The detection and analysis of biomolecules, such as proteins, are of great interest since these molecules are fundamental for life and our health. Due to the complexity of biological processes, there is a great advantage of studying proteins in their natural context, for example by using bioimaging. The objective of this doctoral thesis has been to develop, implement and evaluate techniques for the use of proteinspecific affinity reagents in diverse bioimaging platforms for analysis of protein expression in situ in cells and tissues. To be able to visualize a desired protein in situ using affinity reagents, reporter labels are needed. A novel technique for labeling of antibodies on solid phase was developed. This method offers simultaneous purification, concentration and labeling of an antibody sample, giving highly predictable and reproducible results, in a miniaturized format. Another study demonstrates the use of an alternative affinity reagent, the Affibody molecule, in bioimaging as well as other immunoassays. As a relevant proof-of-principle, an Affibody molecule binding the HER2 receptor was site-specificly labeled and employed for analysis of HER2 protein expression in cells and tissue using immunofluorescence (IF), immunohistochemistry (IHC), immunoprecipitation and flow cytometry. Furthermore, it is shown how antibody-based bioimaging approaches can be applied for systematic analysis of protein expression in terms of subcellular localization and expression levels in cell lines. The systematic subcellular localization of nearly 500 proteins was performed using IF and confocal microscopy. Global analysis of expression levels of nearly 2000 proteins in a panel of cell lines using IHC and automated image analysis, revealed that most proteins are expressed in a cell size dependent manner. Two normalization approaches were evaluated and found to allow for protein profiling across the panel of morphologically diverse cells, revealing patterns of protein over- and underexpression, and proteins with stable as well as with lineage specific expression were identified. Finally, the value of antibody-based, bioimaging proteomics as a platform for biomarker discovery is demonstrated. The identification and in depth study of a candidate biomarker for colorectal cancer, SATB2, is described using both IHC and IF bioimaging. Results from extended analyses of tumor biopsies showed that detection of SATB2 protein using IHC provides a clinically relevant diagnostic tool with high specificity and sensitivity to aid in diagnosis of colorectal cancer. Furthermore, the study demonstrated a potential prognostic role of SATB2, as decreased expression was associated with a significantly shorter overall survival in patients with advanced colorectal cancer. / QC 20100824

More than half of all cases of breast cancer occur among women without any known risk factors. More research is needed on suspected risk factors in order to refine current breast cancer screening tools. The objectives of this thesis were: to determine the breast cancer risk associated with known risk factors (ethnicity, family history, breast biopsy, age at menarche, age at first birth, alcohol, HRT, and BMI), suspected risk factors (smoking, second-hand smoke exposure, smoked/grilled foods, and NSAID use), and to examine the above associations according to tumour receptor status, histologic grade, and menopausal status, with potential confounders also considered. This thesis project was conducted within the framework of the Molecular Epidemiology of Breast Cancer study, a case-control study of women in Vancouver, BC and Kingston, ON, with 1140 cases and 1169 controls recruited from 2005-2010. Information was collected from a detailed questionnaire. Cases and controls were similar in terms of age at menarche, age at first birth, smoking history, second-hand smoke exposure, lifetime smoked/grilled food consumption, HRT, and BMI. Among cases, there were significantly less Europeans and more Chinese, Japanese, and Filipino subjects compared to controls. Cases were more likely to have a first degree relative with breast cancer, as well as a previous benign breast biopsy. Alcohol consumption and past NSAID usage was higher among controls. The level of education completed was higher among controls. Cases were also more likely to be postmenopausal. Family history was associated with breast cancer risk (OR=1.59, CI=1.30-1.94), as was BMI (OR=1.28, CI=1.05-1.58 for overweight and OR=2.28, CI=1.35-3.86 for obese class II). Second-hand smoke was also found to be associated with breast cancer risk (OR=1.42, CI=1.02-1.97 for individuals with a less than 10 pack-year smoking history). Due to reduced sample size with stratification and marginally significant results, it is not possible to draw definitive conclusions regarding pathology sub-types. In summary, these results provide support for the association between several risk factors and breast cancer risk. More research is needed to ascertain how receptor status, histologic grade, and menopausal status affect these associations. / Thesis (Master, Community Health & Epidemiology) -- Queen's University, 2011-08-15 19:43:06.689

Le travail présenté dans cette thèse porte sur le développement de chimie de surface et de biocapteurs pouvant être utilisés dans le milieu hospitalier afin d’améliorer les méthodes de dépistages et de suivi de traitement de diverses maladies et cancers. Les méthodes actuelles de dépistage du cancer reposent principalement sur l’analyse histologique des cellules par des experts dans le domaine. Cela complique la transmission de l’information au patient et retarde le moment où un traitement approprié peut être entamé. Grâce à de nouvelles techniques d’analyses simples et peu coûteuses comme la spectroscopie de résonance des plasmons de surface (SPR), il est possible de développer des tests qui pourront être effectués par le personnel de l’hôpital, en peu de temps et à peu de frais. Afin de pouvoir utiliser la SPR en milieu clinique, une chimie de surface appropriée doit être développée afin d’empêcher les matrices biologiques de masquer le signal des analytes d’intérêt. En effet, qu’il s’agisse de lysat cellulaire, de sérum ou de tout autre fluide biologique, le contenu protéique et lipidique peut s’adsorber de façon non-spécifique aux surfaces d’analyse, compromettant ainsi les résultats obtenus. Afin de pallier ce problème, le développement de chimie de surface a été effectué. Des monocouches de peptides et de liquides ioniques ont été utilisées afin de réduire l’adsorption non-spécifique de lysat cellulaire non-dilué sur des capteurs SPR. Parmi les peptides, le plus efficace s’est avéré être le 3 MPA (His)2(Leu)2(Phe)2 OH, un peptide chargé positivement formé de 6 acides aminés plutôt hydrophobes. Grâce à cette surface, l’adsorption non-spécifique de lysat cellulaire a pu être réduite jusqu’à 159 ± 27 ng/cm2, par rapport à 929 ± 186 ng/cm2 sur une surface d’or non protégée. Une étude en spectrométrie de masse a permis de mieux comprendre le phénomène d’adsorption non-spécifique de lysat cellulaire et de confirmer que ce sont principalement des lipides qui s’adsorbent non-spécifiquement au capteur SPR lorsque celui-ci est exposé à du lysat cellulaire. Malgré la nette amélioration par rapport à un capteur non protégé, le phénomène d’adsorption non-spécifique était encore significativement présent avec les monocouches de peptides. L’adsorption non-spécifique de lysat cellulaire a ensuite été drastiquement réduite grâce aux liquides ioniques hydrophobes et chargés. Le liquide ionique le plus performant a montré une adsorption non-spécifique d’à peine 2 ± 2 ng/cm2. Par la suite, un biocapteur permettant la détection de HER2, un biomarqueur de cancer du sein présent dans environ 30% des cas de cancers du sein agressifs, a été développé. Cela a permis de démontrer que le liquide ionique pouvait être utilisé pour la construction d’un biocapteur, ouvrant ainsi la porte à un large domaine d’analyses en lysat cellulaire. Finalement, les défis de l’analyse SPR avec des échantillons cliniques ont été explorés par le développement d’un biocapteur pour l’anti-asparaginase, permettant de faire le suivi de traitement de patients atteints de leucémie. L’asparaginase est administrée aux patients leucémiques, en combinaison avec plusieurs autres composés chimiothérapiques, afin de combattre ce cancer. Toutefois, plusieurs patients ont une réaction allergique à cette protéine de source bactérienne, mais ne démontrent pas de symptômes physiques. Le biocapteur développé visait donc à détecter les réactions immunitaires des patients afin de modifier leur traitement lorsque cela s’avère nécessaire. Un biocapteur pour la détection de l’anti-asparaginase dans le sérum non-dilué de patients leucémiques a donc été développé. Des échantillons cliniques ont été étudiés et les résultats obtenus pour le nouveau biocapteur SPR ont montré une bonne concordance avec les résultats obtenus en ELISA. / This thesis describes the development of clinical biosensors. These biosensors were developed with the aim of improving diagnostic and treatment monitoring methods. Actual monitoring methods often rely on histological analysis performed by experts. This complicates the transmission of the information to the patient and delays the onset of an appropriate treatment. It is envisioned to develop simple experiments at low cost, which will allow untrained personnel to perform the testing on-site with biosensing technologies such as surface plasmon resonance (SPR). In order to perform SPR in clinical analysis, appropriate surface chemistry must be developed to prevent nonspecific adsorption. Nonspecific adsorption is the fouling of surfaces with biomolecules contained in the sample matrix such as proteins or lipids of biofluids. This leads to false positive signals preventing the correct measurement of the analyte concentration. Peptide and ionic liquid monolayers have been studied in this thesis to prevent nonspecific adsorption of undiluted cell lysate. The most efficient peptide was the 3 MPA (His)2(Leu)2(Phe)2 OH peptide, a 6 amino acids hydrophobic and positively charged peptide. The nonspecific adsorption of cell lysate was reduced to 159 ± 27 ng/cm2, compared to 929 ± 186 ng/cm2 on a bare gold surface. Also, mass spectrometry was performed to better understand the cell lysate nonspecific adsorption phenomenon. This study showed lipids were mostly adsorbed on the sensor when exposed to cell lysate. Despite a significant reduction of nonspecific adsorption with peptides, it remained unoptimal and should be improved. The newly developed hydrophobic and charged ionic liquids nearly eliminated the nonspecific adsorption of undiluted cell lysate, with only 2 ± 2 ng/cm2 of nonspecific material adsorbed on the surface. Then, a biosensor of an aggressive breast cancer biomarker, HER2, was developed. This proved that the ionic liquids could be used in the development of clinical biosensors. Finally, the challenges of the analysis of clinical samples with SPR sensing were explored with the development of an anti-asparaginase biosensor for leukemic patients. Asparaginase is a chemotherapeutic drug administered to patients in combination with various other drugs to treat leukemia. However, many patients suffer from silent allergic reactions due to the bacterial source of this drug. Therefore, a biosensor was developed to detect the antibodies in undiluted serum produced against the drug, which could ultimately serve to modify the patient’s treatment when necessary. Clinical samples from leukemia patients were studied and the results were in good agreement with ELISA experiments.

Indiana University-Purdue University Indianapolis (IUPUI) / Cancer stem cells (CSCs) are proposed to play a major role in tumor progression, metastasis, and recurrence. The Human Epidermal growth factor Receptor 2 (HER2) gene is amplified and/or its protein product overexpressed in approximately 20% of breast cancers. HER2 overexpression is associated with increased CSCs, which may explain the aggressive phenotype and increased likelihood of recurrence for HER2+ breast cancers. Telomerase is reactivated in tumor cells, including CSCs, but has limited activity in normal tissues, providing support for the use of telomerase inhibition in anti-cancer therapy. Telomerase inhibition via an antagonistic oligonucleotide, imetelstat (GRN163L), has been shown to be effective in limiting cell growth in vitro and limiting tumor growth. Moreover, we have previously shown imetelstat can decrease metastases to the lungs, leading us to question if this is due to imetelstat targeting the CSC population. In this thesis, we investigated the effects of imetelstat on CSC and non-CSC populations of HER2+ breast cancer cell lines, as well as a triple negative breast cancer cell line, which lacks HER2 overexpression. Imetelstat inhibited telomerase activity in both CSC and non-CSC subpopulations. Moreover, imetelstat treatment alone and in combination with trastuzumab significantly reduced the CSC fraction and inhibited CSC functional ability, as shown by a significant decrease in mammosphere counts and invasive potential. Tumor growth rate was slower in combination treated mice compared to either drug alone. Additionally, there was a trend toward decreased CSC marker expression in imetelstat treated xenograft cells compared to vehicle control. The decrease in CSC marker expression we observed occurred prior to and after telomere shortening, suggesting imetelstat acts on the CSC subpopulation in telomere length dependent and independent mechanisms. Our study suggests addition of imetelstat to trastuzumab may enhance the effects of HER2 inhibition therapy.

Human Epidermal Growth Factor Receptor 2 (HER2) is a cell surface receptor tyrosine kinase and plays a role in the signal pathways leading to cell proliferation and differentiation. Overexpression of HER2 is found in various cancers including breast, ovarian, gastric, colon, and non-small-cell lung cancers, which makes it an attractive target for cancer therapy. Specific antibodies, peptides and small molecules are developed by scientists to bind with HER2 as therapeutical agents, dimerization inhibitors and biological makers. Among these molecules, antibodies showed excellent binding affinity and specificity toward HER2. However, uses of antibodies are limited by their high cost of production, long development time, limited ability to penetrate tumor tissue and immunogenicity. Many of these limitations are due to the high molecular weight of antibodies. Compared to antibodies, peptides and small molecule that selectively recognize HER2 have advantages in solubility, permeability and immunogenicity. So far, the design of all peptides and small molecules for binding with HER2 either utilize phage display technique or rely on computational screen of large library of millions of small molecules. These approaches all suffer from the drawbacks of tedious, labor intensive, and time consuming as well as uncertainty of outcome. In this study, it was hypothesized that a novel approach based on molecular interactions of HER2-Pertuzumab complex and Knob-Socket model can be developed to design antibody mimics for targeting HER2. All designed antibody mimics were simulated and docked with HER2 using Molecular Operating Environment (MOE) software to estimate binding energy and analyze the detail interaction map. A series of mimics were then synthesized and characterized. HER2 positive breast cancer cells MDA-MB-361 and ZR-75-1 were used in confocal microscopic and flow cytometric studies to evaluate the binding specificity of all antibody mimics to HER2 in vitro, while human embryonic kidney cell (HEK293) was used as control. After incubation with antibody mimics, high fluorescence intensities were observed on MDA-MB-361 and ZR-75-1 cells, while only background fluorescence were observed on HEK293 cells. Surface plasma resonance (SPR) studies showed that all antibody mimics bind to HER2 protein with KD value in range of 55.4 nM- 525.5 nM. Western blot technique was used to evaluate inhibition capability of antibody mimics on phosphorylation of HER2 downstream signaling Akt and MAPK pathways that were crucial for cell differentiation and survival. When treated with antibody mimics at 10µM for 24 h, more than 85% phosphorylation of Akt pathway was inhibited while phosphorylation of MAPK pathway was not affected. This finding proved that antibody mimics could bind to HER2 extracellular domain and selectively inhibit the dimerization between HER2 and HER3 to block phosphorylation of Akt pathway in a similar way as Pertuzumab. In addition, in vivo studies on tumor bearing nude mice were carried out to investigate the distribution and binding specificity of antibody mimics towards HER2 positive tumor after injecting through vein tail. Signal intensity ratio (SIR) of tumor to muscle revealed about 10-fold increase in tumor retention of HER2-PEP11 compared to the Cy7.5 carboxylic acid and Cy7.5-HER2-PEP22, which confirmed excellent in vivo binding specificity of antibody mimic HER2-PEP11 to HER2 positive tumor. In conclusion, this study demonstrated that a rational design of antibody mimics with both binding specificity and affinity towards HER2 based on the molecular interaction between Pertuzumab and HER2 and Knob-Socket model is feasible.

No description available.

Metastatic breast cancer treatment has seen few advances in recent years, yet treatment resistance continues to rise, causing disease recurrence. A pilot study was performed to determine the efficacy of ex vivo expansion and reprogramming of tumor-reactive immune cells from experimental metastatic tumor-sensitized mice. Also, phenotypic changes in tumors due to metastasis or tumor microenvironment influences were characterized. Metastatic neu+ mouse mammary carcinoma (mMMC) and its distant relapsing neu-antigen-negative variant (mANV) were investigated in FVBN202 mice. Tumor-reactive central memory CD8+ T cells and activated NK/NKT cells were successfully reprogrammed and expanded during 6-day expansion from mMMC- and/or mANV-sensitized mice, resulting in tumor-specific cytotoxicity. mMMC exhibited a flexible neu-expression pattern and acquired stem-like, tumorigenic phenotype following metastasis while mANV remained stable except decreased tumorigenicity. Myeloid-derived suppressor cell (MDSC) levels were not increased. Adoptive cellular therapy (ACT) with reprogrammed tumor-reactive immune cells may prove effective prophylaxis against metastatic or recurrent breast cancer.

Cell separation based on antibody-targeted magnetic beads has been widely used in a number of applications in immunology, microbiology, oncology and more recently, in the isolation of circulating tumour cells (CTCs) in cancer patients. Although other cell separation techniques such as size based cell filtration and Fluorescence Activated Cell Sorting have also been in popular use, immunomagnetic cell isolation possesses the advantages of high throughput, good specificity and reduced cell stress. However, certain fundamental features of the cell-bead interface are still unknown. In this study, some of the key features of the cell-bead synapse were investigated in an effort to improve the efficiency of immunomagnetic cell isolation and reduce its dependence on high expressing cell surface markers. A clinically relevant antibody fragment (Fab) against tyrosine kinase receptor HER2 was applied to study the immunomagnetic isolation of HER2 expressing cancer cells. First, the minimum number of target proteins required on a cell for it to be isolated was determined. Second, the importance of the primary antibody affinity was investigated, using a series of Fab mutants with known kinetics and it was shown that despite starting with sub-nanomolar affinity, improving Fab affinity increased cell isolation. Third, the influence of the connection between the primary antibody and the bead was studied by comparing Fab bridged to the magnetic bead via a secondary antibody, Protein L or streptavidin; the high affinity biotin-streptavidin linkage increased isolation sensitivity by an order of magnitude. Fourth, the effect of manipulating cytoskeletal polymerization and cell membrane fluidity using small molecules was tested; cholesterol depletion decreased isolation and cholesterol loading increased cell isolation. The insights from these observations were then applied to isolate a panel of cell lines expressing a wide range of surface HER2. While the standard approach isolated less than 10% of low HER2 expressing cancer cells from spiked rabbit and human blood, our enhanced approach with the optimized cholesterol level, antibody affinity and antibody-bead linkage could specifically isolate more than 80% of such cells. The final part of this work focussed on developing an antibody clamp that could physically restrict the antigen within its binding site on the Fab and prevent antigen dissociation, using the HER2-Fab complex and the anti-myc peptide antibody 9E10. Work from this thesis provides useful insights into the molecular and cellular parameters guiding immunomagnetic cell isolation and can be used to extend the range of target receptors and biomarkers for tumour cell isolation and other types of cell separation, thereby enhancing the power and capacity of this approach.