Team:Penn/HumanPracticesOverview

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<b><div class="name" align="center">Human Practices: Transitioning From the Bench to the Bedside</div></b>
<b><div class="name" align="center">Human Practices: Transitioning From the Bench to the Bedside</div></b>
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Many previous iGEM teams have tried to implement a bacterial therapeutic as part of their project. Outside of iGEM, there has been a steady interest in engineering bacteria to become therapeutic vectors as well. However, the question that guided our human practices project was essentially: <b>Why aren't bacterial therapeutics transitioning into clinical practice or even clinical trials? </b>
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<p style="text-align:justify;">Many previous iGEM teams have tried to implement a bacterial therapeutic as part of their project. Outside of iGEM, there has been a steady interest in engineering bacteria to become therapeutic vectors as well. However, the question that guided our human practices project was essentially: <b><br><p style="text-align:center">Why aren't bacterial therapeutics transitioning into clinical practice or even clinical trials? </p></p></b>
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While there are certainly many barriers to bacterial therapeutics such as time and money, we hypothesize that iGEM teams, as a result of their unique positions as research and educational institutions, are positioned to address two major barriers to the adoption of bacterial therapeutics: biological barriers and perception barriers.
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<td width="410"><img src="https://static.igem.org/mediawiki/2012/f/fa/Spatial_Targeting.jpg" width="400" height="300" />
 
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<p style="text-align:justify;"><b>Spatial Targeting:</b> Surgeons excise a tumor manually, without regard for cellular heterogeneity within and around the tumor area.</p>
 
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<p style="text-align:justify;"><b>Cellular Targeting:</b> Monoclonal antibodies identify antigens on certain cells or viruses. Monoclonal antibodies are often coupled with therapeutic agents. However, if the antigen is present in healthy tissue outside the diseased area, it will be targeted as well.</p>
 
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These targeting mechanisms are imperfect on their own because they also target healthy tissue. Furthermore, the majority of therapies employ no targeting mechanisms at all (e.g. pharmacologic therapies).
 
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Even when diseases are clearly localized in specific areas and specific cells (such as cancer), current therapies such as chemotherapy attack the entire body and result in significant adverse effects. Patients who undergo chemotherapy suffer significant damage to fast-dividing cells throughout the entire body, which can result in immune system depression, hair loss, pain, and organ damage.
 
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<b><div class="name" align="center">A Novel Therapeutic Platform</div></b>
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<b><div class="name" align="center">Biological Barriers to Bacterial Therapeutics</div></b>
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<p style="color:black;text-indent:30px;">What if you could combine spatial targeting and cellular targeting into the same therapeutic? This idea is unprecedented but would allow for precise targeting of specific cells within a specific area, leaving healthy tissue intact and keeping side effects to a minimum.</p>
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From a technological standpoint, there is a great deal of work that remains to be done before a bacterial therapeutic can enter the drug development pipeline. While many iGEM teams, including us, have helped set the groundwork for bacterial therapeutics, there are still some biological barriers to a bacterial therapeutic. We identified the immunogenicity of laboratory strains of <i>E. coli.</i> as a major biological barrier. We then investigated methods to decrease the immunogenicity of <i>E. coli.</i>, eventually choosing to port modules of our target drug delivery system into a non-immunogenic strain of <i>E. coli.</i>, Nissle 1917.
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<p style="color:black;text-indent:30px;">The 2012 Penn iGEM team has engineered a novel platform for targeted therapeutics which employs simultaneous spatial and cellular targeting. We have achieved spatial (and temporal) targeting with a blue light-switchable transgene expression system, and cellular targeting through display of an antibody-mimetic protein on the surface of E. coli for the first time.</p>
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<p style="color:black;text-indent:30px;">As a proof of concept, we applied our system to the treatment of cancer, a disease in which spatial and cellular targeting are of utmost importance. We displayed a high-affinity antibody-mimetic protein which targets Human Epidermal Growth Factor Receptor 2 (HER2), a protein commonly overexpressed in cancer cells. We combined this cellular targeting with a light-activated cytotoxic protein delivery system to successfully target and kill breast cancer cells.</p>
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<img src="https://static.igem.org/mediawiki/2012/thumb/c/c6/VerifiGEM-Logo.jpg/800px-VerifiGEM-Logo.jpg" width="900" height="200" /></div>
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Furthermore, in an effort to speed progress and information sharing between iGEM teams, government research organizations, and private research groups, we have proposed a system known as VerifiGEM that would allow for the quality control of BioBricks to be distributed across the entire iGEM community. Should our system be implemented, the overall quality and reliability of BioBricks will be improved greatly, at very little cost to individual iGEM teams.  
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<b><div class="name" align="center">Perception Barriers to Bacterial Therapeutics</div></b>
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However, the removal of biological barriers to bacterial therapeutics alone is not sufficient to enable bacterial therapeutics to move into the drug development pipeline. Through the course of recent history, many high profile technologies, such as gene therapy or nanotechnology have been met with public skepticism and even fear, as the technologies failed to deliver on earlier promises. This prompted a constriction of available funding and subsequently impeded progress in those fields, an outcome that nanotechnology in particular is only just beginning to recover from.
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We propose a model, adapted from Gartner Inc, which proposes that the disconnect between the expectations of the public and the realities of scientific research produces an initial "peak of inflated expectations" (and funding), that rapidly disappears as promised advances are delayed or do not work as planned (Figure 1). We believe that this "trough of disillusionment" is the cause of restrictions in funding and a general stall of scientific progress in a given field. We propose that the peak can be smoothed out, reducing the size of peak, but more importantly, eliminating the trough of disillusionment (Figure 2).
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<b><div class="name" align="center">Human Practices</div></b>
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<div class="fignew"><div align="center"><img src="https://static.igem.org/mediawiki/2012/7/7c/Hype-Cycle-Original.jpg" height="200" width="320"><br>
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<b>Figure 1</b></div><div style="text-align:center;">Figure 1: The hype cycle without the modulating effects of public outreach efforts.</div></div><br>
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<p style="color:black;text-indent:30px;">Upon conception of this project, we realized that although hundreds of academic research projects and iGEM projects have been conducted in the realm of Health and Medicine, almost no engineered bacterial therapeutics have been brought to the clinic. We analyzed the hurdles and road ahead for bacterial synthetic biology-enabled therapeutics, compiling a thorough report with specific actions which iGEM teams in Health/Medicine can take to make their therapies more clinically tractable. This project directly informed our wet lab work, causing us to port our therapeutic system into a non-pathogenic, probiotic bacterial strain which is already used in human therapies today.</p>
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<b>Figure 2</b></div><div style="text-align:center;">Figure 2: The modulation of the extremes of the hype cycle through public outreach efforts such as iGEM. </div></div></div><br>
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<p style="color:black;text-indent:30px;">We hope our targeted therapeutic platform will allow other scientists and iGEM teams to target any cells they choose. In the near term, we are planning to test our cancer cell targeting/killing bacterial system in a mouse model and make a real impact on cancer research and therapy.</p>
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What then, must we as synthetic biologists do to prevent this fate from befalling our own field of study? Certainly, scientists must perform a balancing act between reporting the advances they have made and making realistic conclusions. iGEM teams in particular have a unique opportunity to impact this cycle. Each time a team teaches a class to younger students, presents their research, or even sets up a fun experiment at a local science event, they are given an opportunity to communicate the potential and the limitations of synthetic biology. This is an opportunity many researchers do not have, and should be treated as more than simply a time to take pictures and have fun (although those are certainly important parts of these events nevertheless).  
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Latest revision as of 02:21, 27 October 2012

Penn 2012 iGEM Wiki

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Human Practices: Transitioning From the Bench to the Bedside

Many previous iGEM teams have tried to implement a bacterial therapeutic as part of their project. Outside of iGEM, there has been a steady interest in engineering bacteria to become therapeutic vectors as well. However, the question that guided our human practices project was essentially:

Why aren't bacterial therapeutics transitioning into clinical practice or even clinical trials?

While there are certainly many barriers to bacterial therapeutics such as time and money, we hypothesize that iGEM teams, as a result of their unique positions as research and educational institutions, are positioned to address two major barriers to the adoption of bacterial therapeutics: biological barriers and perception barriers.


Biological Barriers to Bacterial Therapeutics

From a technological standpoint, there is a great deal of work that remains to be done before a bacterial therapeutic can enter the drug development pipeline. While many iGEM teams, including us, have helped set the groundwork for bacterial therapeutics, there are still some biological barriers to a bacterial therapeutic. We identified the immunogenicity of laboratory strains of E. coli. as a major biological barrier. We then investigated methods to decrease the immunogenicity of E. coli., eventually choosing to port modules of our target drug delivery system into a non-immunogenic strain of E. coli., Nissle 1917.

Furthermore, in an effort to speed progress and information sharing between iGEM teams, government research organizations, and private research groups, we have proposed a system known as VerifiGEM that would allow for the quality control of BioBricks to be distributed across the entire iGEM community. Should our system be implemented, the overall quality and reliability of BioBricks will be improved greatly, at very little cost to individual iGEM teams.

Perception Barriers to Bacterial Therapeutics

However, the removal of biological barriers to bacterial therapeutics alone is not sufficient to enable bacterial therapeutics to move into the drug development pipeline. Through the course of recent history, many high profile technologies, such as gene therapy or nanotechnology have been met with public skepticism and even fear, as the technologies failed to deliver on earlier promises. This prompted a constriction of available funding and subsequently impeded progress in those fields, an outcome that nanotechnology in particular is only just beginning to recover from.

We propose a model, adapted from Gartner Inc, which proposes that the disconnect between the expectations of the public and the realities of scientific research produces an initial "peak of inflated expectations" (and funding), that rapidly disappears as promised advances are delayed or do not work as planned (Figure 1). We believe that this "trough of disillusionment" is the cause of restrictions in funding and a general stall of scientific progress in a given field. We propose that the peak can be smoothed out, reducing the size of peak, but more importantly, eliminating the trough of disillusionment (Figure 2).


Figure 1
Figure 1: The hype cycle without the modulating effects of public outreach efforts.


Figure 2
Figure 2: The modulation of the extremes of the hype cycle through public outreach efforts such as iGEM.

What then, must we as synthetic biologists do to prevent this fate from befalling our own field of study? Certainly, scientists must perform a balancing act between reporting the advances they have made and making realistic conclusions. iGEM teams in particular have a unique opportunity to impact this cycle. Each time a team teaches a class to younger students, presents their research, or even sets up a fun experiment at a local science event, they are given an opportunity to communicate the potential and the limitations of synthetic biology. This is an opportunity many researchers do not have, and should be treated as more than simply a time to take pictures and have fun (although those are certainly important parts of these events nevertheless).