Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease MATSE 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI Executive Summary Approximately 46% of all cancer patients are diagnosed when their cancer has already reached an advanced stage. [1] There is no way to diagnose a disease without physically seeing a medical professional, and by that time it may be too late. We are proposing a prototype miniaturized silicon nanowire system that will allow for the diagnosis of disease through in vivo applications, such as an implantable microchip. Our system will monitor biomarker levels in the blood and then be able to alert the user when certain diseases are present. In our research, we will have four main tasks to accomplish: 1. Biomarker screening to determine the benchmark biomarker which the feasibility of our research will be based around. 2. Find the optimal nanowire distribution to allow for the highest biomarker detection sensitivity and surface area to nanowire ratio. 3. Miniaturize our system to dimensions ready for possible in vivo applications while maintaining biomarker detection sensitivity. 4. In vitro testing to ensure the mechanical and functional integrity of the nanowire system. At the end of our research our prototype nanowire system will be ready for in vivo testing. Technical Need In disease diagnostics time is the most valuable commodity, and in many cases a late diagnosis is a death sentence. Current silicone nanowire systems are able to diagnose disease by analyzing blood samples outside of the body. However, these systems have a relatively long turnaround time, and are often used after a patient is already showing symptoms of disease when it is already too late. Miriam is a device currently being developed by the company Miroculus which will be able to detect dozens of cancers in a single cheap and quick blood test outside of the body. Miriam utilizes the bioluminescence of microRNA in blood samples to diagnose disease. In contrast, our system utilizes the electrical properties of biomarkers to diagnose disease in the body with a faster turnaround time. [2] We are proposing a miniaturized version of current silicon nanowire systems that will be designed to be integrated into an implantable microchip to run real time disease diagnostics within the body. Our miniaturized nanowire system will be designed to diagnose a number of diseases as soon as they are present in the body. Our system will do this by measuring the level of characteristic disease biomarkers in the blood. An early diagnostic system such as ours would revolutionize the healthcare industry by rapidly speeding up the diagnostics process which would in turn save thousands of lives and up to $16 billion in healthcare costs within the first five years of implementation. [3] In addition to the quantitative benefits, our proposal will address the National Academy of Engineering (NAE) grand challenge of advancing health informatics by allowing for prompt diagnosis of disease on a large scale and providing a vast amount of biomarker research that has never been available before. Technical Goals Our goal is to design and manufacture a fully functional miniaturized silicon nanowire field-effect transistor (Si-NW FET) system that will allow for the in vivo Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease MATSE 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI characterization of biomarkers by coupling this technology into implantable medical devices. Biomarker detection will be enabled by changes in electrical conductivity caused by the binding of these molecules to the surface of the nanowires. In order to achieve this goal, the team has proposed the following four-stage research operation: 1. Conduct a biomarker screening process to select a benchmark biomarker focusing on cancers. 2. Determine the optimal surface area to nanowire distribution ratio to allow for miniaturization. 3. Manufacture a variety of miniaturized nanowire biosensors according to pre-established criteria based on the optimal surface area to nanowire distribution ratio and target dimension. 4. Perform in vitro testing of miniaturized system to determine overall performance and functionality. Technical Approach Task 1: Biomarker Screening In order to conduct a biomarker screening process, the team will focus on nine U.S Food and Drug Administration (FDA) approved cancer biomarkers outlined in the work of Polanski and Anderson [4]. The list of candidate biomarkers are shown on Table 1 on the right. The selection of the benchmark biomarker for the purposes of this research will be based on criteria including the sensitivity, specificity and size of the biomarkeraptamer complex. High sensitivity and specificity values are favorable since they will allow for very accurate detection and labeling of the disease present in the blood plasma. In addition to this, the size of the biomarkeraptamer complex is of outmost importance since it will limit the overall dimensions of the miniaturized system by establishing upper and lower bounds on the nanowire distribution and the size and flow rate of the microfluidic channel. Task 2: Nanowire Distribution The first step in the creation of the Si-NW FET system is to design appropriate aptamer receptors tailored to the benchmark biomarker. These aptamer receptors will be bound to the surface of the nanowires through a cross-linker compound. While the most effective cross-linkers have been demonstrated to be polyethylene glycol based compounds and disuccinimidyl carbonate compounds [5], the specific binding is not optimized unless the biomarker-aptamer complex is known. However, cross-linking technologies will be of great use to the research team in order to allow for the attachment of the aptamer receptor to the nanowire surface, which will then provide the system with the capability to detect the presence of a target biomarker (via conductivity Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease MATSE 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI changes) as it attaches to the aptamer receptor through a lock-and-key type mechanism. The aptamer receptors will be designed to ensure that the binding effect of the biomarker to the aptamer is reversible through the development of a biocompatible washing solution. Prior to proceeding into the miniaturization stage for the Si-NW biosensor, the team will manufacture a variety of systems based on the selected benchmark biomarker, varied nanowire distributions and the manufacturing procedures for Si-NW systems outlined elsewhere [6-9]. These procedures include the use of chemical vapor deposition (CVD) technology to grow nanowires on the surface of a boron doped (p-type) silicon wafer with a top-surface oxide. In addition to this, gold electrodes will be deposited using thermal evaporation and the microfluidic channel will be made of polydimethyl siloxane (PDMS) due to its potential to create both temporary and permanent seals to silicon wafers. Using these systems, the team will test for the detection sensitivity and use this data to determine the optimal surface area to nanowire distribution ratio. This optimal ratio will allow for a final assessment of the success rate of detection of the target biomarker and a re-evaluation step will be carried out if results are deemed inappropriate. The subsequent miniaturization of the Si-NW system will be based on safe implant size range and target dimensions of the system. Task 3: Miniaturization The miniaturization of the Si-NW FET system will be based on criteria established by the research team based on a combination of the pre-determined optimal surface area to nanowire distribution ratio and a safe implant size range and target dimensions. While team research will be based primarily on maintaining functionality on a miniaturized version of the Si-NW system, it is important to understand that the greatest challenge faced in such a task is to recognize that the biomarker-aptamer-cross-linker complex will limit the potential target dimensions of the system. Based on current research, it is known that most amino acids have a size on the 0.8 nm range; in addition to this, most biomarkers tend to be on the range of 25-100 amino acids with most lying on the lower end of the spectrum. With such size limitations, it is possible to deduce that the PDMS microfluidic channel dimension should have entry and exit sizes on the range of 1-5 μm in order to allow for comfortable access of the biomarker into the channel. According to Knopf and Bassi [10], most present-day nanowire biosensors have microfluidic channels with dimensions close to 6 mm in length and 500 μm in width. Based on these estimations, a possible target dimension for the miniaturized system is likely to be on the 1-5 mm2 range. However, many factors including the manufacturing conditions, the selected benchmark biomarker and the achievable nanowire distributions will further limit the potential range of sizes achievable during the miniaturization process. The next step to follow by the research team is to manufacture various Si-NW FET biosensor systems [6-9] by varying the dimensions of the system according to the optimal surface area to nanowire distribution ratio and manipulating manufacturing conditions such as the statistical distribution of nanowire size and mass, temperature, pressure, pH, and deposition time [11]. If the miniaturization stage is deemed to be inconceivable, the research team will proceed to re- Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease MATSE 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI evaluate the feasibility of the project and decide to whether commence the project at stage one, or proceed to a risk mitigation stage. Task 4: In-Vitro Testing In order to maintain proper functionality of the biosensor the miniaturization must guarantee that the system will be resistant to clogging, allow filtration by biomarker size, allow for laminar flow of blood plasma and maintain mechanical integrity and conductive behavior for both in vitro and in vivo applications. To test the functionality of the various Si-NW systems manufactured in the miniaturization stage, the research team will carry out an in vitro sensitivity and specificity analysis of the miniaturized system for the pre-selected benchmark biomarker. Based on the test results, the team will evaluate the feasibility of maintaining the overall functionality of the system for miniaturized systems. If the results are deemed successful, the team will proceed to perform in vitro mechanical and microfluidic analysis of the biosensor by mimicking the conditions that the system will undergo while implanted in the human body. If the results are deemed inappropriate, the team will proceed to re-evaluate the feasibility of the project and proceed to a risk mitigation stage. The final stage will consist on selecting the systems that perform the best in terms of clogging resistance, biomarker filtration, flow conditions, mechanical integrity and conductive behavior. Information of these systems will provide invaluable knowledge regarding a manufacturing process that will be capable of creating fully functional miniaturized versions of Si-NW FET biosensors for the first time in history. Economic and Social Impact The success of our proposal will benefit both the scientific and medical communities. The study of biomarkers is still in its youth, and our research will provide a large amount of biomarker research which will prove the validity of utilizing biomarkers in other scientific applications. If an in vivo early detection system such as ours is eventually put into widespread use that would revolutionize the medical field. At that point, there would be no need for the large scale screening processes that are used today to detect disease early, and that would save thousands of wasted dollars and a large amount of wasted time. Then the medical community would be able to focus more time and research on treatment methods because the early diagnosis will already be taken care of. If our proposal succeeds it will open the door to possibly providing thousands of people access to early diagnosis systems that could save their lives and thousands of dollars in healthcare costs. It would improve the way that society looks at healthcare as a whole. Government research has shown that in addition to all the of the qualitative benefits that an early diagnosis system such as ours would have, there would be a monetary return on investment of approximately $5.60 per dollar invested. [3] MATSE Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI Project Timeline Project Year Project Quarter Q1 Year 1 Q2 Q3 Year 2 Q4 Q5 Q6 Q7 Year 3 Q8 Q9 Q10 Q11 Year 4 Q12 Q13 Q14 Q15 Q16 Task 1: Biomarker Screening a. Determine list of possible target biomarkers b. Select a benchmark biomarker Task 2: Nanowire Distribution a. Design aptamer receptors tailored to target benchmark biomarker b. Manufacture SiNW systems with varied nanowire distributions c. Test detection sensitivity of systems d. Determine the optimal surface area to nanowire distribution ratio e. Evaluate success rate of benchmark biomarker and re-evaluate if necessary Task 3: Miniaturize a. Determine safe implant size range and target dimensions b. Manufacture SiNW systems over the range of sizes and nanowire distributions Task 4: In Vitro Testing a. Test detection sensitivity of the different miniaturized systems b. Re-evaluate the feasibility of maintaining functionality of miniaturized systems c. Test mechanical and microfluidic behavior of systems d. Determine the systems that meet the target criteria In case, miniaturization step fails for selected benchmark biomarker Project Costs Unit (Person for personnel) Year 1 (US $) Year 2 (US $) Year 3 (US $) Year 4 (US $) Total (US $) Salaries Principal Investigator (1) 10000 10250 10506 10769 32525 Co-Investigator (4) 16000 16400 16812 17232 66444 Graduate Assistants (2) 31536 32324 33133 33961 130954 Graduate Researcher (1) 6601 6766 6935 7108 27410 Other Laboratory Supplies 10000 15000 5000 5000 35000 Purchase Services 10000 10000 7500 10000 37500 Travel 1000 1000 1000 1000 4000 Tuition Remission 83300 85383 87465 89548 345695 Total Fringe 14006 14356 14715 15083 58160 F&A Rate: 50.7% 50265 53791 48469 50777 203302 Total Cost 316008 330653 318998 330023 $1,295,682 Deliverables At the conclusion of Tasks 2, 3, and 4 we will present our findings and our plan to proceed. At the conclusion of our research we will provide a prototype miniaturized silicon nanowire system that will be ready for integration into applications for in vivo testing. Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease MATSE 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI APPENDIX I: References [1] Campbell D., “Almost Half of All Cancer Patients Diagnosed Too Late”, The Guardian; theguardian.com, September 21, 2014 [2] Iozzio C., “Testing For Cancer With a Single Blood Sample”, Smithsonian Magazine; smithsonianmagcom, October 20, 2014 [3] Hing E., “Wait Times for Treatments in Hospital Emergency Departments”, NCHS Data Brief No. 102, (2012) [4] Polanski M., Anderson Leigh N., “A List of Candidate Cancer Biomarkers for Targeted Proteomics”, Biomarker Insights, Volume 1, Pages 1-48 (2007) [5] Dorvel B., Reddy B., Bashir R.,“ Effect of Biointerfacing Linker Chemistries on the Sensitivity of Silicon Nanowires for Protein Detection”, Analytical Chemistry, Volume 85, Issue 20, Pages 1-16 (2013) [6] Kim K.S, Lee H.S., Yang J.A., Jo M.H. and Hahn S.K., “The Fabrication, Characterization and application of aptamer-functionalized Si-nanowire FET biosensors”, Nanotechnology, Volume 20, Issue 23, Pages 1-6 (2009) [7] Park W., Zheng G., Jiang X. Tian B. and Lieber C.M., “Controlled Synthesis of Millimeter Long Silicon Nanowires with Uniform Electronic Properties”, Nano Letters, Volume 8, Issue 9, Pages 3004-3009 (2009) [8] Leydent M.T., Schuman C., Sharf T., Kevek J., Remcho V.T. and Minot E.D., “Fabrication and Characterization of Carbon Nanotube Field-Effect Transistor Biosensors”, Organic Semiconductors in Sensors and Bioelectronics III, Conference Volume 7779 (2010) [9] Hsu S., Tsai C., Hsu W., Lu F., He J., Cheng K., Hsieh S., Wang H., Sun Y. and Tu L., “Fabrication of Silicon Nanowires Field Effect Transistors for Biosensor Applications”, Bioengineering Conference (NEBEC) 2012 38th Annual Northeast, Pages 5-6 (2012) [10] Knopf G.K. and Bassi A.S, “Smart Biosensor Technology”, Page 642, Edited by Knopf G.K. and Bassi A.S, CRC Press, Taylor & Francis Group, Boca Raton, FL 33487-2742 (2008) [11] Nair P.R. and Alam M.A, “Design Considerations of Silicon Nanowire Biosensors”, Electron Devices, IEEE Transactions, Volume 54, Issue 12, Pages 3400-3408 (2007) MATSE Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI APPENDIX II: Timeline Project Year Project Quarter Q1 Year 1 Q2 Q3 Year 2 Q4 Q5 Q6 Q7 Year 3 Q8 Q9 Q10 Q11 Year 4 Q12 Task 1: Biomarker Screening a. Determine list of possible target biomarkers b. Select a benchmark biomarker Task 2: Nanowire Distribution a. Design aptamer receptors tailored to target benchmark biomarker b. Manufacture SiNW systems with varied nanowire distributions c. Test detection sensitivity of systems d. Determine the optimal surface area to nanowire distribution ratio e. Evaluate success rate of benchmark biomarker and re-evaluate if necessary Task 3: Miniaturize a. Determine safe implant size range and target dimensions b. Manufacture SiNW systems over the range of sizes and nanowire distributions Task 4: In Vitro Testing a. Test detection sensitivity of the different miniaturized systems b. Re-evaluate the feasibility of maintaining functionality of miniaturized systems c. Test mechanical and microfluidic behavior of systems d. Determine the systems that meet the target criteria In case, miniaturization step fails for selected benchmark biomarker Q13 Q14 Q15 Q16 Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease MATSE 492W R. MYERS, J. VILLALBA, L. RIVERA, Y. HE, Z. LI APPENDIX III: Budget Materials Science & Engineering (Earth & Mineral Sciences) / The Pennsylvania State University Miniaturized Silicon Nanowire System for In Vivo Diagnosis of Disease National Science Foundation Project Dates: 08/1/2015 - 7/31/2019 Year 1 Year 2 Year 3 Year 4 Total 07/01/2015 - 06/30/2016 07/01/2016 - 06/30/2017 07/01/2017 - 06/30/2018 07/01/2018 - 06/30/2019 Salaries (Category I) Principal Investigator - Rob Myers Percent effort: 10% 10000 10250 10506 10769 Co-Investigator - Luis Rivera Percent effort: 5% 4000 4100 4203 4308 Co-Investigator - Yalong He Percent effort: 5% 4000 4100 4203 4308 Co-Investigator - Javier Villalba Percent effort: 5% 4000 4100 4203 4308 Co-Investigator - Alex Lee Percent effort: 5% 4000 4100 4203 4308 Total Salaries (Category I) 26000 26650 27316 27999 107965 Graduate Assistants (Category II) (1) Graduate Assistant - To Be Named Grade 14. Half-time. Fall & Spring. 15768 16162 16566 16980 65477 (1) Graduate Assistant - To Be Named Grade 14. Half-time. Fall & Spring. 15768 16162 16566 16980 65477 Total Graduate Assistants (Category II) 31536 32324 33133 33961 130954 Wages (Category III) (1) Graduate Researcher - To Be Named Grade 14. Half-time. Summer wages. 6601 6766 6935 7108 27410 Total Wages (Category III) 6601 6766 6935 7108 27410 64137 65740 67384 69068 266329 9360 4131 515 9594 4234 528 9834 4340 541 10080 4449 554 38868 17155 2138 Total Fringe 14006 14356 14715 15083 58160 Total Salaries, Wages and Fringe 78143 80097 82099 84151 324490 Modified Total Direct Costs Laboratory Supplies Purchased Services Travel - Domestic (CONUS) 10000 10000 1000 15000 10000 1000 5000 7500 1000 5000 10000 1000 35000 37500 4000 Total Modified Total Direct Costs 99143 106097 95599 100151 400990 Other Direct Costs Tuition Remission 83300 85383 87465 89548 345695 83300 182443 85383 191479 87465 183064 89548 189699 345695 746685 50265 53791 48469 50777 203302 Total Requested From Sponsor 316008 330653 318998 330023 $1,295,682 Total Project Costs 316008 330653 318998 330023 $1,295,682 Total Salaries and Wages Fringe Category I @ 36.% Category II @ 13.10% Category III @ 7.80% Total Other Direct Costs Total Direct Costs F&A Costs F&A Rate: 50.7%