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mRNA proteins DNA predicts certain Limited info concerning Potentially comprehensive possible future possible future evolving health; l i h lth information concerning health issues advanced measurement evolving health; technologies


  1. mRNA proteins DNA predicts certain Limited info concerning Potentially comprehensive possible future possible future evolving health; l i h lth information concerning health issues advanced measurement evolving health; technologies 100 element mRNA panels (Genomic Health breast cancer) ~$2k for patient $2k f ti t Pauciparameter Actual cost ~20 cents / mRNA (PCR based) PSA, CA125, troponins qPCR (quantitative) costs more $50 per protein for patient Actual cost ~$25 (antibody based) Entire genome sequence ~$50,000 today per patient ~$1k in 5 yrs or so $1k i 5 (next-generation, non-PRC technologies) 1

  2. Strategy # III: Measure Biological Function g (this is the hardest) Cell Circuit Network DNA mRNA protein p 2

  3. Network Hypotheses from large-scale mRNA & genomic measurements

  4. Can we reduce representations like this into a few (<100) proteins worth measuring to achieve a diagnosis? orth meas ring to achie e a diagnosis?

  5. The blood proteome: The richest window into health & disease ~100,000 different proteins 100 000 diff t t i (including post-translational modifications) Concentrations range from 10 -3 M to 10 -17 M How we use this is evolving into a very high technology, with design automation with design automation playing roles in many aspects 6

  6. Conventional Blood protein measurement Conventional Blood protein measurement Extract ~5 ml blood Serum from Centrifuge to separate plasma or serum which proteins are measured Gel Measure proteins in 96 well plate Measure proteins in 96 well plate separator p cells ll • Slow (few hours); ( ) • human intervention (costly) • not comfortable for patient • Doesn’t scale to lots of proteins Doesn t scale to lots of proteins • Lacks sensitivity & dynamic range 7

  7. Whole-blood plasma Antibody-barcodes Antibody-barcodes Heath group; 8 Nature Biotech; 2008

  8. Separating Plasma from whole blood Dr Brian Yen & Ophir Vermesh Dr. Brian Yen & Ophir Vermesh Blood in Blood in plasma plasma Blood Molecular & tissue measurements Blood out Blood out handling Assay region Assay region

  9. Technology must be simple, robust, quantitative and accurate to 10% on a log scale Required for commercialization AND for using devices in clinical trials AND for using devices in clinical trials AND for using devices to learn new science Nature Biotech, 2008 10

  10. Robotics for chip manufacture 2 nd installations (one at UCLA to support clinical trials) Habib Amad 40 chips per day 6 fingerpricks per chip 20 proteins per fingerprick $500 total cost Or 10 cents/protein Cost is limited by antibodies 11

  11. Glioblastoma Patient Trial Bi Biomarkers 1 to 12 k 1 t 12 Patient ID Reference Positive Control 1. IL2 2 2. MCP ‐ 1 MCP 1 # 1 VEGF 3. IL ‐ 6 4. G ‐ CSF # 2 5. MIF MIF, EGF, VEGF, IL ‐ 8, IL ‐ 1RA , , , , 6. EGF 7. VEGF # 3 VEGF, IL ‐ 8 8. PDGF ‐ AB 9. TGF ‐ A 9 TGF A # 4 10. IL ‐ 8 MIF, EGF, VEGF, PDGF ‐ AB, TGF ‐ A, IL ‐ 8, IL ‐ 1RA 11. IL ‐ 1RA 12. HGF # 5 # 5 VEGF PDGF ‐ AB TGF ‐ A VEGF, PDGF ‐ AB, TGF ‐ A 13. Reference 12 Negative control

  12. Electronic Design Automation What is the basis for the panels of biomarkers? What is the basis for the panels of biomarkers? 1. Literature: provides 4 or 5 potential protein biomarkers 2 2. Deep transcriptome analysis to identify genes that are D t i t l i t id tif th t expressed only in the brain: provides ~100 protein biomarkers 3. As many (or more than) 100,000 measurements carried y ( ) , out on specific patient’s tissue (surgically resected): provides ~ 20 protein biomarkers Measurements carried out as a function of time cell type Measurements carried out as a function of time, cell type, molecular (drug) perturbation, etc., on proteins, mRNAs, genes, etc. The ideal panel may vary from patient to patient, and putting it together can be beyond an individual’s capacity to mine data. g y p y 13

  13. Examples of such experiments on cells derived from a glioblastoma patient’s tumor tumor 14

  14. We need algorithms that can take many (perhaps 10 8 ), diverse experimental measurements and utilize them to back out: • A hypothesis for how the system works • How the system has been perturbed by disease • A few measurements we can make that will reflect the state of A f t k th t ill fl t th t t f the system 15

  15. The biggest protein-measurement bottleneck: Protein Capture Agents Antibodies can cost ~$500 per milligram They are chemically, biochemically, and physically unstable h i ll t bl Can cost ~$10 4 -$10 5 to develop Keeping a panel of ~20 antibody pairs stable for a 20 protein blood assay can cost as much as the antibodies themselves A 100 protein (antibody) assay would be almost impossibly expensive to maintain p 16

  16. Pasadena test for a Protein Capture Agent Rosemary Rohde & Rosemary Rohde & Heather Agnew Store as a powder in your car trunk on an August day in Pasadena Store, as a powder, in your car trunk on an August day in Pasadena Retrieve one year later Capture agent still exhibits antibody-like selectivity and sensitivity Technology must be adaptable to high throughput manufacturing 17

  17. Protein Capture Agents Chemically Biologics Biologics prepared libraries OH chemical space & h i l & chemical space & molecular size are trade- molecular size are both offs – e.g. a comprehensive 6- achievable mer (short) peptide library constructed from 18 artificial Stability, solubility, amino acids is >30M etc., are generally not compounds – a barely achieved manageable number Antibody-like affinities and selectivities (from Stability, solubility, etc., artificial peptide-like capture agents) requires the can be built in sampling of comprehensive chemical space for a sampling of comprehensive chemical space for a 25-30-mer peptide constructed from 18-22 amino acids, over multiple generations 18

  18. Manufacturable & Stable Protein Capture Agents Requirements of a good strategy • Simple & robust chemistry • Comprehensive chemical space & high molecular weight • Capture agent stability built-in at the start • Prior knowledge about protein target IS NOT required • Entire scheme may be automated And.. Antibodies: start  finish 24 – 36 weeks Capture agents: start  finish 2 3 weeks Capture agents: start  finish 2-3 weeks 19

  19. A novel approach to Small Molecule Inhibitors Very reliable chemistry (Huisgen 1,3-dipolar cycloaddition) y y ( g p y ) R. Huisgen, G. Szeimies, L. Möbius, Chem. Ber. 1967 , 100 , 2494–2507. N N N N 3 N 3 N 3 N 3 K. Barry Cu(I) catalyst Sharpless “Click” Click 20 H. C. Kolb, M. G. Finn, K. B. Sharpless, Angew. Chem. Int. Ed. 2001 , 40 , 2004–2021.

  20. A novel approach to Small Molecule Inhibitors N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 K. Barry Sharpless N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 N 3 a small molecule drug Split into two parts Make a library of each part library of azides N N library of N N 3 N 3 N 3 N 3 Protein catalyst alkynes y N 3 N 3 N 3 N 3 N 3 3 “Click” 10 -6 M 10 -6 M (10 -6 M)(10 -6 M) = 10 -12 M 21 H. C. Kolb, M. G. Finn, K. B. Sharpless, Angew. Chem. Int. Ed. 2001 , 40 , 2004–2021.

  21. 10 8 element bead-based An azide terminated 6-mer peptide library built 7-mer peptide from artificial and non- anchor ligand g natural amino acids natural amino acids discovered using N 3 N 3 N 3 N 3 conventional -x 1 x 2 x 3 x 4 x 5 x 6 - ≡ screens A 1 A 2 A 3 A 4 A 5 A 6 A 7 A A A A A A A Protein target x i = artificial or non- natural amino acid i=1-18 Protein + anchor ligand incubated with large peptide (bead) library Protein an Protein couples best library peptides with anchor ligand by p y p p g y catalyzing formation of triazole A biligand is formed A biligand is formed. That biligand may be used to form a That biligand may be used to form a triligand, which can be used to form a tetraligand, etc… 22

  22. NH 2 NH 2 O O O O NH NH H H 2 N HN N HN HN HN HN O O O O NH 2 2 N N HN HN HN HN HN HN HN HN HN HN N O O O O O O N N O O O O H H H H H H H H H H H H 2 N H 2 N H 2 N N N N N N N N N N N N HN N O O O O N N N N N N N N N N N N N N N N N N N N N H H H H H H H H H H H H O O O O O O O O O O N N N N N N NH 2 NH 2 NH 2 NH 2 O O O O O O O O O O O O O O O O H H H H H H H H H N N N N N N NH 2 NH 2 N N N N N N N N N N N N N N H H H H H H H H H H H O O O O O O O O NH NH NH 2 NH 2 NH 2 NH 2 Human CAII (40 nM affinity) Using for serum detection 23

  23. Making the approach high throughput 1. Make 34 million 1. Make 34 million peptides, one peptide per bead 24 hr = 1 library (only 5. Make focused make once) make once) peptide library, and tid lib d repeat 2-4 2. Incubate with 26 hrs fluorescently labeled ~2-3 days to 2 3 days to protein: 4 hours p identify an anchor peptide 4. Single bead peptide sequencing 3. Identify 100 hit to identify hits: y beads: 4 hours b d 4 h MALDI TOF/TOF ~4 hours protein → multi-ligand → 1-2 weeks 24 In Singapore: Jaehong Lim Su Seong Lee Junhoe Cha Sylvia Tan Shi Yun Yeo

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