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Page 1: Theme 4 Biomedical Engineering and Imaging 2019/20 · mesenchymal stem cells (hMSC) differentiation with soluble chemicals/growth factors; however, physical factors such as stiffness

Theme 4

Biomedical Engineering

and Imaging

2019/20

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Contents 1.4 The neonatal virtual brain: computational models of emerging connectivity using simultaneous EEG and MRI ........................................................................................................................................ 4 3.4 Diffusion and structural MR histology: new high-resolution MR imaging methodologies for quantitative mapping of cortical organisation during development ......................................................... 6 4.4 Unravelling the role of pericellular matrix mechanics in regulating stem cell fate in 3D .......... 7 5.4 Detection of bone marrow cancer using high sensitivity 7T MRI ......................................................... 8 7.4 ‘RAGE’ as an imaging biomarker in Alzheimer’s disease - Structure-driven development, radiosynthesis and evaluation of a positron emission tomography radiotracer towards the Receptor for Advanced Glycation Endproducts (RAGE). .............................................................................. 10 8.4 Development of siRNA-based therapeutics for intestinal delivery in inflammatory bowel disease using imaging ............................................................................................................................................... 11 9.4 Development of sideromycin derivatives as fluorescent probes for the imaging of Gram+/-ve bacterial infections .................................................................................................................................................... 12 10.4 Design of novel 18F molecular probes for positron emission tomography brain imaging of the cannabinoid-1 receptor .................................................................................................................................... 14 11.4 Using molecular imaging to identify early cardiotoxicity due to cancer chemotherapy ....... 16

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Imaging and Biomedical Engineering 

This theme focuses on the link between biomedical and physical sciences – particularly

physics, engineering and computational approaches. Clinical functional and molecular

imaging (MRI, PET, X-MR and PET-MR) is a major strength, along with

computational modelling and biomaterials (particularly in the Dental Institute). 

Lead: Professor Phil Blower 

When choosing a project from this catalogue in the funding section of the online

application form please enter: MRCDTP2019_Theme4 

Deadline for application: Sunday 25th November 2018

Shortlisted candidates will be contacted in early January.  

Interviews: 30th & 31st January 2019

The 2019/20 studentships will commence in September 2019. 

  For further Information or queries relating to the application process please contact  mrc-

[email protected]

  

  Projects listed in this catalogue are subject to amendments, candidates

invited to interview will have the opportunity to discuss projects in

further detail. 

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1.4 The neonatal virtual brain: computational models of emerging connectivity using simultaneous

EEG and MRI

Co-Supervisor 1A: Dr. Dafnis Batalle

School/Division & CAG: IoPPN, Forensic & Neurodevelopmental Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/en/persons/dafnis-batalle(594a5a66-51aa-

421c-8863-39c245d3d93c)/projects.html

Co-Supervisor 1B: Dr. Tomoki Arichi

School/Division & CAG: Biomedical Engineering & Imaging Sciences

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/en/persons/tomoki-arichi(eb157769-4047-

47d1-b47a-95731abf11fe).html

Project description:

State-of-the-art mapping of structural and functional brain connectivity can enable the first use of

computational models of brain connectivity in newborn infants. This emerging field uses mathematical models

of neuronal activity to couple MRI-derived measures of white-matter structure and correlated functional

activity (Figure). As neuronal activity is fast and MRI suffers from low temporal resolution, further model

refinement is possible through incorporating high temporal resolution electrophysiology (EEG). We expect that this will provide important insights into both the emergence of brain connectivity and the biological alterations which underpin neurodevelopmental impairments resulting from perinatal injury.

This project will apply computational modelling techniques to a unique neonatal dataset of simultaneously

acquired EEG and MRI. Building on existing models derived from adult data, the student will develop

computational algorithms to link structural connectivity (from diffusion MRI) and functional connectivity (from

fMRI and EEG). This will include exploring different approaches such as Hopf Bifurcation and dynamic mean

field models and the adaptations needed for neonatal data. They will then aim to identify imaging phenotypes

and altered model parameters associated with neurodevelopmental disorders such as autism spectrum disorder.

Objectives:

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Year 1/3: Training in neuroimaging and modelling. Characterisation of structural/functional connectivity from

MRI and EEG.

Year 2/3: Development of computational models linking structure and function.

Year 3/3: Identify model characteristics as biomarkers of brain pathology.

The successful student will receive training in neuroimaging, computational modelling, and developmental

neuroscience through the supervisory team; the School’s research and educational program; and external

educational courses and conferences.

One representative publication from each co-supervisor:

[1] Batalle D, Hughes EJ, Zhang H, Tournier J-D, Tusor N, Aljabar P, Wali L, Alexander DC, Hajnal JV,

Nosarti C, Edwards AD, Counsell SJ; Early development of structural networks and the impact of prematurity

on brain connectivity; Neuroimage, 2017, 149, pp. 379-392

[2] Arichi T, Whitehead K, Barone G, Pressler R, Padormo F, Edwards AD, Fabrizi L. Localization of

spontaneous bursting neuronal activity in the preterm human brain with simultaneous EEG-fMRI. eLIFE 2017;

e27814

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3.4 Diffusion and structural MR histology: new high-resolution MR imaging methodologies for

quantitative mapping of cortical organisation during development

Co-Supervisor 1A: Flavio Dell’Acqua

School/Division & CAG: Academic Psychiatry - Forensic and Neurodevelopmental Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://www.scopus.com/authid/detail.uri?authorId=24757840500

https://kclpure.kcl.ac.uk/portal/en/persons/flavio-dell-acqua(3de057d5-

4de7-43d9-a44a-70ff1aca7963).html

Co-Supervisor 1B: Marija-Magdalena Petrinovic

School/Division & CAG: Academic Psychiatry - Forensic and Neurodevelopmental Sciences

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/marija-magdalena.petrinovic.html

Project description:

The cortex is one of the most complex regions of the brain, characterized by an extraordinary diversity of cell

types, whose coordinated development and function underlie memory, cognition, language, and consciousness.

The formation of laminar and columnar organisation during development is a fundamental prerequisite for

proper cortical function. Decoding this organisation during development has been at the core of neuroscientists’

work for decades. While traditional histological techniques provided critical insights about cortical features they

are limited by their invasive nature, they are time consuming and provide only a 2D-type of information of a

small part of the brain. Opposingly, MRI techniques non-invasively provide 3D-whole-brain coverage, but not

the high spatial resolution required to visualise cortical organisation. Aim of this project is to develop new MRI

protocols that will enable the quantitative characterisation of the laminar and columnar organisation during

typical and atypical (e.g. neurodevelopmental disorders) development in rodents.

In this project, the student will have access to the state-of-the-art preclinical imaging facilities at KCL including

the new 9.4T MRI scanner, the Nikon Imaging Centre and wet labs. The student will develop, and validate

(e.g. histology, cell cultures) new MRI structural and diffusion histology methods and will combine them with

novel microstructure diffusion imaging techniques. The goal is to develop new ultra-high resolution structural

and diffusion imaging methods able to probe cortical features at near histological resolution to map cortical

development in rats. Year 1-the student will learn technical skills and begin to acquire MRI and histological

data. Year 2/3-data analysis and methods development. This multidisciplinary project provides an outstanding

array of skills and a potential to rapidly impact upon our understanding of cortical development and

organisation.

One representative publication from each co-supervisor:

[1] Catani, M., Dell’Acqua, F., Budisavljevic, S., Howells, H., Thiebaut De Schotten, M., Froudist-Walsh, S.,

Williams, S.C. (2018). Frontal networks in adults with autism spectrum disorder. Brain, 139(2).

[2] Horder, J.,* Petrinovic, M.M*., Mendez, M.A., Bruns, A., Takumi, T., Spooren, W., Barker, G.J.,

Künnecke, B., Murphy, D.G. (2018). Glutamate and GABA in autism spectrum disorder-a translational

magnetic resonance spectroscopy study in man and rodent models. Translational Psychiatry. 8(1).

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4.4 Unravelling the role of pericellular matrix mechanics in regulating stem cell fate in 3D

Co-Supervisor 1A: Cecile Dreiss

School/Division & CAG: Cancer & Pharmaceutical Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://www.kcl.ac.uk/lsm/research/divisions/ips/about/people/dreiss/index.aspx

Co-Supervisor 1B: Eileen Gentleman

School/Division & CAG: Dental Institute/Centre for Craniofacial and Regenerative Biology

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/eileen.gentleman.html

Project description:

Many tissue engineering (TE) paradigms aim to replace diseased/damaged tissues by directing human

mesenchymal stem cells (hMSC) differentiation with soluble chemicals/growth factors; however, physical

factors such as stiffness also influence differentiation. Using modifiable 3D hydrogels, we recently discovered

that in addition to detecting stiffness, encapsulated hMSC also actively modify their pericellular matrix (PCM)

to direct their fate (Ferreira, Nature Communications), and that PCM-mediated differentiation is driven by

hMSC’s ability to sense the stiffness of their secreted PCM.

To understand how secreted PCM drives lineage specification, this PhD project will build on our established

modifiable hydrogels to examine how hMSC mechanically modify their surroundings. Using multiple particle

tracking microrheology (MPT), which images fluorescent beads in live cultures, this project will measure

pericellular stiffening/softening in situ as differentiation proceeds. We will then determine mechanistically if

PCM mechanics direct differentiation, and if specific secreted proteins mediate this process. This will involve

treating cells with cytoskeletal inhibitors, incorporating non-cell-mediated controlled softening/stiffening into

hydrogels, and using targeted RNAi, protein secretion inhibitors, and tethering of specific proteins to the

hydrogel.

This interdisciplinary project requires a motivated student with a background in either the biological or physical

sciences who is willing to cross the boundaries of stem cell biology, mechanics and biomaterials synthesis.

Skills training:

hMSC culture, live cell imaging, microrheology, hydrogel synthesis, peptide design/synthesis, molecular

biology techniques

Objectives:

Year 1: MPT on hMSC in hydrogels

Year 2: Design/synthesise softening/stiffening/protein-tethered hydrogels

Year 3: Mechanistic molecular understanding of PCM-driven fate.

One representative publication from each co-supervisor:

[1] Ferreira SA, Motwani MS, Faull PA, Seymour AJ, Yu TTL, Enayati M, Taheem DK, Kania EM,

Oommen OP, Ahmed T, Loaiza S, Parzych K, Dazzi F, Auner HW, Varghese OP, Festy F, Grigoriadis AE,

Snijders AP, Bozec L, Gentleman E (2018) “Bi-directional cell-pericellular matrix interactions direct stem cell

fate.” In Press, Nature Communications

[2] Serres-Gomez M, González-Gaitano G, Kaldybekov DB, Mansfield ED, Khutoryanskiy VV, Isasi JR,

Dreiss CA (2018) “Supramolecular hybrid structures and gels from host-guest interactions between -

cyclodextrin and PEGylated organosilica nanoparticles”, Langmuir, DOI: 10.1021/acs.langmuir.8b01744

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5.4 Detection of bone marrow cancer using high sensitivity 7T MRI

Co-Supervisor 1A: Dr Shaihan Malik

School/Division & CAG: BMEIS

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/shaihan.malik.html

Co-Supervisor 1B: Professor Vicky Goh

School/Division & CAG: BMEIS, Imaging CAG

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/vicky.goh.html

Project description:

Magnetic Resonance Imaging (MRI) plays an important role in the management of cancer patients.

However, its sensitivity for detecting cancer is limited in some body areas e.g. lung, skeleton, by their

intrinsically low MRI signal. New ultrahigh field strength (7T) scanners can potentially achieve much higher

sensitivity and spatial resolution than existing technology. We hypothesise that for bone-marrow imaging this

improved sensitivity will detect a low burden of bone marrow cancer or metastases, changing patient

management at an earlier stage. At present 7T-MRI is routinely successful for brain but less successful for

body imaging. The much higher resonant frequency at 7T compared to 1.5T clinical scanners (300MHz vs

64MHz) leads to uneven propagation of radio-frequency magnetic fields into the body, resulting in unusable

images. Parallel transmission systems (PTx), adapting to each patient, can improve this in principle. However,

existing methods are not suited to clinical workflows; hence the lack of progress in 7T clinical body imaging.

In this project we aim to develop clinical quality T1, T2 and diffusion-weighted 7T-MRI sequences, focussing

on the pelvis and thoraco-lumbar spine as an exemplar. These regions are commonly affected by myeloma

and metastatic disease and a significant challenge for 7T-MRI because of the wide field-of-view. The project

requires a student with a physics/engineering background, who will develop MR pulse sequences and

patient-adaptive PTx methods (Years 1&2), test these on healthy volunteers, and subsequently on clinical

patients (Years 2&3). They will be trained in operating and programming MRI scanners, including using

experimental hardware.

One representative publication from each co-supervisor:

[1] Beqiri, A., Hoogduin, H., Sbrizzi, A., Hajnal, J. V. & Malik, S. J. Whole-brain 3D FLAIR at 7T using

direct signal control. Magn. Reson. Med. 1–13 (2018). doi:10.1002/mrm.27149

[2] Cook GJR, Azad G, Taylor B, Lee E, Morrison M, Hughes S, Morris S, Rudman S, Chowdhury S, Goh

V. Imaging αvβ3 integrin expression in skeletal metastases with 99m

Tc-maraciclatide Single-Photon Emission

Computed Tomography: detection and therapy response assessment. Eur J Nucl Med Mol Imaging.

2018;45(6):898-903.

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6.4 Predicting Optimal Ablation Patterns for Atrial Fibrillation

Co-Supervisor 1A: Prof Steven Niederer

School/Division & CAG: Biomedical Engineering & Imaging Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/steven.niederer.html

Co-Supervisor 1B: Dr Martin Bishop

School/Division & CAG: Biomedical Engineering & Imaging Sciences

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/martin.bishop.html

Project description:

Atrial fibrillation (AF) is the most common cardiac arrhythmia, affecting over 1.1 million people in the UK

alone, and is associated with increased risk of stroke and death. With increasing AF duration, the atrial tissue

undergoes electrical and structural remodelling, wavefront propagation becomes chaotic, and catheter ablation

treatment has a lower success rate. Our recent clinical data suggest that - though appearing chaotic - AF

electrical wavefronts follow preferential pathways when analysed probabilistically over time. Identifying, and

mechanistically understanding, these pathways has the potential to inform treatment approaches. We propose

to use a combined signal processing, computational modelling and machine learning approach to identify these

patient-specific pathways, to investigate the electrical and structural factors underlying these conduction

patterns, and to predict optimal ablation approaches.

This project provides training in signal and image processing techniques (Dr Roney), computational modelling

(Prof Niederer) and machine learning algorithms, applied to the field of cardiac electrophysiology. In particular,

the project involves generating atrial biophysical models from imaging data, tuned to electrophysiology data, in

close collaboration with the clinical teams at GSTT. Large numbers of biophysical simulations will be run and

analysed to investigate the mechanisms underlying different conduction patterns and to simulate different

ablation approaches.

Objectives:

1. To use and develop signal processing algorithms for identifying wavefront paths in clinical data,

2. To model the effects of atrial fibrosis, fibres, anatomy and electrophysiology on conduction pathways,

3. To predict using network theory approaches the pattern of ablation lesions required to terminate AF.

One representative publication from each co-supervisor:

Roney, C. H., Cantwell, C. D., Bayer, J. D., Qureshi, N. A., Lim, P. B., Tweedy, J. H., Kanagaratnam, P.,

Peters, N. S., Vigmond, E. J., … Ng, F. S. (2017). Spatial Resolution Requirements for Accurate

Identification of Drivers of Atrial Fibrillation. Circulation. Arrhythmia and electrophysiology, 10(5), e004899.

Corrado, C., Williams, S., Karim, R., Plank, G., O'Neill, M., & Niederer, S. (2018). A work flow to build

and validate patient specific left atrium electrophysiology models from catheter measurements. Medical image

analysis, 47, 153-163.

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7.4 ‘RAGE’ as an imaging biomarker in Alzheimer’s disease - Structure-driven development,

radiosynthesis and evaluation of a positron emission tomography radiotracer towards the Receptor

for Advanced Glycation Endproducts (RAGE).

Co-Supervisor 1A: Antony Gee

School/Division & CAG: School of Biomedical Engineering and Imaging Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/antony.gee.html

Co-Supervisor 1B: Salvatore Bongarzone

School/Division & CAG: School of Biomedical Engineering and Imaging Sciences

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/salvatore.bongarzone.html

Project description:

The receptor for advanced glycation endproducts (RAGE) is a transmembrane immunoglobulin-like receptor

and consists of extracellular, transmembrane and cytoplasmic domains. The extracellular region binds several

endogenous ligands, such as advanced glycation endproducts, amyloid-beta (Aβ) peptides and oligomers. The

binding of neurotoxic Aβ species to RAGE mediates the pre-neurodegenerative inflammatory process, and

induces an overexpression of the receptor itself as shown in the brain of patients with advanced Alzheimer’s

disease (AD) compared to mild disease or healthy controls.

The aim of the project is to develop the first biomarker able to identify expression level and localization of

RAGE and evaluation in preclinical animal models.

Positron emission tomography (PET) provides a qualitative and quantitative method for non-invasive

evaluation of RAGE distribution using PET radiolabeled compounds. The student will combine computational

structure-based and ligand-based protocols to design a library of brain penetrant compounds targeting the

extracellular RAGE domain (1st Year). The student will perform the radiosynthesis of selected compounds

using short-lived PET radionuclides (carbon-11 and fluorine-18) and evaluate their affinity to bind RAGE using

wild type and AD animal brain tissues (2nd Year ). The absorption, distribution, metabolism and excretion of

the RAGE PET radiotracer will be characterized in preclinical healthy animal and its potential as diagnostic

tool towards RAGE will be determined in AD mouse models (final year).

One representative publication from each co-supervisor:

[1] Bongarzone S, Savickas V, Luzi F, Gee AD. Targeting the Receptor for Advanced Glycation

Endproducts (RAGE): A Medicinal Chemistry Perspective. J. Med. Chem. 2017, 60(17), 7213.

[2] S. Bongarzone, F. Luzi, V. Savickas, N. Singh, F. Turkheimer, A. D. Gee Development of a carbon-11

PET tracer for imaging the Receptor for Advanced Glycation Endproducts (RAGE) in Alzheimer’s disease. J.

Labelled. Comp. Radiopharm. 2017, 60 (S1), S541.

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8.4 Development of siRNA-based therapeutics for intestinal delivery in inflammatory bowel

disease using imaging

Co-Supervisor 1A: Driton Vllasaliu

School/Division & CAG: School of Cancer and Pharmaceutical Science

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/driton.vllasaliu.html

Co-Supervisor 1B: Maya Thanou

School/Division & CAG: School of Cancer and Pharmaceutical Science

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/maya.thanou.html

Project description:

Inflammatory bowel disease (IBD) affects >300,000 people (UK) and accounts for substantial

healthcare/society costs (€4.6–5.6 bn/year in Europe). Non-biologic therapy fails to influence underlying

inflammation and disease course. Biologics have changed IBD management, but injection-mediated

administration has serious limitations of systemic toxicity and loss of therapeutic response.

Locally-delivered RNA interference has significant therapeutic potential in IBD, specifically downregulating

expression of disease-relevant proinflammatory cytokines. However, intestinal delivery of small interfering

RNAs (siRNAs, large/complex molecules) is challenging. This project will develop nanosystems for intestinal

delivery of TNFα siRNA. Transcytosis-targeting, intestinal mucosa-penetrating nanoparticles carrying TNFα

siRNA will be fabricated from FDA-approved material (poly(lactic acid/glycolic acid polymer). Systems will

be characterised for physicochemical properties, cytotoxicity, epithelial cell uptake/permeation and gene

silencing. Near-Infrared Fluorescence (NIRF) imaging will be used in rodent studies with labelled siRNA

nanoparticles to determine tissue distribution/fate. This multidisciplinary project combines nanomedicine,

novel tissue culture and imaging. The student should have a biomedical engineering, or pharmaceutical

background.

These siRNA nanoparticles have potential for translation into effective therapies for delivery to inflamed

intestinal tissue via colon-targeting capsules or endoscopic devices.

Objectives:

Year 1: Delivery system formulation/characterisation, siRNA stability testing.

Year 2: In vitro toxicity, uptake/permeation testing (Caco-2 model), optimisation of gene silencing (testing in

Raw 264.7 macrophages).

Year 3: In vitro uptake testing in IBD-derived human intestinal organoids. In vivo imaging in mice with

experimentally-developed IBD.

Year 3.5: Thesis writing.

One representative publication from each co-supervisor:

[1] Hashem L, Swedrowska M, Vllasaliu D. Intestinal uptake and transport of albumin nanoparticles:

potential for oral delivery. Nanomedicine 2018, 13, 1255-1265.

[2] Kolli S, Wong SP, Harbottle R, Thanou M, Miller AD. PH-triggered nanoparticle mediated delivery of

siRNA to liver cells in vitro and in vivo. Bioconjugate Chemistry 2013, 24, 314-332.

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9.4 Development of sideromycin derivatives as fluorescent probes for the imaging of Gram+/-ve

bacterial infections

Co-Supervisor 1A: Daniele Castagnolo

School/Division & CAG: School of Cancer and Pharmaceutical Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/daniele.castagnolo.html

Co-Supervisor 1B: James Mason

School/Division & CAG: School of Cancer and Pharmaceutical Sciences

KCL/KHP Email: [email protected]

KCL/KHP Website:

https://www.kcl.ac.uk/lsm/research/divisions/ips/research/drugdiscov/staff/mason.aspx

Project description:

Albomycin and salmycin belongs to the class of sideromycin antibiotics. Structurally, albomycin consists of a

thioribosyl pyrimidine antibiotic linked to a siderophore carrier responsible for its active transport into Gram+ve

and Gram-ve bacteria. Inside bacterial cells, albomycin is cleaved off the Fe3+

carrier by peptidase N, encoded

by pepN. The antibiotic stays inside the cells, whereas the iron-free carrier is excreted. Salmycin is a

siderophore‐linked-aminoglycoside and it inhibits almost exclusively Gram+ve bacteria. Salmycin is cleaved

inside bacterial cells by Fe3+

-reductase.

This project aims to exploit sideromycins as templates for the synthesis of novel fluorescent probes for bacterial

imaging. The siderophore carriers of albmomycin and salmycin will be linked to appropriate fluorescent probes

(i.e. fluorescein, dansyl, benzofurazans) which will be actively carried inside the bacterial cells and released after

metabolic cleavage allowing the imaging of the microorganisms. The cleavage of salmycin by Fe3+

-reductase

activity will be further exploited to design a switchable siderophore-fluorescein

Figure 1.

In addition, the less selective siderophore carrier of albomycin will be synthetically modified in order to increase

its selectivity toward strains of Gram-ve bacteria (in partcular N. gonorrea and K. pneumoniae). The project will be

carried out in close collaboration with Public Health England, which will provide a panel of ESKAPE bacteria

for imaging and toxicity studies.

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Skills Training:

This project is multidisciplinary and it offers a combination of expertise and skills ranging from synthetic organic

and inorganic chemistry, fluorescence spectroscopy, microscopy, imaging and microbiology

The project will build on existing methods to map and compare adult cortical organisation (Glasser, Coalson,

Robinson et al, Nature 2016; 536:171-8)

One representative publication from each co-supervisor:

[1] Sanjib Bhakta, Nicolò Scalacci, Arundhati Maitra, Alistair K. Brown, Saiprasad Dasugari, Dimitrios

Evangelopoulos, Timothy D. McHugh, Parisa N. Mortazavi, Alexander Twist, Elena Petricci, Fabrizio

Manetti, Daniele Castagnolo*, Design and synthesis of 1-((1,5-bis(4-chlorophenyl)-2-methyl-1H-pyrrol-3-

yl)methyl)-4-methylpiperazine (BM212) and N-Adamantan-2-yl-N'-((E)-3,7-dimethyl-octa-2,6-dienyl)-

ethane-1,2-diamine (SQ109) pyrrole hybrid derivatives: discovery of potent anti-tubercular agents effective

against multi-drug resistant mycobacteria. J. Med. Chem. 2016, 59, 2780-2793.

[2] Kozlowska, J., Vermeer, L.S., Rogers, G.B., Rehnnuma, N., Amos, S-B.T.A., Koller, G., McArthur, M.,

Bruce, K.D. & Mason, A.J.* Combined systems approaches reveal highly plastic responses to antimicrobial

peptide challenge in Escherichia coli. PLoS Pathogens 2014 (10) e1004104.

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10.4 Design of novel 18F molecular probes for positron emission tomography brain imaging of the

cannabinoid-1 receptor

Co-Supervisor 1A: Dr Vincenzo Abbate

School/Division & CAG: School of Population Health & Environmental Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/vincenzo.abbate.html

Co-Supervisor 1B: Professor Paul Dargan

School/Division & CAG: Faculty of Life Sciences and Medicine, KCL; Clinical Toxicology, Acute

Medicine, Guy’s and St Thomas’ NHS Foundation Trust

KCL/KHP Email: [email protected]

KCL/KHPWebsite: https://www.guysandstthomas.nhs.uk/our-services/consultant-

profiles/toxicology/paul-dargan.aspx

Project description:

The endocannabinoid system, and in particular Cannabinoid-1-receptors (CB1R), is involved in various

physiological processes including memory, mood, pain-sensation, and appetite. Human brain imaging of CB1R

via Positron Emission Tomography (PET) has the potential to provide non-invasive and quantitative

measurement for the in-vivo evaluation of the biology and pharmacology of CB1R in numerous conditions such

as obesity, mood disorders, and addiction.

Recently, cumyl-carboxamide synthetic cannabinoids have emerged as highly potent drugs of abuse. These

potent and selective CB1R agonists (EC50 0.43−12.3nM) will be employed as lead compounds for CB1R PET

tracer development in this interdisciplinary/translational project. We will prepare a library of 18F-labelled cumyl-

carboxamides and systematically evaluate them in vivo (see figure below) to identify the most promising CB1R

PET tracer to enable translation into patients with future studies to screen for novel CB1R agonists/antagonists

for the conditions described above.

Objectives:

Year one:

1. Synthesis and characterization of the nonradioactive and 18F-labelled cannabinoids.

Year two and three:

2. In vitro evaluation of 18

F-labelled cumyl-carboxamides including logD measurement, stability in

human serum, and binding affinity and selectivity to CB1R

18FforPETImaging

asyntheticcannabinoidreceptorligand

Tracerinjection

PETImaging

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3. In vivo PET imaging, blocking study using the CBR1 antagonist rimonabant, metabolism study, ex

vivo biodistribution, and brain tissue radioautography of 18F-labelled cumyl-carboxamides

4. Planning for clinical translation of the new tracers; thesis writing up and preparation for publication

and conference presentation

Skills Training:

Organic synthesis; analytical chemistry; safetly handling radioactive material; 18F-labelling methods; personal

animal licence; biodistribution study; metabolite analysis; in vivo pharmacokinetics; PET imaging and data

analysis; planning for clinical translation of the new tracers.

One representative publication from each co-supervisor:

[1] The Ongoing Challenge Of Novel Psychoactive Drugs Of Abuse. Part I. Synthetic Cannabinoids

Abbate, V., Schwenk, M., Presley, B. & Uchiyama, N. 2018, PURE AND APPLIED CHEMISTRY.

[2] Human toxicity caused by indole and indazole carboxylate synthetic cannabinoid receptor agonists: From horizon scanning to

notification Clinical Chemistry Volume 64, Issue 2, February 2018, Pages 346-354, Hill, S.L., Dunn, M., Cano,

C., Harnor, S.J., Hardcastle, I.R., Grundlingh, J., Dargan, P.I., Wood, D.M., Tucker, S.f, Bartram, T.,

Thomas, S.H.L.

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11.4 Using molecular imaging to identify early cardiotoxicity due to cancer chemotherapy

Co-Supervisor 1A: Dr Richard Southworth

School/Division & CAG: Biomedical Engineering & Imaging Sciences

KCL/KHP E-mail: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/richard.southworth.html

Co-Supervisor 1B: Dr Thomas R. Eykyn

School/Division & CAG: Biomedical Engineering and imaging sciences

KCL/KHP Email: [email protected]

KCL/KHP Website: https://kclpure.kcl.ac.uk/portal/thomas.eykyn.html

Project description:

Na/K ATPase pump function is the subject of renewed interest in oncology not only as a potential novel imaging

target, but also as a potential therapeutic target. Cancer cells exhibit an enhanced glycolytic phenotype. The

Na+/K+ ATPase is highly dependent on glycolytically-derived ATP, but the relationship between altered

metabolism during tumorigenesis, Na+/K+ ATPase activity and pathology is not well understood.

82Rb is a short-lived positron emitting radioisotope (75sec) and a biochemical analogue of potassium. Its short

half-life permits multiple injections into the same subject over a relatively short time period to track disease

progression, or response to therapy. Being generator produced, it does not require access to a cyclotron, and

which greatly enhances its availability. The primary use to date has been as a myocardial perfusion agent. As a

congener for K+, its primary mode of transport into the cell is via the sodium potassium pump (Na+/K+ ATPase).

We have recently investigated the potential of 82Rb as an imaging agent for basic biomedical investigation of

Na/K ATPase activity in the isolated perfused rat heart, tracking the injection, retention, and washout of

radiotracers in response to a variety of drugs, including ouabain (a cardiotonic Na/K ATPase inhibitor) and

isoprenaline (a −adrenergic agonist). Isoprenaline increased 82Rb uptake by 30% whilst ouabain reduced

uptake by 10-15%. These experiments point towards the possibility to develop an imaging technique using 82Rb

to report directly on Na/K ATP pump function, providing a new tool for cancer imaging.

(a)

(b)

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(c)

100 2000.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

time (s)

control

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ouabain

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rma

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(d)

Figure. (a) the CardioGen-82 clinical generator. (b) Preclinical perfusion system at KCL for studying the

pharmacokinetics of radiolabelled tracers in the isolated perfused heart. (c) Normalised, decay corrected 82Rb traces

from the heart detector under control perfusion conditions (black), following -adronergic stimulation with

isoprenaline (red) and following NaK inhibition with ouabain (blue). (d) Clinical 82Rb scan of a colon cancer patient,

axial section from pelvic area (courtesy Groves UCLH).

One representative publication from each co-supervisor:

[1] 64

Cu-CTS: A Promising Radiopharmaceutical for the Identification of Low-Grade Cardiac Hypoxia by

PET. Medina RA et al. J Nucl Med 56(6):921-6 2015.

[2] Multiple quantum filtered 23

Na NMR in the Langendorff perfused mouse heart: Ratio of Triple/ Double

quantum filtered signals correlate with [Na]I, Eykyn TR et al. J Mol Cell Card 86:95-101 2015.