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Evaluating new therapies in GIST using in vivo molecular imaging Lori Rink, Ph.D Fox Chase Cancer Center Molecular imaging and personalized medicine • Genome and expression analyses will identify molecules and pathways activated in individual cancers • Opportunity for individually tailored therapy • Plethora of available agents – need for prioritization • Biological therapies frequently less toxic – tumors may not shrink • Resistance – via target mutation or compensatory pathway activation • Need for imaging modalities to detect biological/functional response – – – CT MRI PET Can molecular imaging be used for rapid assessment of drug efficacy? – – Individualization of therapy, dose and/or schedule Combination of targeted therapeutic agents In vivo near infrared fluorescent (NIRF) molecular imaging • Reduced light absorption by abundant molecules (e.g., hemoglobin) • Reduced autofluorescence • Probes - maximum light penetration and high sensitivity • Quantitative • Detect biological activities/molecular targets • Limited tissue penetration Fluorescent molecular tomography:FMT • FMT2500 – VisEn Medical - 3D quantitative measurements of probe activation and/or retention Provides non-invasive, whole body, deep tissue imaging in small animal models to generate 3D, information-rich results. - Functional imaging of biological and physiological changes Biological targets and pathways can be monitored and quantified in real time - giving a deeper understanding of the biology underlying disease mechanisms and therapeutic response. Evaluating novel therapeutics using in vivo molecular imaging Acknowledgements von Mehren Group •Margaret von Mehren, M.D •Martin Belinsky, Ph.D. •Alexis Cordero, B.S. FCCC Facilities • Laboratory Animal Facility • Small Animal Imaging Facility Collaborators • Andrew K. Godwin, Ph.D • Harvey Hensley, Ph.D • Denise Connolly, Ph.D Support • National Cancer Institute • GIST Cancer Research Fund (Tania Stutman) • NIH institutional training grant (LR) • Merck