The present invention generally relates to medical devices and methods, and more particularly to microfluidic devices and methods for modeling, manufacturing and monitoring organ and human functions for understanding disease mechanism, drug discovery and toxicology in organ plates.
Microfluidic system provides assays that are useful for various physiological and pathophysiological applications such as Alzheimer's Disease, diabetes, toxicology, infectious disease, isogenic organs modeling, cancer models. There is a need in the art for Gravity-driven microfluidic systems that provide unidirectional physiological flow in cells, organs, multi-organs and organoids culture.
Gravity-driven microfluidic system provides unidirectional physiological flow in cells, organs, multi-organs and organoids culture. Such gravity-driven flow is integrated in multi-organ system on a plate or multi-organ system on a chip to provide recirculations that simulates blood flow in humans. In addition, mechanical actuations on the organs provide true human on a chip or true human on a plate platform. Stretching of the organ substrate using gas at controlled pressure profile provides muscular stimulation and culturing the stretched organ at air/media or gas/liquid interface is useful for lung organ. Modeling multi-organ on a chip or multi-organ on a plate will provide shear flow rate to organs, mechanical stress, barrier functions and endothelial/epithelial co-culture across organs. Monitoring field potential signals from brain, cardiac and muscular organs may be used to analyze the functional activity of organs. Further, transepithelial endothelial electrical resistance helps in the monitoring of barrier functions. 3-D confocal imaging of organs cultured on chips or plates will provide monitoring organ functions in morphology or coupled with other immunochemical assays. Time domain measurement of effluents from the organs at various compartments within physiological barriers can help in the proteins, enzymes or analytes measurements. End-point measurement of organ tissues at various compartments are useful for studying immunohistochemical gene expression or protein expression or real time quantitative polymerase chain reaction gene expression. Such assays are useful for various physiological and pathophysiological applications such as Alzheimer's Disease, diabetes, toxicology, infectious disease, isogenic organs modeling, cancer models.
The present invention is directed to systems, devices, chips, plates, and methods for cells, organs, organoids, multiple organs or human culture and manufacture in a 2-D or 3-D arrays using a multi-organ plate equipped with gravity-driven liquid flow, pneumatic pressure and/or electro-active polymer-based mechanical stretching of membrane, non-invasive instantaneous measurement techniques, effluent sampling-based assays and endpoint immunochemical and genomic assays from the organ plate, as shown in and/or described in connection with at least one of the figures, and as set forth more completely in the claims.
In accordance with an aspect of the present invention, there are systems, devices, and methods for performing gravity-driven recirculations in 2-D or 3-D for cells or organs or organoids or multiple organs in one or a plurality of adjacent channels such as endothelium channel, epithelium channel and media channel.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for connecting multiple central nervous systems and peripheral nervous system or brain and other body organs through blood-brain-barrier (BBB) organ by gravity-driven flow across multiple fluidic loops.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for connecting multiple channels adjacent to the main channel in the fluidic loop.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for connecting multiple loops adjacent to middle channels.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for connecting multiple adjacent channels to coculture multiple cell types or gel or media to middle channels or channel loops.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for forming vertical walls in the channel by tilting the organ plate at an angle.
In accordance with another aspect of the present invention, there are systems, devices, and methods for loading a fluid within an adjacent channel using Laplace flow-stop side or bridge channels.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for different heights for the side or bridge channel to enable the flow-stop.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for different above-mentioned heights for the side or bridge channel to enable the flow-stop one fluid while providing flowthrough for another fluid.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for flow-stop using micropillars in a linear array or in a loop to stop one fluid entering another region or another fluid.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods the above mentioned micropillars are nested in adjacent channels to stop multiple fluids or regions.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for different diameters for fluidic channel inlets or outlets.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for measuring cellular or organ parameters such as transepithelial-endothelial electrical resistance (TEER) or field potential (FP) or impedance using integrated electrodes at the bottom of the organ plate.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for measuring cellular or organ parameters such as TEER or FP or impedance using pin electrodes from the lid of the organ plate.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for connecting multiple fluidic loops of different organs to a main fluidic loop through barrier junctions such as blood brain barrier, cerebral fluid brain barrier, air-blood barrier, kidney fluid-blood barrier, hormone-blood barrier, retinal-blood barrier.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for flowing different fluids such as gas, liquid or different composition of fluids in multiple fluidic loops of different organs.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for multiple recirculation units by gravitational flow loops within organs and flow-jump from one organ to another organ through fluidic lid.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for flow-jump from one organ to one or more organs through fluidic lid as a loop across one or more organs.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for flow-jump from one organ or more organs through fluidic lid as a one-way flow.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for flow-jump from one organ or more organs through fluidic lid to a fresh media reservoir or waste media collection reservoir.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to accommodate transwell inserts in wells or channels to provide barrier functions to the organs.
In accordance with another aspect of the present invention, there are systems, devices, and methods for performing tight junction by loading extracellular matrix gels in one channel and loading to cells in adjacent channels to form vertical walls.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods involving multiple valves, pressure sensors and reservoirs to provide pneumatic positive and negative pressure profiles to organs cultured on membranes.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to load cells or organs through a port and sealing using silicone-based stoppers as a lid to organ plate and performing mechanical stimulation on the membrane using pneumatic positive and negative pressure control.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to perform linear or multi-dimensional mechanical stretches on muscular organs supported by a membrane using pneumatic positive and negative pressure control.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for the above-mentioned stretching using electro-active polymer-based activation.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for the above mentioned electro-active polymer-based activation where the electroactive polymer form stretches the substrate of seeded organs or cells in a concentric fashion.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for culturing certain organs such as lungs and skin at air/water interface and communicating to cells or media in adjacent layers through pores in the supporting membrane.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for pressuring certain membranes holding organs or cells from the top or bottom using gas pressure.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for culturing certain organs on membranes interfaced to gas on one side and liquid on the other side.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for transporting gas or liquid from top layer to the bottom layer to flow continuously in a loop.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for transporting gas or liquid from one loop or another loop through channels in a microfluidic lid.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for blocking the above-mentioned pores for any applied pneumatic pressure using endothelial cells or other cells forming tight junction.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for performing organ or cell culture with recirculation and stretching using closed systems.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for performing organ or cell culture with recirculation using gravity-driven flow or pneumatic driven flow or a combination of flows.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for stretching the membrane after blocking using pneumatic control of gases.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for loading fluid on a channel by vertically holding the chip or plate through bottom ports so that any air bubbles will be escaped through the top outlet using gravity.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for culturing cells or organs on the bottom surface of the membrane by tilting the chip or plate after loading the sample and culturing for an extended period so that the cells or organs are attached to the surface.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for loading multiple cells in the cells by mixing with gel solution or activator solution so that the cell density the organ plate is a factor for deciding the volume to prepare the cultured cells.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for different layers of the organ plate compressed in a bracket to hold the fluidics tight within the channel.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for integrating disposable and sterilizable non-disposable plates to provide a closed environment for organ plates.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for stacking one or multiple organ plates in multiple trays and performing recirculation within all the organ plates.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for stacking multiple organ plates in multiple tray-towers to access individual organ plates and performing recirculation within all the organ plates.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to pick up multiple organ plates from the above-mentioned tray-towers and to sequentially bring them to imaging systems and to media exchange through multiple robotic arms.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to pick up multiple organ plates during tilting-based recirculation from the above-mentioned tray-towers so that the robotics picks up a plate from the tilted position.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to remember the tilted positions from tray-towers and to keep track of the positions for picking up one or more organ plates for one or more machines for multiple organ manipulation or multiple organ monitoring.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for measuring FP signals from brain, heart or muscle organs.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for measuring TEER from lung, kidney, skin and BBB organs.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for the measurement of field potential signals from the electrodes on the bottom substrate using spring loaded or edge connectors in printed circuit boards (PCB).
In accordance with yet another aspect of the present invention, there are systems, devices, and methods to connect electrodes by projecting the bottom substrate from the skirt of the organ plate.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for imaging and performing gravity-driven recirculation continuously or successively during organ culture.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for markings on organ plates as reference points to locate different organs during imaging.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for in situ measuring or monitoring oxygen, chemiluminescence, fluorescence, pH and multiple gasses dissolved in the media using electrical or optical probes.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for measuring or monitoring oxygen, chemiluminescence, fluorescence, pH and multiple gasses dissolved in the media using a multi-modal plate reader with sparse-matrix scan of the organ plate.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for imaging and image processing with artificial intelligence for analysis of linear, circular, rectangular or irregular objects within the images of organs to characterize biomarkers for physiology or pathology.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for transporting effluence from the multiple compartments of the organ plate automatically to a well plate spatially and temporally.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for quantifying different analytes in the effluent from organ plate using multiple methods such as mass spectroscopy/liquid chromatography, immunoassay, spectroscopy and proteomics.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for performing permeation in the organs within multiple compartments and to perform successive chemical treatment to perform imaging such as immunohistochemistry.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for transporting fluids from one part of the organ to another during recirculation for live organ culture or mixing in post processing through a microfluidic lid.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for blocking certain compartments in the flow channel by introducing certain fluids that solidify to close the channel.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for treating blocked compartments with multiple chemistries for different assays.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for removing the bottom substrate of the organ plate to retrieve the tissue for proteomics or genomics study.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for removing the bottom substrate using heat or chemical treatment or mechanical piercing.
In accordance with yet another aspect of the present invention, there are systems, devices, and methods for delivering and removing media using a set of multichannel peristaltic pumps.
Further aspects, elements and details of the present invention are described in the detailed description and examples set forth here below.
The embodiments set forth in the drawings are illustrative and exemplary in nature and not intended to limit the subject matter designed by the claims. The following detailed description of the illustrative embodiments may be understood when read in conjunction with the following drawings, where like structures are indicated with like reference numerals in which:
The following description contains specific information pertaining to implementations in the present application. The drawings in the present application and their accompanying detailed description may be directed to merely exemplary implementations. Unless noted otherwise, like or corresponding elements among the figures may be indicated by like or corresponding reference numerals. Moreover, the drawings and illustrations in the present application are generally not to scale, and are not intended to correspond to actual relative dimensions.
This patent application deals with cell-seeding in an organ plate, and organ cultures using recirculation, media or reagent addition/exchange in the organ plate, media recirculation or media removal in the organ plate, organ in-situ assays or organ growth monitoring, end of experiment in the organ plate or post organ-culture assays, manufacturing of organs in organ plate and applications of organ culture and multi-organ interaction. A multiple unit organ plate system, device, or method may be used instead of a single unit organ plate system, device, or method, as the number of units on an organ plate may be exemplary unless noted otherwise.
In most embodiments, an organ plate provides gravity-driven unidirectional 116A recirculation of media through multiple organs. Multidimensional tilting of organ chip to periodic recirculation with programmable resident times across organs that may be connected in series and parallel. This recirculation fluidic circuit does not require any extra valving circuit for unidirectional flow 116V so that the system may be robust for long term culturing cells. In most embodiments, the organ system may integrate scaled organs developed in static culture protocols from multiple size well plates to enable fluidic shear. Further, Laplace fluidic-stop channels enable layering of extracellular matrix gel and tissues without using artificial membranes, allowing co-culture of endothelium with epithelium and free migration of immune cells through the extracellular matrix gel. In most embodiments, a multiple unit organ plate system, device, or method may be used instead of a single unit organ plate system, device, or method.
An exemplary design of a single unit organ plate design 10A as shown in
In some embodiments,
In most embodiments, the organ plate cells are seeded on a wall 201A of 3-D gel 202A as shown in
Multi-Organ Fluidic Plate with BBB/Liver/Gut/Kidney/Heart/Skin/Lung/Muscle Organs
In most embodiments, different organs 401, 402, 403, 404, 405, 406 may be cultured in recirculation loops 101A and/or 117A of an organ plate as shown in
In some embodiments, multiple organs recirculation loops 501, 502 in separate units of the organ plate 500 may be connected to one another, different units, and/or between a set of organ plates 500 for serial or parallel recirculation systems 503, 504, 505 using a fluidic lid 509. The fluidic lid 509 may be configured to connect to each recirculation loop 501, 502 as shown in
Organ Plate with Fluidics and Stretching
In some embodiments, there may be a need for certain organs such as muscle, heart, lung, etc., that may need mechanical stretching along with fluidic flow. Such organs may be stretched using pneumatic pressure or vacuum source. A pressure or vacuum system 600 may be connected to an organ 603A as shown in
In another embodiment, the organ plate 601B as shown in
In some embodiments, at least one of co-cultured organs, cells, cell mixtures, media, and fluids may be seeded on one or both sides of the membrane 701A, 701B in the organ plate 700A, 700B and a pressurized flow to stretch the membrane 701A, 701B may be applied on the other side of the membrane 702A, 702B. In some embodiments, barrier cells and/or proteins, for example but not limited to, those found in the BBB, may prevent the at least one of the co-cultured organs, cells, cell mixtures, media, and fluids from moving across the membrane without stimulating and/or stretching the membrane. In one embodiment,
In another embodiment, to culture skin or lung cells or organs on the membrane to mimic an air/media interface, the membrane has to be porous to allow polarizing the cells and transporting media or nutrients to the cells. In order to stretch the membrane, endothelial cells may be seeded on the other side where cell medium may be present. The cells may be cultured to form a barrier that blocks gas passing through the membrane while pneumatic stretching. In order to perform fluidic perfusion, an external fluidic pump such as syringe pump may be connected to the luer lock 704A, 704B. Tall wells or tubes 705A, 705B that may be connected to the fluidic channels help remove any bubbles in the channels through gravity-release. While loading any cells in the membrane 701A, 701B there may be fluids in the top channel 706A or in the bottom channel 702B, as such the organ device may be held vertically and the fluids may be loaded from the bottom so that any bubbles within the membrane 703A, 703B may be released through a top outlet 703A and/or 704B of the organ plate 700A or 700B.
In some embodiments, the fabrication of the organ plate 700C with multiple layers of plastic chips as shown in
In some embodiments, electroactive polymer 803A may be bonded to a membrane 804A of an organ plate 800A that may be used for stretching by applying electrical voltage via a Printed Circuit Board (PCB) 801A as shown in
In some embodiments, stretching of organs in a high throughput organ plate may be integrated using multiple layers of organ plate. Two approaches to mimic the air/media interface may be shown as a top air 902A and a bottom fluid 901A type device, and a top fluid 901B and a bottom air 902B type device that may be implemented as shown in
In another embodiment, an organ plate 1001A shown in
For example, an organ plate may provide a multicellular environment within an extracellular matrix, a 3D structure, incorporating primary or stem cell derived cells, and immune system components with perfusion accomplished by connecting through fluidic circuits that may model the function of interconnecting tissues. The organ plate may be validated using single organs and/or coupled multi-organs such as liver, gut, kidney and brain. For example, a gut organ consists of primary intestinal epithelial cells, where as a liver organ consists of cryopreserved primary human hepatocytes, cryopreserved primary human liver sinusoidal endothelial cells, cryopreserved human Kupffer cells and human Stellate cells. Continuing with the example, the hepatocytes may be seeded at a density of 3×106 cells/mL in an epithelial channel and the other cells may be seeded in a mixture at a density range of 9×106 cells/mL, 6×106 cells/mL, and 0.3×106 cells/mL respectively.
In another example, the kidney organ may be made of primary human renal proximal tubular epithelial cells that may be seeded at 1×106 cells/mL, and human renal endothelial cells that may be seeded at 1×106 cells/mL. The intestine organ may be seeded at 0.3×106 and intestinal endothelial cells may be seeded at 0.6×106. In vitro to in vitro multi organ scaling as a ratio of cell number across the organ and in vivo to in vitro scaling for the Kilogram (human) to microgram may be performed through multiple empirical trials. In another example, a brain organ consists of IPSC derived cells of neurons, microglia, oligodendrocytes and astrocytes and blood-brain-barrier with IPSC derived endothelial cells, pericytes and astrocytes. For the BBB, endothelial cells at a concentration of 1.4×104 cells/ml may be seeded on the blood side channel and 9×105 astrocytes and 3×105 pericyte cells/ml may be seeded at the brain side. The organs may be connected to the endothelial layer in parallel and the waste from epithelial layers may be collected for analysis.
In some embodiments, 3-D organs may be cultured from the cells harvested in T-flasks 1001B mixed with fibrinogen/thrombin as shown in
In some embodiments, the drug candidates may enter from the gut and diffuse or transport across the endothelium through the BBB to interact with the neuronal cells. Drug dosing concentrations may be determined from the unbound human highest concentration of a drug in the blood (known in the art as Cmax) for each drug. First, the expected fraction of drug unbound in media with 2% Fetal Bovine Serum may be extrapolated from plasma binding data for each drug. Dosing concentration may then be back calculated such that the unbound fraction in media may reflect relevant multiples of unbound human Cmax.
In some embodiments, after completion of organ culture experiments there may be a need to retrieve the organ samples from an organ plate. The bottom glass plate may be removed from the organ plate by thermal shock in the deep freezer. In another embodiment, the organ plate may be systematically removed from a fixture 1102A where the organ experiment was carried out.
In most embodiments, multiple organ plates 1200A may be subjected to gravity-driven recirculation 1201A by stacking them in x, y, and z direction. In most embodiments, six organ plates may be stacked on a tray 1202A, and six trays may be stacked one over the other 1203A as seen in
In most embodiments, when tracking each organ plate 1200B in the organ system 1201B, the organ plates 1200B may be grouped in single column towers 1202B. Several such single column towers 1202B may be connected to a spinning axis 1204B, which may be used to selectively retrieve an organ plate 1200B from the organ system 1201B. In most embodiments, a Z-travel pickup or plate grabber 1203B may be operated in conjunction with the spinning axis 1204B. The entire system may be operated on a multi-axis tilt-based gravity-driven recirculation system 1210B.
In most embodiments, after retrieving an organ plate 1200B, a robotic arm 1206B may pick up the organ plate 1200B from the recirculation system 1201B may transport the organ plate 1200B to an imager 1205B. After imaging, a robotic arm 1206B may move the organ plate 1200B into a sterile laminar hood 1207B for automatic media change. After the media change, the organ plate 1200B may be put back into the recirculation system 1201B.
In some embodiments, the organ plate may be monitored using field potential measurements, TEER measurements, and integration with optical measurement systems. Oxygen, pH, proliferation or live/dead assays may be performed using a lid with light source array and reader base using at least one of a photodiode and Photomultiplier tube as shown in
In another embodiment, an organ system for imaging an organ plate 1401A instantaneously during organ culture may be used with a built-in microscope as shown in
In most embodiments, the workflow for organ plate seeding and drug studies may be shown in
In most embodiments, organ culture may involve cell seeding in an organ plate (i.e., seeding with an organ plate trademarked as OrganRX™) for an experimental design with cell densities and cellular types. The organ model may mature for one to two weeks and may be validated using viability and functional assays. In some embodiments, a disease model of the organs may be created using at least one agent such as chemicals, high power optics, radioactivity and ultrasonic waves, etc. Pharmaceutical therapeutic agents may be used to neutralize the disease in the model. Multiple tests may be carried out from at least one non-invasive electrical and optical techniques, effluent sampling measurement using at least one technique such as immunoassay and LC/MS. Further, ends of experiment samples may be used for RTPCR (reverse transcription-polymerase chain reaction) or immunohistochemistry measurements, or both. The effluents need to be sampled from the organ plate in a sterile manner and so an automatic delivery of samples from the organ plate 1602A to a standard well plate 1604A may be designed.
In most embodiments, as shown in
In some embodiments, various biochemical and biophysical assays may be conducted in the organ plate. The barrier function permeability may be assessed by perfusing media with small molecules of 3 kDa size. The fold change average immunofluorescence intensity may be calculated based on cell boundary length (ZO-1, occludin, and claudin-5) or vascularized area (laminin, collagen IV). In some embodiments, RNA may be extracted from different organs using TRI Reagent, and next-generation sequencing may be performed to study gene expression. After quality control and RNA-seq library preparation, the samples may undergo sequencing with a depth of approximately 50M paired-end reads per sample. The sequence reads may be trimmed to remove poor-quality nucleotides and adapter sequences. The RNA-seq data aids in the development of a mechanistic understanding of cellular signaling pathways.
Multi-organ Toxicology Studies: The study of toxicity may involve the quantitative characterization of 3D neural networks using phenotypic readouts. Network bursts may be measured through field potential measurements with an adaptive threshold. Neurotransmitter and enzyme secretion may be assessed after drug treatment to study toxicity. Cytotoxicity may be evaluated by measuring LDH activity released in the media after exposure. The effects of toxic compounds on spontaneous and stimulus activity may be compared to baseline activity.
Additionally, high content image analysis methods may be used to measure concentration-dependent inhibitory effects of compounds on the complexity of neurite networks, predicting neurotoxicity. For kidney toxicity, the efficiency of proximal tubules (PT) in reabsorbing glucose may be estimated based on their reabsorption rates, PT length, and diameter. The integrity of the epithelial barrier may be investigated using fluorescently labeled dextrans. Drug dosing may be performed in the media to measure EC50/IC50 values. The organ system with access ports allows sampling of the medium and replenishment. Fluorescent inulin tracer may validate theoretical drug distribution calculations. For metabolism studies, models for absorption, first-pass metabolism, clearance, metabolite identification, induction, and transport may be used. Organ plates may enable the study of drug PK behavior in vivo, providing quantitative PBPK predictions for meaningful compound assessment. Media sampling across organs may be analyzed using HPLC/MS to measure drug PK properties. The organs may be analyzed for physiological relevance, including albumin reabsorption, alkaline phosphatase secretion, and glucose transport in the kidney; villus differentiation, mucus production, barrier function, CYP enzyme activity, and intestinal responses in the gut; and albumin production, CYP-enzyme activities, and human-specific drug toxicities in the liver. DMPK parameters with Bland-Altman analysis may be performed for individual organs and multiorgan-based experiments. Effluents from multiple compartments may be analyzed to quantify albumin, ALT, IL-6, and TNF-alpha levels. AChE activities may be measured. Predictive toxicology using in vitro data scaling to predict in vivo results may be conducted.
ADME-related applications may be carried out using model compounds, enabling predictive toxicology in regulatory decision-making. The organ system may be validated for metabolic competency and maintenance of albumin production and drug-metabolizing enzymes. Drug toxicities may be assessed by quantifying inhibition of albumin production and increases in alanine aminotransferase. Metabolites and downstream pharmacodynamics of drugs may be studied as they undergo modifications across organ systems. The brain organ assesses circulating metabolites in neuronal pharmacological activity or toxicity. Endpoints obtained from the organ plate may be integrated using physiologic parameters and mechanistic models to determine whole-body PK. Hepatotoxicity may be confirmed with immunofluorescence microscopy. Metabolic clearance guides human dose projection using ADME assays, influencing compound advancement to the clinic.
Drug Screening for Alzheimer's Disease: The prevalence of Alzheimer's disease (AD) increases significantly with age, affecting 0.4-1% of individuals aged between 60-65 years and 15-33% of those over 90 years old. Despite numerous attempts to develop disease-modifying AD drugs, including monoclonal antibodies, secretase inhibitors, and tau aggregation inhibitors, many have failed. Moreover, transgenic mice studies have not been reliable in predicting potential therapeutics for AD. To better understand AD pathophysiology, studying the presence of AD genetic mutations with isogenic controls may be crucial. This approach may reveal ion channel dysfunction, dystrophic neurites, and synaptic damage in the presence of elevated AP levels in the human AD brain. By comparing results across genetic variants, cell types, and analysis modalities, convergent molecular mechanisms of the disease may be identified. Organoid cultures have been used in such studies, but they lack complete structural organization, cellular diversity, vascularity, and immune components, limiting their physiological relevance.
To address this, the above invention aims to create brain organ models using isogenic cell lines to develop new therapeutics in a target-specific manner. These models may incorporate scalable, 3D brain-tissue organization coupled with blood-brain barrier (BBB) perfusion to simulate multiple aspects of AD pathophysiology. By mimicking blood flow and inducing disease conditions in combination with cellular barriers, this system may allow the modeling of secondary target organs and improves organ viability, differentiation, and polarity. The system may shed light on the major genetic risk factor for AD (ApoE4) and may provide valuable insights for future AD therapeutics based on ApoE4. This multicellular organ culture system may enhance cross-talk between 3-D neural networks involved in AD and vascularized BBB, advancing the targeting of neuron and glia-mediated Aβ clearance and lipid biogenesis/metabolism. These organ models may be significant in studying phenotypes under endogenous and more physiological levels of mutant protein expression. While some drugs have entered clinical trials, further evidence may be needed to determine appropriate doses and toxicities using clinically relevant organ models, facilitating discussions with the FDA. This comprehensive approach aims to revolutionize AD research and potentially lead to effective treatments for this devastating neurodegenerative disease.
Diabetes: Pancreatic islet transplantation offers significant improvements in glycemic control and prevention of life-threatening severe hypoglycemia for patients with type 1 diabetes (T1D). However, the intricate pathophysiology of T1D, characterized by tightly controlled microenvironments and specific immune cells, poses challenges for successful grafting. Despite advancements in understanding the genetic, molecular, and cellular mechanisms of T1D, clinical treatments still face hurdles without an integrative approach to observe the autoimmune diabetes pathophysiology. While animal models have provided insights into these integrative processes, enhancing the relevance of discoveries for human patients requires the utilization of human cells in the tissue and immune environment.
Bioengineered therapeutic strategies using organ systems may enable accurate modeling and monitoring of the entire spectrum of T1D pathophysiology, spanning from disease initiation to manifestation and beyond. Early stages of T1D disease progression may be mimicked by introducing activated immune cells to migrate into the islets and observing their effects. The endothelial cells may form a two-way flow path in the vascular vessel network, enabling precise supply and exit of the islets with essential nutrients, oxygen, and physiological molecules like glucose, hormones, and metabolites. Through cross-talk between vascularized islets, immune cells, antibodies/antigens, and effector molecules, surveillance may occur across integrated organs and multi-organs, effectively bridging the gap between in vitro systems and clinical treatments. For instance, insulin secretion promoting glucose uptake by the liver organ may be reflected in the glucose concentration, demonstrating a feedback loop between the liver and islets. Additionally, the use of patients-matched peripheral blood mononuclear cells (PBMC) compared to healthy volunteers may demonstrate the feasibility of using these cells to model relevant cell-cell interactions and interpret T1D pathogenesis. In summary, the development of therapeutic strategies using organ system as described above may provide a comprehensive understanding of T1D pathophysiology, facilitating targeted treatments and potentially improving outcomes for patients dealing with this complex autoimmune disease.
Gut-Liver-Kidney Multiorgan Model for Nephrotoxicity: Physiological processes involving glomerular filtration, tubular secretion, and tubular reabsorption present challenges for animal models to fully replicate the diverse causes, mechanisms, and manifestations of kidney diseases in humans. Nephrotoxicity, while only accounting for 2% of drug development failures in preclinical studies, increases significantly to tenfold during Phase 3 and clinical settings, leading to acute kidney injury. Current preclinical cell culture and animal models lack reliability in predicting adverse drug effects on the kidney. To address this issue, there may be a growing need to develop better in vitro approaches to mimic kidney function.
Combining gut-liver-kidney organs may offer a promising solution for evaluating compounds and understanding mechanisms of action, leading to more effective therapeutic solutions while reducing clinical and commercial failures. High throughput gravity-driven organ recirculation systems, with fluid shear stress, may enhance the functionality of developed kidney organs, resulting in improved albumin transport, glucose reabsorption, cisplatin toxicity, P-glycoprotein (Pgp) efflux transporter activity, and brush border membrane alkaline phosphatase activity. The inclusion of extracellular matrix (ECM) coating and unidirectional apical flow may lead to the formation of mature intestinal tubule phenotypes with villus-like structures. By incorporating various cell-cell interactions and factors affecting kidney tubules, such as fluid flow and cellular metabolic functions, the system may better mimic the complex organ-level responses, including barrier function and cellular interfaces. The GLK system, when integrated with fluidic perfusion in a portable format, may be kept for several 30-day periods in an incubator, enabling continuous organ interaction and adaptability for optical imaging. This system allows for the reconstitution and visualization of organ-level responses and offers a viable screening strategy for accurately detecting nephrotoxicity early in drug development. In summary, the integration of gut-liver-kidney organs and the GLK system, with fluid shear stress and other factors, may present a promising approach for studying kidney function, drug efficacy, and potential toxicity. This advancement may lead to improved drug safety and reduced costs of drug development by identifying potential kidney-related issues earlier in the process.
Environmental Toxicology: The etiology of neurological diseases explores the role of intestinal microbiota and xenobiotics in the gut-brain axis, influencing treatment options. Genetic variations in xenobiotic-mediated neurotoxic signaling may lead to inflammation, oxidative stress, and neuronal dysfunction. The reciprocal influence between the liver and gut affects biosynthesis pathways and the integrity of the intestinal epithelial barrier, impacting the delivery of neurotoxins or metabolites to neurodegenerative sites. Understanding these multi-organ communications and genetic diversity may be vital across multiple organ models. Genotype×environment interactions (GxE) between genetic risk factors and environmental exposures may disrupt learning, memory, and contribute to neurodegenerative diseases. However, limited information supports this GxE hypothesis.
Developing interconnected multi-organ 3D tissues for fundamental toxicity studies with xenobiotic metabolites may provide valuable insights. A gravity-driven recirculation system with fluid shear stress may enhance gut-brain axis cross-talk and vascularization across the blood-brain barrier, enabling continuous toxicity studies. Incorporating isogenic IPSC lines ensures reproducibility in toxicity assays among researchers and between healthy and pathological cells. Utilizing pharmaceutical toxicity assays in well-characterized disease mutations in organ plates may predict drug efficacy and safety, considering individual patient variations due to genetic and environmental factors, thus avoiding wastage of resources and time. Integrating local immune cells and the commensal microbiome into the organ system may accelerate the discovery of personalized precision therapeutics based on drugs and microbiome interactions. The organ system provides in-vivo recapitulations for population-level genetic variability in dose-response relationships, may aid in understanding and addressing neurological disease complexity.
The particulars shown herein are by way of example and for purposes of illustrative discussion of the embodiments of the present invention only and are presented in the cause of providing what is believed to be the most useful and readily understood description of the principles and conceptual aspects of the present invention. In this regard, no attempt is made to show structural details of the present invention in more detail than is necessary for the fundamental understanding of the present invention, the description taken with the drawings making apparent to those skilled in the art how the several forms of the present invention may be embodied in practice. Further, like reference numbers and designations in the various drawings indicated like elements.
Whereas many alterations and modifications of the present invention will no doubt become apparent to a person of ordinary skill in the art after having read the foregoing description, it is to be understood that the particular embodiments shown and described by way of illustration are in no way intended to be considered limiting.
It is noted that the foregoing examples have been provided merely for the purpose of explanation and are in no way to be construed as limiting of the present invention. While the present invention has been described with reference to exemplary embodiments, it is understood that the words, which have been used herein, are words of description and illustration, rather than words of limitation. Changes may be made, within the purview of the appended claims, as presently stated and as amended, without departing from the scope and spirit of the present invention in its aspects. Although the present invention has been described herein with reference to particular means, materials and embodiments, the present invention is not intended to be limited to the particulars disclosed herein; rather, the present invention extends to all functionally equivalent structures, methods and uses, such as are within the scope of the appended claims.
This patent application is a continuation-in-part of U.S. application Ser. No. 16/948,734 filed on Sep. 30, 2020. The above application is incorporated by reference herein.
This invention was made with Government support under award numbers 1R43ES032357, 1R44GM139413 and 1R43AG073040 awarded by the National Institute of Health (NIH). The Government has certain rights in this invention.
Number | Date | Country | |
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Parent | 16948734 | Sep 2020 | US |
Child | 18477549 | US |