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Indo-US Workshop on
Co-organized by
arestream
CCMB
IUSSTF
Indo-US Science and Technology Forum
Imaging of molecules, cells, tissues, organs and whole organisms has been en vogue ever since the first X-ray
images of Albert von Kolliker's ring bearing hand were taken by Wilhelm Conrad Roentgen in 1896. Over the
past century significant advancement has occurred in this field, that has increased the sensitivity and
specificity of biomedical imaging and completely changed the way radiological medicine is practiced. The
first decade of the new millennium has brought even more impetus to the field thus beginning a new era for
the application of “imageology” in a large spectrum of disciplines that includes interactions between small
molecules, understanding higher order brain functions and discovery of new drugs.
The labs in United States have been pioneers in this newly developing science and the National Institutes of
Health has started a new institute specifically targeted for research on biomedical imaging, whose Deputy
Director is attending the workshop. Indian labs are also becoming aware of the power of these
developments and new infrastructure is being established at several institutes where bioimaging will be
practiced extensively. The Indo-US Science and Technology Forum, New Delhi recognized this synergy
between the US and Indian labs and approved a proposal submitted by CCMB, Hyderabad, India and
Carestream Health Inc. Woodbridge, USA to hold this workshop. On behalf of our respective institutions we
are privileged to host a very knowledgeable faculty for the workshop and we warmly welcome all the
participants to CCMB Hyderabad. We are thankful to the Director of CCMB who has graciously extended the
use of all the facilities at CCMB for this workshop.
Hope all of you will have fun and learn new things in the two and a half days that you spend here!
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AGENDA
Indo-US Workshop on
Applications of Molecular Imaging in Health, Disease and Drug Discovery
November 8-10, 2010 Venue: CCMB Lecture Hall
Ch. Mohan Rao, Director, CCMB, Belinda Seto, Dy. Director, NIBIB
and Nishritha Bopana, Science Officer, IUSSTF
Use of optical spectroscopic and imaging techniques for biomedical diagnosis P.K. Gupta
CAT, Indore
Combined Anatomical and Molecular Imaging with Therapeutics using Shanthi K. Nair
Biocompatible Nanoparticles AIMSRC, Kochi
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In vivo cellular imaging and its role in cell therapy Ali Arbab
CMIL, HFH, Detroit
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LIST OF PARTICIPANTS
INVITEES
SPEAKERS
From USA
Director of Advanced Magnetic
Resonance Center, 825, Oklahoma
1 Dr. Rheal Towner omrf.org
Northeast, 13th Street City
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From India
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PANEL DISCUSSION
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PARTICIPANTS
5 Dr. Sujata Mohanty All India Institute of Medical Sciences New Delhi sujmohantyin
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POSTER TITLES
1. Specificity in Gene Silencing Using Multifunctional Nanoparticles
Rao V. Papineni1, Tao Ji1, Thirupandiyur Udayakumar2, Mohammed M. Shareef2, Mansoor M.
Ahmed2, Alan Pollack2
1
Carestream Molecular Imaging, Carestream Health, Inc., New Haven, CT, USA;
2
Radiation Oncology, University of Miami, Miami, FL, USA.
2. Bisphosphonate targeting to specific skeletal sites in mice with whole body vibration
Rao V L Papineni. Sean Orton, Tao ji, Hans Schmitthenner, William McLaughlin, Douglas
Vizard and Jingyi Pan
Carestream Molecular Imaging, Carestream Health Inc., New Haven, CT
4. Safety and efficacy of the human fetal liver derived stem cell transplantation as supportive
modality in the management of end stage Decompensated liver cirrhosis – A2 year follw up
study
Habibullah CM*, Aejaz Habeeb M*, Aleem A. Khan*, Mahaboob V Shaik*, Parveen N*,
Rajendraprasad A*, Mohammed A Aleem*, Srinivas G†, Avinash Raj T†, Santosh K Tiwari*,
Kumaresan K‡ , Venkateswarlu J*, Gopal Pande†, Linda Powers#
*Centre for Liver Research and Diagnostics, Deccan College of Medical Sciences,
Kanchanbagh, Hyderabad, Andhra Pradesh, India.
†Center for Cellular and Molecular Biology, Uppal Road, Hyderabad
‡KK Scan Centre, Somajiguda, Hyderabad
#Vesta Therapeutics, Inc., 801 Capitola Dr., Suite 8, Durham, NC 27713, USA.
6. Invivo imaging of murine bone marrow and human foetal liver cells in SCID & nude mice
T. Avinash Raj1, G. Srinivas1, J. Mahesh Kumar1, Aleem A. Khan2 , Gopal Pande1
1
Center for Cellular and Molecular Biology, Uppal Road, Hyderabad.
2
Centre for Liver Research and Diagnostics, Deccan College of Medical Sciences,
Kanchanbagh, Hyderabad.
7. Evaluation of the autologous bone marrow derived mononuclear cell therapy in the
infarcted myocardium by imaging analysis – a case report
Authors: Alla GK Gokhale., Lakshmi Kiran Chelluri., Kumaresan K.†, Subramanyam G.,
Sudhakar K., Satish Vemuri., Tanya Debnath., Ratnakar KS
Affiliations: Global Hospitals, Lakdi-ka-Pool, Hyderabad., † KK Nuclear Clinic,
Somajiguda, Hyderabad
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ABSTRACTS
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Advances in molecular medicine have the potential and promise to transform medicine from the “see
and treat” paradigm to one that emphasizes personalized, predictive and preventive strategies. To
facilitate the transformation, the U.S. National Institutes of Health support and conduct research that
capitalizes on genomic and proteomic data as a basis for developing diagnostic technologies and
targeted therapy at the cellular and molecular levels. As an example, I plan to discuss a research
project that aims to identify circulating cells and molecular markers in blood samples that will
characterize subsets of patients for targeted therapies. The technology involves microfluidic chips
designed with high throughput capability to screen multiple patient blood samples to capture
signature cells with subsequent identification of the disease genomic, proteomic or molecular
signatures. The platform can be developed to integrate these tests such that a comprehensive picture
of the patient's condition is available to the physician. Immediate applications are envisioned in
cancer and potentially atheromatous disease (the two leading causes of death).
The comprehensive platform technologies may transform medicine by: targeting therapies specific
for patients; predicting responsiveness to therapy; monitoring disease progression and treatment
response at the cell/molecular level to expedite consideration of alternative therapies and probing
the fundamental biology of disease resolution or progression. This should lead to more precise
diagnoses, personalized treatment for patient sub-groups, improved outcomes and reduced cost due
to preventing advanced stages of disease.
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Prostate cancer is the most common male cancer in the West and second most common cause of
cancer related deaths. The incidence of prostate cancer in India is however lower but a steady increase
has been observed in recent years especially in urban areas like Delhi and Mumbai. The key to
treatment is the detection of malignancy at an early stage and monitoring the tumor response to
therapy. The challenges in detection, localization and staging of prostate cancer of existing methods
have prompted us to take the investigation of the role of various MR methodologies in a large cohort
of Indian men prior to biopsy.
The identification of suspicious areas of malignancy are normally carried out using magnetic
resonance imaging (MRI), magnetic resonance spectroscopic imaging (MRSI) and diffusion weighted
imaging (DWI). Till now nearly 250 men were studied using these MR methods in our Institute. Our
data showed that the apparent diffusion coefficient may be a reliable marker to differentiate normal,
benign and malignant prostate tissues similar to the metabolite ratio obtained from MRS. Further; our
results demonstrated that the combined use of MRSI and DWI improved the diagnosis of prostate
cancer.
The role of 3D 1H MRSI in directing TRUS guided biopsy of prostate was also evaluated in a large cohort
of patients. The z – and x – coordinates of the voxels suspicious of malignancy from MRSI were used to
direct TRUS guided needle biopsy. The site of biopsy was confirmed by post biopsy MRI and MRSI. MRI
showed the site of biopsy as hypo-intense area on gradient T2 weighted image (T2*) while the MR
spectrum showed reduced citrate and increased choline.
In this talk, our experience on the use of MRSI and DWI methods in the diagnosis of prostate cancer in
Indian men especially in clinically challenging cases of patients with PSA level in the range of 4 – 20
ng/mL and/or abnormal DRE will be presented.
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Magnetic resonance imaging (MRI) and spectroscopy (MRS) play important roles as
diagnostic tools for many cancers, including assessments on tumor growth, angiogenesis,
bio-physical parameters, such as diffusion and perfusion, and response to therapy.
Molecular MRI (mMRI) has made some important contributions in the study of angiogenic,
inflammation and apoptotic markers in cancer. A brief discussion on advances in the
development of mMRI contrast agents will be presented. Examples on the use of high
resolution MRI and MRS at 7.0 Tesla to obtain molecular imaging information on
angiogenesis, inflammation and tumor metabolism in rodent pre-clinical models for gliomas
and hepatocellular carcinomas (HCC) will be presented. The concept of mMRI involves the
coupling of an affinity molecule that recognizes a specific target marker (e.g. vascular
endothelium growth factor receptor 2 (VEGF-R2), c-Met, or inducible nitric oxide synthase
(iNOS)) and MRI contrast signaling agents such as gadolinium-ligand- or iron oxide
nanoparticle (IONP)-based constructs. Chemical shift imaging (CSI) as a method to assess
lipid metabolism in tumor models will also be presented. MR methods offer the unique
opportunity to be used as tools to obtain non-invasive in vivo morphological/anatomical,
vascular, metabolic, functional and molecular information in rodent pre-clinical models in
cancer.
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I shall provide an overview of the studies carried out at Laser Biomedical Applications and
Instrumentation Division, RRCAT on the development and utilization of optical techniques for
biomedical imaging and diagnosis. First I shall discuss some representative biomedical imaging
studies carried out using the optical coherence tomography set ups developed at RRCAT. Work
carried out at RRCAT on the use of optical spectroscopy for biomedical diagnosis will be discussed
next and the results of our recent study on a comparative evaluation of the performance of laser
induced fluorescence spectroscopy and Raman spectroscopy for in-vivo diagnosis of the cancer of
oral cavity will be presented. Finally I shall also describe some aspects of the Raman spectroscopic
studies carried out by us on single, optically trapped Red Blood Cells obtained from blood samples
from healthy volunteers and from patients suffering from malaria.
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A.K. Gupta
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The authors discuss new methodologies and treatments of cancer using molecular imaging and
targeted therapeutics using non-toxic nanoparticles. At the Amrita Centre for Nanosciences a range
of multifunctional nanoparticles have been developed with combined fluorescence, X-Ray and MRI
contrast capability. When such particles can be targeted to cancer cells there is the possibility of early
detection by both anatomical and molecular imaging modalities including the opportunity of
delivering drugs directly to the cells in question. Efforts are currently under way to target cancer stem
cells in addition to cancer cells to enhance early detection and therapeutic efficiencies. The results of
some of our current studies will be presented at this workshop.
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Juntao Luo1, Kai Xiao1, Yuan-pei Li1, Joyce Lee1, Nianhuan Yao1, Wenwu Xiao1, Yan Wang1, Michael
Kent2, Holland Cheng3, Gangyu Liu4, and Kit S. Lam1*
1
Department of Biochemistry & Molecular Medicine, Division of Hematology & Oncology, UC Davis
Cancer Center, 2Veterinarian School of Medicine, 3College of Biological Sciences, 4Department of
Chemistry, University of California Davis, California
Corresponding author (Kit.Lam@ucdmc.ucdavis.edu)
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As a part of our ongoing project on RNA therapeutics of mitochondrial disease, we have developed
methods to visualize fluorescent-tagged RNA in living cells and in live animals. The RNA is
prepared by incorporation of Alexa Fluor (AF)-or BODIPY-Texas Red (TR) tagged ribo UTP during in
vitro RNA directed transcription of DNA templates. The corresponding fluorophores can be
excited by 488 and 633 nm lasers respectively. RNA labeled with either fluorophore was taken up
by cultured cells in presence of a protein carrier. Live cell confocal microscopy of cells doubly
labeled with RNA and green (GFP) or red (RFP) fluorescent protein enabled the imaging of specific
steps of the intracellular transport process of the RNA in real time. In addition, we could visualize
its fate in mice after local or systemic administration of BODIPY-TR labeled RNA by live animal
imaging. These developments will facilitate the study of the transport and metabolism of
biologically active RNA in vitro and vivo.
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Brian M. Barth, James M. Kaiser, Sriram S. Shanmugavelandy, Todd E. Fox, Erhan İ. Altinoğlu, Sarah
A. Knupp. Georgina V. Bixler, Robert M. Brucklachen, Willard M. Freeman, Timothy M. Ritty, James
H. Adair, and Mark Kester,
Conflict of Interest Disclaimer: Penn State Research Foundation has licensed calcium phosphosilicate
nanotechnology to Keystone Nano, Inc. (State College, PA). J.A. and M.K. are CSO and CMO of
Keystone Nano, respectively.
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Gopal Kundu
Scientist-F, National Centre for Cell Science, Pune 411 007, India;
E-mail:kundu@nccs.res.in
The molecular imaging of tumor growth, angiogenesis and metastasis recently represent a major area
of research for the diagnosis and targeted therapy of many solid tumors in the area of cancer biology.
In vivo bioluminescent and fluorescent imaging allows the non-invasive detection and quantification
of orthotropic, metastatic and spontaneous tumors in the whole body of mouse. Many imaging
technology has been optimized for high sensitivity, such that micro metastases can be detected. An
optimized set of high efficiency filters and spectral un-mixing algorithms allow taking full advantage of
bioluminescent and fluorescent reporters across the blue to near infrared wavelength region. In our
laboratory, we have recently developed many tumors in mice models and the effects of many drugs
have been tested and subsequently these tumors have been analyzed based on bioluminescence
technology. The analysis of some of these tumor images will be demonstrated during this workshop.
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Personalized treatment using stem, modified or genetically engineered, cells is becoming a reality in
the field of medicine, in which allogeneic or autologous cells can be used for treatment and possibly
for early diagnosis of diseases. Hematopoietic, stromal and organ specific stem cells are under
evaluation for cell-based therapies for cardiac, neurological, autoimmune and other disorders.
Cytotoxic or genetically altered T-cells are under clinical trial for the treatment of hematopoietic or
other malignant diseases. Before using stem cells in clinical trials, translational research in
experimental animal models are essential, with a critical emphasis on developing noninvasive
methods for tracking the temporal and spatial homing of these cells to target tissues. Moreover, it is
necessary to determine the transplanted cells, engraftment efficiency and functional capability.
Tracking of migration and homing of systemic or locally administered cells using MRI and other
complementary imaging modalities have passed the infancy. Now the technology is in a state where
robust experiments can be designed in translational studies utilizing cellular magnetic resonance
imaging (CMRI), nuclear medicine techniques and optical imaging. Tagging cells with reporter genes,
fluorescent dyes or different contrast agents transforms them into cellular probes or imaging agents.
In this presentation we will discuss the methods to transform cells into probes for in vivo imaging,
along with their advantages and disadvantages as well as the future clinical applicability of cellular
imaging method and corresponding imaging modality.
Points:
1) Potential application of cells as diagnostic and therapeutic probes.
2) In vitro making of potential therapeutic CTLs for malignant diseases
3) Use of stem cells as gene carrier and delivery vehicles
4) Use of multimodality approaches
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CNMR Investigations of Excitatory and Inhibitory
Neurotransmission in Cerebral Disorders
Anant B. Patel
NMR Microimaging & Spectroscopy,
Centre for Cellular and Molecular Biology, Uppal Road, Hyderabad, India
Glutamate and GABA are the major excitatory and inhibitory neurotransmitters in the matured
mammalian central nervous system and together account for ~90% neurotransmitter pool in cortex1.
These neurotransmitters play major roles in energy metabolism, cortical excitability, and cognitive
function. It is well established that neuronal astrocytic substrate cycle exists in the brain. In vivo 13C
NMR studies have established that glutamatergic energetics is supported by oxidative glucose
metabolism1,2. Further, GABA contributes significantly to total neurotransmission and glucose
oxidation by neurons in normal brain3. These findings have led to specific predictions about the
fundamental role of glucose in the support of neurotransmitter cycling4,5. Dysfunction in glutamate
and GABA pathways are associated with many neurological and neuropsychiatric disorders. Thus,
glutamate, GABA and glutamine metabolism is of major importance to brain function and cerebral
well-being.
In this presentation, I will discuss the strategy involving infusion of 13C labeled substrates
together with 13C NMR spectroscopy to measure fluxes through glutamatergic and GABAergic
pathways. We are extending these measurements in mice to understand cerebral metabolism in
different cerebral disorders. I will be presenting our recent data for the investigation of flux through
glutamatergic and GABAergic pathways in healthy as well as in various abnormal/diseased conditions
such as neurodegeneration (Parkinson's, Alzheimer's), addiction (nicotine, alcohol).
References: 1. Sibson et al (1998) Proc Natl Acad Sci 95:316. 2. Patel et al (2004) J Cereb Blood Flow
Metab 24:972. 3. Patel et al (2005) Proc Natl Acad Sci 102:5588. 4. Magistratti et al (1998) Science
283:5801. (3) Hyder et al (2005) J Cereb Blod Flow Metab 26:865.
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Despite the great strides made in drug discoveries, many diseases have continued to take toll on
human lives and its quality. Recent advances in molecular biology and genomics have resulted into an
increasing number of novel biomarkers. These biomarkers can contribute extensively into the
development of translational medicine to diagnose diseases as well into the design of personalized
medicine to treat diseases. In the development of such drugs, molecular imaging can play a pivotal
role.
Cancer for example, thought to be initiated by genomic modulation at a cellular level, is known to
overexpress key proteins and RNAs of specific signaling pathways. These have become a hallmark of
many cancers, and an array of such biomarkers have been identified. Similarly the resolution of
common infection, in part, is associated with neutrophil apoptosis accelerated by reduction of
prosurvival factors such as lipopolysaccharides (LPS) and certain cytokines such as IL-1B. Apoptotic
neutrophils are presented in the outer layers, with Phosphatidylserine (PS), which is ordinarily
sequestered in the plasma membrane inner leaflet, and provides itself as an excellent target for
localizing infectious foci in vivo, and for monitoring the effectiveness of its treatment.
We hypothesize that targeting such biomarkers with specific fluorophores for optical imaging or with
radiolabeled specific biomolecules such as peptides on peptide nucleic acids for PET or SPECT imaging
of malignant lesions can help to address the challenges of drug discovery.
Examples of investigations from this laboratory will illustrate approaches not only for diagnosis of
diseases but also for their treatment, stratification and to determine the effectiveness of their
therapeutic interventions.
Supported by NIH CA 10923, BB 001809, ISIORR23709, PA ME-03-184, DOE/BER 63055, NIH CO27175,
NIH CA148565 and NuView, Inc.
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