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Frangioni LaboratorySeeing is Curing.™ Center for Molecular Imaging
Beth Israel Deaconess Medical Center
A Robotic Chemistry System for the Discovery ofCancer-Specific Targeting Ligands
John V. Frangioni, M.D., Ph.D.
Associate Professor of MedicineAssociate Professor of Radiology
Beth Israel Deaconess Medical CenterHarvard Medical School
Boston, MA
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Disclosures• This talk describes the off-label use of indocyanine green,
which is FDA-approved for other indications.
• The FLARE™ imaging system is investigational only andnot approved for the indications shown.
• All FLARE™ technology is owned by Beth IsraelDeaconess Medical Center, a teaching hospital ofHarvard Medical School. As inventor, Dr. Frangioni maysomeday receive royalties if products are commercialized.
• Dr. Frangioni is the founder and unpaid director of TheFLARE Foundation, a non-profit organization focused onpromoting the dissemination of medical imagingtechnology for research and clinical use.
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Does this Man, Woman, or Child Have Cancer?
If so, how much and where is it?
If so, how can we cure it?
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Frangioni JV. “New technologies for human cancer imaging.”J. Clin. Oncol. 2008; 26: 4012-21.
The “Big Picture” in Cancer
≈ 1 million cells
≈ 1 billion cells
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
‘Plug and Play’ Chemistry to See and Kill Cancer
NonradioactiveOptical Contrast Agents
ChemotherapeuticsMRI Contrast Agents
RadioactivePET RadiotracersRadiotherapeutics
SPECT Radiotracers
Homing Device Light Bulb or Bomb
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
JChem-Based Roboticized Combinatorial Chemistry
#1 - Library SynthesisInput: Reactants and solventsOutput: Single tube w/104-105 beads
Gilson Quad Z215Liquid Handler
CEMMicrowave Synthesizer
Tech ElanBead Sorter
Sciclone ALH3000Liquid Handler
w/ custom UV Cleavage
Twister IIRobot for384 well
Plate Moves
Nikon TE2000Computer-Controlled
6-Channel Microscope
Bruker Ultraflex IIIMALDI-TOF
HST PrecisionGrids
#2 - Bead to Plate WellsInput: Synthesized beadsOutput: One bead per well
#3 - Compound Cleavage/Plating Inputs: Beads in wells Output: Compounds in DMSO
#4 - Glass Slide MicroarrayingInputs: Compounds in DMSOOutput: Compounds on Glass Slides
#5 - Live Cancer Cell Screening Inputs: Cells & glass slides Output: Hit selection (well #)
#6 - Compound IdentificationInputs: Compounds, EnumerationOutput: Absolute compound ID
TechElan BeadSorter
Twister IIRobot for384 well
Plate Moves
Genomic SolutionsMicroarraying
Robot
Twister IIRobot for384 well
Plate Moves
Custom LargeArea Stage
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Robotic Chemistry
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 0 - Software Infrastructure
ChemAxon JChem
In silico enumerationChemical databases
Pharmacophore modeling2-D and 3-D viewing
Custom C++/C# (± iLink Pro)Barcode managementInstrument integration
Robot logsQuality controlLinks to JChem
Database querying
Oracle Databases
BIDMC PetabyteStorage System
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 1 (Automated Split-Pool Synthesis)JChem: 1) In combination with KNIME, GUI-based construction of
combinatorial libraries.2) In silico enumeration of all possible stop-products and final
products.3) Creation of master data set for mass spec analysis (Station #6)
• Bead aspirator/dispenser• Liquid handler• Microwave heating• Conventional heating(+120˚C) and cooling (-20˚C)
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 2 (Bead Sorting and Quality Control)
CaliperTwister II
Tech ElanBeadSorter
MicrovideoInstrumentsDark-Field
Imaging System
VelmexBislider
CaliperMS-3 Barcode
Reader
1 Bead 2 Beads
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 3 (Liquid Handling and Bead Cleavage)
CaliperUV Cleavage Station
375 nm @ 20 mW/cm2
Variable Shaking
Caliper ScicloneALH3000
Caliper Twister IIw/ 3 pods
Caliper MS-3 BarcodeReader
1 mm
NH2
NH
O
NH
OH
O
OO
N+
O-
O
NH
O
NH2
1) Fmoc-6-Ahx-OH/HATU/DIEA/DMF
2) Piperidine/DMF
OH
O
O
OH
ON
+
O-
O
HATU/DIEA/DMF
1) COCl2/DCM
2) R-NH2/TEA
NH
O
NH
O
O
OO
N+
O-
O
NH
OR
h! (360 nm)
OOOH
NH2
COOH
= 4'-(aminomethyl)fluorescein
(4'-AMF)
5 5
R NH2
R
0 min
30 min
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 4 (Slide Microarraying)
CaliperTwister IIGenomic
SolutionsMicroarrayer
Caliper MS-3Barcode Reader
Glass Slides for LiveCancer Cell Screening
High-Throughput (5,076 spots)MALDI Slide
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 5 (Live Cancer Cell Screening)
Nikon TE2000Computer-Controlled,6-ChannelMicroscope
MicrovideoInstruments
CustomLarge-
Format Stage
Velmex Bislider
Automated quantitation of up to 56 1”x3” glass slides,2 cell types per slide, 6 fluorophores per cell with
absolute co-registration
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
PC-3 (800nm)LNCaP (700nm) 700 nm/800 nm Merge
1 mm
200 µm
Poly(allylamine) (PAAm)60 kDa; 1 mg/ml spotting
Station 5 (Live Cancer Cell Screening)
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Cancer-Specific Model Ligands
PC-3 (800nm)LNCaP (700nm) 700 nm/800 nm Merge
1 mm
200 µm
GPI (9 nM)β-AG Trimer (80 nM) GPI Trimer (700 pM)
Station 5 (Live Cancer Cell Screening)
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 6 (Non-Encoded MALDIIdentification of Compounds)
Bruker Ultraflex IIIMALDI-TOF
Calibration spots
Teaching spots
For spotting organic solvents
Hydrophobicregion
Hydrophilic region
SolventFocusing
Stainless steel
Custom 5,076 Spot Hydrophobic Patterned MALDI Plate (HST, Inc.)
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 6 (Non-Encoded MALDI)Combined view of all MALDI-TOF spectra acquiredfrom 5076 position array for 36 spotted compounds
1436.3 Da121.2 Da
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 0 - Software InfrastructureJChem: The key to making the system work.
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Station 0 - Software Infrastructure
JChem: The key to making the system work.
...5 Reactions in Series with 2 scaffolds and 5, 5, 5, 5, 4 reactants each = 5,000 compounds
Enumeration Process Time (JChem Reactor w/ KNIME and Custom Node): 6 min
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Summary of System Capabilities (all scalable)
Station # Unique Compounds1 Limited only by bead volume, likely ≈ 105 beads2 2 racks = 76 plates = 29,184 compounds3 1.4 racks/7 racks = 54 plates = 20,736 compounds4 2 racks = 29,184 compounds (6 1x3”slides)5 56 1”x3” slides (280,000 compounds)6 5,076 or 10,152 compounds per 13 hours
≈ Synthesis of 1 new 10,000 compound library every 2 days
≈ Screening of up to 100 cancer biopsies against 5,000 newcompounds in ≈ 2 hr
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
The Future is “Personalized Medicine”“Personalized Medicine” and the cure of cancer is going torequire cocktails (5-10 compounds per individual cancer) of
agents that target the population (stem, intermediate,differentiated) of cells that comprise a human tumor
Breast Cancer “Chip” (5,000 compounds)
Prostate Cancer “Chip” (5,000 compounds)
Patient #1
Patient #2
Patient #1
Patient #2
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Discovery Engine
Young Investigators
The BIDMC Center for Molecular Imaging
BIDMC andLongwood
Medical AreaResearch
Community
ImagingClinicalTrials
(eINDs,Phase 0,
IDEs)
TranslationalCancer Imaging
Facility
LongwoodSmall Animal
Imaging Facility(Longwood SAIF)
LenkinskiLab
FrangioniLab
Choi Lab Vinogradov Lab
Grant LabGibbs-Strauss LabPatientsIn
Need
Who are We?
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Translational Cancer Imaging Facility
• Funded by a $1.8M NIHStimulus Grant to construct thefacility
• Facilitates the clinicaltranslation of PET, SPECT, andNIR fluorescent targetedcontrast agents
...From Mouse to Human...
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
An Optical Imaging Platform for Image-Guided Surgery
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
NIR Fluorescent SLN Mapping in a Patient with Breast Cancer
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Acknowledgments
Director, Robotic Chemistry Group
Hak Soo Choi, Ph.D.
MALDIJeong Heon Lee, B.S.
EngineeringConor J. Cross, B.E.
JChem/Oracle IntegrationRafiou Oketokoun, M.S.
Tejas Gajera, M.S.Gabe Tobon, B.S.
ChemistryKhaled Nasr, Ph.D.
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Websites
www.centerformolecularimaging.org
www.frangionilab.org
www.longwoodsaif.org
Frangioni Laboratory - Center for Molecular ImagingBeth Israel Deaconess Medical Center
Relevant ReviewsFrangioni JV. New technologies for human cancer imaging. J. Clin.Oncol. 2008; 26: 4012-21.
Gioux & Frangioni. Image-Guided Surgery with NIR Light: Fundamentalsof Clinical Translation. Mol Imaging., 2010, in preparation.
Choi & Frangioni. Nanoparticles for Biomedical Imaging: Fundamentalsof Clinical Translation. Mol Imaging., 2010, in preparation.
Frangioni JV. Translating In Vivo Diagnostics into Clinical Reality.Nature Biotechnol. 2006; 24: 909-13.
Frangioni JV. The impact of greed on academic medicine and patientcare. Nature Biotechnol. 2008; 26: 503-7.
Gibbs et al. First-in-human clinical trials of imaging devices: Anexample from optical imaging. Proc IEEE Eng Med Biol Soc. 2009; 1:2001-4.