New HPV Diagnostic Assay Presented by Dr Ivan Brukner Dr Damian Labuda Hôpital Sainte-Justine COMMERCIALIZATION AND TRANSFER ASSISTANCE PROGRAM Ministère du Développement Économique, de l’Innovation et de l’Exportation Le 26 septembre 2008 Table des matières CONTENTS OF THE GRANT APPLICATION ........................................................................................ 1 1. GRANT APPLICATION FORM ................................................................................................ 1 2. PROJECT SUMMARY MAXIMUM THREE PAGES (in French) ................................................ 1 3. PRINCIPAL RESEARCHER: PRESENTATION AND CONTACT INFORMATION ......................... 2 4. DESCRIPTION OF THE TECHNOLOGY ................................................................................... 3 5. 6. 4.1. Background - HPV as etiological agent of cervical cancer. .......................................... 3 4.2. Technology developed and scientific basis ................................................................. 4 4.3. Current development status of the technology – functional prototype ..................... 6 4.4. Scientific value ............................................................................................................. 8 INTELLECTUAL PROPERTY .................................................................................................... 8 5.1. Invention disclosure .................................................................................................... 8 5.2. Previous disclosure and/or anterior art .................................................................... 10 5.3. Freedom to operate analysis (FTO) ........................................................................... 13 5.4. Revenue sharing ........................................................................................................ 15 TECHNOLOGY DEVELOPMENT PLAN ................................................................................. 16 6.1. Identification of current stage of technology development. .................................... 16 6.2. Remaining Steps and Time to Market ....................................................................... 18 6.3. Technical and technological challenges to be met and anticipated progress........... 19 6.4. Objectives sought ...................................................................................................... 23 6.5. Type of activities to be carried out ............................................................................ 24 6.6. Work plan and timetable ........................................................................................... 30 6.7. Deliverables and result indicators ............................................................................. 31 6.8. Decision-making milestones (go/no go) for measurable and clearly identified results 32 6.9. Proposal for granting the subsidy according to the decision-making milestones reached .................................................................................................................................. 32 7. RESEARCH TEAM ............................................................................................................... 32 8. ESTABLISHMENT’S PROJECT MANAGER (In French) ......................................................... 33 9. PARTNER ORGANIZATION ................................................................................................. 34 9.1. Role, experience and qualifications of the partner organization in conjunction with the project ............................................................................................................................. 34 9.2. Description of the partner organization's project selection process ........................ 35 9.3. Professional who will support the valorization process ............................................ 36 10. POTENTIAL MARKET ...................................................................................................... 36 10.1. Target market ........................................................................................................ 37 10.2. Business opportunity: Cervical cancer prevention program and HPV screening. . 37 10.3. Technological competition and benchmarking ..................................................... 38 11. COMMERCIALIZATION STRATEGY ................................................................................. 42 11.1. Commercialization of the assay in Canada – Warnex partnership........................ 43 11.2. Commercialization of the assay in Africa – Continental Diagnostic partnership .. 43 11.3. Other partnership and future development ......................................................... 45 12. PRO FORMA BUDGET (in French) .................................................................................. 45 12.1. Coûts du projet de maturation technologique ...................................................... 45 12.2. Montage financier ................................................................................................. 47 12.3. Documents démontrant la nature des engagements des partenaires financiers . 47 12.4. Démonstration que les autres sources de financement possibles ont été prises en considération .................................................................................................................... 48 13. OUTSIDE OPINIONS ....................................................................................................... 49 13.1. Evaluator 1 ............................................................................................................. 49 13.2. Evaluator 2 ............................................................................................................. 64 Letters of support ...................................................................................................................... 71 Annex 1. Extended patent searches and comments .................................................................... 73 Annex 2. Analysis of documents cited in the PCT research report ............................................... 80 Annex 3. Curriculum vitae – Research team ................................................................................. 83 Annex 3.1. Ivan Brukner’s CV ................................................................................................ 84 Annex 3.2. Damian Labuda’s CV ............................................................................................ 92 Annex 3.3. Maja Krajinovic’s CV .......................................................................................... 113 Annex 4. ....................................................................................................................................... 121 CONTENTS OF THE GRANT APPLICATION 1. GRANT APPLICATION FORM Please see attached form. 2. PROJECT SUMMARY MAXIMUM THREE PAGES (in French) Le projet proposé par le CHU Sainte-Justine consiste à développer d’un point de vue commercial leur nouvelle méthode de sélection de sondes spécifiques, nommée « hybridation itérative » dans le cadre d’un essai fonctionnel pour le diagnostic du virus du papillome humain (VPH) pouvant être utilisé au sein d’un laboratoire de diagnostic clinique au Québec et en Afrique du Sud. Cette technique permet le typage efficace de génomes montrant de hauts niveaux de similitudes de séquences. À l’heure actuelle, dans le cas du dépistage et du typage du virus du papillome humain (VPH), il n’existe aucun système de sondes offrant une solution de diagnostic dont l’éventail soit complet et satisfaisant. Pour parvenir à améliorer la conception des sondes d'hybridation, les chercheurs se sont attaqués au problème de leurs spécificités et leur pouvoir discriminatoire. Leur méthode peut être étendue pour générer un système diagnostic qui repose sur l'hybridation d’acides nucléiques de courtes séquences étroitement liées. Au lieu d'ajuster les conditions d'hybridation à la sonde, un ensemble de sondes est sélectionné de manière à fonctionner dans les conditions d'hybridation. Cette méthode permettant d'obtenir une détection spécifique offre une plus grande efficacité et un plus large éventail d'applications. Un ensemble de 39 sondes spécifiques pour chacun des types de VPH ciblés a été testé. Les résultats obtenus à partir d’échantillons cliniques positifs pour le VPH, y compris les six types les plus fréquents (6, 11, 16, 18, 31 et 33), montrent que ces sondes permettent la discrimination de tous les sous-types. Ainsi, les résultats démontrent que cette stratégie permet de détecter des changements de 3-7 nucléotides entre les différents amplicons / types, en conditions d'hybridation à température ambiante et dans un tampon PCR adapté. La preuve de concept préclinique ayant été réussie, la prochaine étape réside dans la validation à l’aide d’échantillons cliniques. Une fois cette preuve de principe obtenue, la technologie pourra alors être adaptée dans un outil de détection et de typage plus général. Le but du projet est donc de développer et de valider la technique de « l’hybridation itérative » dans le cadre d’un test diagnostic en : MDEIE – Commercialization and Transfer Assistance Program 1 1. Effectuant une validation de l’essai prototype sur des échantillons cliniques; 2. Élaborant un format de l’essai dont le design facilitera la commercialisation. L’objectif étant d’en arriver à un essai de typage du VPH qui soit simple, efficace et peu coûteux; 3. S’assurant le respect des exigences réglementaires afin de permettre une commercialisation rapide de l’essai; 4. Optimisant le format commercial de l’essai pour une plus grande sensibilité et une plus grande spécificité; 5. Validant la performance de l’essai commercial final à l’aide d’échantillons cliniques. Plusieurs raisons justifient que nous entreprenions ce projet, dont les avantages très concurrentiels de la méthode qui sont: 1er) Capacité d'adaptation et haut pouvoir discriminatoire: Bien que plusieurs trousses de diagnostic pour la détection et / ou de typage soient actuellement disponibles sur le marché ou décrits dans la littérature, la grande variété de techniques disponibles pour la détection et la sous-typage des ~ 40 types de virus du papillome humain (VPH) au niveau des muqueuses démontre le fait qu'aucune autre d’entre elles n’offrent une solution complète à ce problème. 2e) Faibles coûts et facilité d'emploi: Il existe deux obstacles importants et inter liés ralentissant le typage universel dans la population en générale, soit la complexité technique de l'essai et le prix par dosage. Cette technique, lorsqu’intégrée à un outil diagnostic, ne nécessite ni instruments coûteux, ni personnel hautement qualifié. En outre, cette méthode offre la possibilité d'unifier les tests de diagnostic pour les différents agents pathogènes dans les mêmes conditions de réaction qui, à terme, conduira à des tests de diagnostic qui soient plus simples, rapides et moins coûteux. 3. PRINCIPAL RESEARCHER: PRESENTATION AND CONTACT INFORMATION Damian Labuda, Ph.D., D.Sc. Professor, Pediatrics Department, Montreal University Sainte-Justine Hospital Research Center, room B-607 b 3175 Cote Sainte-Catherine Montreal, PQ Canada H3T 1C5 Telephone: (514) 345-4931 ext.3586 [sec. 3282] fax: (514) 345-4731 damian.labuda@umontreal.ca MDEIE – Commercialization and Transfer Assistance Program 2 Damian Labuda studied biology and biochemistry at Adam Mickiewicz University in Poznan, Poland, where he also obtained his Ph.D. and D.Sc. He received additional training in Szeged, Hungary, in Saclay, France, and in Göttingen, Germany (post-doctoral fellow of Max-Planck Institute). His early works concerned structure-function relationship in transfer RNA, origin of the genetic code, biochemistry and physicochemistry of nucleic acids. Since 1982, he continued his research on RNA structure and interactions, in Cedergren’s lab in the Department of Biochemistry, University of Montreal. In 1984 he joined the Research Center of the Sainte-Justine Hospital and the Department of Pediatrics, University of Montreal, developing DNA based diagnostics program as well as research in molecular, medical, population and evolutionary genetics. Presently, he carries studies in human population genetics on the origins and the evolutionary history of human populations, the founder effects and the genetic history of French-Canadians. His laboratory is also involved in genetic epidemiology studies aiming genetic bases of complex diseases, the underlying genetic models, the identification of cancer susceptibility variants as well as genetic variants influencing the disease outcome 4. DESCRIPTION OF THE TECHNOLOGY 4.1. Background - HPV as etiological agent of cervical cancer. HPVs are genetically diverse; those infecting genital epithelium represent types with low and high oncogenic potential. Low-risk HPVs, such as types 6, 11, 34, 40 44 and others, cause benign genital warts, whereas high risk HPVs (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) lead to cervical cancer. The most frequent 16 and 18 account for about 70% of infections seen in cervical carcinoma (Bosch et al., 2002; Franco et al., 2001); HPV 16 alone being found in nearly 50% of high grade lesions. There exists a substantial degree of DNA sequence identity among types as well as between malignant and benign HPV strains. The difference between particular HPV types in their sequence segments that are relevant to the HPV molecular testing can be as small as few nucleotides (Villa et al., 2000; zur Hausen, 2000). Cervical cancer is presently the second most common cancer affecting women worldwide, and the most frequent malignancy among women in developing countries (Ferenczy & Franco, 2002). It was estimated that 493,000 new cases of invasive cervical cancer were diagnosed worldwide in 2002, representing nearly 10 % of all cancers in women (Ferenczy & Franco, 2002). Indeed, the HPV-attributable proportion of the cervical cancer is estimated at more than 95%. The relative risk associating HPV infection to cervical neoplasia is very high and increases to several hundred in the case of MDEIE – Commercialization and Transfer Assistance Program 3 the persistent infection with types 16 and 18 (Bosch et al., 2002; Clavel et al., 2001; Franco et al., 2001). Once molecular pathogenesis of cervical cancer was recognized, it became clear that an accurate type-specific testing of HPV is absolutely required for the disease prevention and management, as recurrent detection of high-risk HPV types is a strong predictor of high grade cervical intraepithelial neoplasia (CIN) and invasive cancer lesions. (Brummer et al., 2006; Schlecht et al., 2001; Trottier & Franco, 2005) Importantly, in the era of HPV vaccination, planning cervical cancer screening will inevitably have to change, emphasizing need for HPV type-specific assays. (Franco et al., 2006). Several diagnostic kits are commercially available and numerous diagnostic systems have been described. However, of significant importance is the recent study by the World Health Organization (WHO) which carried detection of 24 samples of seven most frequent HPV types, using commercial individual typing kits, such as PGMY line blot (Roche), SPF10-LiPa (Innogenetics), Deg GP5+/6+ reverse line blot and DNA chip (Biomed Lab Seoul, Korea). The measurements were performed in 29 independent laboratories and 12 different countries. The overall detection rate of HPV16 was 62% and that of HPV18 was 73.9%; approximately, half of the laboratories failed to identify HPV type 6. In 2008, WHO issued recommendation guidelines for the use of “reconstructed” clinical samples and therefore make a common cross-reference among different diagnostics tests and different platforms on the identically “reconstituted” samples. 4.2. Technology developed and scientific basis Four years ago we proposed a novel and generally applicable approach consisting of the development of nucleic acid probes by selection in vitro. This differs from commonly used approaches based on the rational design of probes. Addressing the common problem of DNA diagnostics to distinguish between closely related population variants, similar strains or subtypes, we developed a novel technology that would allow generation of probes discriminating DNA targets that differ only by few sequence positions. Specific probes are selected from a random oligonucleotides mixture by a process of iterative hybridization. Repetitive rounds of forward and subtractive hybridization lead to specific pools of probes with high discriminatory power from which individual probes can be cloned. In the summer 2004, we obtained the funding from CIHR to develop this technology and show its applicability using a model system of HPV infection. The first task was to develop proposed technology. For that, we used a specific segment of the viral L1 gene of six HPV types differing by one to seven sequence positions. Starting from the initial pool of probes we obtained pooled probes, and subsequently, target-specific cloned probes. Both pooled and cloned probes were shown to discriminate well between six HPV types. (Brukner et al, NAR, Brukner et al, Nature protocols, 2007). Once the technology was developed, we extended the experiments to 39 HPV types. For the selection we used the HPV genome region corresponding to the PCR amplified HPV segment usually used in the clinical diagnostics (GP5+/6+ region of the viral L1 gene). We have obtained a set of 39 probes specific for each of the targeted HPV type and MDEIE – Commercialization and Transfer Assistance Program 4 efficiently discriminating against the remaining 38 types in a single experiment under the ambient temperature of hybridization (Brukner et al., J. Clinical Virology, 2007). In summer 2007 we obtained proof of principal grant from CIHR to simplify our assay and render it generally applicable in the research and diagnostic setting. We tested the probes in the reverse format (as opposed to previously used direct format) in which the array of the HPV specific probes is immobilized on solid support. This format is more suitable for diagnostic use and allows simultaneous detection of distinct HPV variants in the clinical sample. Miniaturization of the assay was achieved by single compartment hybridization (as opposed to previously used 96-well format). For this, the attachment of probes was performed via streptavidin-biotin connection using SAM membranes (Promega, WI). For all testing we used full-length GP5+/6+ target oligonucleotides (and double strand amplicons derived from these oligonucleotides, mimicking thus PCR from clinical samples) labeled with [32P] for initial optimization (Fig 1). 1 1 HPV 6 HPV 16 HPV 11 HPV 18 4 5 11 HPV 31 HPV39 8 12 HPV 33 HPV 51 9 18 HPV 35 HPV 68 Figure 1. Example of HPV typing probes in reverse format. Hybridization signal between 39 selected HPV type-specific probes (each 100 pmols), y spotted on SAM membrane (7 cm x 3 cm) and particular intended targets (HPV 6, HPV 11, HPV 16 and HPV 18 on upper panel and HPV 31, HPV 33, HPV 35, HPV 39 HPV 51 and HPV 68, on lower panel) each presented in the concentration of 3 pmols per 5 mL of hybridization solution. (P32 autoradiography). Hybridizaton is performed at ambient temperatue (26+/4oC) using buffers compatable with colorimetric detection. No false positives (cross-hybriization) with remaining 38 HPV types was seen. MDEIE – Commercialization and Transfer Assistance Program 5 As a result of these successful developments, we subsequently focused our assay on four most relevant HPV types (6, 11, 16 and 18). These types are the most common worldwide and the most relevant from the point of view of recently introduced national vaccination programs (duration and liability of vaccination strategy can be monitored). At the same time, we can guarantee that probes that we obtained during selection will not produce significant cross-talk with other relevant HPV types as shown in Fig. 2. 25 20 15 6 10 11 16 18 5 6 6 11 13 16 18 26 30 31 33 34 35 39 40 42 43 44 45 51 52 53 54 55 56 58 59 61 62 64 66 67 68 69 70 72 73 76 MM4 MM7 MM8 0 Figure 2 – Hybridization signal (y-axis) between selected 6-FAM labeled type-specific probes (HPV 6, 11, 16 and 18, using 20 pmol of each) and 39 HPV GP56 targets, where HPV types-specific numbering nomenclature is ranked in the growing order on x-axis. Each target (20 pmol) is bound to one well (using 96-well steptavidincoated Pierce plate) and hybridization is performed in 100L volume (see Brukner et al, 2007, J. Clinical Virology, for more details). 4.3. Current development status of the technology – functional prototype Processes/algorithm for the generation of spectrum of specific nucleic acid (NA) probes able to discriminate against plurality of similar targets is not yet known. When sequences that are to be distinguished are similar, the difference in their binding energy is small, restricting the window of adjustable experimental conditions, which would allow discrimination between all potentially reacting species. Finding such conditions is usually problematic in multiplex applications, when many probes and/or many targets are considered simultaneously. Moreover, if probes with such a requirement have to perform under robust conditions, the design process is especially prone to failure. Here the term “specificity” is used as an ability to discriminate NA target in the context of similar NA targets (differentiating up to 87% sequence identity), while assay is considered “robust” MDEIE – Commercialization and Transfer Assistance Program 6 if stability of the assay performance within a wide range of performing conditions is preserved. Following urgent need for developing more robust and more accurate HPV typing assay, we applied this approach to obtain new generation of probes. These probes are selected to discriminate among 39 clinically relevant HPV types, based upon the previously characterized GP5+/6+ L1 segment of the HPV. In a series of hybridization steps, starting from a mixture of random oligonucleotides, we iteratively enriched mixture in oligonucleotides that selectively recognize each specific HPV type out of the 39 HPV targets. (Brukner et al, NAR, J Clin Virol, Nature protocols, 2007). A detailed analysis of data showed clearly that, given the number of variables, the rational design of probes would not be as efficient and straightforward as selection performed in vitro. Analysis of sequences of obtained probes showed that specificity of binding between probes and targets is achieved through a fine balance between non consecutive stretches of basepairs, segments of mismatches and often accommodation of secondary structures. These combinations allow maximizing the difference in binding energy between probe-specific target and probe-unspecific target complexes. In the next phase, we optimized a reverse format of probes (Fig 3). The performance of the assay was examined using clinical samples containing HPV 16 and HPV 6. MDEIE – Commercialization and Transfer Assistance Program 7 Figure 3. HPV typing of pre-characterized clinical samples containing HPV6 and HPV16 to the array of 39 immobilized type specific clonded probes (CP). (A) the arrangements of CP probes; (B) hybridization with HPV6; (C) hybridization with HPV16. Arrows indicate the orientation of the probes array. (see Brukner et al, J Clinical Virol. 2007, for more details) We confirmed specificity of our probes and stability of our novel assay at the wide range of temperatures, starting from 20°C to 28°C and in the different spectrum of nondenaturing buffers (classical hybridization buffers, as well as simple, PCR-like and colorimetric-compatible buffers). Such assay performance is prerequisite for the future point-of-care medical device, contrary to the present genotyping assays, whose setting performance is not only challenging for similar NA targets, but also based on sophisticated technological platforms. 4.4. Scientific value The main advantage of our method resides in its enhanced power of identification and discrimination between multiple short nucleic acid sequences that differ by a few mutations, as it is the case with different HPV types, in a multiplex hybridization assay. In other words, instead of adjusting hybridization conditions to the whole set of probe: target pairs that we want to include in the diagnostic device, by using iterative hybridization we adjust the probes to the conditions we have chosen. Example of direct expected outcome using our HPV typing assay in clinical follow-up is to estimate HPV vaccine performance and its protective time in industrial countries where HPV vaccine program is available. It will also provide a cost-effective but accurate and easy to use diagnostic tool, an essential requirement for deployment of HPV screening program in developing countries. Finally, the methodology of probe selection is applicable to many other medical conditions where investigation or diagnosis or detection of resistant strains is based upon a differentiation of highly similar nucleic acid sequences (HIV, hepatitis virus, tuberulosis..). 5. INTELLECTUAL PROPERTY 5.1. Invention disclosure In January 2006, Dr. Brukner, Dr. Labuda and Dr. Krajinovic filed an invention disclosure at the research administration of Hôpital Sainte-Justine. The inventorship’s contribution is presented in Table 1. Inventors Status MDEIE – Commercialization and Transfer Assistance Program Institution % inventorship 8 Îvan Brukner Damian Labuda Maja Krajinovic Research associate Professor Associate professor CHU Ste-Justine 45 % CHU Ste-Justine 35 % CHU Ste-Justine 20 % Table 1. List of the inventors and their contribution to the invention The invention describes a new method for generating sequences of hybridization probes, suitable for multiplex target detection, even if the plurality of targets are very similar at the sequence level. The method is based on the hybridization of nucleic acids. A prototype for genotyping HPV virus was built and performance of 6 selected probes was tested and compared with complementary probes. A set of 39 oligonucleotide probes for HPV typing was generated and more recently a prototype assay was optimised for 4 probes (see section 6.1.). A provisional patent application entitled “NUCLEIC ACID PROBES, METHODS FOR THEIR PREPARATION AND USES THEREOF” was filed in the US in August 2006. We filed a complete PCT application in August 2007 and we expect to enter the National Phase in different markets in February 2009 (see section 5.3.1.). M. Serge Shahinian from the firm Goudreau Gage Dubuc in Montreal is the patent agent handling the file. The data base “Derwent World Patents Index”, where specialist editors provide a comprehensive summary of the patent contents with its advantages gives the following description of the invention: NOVELTY - Identifying an oligonucleotide for discriminating a first nucleic acid from a second nucleic acid comprises: (a) hybridizing the first nucleic acid with oligonucleotides comprising a random nucleotide sequence flanked by primer recognition sequences; (b) amplifying the bound oligonucleotides to obtain amplified oligonucleotide duplexes; and (c) repeating hybridization in the presence of a second nucleic acid, where an oligonucleotide comprising the random nucleotide sequence can be used for discriminating the first nucleic acid from the second nucleic acid. DESCRIPTION - Identifying an oligonucleotide for discriminating a first nucleic acid from a second nucleic acid comprises: 1.hybridizing the first nucleic acid with a pool of oligonucleotides in a hybridization mixture, the oligonucleotides comprising a random nucleotide sequence flanked by primer recognition sequences; 2.removing oligonucleotides which are not bound to the first nucleic acid from the hybridization mixture; 3.dissociating bound oligonucleotides from the first nucleic acid; 4.amplifying the bound oligonucleotides using primers capable of binding to the primer recognition sequences to obtain amplified oligonucleotide duplexes comprising a first strand corresponding to the bound oligonuc leotides and a second strand corresponding to the complement of the bou nd oligonucleotides; 5.treating the duplexes to remove or degrade the second strand to obtain single-stranded amplified oligonucleotides; 6.repeating (a) to (e), where the pool of oligonucleotides of (a) is the amplified MDEIE – Commercialization and Transfer Assistance Program 9 oligonucleotides obtained in (e) thus to obtain further ampli fied oligonucleotides; and 7.repeating (a) to (e), where the hybridization in (a) is performed in th e further presence of the second nucleic acid; where an oligonucleotide comprising the random nucleotide sequence of the further amplified oli gonucleotides can be used for discriminating the first nucleic acid fro m the second nucleic acid. INDEPENDENT CLAIMS are: 1.an oligonucleotide (a) identified by the method above, (b) capable of discriminating a first nucleic acid from a second nucleic acid, where the oligonucleotide is not exactly complementary to the first nucleic acid, and (c) comprising a nucleotide sequence selected from SEQ ID NO. 1- 43, 100-104, and 116; 2.a method for detecting the presence or absence of a first nucleic acid in a sample; 3.a kit for detecting the presence of a first nucleic acid in a sample, the kit comprising the oligonucleotide; 4.a collection of two or more oligonucleotides, where the oligonucleotides comprise a nucleotide sequence selected from SEQ ID NO. 1-43, 100-104 , and 116; 5.an array comprising the oligonucleotide or the collection of two or more oligonucleotides; and 6.a kit for identifying an oligonucleotide for discriminating a first nucleic acid from a second nucleic acid, the kit comprising the pool of oligonucleotides. USE - The methods are useful for identifying an oligonucleotide for discriminating a first nucleic acid from a second nucleic acid, and for detecting the presence or absence of a first nucleic acid in a sample. The kit is for detecting the presence of the pathogen in the sample, for detection of the pathogen in the subject, and for diagnosing a disease or condition associated with the pathogen in the subject (all claimed). The methods can be used for discriminating between closely related or similar nucleic acids, and for identifying or preparing an oligonucleotide for discriminating a desired or intended target nucleic acid from other undesired or non-intended non-target nucleic ac ids. The oligonucleotides, methods, and kits may be used in analytical, diagnostic (e.g. infection of an animal, plant, or organism by a pathogen), detection, manufacturing/quality control, research, environmental monitoring (e.g. pollution/contamination of air/water/reagents) intended for use in biological systems (e.g. culture or animal systems/other materials), microbiology (detection studies of organisms difficult to c ultivate), and forensic applications. ADVANTAGE - The method has the capacity of identifying or preparing an oligonucleotide for discriminating nucleic acids, which share sequence similarities, e.g. similar nucleic acid sequences from different organisms (e.g. orthologous genes), variants (e.g. polymorphisms, different alleles) of a given nucleic acid sequence, nucleic acid sequences derived from genes belonging to the same family or nucleic acids derived from subtypes of a given organism (e. g. virus, bacteria, parasites). 5.2. Previous disclosure and/or anterior art In conjunction with Univalor, the organization that provides commercialization services to the research centre of Hôpital Sainte-Justine (see section 9), we performed a review of MDEIE – Commercialization and Transfer Assistance Program 10 the prior art. The search was carried out using Delphion patent databases, and literature (PubMed) together with a web-based search. 5.2.1. Method of selection probes The concept of selecting nucleic acid sequences that specifically bind particular targets has been developed using an approach called SELEX (systematic evolution of ligands by exponential amplification. However that patented method (see Gold, Table 2a) and other related methods described in the literature (c.f. Kyung 2003) do not teach the use of iterative selections for generation of nucleic acid ligands against nucleic acid targets for the purpose of genotyping or identifying/detecting nucleic acids. Therefore, our iterative hybridization method to select probes that can discriminate between closely related or similar nucleic acids is entirely novel. Patent (filing date) US5475096 June 10, 1991 Title Nucleic acid ligands 376 family members Inventor (Assignee) Gold, et al. (University Research Corporation) Abstract A new class of nucleic acid compounds, referred to as nucleic acid ligands, have been shown to exist that have a specific binding affinity for three dimensional molecular targets. In a preferred embodiment the nucleic acid ligands are identified by the method of the invention referred to as the Systematic Evolution of Ligands by EXponential enrichment (SELEX), wherein a candidate mixture of nucleic acids are iteratively enriched in high affinity nucleic acids and amplified for further partitioning. Table 2a. Patent related to the method 5.2.2. HPV probes Our search revealed, that prior art taught the use of nucleic acid probes to detect HPV types. Several patents (see examples in table 2b and in Annex 1) and articles (Hwang et al., 2003; Klaassen et al., 2004; Kleter et al., 1999; Schmitt et al., 2006; van den Brule et al., 2002) describe typing systems based on PCR/classical hybridization but in all cases they rely on complementary sequences to discover HPV types (hybridization rules based on Watson-Crick base-pairing). Our probes do not rely on complementary sequences and also none of our probes sequences are disclosed or claimed in these documents. MDEIE – Commercialization and Transfer Assistance Program 11 Patent (filing date) Title Inventor (Assignee) US6583278 November 14, 1996 11 family members Nucleic acid probes complementary to human papillomavirus nucleic acid and related methods and kits Gordon, et al. US6265154 October 25, 1996 8 family members Nucleic acid primers and probes for detecting oncogenic human papillomaviruses Kroeger, et al. (Abbott Laboratories) US5364758 July 16, 1992 20 family members Primers and process for detecting human papillomavirus genotypes by PCR Meijer, et al. (Stichting researchfonds pathologie) US5712092 July 7, 1994 39 family members Papillomavirus probe and process for in vitro diagnosis of papillomavirus infections Orth, et al. (Gen-Probe Corporation) (Institut Pasteur) Abstract The present invention describes oligonucleotides targeted to HPV Type 16 and/or Type 18 nucleic acid sequences which are particularly useful in aiding the detection of HPV Type 16 and or 18 by, for instance, acting as hybridization assay probes, helper probes, and/or amplification primers. Probe sequences that are useful for detecting oncogenic HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68 are herein provided. These sequences can be used in hybridization assays or amplification based assays designed to detect the presence of these oncogenic HPV types in a test sample. Additionally, the sequences can be provided as part of a kit. The invention relates to primers and a method of detecting human papilloma virus (HPV) genotypes by means of the Polymerase Chain Reaction (PCR). The invention provides such primers and such PCR conditions that in principle any genital HPV genotype is detected. The invention enables a sensitive and reliable preselection of samples to be examined, such as cervical smears. The invention relates to human papillomaviruses HPV, particularly to HPV-DNAs isolated from papillomaviruses HPV-2d, HPV-10b, HPV-14a, HPV-14b, HPV-15, HPV-17a, HPV-17b, HPV-19, HPV-20, HPV-21, HPV-22, HPV-23, HPV-24, HPV-28, HPV-29, HPV-31, HPV-32, HPV-IP2 and HPV-IP4. The invention also relates to DNA capable of hybridizing with the HPV-DNAs or fragments thereof, to kits containing distinct groups of probes containing one or more of these HPV-DNAs or fragments thereof, and to procedures for detecting and identifying HPV in tissue. Table 2b. Patent related to our HPV assay 5.2.3. Research report on the PCT patent application In November 2007, we received the international research report and the written opinion of the international searching authority. Seven documents, including four documents published by our inventors were found to oppose our invention in terms of both novelty and inventive step (nothing was opposed to the industrial applicability of the invention). We carefully analyzed these documents and our conclusion, which was validated by our patent agent, is that none of these documents teach, disclose or can be considered as anterior art of what we claim in our invention (see Annex 2 for a summary of our analysis). MDEIE – Commercialization and Transfer Assistance Program 12 In conclusion, based on our analysis of the prior art, we do not anticipate any problems for the patentability of our invention and we are confident that we would be in an excellent position to argue potential objections from patent Examiners at the regional and national phases of protection, should there be any. This confidence was validated by the patent agent handling the file. It might be important to mention that Univalor’s team has experience in patent prosecution and with interpretation of PCT written search and opinion reports. 5.3. Freedom to operate analysis (FTO) We do not see any FTO problems related to the commercial use of our new method for generating sequences of hybridization probes concerning the SELEX patent (see section 5.2.1) The SELEX process is described in two issued US Patents, No. 5,270,163 (filed Aug 1992), which claims the SELEX method itself, and No. 5,475,096 (see table 2a) which claims the use of the method to identify nucleic acid ligand for target molecules “other than a polynucleotide that binds to said nucleic acid ligand,” and “wherein said nucleic acid ligand is not a nucleic acid having the known physiological function of being bound by the target molecule.” Our preliminary FTO search and analysis gives us no indication that the commercial production, marketing and use of our new assay for HPV detection would infringe the intellectual property rights of other patents. Our analysis included the US patents listed in table 2c and in Annex 1. It appears that these inventions relate mainly to the HPV DNA isolated from the appropriate strain, the probes containing these DNA sequences, and the kits containing these probes. Because the intrinsic nature of our probes is not fully complementary to any of the HPV DNA, our probes are not covered by the claims of these patents. Our position was validated by our patent agent. Note that most of the HPV types were covered by patents that are now expired or will expire in the near future. Consequently, we do not anticipate a need to license any patent on either SELEX or any specific sequence of HPV variants in order to commercialize our technology. Patent number (priority date) Comments No. 6,391,539 (November 1984), No. 5,958,674 (November 1984), No. 5,876,723 (March 1986), No. 5,824,466 (May 1988), No. 5,656,423 (December 1990) and No. 5,981,173 (February 1996) Patents that are part of the broad HPV patent portfolio developed at the Institut Pasteur that were licensed to Roche in June 2002; No. 4,849,334 (June 1987), No. 4,849,332 (May 1987), No. 4,849,331 (June 1987) and No. 4,908,306 (June 1987) Patents were assigned to Life Technologies (now Invitrogen) No. 5,057,411 (April 1985) and No. 5,643,715 (October 1988) Patents were assigned to Georgetown University. MDEIE – Commercialization and Transfer Assistance Program 13 Table 2c US patents related to HPV types 5.3.1. Acquired or planned protection A provisional patent application entitled “NUCLEIC ACID PROBES, METHODS FOR THEIR PREPARATION AND USES THEREOF” was filed in the US in August 2006. That patent application claims a method for identifying and preparing probes for selective detection of nucleic acids. This method is particularly useful in discriminating between closely related nucleic acid sequences. Such a method may be used in a variety of analytical and diagnostic research and related applications. Probes selected for 39 different HPV types are covered in the patent application. A complete PCT application was filed in August 2007. Priority Application Number (Number Kind Date): US 2006822153 P 20060811 PCT Application Number WO 2008017162 Patent Assignee: SAINTE-JUSTINE UHC Inventors: BRUKNER I; KRAJINOVIC M; LABUDA D PCT filing date: 20080214 We plan on entering the Regional and National phases in February or March 2009 as described in the following table (Table 3). 1) 2) 3) 4) Canada (February 2009) USA (February 2009) South Africa (February 2009) ARIPO (March 2009). ARIPO is considered a regional phase covering the following countries: Botswana, Gambia, Ghana, Kenya, Lesotho, Malawi, Mozambique, Namibia, Sierra Leone, Sudan, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. We will budget another patent filing in a territory that will be chosen between the following: Europe, Angola (a relevant territory for our financial partner in this application) and Brazil (the translation of the application into Portuguese for the Angola application can be subsequently used for the Brazil application and will reduce the cost of filing in this country by 50%). The IP protection in Canada, South Africa and ARIPO is justified by the partnership with the company Continental Diagnostic, based in South Africa (see section 14), and the interest of Warnex, based in Laval, Québec to provide HPV diagnostic services through Canada. It is also strategically important to get protection in US which is the largest market for HPV testing presently. Europe and Brazil are also two relevant territories for MDEIE – Commercialization and Transfer Assistance Program 14 IP protection since vaccines clinical trials were done in these territories. However the final choice between Europe, Brazil and/or Angola will be decided in January 2009. 5.4. Revenue sharing The documents attesting to the assignments of titles, rights and revenue sharing between the researchers, the CHU Sainte-Justine Research Centre (“CHU Ste-Justine”), its commercialisation entity (i.e. Valorisation-HSJ, limited partnership) and/or the Université de Montréal (“UdeM”), shall be concluded prior to the start of the project, the whole according to the provisions of the intellectual property policies and related agreements in force between these institutions. As a precision, CHU Ste-Justine is an affiliated institution of UdeM and as such, CHU Ste-Justine and UdeM jointly own, in equal parts (50%/50%), the undivided ownership rights in any invention originally disclosed at CHU Ste-Justine by a researcher who holds an academic qualification or a faculty title of UdeM. CHU Ste-Justine and UdeM also jointly own, in equal shares (50%/50%), the institutional share of the benefits or revenues which will be allotted to CHU Ste-Justine, as mutually agreed between these institutions. The share of the proceeds of commercialization of the invention (the “Proceeds”) shall therefore be divided and paid as follows: (A) fifty percent (50%) of the Proceeds shall be allotted to the researchers, which portion shall be divided between each of Îvan Brukner (22,5%), Damian Labuda (17,5%) and Maja Krajinovic (10%); and (B) fifty percent (50%) of the Proceeds shall be allotted to Valorisation-HSJ, limited partnership (the valorisation entity of CHU Ste-Justine), which portion shall be divided in equal shares (50%/50%) between Valorisation-HSJ, limited partnership and UdeM. Party Share of Proceeds Îvan Brukner 22,5% Damian Labuda 17,5% Maja Krajinovic 10% Valorisation-HSJ, limited partnership (CHU Ste-Justine) 25% MDEIE – Commercialization and Transfer Assistance Program 15 Party Share of Proceeds UdeM 25% TOTAL: 100% Table 3. Final sharing of the Proceeds between the parties 6. TECHNOLOGY DEVELOPMENT PLAN The proposed development plan will allow optimizing and validating the efficacy of a new HPV assay and will provide us with convincing arguments that it can fulfill all principal requirements of clinical and market needs: multiplex detection, detection of different HPV types in the same patient (super infection), low production cost and ease of use. 6.1. Identification of current stage of technology development. The actual prototype kit is composed of 4 probes designed to detect 4 HPV vaccinerelevant types (6, 11, 16 and 18), including two positive controls: one reflecting presence of any HPV in the sample and the other controlling for sample DNA integrity (see Figure 4). HPV targets are 150 nucleotides long GP5+6+ DNA segments, derived through amplification or chemical synthesis. 6 11 100 100 16 18 100 100 UP CD 0.5 10 Figure 4: Schematic presentation of 4 cm x 2cm Steptavidin-coated Membrane (SAM, Promega) with biotinilated oligonucletide probes Optimal number of picomoles (right panel) spotted on the membrane (left panel) for each HPV probe and controls (UP, universal HPV probe, CD, control DNA designed for the control of the quality of DNA extraction HPV 6, HPV 11, HPV 16 and HPV 18 are the most frequent virus types. In fact, HPV types 16 and 18 account for 70% of HPV infections. Accurate and affordable HPV genotyping for these strains will also be in high demand for the next few decades due to MDEIE – Commercialization and Transfer Assistance Program 16 HPV vaccination studies. Recently, two experimental vaccines to prevent infection with HPV 6, 11, 16 and 18 became available. HPV screening is needed here: i) to identify individuals that are eligible for vaccination and ii) to monitor the efficiency of vaccines. The Advisory Committee of Immunization Practices (ACIP, US) recommended the continuation of HPV screening protocols until (i) other type-dependent vaccines are developed and (ii) the protective time period of the vaccine is fully characterized. The advantage of our assay is in the selection of probes in the context of 39 viruses. Therefore, the probes are highly specific for these types and do not cross-hybridize with other HPV amplicons (see Figure 2). We also developed an HPV universal probe, which is designed to detect any HPV infection (Fig. 5, probe UP). This “promiscuous probe” allows for the follow-up of HPV positive cases (but HPV 16 and 18 negative ones), which is of particular interest to researchers and to public health. Despite typing only 4 viruses, all cases of HPV-positive cases could be clinically registered. Further type-specific analysis can be then performed by complementary methods. Recently, we also introduced a strategy that will allow monitoring of DNA quality and quantity of a clinical sample. This strategy includes new PCR and a corresponding new probe. The probe was designed to detect monomer repeat of 29 adenines (A29), present in a single copy locus of human genome of well-described BAT26 amplicon (Fig. 5 probe CD). MDEIE – Commercialization and Transfer Assistance Program 17 The performance of each type-specific probe and its corresponding intended targets is presented in Figure 6A. 6.2. Remaining Steps and Time to Market Class II, III and IV medical devices need to have Canadian licenses in order to be sold in Canada. After speaking with Sarah Chandler, Acting Head of the Regulatory and Scientific Section at the Device Licensing Services Division of the Medical Devices Bureau at Health Canada, we believe our HPV test is most likely a Class III product. We plan to validate the classification status of our device before the end of 2008. This is the first step toward getting a medical device license. The regulatory process in South Africa starts with a letter to the authority mentioning the intention to file clinical information for registration of a new test. The authority can call for local clinical information and trials if deemed necessary. When the information has been submitted, questions could follow on the proof of concept and clinical validation methodology results. The whole process takes up to 3 years right now, but when the new authority steps in it might be shortened to 18 months and if fast tracked, 9 months. Our strategy is to partner with a company already established in the molecular diagnostic market who will be responsible for the final stages of our product development, including all aspects of clinical validation and regulatory affairs. We will have the opportunity to work with the Quebec company Warnex (see letter of support) to define the regulatory path for our HPV assay. MDEIE – Commercialization and Transfer Assistance Program 18 6.3. Technical and technological challenges to be met and anticipated progress 1) Preservation of assay specificity and sensitivity under different assay conditions Our results indicate that we will be able to develop a new format of HPV typing kit that will preserve clinical sensitivity (genome equivalent, GE, 1000 or more), but will have unique specificity features preserved in a wider-than-usual range of assay conditions. What remains is to prove that our type-specific probes will produce better assay stability than any other probes on the market. It is well known from literature data that small variations in HPV genotyping assay conditions can lead to the wrong interpretation of hybridization intensity patterns when using known commercial kits. The most critical issues are in the domain of specificity of hybridization among multiplicity of similar targets, where even a 1oC deviation from the intended temperature, or small variations in buffer conditions can be detrimental. In fact, recent data (Journal of Clinical Virology 42 (2008) 412–414) showed that even intra-laboratory repetitions with the same clinical samples (but different DNAextractions) did not produce the same results using Roche Linear Array assay (83% concordance). We believe that our HPV typing probes have inherent (sequence-dependent) features which preserve stability under a wider range of assay conditions. Considering that this issue presents a major barrier to the current accuracy of hybridization-based assays, overcoming it by confirming our data in a clinical setting would be important accomplishment. As an example of anticipated progress, we recently perform hybridizations between HPV 6, 11, 16 and 18 single stranded targets (GP5+ strand) at 4 different temperatures (20, 25, 30 and 35oC) and recorded hybridization pattern, as presented on Figure 6B MDEIE – Commercialization and Transfer Assistance Program 19 2) Optimization of a prototype assay format and developing it into its final product We already have a functional prototype assay format which will be challenged with reconstructed samples having 1,000 and 10,000 genome equivalents (GE) of different types of HPV in the background of 1,000 GE of human DNA (see Figure 7). MDEIE – Commercialization and Transfer Assistance Program 20 We do not foresee obstacles in detecting 1,000 genome equivalents of HPV in the hybridization assay. In fact, our present developments indicate that a hybridization assay is not an obstacle per se, since 1,000 GE of HPV 6, 11, 16 and 18 are amplifiable by PCR (using oligonucleotide targets as substrates) in sufficient quantity to guarantee detection of the hybridization signal. We will have to do HPV GP56 amplification in the context of human DNA, where we will have to satisfy “normal” PCR yield requirements (1-10pmols) and at the same time be able to perform CD PCR (i.e. produce amplicons which reflect DNA quality of sample). MDEIE – Commercialization and Transfer Assistance Program 21 3) PCR amplification from clinical samples Protocols designed to collect, store and purify DNA from cervical swabs are welldescribed. And the expertise of Dr Gòrska-Flipot Izabella from the Hotel-Dieu diagnostics laboratory, guarantees that this challenge will be addressed in a professional, effective fashion given the long clinical experience and expertise she has in the domain of molecular diagnostics. 4) Technology transfer with the group from South Africa The present assay format is functional at Saint-Justine Hospital and we have to be sure that all parameters of protocol are well defined and universal, so the assay can be reproduced, without technical help from the person who developed the protocol. Therefore, we will establish a technological transfer procedure and a corresponding manual, which will guarantee that the assay can be independently repeated with the same MDEIE – Commercialization and Transfer Assistance Program 22 quality of assay performance as originally described. Here is the summary of current optimal conditions for each procedural step: (the details of protocol 4a to 4d might as well go to Appendix if you think it is a good idea) 4a) PCR The 50 l volume PCR was performed as originally suggested (van den Brule, et al., 2002) with minor modifications including shortening elongation and denaturation time to 20 seconds. Yield of PCR was monitoring by loading 10l reaction mix over agarose gel and EtBr staining. 4b) Conversion of PCR product to single stranded (ss) DNA and labeling The 40L were digested for 15 minutes at 37C, with EXO1 (NEB), following enzyme inactivation (20min, 85C), and lambda exonuclease (15 min, 37C, following 20 min, 85C). Sample was passed over S25 column for buffer exchange reaction compatibility with downstream T4 Polynucleotide Kinase labeling step. The conversion of double stranded to single stranded form of PCR product was monitored by disappearance of EtBr stained bend before and after digestion. 4c) Membranes Streptavidine-coated Promega membranes (SAM, Biotin Capture Membrane, Medison, WI) were used in the following manner. The 1 l of 100pmols/l of type specific (CP) 5’ biotinilated oligonculeotide probes were manually sported (HPV6, HPV11, HPV 16 and HPV 18) on the surface of 3cm x 2cm membrane (see Figure 1 for spotting schematic). The HPV universal probes (UP) were spotted using 1 l of 0.3 pmols/l of oligonucleotide. Spotted drops were dried at ambient temperature for 5 minutes, membrane was washed in ddH2O for 1-2 minutes and pre-hybridized in 2 mL hybridization buffer SSPE (150 mM NaCl, 10 mM NaH2PO, 1.1 mMEDTA, pH 7.4), 0.75MNaCl, 70mMTris–HCl, pH 7.4) containing 1% SDS and 200 mg/ml heparin (hybridization oven, Model 400, Robbins Scientific ) for 1-12h at 55oC. These membranes were either stored at room temperature for couple of days, or immediately used for hybridization assay. 4d) Hybridization Labeling of 2-20 pmols of PCR and/or oligonucleotide was perfomed using 5 l of [32P] ATP (6000 Ci/ mmol) and 1 L of T4 Polynucleotide Kinase to a specific activity of 105 to 106 cpm/pmol, following produce manual recommendation (Invitorogen). Hybridization was carried out for 1-12 hours. The membranes were then washed with 1x SSPE containing 0.1% SDS for 10 min at room temperature and either exposed overnight at -80°C with intensifying screens, or exposed in Cyclone Storage Phosphore Screen (Perkin Elmer) for 10-30 minutes and read by Cyclones software (OptiQuant, version 4.00). 6.4. Objectives sought The overall goal of this project is to develop a functional HPV assay that will be implemented in a clinical diagnostic laboratory in Quebec and in South Africa. The specific objectives required to reach this goal are MDEIE – Commercialization and Transfer Assistance Program 23 1. Clinical validation of the prototype assay 2. Design of the commercial format of the assay (simple and cost-effective HPV typing assay) 3. Establish the regulatory pathway for the commercial use of the assay 4. Optimization of the commercial format of the assay for high sensitivity and specificity 5. Validation of the performance of the commercial assay with clinical samples. 6.5. Type of activities to be carried out The point by point summary given below refers to major issues needed for assay optimization as well as validation of sensitivity and specificity of assay with standardized and clinical samples. 1. Preparation of the test: Spotting of 4 type-specific DNA probes (6, 11, 16, 18) on SAM membranes (Promega); Inclusion of the positive control that is universal control positive for any HPV type; Introduction of probe for the control of DNA extraction (DNA integrity) from clinical sample collection. To this end, independent PCR will be subsequently performed from reconstructed and clinical samples (see below). This PCR is amplifying single copy human genome segment known as BAT26 locus. Preliminary data demonstrating the performance of recently designed universal HPV probe are shown in the figures 3 to 8. The preliminary data using oligonucleotide mimicking BAT26 PCR product (without primers) are given in Figures 5. 2. Verification of the amplification sensitivity of standardized (in vitro reconstructed) samples. Range of genome equivalents (GE) of HPV (1000-10 000) will be tested. Multiplex PCR that is simultaneously amplifying any HPV genome and BAT26 locus from human DNA will be developed. 3. Evaluate the performance of different variant of GP56 primers. This would be done to see performance of different variant of GP56 primers in the context of different number of HPV genome equivalents and particularly in the context of different combinations of mixed infections (GE 1000, 10 000 and 100 000), spiked with human DNA (1000 GE)) and co-amplification of other HPVs except those here tested. Amplification products should enter into the yield range of 1-10pmols for all 39 types, where HPV16 amplicon (known to perform well) will be used as a reference point (producing 100% “standard” yield). 4. Amplification of DNA from 40 clinical samples for which custom HPV typing is already available. Samples from Department of Pathology of Centre Hospitalier de l’Université de Montréal will be used. Cervical biopsies were evaluated by service pathologists as cervical intraepithelial neoplasia of a different grade. Custom HPV MDEIE – Commercialization and Transfer Assistance Program 24 detection was performed by PCR amplification with PGMY09/11 primers designed to amplify a product from the L1 open reading frame of a wide spectrum of HPV types. The HPV types were assigned by restriction fragment length polymorphism based on comparison with known HPV sequences. Two restriction enzymes, RsaI and Dde I, were used which gave characteristic restriction patterns for most HPV types (Fig .9) (Gorska-Flipot et al. Ann Biochem Clin, 1996, 35, 66-70). To avoid confusion, we will call this assay the CHUM HPV assay. We are aware of tha fact that each primer set used in amplification has its own bais toward particular type of viruses. Therefore, the GP5+6+ PCR will be done using PCR product from MY9/11 primer sets and original DNA. Although, this first strategy is known as nested PCR, using this strategy we would be able to minimize the effect of primer bias in both MY9/1 and GP56 primer systems. 5. Analysis of the same reconstructed and clinical samples with commercial Roche HPV typing kit. 6. Comparative analysis with custom and commercial HPV typing. This analysis will be done in collaboration with Dr Eduarod Franco (Professor of Epidemiology and Oncology Director, Division of Cancer Epidemiology, McGill University), which for many years leads the study in HPV epdemilology (see letter). Cloning and sequencing of HPV PCR products will be performed in the case of discordant results. Activities which are currently performed to reach each objective are described in the following sections. 6.5.1. Clinical validation of the prototype assay As presented in section 6.1, the actual prototype kit is composed of 4 probes designed to detect 4 HPV vaccine- relevant types (6, 11, 16 and 18) including two positive controls, one reflecting presence of any HPV in the sample and second, controlling for sample DNA integrity. HPV targets are 150 nucleotides long GP5+6+ DNA segments, derived through amplification or chemically synthesized. We use of in vitro “reconstructed clinical samples” of HPV 6, 11, 16 and 18 following suggestion of Word Health organization for optimizing HPV tests. The variable input of GP5+/6+ HPV oligonucleotides or HPV plasmids is spiked prior to PCR with a constant amount of human DNA, originating from HPV negative cervical samples, to mimic molecular complexity of biological samples. In particular, range of genome equivalents (GE) of HPV (1000-10000) is added to human DNA. The concentration of human genomic DNA in reconstructed samples is comparable to the amount of DNA that is generally found in cervical scrape specimens (~106 human genomes/ml), (Quint et al., 2006). These “sample-reconstruction” experiments are allowing simulation of single and double HPV infection and controllable measure of analytical performance of our type-specific probes. In the next step, clinical samples (n=40) with known HPV status, as confirmed by the CHUM HPV assay (Fig. 9), will be used for estimating the performance of HPV assay. MDEIE – Commercialization and Transfer Assistance Program 25 The results of HPV typing obtained with our probes and custom approach will be compared with the results of Roche LA HPV Genotyping Test. HPV - PCR-RLFP 16 31 6 11 ? Rsa 16 31 6 11 Figure 9. Schematic presentation of the CHUM HPV assay (a custom PCR-RFLP used for HPV typing) 6.5.2. Design of the commercial format of the assay There are multiple formats of multiplex hybridization kits on the market and custom assays in research or clinical laboratories. Several options for commercial format exist for our technology including solid support for DNA probe attachement and for hybridization signal detection. As previously stated, our prototype assay cannot reach the market in its current format, with its large SAM membrane, radioactive detection (P32), and high cost of production. As presented in Table 4, our rough estimation of the cost of production per kit is $26 which is highly expensive for such a kit. It should be noted that our kits have actually been manufactured in the researcher’s laboratory and there is no economy of scale. The membrane cost is clearly the main issue if we want to substantially reduce production cost. MDEIE – Commercialization and Transfer Assistance Program 26 Materials Oligo probe 6* Oligo probe 11* Oligo probe 16* Oligo probe 18* Cost/ kit (CDN$) 0.04 0.04 0.04 0.04 comments umol scale needs 100pmol per spot umol scale needs 100pmol per spot umol scale needs 100pmol per spot umol scale needs 100pmol per spot Two DNA control oligos to be spotted 0.08 umol scale needs 100pmol per spot Membrane SAM-Promega 25.00 $200 per membrane/8 HPV kits of 2cmX3cm Blocker (needed to block membrane) 0.08 reduce background signal; increase ratio signal/background Technician time to prepare membrane ($50/hr) - cut membrane, spot DNA, etc) Package (plastic ) total= * 67 mer single strands with biotin 0.50 0.50 26.32 100 membranes prepared per hour plastic 15mL Falcon tubes Table 4. Cost breakdown for the current production of our HPV prototype assay Our data obtained so far shows that other membrane-based hybridization (Immunodyne ABC membrane, Pall) could replace SAM membranes (Promega). Preliminary data showing performance using modified streptavidin coated Immunodyne ABC membranes are given in Fig. 10. This might be an excellent alternative for reducing the cost of the final assay given the 100 fold lower price of Immunodyne ABC versus SAM membranes. Immunodyne ABC membrane (Pall) Example of HPV 18 6 11 16 18 UP CD MDEIE – Commercialization and Transfer Assistance Program 27 Figure 10. Example of possible reduction of final product prize (100x) using Immunodyne ABC-Pall instead SAM-Promega, Immunodyne membrane can replace SAM (Promega) membranes used in the experiments shown in previous slides reducing thus the most significant material cost by 100 times (20$ to 0.2$) Development of an alternative system of visualization of probe–target hybridization is also essential for the simplicity and commercialization of the assay. One of the possibilities is a colorimetric assay with the use of 6-FAM labeled primers to produce PCR and a corresponding anti-6FAM-antibody with downstream alkaline phosphatecoupled colorimetric detection. Another important aspect will be to reduce the size of the assay. A 10X reduction of hybridization volume and corresponding solid support surface (beads, or array) will reduce PCR yield requirement to 50-100ng, typical for PCR volumes of 10uL. Detection of hybridization will be adequately adjusted. For example, the Luminex platform would require Cy3 fluorophore, while a slide micro-array format would allow use of DIG (digoxigenin-modified nucleic acids), or 6-FAM and the corresponding horseradish peroxidase-conjugated anti-fluorescein, or anti-DIG antibodies (Roche, Invitrogen and number of other suppliers). It is worthwhile mentioning that gold-nanoparticles are the simplest alternative for colorimetric detection of DNA (post-PCR) with robust chemistry and existing expertise in Canada (Yingfu Li, Department of Chemistry and Department of Biochemistry and Biomedical Sciences, School of Biomedical Engineering, McMaster University). In order to define the best format for the assay for commercialization, a deep analysis of the available options will be done. We plan to outsource this activity to a consultant with strong expertise in molecular diagnostics. This consultant has yet to be identified, but one possible candidate is Dr Yvan Côté, VP at Warnex, who has not only industrial experience but also who has expressed his interest in performing this analysis as a private consultant (independently from Warnex). It is worthwhile to mention that Yvan Coté has suggested that Warnex provides support to help in the design of the final format of the assay (see letter of support). Briefly, the analysis will have to take into account the scientific aspects (specificity & sensitivity), the commercial aspects (cost, license from third parties, others), as well as the regulatory requirement for the commercialization of the assay in Canada and South Africa. At least three meetings will be held with a consultant over the 8 week mandate. Participating in the meeting will be the inventors, Anne-Marie Larose from Univalor, and one representative from our potential commercial partners (Continental Diagnostic and Warnex). Meetings will include: 1) An initial meet and greet of the inventors, Anne-Marie Larose from Univalor, one representative from each of our potential commercial partners (Continental Diagnostic and Warnex). 2) A follow-up meeting midway through the mandate. MDEIE – Commercialization and Transfer Assistance Program 28 3) An oral presentation of the final report and recommendations (a written report will also be produced). Experimental testing of the new format design will be performed before the beginning of the second phase of the project. 6.5.3. Establish the regulatory pathway for the commercial use of the assay The objective to get clinical validation of our HPV assay, in a commercial format, is to conclude licensing agreement with commercial partners. It is clearly not the scope of this project to get regulatory approvals in Canada or South Africa. However, we consider it is important to establish what the regulatory requirements to reach the market are. These aspects have to be taken in account for the final design of the assay and in the licensing negotiation (will help both parties to better define license milestones). This task will be driven by Anne-Marie Larose from Univalor. 6.5.4. Optimization of the commercial format of the assay for high sensitivity and specificity The outcome of phase 1 (first 20 weeks, i.e. five months) will define the choice of technological platform. Sensitivity and specificity of the assay will be re-assessed on the new assay format. This optimization step will required the following: 1) Evaluation of the right amount of DNA probes to be spotted on the new support 2) Optimization of the hybridization conditions to reduce background 3) Optimization of the signal detection 4) Development of a new reproductive procedures to perform the analysis, from the PCR product to the detection 5) Optimization of the control probes, including the HPV control probe Since we anticipate a 10X reduction of hybridization volume and corresponding solid support surface (beads or array) this will allow reduction of total PCR yield (50-100ng), typical to the volume of 10uL. At this phase of the project, technique for visualization of the hybridization signal will be adjusted to best serve the chosen platform. Comparison with results obtained with the prototype assay will help the development and optimization of the new format of the assay. Optimization will be performed with the in vitro reconstructed sample, before testing clinical samples (see section 6.5.5). Some testing will also be conducted in at least one external laboratory, ideally by one of our commercial partners, in order to validate the reproducibility of new protocols. These MDEIE – Commercialization and Transfer Assistance Program 29 experiments are not covered by this proposal and will be performed at the company’s expenses. 6.5.5. Validation of the performance of the commercial assay with clinical samples. The performance (sensitivity and specificity) of the probes using the new platform will be compared with the typing results obtained in the first phase of the project. More precisely, the commercial format of the test will be used for HPV typing of the same 40 samples tested with our prototype assay, as described in section 6.5.1. Additional 100 clinical samples that are already charactrized by commercial tests like Roche or Hybrid Capture will be tested in this phase. The samples will be obtained through collaboration with Dr Francis Coutlée, Molecular Virology Laboraty at the Research Center of CHUM (see letter) who were running and partipating in variety of projects addressing biology, epidemilogy and diagnostics of HPV. The concordance analysis will follow. 6.6. Work plan and timetable The maturation project will require 12 months for its completion. As illustrated in table 5 the activities to meet the first objectives will start immediately while the activities for the second and third objectives will be performed concomitantly at the end of phase 1, most likely from week 10 to week 32. The activities for the last two objectives will be done successively. Dr Damian Labuda, Ms Sylvie Cossette and Ms Anne-Marie Larose, respectively the principal investigator with the inventors, the project manager and the representative of the partner organization, will meet on a regular basis, every 3 months to evaluate the progress of the project and the achievement of the milestones. The same committee will meet if necessary to evaluate any project of disclosure generated within the framework of this project in order not to reveal information that could preclude the filling of patent application. Objectives/Activities Phase 1 - 32 weeks Phase 2 - 20 weeks 1 Clinical validation of the prototype assay 2 Design of the commercial format of the assay Establish the regulatory pathway for the commercial use of the 3 assay Go/No go decision 4 Optimization of the commercial format of the assay MDEIE – Commercialization and Transfer Assistance Program 30 5 Validation of the performance of the commercial assay Table 5: Gantt Chart for work plan 6.7. Deliverables and result indicators At the end of phase 1 we should have reach the first 3 objectives: 1. Clinical validation of the prototype assay 2. Design of the commercial format of the assay (simple and cost-effective HPV typing assay) 3. Establish the regulatory pathway for the commercial use of the assay More specifically this means that we will get specificity and sensitivity data with clinical samples with the prototype assay and obtain the following results: Ability to detect HPV 6, 11, 16 and 18 alone (1-10 pmols) or in a combination, where individual types are presented in final PCR product in the low picomolar ranges. No cross-hybridization with non-specific probes, under 10 pmols of one HPV types (from reconstructed samples) which represent a scenario where PCR yield is very abundant (10 pmols in total is around 1000 ng of GP56 PCR). Universal HPV probe will detect any HPV type present in PCR, while control DNA (CD) probe would be indicator of clinical sample DNA quality. The design of the final format of the commercial product will need to be defined as well as the main regulatory requirement for the commercialization of the HPV kit. We will also need to get recommendations for the final design of the project. At the end of the second and last phases of the project we should have reach the 4th and 5th objectives: 4. Optimization of the commercial format of the assay for high sensitivity and specificity 5. Validation of the performance of the commercial assay with clinical samples: Anticipated results in terms of specificity and sensitivity should be at least as good as what we get at the end of phase I with the prototype assay: specific detection of the 4 types of HPV, no cross-hybridization and positive results with the Universal HPV probes and de CD probe. Importantly, our comparative study should demonstrate that the performance of our assay is as good or superior to the Roche assay. The stability of both assays (reproducibility) using repeated typing of critical samples with PCR yield approaching 2 extreme situations (very low and very high yield) will be performed. We expect that this comparative test produce more stabile typing results with our assay format, then with Roche assay. MDEIE – Commercialization and Transfer Assistance Program 31 Implementation of the new assay format in at least one clinical laboratory in Quebec, or South Africa will be performed. 6.8. Decision-making milestones (go/no go) for measurable and clearly identified results At the end of phase 1, the project will be pursued only if we get positive results on clinical samples with the current prototype (SAM membrane and P32). Herein, clinical sample will have to give yield of GP56 PCR product in the minimal range of 100-1000ng (150nt long), which is in fact 1-10 pmols in total, the quantity typically detected in our present developmental experiments. This is, according to our observation and literature data, an average PCR yield of 50uL reaction volume of “classical” GP56 PCR after 40-45 cycles. We know that present solution for GP56 primers perform well for majority of HPV types, using 39 artificial targets. If our hybridization assay does not work in this range of concentrations we will consider that there is a significant failure in the process which will justify first NO GO. 6.9. Proposal for granting the subsidy according to the decision-making milestones reached Total disbursement Phase 1 32 weeks Phase 2 20 weeks End of phase 2 114 000 $ 70 000 $ 16 000 $ 25 000 $ 15 000 $ 89 000 $ 55 000 $ Valorization-HSJ MDEIE 16 000 $ Table 6. Proposed distribution of granting 7. RESEARCH TEAM In 2004, Ivan Brukner (see CV in Annex 3) joined our team to develop the iterative technology in its practical application focusing on the small sequence segments. His knowledge in nucleic acid chemistry matched the expertise of other members of the team in the physical chemistry of nucleic acids, in diagnostic application, in the development of genotyping tools, in the genetic epidemiology and pharmacogenetics, and importantly in the HPV DNA testing and in the epidemiology of HPV infections. Damian Labuda (see CV in Annex 3) has considerable experience in physical chemistry of nucleic acids, in genetic diagnostics, genetic epidemiology and in vitro selection. Ivan Brukner is the principal inventor of the proposed technology; he will be responsible for the technology implementation and daily follow-up of the experiments. Maja Krajinovic (see CV in Annex 3) has experience with the HPV DNA analysis, as well as in genetic epidemiology and pharmacogenetics; she will be involved in design of reconstructed MDEIE – Commercialization and Transfer Assistance Program 32 sample experiments, selection of clinical samples (with Izabella Gorska-Flipot) and between tests concordance analysis. Izabella Gorska-Flipot (see CV in Annex 3), at the Hospital Hotel-Dieu, has a longstanding experience in the molecular diagnostics and in the HPV cervical infections in particular; she will be responsible for the analysis of clinical samples using custom approach and commercial kit. Our achievements are summarized in 4 published manuscripts Nucleic Acids Research, 2007; Journal of Clinical Virology, 2007; Nature Protocols, 2007 and Int. J Cancer., 2008. In addition, intellectual property related to our technology is protected. The present application is to finalize the prototype of the HPV diagnostic device and to validate its use in the clinical setting. 8. ESTABLISHMENT’S PROJECT MANAGER (In French) Gestionnaire de projet au Centre hospitalier universitaire Sainte-Justine (CHU Sainte-Justine) Le CHU Sainte-Justine est un des plus grands centres hospitaliers universitaires pédiatriques du Canada. Il a pour mission d’améliorer la santé des enfants, des adolescents et des mères du Québec. Afin d’arriver à assumer pleinement sa mission et surtout son rôle en tant que centre universitaire d’enseignement et de recherche, le CHU Sainte-Justine compte sur l’excellence de la recherche de ses chercheurs regroupés dans son Centre de recherche. Au cours des dix dernières années, le Centre de recherche du CHU Sainte-Justine a connu une croissance sans égal parmi les dix-neuf centres et instituts de recherche subventionnés par le FRSQ. Depuis sa fondation en 1973, le Centre de recherche s'est transformé en un réseau d'axes de recherche pluridisciplinaire allant de la recherche biomédicale à la recherche clinique en passant par la recherche sur les soins et le système de santé, la santé des populations et l'évaluation des technologies. Le leadership du CHU Sainte-Justine en recherche est aussi fondé sur un partenariat actif et engagé dans des réseaux de recherche. Depuis 2003, 30 nouveaux chercheurs ont été recrutés portant le nombre de chercheurs à temps complet à 90. La progression du nombre d'étudiants qui est passé de 276 à 402 au cours des cinq dernières années témoignent du pouvoir attractif du Centre, de la qualité de ses chercheurs et de sa mission de former du personnel hautement qualifié au niveau académique de même que pour l'industrie biomédicale et pharmaceutique. Les publications témoignent de notre productivité scientifique comme centre de recherche. De 2004-2005 à 2007-2008, le nombre d'articles avec comité de pairs a augmenté annuellement de façon constante passant de 364 à 385. Parallèlement à cette productivité scientifique du Centre de recherche, le CHU Sainte-Justine aura été le foyer d'une importante activité en valorisation de la recherche et des connaissances dans le domaine de la santé. Au cours des cinq dernières années, plus d'une trentaine de chercheurs ont soumis une soixantaine de déclarations d'inventions menant à trente-deux demandes de brevets, aboutissant à une dizaine d'accords commerciaux, dont neuf licences et la création d'une MDEIE – Commercialization and Transfer Assistance Program 33 entreprise dérivée. Également, le Centre de recherche a assisté à une croissance continue des contrats de recherche en partenariat avec l'industrie et autres centres d’enseignement, totalisant plus de 100 nouveaux contrats en 2006 dont la valeur atteint plus de 22 millions de dollars, témoignage tangible de la valorisation du savoir-faire et connaissance de la communauté des chercheurs du CHU Sainte-Justine. Le Centre de recherche, sous la direction du Dr Guy A. Rouleau depuis près de trois ans s’est doté d’une structure administrative qui facilite le support à la recherche et la valorisation des résultats. Sous la direction de Madame Sylvie Cossette CA, adjointe au directeur et comptant plus de 15 ans d’expérience comme gestionnaire au Centre de recherche, deux professionnels spécialisées en ententes de recherche et en valorisation sont à la disposition des chercheurs. De plus, un chercheur clinicien est délégué par le Centre de recherche pour siéger sur le comité d’évaluation des technologies de sa société de valorisation Univalor. Madame Cossette sera la gestionnaire de projet de maturation technologique du CHU SainteJustine et sera responsable de s’assurer de son bon déroulement. Elle devra notamment : S’assurer que l’équipe de chercheurs et le partenaire financier respectent leurs engagements; S’assurer que les objectifs poursuivis dans le projet soient en harmonie avec la stratégie de commercialisation; S’assurer avec les chercheurs que toute nouvelle propriété intellectuelle développée dans le cadre du projet soit protégée adéquatement et avec diligence; S’assurer que les ententes à intervenir entre les partenaires soient conformes aux politiques institutionnelles. 9. PARTNER ORGANIZATION 9.1. Role, experience and qualifications of the partner organization in conjunction with the project Gestion Univalor, Limited partnership ("Univalor") is a limited partnership whose mission is to commercialize discoveries made by researchers at the Université de Montréal, École Polytechnique de Montréal, CHU Sainte-Justine-Mother and Child University Hospital Center, HEC Montréal, Hôpital Maisonneuve-Rosemont, Hôpital du Sacré-Coeur de Montréal, Institut de recherches cliniques de Montréal and the Institut universitaire de gériatrie de Montréal. Univalor also provides commercialization services to the limited partnerships of the Montréal Heart Institute. Univalor strives to develop profitable and long term business relationships with companies wishing to maintain or improve their competitive position in their industry by having access to cutting edge technologies developed by internationally acclaimed researchers. MDEIE – Commercialization and Transfer Assistance Program 34 Univalor's multidisciplinary team is made up of 12 professionals in business development and commercialization with expertise in life sciences, engineering, intellectual property, legal affairs, and finance. Achievements Between 2001 and 2008, about 520 discoveries from Université de Montréal and its affiliated institutions have been evaluated by Univalor and more than 900 patents applications have been filed. Univalor currently has approximately 265 patents and patents pending in its portfolio, has signed over 33 license agreements and has been involved in the creation of 23 spin-off companies over the years. Since 2001, funding provided for commercial maturation from Valorisation-Recherche Québec and the Ministère du Développement Économique, de l’Innovation et de l’Exportation (“MDEIE”) have allowed many technologies to reach maturity and demonstrate operational capabilities. More than 8.2 million dollars have been invested in our most commercially promising technologies and 130 million dollars into our spin-off companies. 9.2. Description of the partner organization's project selection process Over time, Univalor has developed its own methods and tools for evaluating technologies emerging from research laboratories and for helping researchers who wish to commercialize their inventions. Internal evaluation is conducted by the business development manager and the project leader using a 5-point criteria: scientific and technological quality, intellectual property, market size, business opportunity, and relevancy for Univalor. Different databases such as Dialog Pro Competitive Intelligence, Medtrack, and Delphion are used to accomplish this evaluation. Meetings with the inventor(s) and a literature review are also very important steps in order to thoroughly evaluate the technology on its scientific basis. Results of the internal evaluations are discussed weekly during our evaluation committee, which is comprised of all of Univalor’s professionals. This allows us to take full advantage of our multidisciplinary team. Relevant questions regarding intellectual property, technical issues, time-to-market, etc. often arise. The manager of business development may either pursue the evaluation after this meeting or retain the services of one or more experts. These experts, skilled in the specific technology, are asked to give their opinion about the technology on both a scientific and commercial basis under a confidential agreement. If the technology is recommended for commercialization, a technology transfer strategy is then drawn up by the evaluation committee and rapidly implemented. When a technology shows a real commercial potential, Univalor’s business development manager, along with the help of the researcher and the research administrator at the MDEIE – Commercialization and Transfer Assistance Program 35 institution, looks for financial resources to perform proof of concept or validation when the development status of the technology is not mature enough to start licensing discussions with a company. Once a grant is procured and the maturation project is started, the manager of business development carefully follows the progression of the project. Results are communicated to potential partners if discussions have already been initiated and interest in the technology has been shown. Business development activities start (if they have not already started) once the maturation project begins and intensifies once the proof of principal is accomplished. 9.3. Professional who will support the valorization process Anne-Marie Larose, Ph.D, MBA, Business Development Manager, is currently responsible of this technology at Univalor. Ms. Larose has more than ten years of experience in the life sciences industry. After having obtained her doctoral degree in cellular and molecular biology, she joined a young biotech company at the pre-startup stage. During the five years that followed, Ms. Larose was directly involved in the different aspects of the company's corporate and technological development, notably in the elaboration of business and commercial strategies, the protection of intellectual property, the planning and management of R&D projects, and the management of the quality control department. Afterwards, as commercial attaché for the British consulate in Montréal, Ms. Larose was responsible for commercial exchanges with the Canadian biopharmaceutical sector. More recently, Ms. Larose has contributed to the fulfillment of various industrial and institutional development mandates in the Life Sciences sector as main advisor in an advisory office. As of March 2004, Ms. Larose has been developing business relations with corporations in the Life Sciences field who wish to commercialize technologies with the greatest growth potential. 10. POTENTIAL MARKET Why typing HPV in Canada now? There are few distinct, but inter-related reasons why having “home”, provincial, or national HPV typing assay, presents advantageous situation over not having it. Commercial impact is for example one of the resons. In Canada, Roche is the only assay approved by Health Canada with prize of 80-100$CA per screening (material cost), while FDA approved HC2 assay is reaching value of 150-180$ per single patient (Qiagen, 2009, listing prices). Both assays are developed in US. In Europe, the situation is more complex and diversified with more small companies trying to get part of the market. On the contrary, to our knowledge, Canada does not have any force to address this challenge. MDEIE – Commercialization and Transfer Assistance Program 36 Another important factor is timing, as: 1) HPV vaccination era requires more rigorous screening activity with new and specific HPV typing tests, as suggested by Canadian and international authorities (see Franko et al, Vaccine 26S (2008) F46–F58). The urgent need for new HPV screening guidelines and new biomarkers is also documented by Feng et al. (JNCI Vol. 100, Issue 5, 2008). The current and future necessity and role of HPV screening in the era of HPV vaccination is also well described by Smirh et al., Gynecologic Oncology 109 (2008) S31–S39). All these arguments are pointing out that HPV screening has to be continued in the new form - if not inforsed by government, because of the following reasons: 1) Vaccine is not clinically tested on already infected women, 2) The mother-child frequency of transition is not known, 3) The vaccine protective time is not yet defined and 4) 30% of cervical cancer will not be protected by the vaccine. Target market Sugestion:I would make few comments about local Montreal-Quebec-Canada market, including private laboratories, clinics, hospitals and general public awareness for diagnostics of STD. The US molecular diagnostics field is the most dynamic segment of the in vitro diagnostic (IVD) market, with an expected growth rate of approximately 17% through 2012. Infectious disease testing accounts for the bulk of this market, and HPV testing is one of the fastest growing. As the second most prevalent molecular test, HPV testing has been estimated in 2006 to have reached approximately 55 million tests that year alone, representing an IVD market size of $500 million (Frost & Sullivan, 2006). Recently, the company Third Wave Technologies has provided projections which suggest that the global market for HPV testing could reach $250 million in 2008 with a market penetration of only 28% but a growth rate in excess of 25%. This includes more than 10 million HPV tests being performed in the United States each year. Finally, the HPV testing market in the EU is just emerging, as studies are underway to evaluate the use of HPV tests as a primary screen for cervical cancer in women, replacing Pap testing. 10.1. Business opportunity: Cervical cancer prevention program and HPV screening. Cervical cancer is the second largest cause of cancer deaths in women worldwide. The estimated prevalence of HPV infection in women is 10.5%. Persistent infection with HPV is a trigger for cervical cancer, and preventing this infection can avert this deadly disease. The tests used in routine screening and clinical prevention of cervical cancer are so far based mostly on a cytological examination known as the Papanicolaou (Pap) smear. In 2005, more than 60 million Pap smears were performed in the US, and it is estimated that such screening programs and interventions have reduced the incidence of cervical cancer MDEIE – Commercialization and Transfer Assistance Program 37 by ~80% in the United States, but at a cost of more than $6 billion US a year (Wu et al., 2006). Although the application of the conventional Pap test led to a dramatic reduction in the incidence rate of cervical carcinoma in the last fifty years, this test has significant limitations, including a sensitivity of only 50% to 60% in a routine screening setting (Fahey et al., 1995; Nanda et al., 2000). Because of this, an improved cytological test has been developed called the thin-layer liquid based cytology, or ThinPrep Pap test. This new test is far from infallible, failing to detect from 15% to 35% of cervical intraepithelial neoplasia (CIN) or cancer (Kulasingam et al., 2002). Recently published results of ASCUS/LSIL Triage Study for Cervical Cancer (ALTS) underline the importance of HPV DNA testing to improve specificity and reduce costs (ALTS, 2000; Sherman et al., 2001; Solomon et al., 2002a; Solomon et al., 2001; Solomon et al., 2002b; and http://www.cancer.gov/prevention/alts/results.html). Likewise, accurate and affordable HPV genotyping will be in high demand for the next few decades for ongoing HPV vaccination studies. The US Food and Drug Administration (FDA) approved the first preventive HPV vaccine on June 8, 2006 for the immunization of women between 9–26 years of age (Merck's quadrivalent vaccine Gardasil, targeting HPV 6, 11, 16 and 18 ). A second vaccine, Cervarix from GlaxoSmithKline (targeting HPV 16 and 18), is already available in Australia and in Europe. So far, these vaccines have shown to offer 100% protection against persistent homologous HPV infections (Stanley et al, 2006). In the current experimental phase of vaccine trials, HPV screenings are needed to: i) identify HPV status of individuals before vaccination and ii) monitor the efficacy of vaccines. Furthermore, the Advisory Committee of Immunization Practices (ACIP) recommends continuation of HPV screening protocols until other type-dependent vaccines are developed and until the protective time period of the vaccines has been fully characterized. In spite of the above recommendations and the introduction of a number of commercial HPV genotyping kits (see table 1), a DNA test of satisfactory specificity and sensitivity to detect HPV types is still unavailable. 10.2. Technological competition and benchmarking Available HPV DNA tests, sensitivity and specificity. Key industry participants in the molecular infectious disease diagnostics market in North America are Roche, Gen-Probe, QIAGEN (QIAGEN-Digene), bioMerieux, and Becton Dickinson. QIAGEN-Digene is the sole provider of molecular HPV tests in the US. The company offers two HPV tests which distinguish two groups of HPV subtypes (benign and malignant) and offers no subtypes differentiation. The Roche HPV genotyping test (LA) and the new Genomica CLART® HPV2 test, are the only commercially available test kits for the detection of 35 or more variants of HPV. The Roche test was expected to hit the US market in 2008, but is still unavailable to date (Frost & Sullivan, 2006). MDEIE – Commercialization and Transfer Assistance Program 38 A recent WHO international collaborative study (Quint et al., 2006) addressed the question of standardization of HPV molecular typing and detection. The methodology used in this study was performed by twenty-four participating laboratories included QIAGEN-Digene Hybrid Capture II, and by a variety of PCR/hybridization typing systems. The results demonstrate that the sensitivity of detection and the specificity of typing varied considerably among participating laboratories working with the eight most frequent high-risk types (16, 18, 31, 33, 35, 45, 52 and 58) and one low risk HPV 6. The sensitivity and specificity of the detection of HPV 16 and HPV 18 was only 62% and 74% respectively. For the other seven types, the adequate assessment varied from 95% (HPV 33 and 45) to 43% (HPV 31). Some false positive results were also reported. Clearly, an alternative approach to HPV typing is needed. Existing HPV DNA analyses rely either on hybridization techniques using type-specific HPV DNA probes, or are based on direct identification of HPV DNA PCR-products (see table 7). Several hybridization based tests and their prototypes have been developed that either require the viral DNA to be pre-amplified by PCR (Innogenetics, Roche Diagnostics, Genomica, Greiner Bio One) or do not require it (QIAGEN-Digene and Ventana). The main difficulty of hybridization approaches that use “classical probes” in these tests, is obtaining specific results when multiple similar targets have to be assayed simultaneously (note that here we use the term “classical” to distinguish from probes obtained by our method of iterative hybridization). Probes that fully match their targets (Roche, Genomica, Greiner Bio One) compromise accurate detection of multiple targets because they cross-hybridize ((Sandri et al, 2006) and our unpublished observations). Another group of hybridization-based tests that does not require prior amplification of HPV DNA include QIAGEN-Digene’s Hybrid Capture 2 (HC2) assay and Ventana’s Inform HPV. QIAGEN-Digene’s FDA-approved assay is widely used in clinical studies due to its relative simplicity and sensitivity. However, several recent reports pointed out two main disadvantages with HC2, questioning its use as a screening tool. First, it lacks individual HPV type identification. Second, there is a significant degree of cross-reactivity between the oncogenic and non-oncogenic types that leads to false-positive results 10% to 20% of the time (Cox et al., 2000; Gravitt et al., 1998; Poljak et al., 2002; Schneede et al., 2001; Terry et al., 2001; Yamazaki et al., 2001). In brief, the Ventana Inform HPV in situ hybridization assay seems to be more specific and sensitive than HC2, but its efficacy in predicting cervical lesions (positive predictive value) is no more than 48% (Qureshi et al., 2003). Several companies offer PCR-based kits (see table 3) like GenoID which became a small participant in the European molecular diagnostics market (Frost & Sullivan, 2006). It should be noted that another option exists for the sequencing of HPV PCR products. This is performed by Visible Genetics (Toronto) (Mahony et al., 2003) and is also an inhouse test at the Hôpital Hôtel-Dieu de Montréal and at the Hôpital Sainte-Justine de Montréal. Although these sequencing tests are highly specific, they require trained personnel, expensive technology, and most significantly, are rendered useless when multiple variants of the virus are present in the same patient. Numerous other typing systems have been described (Hwang et al., 2003; Klaassen et al., 2004; Kleter et al., 1999; Schmitt et al., 2006; van den Brule et al., 2002, Schmitt et al., 2006) and they await a detailed clinical evaluation. MDEIE – Commercialization and Transfer Assistance Program 39 Competitive advantages The main advantage of our method resides in its enhanced power of identification and discrimination of multiple short nucleic acid sequences that differ by a few mutations, as with the different HPV types in a multiplex hybridization assay. Because we select the most specific probes in predefined hybridization conditions we considerably reduce cross-hybridization problems inherent to the conventional hybridization approach used by Roche and Genomica (such as requiring a 52oC (+/-2) special hybridization buffer). Other important benefits are described below: Market need: The American Cancer Society (ACS) and the American Society of Colposcopy and Cervical Pathology (ASCCP) have issued new guidelines which incorporate DNA testing for high-risk HPV types, along with Pap tests, as a primary screen for women aged 30 and over. The capacity of our probes to detect and also to identify HPV types is clearly an asset if we consider that prevention by vaccine will address only specific HPV types. Multiplex detection: Finding universal experimental conditions for hybridization becomes problematic in multiplex applications where many DNA targets are considered simultaneously. Our method overcomes this problem. Instead of adjusting the hybridization conditions to the probes, a set of probes is selected in such a way as to function under the intended hybridization conditions. Detection of different types in the same patient: According to GeneticLab, the frequency of HPV patient superinfection is 28%, where 71% are infected with 2 subtypes, 21% with 3 subtypes, and 8% with 4 subtypes. Kits that can not discriminate HPV types are unable to differentiate new and persistent infections and have poor diagnostic potential in regard to superinfection. Low production cost and ease of use: A kit based on our technology would require neither expensive instrumentation nor skilled personnel to use. Production of our diagnostic is not expected to be expensive, which would allow the licensor to get a high profit margin. This is crucial for commercial success in the diagnostic field. Even though QIAGEN-Digene presently dominates the HPV DNA diagnostic market and there will be strong competition between new kits—such as the ones from Roche and Genomica—we strongly believe there is an opportunity for these innovative kits to enter this large, underpenetrated, growing market. By fulfilling all the main requirements of the clinical and market needs, our superior kit could quickly become the test of choice for HPV detection. MDEIE – Commercialization and Transfer Assistance Program 40 Company Test Name Technology Total number of subtypes detected QIAGEN (Digene) Hybrid Capture 2 RNA-DNA hybridization 2 Detection of multiple subtypes in same patient No Ventana Medical Systems Ventana Inform PCR+ In situ hybridization 2 No Genomica CLART® HPV low density 2 microarray 35 Yes Cross-reactivity of probes US, Canada, Europe, Japan, Asia, Australia Europe Greiner Bio One PapilloCheck® DNA-Chip (microarray) 18 high-risk and 6 low-risk types of HPV Yes Cross-reactivity of probes Europe GenoID Reveal HPV 19 not in one assay Semi-quantitative analysis; Very complex Europe and requires RealTime PCR Roche Amplicor PCR+ Molecular beacons PCR + hybridization 13 high-risk types No No individual identification of HPV type; Detects only high risk cases. Roche (LA) Linear Array PCR + hybridization 37 Yes Involves amplification of a portion of the Europe L1 gene by PCR, coding for the major capsid protein, and a subsequent hybridization of the amplification products with the HPV type-specific probes; Unable to distinguish hr-HPV 52 from other high-risk genotypes (33, 35, and 58) presenting 2.2% of all cervical cancers; Less sensitive if a sample has a single infection with some specific HPV genotypes that are poorly amplified by MDEIE – Commercialization and Transfer Assistance Program Comments Market The HC2 test uses specific antibodies and chemiluminescent signal amplification to measure the presence of RNA (DNA hybrids formed between a specific RNA probe and the viral DNA). Cross-reactivity of probes; No individual identification of HPV type; Detects only high risk HPV Cytogenetic HPV testing; Allows choice of sample types; No individual identification of HPV type; Poor accuracy US, Canada, Brazil, Europe, Asia, Australia Europe 41 PGMY (HPV 33 and 52); Hybridization probe for HPV 51 not sensitive enough; Requires very controlled temperature of hybridization 52+/-2°C; Presently the most accurate typing kit on the market. BioMerieux Protect HPVProofer assay (based on NucliSens Easy Q platform of bioMerieux) Detection of oncogenic HPV gene expression 5 high risk types n/d Aims at the early detection of cervical carcinogenesis. Technology licensed from the company NorChip in January 2007. Europe Innogenetics Inno-LiPA HPV Genotyping CE PCR + hybridization 25 Yes, but have problems with sensitivity, due to the bias induced by 'universal' primers Europe QIAGEN (through acquisition of Shenzhen P.G. Biotech Co.) Third Wave Technologies HPV detection PCR -based kit Involves amplification of a portion of the L1 gene by PCR, coding for the major capsid protein, and a subsequent hybridization of the amplification products with the HPV type-specific probes; Problems detecting multiple infections reported, related to typespecific sensitivity of amplification; Full set of HPV types not included; Crosshybridization reported; Requires controlled temperature of hybridization. n/d only 4 most n/d common types (6, 11, 16 and 18) HPV n/d screening test (14 high-risk types of HPV) Third Wave HPV n/d Technologies genotyping test (HPV—16 and 18) 14 No 2 Yes n/d GeneticLab PapiPlexTM Multiplex PCR 16 Yes SensiGen AttoSense ™ HPV Test MassArray assay (mass spectrometry coupled with competitive PCR) 15 high risk types n/d Multiplex detection; Complex handling and assay performance, (requires gel manipulation); Only 16 types; not clear how non-including types will perform Ultrasensitive detection kit (1 to 3 copies of HPV DNA in blood or tissue sample). The test is still in development. Licensed from University of Michigan in February 2007 China n/d FDA application for approval expected in 2008-2009 Japan Not on the market Table 7. HPV molecular diagnostic kits 11. COMMERCIALIZATION STRATEGY MDEIE – Commercialization and Transfer Assistance Program 42 Our short-term goal is to grant licenses of the HPV test to companies or clinical laboratories. We are in a position to conclude many license agreements within specific fields of use and/or specific territories, since the inventors have developed both, a method for generating specific probes for multiplex diagnostic assay and a specific application of this method which is the HPV assay (both protected by the current patent application). So far we have got serious interest from Warnex, a company based in Québec and Continental Diagnostic, a company based in South Africa. They both would like to get exclusive rights for the HPV assay, in their respective territories. We have also got interest from Dr Gorska at CHUM to implement the HPV assay in their clinical laboratory. It is clear that the clinical validation of the commercial assay will be decisive to consolidate the interest of these groups and to conclude licensing agreement. 11.1. Commercialization of the assay in Canada – Warnex partnership Warnex is a life sciences company devoted to protecting public health by providing laboratory services to the pharmaceutical and healthcare sectors. With its three divisions (analytical, bioanalytical and medical laboratory), Warnex provides, to clients in the pharmaceutical and biotechnology industries, a variety of quality control services as well as method development and validation. They also conduct bioavailability and bioequivalence studies for clinical trials, and perform contract R&D. Finally, Warnex provides specialized genetic and biochemical testing for the healthcare industry. This division also has extensive expertise in genetic testing for human identification, molecular diagnostics, and pharmacogenetics. They focus on the development of innovative assays as well as the refinement of existing diagnostic tests to produce assays with greater clinical value and relevance for reliable and cost-effective patient assessment and management. Warnex Medical Laboratories is an important source of specialized testing for hospitals, private laboratories, and medical specialists. As a development-driven medical laboratory, they work extensively in collaboration with medical discovery companies to adapt their research into viable clinical tools for improved diagnosis and monitoring of disease states. Warnex is clearly a relevant partner to bring the HPV assay on the Canadian market. Also, as mentioned in their letter of support, Warnex has accepted to provide in kind contribution for the design of the final format of the assay. Their expertise will also be highly valuable for the regulatory aspect of assay development. 11.2. Commercialization of the assay in Africa – Continental Diagnostic partnership MDEIE – Commercialization and Transfer Assistance Program 43 Continental Diagnostics is a Sales and Marketing outfit that would be taking the HPV to the market once the clinical validity of the HPV assay will be established. Their business plan is to boost their current income with the HPV test, which represents a large market in South Africa: cervical cancer accounts for about 25 percent of cancer deaths among black women, there is no formal PAP smear program and women seeking PAP smears in the public health sector are only eligible for one every 10 years after the age of 30. Also the new vaccines are out of reach for most of these women and 15 out of every 100 000 die of Cervical Cancer every year. There are four partners in Continental Diagnostics as presented in Table 8. The company outsources research (validation studies and experience programs) to scientists at the University of Natal who work under Professor Indres Moodley. Prof. Moodley has satellite sites in most African countries through his work with the SA government Department of Science and Technology, where he can conduct validity assays for the HPV test. The company’s customers include pharmacies, private doctors (including specialists and physicians), government and private hospitals, private and government laboratories. Also, the company has a distinct advantage over their competitors in this area as they are a 100% black-owned company and therefore qualify for 60% in the Black Economic Empowerment (BEE) point system that the government uses to award tenders to those who are wholly or partly black-owned. They can also infer points to groups who source their products from us and therefore have a good standing with private companies (laboratories and hospitals) that source from us. Co-funding for the MDEIE project will come from the Industrial Development Corporation in SA, whose brief from the government is to partner African entrepreneurs who create sustainable businesses and jobs in South Africa. Continental Diagnostics Members Masikana Millan Mdleleni.PhD,MBA,LLB Mbulelo Godffery Tabata. Med.Tech Samuel Ndaxola Nkalashe.Med.Tech,MAP Indres Moodley.PhD Expertise Biochemistry Research and Development Responsibility Business Evaluation and Legal Counsel Sales Management Sales Director New Business Development and Marketing Product Research Product Management Pharmaceutical Research Table 8. Continental Diagnostics MDEIE – Commercialization and Transfer Assistance Program 44 11.3. Other partnership and future development Business development activities carried by Anne-Marie Larose at Univalor already bring business relations with two relevant potential industrial partners, as described in the previous section. Ms Larose will continue seeking for companies that would be interested to commercialize the HPV kit in their own territory and/or to develop a new diagnostic kit using this innovative method of generating highly specific probes for multiplex assay. Worthwhile to mention, the proposed project focuses on the clinical validation of an HPV assay for the most frequent HPV types. This will be the first generation of our HPV assay. If we get success in developing a specific and sensitive assay and conclude agreement with at least one company for the commercialization of the assay, we will certainly pursue the development of a second generation of the HPV assay, to diagnose all types of HPV, since we already have probes for 39 types. 12. PRO FORMA BUDGET (in French) 12.1. Coûts du projet de maturation technologique Le budget global requis pour accomplir le projet de recherche et les activités de protection de la propriété intellectuelle est de 200 000$. Les tableaux suivants présentent les budgets requis. Phase 1 R&D (salaries and material ) and indirect expenses Institution research associate HSJ research assistant CHUM laboratory expenses HSJ laboratory expenses CHUM consultant for product design External (Outsource) 32 weeks Phase 2 Total 20 weeks 52 semaines 45 000 $ 30 000 $ 75 000 $ 4 500 $ 8 000 $ 12 500 $ 16 000 $ 21 000 $ 37 000 $ 6 000 $ 6 500 $ 12 500 $ 15 000 $ 0$ 15 000 $ Sous-total (RDI) 86 500 $ 65 500 $ 152 000 $ Indirect expenses (on the 30% from external contribution) 7 500 $ 4 500 $ 12 000 $ MDEIE – Commercialization and Transfer Assistance Program 45 Total 94 000 $ 70 000 $ 164 000 $ Table 9 - Estimé budgétaire pour la réalisation du projet de R-D - 12 mois La réalisation du projet nécessitera le travail de 2 personnes sous la supervision du Dr Damian Labuda du CHU Ste-Justine et la collaboration du Dr Isabelle Gorska du CHUM (voir section 7). Il est à noter que ces salaires incluent les bénéfices marginaux. Territory Phase 1 Phase 2 32 semaines 20 semaines Total End of the project 52 semaines Canada 3 000 $ 3 000 $ US 6 500 $ 6 500 $ South Africa 5 500 $ 5 500 $ ARIPO 6 000 $ 6 000 $ 15 000 $ 15 000 $ (16 000 $) (16 000 $) Other territory (Europe, Brazil and/or Angola) Contribution of Univalor for patent cost Reimbursement of Univalor for patent cost Total 20 000 $ 0$ 16 000 $ 16 000 $ 16 000 $ 36 000 $ Table 10 - Estimé budgétaire pour la protection de la propriété intellectuelle Un budget de 36 000$ est requis pour poursuivre le maintient de la propriété intellectuelle dans les différents territoires. Pour ne pas réduire le budget de recherche dans la première phase du projet de recherche, Univalor va supporter des dépenses de brevet de 16 000$, qui lui seront toutefois rembourser à la fin du projet lorsque nous recevrons la dernière contribution du MDEIE dans le cas ou le projet franchise la phase 2 du projet. MDEIE – Commercialization and Transfer Assistance Program 46 12.2. Montage financier Le montant total requis dans ce projet de maturation technologique est de 200 000 $. Une partie de cette somme, c'est-à-dire 164 000$ servira à accorder un contrat de recherche au Dr Damian Labuda du CHU Ste-Justine. Un sous-contrat pour effectuer des travaux dans le laboratoire du Dr Gorska au CHUM est prévu. Le restant du budget servira à défrayer les frais du consultant ainsi que les coûts de protection de la propriété intellectuelle. Source de financement Valorisation-HSJ, société en commandite Montant ($) 40 000 PMT du MDEIE 160 000 Total 200 000 Table 11 - Montage financier pour financer le projet de maturation technologique 12.3. Documents démontrant la nature des engagements des partenaires financiers La contribution externe au financement du MDEIE, pour un montant de quarante mille dollars (40 000 $), proviendra de Valorisation-HSJ, société en commandite. Cette contribution est conditionnelle aux éléments suivants : 1) l’approbation du financement du projet de recherche annexé à la présente lettre par le MDEIE; 2) la présentation du projet à la satisfaction des membres du Conseil d’administration d’Univalor inc.; 3) la signature d’une option pour négocier des droits exclusifs d’exploitation de la technologie utilisée pour la réalisation du Projet avec notre partenaire Continental Diagnostics. 4) la réception par Valorisation-HSJ de la contribution financière de quarante mille dollars (40 000 $) de notre partenaire Continental Diagnostics; La contribution de Valorisation-HSJ sera décaissée en versements, selon l’avancement du projet, au prorata des ratios de financement requis par le MDEIE et conformément à une entente à intervenir entre le CHU Ste-Justine et Gestion Univalor, sec, au moment de MDEIE – Commercialization and Transfer Assistance Program 47 l’acceptation du Projet par le MDEIE. La propriété intellectuelle développée dans le cadre du Projet sera propriété du CHU Ste-Justine, le tout tel que décrit dans les politiques de propriété intellectuelle de l’établissement. Elle sera ensuite cédée à Valorisation-HSJ. Une copie de la lettre signée par Valorisation HSJ, commandité du CHU Ste-Justine, société en commandite est présenté à l’Annexe 4. 12.4. Démonstration que les autres sources de financement possibles ont été prises en considération Le projet soumis dans cette demande ne fait l’objet d’aucune autre source de financement ni d’aucune autre demande de financement. Le financement du projet par le programme de maturation technologique est essentiel pour la réalisation du projet de recherche. MDEIE – Commercialization and Transfer Assistance Program 48 13. 13.1. OUTSIDE OPINIONS Evaluator 1 13.1.1. Independent scientific opinion MDEIE – Commercialization and Transfer Assistance Program 49 MDEIE – Commercialization and Transfer Assistance Program 50 MDEIE – Commercialization and Transfer Assistance Program 51 MDEIE – Commercialization and Transfer Assistance Program 52 MDEIE – Commercialization and Transfer Assistance Program 53 MDEIE – Commercialization and Transfer Assistance Program 54 MDEIE – Commercialization and Transfer Assistance Program 55 MDEIE – Commercialization and Transfer Assistance Program 56 MDEIE – Commercialization and Transfer Assistance Program 57 13.1.2.Summary CVs of the persons filing opinions and statement of independence regarding the project MDEIE – Commercialization and Transfer Assistance Program 58 MDEIE – Commercialization and Transfer Assistance Program 59 MDEIE – Commercialization and Transfer Assistance Program 60 MDEIE – Commercialization and Transfer Assistance Program 61 MDEIE – Commercialization and Transfer Assistance Program 62 13.1.3. Answers to the questions raised in the outside opinions During the different stages of the project, we will work with the external evaluator and certainly going to take into consideration the recommendations and advises that will come up. MDEIE – Commercialization and Transfer Assistance Program 63 13.2. Evaluator 2 13.2.1. Independent preliminary technical and commercial evaluation MDEIE – Commercialization and Transfer Assistance Program 64 MDEIE – Commercialization and Transfer Assistance Program 65 MDEIE – Commercialization and Transfer Assistance Program 66 MDEIE – Commercialization and Transfer Assistance Program 67 MDEIE – Commercialization and Transfer Assistance Program 68 13.2.2. Summary CV’s of the persons filing opinions and statement of independence regarding Anne-Marie Larose, Ph.D. MBA. Manager, Business development, Life Sciences Gestion Univalor, société en commandite (514) 340-3243, poste 4239 anne-marie.larose@univalor.ca www.univalor.ca Civic address : 5160 Decarie Blvd. suite 770 Montréal (Québec) H3X 2H9 Postal address : P.O. Box 6079, Station Centre-ville Montréal (Québec) H3C 3A7 Professional Experience 2004-2008 2003-2004 2002 2001-2002 1996–2001 1986-1988 Gestion Univalor, société en commandite Manager, Business development, Life Sciences Innovitech Senior consultant, Life Sciences Solidarity Fund QFL Senior Investment Advisor, Life Sciences British Consulate General, Montreal Commercial Officer, Biotechnology & Life Science sectors Geneka Biotechnology Inc. Chief Research Scientist, DNA microarray , 1999-2001 Supervisor of Quality Control Department, 1997-2001 Research Scientist, Development and production, 1996-1999 Cancer Research Center, Hôtel-Dieu de Québec Research Assistant, Cellular and Molecular biology. Formation 2003 1996 1990 1985 1985 MBA in Bio-Industry management Université du Québec à Montréal, Quebec Ph.D. in Cellular and Molecular Biology Medicine Faculty, Université Laval, Quebec M.Sc. in Cellular and Molecular Biology Medicine Faculty, Université Laval, Quebec Certificate in Genetic Engineering Sciences and Engineering Faculty, Université Laval, Quebec B.Sc. in Biochemistry Sciences and Engineering Faculty, Université Laval, Quebec Other training Effective regulatory strategies and integrated drug development. BioQuébec, Biotechnology Research Institute & Cato Research, November 2005. MDEIE – Commercialization and Transfer Assistance Program 69 Le processus réglementaire des dispositifs médicaux et ses non-dits. Association de l’industrie des technologies de la santé & PARI-CNRC. April 2005. Microarray Methods & Analysis Workshop. IB3- George Mason University, Manassas VA. October 1999. Workshop : Bioinformatics – Integrating informatic tools for expression analysis and drug discovery. Chips to Hits ’99,. Berkeley, CA. November 1999. MDEIE – Commercialization and Transfer Assistance Program 70 Letters of support MDEIE – Commercialization and Transfer Assistance Program 71 MDEIE – Commercialization and Transfer Assistance Program 72 Annex 1. Extended patent searches and comments Pub. No.:WO/2007/017699 International Application No.: PCT/GB2006/050231 Publication Date: 15.02.2007 International Filing Date: 04.08.2006 IPC:C12Q 1/70 (2006.01) Applicants: GENOMICA S.A.U. [ES/ES]; Alcarria 7, Coslada, E-28820 Madrid (ES) (All Except US). Analytical information does not exist. Genomica (CLART® HPV 2) uses 450bp amplicon which is known to be more difficult to amplify (same region as Roche). This will cause resistance from the part of clinical experts due to the fact that the latest generation of DNA based HPV kits uses smaller PCR product (SPF, GP56…) in order to escape (false) negative results due to the quality of DNA extraction. Specificity of detection is going to be a big issue, no single published validation of probes, but nice technological platform, totally compatible with our probes. The specificity (clinical accuracy of HPV typing) is not defined by the technological platform but by the choice of probes. Here is a segment of the probe selection strategy from their patent: Specific probes for HPV type identification were designed as follows. Sequences for all reference HPVs deposited in GenBank, including known variants, for the amplified Ll region were aligned using a conventional nucleic acid alignment program, such as BioEdit (4,8.6. version; Hall. Nucl Acids Symp Ser. 1999, 41:95-98) and most variable sequences regions among different HPV types were located. Potential sequences of oligonucleotides to be used as specific probes were selected from these variable sequences regions, preferably having following features: length of 20 to 40 bases, preferably an approximate length of 30 bases; preferably with no secondary structures or strings of consecutive same nucleotide longer than 4; preferably with a G+C ratio of 50% and a Tm as much similar among all selected probes as possible; and preferably with the mismatched nucleotides among the different HPV types sequences as much in the centre of the oligonucleotide sequence as possible. Each potential probe sequence selected as aforementioned was compared against all known HPV sequences in the amplified Ll region using the BLAST program form the NCBI webpage (Altschul et al. Nucleic Acid Res. 1997, 25: 3389-3402). Finally, probes having at least three nucleotide mismatches when compared with all known HPV types (except when compared to the HPV type that the oligonucleotide probe is specific for) were chosen, with a preference for probes with greater than three mismatches. ============================================================= Hybridization was suggested to be done at 55° C. Results showing specificity were not reported in the patent. Overall: Considering mode of probe selection, short time for validation (compared to 20 years for Roche) and unreported validation results, these probes are either the same or more likely worse than Roche’s set of probes. US20070037137A1 Method and kit for quantitative and qualitative determination of human papillomavirus QUANTOVIR AB 2007-02-15 2003-10-01 C12Q MDEIE – Commercialization and Transfer Assistance Program 73 Production of HPV L1 and HPV L2 using recombinant DNA cloning, expression and potential use in downstream production of Ab suitable for vaccination and/or diagnostics US20060024686A1 Detection of human papillomaviruses 2006-02-02 2005-01-28 C12Q Three sequences are derived from the highly conserved viral E1 genes. Use of the sequences SEQ ID Nos. 1, 2 and 3, for example as hybridization probes (DNA markers) or in the context of a DNA amplification method, is therefore particularly suitable for detecting any HPV infection. This invention claimed another set of conserved universal primers. US6902899 A method for detection of human papillomaviruses 2005-06-07 2002-08-22 G01N Eberhard-Karls-Universitat Tubingen Universitatsklinikum Same as US20060024686A1 US20040214331A1 Papillomavirus vaccine 2004-10-28 2003-12-11 G01N The University of Queensland and CSL Limited Same as US20070037137A1 EP1471147A2 Method of making a recombinant molecule for the expression of HPV-16 L1 protein THE UNIVERSITY OF QUEENSLAND 2004-10-27 1992-07-20 C12N A method is described for making a recombinant molecule, for the expression of HPV-16 L1 protein WO04031416A1 METHOD AND KIT FOR QUANTITATIVE AND QUALITATIVE DETERMINATION OF HUMAN PAPILLOMAVIRUS QUANTOVIR AB 2004-04-15 2003-10-01 C12N Inventors are claiming a kit for detection and quantification of human papillomavirus, comprising a) seven amplification primers and three probes for HPV 16,31, 18,45; and optionally b) eight amplification primers and three probes for HPV 33, 35, 39, 52, and 58. This is a PCR-based assay, not designed to perform multiplex testing and not covering the spectrum of HPV types. US20030129585A1 Detection of human papillomaviruses IFTNER THOMAS 2003-07-10 2002-08-22 G01N Same as US20060024686A1 WO9513377A1 EPISOMAL EXPRESSION VECTOR FOR HUMAN GENE THERAPY Not relevant EP0302758B1 Viral expression inhibitors Not relevant MDEIE – Commercialization and Transfer Assistance Program 74 WO9302184A1 PAPILLOMA VIRUS VACCINE THE UNIVERSITY OF QUEENSLAND 1993-02-04 1992-07-20 G01N Not relevant WO9108312A1 DETECTION OF HPV TRANSCRIPTS GENE-TRAK SYSTEMS 1991-06-13 1990-12-03 C12N Detection of E6 gene, the E7 gene and spliced transcripts of the E6 or E7 gene, or both, under conditions appropriate for hybridization of complementary nucleotide sequences to occur. No early stage power of detection. EP0402132A3 METHOD FOR THE DETECTION OF HUMAN PAPILLOMA-VIRUS TAKARA SHUZO CO. LTD. 1991-05-08 1990-06-07 C12Q Detection of human papilloma-virus HPV 16, HPV 18 and HPV 33. PCR-based. WO9602563A1 EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN 1 PROTEIN AND ITS EXPRESSION AND RECOVERY CORNELL RESEARCH FOUNDATION, INC. 1996-02-01 1995-07-13 C07K Not relevant EP0655091A1 HUMAN PAPILLOMAVIRUS DETECTION ASSAY BAXTER DIAGNOSTICS INC. 1995-05-31 1994-05-06 C12Q Amplification of specific gene E6/E7 messenger RNA from a biological specimen and hybridization to a biotinylated capture reagent. Limited predictive value in early stage cancer. WO9426934A3 HUMAN PAPILLOMAVIRUS DETECTION ASSAY Same as EP0655091A1 CA2139623AA HUMAN PAPILLOMAVIRUS DETECTION ASSAY Same as EP0655091A1 WO9220702A1 PEPTIDE NUCLEIC ACIDS BUCHARDT 1992-11-26 1992-05-22 Not relevant WO02103050A2 VIRUS DETECTION METHOD, PRIMERS THEREFOR AND SCREENING KIT UNIVERSITY OF WALES COLLEGE OF MEDICINE 2002-12-27 2002-06-13 G01N Real-time PCR – scorpion probes MDEIE – Commercialization and Transfer Assistance Program 75 WO0168915A1 GENOTYPING KIT FOR DIAGNOSIS OF HUMAN PAPILLOMAVIRUS INFECTION BIOMEDLAB CORPORATION 2001-09-20 2000-10-26 G01N Korean chip for HPV detection, full match design of probes, PCR amplification and hybridization with chip over slide. Not impressive performance, but straightforward. WO9110675A1 PRIMERS AND PROCESS FOR DETECTING HUMAN PAPILLOMAVIRUS GENOTYPES BY PCR STICHTING RESEARCHFONDS PATHOLOGIE 1991-07-25 1991-01-18 C07H GP5/6 primers protected and few other sets of universal primers in the same region of L1 gene. US7294488 Amplification-hybridisation method for detecting and typing human papillomavirus Genoid KFT 2007-11-13 2003-03-10 C12P Hungarian variant of real-time multiplex PCR assay. CA2183758C HUMAN PAPILLOMA VIRUS DETECTION IN A NUCLEIC ACID AMPLIFICATION PROCESS USING GENERAL PRIMERS STICHTING RESFONDS PATHOLOGIE 2007-09-25 1995-02-20 C07H Same as WO9110675A1 US20070207456A1 Multiplexed assay and probes for identification of HPV types The Board of Trustees of the Leland Stanford Junior University 2007-09-06 2007-02-13 C12Q A 20-plex hybridization with primer extension. The array contains probes for HPV genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 66, 69, 6, 11, 34, 40, 42, 43, and 44. The probes are preferably between 30 and 60 nucleotides, but may be as small as 20 nucleotides and up to several hundred nucleotides in length. Preferably, each probe comprises a sequence at least 90% identical and is approximately (within 10 percent) the same length. A large mixture of primers may be used simultaneously because the primers are designed to be similar in sequence so as to prevent dimerization and amplification artifacts. As described above, the method may comprise the step of contacting the probes with a positive control hybridizing to each probe. The method can simultaneously detect all known HPV genotypes, i.e. genotypes 1 through 89, by binding unique probes under stringent conditions to E1 gene target sequences. REAL 35-40 MULTIPLEXING not documented! KR5017703A PRIMERS AND METHOD FOR DETECTING HIGH RISK HUMAN PAPILLOMAVIRUS(HPV) BY PCR USING TWO KINDS OF PRIMERS CONSISTING OF GENERAL PRIMER AND SYNTHESIZED PRIMER MDEIE – Commercialization and Transfer Assistance Program 76 Limited multiplexing with 3 different primer sets. PCR based method using complement probes for typing. KR5014494A PCR GENERAL PRIMERS AND METHOD FOR DETECTING DIVERSE TYPES OF HUMAN PAPILLOMAVIRUS(HPV) BY PCR AT ONE TIME TO DIAGNOSE HPV AT EARLY STAGE PCR-based detection, not prone to multiplex. Uses 8 different primer sets for different types. US20040248085A1 General primers and process for detecting diverse genotypes of human papillomavirus by PCR LEE SANG-WHA 2004-12-09 2003-11-24 C12Q Set of general primers for amplifying and detecting Human Papillomavirus genotypes is claimed. DNA sequence homology studies were performed with the derived DNA sequences using Clustal W computer program (DNSSTAR, MegAlign.TM. 5, DNASTAR Inc.) for pairwise alignment, multiple sequence alignment and phylogenetic tree to screen representative base sequences of groups. PCR general primers based on the screened base sequences were designed using another computer program (primer premier 6, PREMIER Biosoft International Co.). The primers were set as a nucleotide sequence of about 27 +/- 3 bps or about 31+/- .2 bps and their amplification products at about 200.about.500 bps. 30 PCR general primer pairs were designed. WO04050917A1 GENERAL PRIMERS AND PROCESS FORDETECTING DIVERSE GENOTYPES OF HUMAN PAPILLOMAVIRUS BY PCR Same as US20040248085A1 US6583278 Nucleic acid probes complementary to human papilloma virus nucleic acid Gen-Probe Incorporated 2003-06-24 1996-11-14 C12Q Typing HPV 16 and/or HPV 18 using hybridization assay probes, helper probes, and/or amplification primers. US6509149 HPV-specific oligonucleotides Hybridon, Inc. 2003-01-21 1995-06-06 C12N Synthetic oligonucleotides complementary to a nucleic acid spanning the translational start site of human papillomavirus gene E1, and including at least 15 nucleotides. US6503704 Method, reagent and kit for genotyping human papilloma virus Visible Genetics Inc. 2003-01-07 2001-06-25 C12Q Amplifycation and sequencing a portion of the L1 open reading frame of human papillomavirus genome with the claimed amplification primers. MDEIE – Commercialization and Transfer Assistance Program 77 EP0746627B1 HUMAN PAPILLOMA VIRUS DETECTION IN A NUCLEIC ACID AMPLIFICATION PROCESS USING GENERAL PRIMERS And US6352825 Human Papilloma Virus detection in a nucleic acid amplification process using general primers same as WO9110675A1 US6265154 Nucleic acid primers and probes for detecting oncogenic human papillomaviruses Abbott Laboratories 2001-07-24 1996-10-25 C12N Probe sequences that are useful for detecting oncogenic HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68 are herein provided. These sequences can be used in hybridization assays or amplification based assays designed to detect the presence of these oncogenic HPV types in a test sample. Additionally, the sequences can be provided as part of a kit. US6218104 Method of detection of carcinogenic human papillomavirus Biosearch International Pty 2001-04-17 1997-12-30 C12N High risk carcinogenic human types 16, 18 and 33 are distinguished from low risk human papillomavirus types 6 and 11 in a sample of human cervical tissue. A selected characteristic portion of the E6 region of the virus defined by specific oligonucleotide primers is amplified using a polymerase chain reaction. The presence or absence of the characteristic portion of the E6 region is detected by gel electrophoresis or using a labeled oligonucleotide probe. US6045993 Method, reagent and kit for genotyping of human papillomavirus Visible Genetics Inc. 2000-04-04 1998-05-30 C12Q The sequence of human papillomavirus present in a sample is determined by amplifying a portion of the L1 using sequence ARRGGAWACT GATCWARDTC US5783412 Method of detection of carcinogenic human papillomavirus Biosearch International Pty. Ltd. 1998-07-21 1989-08-25 C12N PCR amplification of types 16 and 18 US5705627 Detection of human papillomavirus by the polymerase chain reaction using specific L1, and E6 probes 1998-01-06 1995-05-26 C12Q The primers used in this method are consensus primers that can be used to amplify a particular region of the genome of any HPV. The presence of HPV in a sample is indicated by the formation of amplified DNA. The HPV nucleic acid is detected by consensus probes that may be short oligonucleotide probes or long generic probes. The HPV is typed by the use of type-specific DNA probes specific for the amplified region of DNA. MDEIE – Commercialization and Transfer Assistance Program 78 CA2074069AA, WO9110675A1, US5364758 and CA2183758AA 1995 STICHTING RES FONDS PATHOLOGIE GP5+/6+ primers protected and few other sets of universal primers in the same region of L1 gene. Small if any variation of 1991 patent. EP1287165B1 Method for detection and localization of genes in situ using branched-DNA hybridisation BAYER CORPORATION 2007-06-13 2001-06-01 C12Q WO06117076A1 USE OF INDOLIN-PHENYLSULFONAMIDE DERIVATIVES BAYER HEALTHCAREAG 2006-11-09 2006-04-19 A61P Not relevant ============================================================== Neither Institute de Pasteur nor Roche patents are relevant for our method of probe selections ============================================================== MDEIE – Commercialization and Transfer Assistance Program 79 Annex 2. Analysis of documents cited in the PCT research report Sections taken from documents D1-D7 related to our patent 2007-2008 are written in italics and we have underlined the critical parts of any claims or arguments to emphasize the differences with our PCT application. D1 WO 00/43538 (Université de Montréal); 27 July 2000 D2 (Biotechniques, 2002, Brukner et al). (1) In the body of the text and in the claims of D1, there is a requirement for selection of probes (OL) under stringent conditions, in order to minimize mismatches. In our present PCR/CA2007/001398 it is exactly the opposite—in order to get better discriminatory probes (recognizing only intended targets), selection is done under non-stringent conditions to maximize mismatches. D1: WHAT IS CLAIMED IS 1. A process for generating an oligonucleotide library which originates from a chosen biological material, comprising: a) generating random oligonucleotides, wherein said oligonucleotides are of a uniform length comprising a central segment of randomly varied bases and segments of a defined sequence flanking the central segment on each side; b) hybridizing said random oligonucleotide mixture of a) with a nucleic acid template of biological origin under hybridization conditions which enable the formation of duplexes, while minimizing or abrogating mismatches; c) separating said duplexes from non-duplexed material; and d) amplifying said hybridized oligonucleotides… (2) The same procedure of selection is presented in D2 (Biotechniques, 2002, Brukner et al). However, during the writing of MS it was realized and discussed (by citing literature) that existence of mismatches was not detrimental to the generation of diagnostics probes (OL). Still, the procedure was following stringent conditions of selection. The crucial effect of selection under nondenaturing (non-stringent conditions) was not realized in D1 and D2. (3) Negative selection-subtraction was completely changed in our PST application, compared with documents D1 and D2, and accommodated to make simultaneous positive and negative selections in the second segment of selection cycles. Both D1 and D2 are describing separate (both physically and in terms of timing) positive and negative selection (subtraction). Simultaneous selection (positive, forward and negative-subtractive) is an essential feature not because it is faster, but because it will guarantee affinity distribution of selected probes, which will be higher for intended targets, but lower for unintended targets. Only affinities falling in this range will have differential binding performance. D3 US 2005/0175989 Claims in this patent include particular HPV hybridization probes. However, claim 15 (cited here for illustration) is, “A probe which hybridizes to nucleic acid from an HPV subtype, said probe being selected from the group consisting of: SEQ ID NO: 1-SEQ ID NO: 12 and sequences fully complementary thereto.” Our PCT application is describing hybridization probes that do not rely only on exact and/or full MDEIE – Commercialization and Transfer Assistance Program 80 complement of targets. In fact, this is the essential feature of our probes. Further, our method does not even need knowledge of nucleic acid target sequences, just the presence of targets and non-targets. However, for the purpose of proving the concept and for the purpose of facilitating and controlling the selection (generation of probes) we used publicly available sequence information and chemically synthesized all relevant targets. D4 WO 99/14377 Present consensus of the majority of the scientific community is that the generation of a spectrum of specific probe sequences that will discriminate plurality of similar targets is not known in the art, which is well described in D7 (our Nucleic Acids Research, 2007 paper) and recent literature related to the hybridization theory. However, D4 offers an example of type-specific probe sequences that do not cover a full spectrum of HPV types and that do not have discrimination power over a full set of HPV types. Description: “Type-specific probe sequences are well known in the art, and any such suitable sequences can be used in the present invention. In the case of HPV, for example, suitable type-specific probes are disclosed in W09914377. The invention is not restricted to the nature or origin of the type-specific probes that are used in hybridization step in the present invention.” “Claims 1: A process for identification of type-specific polynucleotide sequences in a sample, the process comprising the steps of: (i) contacting polynucleotides from the sample, or derived from the sample, with a plurality of type-specific probes in the context of a solid support, and detection of any type-specific hybridization; and (ii) contacting polynucleotides in the sample, or derived from the sample, with type-specific primers for those types capable of being detected by the hybridization step in step 1, but not so detected, in a type-specific amplification reaction.” D5 US 2005/0244851 (Affymetrix, INC). This document describes the use of oligonucelotide probes for the purpose of expression analysis and splicing analysis. However, this document is underestimating the issue of probe specificity, especially differential detection of similar targets. The accumulation of expression-relevant data suggests that the basic premise of nucleic acid hybridizations are not well incorporated into the probe design criterion, leading to the inability to uniquely interpret hybridization signals of multiplex probes with complex nucleic acid samples, like total RNA or something similar. We don’t find any overlap with any segment of our PCT amplification. Claims (underlined by us) 10. A nucleic acid array comprising a plurality of at least 100,000 probe sets wherein each probe set comprises: a plurality of different perfect match probes, wherein the probes of each probe set are complementary to a single probe selection region, and wherein each probe selection region is a single exon or a subsequence of an exon. D6 is the sequence of HPV 16 late major capsid protein AF084952, Wang et al, 1998. This document is not relevant since the process of generation/selection of probes: (1) does not require any a priori knowledge of sequence data; MDEIE – Commercialization and Transfer Assistance Program 81 (2) Our SEQ ID NO: 116 probe is not 100% identical to HPV 16, but contain extra nucleotides both on the 5’ and 3’ sites from the central core of 14 nucleotides fullmatch containing segments. If an examiner is arguing that the short segment of 14 nucleotide long motif was known in advance, then any single nucleotide, or dinucleotide, or trinucleotide…from any probe is 100% complementary with any target. This raises questions of minimal probe length and of minimal length of a target sequence motif good enough to keep specificity among similar targets…questions that are not theoretically and practically resolved. Any of our probes have short segments of complementarities. To our knowledge, there is no software, algorithm, or known procedure that can pick-up or select very short segments of fully-complementary sequences and can generate the probes that keep differential discrimination among all spectrum of similar targets (HPV type). D7 is our 2007 NAR paper. It is fully relevant to our PCT application, but it does not list all HPV-relevant typing probes due to the fact that the choice of target segment was not optimal (not variable enough). Importantly, this paper was published after we filed the provisional patent application (priority date), so it can not affect novelty. MDEIE – Commercialization and Transfer Assistance Program 82 Annex 3. Curriculum vitae – Research team MDEIE – Commercialization and Transfer Assistance Program 83 Annex 3.1. Ivan Brukner’s CV Curriculum Vitae Name Ivan Brukner Office Address Hospital Ste-Justine, B479, 3175 Cote-Ste-Catherine, Montreal, Qc, H3T 1C5 & Jewish General Hospital, 3755 Côte-Sainte-Catherine Road, Montréal, Québec, Canada, H3T 1E2 Telephone 514 3454931 ext. 3376 Fax 514 3454731 Date of Birth 13-11-1960 Social Insurance No. 279602379 Citizenship Canadian and Serbian Home Address 3754 av. Kent, Montreal, H3S1N3, QC, Canada Spouse's Name Maja Krajinovic Children Danko Brukner Place of Birth Novi Sad, Serbia MDEIE – Commercialization and Transfer Assistance Program 84 EDUCATION: Undergraduate Jovan Jovanovic Zmaj High School-Gymnasium, Novi Sad, Serbia, www.jjzmaj.edu.yu Graduate B.Sci Molecular Biology and Physiology, Faculty of Biology, University of Belgrade, 1985 http://www.bg.ac.yu/ (University courses and marks enclosed as a separate file) M.Sci: Sequence-dependent structural variations of DNA revealed by DNase I, Molecular Biology, Faculty of Biology, University of Belgrade, Yugoslavia, 1990. Supervisor, Prof Dr Ana Savic PhD: Structural polymorphisms of DNA, Molecular Biology, University of Belgrade, Yugoslavia, 1993. Supervisor Prof. Ana Savic Research training Graduate training International Center for Genetic Engineering and Biotechnology (ICGEB/UNIDO), Trieste, Italy; Practical Course: Computer Methods in Molecular biology, 1990, http://www.icgeb.trieste.it/home.html Biochemistry and Biophysics Department, University of Trieste, Italy; Project: Triple helix formation and DNA methylation (09/91–01/92), supervisors Drs Giorgio Manzini and Luigi Xodo, www.units.it/ EMBO fellowship, European Molecular Biology Organization Heidelberg, Germany; Project: Biological Structures and Biocomputing Division, DNA-DNase I interactions (01/92-07/1992), supervised by Dr Dietrich Suck, http://www.embl-heidelberg.de/ Postgraduate training ICGEB/UNIDO postdoctoral fellow: International Center for Genetic Engineering and Biotechnology, Trieste, Italy, Protein Structure and Function (07/1992-02/1995). Project: sequence-dependent structural variations of DNA, supervised by Dr Sandor Pongor, http://www.icgeb.trieste.it/home.html MRC post-doctoral fellow, Red Cross Society and Cancer Institute de Montreal (CIM), Montreal (03/1995-1997) MDEIE – Commercialization and Transfer Assistance Program 85 Project: DNA structural and functional elements: impact on recombination; topology of DNA and transfection capacity of vector supervised by Dr Pierre Chartrand, Director of CIM APOINTMENTS and WORK EXPERIENCE Teaching Assistant 1986-1991, University of Belgrade, Faculty of Biology, Department of Molecular Biology and Biochemistry, http://www.bg.ac.yu/ Assistant Professor, 1991, University of Belgrade, Faculty of Biology, Department of Molecular Biology and Biochemistry, http://www.bg.ac.yu/ Lady Davis Institute (07/1997-10/1998), McGill AIDS Center, Montreal, Research Associate; Projects: monitoring cell distribution of non-nucleoside inhibitors of HIV RT, antisense effect of arabinonucleic acids, cloning and expression of HIV nucleocapside 7, supervised by Drs Michael Parniak and Masad Damha Biochemistry Department, University of Montreal (10/1998–06/1999), Research Associate; Project: Oligonucleotide Libraries, supervised by Prof Dr Robert Cedergren Procrea Bioscience Inc, Montreal, Research and Development, (06/1999-05/2000), Research Associate; Project: Cloning and expression of GFP-fused reporter genes relevant for beta oxidation of fatty acids, supervised by Dr Pierre Chartrand, www.procrea.com/ Signal Gene Inc, Montreal, Research and Development, Scientist, 05/2000-10/2001, DNA arrays; Projects: RNA-related techniques, in vitro transcription, in vitro translation, NASBA isothermal amplification, cloning and expression of GFP-fused reporter assay for genes involved in apoptotic pathway, Director of Research and Development Dr Larry Malek Genizon Inc., Montreal, Research and Development, (2001-2003) Senior Scientist, Projects: Ligation Based Genotyping, Long Range PCR, Whole Genome Amplification procedures, construction of cloning system based on inactivation of suicidal gene (ccdt), expressed under arabinose promoter (pBAD derivative), Director of Research and Development: Dr Bruno Paquin CHU Sainte-Justine, Research Center, Montreal Senior Research Associate, (2003-now), Projects: Whole Genome Amplification over small genomes or degraded DNA; Selection of robust diagnostic probes using in vitro evolution, supervised by Drs Damian Labuda and Maja Krajinovic MDEIE – Commercialization and Transfer Assistance Program 86 Clinical Laboratory of Jewish General Hospital – Microbiology and Immunology, Montreal, (2007-now), Senior Research associate; Project: Clostridium Difficile, sample processing and assay development, supervised by Dr Andre Dascal, www.jgh.ca SPECIAL HONORS, AWARDS, RECOGNITION Contribution of the year 1995: Curved DNA without AA-TT dinucleotide step: effect of ions, 1995, Biological Structure and Dynamics, NY, Albany. EMBO Heidelberg, fellowship, (01/92- 07/1992) ICGEB/UNIDO, Italy, post-doctoral fellowship, (07/1992-02/1995) MRC-CIHR, Montreal, post-doctoral fellowship (1996-1998) Invited Lectures, Talks, Presentations 1. DNA bending, bendability and curvature: Biological Structure and Dynamics, Volumes One and Two The Proceedings of the Ninth Conversation held at The University-SUNY Albany, NY, June 20-24, 1995. 2. Generating aptamers from complex biological mixtures/fluids: Differential SELEX, University of Sherbooke, Department of Biochemistry, Medical Faculty, 1998. 3. Using combinatorial oligonucleotide approach in medicine: applications in diagnostic and therapy, St-Justine Hopital, Montreal, 1998. 4. New diagnostic-relevant oligonucleotide probes, Innogenetics, Gent, Belgium, 2003, http://www.innogenetics.com/ OTHER CONTRIBUTIONS Journals Reviews Current Drugs (5), Analytical Biochemistry (32) and European Biochemistry (2) Grant Reviews and Panel Member Current Drugs International panel of evaluators for new drugs and patents under development (08/1996–2001). MDEIE – Commercialization and Transfer Assistance Program 87 External expert for EC project proposals (DNA arrays, molecular biology and biotechnology, European Union Commission, (October, 2003-2007)). Professional and Scientific Contributions Confidential Disclosure Agreements (CDA) with Invitrogen (US) 1997, AmershamBioscience (US) 2003, HySeq (US), 2000, Affymetrics (US), 2000, Digene (US), 2003; Innogenetics (EU), 2003, GE Bioscience (2006); Complete Genomics, (2008). Patents: 1. Brukner, I., Belmaaza, A. and Noureddine, R: SELECTIVE TECHNIQUE FOR RAPID IDENTIFICATION OF PROTEINS AND GENES AND USES THEREOF (US 6.331.777), PolyGene, Montreal, 1997. 2. Paquin, B, Brukner, I., Tremblay, G.: PROCESS FOR THE GENERATION OF OLIGONUCLEOTIDE LIBRARIES (OLs) REPRESENTATIVE OF GENOMES OR EXPRESSED mRNAs (cDNAs) AND USES THEREOF (EP 12810.62 US 12810.63 and CA 12810.61), University of Montreal,1999. 3. Brukner, I., Belouchi, A. and Paquin, B US patent pending: PRIMER DESIGN FOR REMOVING BACKGROUND IN AMPLIFICATION BASED ON RANDOM PRIMING, Gallielo Genomics Inc, 2003 4. Brukner, I , Krajinovic, M and Labuda, D. (2006) US patent pending: AMPLIFICATION OF NUCLEIC ACID SEQUENCES, St Justine HospitalUNIVALOR # 60/750,049; Filed 12-14-2005. 5. Brukner, I , Krajinovic, M and Labuda, D. (2006-now) Provisional US patent application # 60/882,153: NUCLEIC ACID PROBES, METHODS FOR THEIR PREPARATION AND USES THEREOF; WO-2008017162; Filed 08-11-2006). MDEIE – Commercialization and Transfer Assistance Program 88 Publications Articles in peer reviewed journals. Drmanac, R., Labat, I., Brukner, I. and Crkvenjakov, R (1989): Sequencing of megabase plus DNA by hybridization: Theory of the Method, Genomics, 4, 114-128. Brukner, I., Jurukovski, V. and Savic, A. (1990): Sequence-dependent structural variations of DNA revealed by DNase I, Nucleic Acids Res. 18, 891-894. Brukner, I., Jurukovski, V., Konstantinovic, M. and Savic, A. (1991): Curved DNA without AA/TT dinucleotide step, Nucleic Acids Res. 19, 3549-3551. Brukner, I., Dlakic, M., Savic, A., Susic, S., Pongor, S. and Suck, D. (1993): Evidence for opposite groove-directed curvature of GGGCCC and AAAAA sequence elements, Nucleic Acids Res. 21, 1025-1029. Brukner, I., Susic, S., Dlakic, M., Savic, A. and Pongor S. (1994): Physiological concentration of Mg2+ ions induces a strong macroscopic curvature in GGGCCCcontaining DNA, J.Mol. Biol. 236, 26-32. Wolf, E., Brukner, I. and Suck, D. (1995): Mutation analysis of DNase I-DNA interaction: design, expression and characterization of a DNaseI loop-insertion mutant with altered sequence selectivity, Protein Engineering 8, 283-291. Brukner, I., Sanchez, R., Suck, D. and Pongor, S. (1995): Sequence-dependent bending propensity of DNA as revealed by DNaseI: parameters for trinucleotides, EMBO J., 14, 1812-1818. Brukner, I., Sanchez, R., Suck, D. and Pongor, S. (1995): Trinucleotide Models for DNA Bending Propensity: Comparison of Models Based on DNaseI Digestion and Nucleosome Packing Data, J. Biomol. Stuct. Dyn., 13, 309-317. Brukner, I., Belmaaza A. and Chartrand, P. (1997) Differential behavior of curved DNA upon untwisting, Proc. Natl. Acad. Sci. USA, 94, 403-406. Damha, M.J., Wilds, C. J., Noronha, A., Brukner, I., Borkow , G. and Parniak, M.A. (1998) Hybrids of RNA and Arabinonucleic Acids (ANA and 2’F-ANA) are Substrates of Ribonuclease H, JACS, 120, 12976-12977. MDEIE – Commercialization and Transfer Assistance Program 89 Brukner, I. & Tremblay G. (2000) RNA targeting by antisense oligonucleotides strongly depends on protein-oligonucleotide interaction: new in vitro assay, Biochemistry. 39(37):11463-6. Brukner, I., Tremblay, G. & Paquin, B. (2002) The generation of amplifiable genomespecific oligonucleotide probes-libraries, BioTechniques, 33:874-882. Brukner, I., Paquin, B., Belouchi, M., Labuda, D. and Krajinovic, M. (2005) Decrease of self-priming by random oligonucleotides increase the performance of whole genome amplification, Analytical Biochemistry, 339(2):345-7. Brukner, I., Labuda, D. and Krajinovic, M. (2006) Phi29-based amplification of small genomes. Analytical Biochemistry, 354(1):154-6. Brukner, I., El-Ramahi1 R, Gorska-Flipot, I., Krajinovic, M. and Labuda, D (2007) An in vitro selection scheme for oligonucleotide probes to discriminate between closely related DNA sequences, Nucl Acids Res. 2007;35(9):e66. Brukner, I., El-Ramahi; R., Jacob Sawicki; J., Gorska-Flipot, I., Krajinovic, M. and Labuda, D.(2007) Hybridization assay for typing high risk Human Papillomaviruses performed at ambient temperature, Journal of Clinical Virology, 39 (2):113-8. Brukner I, Krajinovic M, Dascal A, Labuda D. (2007) A protocol for the in vitro selection of specific oligonucleotide probes for high-resolution DNA typing. Nature Protoc. ;2 (11):2807-14. Gorska-Flipot I, Sawick J, Gaboury LA, Krajinovic M, Labuda D, Brukner I, Rouleau D, Ghattas G, Franco EL, Coutlée F. Newly-isolated HPV97, related to HPV18 and 45 is frequently detected in HIV-positive men from the Montreal area. Int J Cancer. 2008, 122(5):1195-7. Krajinovic, M. and Brukner, I. (2008) Further insight into the markers of methotrexate resistance in childhood acute lymphoblastic leukemia patients. Personilized Medicine; 5 (4), 2008, 325-329. Technical reports and books Gabrielian, A., Vlahovicek, K., Munteanu, M., Gromiha, M, Brukner, I., Sanchez, R. and Pongor, S. (1998) Prediction of bendability and curvature in genomic DNA in Biomolecular Structures & Dynamics, Adenine Press Brukner, I. C-1027 (2000) Taiho Pharmaceutical Co Ltd. Current Opinion in Oncologic, Endocrine & Metabolic Investigational Drugs 2 (3), 344-352. MDEIE – Commercialization and Transfer Assistance Program 90 Brukner, I. (2001) OvaRex AltaRex, IDdrugs, 4 (4), 457-462. Brukner, I. (2001) INGN-201. Introgen Therapeutics. Curr Opin Investig Drugs, 2 (12):1776-85. Reviews Brukner, I. and Pongor, S. (1995): A trinucleotide Model for Sequence-Dependent DNA Bending Propensity, Biological Structure and Dynamics, 2, 289-294. Abstracts and conference presentations Sawicki J, Gaboury LA, Krajinovic M, Labuda D, Brukner I, Coutlée F, Gorska I (2006) Cloning strategy of a new type of Human Papilloma Virus from a clinical sample with mixed HPV infection. 23 International Papillomavirus Conference and Workshop, Prague Developing genome resources for Clostridium difficile V Forgetta, MT Oughton, I Brukner, A Villeneuve, G Levesque, C Nagy, J Dias, V Magrini, M Hickenbotham, K Haub, C Markovic, J Nelson, E Mardis, A Dascal, K Dewar; poster presentation at Genome Canada annual conference, Quebec City, October 2007 Al-Shakfa F, Brukner I, St-Onge G, Moghrabi A, Krajinovic M (2008) Pharmacogenetics of DHFR in childhood ALL. 1st Annual Canadian Human Genetics Conference, 9-12 avril, St-Sauveur, Canada. Al-Shakfa F, Brukner I, St-Onge G, Moghrabi A, Krajinovic M (2008) Pharmacogenetics of DHRF in childhood ALL. Les Journées Génétiques RMGA, May 14-16, Québec, Canada Al-Shakfa F, Brukner I, St-Onge G, Moghrabi A, Krajinovic M (2008) Pharmacogenetics of DHFR in childhood ALL. IXth World Conference on Clinical Pharmacology and Therapeutics - CPT2008 July 27 - August 1, Québec City, Canada. MT Oughton, V Forgetta, I Brukner, A Villeneuve, G Levesque, C Nagy, J Dias, V Magrini, M Hickenbotham, K Haub, C Markovic, J Nelson, E Mardis, A Dascal, K Dewar; (2008) Comparative genomics analysis of Clostridium difficile: improving methods for detection, epidemiology, therapeutics and understanding pathogenicity poster presentation at AMMI Canada/CACMID annual conference Brukner I, Krajinovic M, Labuda D (2008) Robust performance of in vitro generated hybridizations probes: suitable for different nucleic-acid based diagnostic-detection platforms. XX International Congress of Genetics, July 12-17, Berlin, Germany. MDEIE – Commercialization and Transfer Assistance Program 91 Annex 3.2. Damian Labuda’s CV CURRICULUM VITAE DAMIAN LABUDA Professor Department of Pediatrics University of Montreal CHU Sainte-Justine 3175, chemin de la Côte-Sainte-Catherine Montreal, Quebec H3T 1C5 Tel. (514) 345-4931 ext. 3586 E-mail: damian.labuda@umontreal.ca MDEIE – Commercialization and Transfer Assistance Program 92 STUDIES AND DEGREES 1967-1971 M.Sc. Biology/Biochemistry (Supervisor: Jacek Augustyniak) Adam Mickiewicz University (UAM), Poznan. Thesis: Studies of iodination and tritiation of the ACTH molecule. 1976 Ph.D., Biochemistry (Supervisor: Jacek Augustyniak) (UAM) Thesis: Studies of phenylalanine-specific tRNA from barley. 1982 D.Sc. ("Habilitacja") (UAM) "Code RNA: RNA. Mechanism of codon recognition by tRNA". (UAM editions, 1983, biology series, vol. 22). PRE AND POST-DOCTORAL TRAININGS 1971 Service of Biochemistry, Centre d'Énergie Nucléaire, Saclay, France 1972-1973 Institute of Plant Physiology, Hungarian Academy of Sciences, Szeged, Hungary 1978-1982 (3 full years) Max-Planck Institute of Biophysical Chemistry, Göttingen, Germany MDEIE – Commercialization and Transfer Assistance Program 93 POSITIONS 1972-1976 1976-1981 Research Assistant Adjunct Department of Biochemistry, Institute of Biology, UAM, Poznan. 1982-1984 Research Associate Department of Biochemistry, Université de Montréal. 1984-1988 Research Assistant Professor Department of Pediatrics, Université de Montréal. 1988-1990 Research Associate Professor Department of Pediatrics, Université de Montréal. 1990-1994 Associate Professor Department of Pediatrics, Université de Montréal. 1994-Present Professor Department of Pediatrics, Université de Montréal. AFFILIATIONS Molecular Biology Program/University of Montreal Chercheur titulaire de l’IREP (Institut Interuniversitaire de Recherche sur des Populations until 2001) Comité de direction du RMGA (Réseau de Médecine Génétique Appliquée of FRSQ) Scientific Advisor (Molecular Biology Diagnostic Laboratory at Hôpital Sainte-Justine) FELLOWSHIPS 1971 Commissariat d'Énergie Atomique, France. 1972/1973 Hungarian Academy of Sciences, Hungary. MDEIE – Commercialization and Transfer Assistance Program 94 1978/1982 (3 full years) Max-Planck Gesellschaft, Germany. 1986-1992 Fonds de la recherche en santé du Québec, (FRSQ). Scholarship - Sénior I/II 1992 Prize of Excellence - Conseil des Clubs de Service. Published Refereed Papers (2003-present) 1. Xu L, Pan-Hammarstrom Q, Forsti A, Hemminki K, Hammarstrom L, Labuda D, Gustafsson JA and Dahlman-Wright K (2003) Human estrogen receptor Beta 548 is not a common variant in three distinct populations. Endocrinology 144:35413546. 2. Bortolini M-C, Salzano FM, Thomas MG, Stuart S, Nasanen SPK, Bau CHD, Hutz MH, Layrisse Z, Petzl-Erler ML, Tsuneto LT, Hill K, Hurtado AM, Castrode-Guerra D, Torres MM, Groot H, Michalski R, Nymadawa P, Bedoya G, Bradman N, Labuda D and Ruiz-Linares A (2003) Y-chromosome evidence for differing ancient demographic histories in the americas. Am J Hum Genet. 73:524-539. 3. Zietkiewicz E, Yotova V, Gehl D, Wambach T, Arrieta I, Batzer M, Cole DEC, Hechtman P, Kaplan F, Modiano D, Moisan J-P, Michalski R and Labuda D (2003) Haplotypes in the dystrophin DNA segment point to a mosaic origin of modern humans’ diversity. Am J Hum Genet. 73:994-1015. 4. Mathonnet G, Krajinovic M, Labuda D and Sinnett D (2003) Role of DNA mismatch-repair genetic polymorphisms in the risk of childhood acute lymphoblastic leukemia. Br J Haematol. 123:45-48. 5. Fleury I, Beaulieu P, Primeau M, Labuda D, Sinnett D and Krajinovic M (2003) Characterization of BCL-1 polymorphism in the glucocorticoid receptor gene. Clin Chem. 49:1528-1531. 6. Mathonnet G, Labuda D (corresponding athor) Meloche C, Wambach T, Krajinovic M and Sinnett D (2003) Variable continental distribution of polymorphisms in the coding regions of DNA-repair genes. J Hum Genet. 48: 659-64. 7. Brockstedt U, Uzarowska A, Montpetit A, Pfau W and Labuda D (2004) In vitro evolution of RNA aptamers recognizing carcinogenic aromatic amines. Biochem Biophys Res Commun. 313: 1004-8 MDEIE – Commercialization and Transfer Assistance Program 95 8. Krajinovic M, Lamothe S, Labuda D, Lemieux-Blanchard E, Théorêt Y and Sinnett D (2004) Role of MTHFR genetic polymorphisms in the susceptibility to childhood acute lymphoblastic leukemia. Blood. 103:252-7 9. Xiao F-X, Yotova V, Zietkiewicz E, Lovell A, Gehl D, Bourgeois S, Moreau C, Spanaki C, Plaitakis A, Moisan J-P and Labuda D (2004) Human Xchromosomal lineages in Europe reveal Middle Eastern and Asiatic contacts. Eur J Hum Genet. 12: 301-11 10. Pastinen T, Sladek R, Gurd S, Ge B, Lepage P, Sammak A, Laverge K, Villeneuve A, Gudin T, Forgetta V, Beck A, Zotti C, Bourgoin S, Verner A, Harmsen E, Labuda D, Morgan K, Dewar K, Vohl M-C, Naumova AK, Sinnett D and Hudson TJ (2004) A survey of genetic and epigenetic variation affecting human gene expression. Physiol Genomics 16: 184-93 Published Refereed Papers (2003-present) (continued) 11. Le Jossec M, Wambach T, Labuda D (corresponding author), Sinnett D and Levy E (2004) Genetic diversity patterns in the SR-BI/II locus can be explained by a recent selective sweep. Mol Biol Evol. 21: 760-9. 12. Bourgeois S and Labuda D (2004) Dynamic allele-specific oligonucleotide hybridization on solid support. Anal Biochem 324:309-311. 13. El-Mabrouk N and Labuda D (2004) Haplotypes histories as pathways of recombinations. Bioinformatics 20:1836-41. 14. Lovell AD, Yotova V, Xian F-X, Batzer MA and Labuda D (2004) Polymorphisms within a polymorphism: SNPs in and around a polymorphic Alu insertion in intron 44 of the human dystrophin gene, detected by SSCP and dHPLC. J Hum Genet 49:269-72. 15. Brukner I, Paquin B, Belouchi M, Labuda D and Krajinovic M (2005) Decrease of self-priming by modified random oligonucleotides incresase the performance of whole genome amplification. Anal Biochem. 339:345-347. 16. Duquette A, Roddier K, McNabb-Baltar J, Gosselin I, St-Denis A, Dicaire MJ, Loisel L, Labuda D, Marchand L, Mathieu J, Bouchard JP and Brais B (2005) Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy. Ann Neurol. 57: 408-414. 17. Laberge AM, Jomphe M, Houde L, Vézina H, Tremblay M, Desjardins B, Labuda D, St-Hilaire M, Macmillan C, Shoubridge EA and Brais B (2005) A “Fille du Roy” introduced the T14484C Leber hereditary optic neuropathy mutation in French Canadians. Am J Hum Genet. 77:313-317. MDEIE – Commercialization and Transfer Assistance Program 96 18. Lovell A, Moreau C, Yotova V, Xiao F, Bourgeois S, Gehl D, Bertranpetit J, Schurr E and Labuda D (2005) Ethiopia: between Sub-Saharan Africa and western Eurasia. Ann Hum Genet. 69:275-287. 19. Yotova V, Labuda D (corresponding author), Zietkiewicz E, Gehl D, Lovell A, Lefebvre J-F, Bourgeois S, Lemieux-Blanchard É, Labuda M, Vézina H, Houde L, Tremblay M, Toupance B, Heyer E, J.Hudson T, Laberge C (2005) Anatomy of a founder effect: myotonic dystrophy in Northeastern Quebec. Hum Genet. 117: 177-187. 20. Bélanger H, Beaulieu P, Moreau C, Labuda D, Hudson TJ and Sinnett D (2005) Functional promoter SNPs in cell cycle checkpoint genes. Hum Mol Genet. 14:2641-2648. 21. Sinnett D, Labuda D and Krajinovic M (2005) MTHFR genetic polymorphisms and susceptibility to childhood acute lymphoblastic leukemia. Blood 106:25902591. Published Refereed Papers (2003-present) (continued) 22. Bedoya G, Montoya P, Garcia J, Soto I, Bourgeois S, Carvajal L, Labuda D, Alvarez V, Ospina J, Hedrick PW and Ruiz-Linares A (2006) Admixture dynamics in Hispanics: a shift in the nuclear genetic ancestry of a South American population isolate. Proc Natl Acad Sci USA 103:7234-7239. 23. Brukner I, Labuda D and Krajinovic M (2006) Phi29-based amplification of small genomes. Anal Biochem. 354:154-156. 24. Sinnett D, Beaulieu P, Bélanger H, Lefebvre JF, Langlois S, Théberge MC, Drouin S, Zotti C, Hudson TJ and Labuda D (2006) Detection and characterization of DNA variants in the promoter regions of hundreds of human disease candidate genes. Genomics 87:704-710. 25. Durocher F, Labrie Y, Soucy P, Sinilnikova O, Labuda D, Bessette P, Chiquette J, Laframboise R, Lepine J, Lesperance B, Pichette R, Plante M, Tavtigian SV and Simard J (2006) Mutation analysis and characterization of ATR sequence variants in breast cancer cases from high risk French Canadian breast/ovarian cancer families. BMC Cancer 6:230-251. MDEIE – Commercialization and Transfer Assistance Program 97 26. Healy J, Bélanger H, Beaulieu P, Larivière M, Labuda D and Sinnett D (2007) Promoter SNPs in G1/S checkpoint regulators and their impact on the susceptibility to childhood leukemia. Blood 109:683-92. 27. Fuselli S, Gilman RH, Chanock SJ, Bonatto SL, De StefanoG, Evans CA, Labuda D, Luiselli D, Salzano FM, Soto G, Vallejo G, Sajantila A, Pettener D and Tarazona-Santos E (2007) Analysis of nucleotide diversity of NAT2 coding region reveals homogeneityacross native American populations and high intrapopulations diversity. Pharmacogenomics J. 7: 144-152. 28. Labuda D, Labbé C, Langlois S, Lefebvre J-F, Freytag V, Moreau C, Sawicki J, Beaulieu P, Pastinen T, Hudson TJ and Sinnett D (2007) Patterns of variation in DNA segments upstream of transcription start sites. Hum Mutat. 28: 441-450. 29. Brukner I, El-Ramahi R, Gorska-Flipot I, Krajinovic M and Labuda D (2007a) Generation of oligonucleotide probes to discriminate between closely related DNA sequences. Nucleic Acids Res. 35: e66. 30. Brukner I, Krajinovic M, Dascal A and Labuda D (2007) A protocol for the in vitro selection of specific oligonucleotide probes for high-resolution DNA typing. Nat Protoc. 11:2807-14. 31. Brukner I, El-Ramahi R, Sawicki J, Gorska-Flipot I, Krajinovic M and Labuda D (2007b) Hybridization probes for 39 different types of Human Papillomaviruses. J Clin Virol. 39: 113-118. Published Refereed Papers (2003-present) (continued) 32. Pshezhetsky AV, Fedjaev M, Ashmarina L, Mazur A, Budman L, Sinnett D, Labuda D, Beaulieu JF, Ménard D, Nifant’ev I and Levy E (2007) Subcellular proteomics of cell differentiation: quantitative analysis of the plasma membrane proteome of Caco-2 cells. Proteomics. July:7 (13): 2201-2215. 33. Witsch-Baumgartner M, Braun I, Gruber M, Andria G, Bertranpetit J, Bieth E, Clusellas N, Estivill X, Gasparini G, Giros M, Krajewska-Walasek M, Menzel J, Miettinen T, Ogorelkova M, Rossi M, Schinzel A, Schmidt K, Schõnitzer D, Seemanova E, Sperling K, Syrrou M, Talmud Philippa J, Wollnik B, Krawczak M, Labuda D, Utermann G (2007) Age and origin of major Smith-Lemli-Opitz syndrome (SLOS) mutations in European populations. J Med Gen. 45(4): 200-9. MDEIE – Commercialization and Transfer Assistance Program 98 34. Moreau C, Vézina H and Labuda D (2007) Effets fondateurs et variabilité génétique au Québec. Médecine Sciences 11 :1008-13. 35. Yotova V, Lefebvre JF, Kohany O, Jurka J, Michalski R, Modiano D, Utermann G, Williams SM and Labuda D (2007) Tracing genetic history of modern humans using Xchromosomes lineages. Hum Genet. 122(5): 431-43. 36. Wang S, Lewis CM, Jakobsson M, Ramachandran S, Ray N, Bedoya G, Rojas W, Parrra MV, Molina JA, Gallo C, Mazzotti G, Poletti G, Hill K, Hurtado AM, Labuda D, Klitz W, Barrantes R, Bortolini MC, Salzano FM, Petzl-Erler ML, Tsuneto LT, Llop E, Rothhamner F, Excoffier L, Feldman MW, Rosenberg NA and Ruiz-Linares A (2007) Genetic variation and population structure in Native Americans. Plos Genetics. 3(11): e185. 37. Dulucq S, St-Onge G, Gagné V, Ansari M, Sinnett D, Labuda D, Moghrabi A and Krajinovic M (2007) DNA variants in dihydrofolate reductase gene and outcome in childhood ALL. Blood. 111(7):3692-700. 38. Gorska-Flipot I, Sawicki J, Gaboury LA, Krajinovic M, Labuda D, Brukner I, Rouleau D, Ghattas G, Franco EL, Coutlée F (2008) Newly isolated HPV97, related to HPV18 and 45 is frequently detected in HIV-positive men from the Montreal area. Int J Cancer. 122(5) :1195-7. 39. Lefebvre JF and Labuda D (2008) Fraction of Informative Recombinations: a Heuristic Approach to Analyse Recombination Densities. Genetics. 178(4):206979. 40. Gokcumen O, Dulik MC, Pai AA, Zhadanov SI, Rubinstein S, Osipova LP, Andreenkov OV, Tabikhanova LE, Gubina MA, Labuda D and Schurr TG (2008)Genetic variation in the enigmatic Altaian Kazakhs of South-Central Russia: insights into Turkic population history. Am J Phys Anthropol. 136(3):278-93. 41. Sirois F, Gbeha E, Sanni A, Labuda D et Mbikay M (2008) Ethnic Differences in the Frequency of the Cardioprotective C679X PCSK9 Mutation in a West African Population. Genet Test 12(3):377-80. Published Refereed Papers (2003-present) (continued) 42. Cruciani F, Trombetta B, Labuda D, Modiano D, Torroni A, Costa R and Scozzari R (2008) Genetic diversity patterns at the human clock gene period 2 (PER2) are suggestive of population-specific positive selection. Eur J Hum Genet (epub ahead of print – 25 June) MDEIE – Commercialization and Transfer Assistance Program 99 Accepted or in press refereed papers (2003-present) 43. Moreau C, Vézina H, Yotova V, Hamon R, de Knijff P, Sinnett D and Labuda D (2008) Genetic Heterogeneity in Regional Populations of Quebec - Parental Lineages in the Gaspe Peninsula. Am J Phys Anthropol (in revision) Submitted refereed papers 44. Bourgeois S, Yotova V, Bourtoumieu S, Moreau C, Michalski R, Moisan JP, Hill K, Hurtado AM, Ruiz-Linares A and Labuda D (2008) X-chromosome lineages reveal strong founder effect in the colonization of the Americas. (submitted – Am J Phys Anthropol) 45. Healy J, Dionne J, Bélanger H, Larivière M, Moreau C, Labuda D and Sinnett D (2008) Functional variation of the promoter region of TGFβ1 and its impact on childhood leukemia. (submitted) 46. N’Diaye N, Pastinen T, Paterson A, Larivière M, Labuda D, Hudson TJ and Sinnett D (2008) A Naurally Occuring Regulatory Haplotype Enhances BTN3A2 Expression. (submitted) Published Contributions to a Collective Work/Book Chapters/Reviews (2003-present) 1. Krajinovic M, Labuda D and Sinnett D (2003) Pharmacogenetics of childhood acute lymphoblastic leukemia. Curr Pharmacogenetics 1:87-100. 2. Simard J, Dumont M, Labuda D, Sinnett D, Meloche C, El-Alfy M, Berger L, Lees E, Labrie F and Tavtigian SV (2003) Prostate cancer susceptibility genes: lessons learned and challenges posed. Endocr Relat Cancer 10:225-259. 3. Cardinal G, Deschênes M, Knoppers BM, Hudson T, Labuda D, Bouchard G, Racine É, Fecteau C, Truong S and Laberge C (2003) Statement of principles on the ethical conduct of human genetic research involving populations. RMGA http://rmga.qc.ca/index.html. 4. Labuda D, Krajinovic M and Bourgeois S (2004) Allele specific oligonucleotide hybridization (ASO). Encyclopedia of Diagnostic Genomics and Proteomics – Marcel Dekker. pp. 38-41. 5. Sinnett D, Mathonnet G, Meloche G, Moghrabi A, Labuda D and Krajinovic M (2004) Genetic determinants to childhood acute lymphoblastic leukemia. In: Pandalai SG (ed) MDEIE – Commercialization and Transfer Assistance Program 100 Recent Research Developments in Haematology. Vol 1 India. Transworld Research Network 1:135-154. Published Contributions to a Collective Work/Book Chapters/Reviews (2003-present) (continued) 6. Sinnett, D, Meloche C, Labuda D, Mathonnet G, Moghrabi A, Sabbagh A, InfanteRivard C and Krajinovic M (2004) Genetic susceptibility to childhood acute lymphoblastic leukemia. Nova Science Publishers, Inc. pp. 1-31. 7. Sinnett D, Labuda D and Krajinovic M (2006) Challenges identifying genetic determinants of pediatric cancers – the childhood leukemia experience. Fam Cancer 5:35-47. 8. Sinnett D, N’Diaye N, Labuda D and Krajinovic M (2006) Genetic determinants of childhood leukemia. Bulletin du cancer. Sept, 93:857-865. 9. Brais B, Desjardins B, Labuda D, St-Hilaire M, Tremblay M and Vézina H (2007) The Genetics of French Canadians. IN: Cavalli-Sforza LL, Feldman M (eds.) Henry Stewart Talks; Biomedical and Life Sciences – Human Population Genetics (CD-ROM) Londres, Angleterre: Henry Stewart Group of Companies <http://www.hstalks.com/index.htm> Oral presentations/Seminars (2003-present) 1. Labuda D (2003) Genetic information: What it can tell us about our ancestry? 61st Annual Meeting of the Polish Institute of Arts and Sciences of America, McGill University, June 7th, McGill University, Montreal, Qc. (invited speaker) 2. Labuda D (2003) Malaises autour de gènes mutés ; conference on : Génomique et pluralisme au Canada échanges pour approfondir le dialogue. Bioethics Across Borders, Joint Meeting of the Canadian Bioethics Society and the American Society for Bioethics and Humanities, October 22-26, Montréal, Qc (invited presentation) 3. Labuda D, (2003) Variabilité d’ADN – leçons sur notre histoire, le présent et le futur. Les biotechnologies 50 ans après la découverte de l’ADN, 28e Congrès annuel de l’Association des biologistes du Québec, December 4-5 (invited conference) MDEIE – Commercialization and Transfer Assistance Program 101 4. Labuda D (2004) What genetics can tell us about our ancestry, our present and future. MUHC Research Seminar, Montreal Children’s Hospital Centenial Seminar, March 1st, Montreal, Qc. (invited conference) 5. Labuda D, Yotova V, Piché C, Gehl D, Moreau C, Jurka J, Kohany O, Michalski R, Moisan JP, Schurr E, Utermann G, Williams S (2004) X-linked marker tracing history of human populations. HUGO: Human Genome Meeting, April 4, Berlin, Germany. (oral presentation and poster) 6. Labuda D, Langlois S, Gehl D, Beaulieu P, Lefebvre JF, Vasquez H, Moreau C, Labbé C, Théberge MC, Bourgoin S, Zotti C, Pastinien T, Lepage P, Hudson T, Dewar K, Sinnett D. (2004) Genetic variability in gene segments upstream of coding regions. Human Genome Variation Society Scientific Meeting, April 4, Berlin, Germany (oral presentation) Oral presentations/Seminars (2003-present) (continued) 7. Labuda D, (2004) X Chromosome Markers & Human Population History. Population genetics symposium, Human Genetic Student Society, April 22, Montreal, Quebec. (conference) 8. Labuda D, Yotova V, Zietkiewicz E, Gehl D, Lovell A, Lefebvre JF, Bourgeois S, Lemieux-Blanchard E, Labuda M, Vézina H, Houde L, Tremblay M, Toupance B, Heyer E, Fortin J, Lepage P, Hudson TJ, Lescault A, Laberge C (2004) Founder effect in NorthEastern Quebec and the extent of the genetic signature associated with the myotonic dystrophy mutation. « Qui fait quoi » ; 5e Journées Génétiques, RMGA, May 17, Montreal, QC. (oral presentation) 9. Labbé C, Labuda D (2004) Diversité des régions promotrices des gènes du métabolisme du glutathion. XIXe Congrès Annuel de la recherche des étudiants gradués et postgradués, Centre de recherche de l’Hôpital Sainte-Justine, Université de Montreal. June 4, Montreal, QC. (oral presentation) 10. Labuda D (2004) X-linked markers tracing history of human populations, LMS Durham Symposiums on Mathematical Genetics, University of Durham, July 5, United Kingdom. (invited presentation) 11. Labuda D, Lefebvre J, Moreau C, Labbé C, Langlois S, Beaulieu P, Theberge MC, Bélanger H, Sinnett D and the Genome Quebec Regulatory Genetics Consortium (2005) MDEIE – Commercialization and Transfer Assistance Program 102 Contribution of gene conversions to the genetic diversity of DNA segments. European Human Genetics Conference, May 7-10, Prague, Czech Republic. (oral presentation) 12. Labuda D (2006) Natural selection in the promoter regions: genetic diversity upstream of transcription start sites. Genes and Populations in Health and Disease, Portugaliae Genetica, 9th edition, March 6-8, Porto, Portugal. (invited presentation) 13. Labuda D (2006) Reading history of human populations from genetic diversity of chromosome Xp21. Genes and Populations in Health and Disease, Portugaliae Genetica, 9th edition, March 6-8, Porto, Portugal. (invited presentation) 14. Labuda D, Yotova V, Lefebvre J-F, Kohany O, Jurka J, Michalski R, Modiano D, Utermann G and Williams S (2007) Structure complexe de la population ancestrale humaine - une histoire génétique retracée par les lignages du chromosome Xp21, GALF, 31 mai, 1-2 juin, Genève, Suisse. (oral presentation) 15. Labuda D, Moreau C, Yotova V, Hamon R, de Knijff P, Sinnett D and Vézina H. (2008) Genetic heterogeneity in regional populations of Quebec – parental lineages in the Gaspé Peninsula. 7ème Journées génétique RMGA. May 14-16, 2008, Québec, Canada. (oral presentation) International Conference Abstracts/posters (2003-present) 1. Drouin S, Beaulieu P, Labuda D and Sinnett D (2003) Comparative genomic approach to human transcription factor binding site validation. Oncogenomics 2003, January 28February 2, Phoenix, AZ. 2. El-Mabrouk N and Labuda D (2003) Haplotypes histories as networks of recombinations. Recomb 2003, April 10-13, Berlin. 3. Witsch-Baumgartner M, Labuda D and Utermann G (2003) Origins of the common DHCR7 mutations: IVS8-1G>C and W151X causing the Smith-Lemli-Opitz syndrome. European Human Genetics Conference 2003, European Society of Human Genetics, May 3-6, Birmingham, England. MDEIE – Commercialization and Transfer Assistance Program 103 4. Vézina H, Bélanger J, Heyer E, Houde L, Tremblay M, Sinnett D and Labuda D (2003) Patrimoine génétique des Gaspésiens. 71e congrès de l’ACFAS « Savoirs partagés », May 19-23, Rimouski, Qc. 5. Labuda D (2003) Genetic information: what it can tell us about our ancestry. 61st Annual Meeting of the Polish Institute of Arts and Sciences of America, McGill University, June 6-7, Montreal. 6. Bélanger H, ThébergeM-C, Langlois S, Bourgoin S, Beaulieu P, Gehl D, Labuda D and Sinnett D (2003) High-throughput detection of polymorphisms in regulatory regions of candidate genes related to common genetic diseases. AACR, 94th Annual Meeting, July 11-15, Washington D.C., USA. 7. Meloche C, Drouin S, Labuda D and Sinnett D (2003) Detection of putative regulatory SNPs in DNA repair genes. AACR, 94th Annual Meeting, July 11-15, Washington D.C., USA. 8. Hudson TJ, Pastinen T, Sladek R, Gurd S, Sammak A, Ge B, Brandstrom H, Lepage P, Lavergne K, Villeneuve A, Gaudin T, Zotti C, Bourgoin S, Verner A, Harmsen E, Vohl M-C, Naumova AK, Labuda D and Sinnett D (2003) Linking haplotypes with gene regulation. AACR Special Conference in Cancer Research, September 13-17, Key Biscayne, Florida. 9. Krajinovic M, Lamothe S, Labuda D, Lemieux-Blanchard, Théorêt Y and Sinnett D (2003) Role of MTHFR genetic polymorphisms in the susceptibility to childhood acute lymphoblastic leukemia. AACR Special Conference in Cancer Research, September 1317, Key Biscayne, Florida. 10. Birkett NJ, Maziak DE, Ambrosone C, Darling G, Inculet R, Labuda D, MckeownEussen G, Sinha R, Sinnnett D, Young E, Ghadirian P and Duranceau A (2004) Dietary heterocyclic amines and risk of adenocarcinoma of the esophagus. AACR, 95th Anuual Meeting, March 27-31, Orlando, FL. International Conference Abstracts/posters (2003-present) (continued) MDEIE – Commercialization and Transfer Assistance Program 104 11. Witsch-Baumgartner M, Rossi M, Giros M, Kelley I, Clayton P, Lechner S, Labuda D (2004) A mosaic pattern of common recurrent and founder DHCR7 mutations causing the Smith-Lemli-Opitz Syndrome in Europeans. European Human Genetics Conference, June 12-15, Munich, Germany. 12. Bélanger H, Beaulieu P, Larivière M, Moreau C, Langlois S, Labuda D, Sinnett D (2004) Functional ploymorphisms in the regulatory region of genes implicated in G1/S checkpoint. Oncogenetics: achievement and challenges, October 7-8, Montreal, Canada. 13. Gahier-Rudolf A, Doreau A, Labuda D, Sinnett D, Moghrabi A, Krajinovic M (2004) Glucocorticoïd receptor gene polymorphisms:frequencies and impact on ALL outcome. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 14. Sanchez R, Vasquez H, Labuda D, Yotova V, Costea F, Levy E, Sinnett D (2004) Haplotype diversity and genetic determinants of the therapetic response. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 15. Labbé C, Moreau C, Yotova V, Gehl D, Lefebvre J-F, Beaulieu P, Langlois S, Théberge M-C, Bélanger H, Zotti C, Sinnett D, Labuda D (2004) Polymorphisms in genes of glutathione metabolism: promoter regions. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 16. Beaulieu P, Théberge M-C, Bélanger H, Langlois S, Larivière M, Lefebvre J-F, Gehl D, Labuda D, Sinnett D (2004) In-silico assesment of the impact of single nucleotide polymorphismsin the regulatory regions of human genes. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 17. Théberge M-C, Bourgoin S, Beaulieu P, Langlois S, Bélanger H, Gehl D, Labuda D, Sinnett, D (2004) High-throughput detection of regulatory polymorphisms in candidate genes relevant to common diseases. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 18. Bélanger H, Beaulieu P, Larivière M, Moreau C, Langlois S, Labuda D, Sinnett D (2004) Functional ploymorphisms in the regulatory region of genes implicated in G1/S checkpoint. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 19. Labrie Y, Durocher F, Soucy P, Labuda D, Simard J (2004) Characterization of sequence variants in high-risk non-BRCA1/2 French Canadian families. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. MDEIE – Commercialization and Transfer Assistance Program 105 20. Yotova V, Lovell A, Moreau C, Bourgeois S, Xiao F, Gehl D, Bertranpetit J, Schurr E, Labuda D (2004) Ethiopia: between Sub-Saharan Africa and Western Eurasia. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. International Conference Abstracts/posters (2003-present) (continued) 21. Leger C, Simoneau M, Théberge M-C, Vasquez H, Lefebvre J-F, Levy E, Sinnett D, Labuda D (2004) Genetic diversity in the coding regions of three members of the glutathione peroxidase family. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 22. Bourgeois S, Yotova V, Lovell A, Xiao F, Pich C, Moreau C, Bourthoumieu S, Zietkiewicz E, Michalski R, Ruiz-Linares A, Labuda D (2004) X-chromosome polymorphisms and the genetic structure of Amerindian populations. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 23. Moreau C, Yotova V, Gehl D, Cauvier C, Sinnett D, De Knijff P, Vezina H, Labuda D (2004) Genetic diversity among European settlers of the Gaspe Peninsula (Quebec). Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 24. Labuda D, Moreau C, Langlois S, Gehl D, Beaulieu P, Lefebvre J-F, Vasquez H, Labbe C, Théberge M-C, Bélanger H, Zotti C, Sinnett D (2004) Population genetics of bona fides regulatory regions. Annual Meeting of the American Society of Human Genetics, October 26-30, Toronto, Canada. 25. Labuda D (2005) Diversity in DNA segments upstream of the transcription start sites. HUGO Mutation Detection 2005: VIII International Symposium on Mutations in the Genome, May 31-June 4, Santorini, Greece. 26. Labuda D and Lefebvre J-F (2006) Heuristic approach for analysis of the recombination density along DNA sequence. HGM 2006, HUGO’s 11th Human Genome Meeting, May 31-June 3, Helsinki, Finland. 27. Sawicki J, Gaboury LA, Krajinovic M, Labuda D, Brukner I, Coutlée F, Gorska I (2006) Cloning strategy of a new type of Human Papilloma Virus from a clinical sample with mixed HPV infection. 23 International Papillomavirus Conference and Workshop, Prague. MDEIE – Commercialization and Transfer Assistance Program 106 28. Dionne J, Ouimet M, Gagné V, Larivière M, Labuda D and Sinnett D (2007) Functional impact of regulatory polymorphisms (rSNP) in G1/S cell cycle checkpoint genes. AACR Annual Meeting, April 14-18, Los Angeles, CA. 29. Gerbault P, Moreau C, Vézina H and Labuda D (2007) Regionalization of the founder effect in Quebec. HGM2007, May 21-24, Montreal, Qc. 30. Dionne J, Ouimet M, Gagné V, Larivière M, Labuda D and Sinnett D (2007) Functional impact of regulatory polymorphisms (rSNP) in G1/S cell cycle checkpoint genes. HGM2007, May 21-24, Montreal, Qc. 31. Gerbeault P, Moreau C, Vézina H and Labuda D (2007) Régionalisation de l'Effet Fondateur au Québec. GALF 2007, 31 mai, 1-2 juin, Genève, Suisse. International Conference Abstracts/posters (2003-present) (continued) 32. Bherer C, Labuda D, Houde L, Tremblay M and Vézina H (2007) Contribution génétique différentielle des immigrants fondateurs aux pools géniques régionaux du Québec. GALF 2007, 31 mai, 1-2 juin, Genève, Suisse. 33. Roy-Gagnon MH, Moreau C, Sinnett D, Laprise C, Vézina H and Labuda D (2008) Regional Genetic Variation and Linkage Disequilibrium in Quebec. 3rd Annual Canadian Genetic Epidemiology and Statistical Genetics Meeting, Institute of Genetics, April 29May 1, 2008, Toronto, ON. 34. Hussin J, Nadeau P, Lefebvre JF and Labuda D. (2008) Haplotype Allelic Classes In The Lactase Persistence Locus. The Biology of Genomes, Cold Spring Harbour. May 610, 2008, New York, USA. 35. Nadeau P, Hussin J, Lefebvre JF and Labuda D. (2008) Testing Haplotype Allelic Classes By Coalescence Simulations. The Biology of Genomes, Cold Spring Harbour. May 6-10, 2008, New York, USA. 36. Lefebvre JF and Labuda D. (2008) InfRec: A Heuristic Tool To Analyze Recombination Rate At The Sequence Level. The Biology of Genomes, Cold Spring Harbour. May 6-10, 2008, New York, USA. Local Conference Abstracts/posters (2003-present) MDEIE – Commercialization and Transfer Assistance Program 107 1. Bourgeois S, Zietkiewicz E, Yotova V, Michalski R, Ruiz-Linares A and Labuda D (2003) Effets fondateurs et colonisation de l’Amérique. IXe journée scientifique des programmes de biologie moléculaire, IRCM, April 25, Montreal. 2. Bélanger H, Théberge M-C, Langlois S, Bourgoin S, Beaulieu P, Gehl D, Zotti C, Labuda D and Sinnett D (2003) Détection de variants d’ADN dans les régions régulatrices de gènes candidats pour des maladies complexes. XVIIIe congrès annuel de la recherche des étudiants gradués et post-gradués de l’Hôpital Sainte-Justine, June 6, Montreal. (1st prize, poster presentation, M.Sc. category) 3. Sinnett D, Lamothe S, Labuda D, Lemieux-Blanchard E, Théorêt Y, Moghrabi A and Krajinovic M (2004) Role of MTHFR genetic polymorphisms in the susceptibility to childhood acute lymphoblastic leukemia. “Qui fait quoi” ; 5e Journées Génétiques, RMGA, May 17, Montreal, QC. 4. Krajinovic M, Primeau M, Chiasson S, Costea I, Bournissen FG, Moghrabi A, Robaey P, Labuda D and Sinnett D (2004) Genetic polymorphisms in predicting disease outcome. « Qui fait quoi ? » ; 5e Journées Génétiques, RMGA, May 17, Montreal, QC. Local Conference Abstracts/posters (2003-present) 5. Vézina H, Cauvier C, Moreau C, Yotova V, Bélanger J, Houde L, Sinnett D, Tremblay M, Labuda D (2004) Étude généalogique et moléculaire du patrimoine génétique des gaspésiens. « Qui fait quoi ? » ; 5e Journées Génétiques, RMGA, May 17, Montreal, QC. 6. Labuda D (2006) Les Québécois – des chasseurs-cueilleurs? Qui fait quoi? 6èmes journées génétiques, RMGA, May 1-2, Montreal, Qc. 7. Gerbault P, Moreau C, Yotova V and Labuda D (2006) Régionalisation de l’effet fondateur au Québec. XXIe Congrès annuel de la recherche des étudiants gradués et postgradués, Centre de recherche CHU Sainte-Justine, June 2, Montreal, Qc. 8. Bourgeois S, Yotova V, Lovell A, Piché C and Labuda D (2006) Structure génétique des populations amérindiennes. XXIe Congrès annuel de la recherche des étudiants gradués et post-gradués, Centre de recherche CHU Sainte-Justine, June 2, Montreal, Qc. MDEIE – Commercialization and Transfer Assistance Program 108 9. Bherer C, Labuda D, Houde L, Tremblay M and Vézina H (2007) Contribution génétique différentielle des immigrants fondateurs aux pools géniques régionaux du Québec. XXIIe Congrès annuel de la recherche des étudiants gradués et post-gradués, Centre de recherche CHU Sainte-Justine, May 15-16, Montreal, QC. 10. Gerbault P, Moreau C, Vézina H and Labuda D (2007) Régionalisation de l’effet fondateur au Québec. XXIIe Congrès annuel de la recherche des étudiants gradués et post-gradués, Centre de recherche CHU Sainte-Justine, May 15-16, Montreal, QC. 11. Dionne J, Ouimet M, Gagné V, Larivière M, Labuda D and Sinnett D (2007) Caractérisation fonctionnelle des variants génétiques de la région régulatrice des gènes du point de contrôle G1/S. XXIIe Congrès annuel de la recherche des étudiants gradués et post-gradués, Centre de recherche CHU Sainte-Justine, May 15-16, Montreal, QC. 12. Roy-Gagnon MH, Moreau C, Sinnett D, Laprise C, Vézina H and Labuda D. (2008) Génome québécois : variabilité régionale et déséquilibre de liaison. Qui fait quoi? 7ème Journées génétiques RMGA. May 14-16, 2008, Québec, Canada. 13. N’Diaye N, Pastinen T, Paterson A, Larivière M, Labuda D, Hudson TJ and Sinnett D. (2008) A naturally occurring regulatory Haplotype enhances BTN2A2 expression. Qui fait quoi? 7ème Journées génétiques RMGA. May 14-16, 2008, Québec, Canada. 14. Gbeha E, Yotova V, Moreau C, Sanni A and Labuda D. Variabilité Génétique des Populations Ouest-africaines. Qui fait quoi? 7ème Journées génétiques RMGA. May 1416, 2008, Québec, Canada. 15. Bherer C, Vézina H and Labuda D. Conséquences des histoires démographiques régionales du Québec sur le spectre de fréquences alléliques. Qui fait quoi? 7ème Journées génétiques RMGA. May 14-16, 2008, Québec, Canada. Local Conference Abstracts/posters (2003-present) 16. Hussin J, Nadeau P, Lefebvre JF and Labuda D. Haplotype allelic classes in the lactase persistence locus. Qui fait quoi? 7ème Journées génétiques RMGA. May 14-16, 2008, Québec, Canada. 17. Nadeau P, Hussin J, Lefebvre JF and Labuda D. Testing haplotype allelic classes by coalescence simulations. Qui fait quoi? 7ème Journées génétiques RMGA. May 14-16, 2008, Québec, Canada. MDEIE – Commercialization and Transfer Assistance Program 109 18. Healy J, Dionne J, Larivière M, Ouimet M, Beaulieu P, Labuda D and Sinnett D. Regulatory genetics in cancer research – the childhood leukemia story. Qui fait quoi? 7ème Journées Génétiques RMGA. May 14-16 , 2008, Québec, Canada. SOURCE OF FUNDING ORGANISM FRSQ FRSQ CIHR FRSQ NSERC TITLE INVESTIGATOR Échantillon de référence pour la recherche en épidémiologie génétique et en génétique des populations humaines au Québec - RMGA D. Labuda Étude de la diversité de la population québécoise contemporaine - RMGA D. Labuda Montreal Spring School of Population Genomics and Genetic Epidemiology D. Labuda Montreal Spring School of Population Genomics and Genetic Epidemiology D. Labuda Genetic history of human populations D. Labuda AMOUNT / YEAR 41,127$ PERIOD 04/200803/2009 47,372$ 04/200803/2009 7,000$ 04/200805/2008 7,000$ 04/200805/2008 24,625$ 04/200803/2009 CIHR (Pop) Optimization and validation of M.Krajinovic Human Papillomavirus probes D. Labuda obtained through in vitro molecular evolution I. G-Flipot 150,000$ 03/200704/2008 CIHR (NPE-80218) Genetic models of complex conditions and population structure of Quebec. D. Labuda et al. 99,980$ 04/200603/2009 Génome Québec / Génome Canada The GRID project: gene regulators in disease. T. Hudson et al. 72,000$ 01/200603/2009 FQRNT Méthodes formelles pour l’inférence de relations d’évolution entre les séquences génomiques. MDEIE – Commercialization and Transfer Assistance Program N. El-Mabrouk et al. 75,000$ 110 04/200503/2008 FRSQ/RMGA Études des populations régionales du Québec. CIHR (MOP-67150) CIHR (NTA-71859) 44,000$ 04/200403/2008 Variability in genomic D. Labuda sequences : patterns of genetic events in the human populations 152,000$ 04/200403/2007 Developing diagnostic tools through in vitro molecular evolution D. Labuda, M. Krajinovic, I. Gorska-Flipot 197,326 $ 07/2004 VRQ (VRQ 2201-146) Cellule épithéliale de l’intestin : identification de gènes de susceptibilité et de nouvelles cibles thérapeutiques. E.Levy et al. Génome Québec / Génome Canada Regulatory genetics – high throughput screening of gene targets related to common genetic diseases. T. Hudson et al. ORGANISM TITLE G. Rouleau, H. Vézina et al. INVESTIGATOR 06/2006 ~450,000 $ 09/200203/2006 Total of $11,600,000 04/200109/2005 AMOUNT / YEAR PERIOD CIHR (MOP-12782) Variability in genomic D. Labuda sequences : patterns of genetic events in human population 13,434$ 10/200303/2004 NSERC Modèles génétiques et l’histoire de la population du Québec dans le contexte de données moléculaires D. Labuda $21,000 04/2002 03/2004 D. Labuda and $21,000 04/199904/2002 (170180-99) Modèles génétiques et l’histoire de la population du Québec dans le contexte de données moléculaires. FRSQ/RMGA Axe démogénétique D. Labuda $30,000 2001-2004 (170180-02) NSERC E. Heyer H. Vézina E. Heyer (C. Laberge et al.) FRSQ/RMGA Identification of SNPs for a D. Labuda marker haplotype of myotonic dystrophy in Quebec. budget HSJ $19,000 (C. Laberge et al.) MDEIE – Commercialization and Transfer Assistance Program 111 2001-2004 CIHR (MOP-12782) Variability in genomic sequences: Patterns of genetic events in the human populations. D. Labuda $107,469 10/200009/2003 MRC Variability in human genomic sequences: Patterns of genetic events in the human populations. D. Labuda $97,027 10/199709/2000 (MOP-37951) Environment and genetic polymorphisms in childhood acute lymphoblastic leukemia C. Infante-Rivard, D. Labuda, D. Sinnett, M. Bernstein Ecogenix Inc. (Research Contract) Genetic polymorphisms in cancer susceptibility genes D. Labuda and D. Sinnett CRC Nutritional factors and geneenvironment interactions in the etiology of adenocarcinoma of N. Birkett, et al. $85,000 09/199908/2002 D. Sinnett and D. Labuda $50,000 1999-2001 (MT-12782) MRC $89,285 $91,071 $69,716 $500,000 04/200003/2003 2000-2002 The esophagus. CGDN (Center of Excellence) Genetic susceptibility factors in complex diseases and therapeutic response. MDEIE – Commercialization and Transfer Assistance Program 112 Annex 3.3. Maja Krajinovic’s CV CURRICULUM VITAE MAJA KRAJINOVIC Associate Professor Departments of Pediatrics & Pharmacology University of Montreal CHU Sainte-Justine 3175, chemin de la Côte-Sainte-Catherine Montreal, Quebec H3T 1C5 Tel. (514) 345-4931 ext. 6259 E-mail: maja.krajinovic@umontreal.ca Studies and Degrees 1988-1991 Ph.D. Molecular Biology 1984-1986 M.Sc. Medical Genetics 1982-1984 Medical License M.D. General Medical Training 1977-1982 Institute of Biology and Human Genetics and Institute of Molecular Genetics and Genetic Engineering, Medical Faculty, University of Belgrade: Human papilloma virus: frequency and role in the cervical cancer Institute of Biology and Human Genetics, Medical Faculty, University of Belgrade Prenatal diagnosis in the first trimester of pregnancy Medical Faculty, University of Belgrade Medical Faculty, University of Belgrade Academic Positions and Hospital Appointments Associate Professor 2006- Associate Professor Assistant Professor 20062002-2006 Assistant Professor Scientist 2000-2006 2000- Assistant Professor 1993-1998 Research Associate 1998-2000 Dept. of Pharmacology, University of Montreal (secondary affiliation) Dept. of Pediatrics, University of Montreal Dept. of Pharmacology, University of Montreal (secondary affiliation) Dept. of Pediatrics, University of Montreal Division of Hematology-Oncology, Research Center, St-Justine Hospital Institute of Biology and Human Genetics, Medical Faculty, University of Belgrade, Yugoslavia Division of Hematology-Oncology, Research Center, St-Justine Hospital MDEIE – Commercialization and Transfer Assistance Program 113 Teaching Assistant 1984-1992 Institute of Biology and Human Genetics, Medical Faculty, University of Belgrade Research Training 1995-1998 Postdoctoral training 1992-1995 Postdoctoral training 1990, 1992 Visiting Scientist 1998 Visiting Scientist Division of Hematology-Oncology, Research Center, St-Justine Hospital International Centre for Genetic Engineering and Biotechnology (ICGEB)/UNIDO, Trieste, Italy German Cancer Research Centre, Heidelberg, Germany Department of Pediatrics, Guy’s Hospital, London Scholarships and Distinctions 2007-2011 2003-2007 2001-2003 2000-2001 Scholarship Scholarship Scholarship Scholarship 1998-2000 1999 Fellowship Scholar Award for Promising Clinical or Translational Cancer Research Fellowship Fellowship Fellowship Best Medical Student Awards 1995-1998 1994-1995 1993-1994 1978-1981 FRSQ, National FRSQ, senior FRSQ, junior II Relève 2000, Faculté de Médecine, University of Montreal St-Justine Hospital Foundation Glaxo Wellcome Oncology, AACR 1999 meeting Charles-Bruneau Foundation Telethon, Italy Heart Foundation, Italy University of Belgrade Published Refereed Papers (2003-present) 30) Fleury I, Beaulieu P, Primeau M, Labuda D, Sinnett D, Krajinovic M (2003) Characterization of BCL-1 polymorphism in the glucocorticoid receptor gene. Clin Chem. 49:1528-1531. 31) Krajinovic M, Lamothe S, Labuda D, Lemieux-Blanchard E, Théorêt Y, Moghrabi A and Sinnett D (2004) Role of MTHFR genetic polymorphisms in the susceptibility to childhood acute lymphoblastic leukemia. Blood 103:252-257. 32) Costea I, Moghrabi A, Krajinovic M (2003) The influence of cyclin D1 (CCND1) 870A>G polymorphism and CCND1-thymidylate synthase (TS) gene- MDEIE – Commercialization and Transfer Assistance Program 114 gene interaction on the outcome of childhood acute lymphoblastic leukemia. Pharmacogenetics 13:577-580. 33) Mathonnet G, Krajinovic M, Labuda D, and Sinnett D (2003) Role of DNA mismatch repair genetic polymorphisms in the risk of childhood acute lymphoblastic leukemia. Br J Haematol. 123:45-48. 34) Mathonnet G, Labuda D, Meloche C, Wambach T, Krajinovic M and Sinnett D (2003) Variable continental distribution of polymorphisms in the coding regions of DNA-repair genes. J Hum Genet. 48:659-664. 35) Krajinovic M, Lemieux-Blanchard É, Chiasson S, Primeau M, Costea I and Moghrabi A (2004) Role of polymorphisms in MTHFR and MTHFD1 genes in the outcome of childhood acute lymphoblastic leukemia. Pharmacogenomics J. 4:66-72. 36) Fleury I, Primeau M, Doreau A, Costea I, Moghrabi A, Sinnett D and Krajinovic M (2004) Polymorphisms in genes relevant for corticosteroid response and the outcome of childhood acute lymphoblastic leukemia. Am J Pharmacogenomics. 4(5):331-341. 37) Brukner I, Paquin B, Belouchi M, Labuda D and Krajinovic M (2005) Decrease of self-priming by modified random oligonucleotides incresase the performance of whole genome amplification. Anal Biochem. 339(2):345-7. 38) Krajinovic M, Robaey P, Chiasson S, Lemieux-Blanchard E, Rouillard M and Moghrabi A (2005) The polymorphism in genes encoding the enzymes of homocysteine pathway and IQ score following the treatment for childhood acute lymphoblastic leukemia. Pharmacogenomics. 6 (3):293-302. 39) Krajinovic M, Costea I, Primeau M, Lemieux-Blanchard É, Chiasson S, Moghrabi A (2005). Combining several polymorphisms of thymidylate synthase gene for pharmacogenetic analysis. Pharmacogenomics J. 5(6):374-380. 40) Thirumaran RK, Gast A, Flohr T, Burwinkel B, Bartram C, Hemminki K, Kumar R, Sinnett D, Labuda D and Krajinovic M (2005) MTHFR genetic polymorphisms and susceptibility to childhood acute lymphoblastic leukemia. Blood 106:2590-1. 41) Krajinovic M (2005) Further insight into the role of NQO1 in childhood leukemia. Haematologica 90(11):1445. 42) Brukner I, Labuda D and Krajinovic M (2006) Phi-29-based amplification of small genomes. Anal Biochem. 354 (1): 154-156. MDEIE – Commercialization and Transfer Assistance Program 115 43) Todorovic Z, Dzocic E, Novakovic I, Mickovic D, Stojanovic R, Nesik Z, Krajinovic M, Prostrau M and Kostic V (2006) Homocysteine serum levels MTHFR C677T genotypes in patients with Parkinson’s disease with and without levodopa therapy. J Neurol Sci. 248 (1-2) :56-61 44) Costea I, Moghrabi A, Laverdiere C, Graziani A and Krajinovic M (2006) Folate cycle gene variants and chemotherapy toxicity in pediatric patients with ALL. Hematologica. 91 (8): 1113-1116. 45) Garcia-Bournissen F, Moghrabi A and Krajinovic M (2007) Therapeutic responses in childhood acute lymphoblastic leukemia (ALL) and haplotypes of gamma glutamyl hydrolase (GGH) gene. Leukemia Res. 31(7) :1023-1025. 46) Brukner I, El-Ramahi R, Gorska-Flipot I, Krajinovic M and Labuda D (2007) An in vitro selection scheme for oligonucleotide probes to discriminate between closely related DNA sequences. Nucleic Acid Res. 35(9):e66. 47) Brukner I, El-Ramahi R, Sawicki J, Gorska-Flipot I, Krajinovic M and Labuda D (2007) Hybridization assay performed at ambient temperature fur typing high-rish human papillomaviruses. J Clin Virology 39(2) :113-8 48) Brukner I, Krajinovic M, Dascal A and Labuda D (2007) A protocol for the in vitro selection of specific oligonucleotide probes for high-resolution DNA typing. Nature Protocols 2: 2807-2814 49) Gorska-Flipot I, Sawicki J Krajinovic M, Labuda D, Brukner I, Rouleau D, Ghattas G,. Franco E and Coutlée F (2008). Newly isolated HPV97 related to HPV 18 and 45 is highly prevalent in HIV positive males in Montreal. Int J Cancer. 122:1195-7 50) Dulucq S, St-Onge G, gagné V., Labuda D, Sinnett D, Moghrabi A, Krajinovic M (2008) DNA variants in dihydrofolate reductase gene and outcome in childhood ALL. Blood. 111:3692-3670 (the article presented in the journal issue by editorial) 51) Joly Y, Sillon G., Silverstein T, Krajinovic M, Avard D (2008) Pharmacogenomics : Don’t forget children. Current Pharmacogenomics 6 :77-84. 52) Dulucq S, Bouchet S , Turcq B, Lippert E, Etienne G, Reiffers J , Molimard M , Krajinovic M, Mahon F-X (2008) Multidrug Resistance Gene (MDR1) polymorphisms are associated with major molecular responses to standard-dose imatinib in chronic myeloid leukaemia. Blood 112:2024-20277 53). Krajinovic M. Brukner I., Iqbal O, Bender R., Joshi VA, John T, Tsao M-S, GL (2008) Further insight into the markers of methotrexate resistance in childhood acute lymphoblastic leukemia patients. Personalized Medicine, 5:325-329. MDEIE – Commercialization and Transfer Assistance Program 116 53) Krajinovic M (2008) MTHFD1 gene: role in disease susceptibility and pharmacogenetics, Pharmacogenomics 9:829-832. 54) Ollivier M-L, Dubois M-F, Krajinovic M, Cossette P, Carmant L (2008): Risk factors for valproic acid resistance in childhood absence epilepsy. J. Epilepsy (submitted) 55) Ansari M, Lauzon-Joset J-F, Vachon M-F, Duval M, Théorèt Y, Champagne M, Krajinovic M (2008) Influence of GST gene polymorphisms on busulfan pharmacokinetics in children. Blood (submitted) Published contributions to a collective work/book chapters/reviews (2003 – present) 4) Sinnett D, Mathonnet G, Meloche C, Moghrabi A, Labuda D and Krajinovic M (2003) Genetic determinants to childhood acute lymphoblastic leukemia. Recent Res Devel Haematol. 1:135-154. 5) Labuda D, Krajinovic M and Bourgeois S (2004) Allele specific oligonucleotide hybridization (ASO). Encyclopedia of Diagnostic Genomics and Proteomics, Marcel Dekker, New York; pp38-41. 6) Krajinovic M and Moghrabi A (2004) Pharmacogenetics of methotrexate. Pharmacogenomics 5:819-834. 7) Sinnett, D, Meloche C, Labuda D, Mathonnet G, Moghrabi A, Sabbagh A, Infante-Rivard C and Krajinovic M (2005) Genetic susceptibility to childhood acute lymphoblastic leukemia. Progress in Leukemia Research, Nova Science Publishers, Inc. New-York. pp. 1-31 8) Sinnett D, Labuda D, and Krajinovic M (2005) Challenges identifying genetic determinants of pediatric cancers – the childhood leukemia experience. Familial Cancer 5:35-47. 9) Sinnett D, N’Diaye N, Labuda D and Krajinovic M (2006) Genetic determinants of childhood leukemia. Bulletin du cancer. 93:857-865. 10) Ansari M and Krajinovic M (2007) Pharmacogenomic in cancer treatment: Defining genetic bases for interindividual differences in responses to chemotherapy. Curr Opin Pediatr. 19:15-22. 11) Ansari M and Krajinovic M (2007) Pharmacogenetics of acute leukemia. Pharmacogenomics. 8 :817-834. MDEIE – Commercialization and Transfer Assistance Program 117 12) Robaey P, Krajinovic M, Marcoux S and Moghrabi A (2008) : Pharmacogenetics of sensitivity to chemotherapy. Ment. Retard. Dev Disabil. Res. Rev. submitted. 13) Krajinovic M (2008): Pharmacogenetics of acute lymphoblastic leukemia in Advani A: Adult Acute Lymphocytic Leukemia: Biology and Treatment. Humana Press (submitted) Invited presentations (2003 - present) 5) 6) 7) 8) 9) 10) 11) 12) “Pharmacogenetics of ALL”, Hôpital Hôtel-Dieu, October 16, 2003. "Pharmacogenetics of methotrexate", 9th World Congress on Advances in Oncology and 7th International Symposium on Molecular Medicine, October 1416, 2004, Hersinissos, Crete, Greece. «Pharmacogénétique de la leucémie lymphoblastic aigue», Centre de Recherche, Hôpital Sainte-Justine, Ocotber 28, 2005. « Pharmacogenetics of immunosuppressors », 1ere Journée de Pharmacologie clinique, Ste-Justine Hospital, June 2006. “Pharmacogénétique de la leucémie lymphoblastic aigue”, Service d’hématologie, Hôpital Sainte-Justine, Montréal, April 2007. « Pharmacogénétique et leucémie lymphoblastique aigue » 10eme Congres de BioACM, Université du Québec à Montréal, May 2007. « Pharmacogenetics: principles and application », World University Service (WUS) Brain Gain Program, Belgrade, June 11-15, 2007. “Pharmacogenetics of acute lymphoblastic leukemia”, The IX th World Conference on Clinical Pharmacology and Therapeutics, July 27–August 1, 2008, Québec City, Canada. MDEIE – Commercialization and Transfer Assistance Program 118 Grant Support Received Organism Fondation de l’Hôpital Ste-Justine (Fonds d’installation) Centre de recherche, Hôpital Ste-Justine (thematic funds) Centre de recherche, Hôpital Ste-Justine (thematic funds) Leukemia Research Fund of Canada (operating grant) Canadian Institutes of Health Research (operating grant) Cancer Research Society, Inc. (operating grant) Title Principal Applicant Maja Krajinovic Amount/ year $50, 000 2000-2002 Genetic determinants of MTX associated neurotoxicity. Krajinovic, M $30,000 2001-2002 Mining the archives for genetic material. DNA extraction and whole genome amplification of hematologic smears from leukemic patients. Genes relevant for methotrexate response and the risk of relapse in childhood acute lymphoblastic leukemia. Genetic determinants of the MTX response in childhood ALL. Infante-R, C Krajinovic ,M Damian, L Sinnett, D Krajinovic, M $52,000 2001-2002 $40,000 2001-2003 Krajinovic, M $56,000 2002-2005 The role of functional polymorphisms in Krajinovic, M genes relevant for the corticosteroid response in the outcome of childhood acute lymphoblastic leukemia. Set up of a laboratory for Krajinovic, M pharmacogenetics development. $50,000 2002-2004 $524,000 2002 Krajinovic, M $50,000 2002-2004 Labuda, D Krajinovic, M $10,000 2004-2005 Krajinovic, M $10,000 2004-2005 Labuda, D Krajinovic, M Gorska-Flipot, I Krajinovic, M $197,326 2004-2006 $57,184 2005-2006 Principal Applicant Krajinovic, M Amount/ year $10,000 2006-2006 Carmant, L Krajinovic, M Champagne, M Duval, M Krajinovic, M $21,750 2006-2007 $32,000 2006-2007 Genetic modulation of therapeutic response Canada Foundation for Innovation (infrastructure grant) Société de la recherche sur The role of functional polymorphisms in le cancer inc. genes relevant for the corticosteroid response in the outcome of childhood acute lymphoblastic leukemia Centre de recherche Développement d’une nouvelle pédiatrique de l’Hôpital génération de sondes du diagnostic Ste-Justine moléculaire obtenues par la sélection in vitro Centre de recherche Whole genome amplification (WGA) pédiatrique de l’Hôpital des échantillons génomiques en péril Ste-Justine CIHR Developing diagnostic tools through in vitro molecular evolution CIHR Organism Centre de Recherche, CHU Ste-Justine Savoy Fondation PDL BioPharma, Inc. Genetic determinants of the response to anticancer drugs in childhood acute lymphoblastic leukemia Title Technological improvement for nucleic acid amplification from clinical samples Pharmacogenomics of refractory childhood absence epilepsy Polymorphisms and Busulfan Pharmacokinetic Study MDEIE – Commercialization and Transfer Assistance Program Period Period 119 Charles Bruneau Foundation The Leukemia & Lymphoma Society of Canada CIHR (POP) Centre d’excellence en Oncologie pédiatrique et en soins palliatifs Fondation Télémaques Suisse Fondation Charles Bruneau CIHR Methotrexate pharmacogenetics Childhood ALL pharmacogenetics: defining genetic bases for interindividual differences in therapeutic response Optimization and validation of human papilloma virus probes obtained through in vitro molecular evolution Volet pharmacogénétique du centre d'excellence Pharmacogénétique du Busulfan Ansari, M Théoret,Y Krajinovic, M $50,000 2006-2007 Krajinovic, M. $50,000 2007-2008 Labuda, D, Krajinovic, M Gorska-Flipot, I Krajinovic, M $150,000 2007-2008 $74, 000 2007-2010 $43,000 2007-2008 $100,000 2008-2009 $121,353 2006-2009 Ansari, M Krajinovic, M Génétique, polymorphisme et cancer Maja Krajinovic Yves Théoret, Jean-Christophe Fournet The potential to optimise asthma Krajinovic, M treatment based on individual genetic Laberge, S predisposition to respond to major drugs Bérubé, D classes used in therapy of asthma MDEIE – Commercialization and Transfer Assistance Program 120 Annex 4. MDEIE – Commercialization and Transfer Assistance Program 121 MDEIE – Commercialization and Transfer Assistance Program 122