Biomedical Nanotechnologies And Space Medicine Mauro Ferrari, Ph.D. Professor, Brown Institute of Molecular Medicine Interim Chairman, Dept. Biomedical Engineering University of Texas Health Sciences Center, Houston Professor, Experimental Therapeutics, University of Texas MD Anderson Cancer Center Professor, Bioengineering, Rice University President, Texas Alliance for NanoHealth NASA Grand Rounds, Houston, March 28, 2006 Five Main Theses Medical nanotech offers opportunities for advances in space medicine Nanotech enables early detection, continuous monitoring Nanotech enables the tailoring of biodistribution, autonomous intervention Nanotech in medicine must be integrated with novel mathematical and simulation tools Medical nanotech is the ultimate team sport Disclosure & Funding Acknowledgment Mauro Ferrari has a financial interest in iMEDD, Inc. and Leonardo Biosystems, Inc. Funding for the Ferrari laboratory: NCI, SAIC, NASA, NSF, DARPA, DoD, State of Texas, State of Ohio, Hops Street Kids Foundation Plan for Talk – Cancer as Template An overview of nanotech for molecular diagnostics Nanotech-based (imaging and) therapeutics aNanovectors aNanotech-based implants Reference: M. Ferrari, Cancer Nanotechnologies,Nature Reviews Cancer, March 2005 Cancer is the #1 killer of Americans under 85 and a major killer worldwide 570,280 Americans will die of cancer this year a 1,372,900 Americans this year will hear the words “you have cancer…” a $192 billion = Costs of cancer in 2004 More Progress is Needed to Reduce Death Rates Death Rate Per 100,000 600 586.8 1950 2002 500 400 300 240.1 193.9 193.4 180.7 200 56.0 100 48.1 22.5 0 Heart Diseases Cerebrovascular Pneumonia/ Diseases Influenza Source: American Cancer Society. Cancer Mechanisms of the Cancer Process The Six Essential Aberrations of Cancer Evading Apoptosis Sustained Angiogenesis Self-Sufficiency in Growth Signals Insensitivity to Anti-Growth Signals Tissue Invasion and Metastasis Limitless Replicative Potential After After Hanahan Hanahan & & Weinberg, Weinberg, Cell Cell 100:57 100:57 (2000) (2000) Intervention in the Cancer Process Prevent BRCA-1 Mutation Detect Modulate Colorectal Cancer Screening Tumor MicroEnvironment Eliminate 2005 Death due to Cancer Metastatic Progression Susceptibility Birth 2015 Malignant Transformation Pre-Cancerous Changes Life Span Natural Death Nanotechnology in Perspective Water Glucose 10-1 1 Antibody 10 Virus Bacteria Cancer cell 102 103 104 Nanometers Nanodevices: Nanopores Dendrimers Nanotubes Quantum dots Nanoshells 105 A period 106 Tennis ball 107 108 Nanotechnology is already in the clinic! Liposomes DNA chips Proteomic nanotechnology Imaging contrast agents Laboratory equipment New drugs Contrast agent (X-ray, MRI) Cell death sensor Cancer cell targeting Therapeutic Nanotechnology for Molecular Diagnostics Proteomic Nanotech: Objectives To use biological fluid samples (blood draw, etc) to identify special combinations of proteins that can be used to: a Screen for cancer a Identify cancer site a Determine stage/prognostics a Select proper therapy a Monitor efficacy of therapeutic intervention a Monitor side effects Serum Proteomic Nanotechnologies Key Challenges Sample Low Preparation / Fractionation Concentration Ranges Multiplexing Quantitative High (Label-Free) Detection Throughput Molecular Signature Nanotechnologies - Platforms Biologically Gated Transistors (Nanowires, Nanotubes) Nanostructured Surfaces and Microparticles for Mass Spectrometry Reverse Phase Protein Microarrays (RPMA) Bio-BarCode Micro/Nano-Cantilevers CMUS/C-Scan Nanomechanics Multiplexing proteomic detection capabilties Nanoscale Cantilevers Cantilevers detect biomarkers of cancer Cancer cell Proteins Antibodies Binding events change cantilever shape, and properties Arun Majumdar, University of California at Berkeley Microcantilevers: Modes of operation • • • • Analytes selected by coating Produces stress Bends cantilever More adsorption produces more bending • Reversibly desorbs Resonant frequency decreases with mass loading ΔDw ω Amplitude Amplitude Cantilever bends due to adsorption forces Frequency Frequency Thundat, T., Chen, G.Y., Warmack, R.J., Allison, D.P., Appl. Phys. Lett., (1994) Chen, G.Y., Thundat, T. Wachter, E. A., Warmack, R. J., “Adsorption-induced surface stress and its effects on resonance frequency of microcantilevers,” J. Appl. Phys 77, pp. 3618-3622 (1995). Rabbit AntiHuman PSA DTSSP Glass Wu et al., (2001) Nature Biotechnology, Vol. 19, pp. 856-860 Au SiNx 200 150 100 50 fPSA Cantilever: 600 μm long, 0.65 μm thick Cantilever: 366 μm long, 0.65 μm thick fPSA cPSA fPSA Cantilever: 200 μm long, 0.5 μm thick 0 10-2 (Thomas Thundat, ORNL) Clinical Threshold of PSA Concentration (4 ng/ml) [BSA] = 1 mg/ml Bending (nm) Analyte Steady-state Deflection, hs [nm] Cantilever Assay for PSA 10-1 100 101 102 103 104 PSA Concentration [ng/ml] 105 Bending (nm) Vs PSA concentration Cantilevers with three different lengths immobilized with PSA antibody undergo Bending when exposed to PSA (in presence of 1 mg/mL BSA Surface Stress due to PSA Binding d h= 2 σ (1 − ν ) ⎛ L ⎞ E Surface Stress ) 2] Surface Stress(mJ/m , σ [J/m L 0.06 ⎜ ⎟ ⎝d⎠ 2 0.05 [BSA] == 11 mg/ml mg/ml [BSA] 200 μm long, 0.5 μm thick cantilever 0.04 0.03 0.02 600 μm long, 0.65 μm thick cantilever 0.01 366 μm long, 0.65 μm thick cantilever 0.00 -0.01 10-2 10-1 100 101 102 103 104 fPSA Concentration [ng/ml] Cantilever response can be expressed in surface stress – a REQUIRED transition for mechanistic understanding 105 Key concept Mathematical model required to: aEvolve PREDICTIVE capabilities aTailor sensor design to requirements aEstablish scientific foundation – mechanistic understanding of molecule/surface/molecule interaction Fundamental complexity: Integrating multiple scales of model, from molecular to structural (continuum) Nanotech and the system approach to cancer biology Nanowire Sensor Particles flow through the microfluidic channel Electrodes Nanowire sensor Nanowires detect biomarkers of cancer Jim Heath, California Institute of Technology, & Lee Hood, ISB mfluidics- massively multiplexed plumbing for nanotechnologies The Nanolab Electrophysiology HIT-T15 HIT-T15 whole-cell whole-cell recordings recordings Ca+2 buffer (2mM EGTA) Ca+2 buffer (2mM EGTA) Nanowire Sensors HIT-T15 HIT-T15cell cellon onchip chip Signatures Signatures of of gene gene & & protein protein expression expression Nanomechanics Nanomechanics Protein-protein Protein-protein & & Protein-DNA Protein-DNA interactions interactions Electrophysiology Electrophysiology sensors: sensors: signatures signatures of of cellular cellular processes. processes. Dendritic Dendritic cell cell Effector Effector TT cell cell Macrophage Macrophage Heath, Heath, CalTech CalTech Surface nanopatterning for molecular ID & Dx Plasma 1898.1 % Intensity 80 A 1741.7 943.0 2662.1 6638.0 3319.0 4582.5 9147.1 6598.6 0 800 10000 Mass (m/z) Silica type B Silica type A 2485.7 3868.5 1848.0 2863.0 30 B 2108.3 1053.2 3283.7 861.7 3519.4 4575.0 0 % Intensity % Intensity 20 800 Mass (m/z) 9138.7 9430.3 4569.6 2485.7 1848.0 4713.2 C 2357.5 1078.81866.3 3316.3 6632.0 3868.32 4967.3 9140.6 10000 0 8919.3 9385.2 8769.3 800 Mass (m/z) 8693.4 7673.8 10000 Plasma Low Molecular Weight Proteins capturing strategy on silica nanoparticles A B 1. Incubation 2. Centrifugation C 3. Separation 4. Extraction buffer D 5. Centrifugation 6. Separation MALDI-TOF Silica particle surface Silica particle surface with Low MW Proteins A Incubation of human plasma with silica nanoparticles and Low Molecular Proteins adsorption B Centrifugation and separation of plasma from nanoparticles C Buffer assisted extraction of Low Molecular Weight Proteins from nanoparticles DExtracted Proteins recovery and MALDI-TOF analysis University of ‘Magna Græcia’ at Catanzaro – Italy ROSA TERRACCIANO University of ‘Magna Græcia’ at Catanzaro – Italy ROSA TERRACCIANO LOD 1760.4 90 ng/mL 1760.6 * 0 1600 % Intenity 100 1760.8 * % Intenity 100 0 1600 2000 Mass (m/z) 1760.5 * Mass (m/z) RENIN 0 f 200 ng/mL 5735.3 * 6000 4450 0 g 30 ng/mL 5735.1 * 2000 6000 4450 100 d 5 ng/mL 6000 4450 100 c 10 ng/mL 0 1600 2000 Mass (m/z) * e 100 b 30 ng/mL 0 % Intensity % Intenity 100 2000 Mass (m/z) 500 ng/mL % Intensity 0 1600 100 a h 15 ng/mL % Intensity % Intenity 100 5734.6 % Intensity * 5734.3 0 4450 * Mass (m/z) 6000 University of ‘Magna Græcia’ at Catanzaro – Italy INSULIN ROSA TERRACCIANO Considering that to date the lowest concentration for a biomarker such as Haptoglobin-α subunit, identificated by MS is 1000 nmol/L our LMWP plasma enriching approach lowered the LOD of roughly 400-fold. University of ‘Magna Græcia’ at Catanzaro – Italy ROSA TERRACCIANO Bio-BarCode (Chad Mirkin) The bio-barcode amplification assay. The assay uses MMPs functionalized with mAbs that recognize and bind ADDLs. The ADDLs are then sandwiched with an NP probe, modified with double-stranded DNA and an anti-ADDL pAb. After repeated washing while using a magnet to immobilize the MMPs, a dehybridization step releases hundreds of barcode DNA strands for each antigen-binding event. Georganopoulou, Dimitra G. et al. (2005) Proc. Natl. Acad. Sci. USA 102, 2273-2276 Opportunity for Translation and Synergy in Space Medicine Early Detection and Monitoring of Disease from Proteomic Signatures in Plasma a Automated – no medical personnel required a Non-Invasive a Repeatable – time sequences possible a No imaging equipment a Miniaturizable analytical equipment a Applicability to other fluids a Linkable to autonomous therapeutics Innovative Molecular Analysis Technologies Nanomechanical Method for Molecular Analysis of Cancer Specific Aim 1: To target antibody-conjugated nanoparticles to cell-surface antigens on tissue samples specifically for ultrasound examination. Specific Aim 2: To develop the ultrasonic system for detection of the molecular information through preferentially immunoconjugated nanoparticles. Specific Aim 3: To develop and refine the DM-based model and data analysis software, to perform quantitative and objective interpretation of the molecular information. Two Quantitative Approaches: 1) Characterization-Mode Ultrasound (CMUS): Mechanical Analysis 2) C-Scan Ultrasound: Attenuation Analysis HER-2/neu Exploitation •HER-2/neu over expressed in 20-30% of all breast cancers •High levels of HER-2/neu receptor expression is an indicator of poor prognosis in breast cancer patients and serves as a predictive factor in projecting patient response to chemotherapeutics. •Positive lymph nodes is the only prognosticator more predictive for clinical outcome. Molecular Analysis Strategy Linker = mAb (Protein G) Breast Cancer Cell Iron Oxide Her-2/neu Receptor Antibody conjugated nanoparticulate bound to cognate HER2/neu tumor receptors. The conjugated particles will serve as mechanical/attenuation ultrasonic contrast agents for quantitative analysis of HER-2/neu expression. Gate Signal FFT SKBR-3 Ultrasound Cells Transducers Magnitude of Reflection Coefficient CMUS: Quantitative Analysis of Mechanical Contribution Provided by Ultrasound Nanoparticle Contrast Agents Frequency (Mhz) Time Domain Plot Continuum/Doublet Mechanics Based 2-Step Inversion Algorithm Frequency Domain Plot C-Scan: Quantitative Analysis of Attenuation Provided by Ultrasound Nanoparticle Contrast Agents Top Row: Ultrasound C-Scan Images Bottom Row: White light photos of histology slides stained for HER-2/neu expression Colored Rings: Regions of interest (Both areas of expression and no expression) Herceptin conjugated nanoparticle = Her-Con Iso-type Matched antibody conjugated nanoparticle – ISO-Con C-Scan: Data Table Image Analysis Difference (IAD) • Mean intensity values in relation to 256 grey scale • IHC score assigned by pathologist and correlated to U/S IAD value • IAD score measured from U/S image analysis comparing the mean intensities of HER-Con treated tissue and tissue having no treatment C-Scan: Summary of Data C-Scan Tissue Grading Criterion: IAD<6 corresponds to IHC grade 0 19<IAD corresponds to grade +2 6<IAD<19 corresponds to grade +3. Achievement Achievement #1: #1: We We have have obtained obtained specificity specificity == 96.8% 96.8% Achievement Achievement #2:We #2:We have have obtained obtained 100% 100% sensitivity sensitivity for for the the +3 +3 grade grade tissue, tissue, and and 87.5% 87.5% for for the the grade grade 00 tissue. tissue. Achievement Achievement #3: #3: We We have have obtained obtained 100% 100% sensitivity sensitivity for for the the +2 +2 grade grade tissue. tissue. Transitioning to CMUS mode: Multiscale architecture, diagnostics, and biophysical, fouling-indifferent sensors x2 Incidence Reflection glass d x1 tissue glass Waves in tissue layer Transmission Structure of the theory a Body = set of nodes at finite distances (down to nano – thus “nano”mechanics) a Pair of nodes = Doublet (thus, Doublet Mechanics or DM, or Nanomechanics) – replaces differential volume element of Continuum Mechanics (CM) a Example: H4 packing… Data Analysis Human Breast Biopsy, Same Individual KEY: MULTISCALE MATHEMATICAL MODEL Continuum mechanics reconstruction: Tumor Density (g/cm3 ) E (Gpa) Shear (Gpa) attn. 1 attn. 2 Normal T Test mean SD mean SD 0.9796 0.1304 0.0438 0.0130 0.0108 0.0788 0.0214 0.0072 0.0112 0.0036 0.8728 0.1135 0.0381 0.0000 0.0200 0.0469 0.0449 0.0152 0.0000 0.0088 P values 0.1298 0.5975 0.6046 0.1836 0.2039 Doublet mechanics reconstruction Tumor Density (g/cm3 ) A11 (Gpa) A44 (Gpa) attn. 1 attn. 2 Internodal (mm) Normal T test mean SD mean SD 0.8315 2.1637 0.0523 0.1457 0.1465 0.0065 0.0233 0.0571 0.0192 0.0194 0.0420 0.0011 0.8147 1.7836 0.2202 0.0675 0.0706 0.0026 0.0589 0.0626 0.0327 0.0329 0.0351 0.0008 (J. Liu and M. Ferrari, Disease Markers, 2004) P values 0.6813 0.0015 0.0035 0.0337 0.0764 0.0091 Multifunctional Therapeutic Nanosystems Nanoparticles for therapeutics and diagnostics. Key strategy Providing preferential, effective concentrations of therapeutic agents and imaging enhancers at lesion sites, by a combination of aMultimodal targeting, such as affinity-based + size & shape + surface properties + remote activation… (probabilities of localization are additive) aOvercoming of biological barriers, such as endothelial, epithelial, increased osmotic pressure, macrophage uptake, …. (probabilities of reaching lesion are multiplicative) aProviding co-localized combination therapy Microfabricated Trans-Mucosal Patch (iMEDD) For Delivery of Biologically Active Peptides and Proteins Intestinal lumen Vasculature N H ...... . . ...... ........... ..... . ......... ......... ... ...... ...... ..... . N H N H ... ...... ........... ... ............ ....... ......... ... N H . N H . .... .. ......... ........... . Intestinal epithelial cells . .. ...... . .......... ................ ........... ........ ......... ... ...... ... .. ................ ...... ........... ....................... ...... .................. ..... .................... ............ .................... ...... ............ . Intestinal mucin N H N H ......... .......... ........ ......... ... N H N H 5. Drug passes between cells and enters blood stream Quantum dots for intracellular imaging Marcel Bruchez, Ph.D. Semiconductor quantum dots are being developed for use as probes for intracellular structures. In this study, they were used to label the breast cancer marker Her2 on the surface of fixed and live cancer cells, to stain actin and microtubule fibers in the cytoplasm, and to detect nuclear antigens inside the nucleus. Quantum dots offer several advantages over the organic dyes typically used for comparable studies. Nature Biotech., 2003, 21:41-46 Nanotech Will Enable In Vivo and Local Imaging Problem: Cancer metastasizes before it can be detected Solution: Multi-functional nanoparticles functionalized with specific antibodies decorate tumor cells Subsequent imaging allows for pinpointing of tumor cell conglomerates Quantum dots Source: JAMA, Vol. 292, No.16, p.1944-1945, 2004. UNIVERSITY OF MICHIGAN James Baker, M.D. Multifunctional nano-devices based on dendritic polymer components are developed to target neoplastic cells and sense the earliest signatures of cancer. The dendritic nano-devices are designed to support the specific release of a therapeutic agent within a tumor, and analyze the effect of the therapeutic identifying evidence of residual disease. Multi-functional Dendrimer Nano-platforms Traditional therapy Kukowska-Latallo, Baker et al., Nanoparticle targeting of anticancer drug improves therapeutic response in animal model of human epithelial cancer. Cancer Research, 65 (12): 5317. (2005) Nanoparticle therapy Targeted-Acoustic Nanoparticle (250 nm) Add Gd-DTPA Lipid Surfactant Targeted-MRI Nanoparticle Ligand Perfluorocarbon Add Drug BARNES-JEWISH HOSPITAL Sam Wickline and Gregory M. Lanza + KEREOS Inc. Targeted-Therapeutic Nanoparticle Molecular Imaging of Solid Tumors ανβ3-integrin Angiogenic Vessel A novel multi-modal site-directed contrast agent for sensitive and specific detection and localized treatment of solid tumors. The agent is a patented ligand-targeted, lipid encapsulated, non-gaseous nanoparticulate (~200 nm diameter) perfluorocarbon emulsion that may be used with at least three common noninvasive imaging modalities: ultrasound (native particle), magnetic resonance (gadolinium conjugated), and nuclear imaging (radionuclide conjugated). The nanoparticles are targeted to tumors through targeting ligands specific for unique vascular growth factor receptors and ligands and formulated with chemotherapeutic agents to provide localized therapy of small tumors. Targeted Drug Delivery Reservoir with cytolytic agent Particle Detection ligand iMEDD, Inc. Frank Martin Carl Grove M. Ferrari, 2000 Nanotech for multifunctional targeted therapeutics Nanoshells Nanoshell Cancer Cancer cell cell Nanoshells kill tumor cells selectively Jennifer West, Naomi Halas, Rice University Nanoshells in action Naomi Halas and Jennifer West, Rice University and Nanoshells, Inc. Two tumors in a mouse are simultaneously ablated. The colored areas (blue and yellow) represent temperature levels conducive to ablation. The Nanoshells injected into the tumor in the upper left are being irradiated from the laser on the other flank of the mouse. Many nanoplatforms! Liposomes, Micelles, Solid Lipid, Micro/nanobubbles Dendrimers, Dendrisomes Lipid-encapsulated PFC emulsions Iron-oxide, drugable entities Nanoshells Q-Dots Silicon, SiO2 micro/nanoparticles Biodegradable micro/nanospheres Leashed polications DNA-based constructs Engineered viral particles Buckeyballs ….. Mathematical Model – Margination t[s] 200 150 Time for Margination Rc Δρ = 1000 100 70 50 kg/m3 (Decuzzi, …, Ferrari, Annals of Biomed Engr 2004, 2005) 30 20 15 R[nm] 50 100 500 1000 5000 10000 • The time for margination is influenced by the relative density Δρ and electromagnetic properties (Hamaker constant A) of the particle • A critical radius Rc exists for which the margination time is maximum • The maximum is influenced by Δρ and A and can be tuned! Opportunity for Translation and Synergy with Space Medicine Nanovector Therapeutics a Engineering Biodistribution, PK, PD a Intervention Tailored to Individual Astronaut a Reduction of Side Effects a Advantage in Drug Stability/Shelf Life a Self-Administration a Linkable to Molecular & Imaging Diagnostics/Monitoring a Targeting DNA Repair Implantable Long-Term Controlled Release System for Biomolecular Therapeutics Plasma Drug Concentration Toxicity Therapeutic Range Toxicity Diminished Activity Time nDS1 nDS2 NanoGATE Drug Delivery Technology Membrane holder Donor well Silicon sealant Acceptor well Silicon Membrane Release Data • Experiments show a significant deviation from Fick’s law when the channel height is reduced to few nm • The release is linear for a prolonged time interval An Alternative Approach Based on van der Waals law (Cosentino, ...., Ferrari, J. Phys. Chem. 2005) Van der Waals (1873) equation of state for real gases and liquids a⎞ V ⎛ ⎜ p + 2 ⎟(λ − b ) = RT , λ = λ ⎠ n ⎝ 2 a0 1 ~ kT − ν D= 2 mβ (1 − b0C ) mβ Van der Waals eq. takes into account the electrical interactions between molecules and the volume constraints. G. PESKIR Stoch. Models, Vol. 19, N. 3, 2003, pp 383-405. 2b0 2a0 ⎞ ∂C ⎛ kT 2 a0 ⎞ ∂ 2 C ∂C ⎛ kT 1 ⎟ + ⎜⎜ − C ⎟⎟ 2 = ⎜⎜ − 3 2 ⎟ ∂t ⎝ mβ (1 − b0C ) mβ ⎠ ∂x ⎝ mβ (1 − b0C ) mβ ⎠ ∂x E (kJ/M) (S.Pricl, Mark Cheng, C. Cosentino, M.Ferrari, to appear) 100 80 60 40 20 0 -20 -40 -60 -80 -100 0 ∂ν ∂t ⎛ ⎜ 2b ⎜ 0 = ⎜⎜ kT 3 6πrη ⎛ ⎞ ⎜ ν 1 − b ⎟ ⎜ ⎜ 0 ⎠ ⎝ ⎝ 1 2 ⎞ ⎟ 3 4 ⎛ ⎜ 5 d (Å) 6 7 8 9 10 ⎞ ⎟ 2 a ⎟⎛ ⎞ 2 ⎜ 2a ⎟ 2 1 − 0 ⎟⎟⎜⎜ ∂ν ⎟⎟ + ⎜⎜ kT − 0 ν ⎟⎟ ∂ ν 6πrη ⎝ ∂x ⎠ 6πrη ⎛ 2 6πrη ∂x 2 ⎞ ⎟ ⎟ ⎜ ν 1 − b ⎜ ⎟ ⎟ ⎜ ⎟ 0 ⎠ ⎝ ⎠ ⎝ ⎠ “Dial-a-release-rate” • Essential form-identity • Van der Waals forces yield a saturation effect on the Brownian motion • Explicit reconstruction: MD simulations underway The “magic triad” of nanotech Obtained medically desired property (long-term zero-order release of biodrug)…. ….based on phenomena that only occur at nanoscale… … and can be successfully and quantitatively modeled and MECHANISTICALLY PREDICTED Transition to nDS2: Electronics Onboard Contact pad Entry port Anchor points Connecting cables Output finger Entry flow chamber Nanochannels Exit flow chamber Anchor points Input finger Exit port Electrodes Glass top substrate Silicon Bottom substrate 3-dimensional view of nDS2 – With integrated electrodes Schematic view of nDS2 AFM image of nanochannel steps SEM Images of fabricated substrate nDS2 DC Driving of Fitz fluorescent Protein 3V voltage applied 3V, voltage reversed Time=0 Time=0 26 sec 60 sec 46 sec 131 sec 68 sec 187 sec nDS2 – A Universal Platform Control Circuit nDS2 – A Universal Platform t2 V2 V1 t1 Pre-programmable circuit nDS2 – A Universal Platform nDS2 – A Universal Platform Implantable sensor Schematic view of nDS2 with sensor Battery Sensor Unit Control Circuit nDS2 Nanochannel-Based Drug-Delivery Implants (nDS) nDS1: Passive Release nDS2: Active Release – Preprogrammed nDS3: Active Release – Remotely Activated nDS4: Active Release – Self-regulated a Biomolecular/Chemical/PhysicalSensor a + Intelligence a + Actuator Opportunity for Translation and Synergy with Space Medicine Delivery implant a Preprogrammable: Autonomy a Remotely Activatable: Emergency; Tailoring a Self-regulating: Autonomy; Emergency a All three: Stability, Protection of Drug Conclusions Multiple nanotech platforms for molecular marker harvesting/identification/profiling Potential advantages: sample preprocessing, multiplexing, quantitation, sensitivity, convenience, speed, cost Nanotech-based delivery systems: Injectable nanovectors and nanochannel-based long-term delivery implants Key to both molecular diagnostic and multifunctional therapeutics is multiscale mathematical modeling (mmm), i.e. “Nano:mmm = drug:mechanism” Conclusions/Space Medicine Potential applicability/synergy: a Biofluid Proteomics/Peptidomics for Early Detection, Interventional Profiling and Monitoring a Nanovector Therapeutics for Individualized, Autonomous Interventions, Optimization of Therapeutic Index a Implant-based Therapeutics for Interventional Autonomy, Management of Emergencies Nanomedicine comprises multiple high- tech platforms, ideally suited for NASA leadership A Future Where No-one Suffers nor Dies From Cancer “A grand challenge is the ability to detect cancer earlier – and the answer is almost certainly will be nanotechnology” “In addition to detecting cancer, nano-based techniques will enable physicians to determine whether a particular treatment is working” Dr. Richard Smalley Rice University Nobel Laureate 1943-2005 Acknowledgments Ohio State/Berkeley: Mark Cheng, Jay Tu, Xuewu Liu, Sadhana Sharma, Wen-Hua Chu, Piyush Sinha, Jasper Nijdam, Jason Sakamoto, Amy Pope-Harman Former trainees (current faculty appointment): Tejal Desai (UCSF/Berkeley), Miqin Zhang (Washington), Nicola Marzari (MIT), Joe Nadeau (Duke), Luke Lee (Berkeley), Derek Hansford and Jun Liu (OSU), Malisa Sarntinranont (Florida), Mak Paranjape (Georgetown) iMEDD: Carl Grove, Frank Martin, Rob Walzack, Peter Dehlinger, Tony Boiarski, Kristie Melnik Italy: Sabrina Pricl, Paolo Decuzzi, Carlo Cosentino, Enzo di Fabrizio, Rosa Terracciano, Marco Gaspari, Gianni Cuda, Salvatore Venuta Lee Hartwell (FHCRC), Rick Smalley (Rice), Lance Liotta (NCI), Vittorio Cristini (Univ. California Irvine), Chip Petricoin (FDA), Peter Swaan (Univ. Maryland), Tuan-Vo Dinh (ORNL) Antibody-Antigen Interactions Cantilever with immobilized Ricin antibodies undergoes Bending Response time can be Reduced by using smaller Liquid volume 700 600 500 400 300 200 40 parts-per-trillion sensitivity 100 0 -100 -10 0 10 20 30 40 50 Time (minutes) (Thomas Thundat, ORNL) Bending (nm) Vs Time of exposure to Ricin Detection of DNA hybridization Probe ssDNA Target ssDNA 8240 8230 Frequency 8220 8210 8200 8190 8180 8170 -500 Wu, G. et al. “Origin of nanomechanical cantilever motion generated from biomolecular interactions,” PNAS 98(4), 1560-1564 (2001). 0 500 Time 1000 1500 Global Cancer Mortality 14 12 Millions of people / year 10 Data Source: World Bank TB Malaria HIV Cancer 8 6 4 2 0 1990 2000 2010 2020 University of ‘Magna Græcia’ at Catanzaro – Italy ROSA TERRACCIANO