Cellular senescence is a state where cells enter stable cell cycle arrest, which can be triggered in response to various stressors such as telomere shortening, oxidative stress, DNA damage or oncogene activation1-4. Senescence can be either detrimental or beneficial depending on the specific circumstances. It is generally recognized that aging or chronic damaging can cause the accumulation of senescent cells, which can lead to chronic inflammation, a variety of age-related diseases5-11 and cancer12-14. On the other hand, growing evidence show that senescence can also signal immune responses in response to acute damage and facilitates wound healing and tumor suppression15-19. The complex nature of senescence requires more comprehensive studies both in vitro and in vivo.
The present embodiments are illustrated by way of example, and not by way of limitation, in the figures of the accompanying drawings.
The following figures are illustrative only, and are not intended to be limiting
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of the invention, the preferred methods and materials are now described. All publications mentioned herein are incorporated herein by reference.
Generally, nomenclatures used in connection with, and techniques of, cell and tissue culture, molecular biology, immunology, microbiology, genetics, protein, and nucleic acid chemistry and hybridization described herein are those well-known and commonly used in the art.
The methods and techniques of the present invention are generally performed according to conventional methods well known in the art and as described in various general and more specific references that are cited and discussed through the present specification unless otherwise indicated.
The term “about” means plus or minus 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, or 10% of the number to which reference is being made.
The terms “β-galactosidase”, “β-gal”, “senescence-associated β-galactosidase”, or “SABG” refer to a hydrolase enzyme that catalyzes the hydrolysis of β-galactosides into monosaccharides only in senescent cells. In senescent cells, beta-galactosidase activity is detectable at pH 6.0 whereas in normal cells, β-galactosidase is detectable at pH 4.5.
The term “contrast agent” refers to a substance used to increase the contrast of structures, tissues or fluids within the body in molecular imaging. In optical imaging, contrast agents can absorb external light and emit altered light at locations of interest. In X-rays, contrast agents enhance the radiodensity in a target tissue or structure. In MRIs, contrast agents alter the relaxation times of nuclei within body tissues thereby providing contrast in the image. In positron emission tomography (PET) or single photon emission computed tomography (SPECT) imaging, contrast is generated when contrast agents that emit positron or gamma rays accumulate in certain organs or tissues in the body. Several types of contrast agent are in use in medical imaging, and they can roughly be classified based on the imaging modalities where they are used. Most common medical contrast agents work based on positron emission tomography (PET) and magnetic resonance signal enhancement. Radioactive isotopes such as 18F, 64Cu, 68Ga and 89Zr are used in commonly used in PET contrast agents. Paramagnetic metals such as gadolinium are commonly used in magnetic resonance imaging as an MRI contrast agent.
The term “detecting” or “detection” as used herein relates to a test aimed at assessing the presence or absence of a target enzyme in a sample.
The term “fluorophore” refers to an organic molecule with the ability to absorb light at a particular wavelength and then emit it at a higher wavelength. To achieve this, photons of light from an excitation source are absorbed by the fluorophore's electrons, raising their energy level and causing them to move to an excited state. When the electron relaxes back to the ground state, energy is released in the form of photons. Fluorophores can be broadly categorized as organic dyes (e.g., fluorescein, rhodamine, AMCA), biological fluorophores (e.g., green fluorescent protein, phycoerythrin, allophycocyanin) and quantum dots. For example, in certain embodiments, the fluorophore used for imaging senescent cells is (E)-2-(2-(6-hydroxy-2,3-dihydro-1H-xanthen-4-yl)vinyl)-3,3-dimethyl-1-propyl-3H-indol-1-ium or “HXPI”.
The term “probe” refers to a means for detecting an analyte or enzyme. In the context of the disclosure, probes can e.g. be used to detect senescence-associated #-galactosidase (SA-β-Gal). For the purpose of detectability, probes typically carry labels such as a fluorophore, radioactive isotope or paramagnetic metal ion.
The term “radiotracer” refers to a chemical compound that carries at least one radionuclide so by detecting its radioactive decay, the molecule can be tracked in human or living animals using imaging technologies such as PET or SPECT. The term “radionuclide” or “radioisotope” refers to a nuclide that has excess nuclear energy, which is spontaneously released in the form of radiation.
The terms “senescent” or “senescence” refers to a process that halts cell proliferation, acts as an endogenous tumor suppression mechanism and is a cellular response to various stresses, including DNA damage, chromatin perturbation, and activation of oncogenes. Increasing evidence has revealed that senescence is implicated in aging and age-related diseases. “Senescence markers” refers to the biomarkers for senescence including overexpression of cell cycle inhibitors, such as p16, p21, and p53, as well as senescence-associated β-Galactosidase (SA-β-Gal), which is derived from the increased lysosomal content of senescent cells.
The term “self-immolative linker” refers to moieties which disassemble or degrade, typically spontaneously or in response to an activation event. An example of a self-immolative linker is 4-(hydroxymethyl)phenol. Other examples of suitable self-immolative linkers include, but are not limited to, the structure containing substituents on the phenyl ring of 4-(hydroxymethyl)phenol. Other known self-immolative linkers known in the art may be implemented into the probes according to the teachings herein, including those taught in Chen, X. Z.; Ma, X. D.; Zhang, Y. Y.; Gao, G.; Liu, J. J.; Zhang, X. Y.; Wang, M. A.; Hou, S. C., Ratiometric fluorescent probes with a self-immolative spacer for real-time detection of beta-galactosidase and imaging in living cells. Anal Chim Acta 2018, 1033, 193-198; and Kwan, D. H.; Chen, H. M.; Ratananikom, K.; Hancock, S. M.; Watanabe, Y.; Kongsaeree, P. T.; Samuels, A. L.; Withers, S. G., Self-immobilizing fluorogenic imaging agents of enzyme activity. Angewandte Chemie 2011, 50 (1), 300-3.
The hallmarks of senescence include morphological changes such as enlarged and flattened cell shape and compromised nuclear membrane; overexpression of cell cycle inhibitors such as p16, p21 and p5320-24; chromatin and nuclear alterations25-31; metabolic changes such as dysfunctional mitochondria32-34, increased lysosomal compartment characterized by overexpression of senescence-associated β-galactosidase (SA-β-Gal)35-37 and senescence-associated secretory phenotype (SASP)38-41. These markers are usually used in combinations to evaluate senescence in vitro. However, there are limited methods for evaluating senescence in vivo due to the complex biological environment and limited sensitivity of the current available tools.
Presented herein is a class of imaging probes for SA-β-Gal based on quinone methide chemistry for different in vivo imaging modalities including near-infrared (NIR), positron emission tomography (PET), single photon emission computed tomography (SPECT), and magnetic resonance (MR) imaging. These probes have a common β-galactoside moiety that can be activated by SA-β-Gal followed by the formation of a quinone methide intermediate that can be captured by nucleophilic residues such as amines or thiols on intracellular proteins via covalent bonds. This mechanism improves the retention of the activated probe at the site of activation while the un-activated probes diffuse away, providing high signal to background ratio and pro longed imaging time window.
In a specific embodiment, disclosed is an NIR probe for detecting senescent cells. The probe comprises or consists of a target specific moiety, a fluorophore, a self-immolative linker, and a self-immobilizing moiety. In specific examples, the self-immobilizing moiety is monofluoromethyl, carbamate or carbonate.
The Cui group has previously reported a self-immobilizing NIR probe (NIR-BG2) for SA-β-Gal42-43. The HXPI fluorophore on this probe was incorporated with a difluoromethyl handle which assists the formation of the quinone methide intermediate upon probe activation. The NIR-BG2 probe was tested in drug-induced senescence cell and animal models. To further improve the labeling efficiency of this NIR probe, new alterations have been developed including implementation of alternative functional groups such as monofluoromethyl, methylene carbamate or carbonate on HXPI. These new probes possess better labeling efficiency and stability compared to previous generation. In addition, certain embodiments of the new probes disclosed herein have dual self-immobilizing handles (R1 and R2,
In certain examples, two carbamate analogues were synthesized: NIR-BG3 carrying ethyl carbamate and NIR-BG4 carrying an endocyclic carbamate. To compare these two analogues with NIR-BG2, the three probes were incubated with recombinant β-galactosidase (p-gal) and bovine serum albumin (BSA) and the labeling efficiency of these probes on P-gal and BSA was compared using gel electrophoresis.
As shown in
In addition to the NIR probes, disclosed herein are PET and MRI probes for in vivo detection of SA-β-gal. Compared to fluorescence imaging, PET and MRI are more clinically relevant and have different advantages over fluorescence imaging. PET is highly sensitive and only require a very small amount of imaging probe and MRI has high spatial resolution.
General Information: All chemicals were purchased from commercial sources unless otherwise noted. HRMS samples were analyzed on Waters LCT Premier Mass Spectrometer. High-performance liquid chromatography (HPLC) was performed on a Dionex Ultimate 300 HPLC System (Thermo Scientific) equipped with a GP50 gradient pump and an in-line diode array UV-Vis detector. Reverse-phase C18 columns were used with acetonitrile/water gradient mobile phase containing 0.1% trifluoroacetic acid. NMR spectra were recorded on Bruker instruments (500 MHz and 600 MHz for 1H NMR, 126 MHz and 151 MHz for 13C NMR) and internally referenced to the residual solvent signals (1H: 67.26; 13C: δ 77.16 for CDCl3, 1H: δ 3.31; 13C: δ 49.0 for CD3OD respectively). NMR chemical shifts (δ) and the coupling constants (J) for 1H and 13C NMR are reported in parts per million (ppm) and in Hertz, respectively. The following conventions are used for multiplicities: s, singlet; d, doublet; t, triplet; m, multiplet; and dd, doublet of doublet.
Compound 1: 2,4-dihydrobenzaldehyde (600 mg, 4.35 mmol) was dissolved in THF and was added NaBH4 (198 mg, 5.22 mmol). The reaction was stirred at room temperature for 1 h and was quenched with MeOH. The solvent was removed in vacuo and the crude intermediate was used in the next step without further purification. IR-780 iodide (1.45 g, 2.2 mmol) and K2CO3 (304 mg, 2.2 mmol) were added to the crude intermediate in anhydrous DMF, and the reaction was stirred at 80° C. for 4 h. The reaction mixture was extracted with ethyl acetate and water. The organic layer was dried over Na2SO4 and was concentrated in vacuo. The crude product was purified through flash column chromatography (SiO2; 0%-10% MeOH/DCM) to afford the titled compound. Yield: 320 mg, 33%.
1H NMR (600 MHz, DMSO-d6) δ 11.10 (s, 1H), 8.57 (d, J 14.7 Hz, 1H), 7.74 (d, J=7.5, 1H), 7.68-7.62 (m, 2H), 7.58 (s, 1H), 7.52 (t, J=7.7 Hz, 1H), 7.42 (t, J=7.5 Hz, 1H), 6.97 (s, 1H), 6.49 (d, J 14.7 Hz, 1H), 4.53 (s, 2H), 4.34 (t, J=7.3 Hz, 2H), 2.75 (t, J=6.1 Hz, 2H), 2.68 (t, J=6.2 Hz, 2H), 1.83 (m, 4H), 1.75 (s, 6H), 0.99 (t, J=7.4 Hz, 3H).
13C NMR (151 MHz, DMSO) δ 176.76, 162.00, 159.28, 153.51, 144.64, 142.19, 142.05, 135.95, 129.44, 129.30, 126.88, 126.51, 126.25, 123.18, 114.68, 114.25, 113.24, 103.35, 101.49, 58.06, 50.44, 46.21, 28.77, 28.10, 24.07, 21.22, 20.49, 11.52.
LCMS (ESI): calc'd for C29H32NO3+ [M+] 442.2377; found: 442.27.
Compound 2: Compound 1 (320 mg, 0.72 mmol) in DMF and was added DIPEA (450 μL) and TBSCl (330 mg, 2.16 mmol). The reaction was stirred at room temperature for 2 h and was extracted with ethyl acetate and water. The organic layer was dried over Na2SO4 and was concentrated in vacuo. The crude product was purified through flash column chromatography (SiO2; 0%-5% MeOH/DCM) to afford the titled compound. Yield: 300 mg, 75%.
1H NMR (600 MHz, DMSO-d6) δ 11.08 (s, 1H), 8.57 (d, J=14.7 Hz, 1H), 7.76 (d, J=7.5 Hz, 1H), 7.69-7.62 (m, 2H), 7.55-7.49 (m, 2H), 7.47-7.39 (m, 1H), 6.95 (s, 1H), 6.50 (d, J=14.8 Hz, 1H), 4.71 (s, 2H), 4.34 (t, J=7.3 Hz, 2H), 2.75 (t, J=6.0 Hz, 2H), 2.69 (t, J=6.2 Hz, 2H), 1.88-1.78 (m, 4H), 1.75 (s, 6H), 1.00 (t, J=7.4 Hz, 3H), 0.94 (s, 9H), 0.12 (s, 6H).
13C NMR (151 MHz, DMSO-d6) δ176.96, 161.82, 158.92, 153.59, 144.79, 142.16, 142.11, 135.68, 129.41, 129.31, 127.93, 126.98, 126.45, 126.39, 123.22, 114.72, 114.26, 113.33, 103.62, 59.82, 50.52, 46.28, 28.73, 28.06, 26.34, 24.07, 21.25, 20.48, 18.59, 11.52, −4.85.
LCMS (ESI): calc'd for C35H46NO3Si+ [M+]556.3241.2377; found: 556.37.
Compound 3 was prepared according to literature. (O. Redy-Keisar, E. Kisin-Finfer, S. Ferber, R. Satchi-Fainaro, D. Shabat, Synthesis and use of QCy7-derived modular probes for the detection and imaging of biologically relevant analytes, Nat Protoc, 9(2014) 27-36.)
Compound 4: Compound 2 (30 mg, 54 μmol), Compound 3 (83.6 mg, 162 μmol), K2CO3 (22 mg, 162 mmol) and NaI (24 mg, 162 mmol) were stirred in anhydrous DMF at room temperature overnight. The reaction was extracted with ethyl acetate and water and the organic layer was dried over Na2SO4 and was concentrated in vacuo. The crude product was used in the next step without further purification. The crude product from the coupling reaction was dissolved in THF and was added TBAF (1M in THF solution, 40 μL). The reaction was stirred at room temperature for 30 min before the solvent was removed in vacuo. The crude product was purified through flash column chromatography (SiO2; 0%-5% MeOH/DCM). Yield: 20 mg, 42% over 2 steps.
1H NMR (600 MHz, DMSO-d6) δ 8.59 (d, J=14.8 Hz, 1H), 7.78 (d, J=7.5 Hz, 1H), 7.68 (d, J=8.0 Hz, 1H), 7.63 (d, J=6.8 Hz, 2H), 7.57-7.50 (m, 3H), 7.45 (t, J=7.5 Hz, 1H), 7.20 (s, 1H), 7.07 (d, J=7.5 Hz, 2H), 6.55 (d, J=14.8 Hz, 1H), 5.50 (d, J=7.8 Hz, 1H), 5.35 (dd, J=3.4, 1.1 Hz, 1H), 5.232-5.26 (m, 3H), 5.22 (dd, J=10.4, 7.8 Hz, 1H), 4.56 (s, 2H), 4.46-4.41 (m, 1H), 4.38 (t, J=7.3 Hz, 2H), 4.16-4.05 (m, 2H), 2.75 (t, J=6.0 Hz, 2H), 2.69 (t, J=6.1 Hz, 2H), 2.14 (s, 3H), 2.02 (s, 3H), 1.99 (s, 3H), 1.95 (s, 3H), 1.85 (m, 4H), 1.80 (d, J=4.1 Hz, 6H), 1.00 (t, J=7.3 Hz, 3H).
13C NMR (151 MHz, DMSO-d6) δ177.49, 170.42, 170.26, 170.03, 169.68, 161.53, 158.90, 158.81, 158.67, 158.44, 158.22, 156.80, 153.48, 144.90, 142.37, 142.08, 134.73, 131.15, 130.32, 129.99, 129.33, 127.49, 127.28, 125.89, 123.22, 117.63, 116.98, 115.68, 115.45, 114.39, 113.53, 104.25, 99.91, 98.09, 70.80, 70.60, 70.23, 68.81, 67.65, 61.70, 58.02, 50.69, 46.36, 28.90, 28.16, 24.16, 21.32, 20.91, 20.89, 20.85, 20.81, 20.39, 11.50.
LCMS (ESI): calc'd for C50H56NO+ [M+]878.3746; found: 878.48.
NIR-BG3: Compound 4 (10 mg, 11.4 μmol) in DCM was added DIPEA (20 μL) and ethyl isocyanate (9.1 μL, 114 μmol). The reaction was stirred at room temperature for 4 h and was quenched with MeOH. The solvent was removed in vacuo to afford crude intermediate, which was used in the next step without further purification. The crude compound in MeOH was added catalytic amount of NaOMe. The reaction was stirred at room temperature for 1 h and the product was purified through HPLC. Yield: 1.2 mg, 18% over 2 steps.
1H NMR (600 MHz, DMSO-d6) δ 8.58 (d, J=14.8 Hz, 1H), 7.81 (d, J=7.5 Hz, 1H), 7.71 (d, J=8.1 Hz, 1H), 7.55 (t, J=7.8, 1H), 7.53 (s, 1H), 7.52 (s, 1H), 7.49-7.46 (m, 3H), 7.28 (t, J=5.6 Hz, 1H), 7.22 (s, 1H), 7.09 (d, J=8.7 Hz, 2H), 6.59 (d, J=14.9 Hz, 1H), 5.31 (s, 2H), 5.05 (s, 2H), 4.83 (d, J=7.7 Hz, 1H), 4.40 (t, J=7.2 Hz, 2H), 3.70 (d, J=3.3 Hz, 1H), 3.60-3.45 (m, 4H), 3.40 (dd, J=9.5, 3.3 Hz, 1H), 3.07-2.99 (m, 2H), 2.73 (t, J=6.0 Hz, 2H), 2.69 (t, J=6.1 Hz, 2H), 1.88-1.83 (m, 4H), 1.81 (s, 3H), 1.80 (s, 3H), 1.03 (t, J=7.2 Hz, 3H), 1.00 (t, J=7.4 Hz, 3H).
13C NMR (151 MHz, DMSO) δ 178.00, 160.94, 159.54, 158.41, 158.19, 157.99, 156.27, 154.10, 145.15, 142.54, 142.00, 133.55, 129.74, 129.68, 129.36, 128.31, 127.87, 127.57, 124.58, 123.32, 116.78, 115.31, 114.46, 113.76, 104.99, 101.52, 100.59, 76.01, 73.76, 70.70, 70.61, 68.56, 60.83, 60.54, 50.89, 46.52, 35.59, 30.08, 28.90, 28.10, 24.13, 21.41, 20.34, 15.53, 11.51.
LCMS (ESI): calc'd for C45H53N2O+ [M+] 781.3695; found: 781.42.
NIR-BG4: Compound 4 (10 mg, 11.4 μmol) in DCM was added CDI (2.8 mg, 17.1 μmol) and the reaction was stirred at room temperature for 1 h. The solvent was removed by rotary evaporation and the crude compound was dissolved in MeOH and was added catalytic amount of NaOMe. The reaction was stirred at room temperature for 1 h and the product was purified through HPLC. Yield: 8 mg, 85% over 2 steps.
1H NMR (600 MHz, DMSO-d6) δ 8.59 (d, J 14.9 Hz, 111), 7.81 (d, J=7.5 Hz, 1H), 7.71 (d, J=8.1 Hz, 1H), 7.58-7.52 (m, 3H), 7.50-7.45 (m, 3H), 7.23 (s, 1H), 7.09 (d, J=8.7 Hz, 2H), 6.59 (d, J 14.9 Hz, 1H), 5.32 (s, 2H), 5.09 (s, 2H), 4.83 (d, J=7.7 Hz, 1H), 4.40 (t, J=7.3 Hz, 2H), 3.70 (d, J=3.3 Hz, 1H), 3.60-3.52 (m, 3H), 3.48 (dt, J=9.7, 5.0 Hz, 1H), 3.40 (dd, J=9.5, 3.3 Hz, 1H), 3.38-3.31 (m, 4H), 2.73 (t, J=6.0 Hz, 2H), 2.69 (t, J=6.2 Hz, 2H), 1.89-1.82 (m, 4H), 1.80 (d, J=2.4 Hz, 6H), 1.55 (t, J=7.6, 4.6 Hz, 2H), 1.48-1.42 (m, 4H), 1.00 (t, J=7.4 Hz, 3H).
13C NMR (151 MHz, DMSO) δ 177.98, 161.00, 159.54, 158.52, 158.30, 158.08, 158.01, 154.71, 154.15, 145.17, 142.54, 142.00, 133.69, 129.73, 129.69, 129.36, 128.19, 127.82, 127.56, 124.27, 123.32, 116.77, 115.34, 114.46, 113.75, 104.94, 101.53, 100.62, 76.01, 73.77, 70.71, 70.58, 68.56, 61.77, 60.83, 56.31, 50.88, 46.52, 44.83, 32.58, 30.07, 28.89, 28.10, 28.09, 24.24, 24.13, 21.40, 20.36, 11.51.
LCMS (ESI): calc'd for C48H57N2O+ [M+] 821.4008; found: 821.46.
Disclosed are imaging probes for detecting cellular senescence both in vitro and in vivo and the methods of use thereof in conjunction with imaging modalities. Methods and devices that may be used as imaging modalities include, but are not limited to, near infrared fluorescence imaging, whole body scan such as position emission tomography (PET), single photon emission computed tomography (SPECT) and magnetic resonance imaging (MRI).
In certain embodiments, the imaging modality for detecting the probes in vivo is NIR fluorescence. NIR fluorescent probes offer high penetration depth, minimal photodamage to tissues, decreased background autofluorescence, and have been applied in noninvasive detection and imaging of biological targets in vivo. NIR fluorophores are fluorophores with excitation and emission spectra in the near infrared range. Examples of suitable NIR fluorophore reporters include, but are not limited to, hemicyanine derivatives. Hemicyanine derivatives, for example, have excellent stability, low toxicity, and fluorescence emission in NIR range upon activation. The fluorophore has demonstrated its suitability for fluorescence imaging of various biomolecules, such as the detection of P-Lactamase in Staphylococcus aureus, the detection of nitroxyl (HNO) and palladium in live cells, the detection of nitroreductase, y-glutamyl transpeptidase and tyrosinase in zebrafish. More recently, the hemicyanine NIR dyes have been used for in vivo detection of cysteine, alkaline phosphatase in tumor models, superoxide radical anion, hydrogen sulfide, hydrogen polysulfides and y-glutamyl transpeptidase in mice models. A specific example of an NIR fluorophore is (E)-2-(2-(6-hydroxy-2,3-dihydro-1H-xanthen-4-yl)vinyl)-3,3-dimethyl-1-propyl-3H-5 indol-1-ium (HXPI).
In certain embodiments, the probes are NIR probes for detecting senescent cells in a subject as shown in
In a specific embodiment, the NIR probes have a chemical structure of:
In certain embodiments, the imaging probes are PET probes for in vivo imaging of SA-β-Gal. Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, regional chemical composition, and absorption.
Different tracers are used for various imaging purposes, depending on the target process within the body. Examples of suitable radiotracers include, but are not limited to, a chelator such as 1,4,7-triazacyclononane-1,4,7-triacetic acid (NOTA) or (1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid) DOTA chelated to a radioisotope, such as, but not limited to 64Cu, Al18F, 68Ga, and 89Zr.
In certain embodiments, the PET probe for detecting senescent cells comprises a target specific moiety, a radiotracer, and a self-immobilizing moiety. In some embodiments, the target specific moiety comprises a senescence marker. In a specific embodiment, the senescence marker is senescence-associated β-galactosidase.
In certain embodiments, the imaging probes are MRI probes for in vivo imaging of SA-β-Gal. In certain embodiments, the MRI probe for detecting senescent cells comprises a target specific moiety, a contrast agent, and a self-immobilizing moiety. The target specific moiety comprises a senescence marker, and in a specific embodiment, the senescence marker is senescence-associated β-galactosidase. The clinical utility of contrast agents is well established. The most commonly used MRI probes are based on chelates of gadolinium. In a specific embodiment, the MRI probe disclosed contains a gadolinium complex.
This invention was made with government support under R35 GM124963 awarded by the National Institutes of Health and W81XWH-17-1-0529 awarded by the U.S. Army Medical Research Acquisition Activity. The government has certain rights in the invention.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2023/015807 | 3/21/2023 | WO |
| Number | Date | Country | |
|---|---|---|---|
| 63321993 | Mar 2022 | US |