 1514). 10 wash buffer from the "zero" positioned reservoirs of both autosamplers 301 and 315 to run through nozzles 309 and 325 and outlet ports 312 and 328 of proportioning valves 311 and 327, respectively, priming valves 313 and 329, mixing zone 331, intake port 332 and outlet port 342 of diverting 15 valve 333, priming valve 341, mixing zone 343, a reaction developing line 353, detector 355, pump 357 and into a drain container 359. In mixing zone 343, this flow is mixed \Vith the host cell suspension coming from intake tubing 348 and an outlet port 346 of the multichannel diverting valve 347 If in step 1544, the SLk signal is not larger then BS;, then step 1542 flags the standard agonist asAnegative=, meaning that the particular cells do not have the particular receptor expressed, and the program flow is returned, through line M, to the step 1514. 20 through priming valve 345. Thus, the total flow passing through mixing zone 343 is a sum of three flows, a first flow coming from the proportioning valves 311, a second flow coming from proportioning valve 327 and a third flow coming from the multichannel diverting valve 347. During 25 this step, both proportioning valves supply washing buffer 305 from the reservoirs located at "zero" position of each autosampler in such a way that the final mixture consists of one part of the host cell suspension and two parts of washing If in step 1516 (FIG. 16b), Lk exceeds Lm=' indicating that all agonists have been tested, the process moves through line N to step 1570 were a computer 123 increments a cell counter C. The numeric value of the counter is compared 30 (step 1572) with the maximum number of cells entered in step 1503. If the counter value, C; does not exceed CMAX, then controller L is set to zero in step 1574, multichannel diverting valve 347 is switched to the next position, con- necting a new cell reservoir with the output 346, and the 35 process returns to step 1509 (FIG. 16a) through line P. If in step 1572 the C; value is higher then CMAX, then the process moves to step 1578, where autosampler 315 is moved to its zero position and, proportioning valve 327 is turned ON (Step 1580). After a washing delay, determined in step 1582, 40 the valve 327 is turned OFF (Step 1584) and pump 357 is turned OFF (Step 1586), and the whole program is stopped in step 1588. A continuous flow diagram of the presently preferred orphaned receptor detection mode with the negative pressure 45 fluidics system of FIGS. 4A and 4B is shown on FIGS. 17a-17g. To practice this mode, diverting valve 347 is replaced by a multichannel diverting valve 347 which allows for at least two reservoirs 349, containing host cells, native or transfected with an empty vector, and cells transfected 50 with the orphaned receptor of interest, to be connected separately to the common outlet 346. The program begins from a start state 1600 and enters state 1602 where it sets all parameters to their initial values. These initial parameters include, but are not limited to, the 55 internal initialization of software variables and subroutines. Then the program requests an operator to enter a maximum number of agonists to be tested (Step 1603). Once the initial parameters are set up, the autosamplers 301 and 315 (FIGS. 4A and 4B) move their intake nozzles 60 307 and 323 to the corresponding "zero" positions occupied by a wash buffer reservoir 305 (Step 1604). Proportioning valves 311 and 327, diverting valves 333, 335 and 347, and priming valves 313, 329, 341 and 345 are turned OFF (Step 1606). In that turned off state, priming valves 313, 329, 341 65 and 345, are normally opened, the outlets 312 and 328 of proportioning valves 311 and 327 are connected, buffer. After a delay determined in step 1612, which is needed for the flow of the mixture of cell suspension and wash buffer to stabilize, detector 355 registers a basal signal produced by the host cells (Step 1614). After the basal signal is registered, it is saved as a reference signal, (BS)Hc (Step 1616). In step 1620, multichannel diverting valve 347 is switched over to position 2 to supply the outlet 346 with the suspension of the transfected cells. After a delay determined in step 1622, which is needed for the flow of the mixture of new cell suspension and wash buffer to stabilize, detector 355 regis- ters a second basal signal produced by the transfected cells (Step 1624). After the basal signal is registered, it is saved as a reference signal, (BS)rc (Step 1626) and the pump is turned OFF (Step 1628). The computer 123 (FIGS. lA and lB) triggers the incremental counter L (Step 1630). The numerical content of the incremental counter L is increased by one each time it is triggered, thus determining the position of the nozzle of intake port 323 of autosampler 315 which samples the sets of agonists 319 to be tested. Next, the numerical content, Lk, of the incremental counter L is compared with the maximum number of the standard agonists to be tested, Lmax (Step 1632). If Lk does not exceed Lmax' autosampler 315 positions nozzle 323 into the agonist reservoir located in the rack 319 at the position determined by the numerical value Lk (Step 1634). The pump 357 is turned ON in step 1636 and proportioning valve 327 is switched ON to open its "nor- mally closed" intake port 323 to the common outlet port 328 (Step 1638) thus allowing the particular agonist flows through the priming valve 329, mixing zone 331 intake port 332 and outlet port 342 of the diverting valve 333, priming valve 341, mixing zone 343, where it is mixed with the suspension of transfected cells coming from outlet port 346 of multichannel diverting valve 347 and priming valve 345. After being mixed with the transfected cells in mixing zone 343, the liquid flow goes through reaction developing lines 353, into detector 355 and further into waste reservoir 359. After a delay provided by Step 1640, which is needed for the US 6,558,916 B2 57 mixing process to stabilize, detector 355 registers an agonist induced signal, (SLk)ro produced by the particular orphaned receptor transfected cells in the presence of the given agonist, Lk (Step 1642). After the signal is registered, 58 315 is moved to the zero position (step 1686), proportioning valve 327 is turned ON (step 1688) and, after a washing delay, determined in step 1690, is turned OFF again (step 1692) and the pump 357 is turned OFF (Step 1694). After the 5 step 1694 has been performed, the flow goes back to the incremental counter L (step 1630) through the line 0. its value, (SLk)ro is saved in step 1643 and the apparatus proceeds to step 1644 where proportioning valve 327 is turned OFF, thus connecting normally opened intake port 325 with buffer 305 to outlet port 328. In step 1646, autosampler 315 moves its no=le 323 to position zero occupied with reservoir filled with washing buffer. Propor- tioning valve 327 is turned ON again (Step 1648) connecting inlet 323 with outlet 328. A delay, determined in step 1650, allows for the flow path, composed of intake port 323 and outlet port 328 of the proportioning valve 327, priming valve 329, mixing zone 331, intake port 332 and outlet port 342 of 15 the diverting valve 333, priming valve 341, mixing zone 343, reaction developing lines 353, and detector 355 to be washed out of the remains of the agonist. After the delay (Step 1650), the proportioning valve 327 is turned OFF in step 1652 and the pump 357 is turned OFF in step 1654, thus bringing the system into its original state. If in step 1632 (FIG. 17c), Lk does exceed L,,,ax' then the process moves to step 1700 (FIG. 17g) where the counter L is set to zero. Next, the autosampler 315 is moved to the zero 10 position in step 1702, the proportioning valve 327 is turned ON in step 1704 and after a washing delay determined in step 1706, both proportioning valve 327 and pump 357 are turned OFF in steps 1708 and 1710 respectively, after which the program stops in step 1712. The above devices and procedures may be used to moni- tor cellular responses to test compounds in living cells. For example, living cells may be used to study signal transduc- tion pathways and global cellular responses using reagents such as fluorescent dyes to generate signals indicative of the Next, the value of the registered signal for transfected cells, (SLk)ro is compared with the value of the correspond- ing reference basal signal, (BS)rc (Step 1658). If the agonist induced signal, (SLk)ro is not greater than the basal value, (BS)ro the computer 123 (FIGS. lA and lB) will "flag" the corresponding agonist, Lk as "negative" (Step 1660), which means that the cell does not contain a receptor which can be stimulated by the particular agonist, and the flow returns through line M back to the incremental counter L (Step 1630). If the (SLk)rc signal is greater than the (BS)rc signal, the computer 123 will "flag" the corresponding agonist as "POSITIVErc" (Step 1656), which means that the trans- fected cells do express a receptor which can be stimulated by the particular agonist. 20 activation of the signal transduction pathways or the trig- gering of the global cellular responses. Preferably, the fluorescent dyes are sensitive to the level or state of bio- chemical mediators or biophysical parameters that indicate changes in the activation state of the cell. In particular, to 25 measure changes in the concentration of unbound Ca2 + ions in the cell, the indicator may be the dye indo I, Other indicators may measure intracellular pH (e.g., SNARF-1), intracellular K+ (e.g., PBFI), intracellular N+ (e.g., SBFI), transmembrane potential (e.g., oxonols and DiBAC dyes), 30 lipid fluidity (e.g., merocyamine 540), lipid oxidation (e.g., cis-paranaric acid) and intracellular oxidation potential and state (e.g., MC-H2DCFDA). The preceding indicators are available from Molecular Probes (Eugene, OR) and other vendors. The next task is to determine if the host cells also express this receptor to distinguish it from the orphaned receptor which should be expressed only in transfected cells. To do 35 Example 7 below demonstrates the use of the present devices and methods in which the detector is capable of detecting a plurality of cellular responses simultaneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow so, after the standard agonist Lk has been flagged as positive in the step 1656, the program flow enters loop K-0, where, in step 1662, the autosampler 315 moves its nozzle 323 to the position corresponding to the value obtained in counter 40 cytometer, to measure cellular responses to test compounds in living cells. L, Lk. Step 1664 switches diverting valve 347 to position 1, which connects host cell suspension reservoir 349 with mixing zone 343 through common output 346, through 45 intake port 348 of the multichannel diverting valve 347, and through priming valve 345. Steps 1666 and 1668 turn valve 327 and pump 357 ON, respectively, allowing the buffer 305 coming from intake 309 of the autosampler 301, and stan- dard agonist Lk, coming from the intake 323 and output port 50 328 of the proportioning valve 327, to be brought together in mixing zone 331 with the subsequent mixing of this solution with the host cells in the mixing zone 343. After a delay determined by step 1670, which is needed for the stream of the mixture of the cells and agonist to stabilize, 55 detector 355 registers the agonist induced signal in the host cells, (SLk)Hc (Step 1672). After the signal is registered, it is compared (Step 1674) with the corresponding basal signal, (BS)Ho measured in step 1614. Depending on the results of the comparison, the 60 agonist Lk is marked either as "POSITIVErc1POSITIVEHc" (Step 1676) or as "POSITIVErclNEGATIVEHc" (Step 1678). In either case, the data are saved in step 1680 for further evaluation by the researcher. After the data are saved, the multichannel diverting valve 65 347 is switched over to position 2 in step 1682, the propor- tioning valve 327 is turned OFF (step 1684), autosampler EXAMPLE 7 Target cells are harvested from the culture vessel using dissociation reagents such as 0.25%Trypsin/1 mM EDTA if necessary, washed in buffered salts solution and counted. As discussed above, the target cells may be obtained from cultures containing a single cell type for from cultures containing a plurality of cell types. If the cultures contain a mixed population of cells, cell type identification reagents will be used as described below. After harvesting, the cells are loaded or stained with an appropriate cellular response indicator, such as a dye. Load- ing conditions will vary with the dye used. Conditions to be considered include but are not limited to cell density, temperature, duration and concentration of the dye probe. A variety of dyes suitable for detecting cellular responses and methods for introducing them into cells are known to those skilled in the art. For example, indo-1, SNARF-1, PBFL, SBFI and MC-H2DCFDA are loaded into cells using the membrane permeant, esterase-cleaveable forms at 1-10 µM and room temperature. Oxonols and DiBAC dyes, merocyanine 540, and cis-paranaric acid are loaded and maintained under equilibrium conditions at 1-50 µM and room temperature. To extend viability of the cells, loading and staining arc performed in Hybridoma Medium (HM Sigma) whenever possible. US 6,558,916 B2 59 After loading with an appropriate indicator dye the cells are washed in HM and resuspended in HM at 2E5 to 2E6 cells/ml. Cells are maintained at room temperature in a vessel with constant stirring prior to mixing with the test compound(s) and analysis. Cells are drawn into the apparatus and exposed to test compound(s) as described above. For example, the cells may 5 60 response is occurring. In this way, the cell type or cell types which exhibit the cellular response when exposed to the test compound or compounds may be identified. Likewise in embodiments in which multiple cellular responses are evaluated simultaneously, the cells are con- tacted with a plurality of response indicating reagents and a test compound or compounds. Alternatively, the cells may be exposed to mixtures of test compound(s) and standard compound(s) as described above. Each of the response be drawn into the apparatus using negative pressure gener- ated via a peristaltic pump. In some embodiments, the cells may be exposed to mixtures of test compound(s) and stan- dard compound(s) as described above. In the preferred embodiment having a coupling device, sample slugs comprising cells and test compound(s) or test mixtures are then delivered to the flow cytometer. As dis- cussed above, the coupling device preferably isolates the slugs from the reaction developing lines coming from the mixing chamber and delivers them to the flow cytometer under positive air pressure. Alternatively, cells may also be delivered directly to the flow cytometer without using the coupling devices. 10 indicating reagents provides a distinct signal to the detector to enable the determination of the cellular response which is occurring. It will be appreciated that the cells may be a single cell type or may comprise a mixed population of cell types as described above. The cells which have been con- tacted with the test compound or compounds and a plurality 15 of response indicating reagents are sent to the detector, which detects signals indicative of the cellular responses which are occurring. In addition, where a mixed population of cell types is used, the detector detects signals indicative of the cell type or cell types which are exhibiting each 20 response. As the loaded cells enter the flow cytometer they are excited by the laser(s). The excitation beam scatter proper- ties and fluorescence emissions are optically selected using steering dichroics and bandpass filters. Fluorescent and/or non-fluorescent optical signals associated with each cell are 25 converted into electronic signals, which are processed and represented graphically. The response of the cells as indicated by the reporter dye is detected from each cell at the point in time determined by 30 the configuration of the apparatus. The response can be quantitated as the average of the entire population, or as the percentage of cells exceeding a certain fluorescence value. The data are stored in a database for future reference. Examples 8A and 8B below provide examples of the above methods. EXAMPLE 8A If multiple cell types are to be analyzed, the different cell types are labeled with commercially available fluorescent lipid intercalating dyes which enable the different cell types to be distinguished from one another, such as Di0Cg18(3) or DiIC18(3). Loading procedures vary according to the cell type and dye used, but incubation with 1-5 ,uM dye for several hours to overnight is usually sufficient. Other fluo- rescent dyes may also be used to label the cells. Examples are not limited to, but include, dyes that are trapped v-rithin the cytoplasm due to ionic charges (e.g., carboxyfluorescein, Molecular Probes) or dyes that become conjugated to intra-FIG. 18 illustrates the above procedure. Embodiments of the present devices and methods in which in which the detector is capable of detecting a plurality of cellular responses simultaneously and/or capable 35 cellular proteins or organelles (e.g., Mitotracker Red, Molecular Probes). Such dyes are typically loaded into the cells using 1-50 µM incubation concentrations. Also, fluo- rochrome conjugated antibodies specific for unique markers of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be 40 used to evaluate cellular responses in cell populations com- prising more than one type of cell, to evaluate responses in cell populations obtained from a single cell type or tissue in which only a fraction of the population responds to a stimulus, or to evaluate multiple cellular responses simul- 45 taneously. In analyses in which the cell population contains more than a single cell type, individual cells are tagged with a cell type identification reagent specific for a particular cell type, such as an antibody specific for that cell type. Each cell type 50 identification reagent provides a distinct signal to the detec- tor to enable the determination of which cell type is respond- ing to a test compound. In addition, the cells are contacted with one or more test compounds or test mixtures comprising one or more test 55 compounds and a standard compound as described above. Alternatively, the cells may be exposed to mixtures of test compound(s) and standard compound(s) as described above. The cells are also contacted with a cellular response indi- cating reagent, such as those described in Example 7 above, 60 which provides a signal indicative of a particular cellular response. The cells which have been contacted with the cell type identification reagent, the response indicating reagent, and the test compound(s) or test compound(s)/standard mixture 65 are sent to the detector, which detects signals indicative of the cellular response and the cell type in which the cellular on a cell population can be used to identify the populations. Appropriate dyes and staining reagents are selected accord- ing to the available excitation spectra in the FCM configuration, and the desired spectral emissions that will enable discrimination of one cell population from another. Alternatively, the individual cell types may be labeled with antibodies specific for each cell type. In such procedures, the cells are harvested first and then labeled v-rith the antibodies. To label the cells \vith antibodies, the cells are reslL<>pended at high density in ice-cold staining solution. Staining solution is a buffered salts solution containing a sufficient concentration of antibody to completely saturate all binding sites within 15 minutes on ice. Cells are washed to remove unbound antibody. The labeled cells are harvested and loaded with the cellular response indicator, such as an indicator dye, of choice as described above. Cells are exposed to one or more test compound(s) or test compound(s)/standard mixtures using the mixing system described above and sent to the flow cytometer as described above. Upon analysis of the cellular responses by the FCM, electronic gating is performed to discriminate individual cell types and to quantitate the frequency of responding cells within a population. FIG. 19 illustrates the above procedure. EXAMPLE SB Where multiple cellular responses are to be evaluated simultaneously, a cell population is loaded with two or more US 6,558,916 B2 61 different cellular response indicators, such as bioresponse reporter dyes. For example, the dyes may be indo-1 for Ca2 + responses and SNARF-1 to measure pH. Dyes are loaded and cells are harvested as described above. Alternatively, is some embodiments, fluorescent ligands 5 may be used to stimulate the cells. In this case the fluores- cent ligands are used as normal test agonists or antagonists 62 ing a test compound(s) and a standard, and analyzed by the FCM as described in Example 7 to determine the effects of the test compound(s) or test compound(s)/standard mixture on receptor activity. The FCM is configured to detect each fluorescent param- eter associated with the individual bioresponse reporter dyes and/or with the each labeled population. Using electronic gating, each bioresponse is determined for each individual cell population simultaneously. Electronic gating is also as described above. Thi<> enables the simultaneous analysis and quantification of the cellular bioresponse and ligand binding simultaneously. rn used to quantitate the frequency of responding cells within a each population simultaneously. Cells are exposed to test compound(s) or test compound (s)/standard mixtures comprising one or more test com- pounds and a standard and analyzed as described above. The FCM is configured to detect each fluorescent parameter associated with the individual reporter dyes. Upon analysis 15 of the cellular responses by the FCM electronic gating will be performed to determine the distinct bioresponses within the cells and to quantitate the frequency of responding cells within a population. FIG. 21 illustrates the above procedure. The above devices and methods in which the detector is capable of detecting a plurality of cellular responses simul- taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to analyze one or more test compounds or test compound(s)/standard mixtures compris- It will be appreciated that if one desires to simultaneously 20 evaluate a plurality of cellular responses in populations comprising more than one cell type, the procedures described in Examples 8A and 8B may be combined. ing one or more test compounds and a standard for their influence on the activity of ion channels or non-selective pores. In this embodiment, the reagents indicative of cellular responses are reagents which indicate activation of ion FIG. 20 illustrates the above procedure. The above devices and methods in which the detector is capable of detecting a plurality of cellular responses simul- taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to evaluate the effects of test compounds on receptor activity and to correlate the extent of receptor occupancy by the ligand with the functional response triggered by the receptor. Ligand-specific receptors on cells activate specific second messenger pathways and associated downstream events that result in changes in cell activity or state. Compounds which directly or indirectly block natural ligand binding or that mimic the natural ligand to activate second messenger pathways can be identified. Such compounds have a variety 25 channels or non-selective pores. In addition, where mixed cell populations are used, the cells are also contacted with cell type identification reagents. Different properties of indicator dyes can be exploited to study ion channel and pore function. For example, certain channels are permeant to 30 specific ions, and these ions can alter the fluorescent prop- erties of intracellular dyes. For example, the activation of a Ca2 + channel can be visualized directly using a Ca2 + sensing dye, or indirectly using techniques based on the ability of Mn2 + to pass through the channel and quench fluorescence 35 of a Ca 2 + indicator dye. of applications, including use as drugs or therapeutic agents. 40 The formation of non-selective pores may be monitored using pore-permeant, fluorescent nucleic acid binding dyes to detect permeability changes. These dyes increase their fluorescence dramatically when bound to nucleic acids, and hence would yield fluorescence: signals only when the opening of pores permitted them to enter the cells. As discussed above, the present devices and methods may be used to analyze receptor-mediated cellular responses in mixed cell populations and/or to evaluate multiple receptor- mediated responses simultaneously. In such embodiments, the reagents indicative of cellular responses are reagents 45 which indicate receptor binding or activity. In addition, where mixed cell populations are used, the cells are also contacted with cell type identification reagents. Example 9 describes the analysis of receptor-mediated responses. SD EXAMPLE 9 If populations of different cell types are being evaluated, the cell types are labeled with cell type identification reagents, such as distinct fluorescent dyes or antibodies, as 55 described above to enable discrimination by the FCM. Thus, the present invention permits multiple channel- and pore-mediated cellular responses to test compounds to be monitored in distinct cell populations in an automated fashion. Example 10 describes the analysis of ion channels or non-selective pores. EXAMPLE 10 If populations of different cell types are being evaluated, the cell types are labeled with cell type identification reagents, such as distinct fluorescent dyes or antibodies, as described above to enable discrimination by the FCM. Labeling may be performed as described in Examples 8A and 8B. Cells are harvested as described in Example 7. If a plurality of cellular responses are being evaluated simultaneously, after harvesting, the cells are loaded with two or more cellular response indicating agents, such as Labeling may be performed as described in Examples 8A and 8B. Cells are harvested as described in Example 7. If a plurality of cellular responses are being evaluated simultaneously, after harvesting, the cells are loaded with two or more cellular response indicating agents, such as bioresponse indicator dyes, as described in Example 8B. If it is desired to measure a plurality of cellular responses in a population compri<>ing more than one cell type, the proce- dures of Example 8A and 8B are combined. 60 bioresponse indicator dyes, as described in Example 8B. If it is desired to measure a plurality of cellular responses in a population comprising more than one cell type, the proce- dures of Example 8A and 8B are combined. After loading the cells are mixed with one or more test compounds or test compound(s)/standard mixtures compris- Cells are harvested as described in Example 7. The cells 65 are loaded with a Ca2 + sensing dye such as indo-1 as described in Example 7. Such cells may be used to evaluate the ability of test compound(s) to block or enhance the influx US 6,558,916 B2 63 64 of Ca2 + through Ca2 + channels, or to block or enhance the flow through the channel of other competitive channel permeant ions, such as Mn2 + that quench dye fluorescence. Other dyes that sense fluxes in other ions such as SBFI for Na+ may also be used to detect flow through a Na+ channel 5 of competitive ions. In situations where the target cellular activity is an activatable, non-selective pore then the cells will not be loaded with a bioresponse indicator, unless more than one bioresponse is to be monitored simultaneously. single-transmembrane receptors. Upon activation the enzyme catalyzes the formation of inositol trisphosphate (IP3 ) from membrane lipids. 1 P 3 binds and activates an IP3 , receptor on the endoplasmic reticule (ER) that functions as a Ca2 + channel. This results in release of stored Ca2 + from the ER. This sudden release of Ca2 + can raise intracellular free Ca2 + levels from 100 nM to 1 ,uM within seconds. The apparatus of the present invention may be used to study direct activators or inhibitors of phospholipase C, or of Cells are mixed with one or more test compounds or test compound(s)/standard mixtures comprising one or more test compounds and a standard and analyzed by FCM as described in above with the exception that competitive ions such as Mn2 + (1-100 µM final concentration) or nucleic acid binding dyes such as 7-AAD (1-100 ,uM) are introduced with the test compounds or test compound(s)/standard mix- tures. Sufficient time for the ions or nucleic acid sensing dye is allowed by adjusting the reaction time of the system prior to FCM analysis. In embodiments in which the test compound(s) is mixed with a standard(s), the standard may be an agonist or antagonist of the channel being evaluated. For example, if the channel being evaluated is an L-type voltage-gated Ca2 + channel, the agonist Bay K 8644 or the antagonists Nimodipine, Verapamil, or Diltiazem may be used as stan- dard compounds. Likewise if the channel being evaluated is an N-type voltage-gated CA2 + channel, antagonists such as w-conotoxin GVIA, w-conotoxin MVIIC may be used as the standard compounds. If the channel being evaluated is a voltage-gated Na+ channel, modulators such as batrachotoxin, a-scorpion toxin, class2 13-scorpion toxin or antagonists such as tetrodotoxin, or saxitoxin may be used as standard com- pounds. The FCM will be configured to detect the appropriate optical signals in a multiparametric and multicellular format suitable to the labeling and bioresponse indicator dyes utilized. FIG. 22 illustrates the above procedure. rn the G-protein subunits associated with the receptor that activate the phospholipase C. In such procedures, candidate compounds are introduced to cells containing the desired enzyme using the apparatus of the present invention. The Ca2 + mobilization response is monitored with a fluorescent 15 Ca2 + indicator such as indol. FIG. 23 illustrates the above procedure. The present devices and methods in which the detector is capable of detecting a plurality of cellular responses simul- 20 taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to analyze a test compound or test compounds for their influence on cellular apoptosis or cellular toxicity. As discussed above, the present devices and 25 methods may be used to analyze the effects of a test compound or test compounds on cellular apoptosis in mixed cell populations and/or to evaluate a plurality of cellular responses including apoptosis simultaneously. In such embodiments, the reagents indicative of cellular responses 30 are reagents which indicate activity of agents involved in cellular apoptosis or cellular toxicity. In addition, where mixed cell populations are used, the cells are also contacted with cell type identification reagents. Example 12 describes the analysis of the activity of agents 35 involved in cellular apoptosis or cellular toxicity. EXAMPLE 12 If populations of different cell types are being evaluated, the cell types are labeled with cell type identification 40 reagents, such as distinct fluorescent dyes or antibodies, as described above to enable discrimination by the FCM. Labeling may be performed as described in Examples 8A and 8B. Cells are harvested as described in Example 7. If a plurality of cellular responses are being evaluated 45 simultaneously, after harvesting, the cells are loaded with two or more cellular response indicating agents, such as bioresponse indicator dyes, as described in Example 8B. If it is desired to measure a plurality of cellular responses in a population comprising more than one cell type, the proce- The present devices and methods in which the detector is capable of detecting a plurality of cellular responses simul- taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to analyze a test compound or test compounds for their influence on the activity of second messengers at points downstream of a receptor or channel involved in the second messenger pathway. The above devices and methods may be used to evaluate the effects of test compounds on second messengers. As discussed above, the present devices and methods may be used to analyze the effects of a test compound or test compounds on second messengers in mixed cell populations and/or to evaluate multiple second messengers simultaneously. In such 55 embodiments, the reagents indicative of cellular responses are reagents which indicate activity of second messengers either directly or indirectly. In addition, where mixed cell populations are used, the cells are also contacted with cell 50 dures of Example 8A and 8B are combined. type identification reagents. 60 Certain of the fluorescent biosensors are loaded into the cells prior to exposure to test compounds. Examples include, but are not limited to, JC-1 loaded at 1-10 µM to measure mitochondrial membrane potential collapse, dihydrofluores- cin to measure accumulation of oxygen free radicals and HOE 33342 loaded at 0.1 to 10 µg/ml to assess chromatin condensation and denaturation. Cell populations are treated with one or more test com- pounds or with test compound(s)/standard mixtures com- prising one or more test compounds and a standard prior to harvest, and incubated for predetermined optimal time peri- ods. The optimal incubation time will vary depending upon the cell types, but will likely be from 1 to 4 hours under normal culture conditions. Example 11 describes the analysis of the activity of second messengers. EXAMPLEll Phospholipase C is a 'second messenger' enzyme acti- vated by certain 7-transmembrane receptors and certain 65 Cells are harvested as described in Example 7. The cells are preferably input into the apparatus as discrete, pre-treated populations. US 6,558,916 B2 65 After input to the apparatus, the cells are exposed to extra reagent<> in transit to the FCM. These reagents are additional sensors and detectors of apoptosis. Such reagents may be input through additional input lines in the system. Examples of such reagents include, but are not limited to, FITC 5 conjugated Annexin V which binds phosphatidylserine ori- ented to the external leaflet of the plasma membrane during apoptosis. Time is allowed through adjustment of the lengths of the reaction developing lines from the coupling device and/or mixing chamber to permit interaction of the addi- rn tional fluorescent reagents to their targets. The FCM is configured to detect the appropriate optical signals in a multiparametric and multicellular format suit- able to the labeling and bioresponse indicator dyes utilized. For example, cells are susceptible to the induction of 15 apoptosis by 1 µM of anti-cancer compounds such as camptothecin or Taxol. Cells are loaded with the response indicator dyes such as indol or Fura Red (Ca2 +), or JC-1 (mitochondrial potential), all at 1-10 ,uM. Next, the loaded cells are aliquoted to multiwell plates and treated with test 20 compounds. The cells are incubated for 1-4 hours to permit early apoptotic events to occur. The cells are then input into the apparatus of the present invention through the autosampler, and exposed to an additional apoptosis detec- tion reagent, such as a fluorochrome-conjugated Annexin V 25 (0.1-100 ug/ml), through a sample input line. Sufficient time (1-5 minutes) for the Annexin V to bind to phosphatidylserine on the external leaflet of the plasma membrane is provided to the sample mixture. For example, 30 the length of the reaction chamber may be extended to ensure a sufficient amount of time is provided. Samples are then delivered to the detector via the coupling device (PFC). FIG. 24 illustrates the above procedure. The above devices and methods in which the detector is 35 capable of detecting a plurality of cellular responses simul- taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to analyze one or more test compounds or test compound(s)/standard mixtures compris- 40 ing one or more test compounds and a standard for their influence on the activity of agents involved in cellular necrosis. As discussed above, the present devices and meth- ods may be used to analyze the effects of a test compound or test compounds on agents involved in cellular necrosis in 45 mixed cell populations and/or to evaluate multiple cellular responses simultaneously. In such embodiments, the reagents indicative of cellular responses are reagents which indicate activity of agents involved in cellular necrosis. In addition, where mixed cell populations are used, the cells are 50 also contacted with cell type identification reagents. Example 13 describes the analysis of the activity of agents involved in cellular necrosis. 66 The cells are exposed to additional fluorescent indicators of membrane permeability, if appropriate, through use of addi- tional input lines as described in Example 12. An example is the red fluorescent, plasma membrane impermeant DNA stain propidium iodide. The FCM is configured to detect the appropriate optical signals in a multiparametric and multicellular format suit- able to the labeling and necrosis indicator dyes utilized. FIG. 25 illustrates the above procedure. The above devices and methods in which the detector is capable of detecting a plurality of cellular responses simul- taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to analyze one or more test compounds or mixtures comprising one or more test com- pound<> and a standard for their effects on both necrosis and apoptosis. As discussed above, the present devices and methods may be used to analyze the effects of a test compound or test compounds on both necrosis and apoptosis in mixed cell populations and/or to evaluate multiple cellular responses simultaneously. In such embodiments, the reagents indicative of cellular responses are reagents which indicate activity of agents involved in cellular necrosis and apoptosis. In addition, where mixed cell populations are used, the cells are also contacted with cell type identification reagents. Example 14 describes the analysis of the activity of agents involved in cellular necrosis and apoptosis. EXAMPLE 14 Cells are labeled and treated as described in Examples 12 and 13 to detect both apoptosis and necrosis. Appropriate combinations of labels and response sensing dyes are selected according to the experimental needs to assess both necrotic and apoptotic cells. Pre-stained cells are input to the system through an autosampler port as described above. If appropriate, additional dyes are added to the cell population in transit as described in Examples 12 and 13. The FCM is configured to detect the appropriate optical signals in a multi parametric and multicellular format suit- able to tile labeling and necrosis and apoptosi<> indicator dyes utilized. FIG. 26 illustrates the above procedure. The above devices and methods in which the detector is capable of detecting a plurality of cellular responses simul- taneously and/or capable of measuring cellular responses in individual cells, such as devices in which the detector is a flow cytometer, may be used to obtain or clone populations of cells having a desired phenotype or cellular response profile. In such embodiments, the flow cytometer is equipped to sort cells exhibiting a desired phenotype. The system may be configured to enable fluorescence activated cell sorting of cells having a desired phenotype or cellular EXAMPLE 13 Cells are labeled and treated as described in Example 12, except that the preloaded biosensors are appropriate for detecting necrosis rather than apoptosis. An example would be to load the cells with Calcein using Calcein AM at 1-10 µM. Unlike apoptotic conditions, under necrotic conditions the plasma membrane will become permeant to large mol- ecules like calcein early in the process. Normally well retained green fluorescent calcein will leak out under necrotic conditions and this will be apparent as decreased green fluorescence. 55 response profile. Preferable, the reagents for detecting one or more cellular responses used in such procedures provide a fluorescent signal indicative of the cellular responses. Addi- tional phenotypic markers, such as fluorescent antibodies which detect the presence of particular cell surface markers Pre-labeled cells, or naive cells if appropriate, are input to the system through the autosampler port as in Example 12. 60 may also be used to separate cells having the desired characteristics. This enables the separation or cloning of cells having the desired phenotype or cellular responses from other cells in the population which do not exhibit the desired characteristics. In this way, a uniform population of 65 cells exhibiting the desired characteristics may be obtained for use in assays. Example 15 below describes such embodiments. US 6,558,916 B2 67 EXAMPLE 15 If populations of different cell types are being evaluated, the cell types are labeled with cell type identification reagents, such as distinct fluorescent dyes or antibodies, as described above to enable discrimination by the FCM. Labeling may be performed as described in Examples SA and SB. Cells are harvested as described in Example 7. If a plurality of cellular responses are being evaluated simultaneously, after harvesting, the cells are loaded with two or more cellular response indicating agents, such as bioresponse indicator dyes, as described in Example SB. The cellular response indicating reagents may be any of those listed herein. For example, if the cellular response to be detected is calcium influx, the cellular response indicator mav be indo-1. If it is desired to measure a plurality of celiular responses in a population comprising more than one cell type, the procedures of Example SA and SB are com- bined. Cells are mixed with one or more molecules to be evaluated for inducing one or more cellular responses and the mixture is directed through a detector capable of detect- ing a plurality of cellular responses simultaneously or detecting cellular responses in individual cells as described above. The detector is also configured to sort or clone cells exhibiting the desired characteristics from the population of cells. Sample plugs comprising cells and the one or more test compounds are continuously delivered to the flow cytom- eter. As the plugs are analyzed by the flow cytometer, cells having the desired characteristics are delivered into a receiv- ing vessel. The delivered cells may be expanded in culture for future storage or use. FIG. 27 illustrates the above procedure. The above devices and methods in which the detector is capable of evaluating interactions with a plurality of par- ticles simultaneously and/or capable of evaluating interac- tions with individual particles, such as devices in which the detector is a flow cytometer may be used to perform bio- chemical analvses to determine whether one or more bio- chemical molecules are present in a sample. In such embodiments, the sample is contacted with a detection reagent for identifying the presence of a biochemical mol- ecule in a sample. In some embodiments, the presence of several biochemical molecules in the sample is simulta- neously evaluated using detection reagents which provide distinct signals for each biochemical molecule being evalu- ated. In some embodiments, the evaluation of multiple biochemical molecules is accomplished using to beads or particles which provide distinct signals. For example, the present devices and methods may be used to perform Western analyses to simultaneously evalu- ate samples for the presence of multiple polypeptides. Example 16 describes one embodiment of such Western analyses in which multiple polypeptides are simultaneously evaluated for modifications resulting from the activities of signal transduction pathways. However, it will be appreci- ated that the present devices and methods may be used to conduct Western analyses on any types of polypeptides present in a sample. EXAMPLE 16 Microsphere populations bearing antibodies specific for a plurality of cellular proteins are prepared by conjugating the antibodies directly to the spheres. Optimal conjugation conditions will vary for each antibody but examples include the use of streptavidin coated microspheres to permit coating 68 with biotinylated antibody. The microspheres may be fluo- rescent or of different sizes to render each bead population identifiable by FCM. Based on size or fluorescence parameters, several unique and addressable bead and anti- s body combinations can be constructed. This allows multiple assays to be performed in a single experiment when the populations are analyzed by FCM. For example, if the polypeptides to be assayed are polypeptides which are modified through the activities of rn signal transduction pathways, cell populations are treated with test compounds prior to harvest, and incubated for predetermined optimal time periods to allow appropriate downstream signal transduction events to occur. The cells are lvsed with a detergent, such as 0.1-1.0% NP-40, to 15 liber~te intracellular molecules. Micropsheres bearing spe- cific antibody are added to the lysate to adsorb specific cellular proteins. Samples of beads are then drawn into the system fluidics from the microtiter plate using an autosampler port. Bead 20 populations are exposed to a second antibody (10 µM) within the fluidics system by introducing the antibody to the sample slug through a second input system. The second antibody is conjugated with a fluorescent molecule to permit identification bv FCM. The second antibody is able to detect 25 modifications ~f the captured cellular protein on each unique bead population. An example is the use of an anti- phosphotyrosine antibody to detect phosphotyrosine labeled proteins. The length of the reaction developing lines from the coupling device and/or the mixing chamber is sufficient 30 to permit binding of the second antibody to the captured protein (2 to 5 minutes). The addressable, antibody covered beads with captured cellular protein then enter into the FCM. The FCM is configured with the correct excitation lasers and beam 35 scatter and emissions collecting optics to permit simulta- neous analyses of multiple captured cellular proteins. Using multiple unique bead populations, it is possible to simulta- neously analyze the modification state of multiple cellular proteins. 40 FIG. 28 illustrates the above procedure. The above devices and methods in which the detector is capable of evaluating interactions with a plurality of par- ticles simultaneously and/or capable of evaluating interac- 45 tions with individual particles, such as devices in which the detector is a flow cytometer, may be used to perform Northern or Southern analyses to simultaneously evaluate samples for the presence of multiple mRNAs or DNA5. Example 17 describes one embodiment of such Northern so analyses in which Northern analyses are performed on mRNAs which may be induced following treatment with test compounds. However, it will be appreciated that the North- ern analyses may be performed to detect the presence of any desired mRNAs in a sample. It will also be appreciated that 55 the method may be performed to detect the presence of any desired DNAs in the sample. EXAMPLE 17 Microsphere populations bearing oligonucleotide probes 60 complementary for portions of specific cellular mRNA are prepared by conjugating the oligonucleotide directly to the spheres. Optimal conjugation conditions will vary for each oligonucleotide. An example is to use streptavidin coated microspheres to permit coating with biotinylated oligonucle- 65 otide probe. The microspheres may be fluorescent or of different sizes to render each bead population identifiable by FCM. Based on size or fluorescence parameters, several US 6,558,916 B2 69 unique and addressable bead and oligonucleotide combina- tions can be constructed. Thi<> allows multiple assays to be performed in a single experiment when the populations are analyzed by FCM' 70 and fluorescent dideoxynucleotide triphosphates. Each reac- tion will target a unique SNP site. The last step is the addition of a slurry of streptavidin- coated microspheres to adsorb the fluorescent labeled prim- ers. This step is performed by the mixing system. If the mRNAs to be analyzed may be induced by test 5 compounds, cell populations are treated with test com- pounds prior to harvest and incubated for predetermined optimal time periods to allow appropriate cellular events to occur that result in synthesis of new MRNA species. Cells are lysed with a reagent such as RNAzol to liberate and preserve intracellular mRNA. Micropsheres bearing specific oligonucleotide probes are added to the lysate to permit hybridization of the oligonucleotide probes on the beads to complementary mRNA. Extended, labeled primers enter into the system from the microtiter plates using an autosampler port. The primers are mixed with streptavidin coated beads taken from another port. The reaction time is adjusted to permit the beads to adsorb the extended primers while in transit through the 10 tubing from the coupling device or mixing chamber. The FCM is configured to identify the bead populations and the primer-associated fluorescence on each bead set. FIG. 30 illustrates the above procedure. The above devices and methods in which the detector is Oligonucleotide probes containing biotinylated UTP spe- cific for the remaining, unhybridized portions of the mRNA are also added to the hybridization mix. Hybridization between the bead bound probes, the mRNA species and the biotinylated probes will proceed under optimized condi- tions. 15 capable of evaluating interactions with a plurality of par- ticles simultaneously and/or capable of evaluating interac- tions with individual particles, such as devices in which the detector is a flow cytometer, may be used for multiparamet- ric analyses of enzymatic activities. 20 Bead populations are exposed to an anti-biotin antibody (1-5 ,ug/ml) within the fluidics system by introducing the antibody to the sample slug through a second input system. The antibody is conjugated with a fluorescent molecule to 25 permit identification by FCM. The length of the reaction developing lines from the coupling device and/or the mixing chamber is sufficient to permit binding of the antibody to the second oligonucleotide probe (2 to 5 minutes). Tile addressable, antibody covered beads with captured mRNA 30 then enter the FCM. Example 19 describes such analyses. EXAMPLE 19 Microsphere populations bearing enzyme substrates are prepared by conjugating the substrates directly to the spheres. Optimal conjugation conditions will vary for each substrate. An example is to use streptavidin coated micro- spheres to permit coating with biotinylated substrate. The microspheres may be fluorescent or of different sizes to render each bead population identifiable by FCM. Based on size or fluorescence parameters, several unique and addres- sable bead and substrate combinations can be constructed. This allows multiple assays to be performed in a single experiment when the populations are analyzed by FCM' Multiple identifiable bead populations, each bearing a unique substrate, are entered into the mixing system. The beads are mixed with enzyme(s) and candidate enzyme The FCM is configured with the correct excitation lasers and beam scatter and emissions collecting optics to permit simultaneous analyses of multiple captured cellular mRNAs. Using multiple unique bead populations, it will be possible to simultaneously detect multiple mRNA species. FIG. 29 illustrates the above procedure. The above devices and methods in which the detector is capable of evaluating interactions with a plurality of par- ticles simultaneously and/or capable of evaluating interac- tions with individual particles, such as devices in which the detector is a flow cytometer, may be used to simultaneously evaluate samples for the presence of multiple single nucle- otide polymorphisms (SNPs). 35 antagonists or agonists. In some embodiments, the beads may be mixed with enzyme(s), candidate antagonists or agonists, and standards. The delay time of the reaction developing lines from the coupling device and/or the mixing chamber is determined a=ording to the reaction kinetics of 40 the enzyme activity towards the substrate and the desired information. Example 18 describes one embodiment of such analyses. 45 EXAMPLE 18 In this example, the ability of the enzyme to cleave fluorescent substrate from the bead in the presence of a compound test compound(s)/standard mixture is detected as a decrease in fluorescence of the bead population. If the test compound(s) or test compound(s)/standard mixture inhibits catalytic activity of the enzyme, then less of the substrate will be cleaved. The fluorescence intensity of the bead population will remain nearly as bright as the control 50 population. If the test compound(s) or mixture increases the catalytic activity of the enzyme then more of the substrate will be cleaved. There are multiple methodologies for determining the identities of polymorphic bases in SNPs in genomic DNA samples. One approach is to prepare a short minisequencing primer that hybridizes to PCR-amplified genomic DNA containing the SNP such that the 3' end of the primer is immediately adjacent to the polymorphic base. DNA poly- merase is used to extend the primer by one base to the polymorphic site. If fluorescent bases are used, the identity 55 of the inserted base, which is dictated by the sequence of the amplified DNA, can be identified by the fluorescent signa- ture of the extended primer. Such fluorescent bases are commonly used in high speed DNA sequencing efforts and are commercially available. By constructing the oligonucle- 60 otide probes so that they can be affixed to PCM-addressable microspheres, the products of the DNA polymerase reaction can be detected by FCM. Multiple SNPs can be detected in a single sample of DNA by linking primers for each SNP to different addressable beads. In a preferred embodiment, the extension reaction is performed in microtiter wells using a biotinylated primer 65 The FCM is configured with the correct excitation lasers and beam scatter and emissions collecting optics to permit simultaneous analyses of modifications of multiple enzyme substrates by the test compound(s) or mixtures. FIG. 31 illustrates the above procedure. The above devices and methods in which the detector is capable of evaluating interactions with a plurality of par- ticles simultaneously and/or capable of evaluating interac- tions with individual particles, such as devices in which the detector is a flow cytometer, may be used for multiparamet- ric analyses of molecular assembly assays. Example 20 describes such analyses. EXAMPLE 20 Microsphere populations bearing first molecules to be evaluated for interaction with second molecules are prepared US 6,558,916 B2 71 72 by conjugating the first molecules directly to microspheres. In some embodiments, both the first molecules and the second molecules are polypeptides. For example, the first molecules may be polypeptides involved in signal transduc- tion. Thus, the devices and methods of the present invention 5 may be used to assess the ability of cognate molecules involved in signal transduction to bind with their target molecule in the presence of one or more test compounds. test compound(s) on the association of the fluorescent ligand with the receptors are assessed by FCM measurements. The FCM is configured with the correct excitation lasers and beam scatter and emissions collecting optics to permit simultaneous analyses of binding of ligands to multiple receptors, and the effect of the test compounds. FIG. 33 illustrates the above methods. It is not uncommon to find that therapeutic agents are only partially effective in achieving the desired effect in a sub- stantial proportion of patients. This is likely due to patient heterogeneity and/or heterogeneity of the cell populations at the disease site. Accordingly, there is a need for devices and methods which evaluate heterogeneity in the response of a Optimal conjugation conditions will vary for each mol- ecule. An example is to use streptavidin coated microspheres rn to permit coating with biotinylated substrate. The micro- spheres may be fluorescent or of different sizes to render each bead population identifiable by FCM. Based on size or fluorescence parameters, several unique and addressable bead and molecule combinations can be constructed. This 15 allows multiple assays to be performed in a single experi- ment when the populations are analyzed by FCM. subject's cells to therapeutic agents before initiation of a treatment regimen. In this way, the therapeutic agents which are most likely to be effective for that particular subject may be administered at the initiation of treatment. The beads bearing the first molecule, such as a molecular target are entered into the mixing system and exposed to test mixtures and a fluorescent cognate molecule in fluidics format. In this type of assay, inhibition of the molecular interaction by the test compound(s) will be visible as a reduction in fluorescent signal of the cognate molecule due to reduced binding to the target. The FCM is configured with the correct excitation lasers and beam scatter and emissions collecting optics to permit simultaneous analyses of binding of cognate molecules to multiple molecular targets, and the effect of the test mix- tures. The purpose of the assay is to assess the ability of cognate signal transduction molecules that bind the target molecule as part of a normal in vivo signaling cascade to bind with the target molecule in the presence of test mixtures, may be used for multiparametric analysis of receptor targets. FIG. 32 illustrates the above methods. Accordingly, one embodiment of the present invention is 20 a method for determining the effect of each of a plurality of test agents on cells from a subject. The subject may be any desired organism. For example, in some embodiments, the subject is a mammal, such as a mouse, rat, rabbit, dog, cat, sheep, goat, cattle, pig, monkey, human or other mammal for 25 which it is desired to identify effective agents prior to the initiation of treatment. In the method of the present invention, cells are obtained from the subject. The cells may be any type of cells for which it is desired to evaluate the response to each of the test 30 agents. A plurality of samples comprising the cells are combined with one or more of the test agents to form a plurality of test mixtures. For example, the test agents may be sequentially combined with the cells using the automated and computer controlled devices described above. 35 For example, the cells may be combined with the test agents in wells of a multiwell tissue culture plate or in liquid cultures. After contacting the cells with the test agent for a period of time sufficient for the test agent to produce a response in the cells, the test mixtures are directed through 40 a detection zone capable of detecting the effect of the test agents on the cells. For example, the detection zone may be the detection zone in one of the devices described above. In some embodiments, the response of the cells to the test The above devices and methods in which the detector is capable of evaluating interactions with a plurality of par- ticles simultaneously and/or capable of evaluating interac- tions with individual particles, such as devices in which the detector is a flow cytometer, may be used to simultaneously evaluate the interactions of multiple receptors with ligands. Example 21 describes one embodiment of such analyses in which the interactions of multiple membrane spanning receptors with their ligands are simultaneously evaluated. 45 However, it will be appreciated that the present devices and methods may be used to simultaneously evaluate the inter- actions of any type of molecule with potential binding agents is measured using a detector which is capable of detecting a plurality of cellular responses simultaneously and/or a detector which is capable of detecting a cellular response as a single cell is flowing through the detection zone. For example, the detector may be a flow cytometer as described above. partners. EXAMPLE 21 Membrane spanning receptors are i-;olated from cells using techniques familiar to those skilled in the art. For example membrane spanning receptors may be isolated by performing an imrnunoprecipitation from detergent solubi- lized cells using a. microsphere-coupled antibody specific for the receptor of interest. Following harvest of the beads with bound receptor, the beads with coupled receptor can be used in the mixing system. Alternatively the receptor can be engineered to contain a molecular tag such as histidine and expressed in a recom- binant form. The tag is then used to isolate the receptor from solubilized cells by mixing the lysate with a slurry of Ni+ coated microspheres. The receptor-coated microspheres can be used in the mixing system. Beads with attached receptors are entered into the mixing system and mixed with a fluorescent ligand. The effects of 50 The test agents may be any agent or combinations of agents for which it is desired to evaluate a cellular response. In particular, the test agents may be any of the test agents described above and the cellular response may be any of the cellular responses described above. In some embodiments, 55 the test agents may be chemical compounds, biological molecules or test cells. For example, the test agents may be agents for treating cancer, immunosuppressive drugs, antibiotics, anti-inflammatory drugs, neurotransmitters, growth hormones, or analgesics. If desired, the test agents 60 may be mixed with the cells over a range of concentrations in order to estimate the relative proportions of drugs to be used in the patient. In one particular embodiment of the present invention, the test agent may be an anticancer agent, such as an agent used 65 in chemotherapy. Cells are obtained from a tumor or can- cerous growth in the subject to be evaluated. The cells are combined with one or more anticancer agents to evaluate US 6,558,916 B2 73 their ability to reduce or eliminate the proliferation or viability of the cells. The agent or combination of agents which has the greatest effect on the proliferation or viability of the cells is administered to the subject. 74 multiparametric cell viability measurements provide an index of the relative susceptibility of the cells to the anti- cancer agent or agents to which they were exposed. Example 22 below describes the evaluation of the effect 5 of one or more anticancer agents on the viability or prolif- eration of cells from the subject. If desired, the devices described above may be used to determine whether the effects of the test agent or combina- tion of test agents resulted from activation of the apoptotic pathway or through a necrotic mechanism. In such embodiments, the cells are contacted with response indica- tors indicative of one or the other of these pathways. EXAMPLE 22 Biopsied cells or blood samples containing tumor cells are obtained from the subject. The subject's cells are obtained by a clinically accepted method such as needle biopsy or phlebotomy. A plurality of samples containing the cells are each cultured in the presence of one or more anticancer agents for a sufficient period of time to allow them to produce a cellular response. The period of time may be seconds, minutes, hours, days, weeks or any desired time period. The cells may be cultured in multiwell tissue culture plates or in liquid cultures. The cells are combined with the anticancer agents using an automated and computer con- trolled device such as those described above to form test mixtures comprising the cells and anticancer agents. The cells are contacted with one or more response indi- cating reagents which generate signals indicative of particu- lar cellular responses. The response indicating reagent may be added to the cultures of cells prior to directing the cells to the detection zone or while the cells are in transit to the detection zone in a device such as those described above. The cells may be contacted with the response indicating reagent<> using the devices described above. The response indicating reagents may be any of those described above. In some embodiments, the response indicating reagent may be a fluorescent indicator such as those described above. In some embodiments, the response indicating reagents indicate one or more response, such as cellular toxicity, necrosis, or apoptosis. For example, the response indicating reagent may be any of those described in Examples 12-14 above. 10 During the apoptotic cascade, a series of biochemical events and consequences can be measured that are typical of the pathway. After exposure to any one compound not all cells will clearly exhibit all features common to the apop- totic cascade. However, it is typical for several of the features to be detectable. Similarly, at a given concentration 15 of compound, not all cells will clearly exhibit all features of apoptosis. And finally, not all features of apoptosis develop at the same time following exposure to an array of pro- apoptotic molecules. These variances arise from heteroge- neity in a variety cellular properties, different mechanisms of 20 induction of apoptosis by the drugs and different concen- trations and activities of the drugs. Thus, the ability to simultaneously measure several parameters of cells exposed to multiple drugs or to drugs in varying dosages would permit detection of apoptotic hallmarks regardless of such 25 variables. The ability to develop a chemotherapeutic sensi- tivity profile would improve the design of patient therapies by optimizing the dosage regimen and combination therapy before the patient is actually treated. The cellular parameters to be measured may include, but 30 are not limited to, 1) forward and side light scatter properties, 2) activation of the caspase family of proteases, 3) perturbations in mitochondrial function and integrity such as the membrane potential, 4) inversion of phosphati- dylserine from the inner leaflet of the plasma membrane to 35 the outer leaflet, 5) cellular acidification, 6) intracellular generation of oxygen radicals and the effect of those species on cellular molecules, 7) increases in the permeability of the plasma membrane and 8) evidence of DNA damage and chromatin condensation. Fluorescent probes or other 40 reagents for evaluating these parameters are known to those skilled in the art. The test mixtures containing the cells, test agent, and response indicating reagent are sequentially delivered to the detector, which may be a flow cytometer (FCM) in one of the devices described above. In some embodiments, the test mixtures pass through a plug flow coupler before being 45 delivered to the detector. The detector, such as a flow cytometer, may analyze individual cells in the test mixtures If desired, the relative susceptibility of the tumor cells to the test agents may be tested by comparing the effect of the test agent or combination of test agents on the tumor cells to their effects on normal, non-cancerous cells, such as periph- eral lymphocytes. Also, if desired, the relative potency of various agents towards tumor and normal cells can be derived by testing the drugs across a broad dose range. The dose of the drugs that causes 50% of the cells to die (LD50) to assess the toxicity index of each agent combination on those cells in order to provide an estimate of the frequency of cells that respond to or are resistant to the therapy. 50 can be determined for each drug or drug combination. By combining assays of drug activity towards tumor and control cells, an index of the relative activity of the drugs towards tumor and control cells can be developed. Comparison of Alternatively, the detector may simultaneously evaluate two or more parameters indicative of cellular toxicity, necrosis, apoptosis, or other indicators decreased cell pro- liferation or viability. Such parameters may include glu- tathione or free calcium, dissolution of membranes, inter- 55 ference with mitochondrial energy generation, activities against molecules with specific functions that are critical to normal function of the organ where they reside, and inter- ference with detoxification enzymes such as the cytochrome P450 family. Cellular necrosismay be evaluated using 60 response indicating reagents which detect dissolution of the cell plasma membrane or the random release of cellular contents to the surrounding milieu. In addition to detecting signals from response indicators such as fluorescent probes, changes in the light scatter properties of the excitatory light 65 source used in the FCM may also be used to indicate changes in the status of the cells. The results of these this index for the various drugs or drug combinations will indicate which drug or drug combination will most likely be successful for the patient. The results of the above analysis are used to identify the anticancer agent or combination of anticancer agents which is most effective on the subject's tumor. The most effective agent or combination of agents is then administered to the subject. In vitro experiments using the HL-60 tumor cell line as a model are described in Example 23 below. EXAMPLE 23 The human monocvtic cell line HL-60 was used for the toxicity testing. Sto~k cultures of cells were grmvn in US 6,558,916 B2 75 spinner flasks in Iscove's modified Dulbecco 's medium with 4 mM L-glutamine adjusted to contain 1.5 g/L sodium bicarbonate, 80%; fetal bovine serum, 20% Cultures were incubated at 37 C. in 5% C02. Cells were maintained at lx105/ml to 5xl05 cells/ml. Stock solutions of Actinomycin D, ouabain, FCCP, etoposide, acetaminophen and ibuprofen were prepared. Stock solutions were prepared in appropriate solvents and maintained at temperatures appropriate to the compounds. 5 76 input and analyzed in one minute, or an entire 96-well plate could be analyzed in less than nine minutes. FIG. 34 illustrates multiparametric assessment of single dose toxic- ity. The data was obtained from human monocytic cells treated overnight in 24 wells of a 96-well plate with rela- tively low or high concentrations of toxic molecules (FCCP, actinomycin D, oubain, etoposide, acetaminophen, ibuprofen), or buffer control. The cells were stained in the wells with fluorescent probes that measure the following 10 parameters: intracellular calcium, cellular glutathione and plasma membrane integrity propidium iodide and ToPro3). Forward angle and 90 degree (side) scatter signals of the incident laser beam were also determined as indicators of HL-60 cells were incubated at 5x105 cells/ml in 200 ,ul of media in 96-well flat bottom plates. Compounds were either diluted into culture media for further dilution into wells or diluted directly into wells from the stocks. Cells were incubated with the compounds for 20 hours. To prepare for loading the plates of cells were centrifuged (1000 g/5 15 minutes), and the supernatants were removed. The culture media was replaced with 200 pl of a loading buffer. Cells were stained directly in the wells by addition of fluorescent probes with a multichannel pipettor. To measure intracellular calcium levels the cells were incubated with indo-lAM (2 20 ,uM). Glutathione levels were measured with CM-FDA (2 µM). The two probes were added simultaneously and the cells were incubated for 40 minutes. After loading the cells were analyzed directly from the wells without removing the supernatant. TOPR0-3 and propidium iodide, PI, were 25 added to the wells at least 10 minutes before the analyses. All stains were obtained from Molecular Probes except for PI which was obtained from Sigma. Rapid sample input from the 96 well plate into the FCM was a=omplished using the embodiment of the device 30 described above comprising a plug flow coupler, an autosampler, peristaltic pump and eight port switching valve cell shape change or relative size. The well contents were aspirated into the FCM at 10 samples per minute for the simultaneous analysis of all the parameters. The results of the 18 control well<> were pooled and the mean is shown. For each parameter a threshold was set so that 10% to 20% of the control cells exceeded the threshold level. The frequency of cells that exceeded the threshold in the treated wells was also determined. The results show that the toxins used at high concentrations (FCCP, ouabain, actinomycin D) gave signs of toxicity when measured by all six parameters. Etoposide which was used at a relatively low concentration was not detected by propidium iodide, the commonly used plasma membrane indicator of toxicity. Acetaminophen and ibupro- fen were only flagged by the light scatter parameters. This figure is consistent with multiparametric assessment of toxicity yielding more information than single parameter measurement systems, and that information greatly improves the ability to detect toxic molecules. FIG. 35 illustrates the dose response curves for actino- mycin D. These curves were generated from the same cell line as shown in FIG. 34. Here the cells were exposed to a range of concentrations of the toxic compound actinomycin D. Four parameters, plasma membrane (probe 1), plasma membrane (probe 2), intracellular calcium, and light scatter, were measured. The results indicate that side scatter detec- tion and intracellular calcium levels are more sensitive to draw samples from the plate wells using the peristaltic pump. Separate samples of cells were loaded with the individual probes and introduced into a device of the present 35 invention as described above. These singly stained samples were used to set the PMT voltages and amplifier gains on the instrument for each stain. Once the instrument settings were established, the wells containing the treated cells were input via the autosampler into the flow cytometer. 40 detectors of toxicity than the plasma membrane integrity probes. Furthermore these parameters give insight as to the mechanism of the toxicity. These dose-response curves can be used to determine LD50 values of 125 to 250 nM. The system was controlled by software with functions appropriate to flow cytometry applications such as control- ling the switching valve. The autosampler was set to draw from each well for three seconds, and to progress from well to well with continuous aspiration driven by the pump. The 45 system can be directed to a washing station if desired but this slows the sampling rate. Separate experiments with stained or unstained cells in alternating wells indicated that well to well contamination was less than 3% under these conditions. Depending on the cell density in the wells a two second 50 aspiration delivers up to several hundred cells for analysis. The switching valve serves to isolate the samples from the oscillatory pressures of the peristaltic pump, and place them under the positive air pressure normally used to drive samples through a conventional FCM. This results in smooth 55 particle delivery to the laser interrogation point \Vith mini- mal loss of data due to pressure surges. Sample uptake and delivery into the system were synchronized. The detector utilized in the device was a Coulter Epics Elite flow cytometer (FCM). For cell analysis the instrument 60 was equipped with a Coherent Innova 90 argon laser using UV optics to generate 350-355 nm UV excitation lines, a air cooled argon laser to provide 488 nm excitation and a air cooled HeNe laser to provide 633 nm excitation. Data files were acquired and analyzed using Expo2 software (Coulter). 65 Data files were collected as one row of cells per file. For the well aspiration times used one row of 12 wells could be In some instances, cells are resistant to therapeutic agents because cellular pumps, such as multidrug resistance pumps, prevent the therapeutic agent from accumulating inside the cell in an effective amount. Accordingly, devices such as those described above may be utilized to measure the activity of such pumps in cells obtained from the subject. Multidrug resistance pumps (MDR) exist in the plasma membranes of all cells. The MDR serve to extrude mol- ecules from the interior of the cell. Overactivity or overex- pression of this family of pumps accounts for some ability of tumor cells to escape the toxic activities of chemothera- pies by virtue of their ability to extrude tumor killing drugs from the cytoplasm where they need to be present in sufficiently high concentrations to have toxic activity towards the tumor cells. Inhibitors of these pumps have been sought as adjunct therapies to enhance the ability of cancer chemotherapeutic drugs to accumulate in cancer cells, thereby enhancing the drug therapeutic efficacy. Cells from a subject may be pretreated with MDR inhibi- tor drugs and their effectiveness against the cells from the subject may be evaluated as described above. If desired, the cells may be cultured in a multiwell plate or, alternatively, the cells may be cultured in liquid culture. Some cultures of the cells are contacted with the candidate MDR inhibitor US 6,558,916 B2 77 drugs while control cultures are not contacted with the MDR inhibitor drugs. If desired, the cells may be treated with bioresponse probes to measure, for example, plasma mem- brane integrity as an indicator of cell viability. The treated cells (with or without bioresponse probes) are then drawn 5 from the wells of the multiwell plate into fluidics system of a device such as those described above. A second line is used 78 integrity has been damaged. Alternatively, the test cells may be loaded with the response indicating reagent as they are en route to the detector. The test mixtures are sequentially delivered to the detec- tor. In some embodiments, the test mixtures pass through a plug flow coupler before being delivered to the detector. In some embodiments, the test cells may also be evaluated to determine whether they express one or more molecules on their surface which will cause a desirable or undesirable to input a response indicating reagent that assesses the relative activity of the MDR pumps in the cells. For example, the fluorescent probe Calcein AM(Molecular 10 response. For example, the test cells may be contacted with Probes, OR) is excluded by the MDR pump family of detectably labeled antibodies against MHC molecules and transporters. The slug of patient cells is thus exposed to the analyzed using devices such as those described above to MDR probe for a defined period of time and some amount determine whether they have a pattern of MHC molecules of the probe will leak into the cells, while most will be which indicates that the subject will tolerate the tissue or excluded by the pump. In the presence of active MDR 15 organ transplant or whether they have a pattern of MHC inhibitors, less of the compound will enter the cell. The molecules which indicates that the subject will reject the decrease in fluorescence measured by the detector, such as tissue or organ transplant. a flow cytometer, indicates that the patient's cells are sus- ceptible to the particular MDR inhibitor or combination of If desired, genetic analyses may also be performed as MDR inhibitor. As an alternative mode of operation, the 20 described above to determine whether the subject is likely to candidate MDR inhibitor compounds could be added to the a=ept or reject the transplant. patient cells as a concentration gradient while the test probe It will be appreciated that the test cells need not be would be added at a single concentration. In this way an candidate tissue or organ transplants, but may also be any EC 50 value for the relative activity of each MDR inhibitor other cell type for which it is desired to evaluate the drug could be derived. These single drug values could be 25 subject's response. compared to values for drug combinations to determine if Although the invention has been described in detail with there is synergy between the combined drugs. In this reference to certain particular embodiments thereof, it will manner, drug therapies may be accurately tailored to each be understood that any variations and modifications apparent patient to increase efficacy, and reduce treatment times and to those of skill in the art will still fall within the spirit and overall costs. 30 scope of the invention. Other embodiments not specifically In another embodiment of the present invention, the described herein may fall within the spirit and scope of the methods for identifying the most effective test agent or present invention as provided by the following claims. combination of test agents described above may be com- What is claimed is: bined with genetic analysis techniques which indicate 1. A method for determining the effect of each of a whether the subject is likely to respond positively to the test 35 plurality of test agents on cells from a subject comprising: agent or combination of test agents. For example, a nucleic (a) obtaining cells from said subject; acid sample may be obtained from a subject and analyzed to (b) combining each of a plurality of samples comprising determine which test agent or combinations of test agents said cells with one or more of said test agents to form are likely to be effective or not to be effective in treating the each of a plurality of test mixtures; and subject. For example, the nucleic acid sample may be 40 (c) sequentially directing each of said plurality of test evaluated to determine whether the subject has an allele of mixtures through a detection zone in an apparatus, said one or more single nucleotide polymorphisms which is detection zone being capable of detecting the effect of indicative of a positive or adverse response to a particular said agents on said cells. test agent or combination of test agents. The identities of 2. The method of claim 1, wherein said method further such single nucleotide polymorphisms in the sample may be 45 comprises determining whether said one or more test agents determined using the methods described above or other has a desired effect on said cells from said subject. methods familiar to those skilled in the art, including the 3. The method of claim 1, wherein said agents are selected methods described in U.S. Pat. No. 5,952,174, U.S. Pat. No. from the group consisting of chemical compounds, biologi- 5,945,283, and U.S. Pat. No. 5,885,775, the disclosures of cal molecules, and test cells. which are incorporated herein by reference in their entire- 50 4. The method of claim 3, wherein said agents are ties. chemical compounds. In another embodiment of the present invention, devices 5. The method of claim 4, wherein said subject is a such as those described above may be used to determine mammal. whether a subject will reject or accept a candidate organ or 6. The method of claim 5, wherein said mammal is tissue for use in a transplant. The methods are similar to 55 selected from the group consisting of mouse, rat, rabbit, dog, those described above for anticancer agents except that the cat, sheep, goat, cattle, pig, monkey, and human. test agents are cells from the candidate organ or tissue. A 7. The method of claim 6, wherein said mammal is a plurality of samples of immune cells from the subject are human. each combined with test cells from the candidate organ or 8. The method of claim 1, wherein said cells are normal tissue to generate test mixtures. The cells from the subject 60 cells. and the test cells are placed in contact with one another for 9. The method of claim 8, wherein said normal cells are a sufficient time to allow the immune cells to lyse or damage cells involved in generating or modulating an immune the integrity of the test cells. The cells from the subject may response. be combined with the test cells in a multiwell tissue culture 10. The method of claim 1, wherein said cells are abnor- plate or in liquid culture. The test cells may have been 65 mal cells. previously loaded with a response indicating agent which 11. The method of claim 10, wherein said abnormal cells indicates whether they have been lysed and/or whether their are cancer cells. US 6,558,916 B2 79 12. The method of claim 1, wherein said test agents are selected from the group consisting of agents for treating cancer, immunosuppressive drugs, antibiotics, anti- inflammatory drugs, neurotransmitters, growth hormones, and analgesics. 13. The method of claim 1, wherein said test mixtures further comprise one or more response indicating agents. 14. The method of claim 13, wherein said response indicating agents indicate a decrease or cessation of repli- cation. 15. The method of claim 13, wherein said response indicating agents indicate cell death. 5 1iJ 16. The method of claim 1, wherein said plurality of test mixtures vary according to a condition selected from the group consisting of incubation condition, type of cell, type 15 of test agent, and number of test agents, or a combination thereof. 80 32. The method of claim 1, wherein said cells are abnor- mal cells. 33. The method of claim 32, wherein said abnormal cells are cancer cells. 34. The method of claim 1, wherein said test agents are selected from the group consisting of agents for treating cancer, immunosuppressive drugs, antibiotics, anti- inflammatory drugs, neurotransmitters, growth hormones, and analgesics. 35. The method of claim 1, wherein said test mixtures further comprise one or more response indicating agents. 36. The method of claim 35, wherein said response indicating agents indicate a decrease or cessation of repli- cation. 37. The method of claim 35, wherein said response indicating agents indicate cell death. 17. The method of claim 3, wherein said detection zone is capable of detecting a plurality of cellular, responses simul- taneously. 18. The method of claim 3, wherein said detecting step comprises simultaneously measuring a plurality of an extent 38. The method of claim 1, wherein said plurality of test mixtures vary a=ording to a condition selected from the 20 group consisting of the incubation condition, type of cell, type of test agent, and number of test agents, or a combi- nation thereof. of response of said cells to said one or more test compounds as each of said plurality of test mb,1:ures are flowing through said detection zone. 39. The method of claim 1, wherein said detection zone is capable of detecting a plurality of cellular responses simul- 25 taneously. 19. The method of claim 3, wherein said detection zone is capable of detecting a cellular response as a single cell is flowing through said detection zone. 40. The method of claim 1, wherein said detecting step comprises simultaneously measuring a plurality of an extent of response of said cells to said one or more test compounds as each of said plurality of test mixtures are flowing through 20. The method of claim 3, wherein said detection zone comprises a flow cytometer. 21. The method of claim 1, further comprising conducting a genetic analysis to determine whether said subject is likely 30 said detection zone. to have a desirable or adverse response to said one or more test agents. 41. The method of claim 1, wherein said detection zone is capable of detecting a cellular response as a single cell is flowing through said detection zone. 42. The method of claim 1, wherein said detection zone comprises a flow cytometer. 22. The method of claim 21, wherein said genetic analysis 35 comprises determining whether said subject has an allele of one or more single nucleotide polymorphisms which indi- cates that said subject will have said desirable or adverse response. 43. The method of claim 1, further comprising conducting a genetic analysis to determine whether said subject is likely to have a desirable or adverse response to said one or more 40 test agents. 23. The method of claim 1, further comprising conducting a cellular analysis to determine whether said subject is likely to have a desirable or adverse response to said one or more test compounds. 24. The method of claim 23, wherein said cellular analysis comprising determining whether said one or more test 45 compounds will be maintained at effective concentrations in said cells. 25. The method of claim 24, wherein said cellular analysis comprises measuring the level of activity of one or more multidrug resistance transporters in said cells. 26. The method of claim 1 wherein said test agent comprises test cells. SD 44. The method of claim 26, further comprising conduct- ing a genetic analysis to determine whether said subject is likely to have a desirable or adverse response to said test cells. 45. The method of claim 44, wherein said genetic analysis comprises determining whether said subject has an allele of one or more single nucleotide polymorphisms which indi- cates that said subject will have said desirable or adverse response. 46. The method of claim 45, further comprising conduct- ing a cellular analysis to determine whether said subject is likely to have a desirable or undesirable response to said test cells. 27. The method of claim 26, wherein said subject is a mammal. 28. The method of claim 27, wherein said mammal is selected from the group consisting of mouse, rat, rabbit, dog, cat, sheep, goat, cattle, pig, monkey, and human. 47. The method of claim 26, wherein said cellular analysis 55 comprises determining whether said test cells express one or molecules on their surface which will cause a desirable or 29. The method of claim 28, wherein said mammal is a human. 30. The method of claim 1, wherein said cells are normal 60 cells. 31. The method of claim 30, wherein said normal cells are cells involved in generating or modulating an immune response. undesirable response. 48. The method of claim 47, wherein said one or mol- ecules comprise major histocompatibility molecules. 49. The method of claim 1, where in said test agents are test cells from a candidate organ or tissue to be tested for use in an organ or tissue transplant. * * * * * Copy with citationCopy as parenthetical citation