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4-th INTERNATIONAL CONFERENCE ON
TRANSLATIONAL MEDICINEOCTOBER 26-28, 2015 BALTIMORE, MARYLAND, USA
Translational medicine – our
approach.ALEXANDER V MELERZANOV MD PHD
DEAN OF BIOLOGICAL AND MEDICAL PHYSICS DEPARTMENT
MOSCOW INSTITUTE OF PHYSICS AND TECHNOLOGY
(STATE UNIVERSITY)
MIPT HISTORY
For the time of MIPT’s existence 8 Nobel prize winners were its professors and founders
2 Nobel prize laureates for graphene in 2010 are MIPT graduates
MIPT ADVISORY BOARD
MIPT –LEADING RUSSIAN TECH UNIVERSITY
EDUCATIONAL MISSION: Cross-disciplinary training of highly qualified specialists
based on mandatory participation of all students in research practice ;
STRATEGICAL GOAL: Elaboration and transfer of new technologies into industry
FOR REFERENCE: 1st among high schools by average exam score of entrants; 1st place among RUS technical universities ; 2-3d place in the RUS universities rating; ~ 3000 undergraduates ~ 2500 graduates
FOR less then 65-YEARS HISTORY: 10 Nobel prize laureates ~150 Members of Russian Academy of Sciences; ~ 6000 Doctors of Science;
NEW DEFINITIONS FOR MEDICINETRANSLATIONAL MEDICINE is a discipline within biomedical and public health research that aims to improve the health of individuals and the community by "translating" findings into diagnostic tools, medicines, procedures, policies and education.
PREVENTIVE MEDICINE consists of measures taken for disease prevention, as opposed to disease treatment. Just as health encompasses a variety of physical and mental states, so do disease and disability, which are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices.
PERSONALIZED MEDICINE is a medical model that proposes the customization of healthcare - with medical decisions, practices, and/or products being tailored to the individual patient. In this model, diagnostic testing is often employed for selecting appropriate and optimal therapies based on the context of a patient’s genetic content or other molecular or cellular analysis. Wikipedia
NEW HEALTHCARE MODEL
TRANSLATIONAL MEDICINE - PREVENTIVE MEDICINE
PERSONALIZED MEDICINE
PERSONALIZED HEALTH PRODUCT
PERSONAL DATA BASED RECOMMENDATIONS
FUNDAMENTAL AND APPLIED RESEARCH
FEATURES, OUTCOMES AND GOALS OF THE NEW MODEL
OF HEALTHCARE
PREVENTIONEARLY DIAGNOSTICSTARGETED THERAPYDIRECT ECONOMICAL EFFECTINDIRECT ECONOMICAL EFFECT
HEALTHIER POPULATIONPRODUCTIVE LOGEVITY
SHORT HISTORICAL REVIEWPREVENTION starts with parents genetic testing and family consulting and continues with regular check-ups and biobanking NIKOLAY A. SEMASHKO (1874-1949) PREVENTION MEDICINE AS A SYSTEM, MOSCOW, 1926
EARLY DIAGNOSTICS including microbiome EVGENIY I. CHAZOV EARLY DIAGNOSTICS AT A NATIONAL LEVEL, USSR, 1970-s “REGULAR CHECK-UP SYSTEM”
TARGETED THERAPY “Targeted therapy is one of the major modalities of medical treatment” Wiki V. Craig Jordan and Elwood V. Jensen on the occasion of learning they were going to be the inaugural recipients of the Dorothy P. Landon/AACR Prize (2002) for Translational Research. “Tamoxifen: catalyst for the change to targeted therapy” V. Craig Jordan Eur J Cancer. Author manuscript; available in PMC 2009 Jan 1.Published in final edited form as: Eur J Cancer. 2008 Jan; 44(1): 30–38. doi: 10.1016/j.ejca.2007.11.002
ECONOMICS
PRODUCTIVE LOGEVITY IS THE ONLY WAY
TO OVERCOME ECONOMICAL CRISIS
OF THE AGING WORLD
What do we need to make Translation Medicine happen?
1. Understanding by society2. Funds3. Change of law and regulations including insurance
coverage4. Freedom for physicians in taking decisions5. Deep patient’s involvement through the education
and mass-media6. Multidisciplinary trained professionals and joined
teams
Who is the translational medicine specialist?
TEAM OF MULTIDISCIPLINARY TRAINED PROFESSIONALS
PHYSICIST BIOTECHNOLOGIST(ACCORDING TO THE EXISTING REGULATION)
PHYSICIAN
RESEARCHER
X XANALYST
X X
GENERAL TRAINING (APPLIED PHYSICS) (BS)
TRANSLATIONAL MEDICINE (MS)BS DEGREE: 4 YEARS OF PHYSICS, 4 YEARS OF MATH, 3-4 YEARS OF CHEMISTRY, 2-3 YEARS OF BIOLOGY AND HUMAN PHYSIOLOGY4 YEARS OF LAB WORK1 YEAR OF RESEARCHMS:1 YEAR OF PHYSICS1 YEAR OF CHEMISTRY1 YEAR GxP and ROSZDRAVNADZOR “Russian FDA” regulations2 YEARS OF RESEARCHOPTIONS:DRUG DESIGN AND DEVELOPMENTMEDICAL EQUIPMENT RESEARHOMICS TECHNOLOGUESBIOINFORMATICSBIOCHEMISTRYBIOPHYSICS
PHYSICIANS TRAINING (PLAN)CERTIFICATION COURSES FOR BASIC SCIENCE AND FOR OMICS TECHNOLOGIES SEVERAL “MODULES” 16 HOURS EACH ACCORDING TO A NEW SYSTEM OF CONTINIOUS EDUCATION CREDUTS TO BE IMPLEMENTED FROM 2016 IN RUSSIA.
THEORETICAL COURSES FOR THE WHOLE VARIETY PRESENTED IN MIPT AT THE CHAIR OF MOLECULAR AND BIOLOGICAL PHYSICS AND CHAIR OF THE INNOVATIVE PHARMACEUTICALS AND BIOTECHNOLOGIES
LAB PRACTICE:STEM CELLS LABGENOMICS LABTRANCRIPTOMICS LABPROTEOMICS LABBIOINFORMATICSBIOANALITICS LAB (METABOLOMICS)
STAKEHOLDERS IN RUSSIA
FEDERAL MEDICO-BIOLOGICAL AGENCYFEDERAL CLINICAL RESEARCH CENTER FOR PEDIATRIC HAEMATOLOGY,ONCOLOGY AND IMMUNOLOGYHEALTHCARE SYSTEM OF PRESIDENTIAL AFFAIRSNATIONAL SPACE AGENCYMOSCOW RESEARCH INSTITUTE OF EMERGENCY CAREMOSCOW RESEARCH INSTITUTE FOR ONCOLOGYCENTER FOR HEAMATOLOGYRESEARCH INSTITUTE FOR CLINICAL CARDIOLOGYBIOPHARMCLUSTER “NORTHEN” AND PARTHERS
EXAMPLES OF 3 CNETERS PLANNED BY MIPT IN COLLABORATION WITH HOSPITALS AND VENDORS:
TRANSLATIONAL MEDICINE CENTER WITHOUT OMICS TECHNOLOGIES
UNITED CENTER OF
MIPT, FMSMU ANDGEORGE
WASINGTON UNIVERSITY
FORTRANSLATIONAL
MEDICINE
Application is pending
Russian SpeakingAcademic Science
Association
Translational medicine center
No omics, only math modeling, radiology and interventional cardiologyThe idea behind is an establishing of the classification of human hearts by sizes and shapes for further design of a custom-made cardiac flexible electronics.At a moment center is about to start getting statistics.
ANGIOSURGERY PROGNOSIS
Virtual Fractional Flow Reserve Assessment
TRANSLATIONAL MEDICINE CENTER FOR ONCOLOGY
data is provided by courtesy of R.G.C.C. and Natalilab
Clinical data response in 254 cases complete response partial responsestable diseaseprogress of disease Response Number Percent Complete Regression 31 254 12,2 % Partial Regression 103 254 40,6% Minor Response 33 254 12,9 % Stable Disease 34 254 13,4 % Progression 26 254 10,2 % Treatment not started 27 254 10,7 % Response was assessed according to RECIST criteria after 2 years of follow up
CENTER FOR PERSONALIZED MEDICINE FMBA-MIPT
PERSONALIZED ANTI-AGEING RESEARCHNUTRIGENETICSREGENERATIVE MEDICINE AND COSMETOLOGYTELMEDICINE
News of the dayMinistry of Education and Science of Russia
has just accepted our application for the first in Russia translational medicine program.
26-th of October 2015
THANK YOU FOR YOUR ATTENTION