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Monthly Archives: June 2021
Virtual Reality(VR) in Telerehabilitation Market Report 2021 by Key Players, Types, Applications, Countries, Market Size, Forecast to 2030 (Based on…
Posted: June 18, 2021 at 7:31 am
The latestGlobal Virtual Reality(VR) in Telerehabilitation Marketreport lends a competitive head start to businesses by offering accurate predictions for this vertical at both regional and global scale. It entails a top-to-bottom evaluation of the various industry segments, highlighting the current and future development possibilities, and all other factors affecting the revenue potential. Moreover, the research piece covers the leading companies, as well emerging contenders and newcomers to provide a holistic view of the competitive landscape. Additionally, it makes inclusion of the challenges due to the Covid-19 pandemic and the potential paths going forward.
The process begins with internal and external sources to obtain qualitative and quantitative information related to the Virtual Reality(VR) in Telerehabilitation Market. It also provides an overview and forecast for the Virtual Reality(VR) in Telerehabilitation Market based on all the segmentation provided for the global region. The predictions highlighted in the Virtual Reality(VR) in Telerehabilitation Market share report have been derived using verified research procedures and assumptions. By doing so, theBig Market Researchreport serves as a repository of analysis and information for every component of the Virtual Reality(VR) in Telerehabilitation Market
NOTE:Our report highlights the major issues and hazards that companies might come across due to the unprecedented outbreak of COVID-19.
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Market players have been discussed and profiles of leading players including Top Key Companies:Brontes ProcessingMotek MedicalGestureTek HealthVirtualware GroupMotorikaBridgeway Senior HealthcareLiteGaitMindmazeDoctor KineticReflexion HealthMIRA Rehab LimitedHinge HealthSWORD Health
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The Virtual Reality(VR) in Telerehabilitation Market is also characterized by a highly complex value chain involving product manufacturers, material suppliers, technology developers, and manufacturing equipment developers. Partnerships between research organizations and the industry players help in streamlining the path from the lab to commercialization. In order to also leverage the first mover benefit, companies need to collaborate with each other so as to develop products and technologies that are unique, innovative and cost effective.
The report includes the region-wise segmentation North America (United States, Canada and Mexico), Europe (Germany, France, UK, Russia and Italy), Asia-Pacific (China, Japan, Korea, India and Southeast Asia), South America (Brazil, Argentina, Colombia etc.), Middle East and Africa (Saudi Arabia, UAE, Egypt, Nigeria and South Africa) of the market. In the regional segmentation, the regions dominating the Virtual Reality(VR) in Telerehabilitation market are included along with the regions where the growth of the market is slow.
By the product type, the Virtual Reality(VR) in Telerehabilitation Market is primarily split into 2020-2025:Virtual Reality HardwareVisualizing Software
By the end-users/application, the Virtual Reality(VR) in Telerehabilitation Market report covers the following segments 2020-2025:HospitalsCare HomesOthers
Conclusively, this report is a one stop reference point for the industrial stakeholders to get Virtual Reality(VR) in Telerehabilitation market forecast of till 2025. This report helps to know the estimated market size, market status, future development, growth opportunity, challenges, and growth drivers of by analyzing the historical overall data of the considered market segments.
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Study review shows positive benefits virtual reality might have on medical world – Diabetes.co.uk
Posted: at 7:31 am
Healthcare professionals should be given a short sharp dose of empathy to help improve their care and make fewer mistakes, researchers have said.
A team from the Dalhousie University in Canada have reviewed two studies involving virtual reality (VR) and looking at how the technology could assist the medical world.
In recent years VR has become popular within the gaming world. It works by simulating a specific experience, that in this case will emulate certain symptoms a person might encounter. The user can then interact using special electronic equipment, such as a helmet with a screen inside or gloves fitted with sensors.
The two VR trials involved in the review were carried out in very different ways with one involving single eight-minute sessions and the other lasting up to 25 minutes in duration.
They also compared how people responded after they had taken part in a VR experience in the role of the care recipient, and also when the non-immersive VR environment was taken away.
Despite the different formats, both studies helped those involved to gain a better understanding of what it is like to have a specific disease. It also helped them improve how they interacted with the person who had the health condition.
Lead author Dr Megan Brydon said: Although the studies we looked at dont definitively show VR can help sustain empathy behaviours over time, there is a lot of promise for research and future applications in this area.
The technology has been used in other areas of medicine such as watching operations as if the user is actually in the room and attending conferences.
The findings of the review have been published in the Journal of Medical Imaging and Radiation Science.
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Study review shows positive benefits virtual reality might have on medical world - Diabetes.co.uk
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Students in Derbyshire and Nottinghamshire to be beamed into their future careers using virtual reality – FE News
Posted: at 7:31 am
Further Education News
The FE News Channel gives you the latest education news and updates on emerging education strategies and the#FutureofEducation and the #FutureofWork.
Providing trustworthy and positive Further Education news and views since 2003, we are a digital news channel with a mixture of written word articles, podcasts and videos. Our specialisation is providing you with a mixture of the latest education news, our stance is always positive, sector building and sharing different perspectives and views from thought leaders, to provide you with a think tank of new ideas and solutions to bring the education sector together and come up with new innovative solutions and ideas.
FE News publish exclusive peer to peer thought leadership articles from our feature writers, as well as user generated content across our network of over 3000 Newsrooms, offering multiple sources of the latest education news across the Education and Employability sectors.
FE News also broadcast live events, podcasts with leading experts and thought leaders, webinars, video interviews and Further Education news bulletins so you receive the latest developments inSkills Newsand across the Apprenticeship, Further Education and Employability sectors.
Every week FE News has over 200 articles and new pieces of content per week. We are a news channel providing the latest Further Education News, giving insight from multiple sources on the latest education policy developments, latest strategies, through to our thought leaders who provide blue sky thinking strategy, best practice and innovation to help look into the future developments for education and the future of work.
In Jan 2021, FE News had over 173,000 unique visitors according to Google Analytics and over 200 new pieces of news content every week, from thought leadership articles, to the latest education news via written word, podcasts, video to press releases from across the sector, putting us in the top 2,000 websites in the UK.
We thought it would be helpful to explain how we tier our latest education news content and how you can get involved and understand how you can read the latest daily Further Education news and how we structure our FE Week of content:
Our main features are exclusive and are thought leadership articles and blue sky thinking with experts writing peer to peer news articles about the future of education and the future of work. The focus is solution led thought leadership, sharing best practice, innovation and emerging strategy. These are often articles about the future of education and the future of work, they often then create future education news articles. We limit our main features to a maximum of 20 per week, as they are often about new concepts and new thought processes. Our main features are also exclusive articles responding to the latest education news, maybe an insight from an expert into a policy announcement or response to an education think tank report or a white paper.
FE Voices was originally set up as a section on FE News to give a voice back to the sector. As we now have over 3,000 newsrooms and contributors, FE Voices are usually thought leadership articles, they dont necessarily have to be exclusive, but usually are, they are slightly shorter than Main Features. FE Voices can include more mixed media with the Further Education News articles, such as embedded podcasts and videos. Our sector response articles asking for different comments and opinions to education policy announcements or responding to a report of white paper are usually held in the FE Voices section. If we have a live podcast in an evening or a radio show such as SkillsWorldLive radio show, the next morning we place the FE podcast recording in the FE Voices section.
In sector news we have a blend of content from Press Releases, education resources, reports, education research, white papers from a range of contributors. We have a lot of positive education news articles from colleges, awarding organisations and Apprenticeship Training Providers, press releases from DfE to Think Tanks giving the overview of a report, through to helpful resources to help you with delivering education strategies to your learners and students.
We have a range of education podcasts on FE News, from hour long full production FE podcasts such as SkillsWorldLive in conjunction with the Federation of Awarding Bodies, to weekly podcasts from experts and thought leaders, providing advice and guidance to leaders. FE News also record podcasts at conferences and events, giving you one on one podcasts with education and skills experts on the latest strategies and developments.
We have over 150 education podcasts on FE News, ranging from EdTech podcasts with experts discussing Education 4.0 and how technology is complimenting and transforming education, to podcasts with experts discussing education research, the future of work, how to develop skills systems for jobs of the future to interviews with the Apprenticeship and Skills Minister.
We record our own exclusive FE News podcasts, work in conjunction with sector partners such as FAB to create weekly podcasts and daily education podcasts, through to working with sector leaders creating exclusive education news podcasts.
FE News have over 700 FE Video interviews and have been recording education video interviews with experts for over 12 years. These are usually vox pop video interviews with experts across education and work, discussing blue sky thinking ideas and views about the future of education and work.
FE News has a free events calendar to check out the latest conferences, webinars and events to keep up to date with the latest education news and strategies.
The FE Newsroom is home to your content if you are a FE News contributor. It also help the audience develop relationship with either you as an individual or your organisation as they can click through and box set consume all of your previous thought leadership articles, latest education news press releases, videos and education podcasts.
Do you want to contribute, share your ideas or vision or share a press release?
If you want to write a thought leadership article, share your ideas and vision for the future of education or the future of work, write a press release sharing the latest education news or contribute to a podcast, first of all you need to set up a FE Newsroom login (which is free): once the team have approved your newsroom (all content, newsrooms are all approved by a member of the FE News team- no robots are used in this process!), you can then start adding content (again all articles, videos and podcasts are all approved by the FE News editorial team before they go live on FE News). As all newsrooms and content are approved by the FE News team, there will be a slight delay on the team being able to review and approve content.
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What Are Nootropics, and Can They Help Me Focus? – The Cut
Posted: at 7:30 am
Swellness
A monthlong series exploring all things health and wellness.
Photo-Illustration: by The Cut; Photos: Getty Images
While recently scrolling through tweets about Netflix shows you can watch while looking at Instagram, I saw an ad for a supplement that promised to help with focus. Naturally, I clicked, and was led to a powder billed as a nootropic. Then I got distracted again by something else. But ever since, Ive been bombarded with more ads for similar products sachets of instant coffee, ancient herbs, and $200 supplements, all boasting nootropic benefits like enhanced concentration and productivity. Clearly, I could use help in those areas, but would these potions work? And what are they, anyway?
A nootropic is a substance that claims to improve cognitive function, says Dr. John Krystal, chair of the Yale University Department of Psychiatry. Colloquially referred to as smart drugs, they are intended to enhance executive functions like memory, motivation and creativity in otherwise healthy people. The word nootropic, despite sounding like a tanning oil brand, has been around for centuries and is derived from Ancient Greek: nos meaning mind and trop meaning turning.
When people are in focused states, all of their cognitive functions tend to work a little bit better, says Dr. Krystal. This is often called a flow state that magical feeling of losing yourself in a task, oblivious to all distractions.
Given how burnt-out many of us feel these days, its not surprising to see an influx of products that promise nootropic effects. The problem is, most of them offer very limited if any benefits. People are very interested in substances that might be able to reduce the impairment in attention and focus that comes from being tired, says Dr. Krystal. In that respect, caffeine could be considered nootropic. But as anyone whos drunk multiple coffees to try and perk up will know, it doesnt work for very long.
Plus, as I know all too well, you can be well-rested and caffeinated and still struggle to concentrate. The ability to focus comes from many things, but crucially, its to do with arousal and engagement, Dr. Krystal continues. In other words, you need to be interested in something in order to keep paying attention to it. When were trying to recall a telephone number or a PIN code, it takes sustained activity from our brains to keep that information online, he explains. When we become distracted, those neural pathways peter out. And then we lose track of what we were thinking.
The biggest enemy of focus is multitasking an unavoidable part of everyday life that our brains are actually quite bad at. Were much worse at processing multiple inputs than we think. When were shifting between different tasks, our brains are just playing catch up trying to fill in the blanks, says Dr. Krystal. Shifting between stimuli so quickly while essential sometimes is murder on sustained concentration, and can lead to that frazzled, cant-get-anything-done feeling that most of us know all too well.
Can medication help? Dr. Krystal says that there are very few examples of drugs that help our brains function better than they normally do in a rested state. Technically, amphetamines a class of stimulants that are prescribed to treat people with ADD, ADHD, and sleep disorders qualify as nootropics, but only if you have a condition that they are designed to help. (And even then, they dont always work.) For most other people, they can help stave off tiredness, but they dont enhance your cognitive ability more likely, they make it worse.
Another drug that is sometimes touted for its (very questionable) nootropic benefits is Modafinil, which is widely considered to be the inspiration for the fictional, ability-enhancing pills that Bradley Cooper takes in Limitless. Also known as Provigil, it is prescribed to those with sleep disorders like narcolepsy to help them stay awake. Some people claim it also enhances cognitive function, but the jury is very much still out.
No drug has been demonstrated to improve cognitive function above baseline at a level that would be approved by the FDA, Dr. Krystal explains.
As for those supplements I kept seeing? They are not regulated by the FDA, so whats really in them is anyones guess and the FDA and FTC have sent numerous warning letters to supplement manufacturers that claim nootropic benefits. These over-the-counter options are not held to the standard of effectiveness that a prescription drug would be, confirms Dr. Krystal. The so-called herbal nootropics usually include ingredients like ginkgo biloba, Lions Mane mushroom and panax ginseng, all of which have roots in ancient medical practices but have not been proven effective in any clinical trials.
Ultimately, the dream of nootropics is a symptom of what Dr. Krystal called the modern pandemic of stress. We all want to be more effective, more efficient, to process information more rapidly and to have better access to the information that weve learned to be most fully ourselves all the time, he says. But we also feel the need to work hours that are too long without a break, and then we also want to have a life outside of work, so we stay up too late.
Long story short, if you dont have a diagnosed disorder or even if you do! no drug is a substitute for a good nights sleep and a healthy lifestyle. A lot of what we think of as good for our bodies such as exercise, healthy diet, getting enough sleep, and dealing with stress in a constructive way through counseling, meditation, therapy, and medication if necessary is also taking care of our minds, Dr. Krystal notes. These things get us pretty close to optimal function.
However, if youre concerned with your lack of attention span or powers of recall, Dr. Krystal recommends speaking to your doctor. These issues can sometimes be linked with hormonal or mental health issues. If youre struggling at all, thats a sign you need help, whatever it may be, he says. We like to categorize things as either mental or physical problems, but often, its a little of both.
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Nootropics Brain Supplements Market Size, Industry Trends and Forecast to 2028 | Major Players Accelerated Intelligence Inc., AlternaScript, HVMN,…
Posted: at 7:30 am
The latest market research report titled Nootropics Brain Supplements Market methodically summarizes key elements of Nootropics Brain Supplements market research. The report provides an in-depth study of the Nootropics Brain Supplements market, highlighting the latest growth trends and dynamics in the Nootropics Brain Supplements market. The report is intended to assist readers in accurately assessing current and future Nootropics Brain Supplements market scenarios.
The Nootropics Brain Supplements industry will see significant growth and a robust CAGR over the forecast period. According to the latest research report by Verified Market Research, the development of the Nootropics Brain Supplements market is mainly supported by a sharp increase in demand for products and services in this industry. A detailed summary of Nootropics Brain Supplements market valuation, sales estimate, and market stats is an important part of the report. Hence, the aim of the report is to help readers gain viable insights into the competitive spectrum of the Nootropics Brain Supplements market. It also draws attention to the important business expansion strategies pursued by the major competitors in the market in order to strengthen their position in the world market.
The report presents the business mechanisms and growth-oriented approaches of leading companies operating in this Nootropics Brain Supplements market. The report highlights the numerous strategic initiatives such as new deals and collaborations, mergers and acquisitions, joint ventures, product launches, and technology upgrades being implemented by leading market competitors to gain a foothold in the marketplace. Therefore, this section contains the company profiles of the major players, the accumulation of total sales, product sales, profit margins, product prices, sales and distribution channels, and industry analyzes.
Accelerated Intelligence Inc. AlternaScript HVMN Onnit Labs Peak Nootropics Teva Pharmaceutical Industries Purelife bioscience Co. Ltd. United Pharmacies SupNootropic bio co. Ltd. Powder City.
Nootropics Brain Supplements Market Report Scope
Geographical Analysis of the Nootropics Brain Supplements Market:
The latest Business Intelligence report analyzes the Nootropics Brain Supplements market in terms of market size and consumer base in major market regions. The Nootropics Brain Supplements market can be divided into North America, Asia Pacific, Europe, Latin America, Middle East and Africa based on geography. This section of the report carefully assesses the presence of the Nootropics Brain Supplements market in key regions. It determines the market share, the market size, the sales contribution, the distribution network and the distribution channels of each regional segment.
Geographic Segment Covered in the Report:
North America (USA and Canada) Europe (UK, Germany, France and the rest of Europe) Asia Pacific (China, Japan, India, and the rest of the Asia Pacific region) Latin America (Brazil, Mexico, and the rest of Latin America) Middle East and Africa (GCC and rest of the Middle East and Africa)
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Do Brain Supplements Really Improve Focus & Memory? Here’s What the Science Says – Yahoo Lifestyle
Posted: at 7:30 am
Who doesn't want to be smarter, sharper and more focused and creative? Nootropics (pronounced new-traw-picks) promise all of this and more. These "smart pills"-which are a group of natural and synthetic compounds, often found in supplement or prescription form- might sound new, but nootropics have been around since the early 1970s, when Romanian psychologist and chemist Corneliu Giurgea created a synthetic substance called piracetam to improve learning and memory and coined the term.
Nootropics gets its name from the Greek words nous ("mind") and trepein ("bend or turn"). There are more than 130 over-the-counter nootropics-including ginseng, ginkgo, guarana, creatine, caffeine and Bacopa monnieri as well as piracetam-plus Rx versions, such as the ADHD medications Adderall and Ritalin, and Aricept, an Alzheimer's treatment.
Today, nootropics and other brain health supplements are a billion-dollar industry in the U.S. And of the estimated 16 million American adults who use stimulants like Adderall, about 5 million do so off-label, with half of those specifically aiming to enhance their brainpower. "People will jump at any opportunity to try something that might be mentally curative or restorative," says Maya Babu, M.D., M.B.A., a neurosurgeon at Cleveland Clinic Martin Health in Port Saint Lucie, Florida. "Younger people are interested in potential memory and attention benefits, while those who are older are concerned about dementia."
Getty Images / JESPER KLAUSEN / SCIENCE PHOTO LIBRARY / ViewStock
But do OTC nootropics work? The research says: not so much. When scientists reviewed 394 studies for a 2020 Nutrients review on nootropics, they ended up tossing out 73% due to low quality (meaning the results didn't hold up to rigorous scientific scrutiny). After scrutinizing those that remained, they concluded that the only supplement that might be useful was caffeine, showing promise for improving memory, attention, problem-solving and reasoning. And even that was mostly among sleep-deprived people.
There are also safety concerns. Supplements aren't subject to the same clinical trials as prescription drugs, and many of their labels are riddled with unsubstantiated claims. The issue is so problematic that in 2019, the FDA and the Federal Trade Commission sent letters to three nootropic supplement manufacturers demanding them to promptly correct the false or misleading claims on their labels. One ginkgo biloba brand got a slap on the wrist for touting its ability to improve memory. And a purveyor of colostrum supplements got called out for its Alzheimer's prevention claims.
As for prescription nootropics? "For patients with true ADHD or dementia, certain medications can be tremendously helpful for attention, alertness and focus," says Babu. "But for those without these underlying conditions, I haven't seen data that nootropics can increase performance in any way." Indeed, a 2016 American Academy of Family Physicians review found no evidence that Alzheimer's medications do anything to improve mental function in healthy people and that the impact of ADHD medications for those without the condition are modest at best. "In the end, I don't think nootropics can replace sleep, healthy diet, physical activity and memory exercises," says Babu. "I'd hate to see people think they will benefit them in any meaningful way." Next time you're looking for a brain boost? Her advice: Try a strong cup of coffee.
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Do Brain Supplements Really Improve Focus & Memory? Here's What the Science Says - Yahoo Lifestyle
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Get the females and beat the disease – Mint
Posted: at 7:29 am
But I also thought of mosquitoes.
Now I have never been to Florida. But the state is known for its mosquitoes. The humorist Dave Barry lives there and has often mentioned the insects in his columns: ... as the Sun set, we experienced a sensation that I will never forget: The sensation of being landed on by every mosquito in the Western Hemisphere. There were so many of them that they needed Air Traffic Control mosquitoes to give directions."
Long story short: Florida has swarms of mosquitoes. They are constantly biting residents of and visitors to the state, so much so that I feel for the person I know who is going there. Still, get this: in an effort to fight the mosquito menace last April, a biotech firm went to the Keys to release ... more mosquitoes. Hundreds of thousands of mosquitoes, brought to the Keys as eggs actually, allowed to hatch there and live out their lives.
What hare-brained scheme is this, you may wonder. Many people have so wondered, and in the Keys, there has been plenty of oppositionso it is a controversial programme. Yet, it at least deserves some thought, especially given that swarms of mosquitoes are a feature of life in much of India too.
The mosquitoes introduced into the Keys were genetically engineered.
A little background, first. There are plenty of mosquitoes in Florida, certainly, and it cant be pleasant to suffer their bites. But only the species Aedes aegypti actually carries diseaseschikungunya, dengue and moreand they make up only 4% of the mosquito population in Florida. Whats more, only female mosquitoes actually bite humans. Males feed on nectar and their sole purpose in life is to mate with females and produce more mosquitoes. None of this is meant to say that we should ignore these pests. But it does suggest a possible way to fight them thats more efficient than blanket applications of insecticide: target the females.
Its true, the male and the female of the species do look different, but thats if you get a chance to peer closely at them. So, its in no way practical to visually identify only the female mosquitoes in a given area and whack them dead. But what if theres a way to ensure that when a mosquito pair reproduces, the female, and only the female, offspring die? What if such death comes early in their lives, even before they attack humans for the first time? Carnage like this means that the offspring left alive will mostly be males. They will mate with the remaining females, with the same morbid results for the resulting female offspring. Over time, youd expect the mosquito population to become more and more male. With less and less females to mate with, the Aedes aegypti population will naturally decline.
Genetic engineering (or genetic modification) offers a way to accomplish more or less this. Though with various plant species especially, plenty of controversy surrounds the process. Consider:
Proponents point out that humans have been doing such engineering indirectly for many millennia: breeding plants and animals selectively for certain desirable characteristics. For example, modern corn looks nothing like the grass-like Mexican plant with rudimentary ears, teosinte, that it is descended from. Thats because we humans have for uncounted generations selected plants with juicier, bigger and more succulent ears and kernels and used only those plants to generate their next crop. Much the same applies to plenty of other crops and domesticated animals.
Critics, though, say that todays techniques of actually modifying genes are entirely different from selective breeding, and theres definite danger there. For example, the wind can carry pollen from genetically modified (GM) crops to fields of non-modified crops, causing unpredictable and undesirable problems. Besides, the GM crop industry is dominated by a few large biotech firms. So, the prospect of widespread use of such crops raises serious concerns about monopolies, especially for small farmers like in India.
The fear that genetic engineering can have unpredictable consequences is why many residents of the Keys opposed the new genetically-engineered male mosquitoes.
Still, lets look at how they were engineered and then released. These Aedes aegypti males have had their DNA altered: scientists have edited" two particular genes into particular locations in the mosquitos genome:
* a fluorescent marker" gene that glows in red light, which will later be used to identify engineered mosquitoes.
* a self-limiting" gene.
When the insects reproduce, both genes are passed on to their offspring. The self-limiting" gene has no effect on males. But in larval females, it inhibits the storage of a specific protein that would otherwise build up as the insect grows. The result is that the female dies before it can mature.
This is the theory, of course. But these engineered mosquitoes have been released in Brazil, Panama and even Indiain the last two years, over a billion of them. The British biotech company that produced them, Oxitec, reports that in those areas, the populations of Aedes aegypti shrank by over 90%. Youd think that would certainly have an effect on the incidence of mosquito-borne diseases.
What of unpredictable consequences? The Brazil trial suggested that the self-limiting gene did not kill all the female offspring before they could mate, because other genes from the engineered mosquitoes appeared among other local mosquitoes. What effect this will have on the local ecosystem is not yet clear. But this is the kind of fallout of genetic engineering that worries many people.
Still, in April, Oxitec placed boxes containing eggs of the engineered mosquitoes in six different locations in the Florida Keys. Each week between May and August, about 12,000 of the mosquitoes will hatch from their eggs and emerge into the Florida air, ready to find willing females to mate with. Every now and then, Oxitecs researchers will collect mosquitoes and use red light to identify the engineered ones. They want to know such details as their life spans, the distance they have travelled from their boxes, and how many of the females who inherit the self-limiting gene have actually died. All this will shape a second and larger trial later this year, when Oxitec plans to release 20 million engineered mosquitoes. Data from these trials will help decide whether it is worth releasing mosquitoes more widely across the US.
Clearly, theres still plenty to learn about genetically engineered mosquitoes. But till now, insecticides have been our weapons of choice against mosquitoes. They kill the insects, sure, but also other insects we would rather save, like honeybees.
Consider this parallel to cancer. Our weapon of choice there one thats just as blunt as insecticidesremains chemotherapy. It kills cancer cells, sure, but also plenty of other cells in our bodies. What if we instead found a way to introduce a particular kind of cancer cell into the body, one that would single out and kill the malignant cells?
We dont know of such a cell (yet, anyway), but thats how to think of genetically engineered mosquitoes. And if you think about it some more, theres also a parallel of sorts to vaccines for a certain virus that we are all a little too familiar with these days.
Once a computer scientist, Dilip DSouza now lives in Mumbai and writes for his dinners. His Twitter handle is @DeathEndsFun
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Genetically engineered cell membranecoated nanoparticles for targeted delivery of dexamethasone to inflamed lungs – Science Advances
Posted: at 7:29 am
Abstract
As numerous diseases are associated with increased local inflammation, directing drugs to the inflamed sites can be a powerful therapeutic strategy. One of the common characteristics of inflamed endothelial cells is the up-regulation of vascular cell adhesion molecule1 (VCAM-1). Here, the specific affinity between very late antigen4 (VLA-4) and VCAM-1 is exploited to produce a biomimetic nanoparticle formulation capable of targeting inflammation. The plasma membrane from cells genetically modified to constitutively express VLA-4 is coated onto polymeric nanoparticle cores, and the resulting cell membranecoated nanoparticles exhibit enhanced affinity to target cells that overexpress VCAM-1 in vitro. A model anti-inflammatory drug, dexamethasone, is encapsulated into the nanoformulation, enabling improved delivery of the payload to inflamed lungs and significant therapeutic efficacy in vivo. Overall, this work leverages the unique advantages of biological membrane coatings to engineer additional targeting specificities using naturally occurring target-ligand interactions.
The chemical and physiological changes associated with inflammation are an important part of the innate immune system (1). Proinflammatory processes can lead to the release of cytokines such as interleukin-6 (IL-6) and tumor necrosis factor, which are capable of effecting vascular changes to improve immune responses at a site of stress or injury (2). These may include vasodilation and an increase in vascular permeability, which can promote more efficient immune cell recruitment (3, 4). On the cellular level, proinflammatory cytokines cause the up-regulation of specific surface markers, including vascular cell adhesion molecule1 (VCAM-1) or intercellular adhesion molecule1 (ICAM-1), which allow for immune cell adhesion at the site of inflammation (5, 6). Although inflammation is an integral process that is required for survival, a dysregulated immune system is implicated in a wide range of disease states (7, 8). The disease relevance of inflammation is further supported by the fact that inflammatory markers such as cellular adhesion molecules are often implicated in pathogenesis (9, 10), and these have been explored as therapeutic and diagnostic targets.
Nanoparticle-based platforms, especially those functionalized with active targeting ligands, have the potential to serve as powerful tools for managing a wide range of diseases associated with inflammation (11). Along these lines, the targeted delivery of anti-inflammatory agents to the vasculature of affected sites via cell adhesion molecules represents a promising strategy (1214). Using inflammation as the cue, a diverse range of nanodelivery systems have been designed to target up-regulated markers such as VCAM-1 and ICAM-1 (1520), and this approach has been leveraged to treat conditions such as cancer and cardiovascular diseases (2123). More recently, cell membrane coating technology has garnered considerable attention in the field of nanomedicine (24, 25). From erythrocytes to cancer cells, virtually any type of cell membrane can be coated onto the surface of nanoparticles, resulting in nanoformulations with enhanced functionality that can be custom-tailored to specific applications (26, 27). In particular, cell membranecoated nanoparticles have proven to be effective drug delivery systems owing to their extended circulation times and disease-homing capabilities (2628). The targeting ability of these biomimetic nanoparticles is often mediated by proteins that are expressed on the source cells, and this bestows the nanoparticles with the ability to specifically interact with various disease substrates. For example, nanoparticles coated with the membrane derived from platelets were shown to specifically target bacteria as well as the exposed subendothelium in damaged vasculature (29). A similar platform was shown to target the lungs in a murine model of cancer metastasis (30). On top of the natural biointerfacing capabilities of cell membranecoated nanoparticles, their traits can be further enhanced by introducing exogenous moieties onto the membrane surface. One way to achieve this is to tether targeting ligands via a lipid anchor, which can then be inserted into the cell membrane (31, 32). Red blood cell membranecoated nanoparticles, which exhibit prolonged blood circulation, have been functionalized in this manner to enhance their cancer targeting ability.
Instead of relying on post-fabrication methods to introduce additional functionality, cell membranecoated nanoparticles can be developed using the membrane from genetically engineered source cells (33). A wide range of tools are available to introduce or up-regulate the expression of specific surface markers (34, 35), and this approach enables researchers to augment the functionality of cell membranebased nanodelivery platforms based on application-specific needs (36, 37). In this study, we genetically engineered cell membranecoated nanoparticles to specifically target sites of inflammation (Fig. 1). Inflamed endothelial cells are known to up-regulate the expression of VCAM-1 to recruit immune cells such as leukocytes that express its cognate ligand, very late antigen4 (VLA-4) (38). To exploit this interaction, we genetically modified a source cell line to stably express VLA-4 and harvested the engineered membrane to coat polymeric nanoparticle cores. A potent anti-inflammatory drug, dexamethasone (DEX), was used as a model payload to be loaded for the treatment of inflammation. The ability of the final nanoformulation to target inflamed cells without compromising the activity of DEX was first tested in vitro. Then, therapeutic efficacy was evaluated in vivo using a murine model of endotoxin-induced lung inflammation.
Wild-type cells were genetically engineered to express VLA-4, which is composed of integrins 4 and 1. Then, the plasma membrane from the genetically engineered cells was collected and coated onto dexamethasone-loaded nanoparticle cores (DEX-NP). The resulting VLA-4expressing cell membranecoated DEX-NP (VLA-DEX-NP) can target VCAM-1 on inflamed lung endothelial cells for enhanced drug delivery.
VLA-4 is a heterodimer that is formed by the association of integrin 4 with integrin 1 (39). To generate a cell line constitutively displaying the full complex, we elected to modify wild-type C1498 cells (C1498-WT), which were confirmed to express high levels of integrin 1 but lack integrin 4 (Fig. 2A). Following viral transduction of C1498-WT to introduce the integrin 4 gene, a subpopulation of the resulting engineered cells (referred to as C1498-VLA) was found to express both VLA-4 components (Fig. 2B). After successfully establishing C1498-VLA, the cells were harvested and their membrane was derived by a process involving cell lysis and differential centrifugation. The cell membrane was then coated onto poly(lactic-co-glycolic acid) (PLGA) nanoparticle cores that were prepared by a single emulsion method. Membrane-coated nanoparticles prepared with the membrane from C1498-WT and C1498-VLA (referred to as WT-NP and VLA-NP, respectively) both had an average diameter of approximately 175 nm, which was slightly larger than the uncoated PLGA cores (Fig. 2C). In terms of zeta potential, the membrane-coated nanoparticles exhibited a surface charge of approximately 20 mV, which was less negative than the PLGA cores (Fig. 2D). Both the size and zeta potential data suggested proper membrane coating, which was further verified for VLA-NP by transmission electron microscopy, which clearly showed a membrane layer surrounding the core (Fig. 2E). Western blotting analysis was used to probe for the two components of VLA-4 on the nanoformulations (Fig. 2F). As expected, both integrins 4 and 1 were found on VLA-NP, whereas only integrin 1 was present on WT-NP. To evaluate long-term stability of the membrane-coated nanoparticles, they were suspended in 10% sucrose solution at 4C, and their size was monitored over the course of 8 weeks (Fig. 2G). Neither nanoparticle sample exhibited a significant increase in size during this period.
(A and B) Expression of integrins 4 and 1 on C1498-WT (A) and C1498-VLA (B) cells was confirmed by flow cytometry. (C and D) The average diameter (C) and surface zeta potential (D) of PLGA cores, WT-NP, and VLA-NP were confirmed by dynamic light scattering (n = 3, mean + SD). (E) Representative transmission electron microscopy image of VLA-NP (scale bar, 100 nm). (F) Western blots for integrins 4 and 1 on WT-NP and VLA-NP. (G) Size of WT-NP and VLA-NP when stored in solution over a period of 8 weeks (n = 3, mean SD).
The binding of VLA-NP was assessed in two different in vitro experiments. First, C1498-WT transduced to constitutively express high amounts of VCAM-1 (referred to as C1498-VCAM) was used as a model target cell. The expression of VCAM-1 on C1498-VCAM was confirmed via flow cytometry (Fig. 3A). Whereas the C1498-WT cells did not show any expression, the C1498-VCAM cells yielded a signal that was over an order of magnitude higher than the isotype control. To evaluate binding, fluorescent dyelabeled WT-NP or VLA-NP were incubated with either C1498-WT or C1498-VCAM (Fig. 3, B and C). For each pairing, the incubation was performed either with or without antiVCAM-1 to block the specific interaction between VLA-4 and VCAM-1. For the samples with blocking, cells were first incubated with the antibody for 30 min before nanoparticle treatment. After incubating with the nanoparticles for 30 min, the cells were washed twice and were analyzed by flow cytometry. The data revealed that there was significant nanoparticle binding only when VLA-NP were paired with C1498-VCAM. The level of binding was reduced back to baseline levels in the presence of antiVCAM-1, thus confirming the specificity of the interaction. In contrast, there was no evidence of specific binding when VLA-NP were paired with C1498-WT, which does not express the cognate receptor for VLA-4. The same held true for the WT-NP paired with either cell type, where antibody blocking had no impact on the relative nanoparticle binding.
(A) Expression of VCAM-1 on C1498-WT and C1498-VCAM cells (gray, isotype antibody; green, antiVCAM-1). (B and C) Binding of WT-NP (B) or VLA-NP (C) to C1498-WT or C1498-VCAM cells; blocking was performed by preincubating cells with antiVCAM-1 (n = 3, mean + SD). ****P < 0.0001, Students t test. (D) Expression of VCAM-1 on untreated or LPS-treated bEnd.3 cells (gray, isotype antibody; green, antiVCAM-1). (E and F) Binding of WT-NP (E) or VLA-NP (F) to untreated or LPS-treated bEnd.3 cells; blocking was performed by preincubating cells with antiVCAM-1 (n = 3, mean + SD). **P < 0.01, Students t test.
Next, we elected to study the nanoparticle binding to endothelial cells, which represent a more biologically relevant target compared to the artificially engineered C1498-VCAM cells. For this purpose, we used a murine brain endothelial cell line, bEnd.3, whose VCAM-1 expression can be up-regulated in the presence of proinflammatory signals (40). To induce an inflamed state, bEnd.3 cells were treated with bacterial lipopolysaccharide (LPS), and the level of VCAM-1 expression was evaluated using flow cytometry (Fig. 3D). Whereas expression of VCAM-1 was near baseline levels for the untreated bEnd.3 cells, those that were treated with LPS exhibited a distinct population with elevated VCAM-1. As we observed in the previous experiment with C1498-VCAM cells, enhanced nanoparticle binding was only observed when VLA-NP were paired with inflamed bEnd.3 cells, and antibody blocking reduced the levels back to baseline (Fig. 3, E and F). When incubating with noninflamed bEnd.3 cells, there was no evidence of specific binding interactions, and the same held true for the control WT-NP paired with bEnd.3 cells regardless of their inflammatory status. The data in these two studies confirmed the successful engineering of membrane-coated nanoparticles with the ability to target inflammation based on the interaction between VLA-4 and VCAM-1.
As a model anti-inflammatory payload, we selected DEX, which was loaded into the PLGA core by a single emulsion method before coating with either C1498-WT or C1498-VLA membrane to yield DEX-loaded WT-NP or VLA-NP (referred to as WT-DEX-NP or VLA-DEX-NP, respectively). When the drug content was measured by high-performance liquid chromatography (HPLC), it was determined that the encapsulation efficiency and drug loading yield were approximately 11 and 2 weight % (wt %), respectively (Fig. 4A). To evaluate drug release, VLA-DEX-NP was dialyzed against a large volume of phosphate-buffered saline (PBS), and the amount of drug retained within the nanoparticles was quantified over time (Fig. 4B). The results revealed an initial burst, where approximately 80% of the drug payload was released in the first hour, followed by a sustained release. The release profile was in agreement with previous reports on DEX-loaded PLGA formulations (41, 42), and the data showed a good fit with the Peppas-Sahlin model with a regression coefficient of 0.978 (43). To evaluate the biological activity of the DEX loaded within the nanoparticles, we used an in vitro assay based on the LPS treatment of DC2.4 dendritic cells, which causes an elevation in the levels of proinflammatory cytokines such as IL-6 (Fig. 4C). DC2.4 cells were first treated with either free DEX or VLA-DEX-NP for 2 hours, followed by incubation with LPS overnight. The supernatant was then collected to measure the concentration of IL-6 by an enzyme-linked immunosorbent assay (ELISA). It was shown that both free DEX and VLA-DEX-NP were able to attenuate IL-6 secretion in a drug concentrationdependent manner (Fig. 4D). Although free DEX more efficiently lowered IL-6 levels at drug concentrations of 0.01 and 0.1 M, the level of inflammation was reduced to levels near baseline for both free DEX and VLA-DEX-NP at 1 M of drug. The data indicated that the activity of the drug payload was retained after being loaded inside of VLA-NP. It was confirmed that neither PLGA cores nor VLA-NP without DEX loading had an impact on the level of IL-6 production by the DC2.4 cells (Fig. 4E).
(A) Drug loading (DL) and encapsulation efficiency (EE) of dexamethasone (DEX) into VLA-NP (n = 3, mean + SD). (B) Drug release profile of VLA-DEX-NP (n = 3, mean SD). The data were fitted using the Peppas-Sahlin equation (dashed line). (C) Secretion of IL-6 by LPS-treated DC2.4 cells (n = 3, mean + SD). UD, undetectable. (D) Secretion of IL-6 by LPS-treated DC2.4 cells preincubated with DEX in free form or loaded into VLA-NP (n = 3, mean SD). (E) Relative inflammatory response, as measured by IL-6 secretion, of DC2.4 cells treated with LPS only, LPS and PLGA nanoparticles, LPS and VLA-NP, PLGA nanoparticles only, or VLA-NP only; all of the nanoparticles were empty without DEX loading (n = 3, mean + SD). NS, not significant (compared to the LPS-only group), one-way analysis of variance (ANOVA).
After confirming the biological activity of the VLA-DEX-NP formulation in vitro, we next sought to evaluate the formulation in vivo using a murine model of lung inflammation. The model was established by intratracheal injection of LPS directly into the lungs of BALB/c mice. To evaluate targeting ability, fluorescently labeled WT-NP or VLA-NP were injected intravenously after the induction of lung inflammation. After 6 hours, major organs, including the heart, lungs, liver, spleen, kidneys, and blood, were collected to assess nanoparticle biodistribution (Fig. 5A). The majority of the nanoparticles accumulated in the liver and spleen. Notably, a significant increase in accumulation of VLA-NP was observed in the lungs compared to WT-NP. This in vivo targeting result was in agreement with the in vitro findings where VLA-NP were able to specifically bind to inflamed cells. The safety of the formulation was assessed by monitoring the plasma levels of creatinine, a marker of kidney toxicity that was previously studied in the context of DEX nanodelivery (44). After 9 days of repeated daily administrations of free DEX or VLA-DEX-NP into healthy mice, it was shown that the creatinine concentration in mice receiving VLA-DEX-NP remained consistent with baseline levels, whereas it was significantly elevated in mice administered with free DEX (Fig. 5B).
(A) Biodistribution of WT-NP or VLA-NP in a lung inflammation model 6 hours after intravenous administration (n = 3, mean + SD). *P < 0.05, Students t test. AU, arbitrary units. (B) Creatinine levels in the plasma of mice after repeated daily administrations for 9 days with free DEX or VLA-DEX-NP (n = 3, mean + SD). *P < 0.05, one-way ANOVA. (C) IL-6 levels in the lung tissue of mice intratracheally challenged with LPS and then treated intravenously with vehicle solution, free DEX, WT-DEX-NP, or VLA-DEX-NP (n = 3, mean SD). ***P < 0.001, ****P < 0.0001 (compared to VLA-DEX-NP), one-way ANOVA. (D) Representative hematoxylin and eosinstained lung histology sections of mice intratracheally challenged with LPS and then treated intravenously with vehicle solution, free DEX, WT-DEX-NP, or VLA-DEX-NP (scale bar, 100 m).
The therapeutic efficacy of VLA-DEX-NP was then evaluated following the same experimental design as the targeting study. After 6 hours, the lungs were collected and homogenized, and the homogenate was then clarified by centrifugation and filtered through a 0.22-m porous membrane before measuring the concentration of IL-6 by ELISA. As shown in Fig. 5C, the VLA-DEX-NP formulation was able to completely abrogate lung inflammation, while both free DEX and WT-DEX-NP did not have any discernable effect. The fact that WT-DEX-NP were not able to significantly reduce lung IL-6 levels suggested that systemic exposure to DEX was not a major contributor to the efficacy observed with VLA-DEX-NP. The efficacy of the formulation against lung inflammation was further confirmed by analyzing lung sections stained with hematoxylin and eosin (Fig. 5D). Leukocyte recruitment and peribronchial thickening, which are hallmarks of lung inflammation (45, 46), were prominent in the lungs of mice receiving no treatment, free DEX, or WT-DEX-NP. In contrast, minimal leukocyte recruitment and no peribronchial thickening were observed for the group treated with VLA-DEX-NP, and there were no other signs of toxicity present in these lung sections. Overall, the results from the in vivo studies confirmed the benefit of targeted delivery to inflamed lungs using VLA-NP as a drug nanocarrier.
In conclusion, we have engineered cell membranecoated nanoparticles that can be used to specifically target and treat localized lung inflammation via systemic administration. A host cell positive for integrin 1 was modified to express integrin 4. Together, the two protein markers formed VLA-4, which specifically interacts with VCAM-1, a common marker for inflammation found on vascular endothelia. Nanoparticles fabricated using the membrane from these genetically engineered cells were able to leverage this natural affinity to target inflamed sites, including in a murine model of LPS-induced lung inflammation. When the nanoparticles were loaded with DEX, an anti-inflammatory drug, significant therapeutic efficacy was achieved in vivo. Future studies will comprehensively evaluate the safety profile of the VLA-DEX-NP formulation, obtain additional lung-specific efficacy readouts, elucidate the optimal time window for treatment, and assess clinical relevance using additional animal models of severe inflammatory disease. As pathological inflammation is heavily implicated in a number of important disease conditions (7, 47), the reported biomimetic platform could be leveraged to improve the in vivo activity of various therapeutic payloads through enhanced targeting. Notably, VCAM-1 up-regulation has been observed in renal pathologies as well as in inflamed cerebral vasculature (48, 49). In addition, DEX has been shown to be effective at managing the inflammation associated with COVID-19 (50), and a targeted formulation capable of localizing the drug to the lungs may help to further boost its therapeutic profile. In this work, we specifically engineered the nanoparticles to display VLA-4, which is a complex, multicomponent membranebound ligand that would otherwise be infeasible to incorporate using traditional synthetic strategies. This highlights the advantages of using genetic engineering techniques to expand the wide-ranging utility of cell membrane coating technology. In particular, the generalized application of this approach would enable researchers to streamline the development of new targeted nanoformulations by using target-ligand interactions that occur in nature. Combined with the biocompatibility and biointerfacing characteristics that are inherent to cell membrane coatings, the work presented here could initiate a new wave of biomimetic nanomedicine with finely crafted functionalities.
Wild-type C1498 mouse leukemia cells (TIB-49, American Type Culture Collection) were cultured at 37C in 5% CO2 with Dulbeccos modified Eagles medium [DMEM; with l-glutamine, glucose (4.5 g/liter), and sodium pyruvate; Corning] supplemented with 10% bovine growth serum (BGS; Hyclone) and 1% penicillin-streptomycin (Pen-Strep; Gibco). Engineered C1498-VCAM cells were cultured with DMEM supplemented with 10% U.S. Department of Agriculture (USDA) fetal bovine serum (FBS; Omega Scientific), 1% Pen-Strep, and hygromycin B (400 g/ml; InvivoGen). Engineered C1498-VLA cells were cultured with DMEM supplemented with 10% USDA FBS, 1% Pen-Strep, and puromycin (1 g/ml; InvivoGen). bEnd.3 mouse brain endothelial cells (CRL-2299, American Type Culture Collection) were cultured with DMEM supplemented with 10% BGS and 1% Pen-Strep. AmphoPhoenix cells (obtained from the National Gene Vector Biorepository) were cultured with DMEM supplemented with 10% BGS and 1% Pen-Strep. DC2.4 mouse dendritic cells (SCC142, Sigma-Aldrich) were cultured with DMEM supplemented with 10% BGS and 1% Pen-Strep.
Engineered C1498-VLA and C1498-VCAM cells were created by transducing C1498-WT. Briefly, the genes for integrin 4 (MG50049-M, Sino Biological) and VCAM-1 (MG50163-UT, Sino Biological) gene were cloned into pQCXIP and pQCXIH plasmids (Clontech), respectively, using an In-Fusion HD cloning kit (Clontech) following the manufacturers protocol, yielding pQCXIP-4 and pQCXIH-VCAM-1. AmphoPhoenix cells were plated onto 100-mm tissue culture dishes containing 10 ml of medium at 3 105 cells/ml and cultured overnight. The cells were transfected with pQCXIP-4 or pQCXIH-VCAM-1 using Lipofectamine 2000 (Invitrogen) following the manufacturers instructions. The supernatant of the transfected AmphoPhoenix was collected and used to resuspend C1498-WT cells, which were then centrifuged at 800g for 90 min. After the spin, the transduced cells were incubated for 4 hours before the media were changed with fresh media. Fluorescently labeled antibodies, including FITC (fluorescein isothiocyanate) anti-mouse CD49d (R1-2, BioLegend), Alexa647 anti-mouse/rat CD29 (HM1-1, BioLegend), or PE (phycoerythrin) anti-mouse CD106 (STA, BioLegend), were used to assess the expression levels of VLA-4 or VCAM-1. Data were collected using a Becton Dickinson FACSCanto-II flow cytometer and analyzed using FlowJo software. All of the engineered cells were sorted using a Becton Dickinson FACSAria-II flow cytometer to select for cells expressing high levels of VLA-4 or VCAM-1.
The membranes from C1498-WT and engineered C1498-VLA cells were derived using a previously described method with some modifications (51). First, the cells were harvested and washed in a starting buffer containing 30 mM tris-HCl (pH 7.0) (Quality Biological) with 0.0759 M sucrose (Sigma-Aldrich) and 0.225 M d-mannitol (Sigma-Aldrich). The washed cells were resuspended in an isolation buffer containing 0.5 mM ethylene glycol-bis(-aminoethyl ether)-N,N,N,N-tetraacetic acid (Sigma-Aldrich), a phosphatase inhibitor cocktail (Sigma-Aldrich), and a protease inhibitor cocktail (Sigma-Aldrich). Then, the cells were homogenized using a Kinematica Polytron PT 10/35 probe homogenizer at 70% power for 15 passes. The homogenate was first centrifuged at 10,000g in a Beckman Coulter Optima XPN-80 ultracentrifuge for 25 min. The supernatant was then collected and centrifuged at 150,000g for 35 min. The resulting pellet of cell membrane was washed and stored in a solution containing 0.2 mM ethylenediaminetetraacetic acid (USB Corporation) in UltraPure DNase-free/RNase-free distilled water (Invitrogen). Total membrane protein content was quantified by a BCA protein assay kit (Pierce).
Polymeric cores were prepared by a single emulsion process using carboxyl-terminated 50:50 PLGA (0.66 dl/g; LACTEL absorbable polymers). For DEX-loaded PLGA cores, 500 l of PLGA (50 mg/ml) in dichloromethane (DCM; Sigma-Aldrich) was mixed with 500 l of DEX (10 mg/ml) in acetone. This mixture was added to 5 ml of 10 mM tris-HCl (pH 8) and sonicated using a Thermo Fisher Scientific 150E Sonic Dismembrator at 70% power for 2 min. The sonicated mixture was added to 10 ml of 10 mM tris-HCl (pH 8) and was magnetically stirred at 700 rpm overnight. For 1,1-dioctadecyl-3,3,3,3-tetramethylindodicarbocyanine (DiD, ex/em = 644/663 nm; Biotium) labeling, 500 l of PLGA (50 mg/ml) in DCM was mixed with 500 l of DiD (20 g/ml) in DCM. This mixture was added to 5 ml of 10 mM tris-HCl (pH 8) and sonicated using a Thermo Fisher Scientific 150E Sonic Dismembrator at 70% power for 2 min. The sonicated mixture was added to 10 ml of 10 mM tris-HCl (pH 8) and was magnetically stirred at 700g for 3 hours. Empty PLGA core preparation followed the same procedure, except substituting the DiD solution for 500 l of neat DCM. To coat the polymeric cores with cell membranes, the nanoparticle cores were first centrifuged at 21,100g for 8 min. The pellets were resuspended in solution containing membranes derived from C1498-WT or C1498-VLA. The mixture was sonicated in a 1.5-ml disposable sizing cuvette (BrandTech Scientific Inc.) using a Thermo Fisher Scientific FS30D bath sonicator at a frequency of 42 kHz and a power of 100 W for 3 min. For the in vitro studies, UltraPure water and sucrose were added to adjust the polymer concentration to 1 mg/ml and the sucrose concentration to 10%. For the in vivo studies, UltraPure water and sucrose were added to adjust the polymer concentration to 10 mg/ml and the sucrose concentration to 10%.
The size and surface zeta potential of WT-NP and VLA-NP were measured by dynamic light scattering using a Malvern ZEN 3600 Zetasizer. For electron microscopy visualization, a VLA-NP sample was negatively stained with 1 wt % uranyl acetate (Electron Microscopy Sciences) on a carbon-coated 400-mesh copper grid (Electron Microscopy Sciences) and visualized using a JEOL 1200 EX II transmission electron microscope. The presence of VLA-4 on WT-NP and VLA-NP was determined using western blotting. First, the samples were adjusted to 1 mg/ml protein content, followed by the addition of NuPAGE 4 lithium dodecyl sulfate sample loading buffer (Novex) and heating at 70C for 10 min. Then, 25 l was loaded into the wells of 12-well Bolt 4 to 12% Bis-Tris gels (Invitrogen) and ran at 165 V for 45 min in MOPS running buffer (Novex). The proteins were transferred for 60 min at a voltage of 10 V onto 0.45-m nitrocellulose membranes (Pierce) in Bolt transfer buffer (Novex). Nonspecific interactions were blocked using 5% milk (Genesee Scientific) in PBS (Thermo Fisher Scientific) with 0.05% Tween 20 (National Scientific). The blots were probed using anti-integrin 4 antibody (B-2, Santa Cruz Biotechnology) or anti-integrin 1 antibody (E-11, Santa Cruz Biotechnology). The secondary staining was done using the corresponding horseradish peroxidaseconjugated antibodies (BioLegend). Membranes with stained samples were developed in a dark room using ECL western blotting substrate (Pierce) and an ImageWorks Mini-Medical/90 Developer. Long-term stability of WT-NP and VLA-NP in 10% sucrose solution was tested by storing the particles at 4C for 2 months with weekly size measurements.
The expression level of VCAM-1 on C1498-WT, C1498-VCAM, untreated bEnd.3 cells, and bEnd.3 cells treated overnight with LPS (1 g/ml) from Escherichia coli K12 (LPS; InvivoGen) was evaluated as described above. For the first binding study, 5 104 cells, either C1498-WT or C1498-VCAM, were collected and resuspended in 160 l of DMEM containing 0.5% USDA FBS, 1% bovine serum albumin (BSA; Sigma-Aldrich), and 1 mM MnCl2 (Sigma-Aldrich). For blocking, anti-mouse CD106 antibody was added to the cells, followed by incubation at 4C for 30 min. Then, 40 l of DiD (1 mg/ml)labeled WT-NP or VLA-NP was added, and the mixture was incubated at 4C for another 30 min. After washing the cells twice with PBS, the fluorescent signals from the cells were detected using flow cytometry. For the second study, 5 104 bEnd.3 cells were plated and then either left untreated or pretreated with LPS overnight. The media were then removed and replaced with 160 l of DMEM containing 0.5% USDA FBS, 0.8% BSA, and 1 mM MnCl2. For blocking, anti-mouse CD106 antibody was added to the cells, followed by incubation at 4C for 30 min. Then, 40 l of DiD (1 mg/ml)labeled WT-NP or VLA-NP was added, and the mixture was incubated at 4C for another 30 min. After washing the cells twice with PBS, the cells were detached by scraping, and the fluorescent signals from the cells were detected using flow cytometry. All data were collected using a Becton Dickinson FACSCanto-II flow cytometer and analyzed using FlowJo software.
Drug loading and encapsulation efficiency were measured using HPLC on an Agilent 1220 Infinity II gradient liquid chromatography system equipped with a C18 analytical column (Brownlee). VLA-DEX-NP samples were dissolved overnight in 80% acetonitrile (ACN; EMD Millipore) and then centrifuged at 21,100g for 8 min to collect the supernatant for analysis. The solutions were run through the column at a flow rate of 0.3 ml/min and DEX was detected at a wavelength of 242 nm. The DEX release profile was obtained by loading 200 l of VLA-DEX-NP (1 mg/ml) into Slide-A-Lyzer MINI dialysis devices (10K molecular weight cutoff; Thermo Fisher Scientific) and floating them on 1 liter of PBS stirred at 150 rpm. At each time point, dialysis cups were retrieved, and their contents were centrifuged at 21,100g for 8 min. The pellets were dissolved in 80% ACN overnight and processed as described above for HPLC analysis.
The biological activity of DEX was evaluated in vitro using a test system involving the LPS treatment of DC2.4 dendritic cells. To validate the system, DC2.4 cells were first plated onto a 24-well tissue culture plate at 5 104 cells per well and cultured overnight with or without LPS at a concentration of 1 g/ml. Then, supernatant was collected, and the concentration of IL-6 was measured using a mouse IL-6 ELISA kit (BioLegend) according to the manufacturers protocol. To compare free DEX and VLA-DEX-NP, the two formulations were first added to the culture medium at final drug concentrations of 0.01, 0.1, and 1 M, followed by 2 hours of incubation. For free DEX, 1000 stock solutions were prepared at 0.01, 0.1, and 1 mM in dimethyl sulfoxide. Then, the cells were treated with LPS overnight before measuring the concentration of IL-6 in the supernatant. To test the effect of empty nanoparticles, either PLGA cores or VLA-NP at a final concentration of 1 g/ml were first incubated with the cells for 2 hours, followed by an overnight incubation either with or without LPS before measuring IL-6 levels.
All animal experiments were performed in accordance with the National Institutes of Health (NIH) guidelines and approved by the Institutional Animal Care and Use Committee (IACUC) of the University of California San Diego. To induce lung inflammation in mice, 30 l of LPS (400 g/ml) in PBS was injected intratracheally into male BALB/c mice (Charles River Laboratories). At 1 hour after LPS injection, 100 l of DiD (10 mg/ml)labeled WT-NP or VLA-NP was administered intravenously. After 6 hours, the heart, lungs, liver, spleen, kidneys, and blood were collected. All solid tissues were washed with PBS and suspended in 1 ml of PBS before being homogenized with a Biospec Mini-Beadbeater-16. The homogenates and blood were then diluted 4 with PBS and added to a 96-well plate, and fluorescence was measured using a BioTek Synergy Mx microplate reader. For each sample, the background signal measured from the corresponding organ or blood of control mice that did not receive any treatment was subtracted.
Male BALB/c mice were intravenously injected with 100 l of free DEX or VLA-DEX-NP, each at a drug concentration of 200 g/ml, daily for the first 7 days. Then, for the next 2 days, the dosage was doubled by injecting 200 l of each formulation at the same drug concentration. At 24 hours after the last injection, blood was collected by submandibular puncture and collected into tubes containing sodium heparin (Sigma-Aldrich). Plasma samples were obtained by taking the supernatant of the blood after centrifuging at 800g for 10 min. Creatinine levels were measured using a creatinine colorimetric assay kit (Cayman Chemical Company) according to the manufacturers protocol.
To treat lung inflammation, male BALB/c mice were first intratracheally challenged with 30 l of LPS (400 g/ml) in PBS. At 1 hour after the challenge, 100 l of free DEX, WT-DEX-NP, and VLA-DEX-NP, each at a drug concentration of 200 g/ml, was injected intravenously. After 6 hours, the lungs were collected and homogenized as described above. The homogenates were centrifuged at 10,000g, and the supernatants were filtered through 0.22-m polyvinylidene difluoride syringe filters (CELLTREAT). The concentration of IL-6 was measured using a mouse IL-6 ELISA kit according to the manufacturers protocol. For histology analysis, the lungs were collected after 6 hours and fixed in 10% phosphate-buffered formalin (Fisher Chemical) for 24 hours. The fixed lungs were sectioned, followed by hematoxylin and eosin (Sakura Finetek) staining. Histology slides were prepared by the Moores Cancer Center Tissue Technology Shared Resource (Cancer Center Support Grant P30CA23100). Images were obtained using a Hamamatsu NanoZoomer 2.0-HT slide scanner and analyzed using the NanoZoomer Digital Pathology software.
Acknowledgments: Funding: This work was supported by the National Institutes of Health under award no. R01CA200574 and the Defense Threat Reduction Agency Joint Science and Technology Office for Chemical and Biological Defense under grant no. HDTRA1-18-1-0014. J.H.P. was supported by a National Institutes of Health 5T32CA153915 training grant from the National Cancer Institute. Author contributions: J.H.P., Y.J., R.H.F., and L.Z. conceived and designed the experiments. J.H.P., Y.J., J.Z., H.G., A.M., and J.H. performed all experiments. All authors analyzed and discussed the data. J.H.P., A.M., R.H.F., and L.Z. wrote the paper. Competing interests: The authors declare that they have no competing interests. Data and materials availability: All data needed to evaluate the conclusions in the paper are present in the paper.
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The UKs big GMO food plan might not be that big – Wired.co.uk
Posted: at 7:28 am
Every year, billions of pounds worth of potatoes are chucked in the bin because of late blight disease. The disease, which rots potatoes from the inside out, was one of the major causes of the Irish potato famine and is still a scourge on spuds today. But, in fields in Norwich and Cambridgeshire, experimental blight-resistant potatoes are growing unbothered by the disease. The only problem? No one can eat them.
These potatoes were created by taking genetic material from one organism and inserting it into another one in this case blight-resistance genes were whisked out of a wild potato relative and put into Maris Pipers. Under EU and UK law, these kinds of crops are defined as genetically-modified organisms (GMOs) and are subject to strict regulations that limit how they are grown and whether they can be sold as food.
Boris Johnson has these potatoes or at least crops like them in his sights for a while. On the very first day of his premiership, Johnson signalled that his government would like to break away from EU laws on GMOs. Let's start now to liberate the UK's extraordinary bioscience sector from anti-genetic modification rules, and let's develop the blight-resistant crops that will feed the world, Johnson said in his first speech as prime minister. On June 17 the government is poised to announce its response to a public consultation on genetic engineering the first step in what might turn out to be a major re-working of the UKs genetic engineering laws.
But heres where things get tricky. While the changes proposed by the Department for Environment, Food & Rural Affairs (Defra) would change the way that genetically-engineered crops are defined in the UK, theyre unlikely to clear a path for blight-resistant potatoes to come to our shelves any time soon. The government is keen to show that its blowing away the cobwebs of EU legislation, but in reality the trickiest scientific and legal questions are all still to come.
At the heart of the consultation is a question about how to regulate crops and animals that have had their genomes changed using precision gene-editing techniques such as Crispr. At the moment, EU (and UK) law makes no distinction between Crispr-edited crops and those made using older forms of genetic engineering such as transgenesis the same technique used to make those blight-resistant potatoes. Under EU law, crops made using either of these techniques are currently classified as genetically modified organisms (GMOs) but Defra is proposing that some gene-edited crops should not be classified as GMOs.
This change in regulations would be a relief for UK researchers who work on genetically-engineered plants, says Wendy Harwood, leader of the Crop Transformation Group at the John Innes Centre in Norwich. Under current rules, researchers wishing to plant GM crops in field trials must go through a lengthy approval process and then follow strict rules, including leaving test fields empty for a year after the crop has been harvested. Although the EU does allow the growing and marketing of GM foods, the approval process is so long and expensive that many companies effectively consider the EU a closed market to GMOs.
As a result, field trials of genetically-engineered crops are rare in the UK. As of November 2019, only three UK-based research departments had consent to hold field trials involving GMOs. Knowing those chances might have increased a bit, it might be a bit easier just to take that next step, says Harwood.
A change in the definition of GMOs would bring the UK more in line with countries like the USA, which allows Crispr-edited crops to sidestep regulation governing GMOs. Jonathan Jones is a professor at The Sainsbury Laboratory in Norwich and leads the team behind the late blight-resistant potatoes. He says that genetically-engineered crops can play a major role in reducing agricultures impact on the planet. The real problem comes from doing agriculture. Actually, what we want is less agriculture. And the way to have less agricultural and more land set aside for biodiversity is to have our agriculture more productive, he says.
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The UKs big GMO food plan might not be that big - Wired.co.uk
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Tumors Next Target for T Cell Therapies with U Minnesota Research – BioSpace
Posted: at 7:28 am
New research from a University of Minnesota team shows T cells can be engineered to migrate more effectively inside tumor microenvironments, raising hopes of reproducing the remarkable outcomes seen for certain hematological cancer patient subsets in broader populations and indications.
T cells have been key to two promising families of cancer immunotherapies, chimeric antigen receptor (CAR) T cells and immune checkpoint inhibitors. After two new U.S. Food and Drug Administration (FDA) approvals earlier this year for Bristol Myers Squibbs Breyanzi (lisocabtagene maraleucel) and Abecma (idecabtagene vicleucel), there are now five marketed CAR T cell therapies for a range of hematological cancers, including large B-cell and mantle cell lymphoma, acute lymphoblastic leukemia and multiple myeloma. These therapies are patient-derived T cells engineered to express a CAR that directs them to a specific tumor.
By contrast, immune checkpoint inhibitors function by targeting sets of natural immune system brakes, either on a tumor or directly on immune cells. The seven FDA-approved immune checkpoint inhibitors allow T cells to kill a growing list of hematological and solid tumors, and show impressive outcomes but in a fraction of patients.
Both approaches have been more effective in hematological cancers, and one obstacle in solid tumors is a literal barrier. T cells have to migrate through the complex, dense, and rigid tumor microenvironment, which can misdirect and slow down the immune cells.
The new paper, published in Nature Communications, shines a light on how T cells move within these physical features, informing new methods to rationally engineer the cells for more effective therapies.
T cell engineering has focused on cancer identification and targeting, said Paolo Provenzano, associate professor at the University of Minnesota Masonic Cancer Center and an author on the paper.
Were trying to add on a piece to that: they know what to kill, how do they get there? he said.
The researchers looked at pancreatic ductal adenocarcinoma (PDAC), a particularly fibrotic cancer known for limited cytotoxic T cell infiltration. Provenzano and colleagues had previously shown that antifibrotic therapies could improve immune cell infiltration in PDAC, but the group is now focused on rationally designing physical attributes of the T cells themselves.
Provenzanos team started by testing T cell migration on specialized artificial 2-D nanotextured platform that mimicked elements of the stromal extracellular matrix of tumors. T cells use lamellipodia and filopodia to sense biophysical cues and guide migration, and can switch between more flexible and stiffer phenotypes, to adapt to different conditions.
Theyre never all or one, theyre on this sliding scale, mediated by the muscle-like contractions of microtubules, Provenzano said.
The researchers found that while in a more amoebalike phenotype, cells had enhanced speed and motility, improving how quickly and effectively the cells could navigate the matrix. The researchers used the chemotherapeutic nocodazole, known to destabilize microtubules, to increase contractility and induce more amoebalike phenotypes, and another chemotherapeutic, paclitaxel, for the inverse. Cells with the nocodazole-induced amoebalike phenotypes could contract into smaller balls, and could shoot out protrusions faster, allowing for better motility than the paclitaxel-induced stiffer ones, and migrating between 50-100% faster in artificial 3-D matrices and mouse PDAC model tumor slices.
Thinking about personalized combination approaches to cancer treatment, this raised a red flag for Provenzano, as taxane agents are commonly used to treat solid tumors like breast and pancreatic cancer. The findings suggest certain chemotherapies might not be right if youre trying to elicit the bodys own immune response against these tumors, or mixing with a T cell therapy, he said.
The effect of chemotherapies on T cell microtubules is transient, so next the researchers explored a genetic engineering approach, using CRISPR technology to engineer T cells lacking GEF-H1, a gene they hypothesized mediates cell contractility. In a 3-D matrix, the knockout lines migrated 50% compared with controls.
Provenzano envisions different T cell engineering tweaks as part of the increasingly personalized approach to cancer treatment. Cells engineered to migrate faster have promise particularly in fibrotic tumor microenvironments, where T cells move about half as fast.
They get to sample less volume before they become exhausted, he said.
T cell exhaustion is a key limitation for CAR-T therapies and combining them with T cells that are physically optimized for faster migration could be synergistic in these patients.
If tumors are like unique obstacle courses for T cells, though, then different athletes or teams might be suited for different cancer types and patients.
Maybe we engineer five different T cells that navigate different obstacles, then mix them in cocktail and bring them back in. Thats what were thinking as our ultimate goal, he said.
Provenzanos lab is now using physics-based mathematical models to predict what the optimal cell would be.
We dont know the most physically optimized cell looks like yet, he said. But the paper represents just the first foray into the optimization process for just the first athlete. This will be what at least half my lab will be publishing on for the next decade.
There is active interest in the approach, but Provenzano said the work is not yet being commercialized. He hopes to find a partner with an ongoing T cell therapy clinical trial that could add an arm with his groups physically optimized cells, but trials are probably still years away.
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Tumors Next Target for T Cell Therapies with U Minnesota Research - BioSpace
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