application of bio-nanotechnology in chinese medicines

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Application of bio-nanotechnology in Chinese medicines September 10-11, 2015 Seminar on Research and Development of Chinese Medicine Hong Kong Convention and exhibition Center Hong Kong Ratnesh Lal, Ph.D. Professor of Bioengineering, Materials Science, Mechanical Engineering Co-Director, Center for Excellence in Nanomedicine and Engineering, IEM University of California, San Diego Visiting Professor, Chinese academy of Sciences

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Application of bio-nanotechnology in Chinese medicines

September 10-11, 2015

Seminar on Research and Development of Chinese MedicineHong Kong Convention and exhibition Center

Hong Kong

Ratnesh Lal, Ph.D.Professor of Bioengineering, Materials Science, Mechanical Engineering Co-Director, Center for Excellence in Nanomedicine and Engineering, IEM

University of California, San Diego Visiting Professor, Chinese academy of Sciences

Nano-Bio Lab

Nano-machines and sensors based on:•Cantilevers•Nano chips•Smart materials to sense forces, fields and energies

On-demand, targeted delivery

Nano biotechnology•Nanoimaging•Nanomanipulation•Nanopatterning•Nanoarray designand synthesis

Imaging-based Diagnostics

• Amyloid diseases• Heart diseases• cancer

Today Talk: Can Nanotechnology help Chinese Medicine get Global acceptance

Beginning of Nanotechnology and Nanomedicine•Discovery of Nanotube

• Nanoscale materials with magical properties for interactions with its environment

•Discovery of Scanning Tunneling and Atomic Force Microscopes (STM and AFM)•Allow study of structures, motion and all physical forces at atomic scale in fluid•Allow manipulating and creating structures at atomic scale

Nanoscience and technology is about• Understanding principles of physical world • Designing Technology to unravel world

at the scale of molecules and structures that make and run the world we live in

Accelerating Nanotechnology Applications to Human Health- Nanomedicine

Global Investment: >$1010

• Current Global market: ~$1010

• Global market by 2017: $1012

• Global Nanobio companies: ~103

• Global Population: >109

• Human size: 100

• Human cells: 10-6

• Biological macromolecules: 10-9

• Biological processes: 10-11-101

• Which means billions of us are controlled by structures and mechanicsbillionth times smaller (Nano) than us

Disease Diagnosis: 101

• Disease Treatment: 101

• Disease Prevention: 101

Can TCM gain a larger share of the market?

Scope of Nano-biotech & Nanomedicine

Nano-Diagnostics Nano-Therapeutics

Nano-Devices

Define causeand

Diagnose Pathology

Define TargetsReceptors, Channels

Monitor DiseaseAnd

Therapy states

Design TherapeuticsDrugs, interventions

Optimize EfficacyMinimize Side Effects

Targeted Delivery•Controlled delivery,

•guided delivery•On-demand release

Devices to MaintainTissue Activity

In-vivo Sensors• Diagnosis• Remotely controlled• Multi-functional

Devices for Tissue regeneration•Stem cell therapy•Wound healing•Bone growth

Diagnosis: high resolution and sensitivity

Therapy• Reduce the Dose• Treat localized cells/tissues• Minimize side effects

• Biocompatible/non-toxic• in Vivo Stability• biodegradable

Topics No. of Publications

Nanotechnology in Medical Applications 295,000

Chinese Medicine 2010Homeopathy 652

Ayurveda 644Acupuncture 849Acupressure 49

Japanese Medicine 5Korean Medicine 10

Data collected from Google Scholar

Nanotechnology in Eastern Medicine (<1%)

I will give examples of nanoimaging, nanomaterials and nanomechanics technologythat relates to three essential components of all living systems (structure, motion and interaction withenvironment) can be used in Chinese medicineHolistic ApproachMedicine works by the synergistic action of many active constituents 

Nanoimaging for Nanomedicine

• Imaging functional ion channels• Imaging amyloid (misfolded) channels• Imaging single molecule proteolysis

Relevance to Heart and lung diseases, Alzheimer’s and other brain diseases, muscular diseases, cancer

Cell-Cell and Cell-Surround Communication Channels

Immunolabeling of hemichannel

Hemichannel

Gap

Cell 1

Cell 2

Ramachandran et al Plos One, 2006;Thimm et al, J Biol Chem, 2004; Hoh et al, Science, 1991

A key Structure for the Evolution and Sustenance of Multicellular Organisms

openclosed

1

1

2

3

2

34

4

55

6

6

11

22

3 34 4

55

66

3D topography

Surface energetics map

Apoptosis6

Extracellular

Cytoplasm Smoking extract/ ROS Intake

Smoking induced lung diseases: • Emphysema• Cancer

12

345

6

John et al, J Struct Biol, 1997

Good and Bad of Amyloids

• Amyloids as Foe

• Amyloids as friendInfection Amyloid Proteins

(Anti‐microbial Proteins)Death of infecting 

agents

• Nervous system• Immunity• Metabolic• Transport

Protein Misfolding

Amyloid Proteins

Accumulation as PLAQUES

Cell Death, Disease and System Failure

Is plaque, fiber or oligomer the mediator?

D 100 µM

500 nm 500 nmUntreated

A CBUntreated 20 µM

40 µM

E

1 mMUntreated 40 μM 100 μM

F

Before adding p3

*

Amyloid peptides Induce dose-dependent synaptic degeneration

Jang et al, PNAS, 2010

Defining New Paradigm of Disease Process And Defining Target (Channel/Receptor) Structure

Amyloid Diseases are a class of “Channelopathies” with Defined Ion Channels

SOD1 mutant

ALS

Quist et al, PNAS, 2005

B CA

Real-time collagen-collagenase Association-dissociationDefining Therapeutics’ Efficacy and Dosage

50 nm

A key Extracellular matrix protein, provides support for tissue sustenance and growth

Single triple helical collagen I molecule: AFM image

Lin et al, Biochem, 1999

Nano-mechanics for Nanomedicine

•Sensing intermolecular interaction•Sensing intracellular mechanics•Sensing whole cell mechanics•Sensing tissue mechanics•Sensing composite materials mechanics•In-vitro sensors for Biomarkers•In-vivo Sensors for Biomarkers and therapy

Diagnostics, Designing therapeutics and Therapy monitoring

Single molecule spectroscopy on living cells

25 min

25

20

15

10

5

025 µm20151050

13

2 4

45 min

100

200 kPa

150

50

0

25

20

15

10

5

025 µm20151050

10 min

Almqvist et al Biophys J, 2004

Online antibody addition

2 µm

10 min0 min 45 min

1 3

24

AntibodyAFM Tip

Cell membrane Antibody

0.03

0.02

0.01

0.00

Pro

babi

lity

300250200150100500Unbinding force (pN)

68 ± 35 pN0.03

0.02

0.01

0.00

Pro

babi

lity

300250200150100500Unbinding force (pN)

78 ± 25 pN163 ± 42 pN

0.03

0.02

0.01

0.00

Pro

babi

lity

300250200150100500Unbinding force (pN)

110 ± 57 pN

Locating Therapeutic Targets: VEGF Receptors

Nanomechanics of a Pulsating Muscle Cell

20 nm Shroff et al, Am J Physiol 1995

•Relevant to Muscular Disease Diagnostics and monitoring

Correlative Nano-Indentation and Tissue Elasticity with an AFM

1 m

Re

Exo

CoEndo

Parbhu et al, Biochemistry, 1999

Tissue stiffness-based diagnosis (cancer, MS, ALS, osteoporosis)Understanding How Acupuncture works

Sherman, Quist, Hansma, J Nano Res, 2009

Stickiness and Surface Roughness Of Composite MaterialsDiagnostics for Infectious bacterial biofilm, sepsis, cell-substrate adhesion

Tota

l Ind

enta

tion

Dis

tanc

e (

m)

Age (years)

Patients with fractures: Indentation diagnosis

A Perez, R Güerri, X Nogues, E Cáceres, MJ Peña, L Mellibovsky, C Randall, D Bridges, JC. Weaver,, D Brimer, KJ. Koester, RO. Ritchie, PK. Hansma, JBMR, 25, 1877-85 (2010)

nanomechanics of human menisci

Kwok et al. Nanomedicine: Nanotechnology, biology, Medicine,

in press, 2014

Diagnosing/Treating human diseases

Remote Sensor System for Various Organs/Tissues

RF, magnetic or thermal input signal and power

Remote RF output signal from implanted edema sensor

Controller module for signal transmitter and signal receiver

Computer analysis and control

Lung edema sensor

Arm edemasensor

Leg edema sensor

Brain edema sensor

Kidneyedema sensor

}

Implanted edema sensor(s)

Stent with attached sensor

Lal, Raman, Jolly, Jin, US patent 2012

Modified from Raman et al, 2009

Remotely Guided in-vivo Theranostics

Lung

Arm

Leg

Brain

Kidney

Remote electromagnet array1 2 3 4 5

1 2 3 4 5

Swallowedcamera

MagnetizablestripesMotion in

gradient fieldIntestine wall

Drug delivery capsule (MEMS or magnetically actuated)

Tumor or ulcer

GI TractBody cavity

Nanodelivery for Diagnosis and Therapy

Nano-carriers• Nanotubes• Nanoclusters• Nanoshells• Dendrimers• Nanoliposomes Magnetically-vectored Nano-capsules Nano bowls, nano-golf balls

Therapeutic Carriers

Diagnostic Augments

Controlled and Targeted Theranostic NanoCapsules

TAG

TAG

TAG

Biocompatible PolymerGate

Targeting Molecule

On‐off Gate

Under patent embargo

Magnetic Gold/Silica Nano Bowls and Capsules

Silica Olive bowl Iron Oxide particles

Remove PS coreGold Seed Gold Plate

Amine Functionalize

‐1

‐0.8

‐0.6

‐0.4

‐0.2

0

0.2

0.4

0.6

0.8

‐15 ‐5 5 15

Magne

tization (emu/g)

Applied Field (kOe)

Moment (emu/g)

For Targeting and controlled delivery

Under patent embargo

Controlled Release using stimuli‐sensitive Caps/coating

Close (remove heat)

Open w/ heat

heating

A

B

C

A: DNA closingB: DNA motors opening and closingC: encapsulation in hydrogel.

DNA based conjugation and actuation

Strand Displacement Devices

DNA thermal melting

Under patent embargo

Tight Junction

BloodEndothelial cell array

Basement membrane

Brain

Switchable drug release from magnetic capsules

BBBH (Step 1. BBB

Crossing)

SS S

NN NPermanent or electromagnet

Drug capsule

(Step 2. Switched-on drug release)

Kong et al, J controlled Release, 2013

BBB crossing by gradient magnetic field

For Brain Diagnosis and Therapy

magnet

Nano-Bio Lab

Funding:NIHNSFRC Nano CorpAlzheimer’s AssocCal Dept of Health

Interdisciplinary TeamNanobiophysicists NanotechnologstsMaterial

Scientists/EngineersBiochemists Cell and system BiologistsMedical Doctors

Dan Cohen, Ph.D., Electrical Engineer, UCSBArjan Quist, Ph.D., RC Nano CorpJai Raman, M.D., Ph.D., Cardiothoracic Surgeon, U ChicagoNeeraj Jolly, M.D., Cardiologist, U Chicago

CollaboratorsSungho Jin, Ph.D.,Materials ScientistShankar Subramaniam, Ph.D.BioinformaticsShyni Vargese, PhDTissue engineering/biomaterialsGina Sosinski, Ph.D.Structural BiophysicistVeronica Shubayev, MDNeurosurgery

Michael Karin, PhDBiochemistry and Molecular BiologyFarooq Azam, Ph.D.Scripps Oceanography InstituteAshok Deniz, PhDScripps InstituteBrian Eliceri, PhDCell BiologistAmi Chand, Ph.D., Materials Scientist, Appl Nannostruct

Group Members:Research Scientists:Srini Ramachandran M.D./ Ph.D. Preston Landon Ph.D.Fernando Arce Ph.D.Graduate StudentsAlan GillmanLaura Connolly Alex MoBrian MeckesJeanie Kwok Michael HwangJoon LeeNirav PatelMukunth Vaidyanathan

UndergraduateLu YangKarl HujsakNader BagherzadehSinduja Karl MarxAlan GomezSuri ShermanCeline LiongMax YangPavan KanekalSanam Mozaffari