Manual Patch Clamping: An Art Form
In the 1990s, if you wanted to study the activity of ionotropic receptors across the membrane of cells, your best bet was learning how to patch clamp. This technique requires careful positioning of a glass pipette filled with a saline solution that mimics the internal ionic concentration in the cytoplasm close to a single cell. Without destroying the cell, careful suction creates a giga-Ohm (GΩ) seal and, later, disruption of the membrane patch allows electrical access. This manual patch clamp (MPC) technique, the so-called “Gold Standard” is time-consuming, tedious, and requires months of training to achieve any results and even longer for reliable results.
Although it is still held as a benchmark by electrophysiologists, with the focus of today’s world being on rapid deliverables in drug screening, manual patch clamp simply doesn’t cut it. Of course, in some conditions, manual patch clamp is still the only way to study ionic channel activities, but the road to automation is getting wider and easier to navigate day by day.
Figure 1: Representation of the manual patch clamp technique where a glass pipette is brought close to touch the cell to form a giga-Ohm (GΩ) seal. Subsequently, gentle suction ruptures the patch of membrane to form a whole cell patch or added compounds allow for a perforated patch. D Bell & M Dallas, 2017
The Rise of Automation
In the late 1990s, Automated Patch Clamp systems (APCs) began to appear and quickly supplemented or even replaced MPC in industrial situations. With the popularity of recombinant homogenous cell lines that overexpressed target proteins, drug screening against ion channels quickly shifted from MPC (~20-30 data points per day) to automated systems (~100-1000s data points per day). In addition, APCs greatly reduced the technical requirements for initiating these studies and provided a high-quality alternative to MPC. APCs not only sped up drug screening and safety pharmacology but also enabled access to the patch clamp technology in environments that would have otherwise utilized less definitive alternatives. As the need for greater throughput increased, the relative complexity, and hence the operational and ownership costs of APCs, increased. Although APCs were effective, the exorbitant cost limited their appeal in academic and small lab settings, making MPC systems the de facto alternative in these environments.
Figure 2: Representation of APC (from a single channel to 384/768) over the years with increasing recording sites and increasing prices.
The affordability factor – increasing accessibility
It is now established that APCs, with their large number of recording sites, can increase ion channel research throughput, but how can the cost of ownership go down to a point of academic and small lab accessibility? The common feature among most APCs that makes them cost-prohibitive is their dependence on complicated and expensive liquid handlers to provide cell and solution delivery. However, in 2011, IonFlux, an alternative microfluidic-based APC system, was released. Utilizing lateral patch clamp, with in-plate liquid delivery by microfluidic channels, IonFlux APCs leverage pneumatic pumps to precisely drive and control solution exchange.
Figure 3: Lateral patch clamp provides the means to leverage more cost-effective microfluidics.
The specialized IonFlux plates are SBS standard-sized plates with intricate microfluidic channels embedded into the bottom. The channels are divided into experimental patterns with dedicated wells for cell delivery, cell trapping/patching, and individual compound delivery. Each 12-well pattern is isolated and devoted to its own experiment, eliminating cross-contamination and drastically reducing sample waste.
Figure 5: IonFlux plates (IonFlux 16 plate to the right) are divided into experimental patterns. Each experimental pattern has a dedicated cell inlet, cell outlet two trapping wells that contain intracellular solutions, and 8 dedicated compound wells (example to the left). Each compound travels to the experiment area using its own dedicated microfluidic conduit making high throughput parallel assays possible.
This microfluidic technology drastically reduces the cost of owning and operating an APC system, but can it effectively replace manual patch clamp? In certain conditions, yes.
Four major factors that affect the replacement of MPC with APC:
- Quality: Manual patch clamp can achieve GΩ seals using glass micropipettes. IonFlux microfluidic plates have been developed using specialized techniques to achieve similar seal quality as MPC. In many publications, it has been noted that APCs, including IonFlux, are suitable alternatives to manual patch clamp recordings. The ability to count on an automated system to provide reliable data is a major step in increasing the acceptance of APC systems and removing the need for investing in MPC systems.
- Quantity: A major detractor for MPC systems is that they are not scalable, hence, the need for automation. However, with the majority of APCs, the need to service multiple recording wells creates a near linear relationship between throughput and cost. With pneumatic technology, it is possible to obtain parallel recordings from 16-64 sites using the same time and energy costs of one manually recorded site. Together, with the use of homogenous cell sources, the ability to run assays with high success rates is easily achievable.
- Simplicity: Although simpler than MPC, some APCs can have a complicated user interface. Operating an IonFlux system is akin to operating a plate reader. Experimental preparation mostly relies on filling dedicated wells on a plate with a multichannel pipette. This is a far cry from the need to bring a glass micropipette down to the fragile membrane of a cell. The simplicity of operation lowers the costs of training and effectively adds to the value of ownership. Not to mention that scientists not trained as electrophysiologists can record quality data and achieve their project needs.
- Flexibility: The integration of microfluidics, combined with in-plate solution delivery, adds flexibility that closely mimics MPC. The IonFlux systems continuously move the solutions during experiments, allowing thorough washing of patched cells and effective serial activation of ligand-gated ion channels that would otherwise become desensitized. This improves the acquisition of data points in ligand-gated assays and enhances the stability of recordings in voltage-gated assays. However, what makes a microfluidic APC system even more cost-effective than a MPC system is the minimal use of compounds during an experiment. IonFlux can consume as little as 5 µL of compound in an experiment, decreasing the consumption of valuable compounds.
“Finally, our studies have demonstrated that microfluidic patch clamp methods are a suitable substitute to conventional methods for screening GABAA receptor modulators. We found that the microfluidic approach had several advantages over conventional methods. First, the apparatus is straightforward to use, and unlike conventional methods, it does not require prolonged training. Second, the miniaturized set-up means that drug or biological fluid use is reduced by 2–10-fold per data point. This is especially useful if screening small volumes of human samples, expensive therapeutics, or screening difficult to synthesize compounds. In fact, while each determination may need only 50 µL of drug to set up the assay, after the experiment, 90% may be reclaimed for subsequent analysis. “ Kaplan et al, 2023
Conclusion
Automated patch clamp technology represents a significant advancement in electrophysiological research. APCs have greatly improved since their advent and when combined with the use of recombinant cell lines, many APC systems provide exponentially greater throughput, reliable high-quality recordings, and similar or better flexibility compared to manual patch clamp. The cost of automated patch clamp systems varies based on factors such as the number of cells recorded simultaneously, features, and additional accessories. Although a percentage of these costs are offset by increased efficiency and data quality, IonFlux APCs leverage microfluidics to drive the cost down to a point of affordability that is feasible for both industrial and academic settings. Together, these factors have made automated patch clamp systems viable alternatives to manual patch clamp systems in drug screening environments.

Ali Yehia, Ph.D.
Ali Yehia has a Ph.D. in Cardiac Electrophysiology from McGill University. He has been involved in ion channel screening using Automate Patch Clamp since 2006. He joined Fluxion Biosciences in 2012, where he developed ion channel assays and IonFlux Mercury systems. He was the Chief Scientific Officer at Fluxion before moving to Cell Microsystems as the new Senior Director of the IonFlux product.





