CIMIT FORUM AGENDA

Massachusetts General Hospital

Richard B. Simches Research Center, Room 3110

185 Cambridge Street, Boston

October 23, 2007

4:00 – 6:00 PM

Biological Electronics and Sensors for Medical Applications

Moderator: Jay Schnitzer, MD, PhD, Associate Professor of Surgery, Harvard Medical School; Visiting Surgeon, Massachusetts General Hospital; Pediatric Surgeon, Shriners Burns Hospital; CIMIT Site Miner - MGH; CIMIT Program Leader - Clinical Systems Innovation, jschnitzer@partners.org 

4:00PM Electronic and Ionic Neural Interfaces
Presenter: Luke Theogarajan, PhD, Massachusetts Institute of Technology, ltheogar@mit.edu
Many scientists have high hopes for neural prosthetics, devices capable of restoring functions lost as a result of nerve damage.  To date, cochlear implants, which allow otherwise deaf people to hear, are the most refined and most widely used neural prosthetic.  Researchers are attempting to develop retinal prosthetics that may someday provide a useful level of vision to patients with conditions such as age-related macular degeneration or retinitis pigmentosa.  Retinal prosthetics, like all neural prosthetics, will require a robust interface between the device and the patient’s neural circuitry. 

       Preliminary trials suggest that retinal prosthetics are not an impossible dream.  Researchers led by Luke Theogarajan of MIT implanted chips of four electrodes beneath the retinas of a few blind volunteers, and upon stimulation, the blind volunteers perceived phosphenes, or the sensation of “seeing stars.”  The electrode chips were powered by an external power supply and received image information from an external sensor.              

       An electrical biotic-abiotic interface, however, may not be the best interface for a retinal prosthetic.  Because of the current-siphoning effect of soft tissue and because of certain morphological changes that occur in blind people, a lot of electrical current is needed to stimulate the eye’s nerves.  It is difficult to provide this current, and this current could be large enough to damage tissue. 

       Theogarajan’s group is exploring an interface based on ions, instead of electricity.  Ions are naturally abundant in the body, and changing the ion gradient across a neuron’s plasma membrane can trigger an action potential.  So far, it seems that boosting extracellular potassium levels is the most effective way to produce an action potential.  Potassium ions could be sequestered from the device’s environment and would not need to be stockpiled in the device.  Now, researchers must figure out how to reliably deliver potassium ions to a specific area.  Theogarajan’s team is currently investigating an ion-delivery mechanism similar to that found in an inkjet printer. 

       Neural prosthetics have the potential to transform medicine, and although electrical interfaces currently dominate the field, biocompatible ionic interfaces are a technically feasible alternative and could provide the way of the future.

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5:00PM Electronic Polymers in Biosensors
Presenter: Timothy 
 M. Swager, PhD, John D. MacArthur Professor and Department Head, Department of Chemistry, Massachusetts Institute of Technology, tswager@mit.edu 

       In many biological assays, detecting the presence of small molecules is crucial.  Researchers led by Timothy J. Swager of MIT are designing polymers capable of spectroscopically sensing small metabolites.  Electrons in the highly conjugated polymers occupy either valence orbitals or slightly more energetic conduction orbitals.  Light can excite electrons from valence orbitals into conduction orbitals, and when these excited electrons fall back into valence orbitals, they emit usually photons.  The polymers can be designed so that if the excited electrons in the conduction orbitals come near another specific molecule, known as an analyte, they drop back into valence orbitals without emitting photons.  In this case, the analyte quenches the polymer’s fluorescence, and this quenching can be observed by measuring the photons emitted by the polymer. 

       The polymers may soon provide biologists with a valuable research tool, and Swager’s group is currently experimenting with polymer-coated microspheres.  At the center of these microspheres, different fluorescent molecules provide a baseline that allows investigators to make quantitative measurements of quenching.  The microspheres, however, have not been perfected.  Proteins and other undesirable macromolecules tend to stick to the microspheres’ surfaces, preventing analytes from binding.  Swager’s group is attempting to circumvent this problem by encasing the microspheres in a hydrogel that macromolecules can’t penetrate.  In the future, microspheres, or nanospheres, may become part of new biological assays, and this technology might even lead to particles that could be introduced into the human body to track down metabolites associated with tumors and other problems.  

 

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