Human Cell Analysis The Technology Behind The World s Most Common Diagnos8c Test

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1 Human Cell Analysis The Technology Behind The World s Most Common Diagnos8c Test IEEE- CNSV November 4, 2014 Giacomo Vacca, Ph.D. Founder & President Kine?c River Corp. Proprietary 1

2 OVERVIEW Blood Components of blood Blood diagnos?cs Coun?ng blood cells Principles of flow cytometry Flow cytometry systems Flow cytometry system architecture Developing flow cytometers If there s 8me Flow cytometry data analysis Disrup?ve innova?ons Proprietary 2

3 Giacomo Vacca, Ph.D. Kine8c River (President) BeamWise (CSO) AbboT Labs (Res. Fellow) Picarro Lightwave Micro Exxon Research & Engr. 28 patents issued/pending Picarro GEN Abbott Laboratories Proprietary 3

4 BLOOD Proprietary 4

5 What Is It About Blood? Newsurg buzzfeed.com Proprietary 5

6 Blood thinkhealthypz.blogspot.com Proprietary 6

7 6 Quarts thinkhealthypz.blogspot.com cliparts101.com Proprietary 7

8 It s In Your Blood Newsurg CC BY 3.0 Proprietary 8

9 COMPONENTS OF BLOOD Proprietary 9

10 White Blood Cells (WBCs) Proprietary 10

11 WBCs (aka Leukocytes) Proprietary 11

12 WBC Facts typical adult: ~ 30,000,000,000 (30 billion) WBCs ~ 5 x 10 3 / ul ~ 5 15 um in size 3 major subtypes lymphocytes monocytes granulocytes all have nucleus part of body s immune system: detect, recognize, fight invaders Proprietary 12

13 Platelets (aka Thrombocytes) Proprietary 13

14 Platelet Facts typical adult: ~ 150,000,000,000 (150 billion) platelets ~ 250 x 10 3 / ul ~ 2 3 um in size not actually cells splintered fragments of precursors: megakaryocytes aggregate to stop bruising and bleeding Proprietary 14

15 Red Blood Cells (RBCs) Proprietary 15 Annie Cavanagh, Wellcome Images

16 RBCs (aka Erythrocytes) Proprietary 16

17 RBCs Proprietary 17

18 RBC Facts typical adult: ~ 30,000,000,000,000 (30 trillion) RBCs 3 million RBCs produced per second 120 days life?me ~ 5 x 10 6 / ul ~ 45% of blood by volume ~ 5 um in size characteris?c biconcave shape no nucleus! hemoglobin bags carry O 2 from lungs to?ssues, carry back CO 2 Proprietary 18

19 The Three Amigos NCI Frederick Proprietary 19

20 BLOOD DIAGNOSTICS Proprietary 20

21 Blood- Based Diagnos?cs James Anness/The Record, via The Associated Press Proprietary 21

22 Blood- Based Laboratory Diagnos?cs Cell assays Complete Blood Count (CBC) hematocrit hemoglobin WBC differen?al platelet count immature RBCs Plasma assays glucose electrolytes lipids Other diagnos?c assays molecular diagnos?cs blood typing DNA sequencing blood gases proteins enzymes Proprietary 22

23 Blood- Based Laboratory Diagnos?cs Cell assays Complete Blood Count (CBC) hematocrit hemoglobin WBC differen?al platelet count immature RBCs Plasma assays glucose electrolytes lipids blood gases proteins enzymes Other diagnos?c assays molecular diagnos?cs blood typing DNA sequencing Proprietary 23

24 Blood- Based Diagnos?cs Proprietary 24 Sysmex

25 Complete Blood Count (CBC) ~ 200 million CBCs / yr worldwide CBCs used for diagnosis of: general health (screening) anemia (low RBCs, small RBCs, low hemoglobin concentra?on) bacterial infec?on (high WBCs) drug toxicity (low platelets) leukemia (increased subtypes of WBCs) allergy (increased subtype of WBCs) Proprietary 25 Sysmex

26 COUNTING BLOOD CELLS Proprietary 26

27 Blood Smears GreatScopes Frederick Wasti Proprietary 27

28 Blood Smears Frederick Wasti Proprietary 28

29 Blood Smears Proprietary 29 pdbio325.blogspot.com

30 Hemocytometer: Manual Coun?ng wetnf.org Hausser Scientific Proprietary 30

31 Par?cle Sizing: The Coulter Principle Pulver Technology Beckman Coulter Proprietary 31

32 Cell Iden?fica?on: Flow Cytometry Physikalisch-Technische Bundesanstalt Proprietary 32

33 PRINCIPLES OF FLOW CYTOMETRY Proprietary 33

34 The Op?cal Bench: Cri?cal Elements spectral filters light source(s) flow cell side- scater detector(s) fluorescence detector(s) forward- scater detector(s) Life Tech Proprietary 34

35 Hydrodynamic Focusing core stream sheath core stream flow rate: ~ 1 µl/s core stream speed at nozzle: ~ 1 mm/s core stream speed in flowcell: ~ 10,000 mm/s 2011 Life Tech Proprietary 35

36 Flowcell: Where It All Comes Together Nihon Kohden Proprietary 36

37 Cell Interroga?on: Rela?ve Sizes 1/e 2 laser beam waist ~70 um ~20 um 10 um Life Tech Proprietary 37

38 Par?cle Detec?on: ScaTering Signal Proprietary 38

39 Forward ScaTering Histogram Life Tech Life Tech Proprietary 39

40 Side ScaTering Histogram Life Tech Life Tech Proprietary 40

41 Building the 2- D ScaTergram side scater Life Tech forward scater Proprietary 41

42 Two Methods: ScaTering & Fluorescence ScaTering: mainly hematology analysis FC cell size morphology (shape of cell and nucleus) complexity (presence of crystals, granules) Fluorescence: mainly non- hematology FC DNA, RNA staining surface an?gens (immune system) e.g.: CD4+ lymphocytes for HIV monitoring intracellular biomarkers Proprietary 42

43 Two Methods: ScaTering & Fluorescence ScaTering: mainly hematology analysis FC cell size morphology (shape of cell and nucleus) complexity (presence of crystals, granules) Fluorescence: mainly non- hematology FC DNA, RNA staining surface an?gens (immune system) e.g.: CD4+ lymphocytes for HIV monitoring intracellular biomarkers Proprietary 43

44 This Seminar: ScaTering, Hematology ScaTering: mainly hematology analysis FC cell size morphology (shape of cell and nucleus) complexity (presence of crystals, granules) Fluorescence: mainly non- hematology FC DNA, RNA staining surface an?gens (immune system) e.g.: CD4+ lymphocytes for HIV monitoring intracellular biomarkers $3B/yr Proprietary 44

45 FLOW CYTOMETRY SYSTEMS Proprietary 45

46 From Very Small Courtesy of Peter Kiesel, PARC Proprietary 46

47 To Very Large Academia Sinica Proprietary 47

48 Hematology Analyzer Examples ABX Orphee Beckman Coulter Abbott Laboratories Proprietary 48

49 Flow Cytometer Examples BD Beckman Coulter Partec / Sysmex EMD Millipore Proprietary 49

50 FLOW CYTOMETRY SYSTEM ARCHITECTURE Proprietary 50

51 Flow Cytometer HW Modules 2014 Kinetic River Corp. Proprietary 51

52 Flow Cytometer HW Modules sample reagents waste sample, reagents 2014 Kinetic River Corp. Proprietary 52

53 Flow Cytometer HW Modules aspira?on flowcell autoloader (op?onal) fluidics/ pneuma?cs incuba?on (op?onal) 2014 Kinetic River Corp. fluidics/pneuma?cs Proprietary 53

54 Flow Cytometer HW Modules excita?on collec?on flowcell 2014 Kinetic River Corp. op?cs Proprietary 54

55 Flow Cytometer HW Modules embedded control signal processing algorithms, database, UI 2014 Kinetic River Corp. electronics Proprietary 55

56 Flow Cytometer HW Modules Laboratory Automa8on System (op8onal) Laboratory Informa8on System (op8onal) 2014 Kinetic River Corp. Proprietary 56

57 Flow Cytometer HW Modules liquids photons data controls sample, reagents fluidics/pneuma?cs 2014 Kinetic River Corp. op?cs electronics Proprietary 57

58 DEVELOPING FLOW CYTOMETERS Proprietary 58

59 Flow Cytometers Are Complex Systems e.g.: Kine?c River s Danube FC op?cs, microfluidics, control SW: KRC fluidic management electronics signal processing PARTNERS Proprietary 59

60 Kine?c River Key Exper?se Op?cs System Design Life Sciences & Diagnos?cs LiveIdeas Microfluidics 2D / 3D CAD Abbott Laboratories BeamWise Proprietary 60

61 Flow Cytometer HW Modules liquids photons data controls sample, reagents fluidics/pneuma?cs 2014 Kinetic River Corp. op?cs electronics Proprietary 61

62 Kine?c River Core Competencies liquids photons data controls sample, reagents microfluidics 2014 Kinetic River Corp. op?cs signal processing Proprietary 62

63 Partner Core Competencies liquids photons data controls sample, reagents fluidics/pneuma?cs 2014 Kinetic River Corp. op?cs electronics Proprietary 63

64 RESOURCES, Q&A Flow cytometry tutorials at Purdue University PPTs Prac8cal Flow Cytometry, 4 th ed., H.M. Shapiro also online at Flow Cytometry: An Introduc8on, M.G. Ormerod also online at GVacca@Kine?cRiver.com Proprietary 64

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