June 12th-14th, 2013 Collaborative E-Learning application for electroporation-based biomedical applications Selma Corovic Background and motivation - Electroporation of cells and tissues – human, animal or plant cells for different biomedical and biotechnological applications clinical electrochemotherapy - cancer treatment - Electroporation based biomedical applications require multidisciplinary expertise: oncologists, physicists, engineers… Collaborative E-Learning application Oncology Biomedical engineering E-Learning application Collecting the knowledge Designing the content Research E-learning application on cells and tissues + Clinical trials Improving the content based on results E-Learning enviroment (EBTT) Evaluation (pedagogical efficiency and usability) E-Learning enviroment Electroporation based technologies and treatments International SCIENTIFIC WORKSHOP and POSTGRADUATE COURSE November 18-24, 2012, Ljubljana, Slovenia Lectures Lectures were recorded Practical work Electroporation molecules cell membrane Important parameter for effective electroporation local electric field distribution E [V/cm]! Local electric field distribution E >Erev Electroporated Cell membrane Cell Tissue Applications of Electroporation Electroporation is used in: biomedical - clinical electrochemotherapy, non-viral gene electrotransfer for gene therapy and DNA vaccination, transdermal drug delivery… - liquid food sterilization, water treatment, electrofusion of cells… UTI = −1.5 r E cos (φ) (a) The electroporation of cell membrane first occurs within the cell area facing the electrodes (b) Different electroporation regimes: reversible Erev < E < Eirrev and irreversible E >Eirrev Electrochemotherapy = = chemotherapy + electroporation Electric pulse generator Chemotherapeutic surrounds the cells Increased membrane Pores reseal permeability allows access to the cytosol Electrodes time Tumour Electric pulse application Injecting chemotherapeutic Protocols and local electric field distribution in tumors Protocols used in clinical electrochemotherapy today include: 8 pulses of 100 µs duration, f=1 Hz or f=5 KHz, U/d =1300 V/cm drug injection + Result Local electric field distribution: U/d Importance of an adequate local electric field for successful tissue electroporation (example: unsuccessful tumor treatment) Clinical use of electrochemotherapy Number of patients No. of clinical centres 2006 130 SOP 2007 300 37 2008 600 53 2009 800 55 2010 1000 83 2011 1500 92 2012 3000 108 Reimbursed in: Germany, UK, Italy, Portugal, Denmark, Greece, Slovenia. Poland – in progress for reimbursement. ECT approved by Minister of Health. Clinical use of electrochemotherapy E-Learning application Collecting the knowledge Designing the content Research E-learning application on cells and tissues + Clinical trials Improving the content based on results E-Learning enviroment (EBTT) Evaluation (pedagogical efficiency and usability) Laboratory of bio cybernetics http://lbk.fe.uni-lj.si Lea Retelj, Ajda Bicek, Matevz Leskovsek, Jasna Krmelj, Tadej Kotnik, Dusa Hodzic, Marko Usaj, Gorazd Pucihar, Alenka Macek Lebar, Samo Mahnic, Barbara Mali, Tomaz Jarm, Jaka Cemazar, Selma Corovic, Denis Pavliha, Bor Kos, Masa Kanduser, Natasa Pavselj, Janez Zigon, Ivan Pavlovic, Stanislav Rebersek, David Slavic, Melvin Essone, Jure Jelenc, Matej Rebersek, Tina Batista Napotnik, Mitja Gliha, Sasa Haberl, Peter Kramar, Igor Marjanovic, Barbara Zorec, Matej Kranjc, Damijan Miklavcic. (Missing from the photo: Karel Flisar, Marija Marcan, Andraz Polak)