11/30/2009 1 Meeting American Needs with Optics R&D: HealthCare, Climate, and Energy, Emerging Market Opportunities David Benaron CEO Spectros Corp. and Professor, Stanford University HR R&D Caucus Dec 1, 2009 (ver 29j) s R&D Why Optics? an Optics Why Healthcare? Why? Americ Benaron Optics in Healthcare Caucus
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11/30/2009
1
Meeting American Needs with Optics R&D:p
HealthCare, Climate, and Energy, Emerging Market Opportunities
David BenaronCEO Spectros Corp. and Professor, Stanford University
HR R&D CaucusDec 1, 2009 (ver 29j)
s R&D
Why Optics?
an Optics Why Healthcare?
Why?
Americ
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“I said ‘I belie e that in the f t re the photon
Prediction:………………………………………
Photonics will Displace Electronics
“I said: ‘I believe that, in the future, the photon
will replace the electron,’ and they all laughed.”
Dr John H Marburger IIIDr John H Marburger IIIDr. John H. Marburger, IIIDr. John H. Marburger, III
Science Advisor to President Science Advisor to President G.W.G.W. Bush, andBush, and
Former Director, Office of Science and Technology PolicyFormer Director, Office of Science and Technology Policy
Recalling his PhD Defense (Nonlinear Laser SelfRecalling his PhD Defense (Nonlinear Laser Self‐‐Focusing, 1967)Focusing, 1967)
Fact:……………………………………………..
20th Century “Electronics” are being replaced by 21st Century “Optics”
s R&D
Computer Storage: was electronic, now is optical DVDs
Telecommunication: was by wire, now is by fiber
Healthcare: tests were electronic (EKG, glass‐electrode lab analyzers), latest methods are optical (sensors, contrastan
Radionuclide 3 mm 600 000Radionuclide 3 mm 600,000
PET 2 mm 400,000
HFUS 1 mm 100,000
Optics 0.05 mm 1-100
Optical Imaging Detects Single Stem CellsOptical Imaging Detects Single Stem Cells
Optically labeled stem cells can be seen singly in vivo in bone marrow.
Proc Natl Acad Sci 2009 from University of Tsukuba, Japan and Univ. of Michigan Medical School.
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Out with the Old Monitoring Approach:
E l i i i l h h
Time to Change the Medical ParadigmTime to Change the Medical Paradigm
Escalating monitoring only when the patient is ill is like adding smoke detectors after the fire has started
In with the New Approach:
“ f“More continuous, More specific,Less Invasive. . .”
s R&D
Talking Points:
Why Healthcare R&D?
Medicine is slow to detect, diagnose, and treat
an Optics The paradigm must change from late to early
Treatments must change from general to patient‐specific
The goal: earlier, better, less invasive, more continuous
Optics is positioned to fill this need
Americ . . . Some opportunities are already transitioning to usage
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s R&D
Opportunitiesan
Optics
1.ClimateControl
2.Solid‐StateLighting
3.Health &Biotech
Why?
Americ
Global Warming is Optics:Caused by Excess Trapped Sunlight Energy
Controlling sunlight leads to cooling
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Continued Warming Threatens Health… Disease Migration, Disrupted Food Supply, Population Shifts, Political Instability
“Could Adapt”
“Tipping Points”
“No Adaption Strategy”
Could Adapt
Data from June, 2009
New Orleans
The proportion of tropical cyclones reaching higher intensity have increased over the past 3 decades. This will be disruptive, damage crops, and spread disease.
Cyclone Nargis in Myanmar, 2008: 100,000 estimated deaths
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Heat waves have become more frequent over most land areas. This will be medically dangerous, disruptive to food supplies, and increase wildfires.
- Heat wave in Europe, 2003: 35,000 deaths
Prediction: Global Warming Accelerates
Warming continues even if we just stay where we are
Continuing growth leads to even more warming (up to 12º F)
year
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Developed and Developing Countries Have Different Priorities. . . Limiting Choices
Courtesy: Univ. Brussels (ULB, 2008)
Success in reducing warming requires multi-lateral cooperation. . . which is difficult
If Warming Caused by Excess Trapped Sunlight Energy… Cool by Reducing Light
Controlling sunlight leads to cooling
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Not Everything Warms the Earth. . .
Climate forcing agents in the industrial era. “Effective” forcing accounts for “efficacy” of forcing mechanisms.
Source: Hansen et al., JGR, 110, D18104, 2005.
Clouds and aerosols COOL the Earth
How?
• Large volcano erupted 1991
• Particles reach stratosphere
Mt. Pinatubo Cooled Earth, Briefly
• Reduced solar radiation on Earth
• Offset more than two times its weight of Carbon Dioxide
• Some teams are designing optical agents to lead to Earth’s cooling
From Caldeira 2009 based on Soden et al., 2002
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Optics Dominates
Global Cooling Solutions
From volcanoes, we know:− it basically works− doesn’t cause global disaster
Could be deployed cheaply with:− reasonable R&D in optics,
nanomaterials and polymers− short term agents that go away− cost: $500B/year
Scalable (measured response that scales with need)
Allows for unilateral adoption by the United States, and thus is a key strategic and political asset
Pu Chun Ke Clemson University Columbia
Carbon Nanotubes Enter and Persist in the Food Chain
NSF Grantee studying the uptake, translocation and transmission of carbon nanomaterials in plants.
This image displays the uptake of multi-walled carbon nanotubes (bright objects) by the vascular system (blue tubes) of a rice plant.
Pu-Chun Ke - Clemson University-Columbia
vascular system (blue tubes) of a rice plant.
It shows first-hand evidence of nanomaterials discharged into the food chain and illustrates the potential impact of nanotechnology on human health.
CBET 0651976
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Nano‐optics Particles Have Health Risks
• Long lifetimes in the environment
• Persistence in the food chain and human body
Where are the Big R&D Needs?
• Persistence in the food chain and human body
• Breakdown products can be toxic
• Recent evidence they can affect DNA directly
• Need to Engineer better, less toxic nanoparticles
Optics and Uses not well understood
• Behavior in the environment uncertain
• Detecting, Sensing, Reporting areas of significant R&D need
• Capturing and Controlling Space Solar Power using optical
Nanotech is in Light Capturing Structures
nanoparticles
Energy from space.
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Absorption• Grätzel Cell — Nanotechnology Solar Cell
Nanostructures are even in Energy Generating Solar Cells
p
Charge T f
Exciton Diffusion
Figure 7.7: Nanotechnology solar cells.
Transfer
Charge Transport
• Basic Research Needs for Solar Nanotech
Nanoscience and Solar Energy
Basic Research Needs for Solar Nanotech
- Sun can be a singular solution to our future energy needs.
- Enormous gap between our tiny use of solar energy and its immense potential.
- Interdisciplinary research is required.
DOE report.
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s R&D
Talking Points:
Climate and Energy Optics R&DWarming continues even if we just stay where we are
Continuing growth leads to warming up to 12º F
an Optics
Continuing growth leads to warming up to 12 F
Optics Dominates Cooling, Energy solutions
Could be deployed cheaply
Requires R&D advances in optics, nanomaterials and
polymers to avoid serious health toxicities
Americ
Cooling is scalable, adjustable
Cooling allows for unilateral adoption by the U.S.
and thus is a key strategic and political asset
s R&D
Opportunities
an Optics
1.ClimateControl
2.Solid‐StateLighting
3.Health &Biotech
Why?
Americ
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Sit El t i it C ti
U.S. Buildings − Energy Use 2001T t l P i E ( ll f l )
Optics Central to Energy Issues:Lighting Uses 30% of All U.S. Electricity
Site Electricity Consumption
Space Heating10%
Lighting30%
Electronics9%
Appliances7%
Ventilation4%
Computers3%
Space Heating27%
Refrigeration8%
Computers2%
Ventilation3%
Appliances7%
Electronics6%
Total Primary Energy (all fuels)
2390 TWh
37Source: Building Technology Program Core Databook, August 2003. http://buildingsdatabook.eren.doe.gov/frame.asp?p=tableview.asp&TableID=509&t=xls
30%
Water Heating9%
Space Cooling17%
Refrigeration11%
Lighting21%
Water Heating14%
Space Cooling12%
2390 TWh
Progression of Light Sources to Solid‐State Optics and Nano‐optics
Incandescent
(4% efficient)
(10 bulbs = $200/yr)
CFL
(12-15% efficient)
White LED
(15-20% efficient)
NanoDot LED
(15-30% efficient)
(10 bulbs = $16/yr)
Trend is toward higher efficiency using nano-optics
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• All colored lighting is in transition
State of the Art Commercial LED Lighting Systems
• Threshold: cost‐effective white LEDs
Rapid transition to commercial use faster than expected
Direct Application to Medicine for White LED Systems
Cool White LED source can come
in close contact with tissue
Provides lighting for endoscopic
or robotic surgery
Swallowable semiconductor camerawith White LED monitorsthe gut
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Direct Application to Medicine for White LED Systems
Example: Monitor vascular stents in AAA− After Abdominal Aortic Aneurysm (AAA) repair, there is risk of leak− Currently: MRI Image at 2 mo, 4 mo, 6 mo, and annually thereafter − Instead, place pressure monitor, and screen every visit w/o imaging
2009; Levenson et al, Cambridge Research using Nuance animal imaging platform
Optical Tomography: The Early YearsOptical Tomography: The Early Years
Fiber Headband on head of infant
Benaron, Cheong, et al. (1992)
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Normal Head
A B
van Houten et al. (1996)
Optical Tomography: The Early YearsOptical Tomography: The Early Years
Hitachi System Univ College LondonReal-Time Optical Functional Imaging
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Optical Tomography: Present DayOptical Tomography: Present Day
Images: Top: OCT-FD fly-through view of patient's right coronary artery, white arrowheads indicate area of lipid deposits at white dotted line in image above. Side: Cutaway OCT-FD image of a portion of same patient's right coronary artery, showing newly placed drug-eluting stent (dark blue), macrophages (green) and lipid deposits (yellow)
Real Time In Vivo MicroendoscopyReal Time In Vivo Microendoscopyin Patientsin Patients
Bronchoscopy in the Lung G.I. Tract
Monitoring with Contrast Agents
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Cells can be labeled with dyesCells can be labeled with dyes
Image courtesy LifeTech, Inc.
There are sufficient receptors on most cells to label brightly enough to see each cell by eye under a microscope
Video Rate Imaging of Fluorescent LabelsVideo Rate Imaging of Fluorescent Labels
Hand with Dilute Real-Time Image in R Li h f PContrast Agent Room Light of Prostate PSMA Targeted Agent
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Observing Migrating Cells Stained Observing Migrating Cells Stained in vivoin vivo
Trafficking of GFP-labeled T- cells (green) and Lymphatic Ducts (red anti-LYVE-1 antibody) in the mouse ear after drug-induced inflammation.
(Time compressed from 20 min film)
Lin, Harvard (2005)
Finding Lymph Nodes During SurgeryFinding Lymph Nodes During Surgery
Frangioni slide
Subcutaneous injection of fluorescent dye allows real time lymphatic tracing
Frangioni et al (2007)
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Intraoperative ICG Coronary Imaging SystemIntraoperative ICG Coronary Imaging System
Indocyanine green angiograms of an in-situ left internal mammary artery (white arrow)bypass to left anterior descending coronary artery (black arrow). The distal anastomosis is well seen and denoted by the asterisk.
Desai et al., J Am Coll Cardiol, 2005; 46:1521‐1525.
ICG Intraoperative Coronary Imaging SystemICG Intraoperative Coronary Imaging System
(A) A post-CABG intraoperative image shows no flow in graft (arrow)(B) Revised, and graft working prior to closure
(from Novadaq, 2008)
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Imaging and Counting Bacteria in vivoImaging and Counting Bacteria in vivo
Dye targeted to Staph aureus is injected intravascularly, labeling bacteria in vivo
Biodistribution and MetabolismBiodistribution and Metabolism
Hepatic Metabolism/Excretion (Cy 7-2DG, Zheng)
Renal Excretion (Cy-Folate, Spectros/Low)
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Dyes Can Turn On and OffDyes Can Turn On and Off
(A) Gold-quenched imaging probe. (B) In i o near infrared optical(B) In vivo near-infrared optical imaging of protease matrix metalloproteinases, MMPs positive SCC7 xenografts −(left) +(right) inhibitor. (C) Fluorescence image from wells containing varied conc. of MMPs(D) Fluorescence microscopy
Weissleder et al. MGH.Weissleder et al. MGH.
Activatable LabelsActivatable Labels
Courtesy: VisEn, 2008
Protease Angiogenesis Bone Remodeling
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Cd S B d
Multiple target imaged using nanotechMultiple target imaged using nanotech
Upconverting Phosphors
Cd or Se-BasedQuantum Dots
Multiply StainedHeLa Cells
Source: G. Farris, SRI
Source: Life Tech
Imaging Multiple Target Sites In VivoImaging Multiple Target Sites In Vivo
Standard Color CameraWavelength-Sensitive
CRI Maestro
Slide Courtesy R. Levenson / CRI Inc.
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Tracking Activated WBCsTracking White Blood Cells for InfectionTracking White Blood Cells for Infection
► Nanobots will enable self‐guiding sensor/treatments
NanoNano allows single peptide copy detectionallows single peptide copy detection
60 nm
Video shows single molecule detection
Nanoscale sensor, each well 10 nm across
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2 nm Nanowire = single protein detection2 nm Nanowire = single protein detection
When a single protein binds to an antibody along the wire the current flowing throughalong the wire, the current flowing through the wire changes. Arrays of hundreds of nanowires, each designed to detect a different molecule in the same sample, can be arranged on tiny, inexpensive chips.
C. Lieber, Harvard University, 2008.
NanoNano LabLab‐‐onon‐‐chip: 50 uL testchip: 50 uL test
Finger prick to protein: AFinger prick to protein: A microfluidic chip identifies 35 proteins in a drop of blood within 10 minutes.
Leroy Hood et al, Nature Biotech 2009
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Gene Chip Reader Data Array
►►Key sensor technologies often start as Key sensor technologies often start as
Affymetrix Optical ChipsAffymetrix Optical Chips
tools, accepted ex vivo, before they tools, accepted ex vivo, before they are accepted in are accepted in vivovivo
Optically reads binding to gene or protein fragments for use in drug discovery
(Data: Affymetrix)
Microsphere reporters can be monitoredMicrosphere reporters can be monitored
Implantable fluorescent microspheres made of polyethylene glycol that have an assay chemistry specific to glucose that changes the fluorescence work in conjunction with an external optical biosensor (LED light source) to enable noninvasive glucose monitoring.
Glucose sensor using hollowGlucose sensor using hollow structures called single-wall carbon nanotubes anchored to gold-coated 'nanocubes.' The device resembles a tiny cube-shaped tetherball anchored to electronic circuitry by a nanotubeabout 25,000 times thinner than a human hair. - Jeff Goecker, Discovery Park, Purdue University
Optical Sensors can be delivered INTO cellsOptical Sensors can be delivered INTO cells
Things of intracellular interest:Things of intracellular interest:
A fluorescent image of a single cell taken 15 minutes after introducing the quantum dot-siRNA complex. At this early stage the particles are in the cell membrane, but later will be intracellular, and if targeted intramitochondrial or intranuclear.
Gao et al. Journal of the American Chemical Society 2009.
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Nanotubes can deliver targeted payloadNanotubes can deliver targeted payload
Delivery of a targeted PET agent.
McDevitt et al. PET Imaging of Soluble Yttrium-86-labeled Carbon Nanotubes in Mice. PLoS ONE. 2007 2(9): e907
Receptor proteins on human T cells are dyed red (top image). RNA can be used to
Nanotubes deliver sensing and treatmentNanotubes deliver sensing and treatment
dyed red (top image). RNA can be used to turn off the receptors’ expression. Carbon nanotubes could be used to transport RNA into the T cells, turning off the receptors’ expression (bottom), a step toward using carbon nanotubes for RNAi therapy.
Zhuang Liu et al., Stanford (2008)
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Nanobot rods sense and localize treatmentsNanobot rods sense and localize treatments
Conjugating gold nanorods targeted to EGFR attach themselves to the cancer cells in vivo. An iron center allows for heating using Radiofrequency emissions, selectively killing the cancer cells.
Image courtesy of Mostafa El-Sayed, Georgia Tech.
Structure / FunctionCo‐registration
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Combination Optical plus CT or MRI ScansCombination Optical plus CT or MRI Scans
CT/Optical Fusion of Inhaled Dye Liposomes
CT/Optical Fusion of GFP tumor
Courtesy: U Tenn Biomed Engineering, 2007
s R&D
Talking Points:
Healthcare and Optics R&D
Medicine is changing from reactive to proactive
N i i d ti i ill
an Optics Noninvasive and continuous sensing will grow
Optics will play large role in many approaches
Requires R&D advances in optics, nanomaterials and
polymers to avoid serious health toxicities
Americ
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s R&D
Summaryan
Optics
1.ClimateControl
2.Solid‐StateLighting
3.Health &Biotech
Why?
Americ
Disclosures1. Founder, Xenogen Corp, market leader in optical imaging
public 2004, acquired by Caliper Life Sci.
2. Founder, Spectros , market player (NIRS/VLS spectroscopy)
3. BOD of FirstScan, R&D (Early optical breast cancer detection)
4. Receive Royalties through Stanford on various technologies and devices
5 Consult to companies in Greentech optics5. Consult to companies in Greentech optics
6. Other technologies sold, licensed, or used by:
Caliper Life Sciences, licensed to most major pharma cos.Boston ScientificMasimo Corp