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Convergence of Physical Sciences for Biomedical Applications

Larry A. Nagahara Associate Director Physical Sciences in Oncology Initiative Division of Cancer (DCB) National Cancer Institute (NCI) National Institutes of Health (NIH)

U.S. Joint Services & OSD Africa Technical Exchange Meeting, May 5-9, 2014

National Institutes of Health (NIH): 27 Institutes and Centers

NHGRI NIA NIDA NINDS NIDCD NIMH

NEI NIAAA CIT NINR NLM NIDDK NIH Campus – Bethesda, Maryland

FIC CSR NIBIB NIMHD NIDCR NIEHS NIGMS NICHD CC

NIAMS NCATS NCCAM NIAID NCI NHLBI

NIH Budget ~ $30.8 Billion (FY12) NCI Budget ~ $ 5.07 Billion (FY12) ~82% for extramural support ~ 76% for extramural support ~63,000 grants and contracts ~7,800 grants and contracts National Cancer Institute Organization

National Cancer Institute $5.07B Director (FY12) Office of the Deputy Director Harold Varmus, MD Director Douglas Lowy, MD Nobel Prize (1989) CSSI OPSO Center for Strategic (2013) ~$132 M (~4%) Scientific Initiatives

Division of Division of Division of Center for Cancer Division of Cancer Division of Division of Cancer Cancer Treatment Cancer Control and Cancer Extramural Epidemiology Research and Population Prevention Activities and Genetics Biology Diagnosis Sciences ~$858M (~17%) ~$919M (~29%) ~$779M (~25%) ~$441M (~14%) ~$264M (~8%) ~$21M (~0.4%)

Conducting – Intramural Funding – Extramural

Red numbers: FY12 grants data only from http://fundedresearch.cancer.gov/nciportfolio; Black numbers: from FY12 http://obf.cancer.gov/financial/factbook.htm Cancer Global Effect – Incidence/Mortality

7.6 million people died of cancer in 2005 (out of 58 millions deaths) >70% in low and medium income countries New cancer cases in the US will approach 2 million by 2025

Source: International Agency for Research on Cancer: GLOBOCAN 2008 Database Cancer Statistics between South Africa and US

South Africa US What is It? Tumor, Cancer, and Metastasis

“…>90% of deaths is caused by disseminated disease or metastasis…”

Gupta et. al., Cell, 2006 and Siegel et. al. CA Cancer J Clin, Feb 2014 In the US, Cancer Continues to be Represent an Enormous Burden

577,190 Americans died of cancer in 2012 (projection) 1,638,910 Americans will be diagnosed with cancer this year $263.8 billion in 2010 for cancer healthcare costs & lost productivity

Unlike Other Major Disease Killers, Cancer Continues to Take Nearly the Same Toll as it did in 1950 586.8

600 1950

500 2010

400 Δ 228% Δ 362% Δ 219% Δ 12% 300 179.1 193.9

200 180.7 172.8

Death Rates Per Per Rates Death 100,000 Americans 100,000 100 39.1 48.1 15.1 0 Heart Cerebrovascular Pneumonia/ Cancer Diseases Diseases Influenza

Source for 2012 deaths and diagnoses: American Cancer Society (ACS) 2012 Cancer Facts & Figures; Atlanta, Georgia Source for 2010 age-adjusted death rate: National Center for Health Statistics, NCHS Public-use file for 2010 deaths. OPSO Petri Dish: Proper “Culture” Office of Physical Sciences – Oncology (OPSO)

History

Think Tanks (2008)

Feb’08 PS-OC Scientific Network Outreach Jul’08 John Anna Neiderhuber Barker Oct’08

Prospective Infrastructure ~300 RFA Announced (2008) Evaluation Support extramural participants 12 Awarded (2009)

Ask Investigators To Bring:

The OPSO activities contains multiple “active” ingredients to promote and catalyze collaboration between investigators that bridge physical sciences and oncology Marchperspectives. 28, 2014 Different Perspective Historical Perspective: Galvani and Volta

1781-1791: Luigi Galvani, professor of , discovered “animal electricity”

Carried out a wide ranging series of experiments which found convulsive movements of the frog occurred when two metals were made to touch each other while one metal was in contact with a nerve and the other was in contact with a muscle of the frog

Believed that the “animal electricity” came from the muscle and did not perceive electricity as separable from biology

1791-1800: Alessandro Volta, professor of , invented the battery

Repeated Galvani’s experiment and initially embraced his work. However soon reached a different conclusion and reasoned that “animal electricity” was a physical phenomenon

Invention of “voltaic pile” (a.k.a., battery) inspired by (disprove) Galvani’s work to show that a steady electric current could be generated by two dissimilar metals between an electrolyte

What if Galvani and Volta had worked together?

George Gamow, , & RNA Tie Club

Member Training RNA Tie Club Member Training RNA Tie Club Designation Designation Physicist ALA Physicist LEU Biochemist ARG Biochemist LYS Mathematical Biophysicist ASN Nicholas Metropolis Physicist, Mathematician MET Paul Doty* Physical Chemist ASP Gunther Stent Physical Chemist PHE Martynas Ycas Biochemist CYS ** Biologist PRO Biochemist GLN Harold Gordon Biologist SER Robley Williams Electron Microscopist GLU Leslie Orgel Theoretical Chemist THR ** Theoretical Physicist GLY Max Delbrück** Theoretical Physicist TRY ** Chemist HIS Francis Crick** Physicist TYR Norman Simmons Biochemist ISO ** Biologist VAL RNA Tie Club: “Solve the riddle of the RNA structure and to understand how it built

Gamow postulated that a code consisting of three letters would be enough to define all 20 amino acids (i.e., the concept of the “codon” ).

Sydney Brenner provided experimental evidence for the codon

Francis Crick proposed the “adaptor hypothesis” involving a molecule ferrying the amino acids around, and putting them in the correct order corresponding to the nucleic acid sequence.

These “ferrying” molecules were later found by Robert Holley and named it transfer . PS-OC Network (circa 2014): Physical scientists & cancer researchers integrated at the start

PI + SI

Liphardt Weaver O’Halloran Licht Shuler Hempstead Manalis Jacks Stanford Northwestern Cornell MIT 12 “Virtual” Centers Over 110 Institutions: 83 Domestic

Hillis Agus Michor Holland 32 Foreign

USC DFCI corresponding to: PS-OC Network 700+ investigators, Scripps Princeton collaborators, & Kuhn Bethel Austin Tlsty advisors 550+ trainees (post-docs, graduate, & ASU TMHRI Moffitt Johns Hopkins undergraduate) Davies Grady Ferrari Curley Gatenby Gillies Wirtz Semenza participating in the PS-OC Network Emergent Properties – Physics of Flocking

“Collective Behavior” Hard Substrates Promote Acinar Disorganization Increasing Matrix

Stiffness

Phase Contrast

α6β4 integrin β-catenin DAPI

150 Pa 400 Pa 675 Pa 1050 Pa >5000 Pa

Elastic Modulus (Pa) Paszek, M. J. et al. Tensional homeostasis and the malignant phenotype. Cancer Cell 8, (2005). Emergent Long Range Mechanical Cooperation among Disorganizing Mammary Acini

UC Berkeley PS-OC

Jan Valerie Liphardt Weaver

Hundreds of acini ~1 million cells red dots = acini green = collagen

PNAS 111, 658 (2014) What if substrate is modifiable, like it is in a real tissue? Emergent Long Range Mechanical Cooperation among Disorganizing Mammary Acini Emergent Long Range Mechanical Cooperation among Disorganizing Mammary Acini

Solitary

Acini

FractionOrganized Interacting Acini

PNAS 111, 658 (2014) UC Berkeley PS-OC Outreach Pilot Project

Issue: The Triangle Region of North Carolina has one of the highest rates of breast cancers death for young African American women.

47.2 deaths AA vs. 26.5 deaths Caucasian /100,000 women Victoria Seewaldt, MD 0 mos 36 mos 48 mos ER/PR+ Duke University T1N0 Hypothesis: Is there a threshold effect that drives Focal Pre-cancer Cancer Symptoms rapidly progressing breast

Age shifted 30 40 50 cancer? Access 0 mos 6 mos 12 mos ER/PR- Her2- Biology T1N0 Obesity/early pregnancy Environment Pre-cancer Cancer Symptoms Non-focal Physical-Based Accelerated 30 32 33 Cancer Problem: Many Cancer Patients Develop Resistance to Therapy Galapagos Islands Spin Glass Analogy:

“Weakling Interacting Systems”

Sewall Wright (1932) Landscape Theory

Robert Austin Princeton PS-OC Cancer Problem: Many Cancer Patients Develop Resistance to Therapy

What are the fundamental bases of rapid development of resistance? “Death Galaxy” in Action Cancer Problem: Many Cancer Patients Develop Resistance to Therapy

10mg/ml, ~200x MIC

10µg/ml, ~200x MIC

Science 333, 1764 (2011) Evolution of Resistance in Multiple Myeloma in the Microhabitat with Drug Gradients

Flow Direction 10mg/ml, ~200x MIC (200 nM DOX)

150 μm

100 μm

Time Physical Sciences-Oncology Network (PS-ON) (PS-OC) Program: PAR-14-169 (PS-OP) Program: NOT-CA-14-039 FY09 FY14 FY16 PS-ON: PS-OC PAR-14-169/ Pre-Award RFA-CA09-009 PS-OP NOT-CA-14-039 Future Current PS-OC Program: Re-issuances of Physical Sciences-Oncology Initiative: 12 U54 PS-OCs Physical Sciences-Oncology Network (PS-ON) ~$30M/year 100+ institutions and Two Programs (PAR): 600+ investigators Physical Sciences Oncology Centers (PS-OCs): PAR-14-169 worldwide Physical Sciences Oncology Projects (PS-OPs): NOT-CA-14-039 4 Themes: Physics (Physical Laws and 2 Themes (suggested): Principles) of Cancer The Physical Dynamics of Cancer Evolution and Evolutionary Theory of Spatial Organization and Cancer Cancer Competition under Type 1 (New) Information Coding, Decoding, Transfer, and Funding Mechanism: Translation in Cancer PS-OCs – U54 – up to $1.5M (DC)/year (5 years max.) De-convoluting Cancer’s Complexity PS-OPs – U01 – up to $0.5M (DC)/year (5 years max.) (Foreign Institutions are also welcome to apply) New Frontiers in Cancer Research

Hepatology 53, 604 (2011)

1662 (2010) 1662

328 Science Science

Tissue Eng. 19, 730 (2013) Convergence in Biomedical Science

Convergence July 2011

 “merging of distinct technologies, processing disciplines, or devices into a unified whole that creates a host of new pathways and opportunities”

 “blueprint for innovation” Convergence timeline

Timeline: The three revolutions

Genomics Revolution

1950 1960 1970 1980 1990 2000 2010

2001: Human Genome Project, Celera publish working draft of human genome

Image and info credits (clockwise from top-left): DNAmazing.com, Gene.com, BioX.stanford.edu, qb3.org, mit.edu/ki, nap.edu, sciencemag.org, .com, nlm.nih.gov Biotech cluster at Kendall Square (MIT)

Courtesy of Phil Sharp Learn More about NCI PS-OC Program

http://physics.cancer.gov Additional Slides Total NIH Projects for South Africa over Past 10 Years

Total: 302 Total Funds: $333,176,492 Sub-Projects: 34 Sub-Projects Funds: $18,803,545

http://report.nih.gov/index.aspx Cancer Statistics between South Africa and Africa (All)

South Africa Africa (All) APHELION - Distinguished Panelists and Advisors

Expert panel:  Chair: Paul Janmey, UPenn  Dan Fletcher, UCB  Sharon Gerecht, JHU Paul Dan Sharon Ross  Ross Levine, MSKCC  Parag Mallick, Stanford  Owen McCarty, OHSU  Lance Munn, Harvard  Cindy Reinhart-King, Cornell Parag Owen Lance Cindy

Advisors:  Tito Fojo, NCI  Denis Wirtz, JHU

Tito Denis http://www.wtec.org/aphelion APHELION – A Global Study by the World Technology Evaluation Center (WTEC)

 APHELION: Assessment of Physical Sciences and Engineering Advances in Life Sciences and Oncology  Goal: To determine the status and trends of global research and development whereby physical sciences and engineering principles are being applied to cancer research, oncology, and other biomedical research areas in leading laboratories and organizations via an on-site peer review process.

http://www.wtec.org/aphelion NCI-OPSO/NSF-ENG & MPS Joint Collaborations:

Physical and LIfe Sciences Early Research (PLIER) Awards

Semahat Clark David Demir Cooper Brandt

(ENG) Theresa Kaiming Good Ye

(MPS) 2011: 6 Awards

Office of Physical Sciences-Oncology (OPSO) 2012: 6 Awards NSF-MPS Led Workshops

November 1-2 November 13-14 November 5-6 2010 2012 2013

Physics of Theoretical Foundations of Drug Physics of Cancer Metastasis and Immune Resistance in Cancer Cancer Krastan Imaging Blagoev Physical Sciences/Engineering & Oncology http://physics.cancer.gov

August 18, 2011 November 22, 2012 An Indirect Way to Tame Cancer: Biomechanical Perspective

Rakesh Hydrostatic Jain Pressure Solid Stress Biomechanical Perspective

Pre-losartan

Collagen Breast Breast Pancreatic Perfused Vessels Pre-losartan