Our lab's goal is to create entirely new technologies that address unanswered needs in the lab or the clinic. Our major focus is on ionizing radiation and how it can be used for imaging and therapeutic applications. Combining a variety of physical and engineering approaches, our work spans a wide breadth of application, from answering biological questions at the single cell level to improving the accuracy of radiation treatments.
High-resolution radioluminescence microscopy
It is becoming increasingly apparent that cell populations are heterogeneous in their functions, disease states and response to therapy. Substantial interest is now devoted to methods that operate at the single-cell level, as opposed to bulk analyses that can only measure the average properties of a population of cells. Fluorescence methods have long been used to measure molecular processes in single living cells. However, a vast number of small molecules remain invisible to fluorescence probing for lack of inherent fluorescence; moreover, most small molecules cannot be fluorescently labeled without altering their biochemical activity.
We are currently developing a new imaging tool called the radioluminescence microscope that can image radionuclide-labeled molecules in a standard microscopy environment, on the level of single cells. Virtually any molecule can be labled using beta-emitting isotopes, and imaged with high sensitivity with this approach.
Principle of Radioluminescence Microscopy
The key to radioluminescence microscopy is the scintillator. This inorganic crystal turns the ionization from incoming a beta particle into light, which can be visualized using a highly sensitive optical microscope. Single radioactive molecules can thereby be localized and entire images showing the distribution of such molecules can be reconstructed.
Cellular Imaging of Radiopharmaceuticals
As a demonstration, non-Hodgkins lymphoma cells were labeled with 64Cu-labeled rituximab, an anticancer monoclonal antibody. Binding of the drug to single cells can be clearly visualized using radioluminescence microscopy (RLM). By fusing the brightfield (BF) and radioluminescence (RLM) images together, one can verify that radioluminescence is coming specifically from single cells. Fluorescence can be used to verify the binding of the drug.
Radioluminescence (FDG; red), bioluminescence (FLuc; green) and fluorescence (nuclear stain; blue) can be acquired on the same instrument and combined into a single image to provide a multiparametric view of cellular states and behaviors, with unmatched spatial resolution.
Our current research efforts are directed both at improving the technology and applying it in a biomedical context. With regards to the first goal, we are investigating new types of thin-film scintillators that can provide higher spatial resolution and sensitivity. We have also developed a modular, easy-to-build platform to enable other labs to adopt this technique without requiring a dedicated bioluminescence microscope. Last, we are improving image reconstruction by exploiting the insight afforded by in silico simulations. We plan to release our software in the near future. With regards to application, our focus is primarily on the study of cancer metabolism using FDG and drug resistance using radiolabeled drugs.
Khan S, Shin JH, Ferri V, Cheng N, Noel JE, Kuo C, Sunwoo JB & Pratx G, “High-resolution positron emission microscopy of patient-derived tumor organoids,” bioRxiv (pre-print)
Türkcan S, Kiru L, Naczynski D, Sasportas LS & Pratx G, "Lactic acid accumulation in the tumor microenvironment suppresses 18F- FDG uptake," Cancer Res. 79(2), pp. 410-419, 2019
Kiru L, Kim TK, Shen B, Chin FT & Pratx G, "Single-cell imaging using radioluminescence microscopy reveals unexpected binding target for [18F]HFB," Mol. Imaging Biol. 20(3), pp. 378-387, 2017
Kim TJ, Türkcan S & Pratx G, “Modular low-light microscope for imaging cellular bioluminescence and radioluminescence”, Nat. Protoc. 12, pp. 1055–1076, 2017
Sengupta D & Pratx G, "Single-cell characterization of FLT uptake with radioluminescence microscopy," J. Nucl. Med. 57(7), pp. 1136-1140, 2016
Natarajan A, Türkcan S, Gambhir SS & Pratx G, "A multiscale framework for imaging radiolabeled therapeutics," Mol. Pharm. 2015 12 (12), pp. 4554–4560, 2015
Sengupta D, Miller S, Marton Z, Chin F, Nagarkar V, & Pratx G. "Bright Lu2O3:Eu Thin-Film Scintillators for High-Resolution Radioluminescence Microscopy.", Adv Healthc Mater 4(14), pp. 2064-2070, 2015
Pratx G, Chen K, Sun C, Axente M, Sasportas L, Carpenter C & Xing L, "High-Resolution Radioluminescence Microscopy of FDG Uptake by Reconstructing the Beta Ionization Track", J. Nucl. Imag. 54(10) pp.1841-1846, 2013
Pratx G, Chen K, Sun C, Martin L, Carpenter CM, Olcott PD & Xing L, "Radioluminescence microscopy: Measuring the heterogeneous uptake of radiotracers in single living cells", PLOS One7(10), e46285, 2012
Single-cell tracking with PET
Methods for spatiotemporal cell tracking are becoming increasingly important as interest in cell-based therapies continues to grow. Such methods can shed light on biodistribution and viability of cells, which may be important markers of treatment efficacy. In addition, cell tracking is potentially valuable for studying circulating tumor cells, a key to understanding cancer metastasis. We have recently developed a method for reconstructing the continuous spatiotemporal trajectory of moving point-like sources using a preclinical PET system. Our approach recognizes that current tomographic reconstruction methods (such as ML-EM) are not efficient for tracking point-like sources in real time. Our results thus far suggest that would be feasible to track single-cells labeled with an efficient radiotracer using this approach. We have demonstrated this approach in phantoms and in a mouse model of breast cancer metastasis to the lungs.
Single-cell tracking using PET
A single cancer cell, injected intravenously, was tracked to its arrest site in the lung. The method, which we call CellGPS, enables spatiotemporal tracking of individual cells in real time in living subjects.
Jung KO, Kim TJ, Yu JH, Rhee S, Zhao W, Byunghang Ha, Red-Horse K, Gambhir SS & Pratx G, "Whole-body tracking of single cells via positron emission tomography", Nat. Biomed. Eng., 2020
Ouyang Y, Kim TJ & Pratx G, "Evaluation of a BGO-Based PET System for Single-Cell Tracking Performance by Simulation and Phantom Studies," Mol. Imaging 15, pp. 1-8, 2016
Lee KS, Kim TJ, Pratx G, “Single-Cell Tracking with PET using a Novel Trajectory Reconstruction Algorithm,” IEEE Trans Med Imag, pp. 994-1003, 2014
Novel radiotherapy techniques
The lab actively investigates novel approaches for radiation therapy. Specifically, we are working to develop gold nanoparticles to physically enhance radiotherapy treatment. These nanoparticles respond to radiation by emitting short-range ionizing electrons that enhance damage via local generation of reactive oxygen species (ROS). By functionalizing the nanoparticle with a ROS sensor, we are able to measure enhanced ROS generation in vivo and thus confirm the enhanced therapeutic dose received by the tumor. Additionally, we targeted these nanoparticles to the nuclei of cancer cells and demonstrated a substantial increase in cell killing, highlighting DNA damage as a major mechanism of cell death following nanoparticle-enhanced radiation therapy.
In a related area, my lab participates in the effort at Stanford to develop “FLASH” radiotherapy—a novel type of radiation delivery that uses ultra-high dose rate to reduce normal tissue toxicity. Specifically, we developed a computation model to explain the sparing of normal tissues by FLASH radiation. Our model suggests that oxygen is depleted through radiochemical reactions at a rate that exceeds its natural replenishment through diffusion, thus causing transient hypoxia (and cell radioprotection). This effect may be exacerbated in already-hypoxic stem cell niches. These studies provide greater mechanistic understanding of the FLASH effect, which is critical for future clinical translation in humans.
Ozcelik S & Pratx G, “Nuclear-targeted gold nanoparticles enhances cancer cell radiosensitization,” Nanotech. 2020
Choi J, Jung K & Pratx G, “A gold nanoparticle system for enhancement of radiotherapy and simultaneous monitoring of reactive-oxygen-species formation,” Nanotechnology 29(50), pp. 504001, 2020
Pratx G & Kapp DS, “A computational model of radiolytic oxygen depletion during FLASH irradiation and its effect on the oxygen enhancement ratio,” Phys. Med. Biol. 64, pp. 185005, 2019
Pratx G & Kapp DS, "Ultra-high dose rate FLASH irradiation may spare hypoxic stem cell niches in normal tissues," Int. J. Radiat. Oncol. Biol. Phys. 105(1), pp. 190-192, 2019
Microfluidics assays for oncology
Radioluminescence microscopy can measure radiopharmaceutical uptake with single-cell resolution, but its applicability is curtailed by the limited throughput of only ~300 cells/h. Higher cell throughput is a requirement for defining statistically robust groups of cells from heterogeneous populations. Conventional flow cytometry studies typically analyze tens of thousands of cells but are not able to directly probe radiopharmaceuticals. I became interested in microfluidics as a possible solution to this problem. Microfluidics is a technology that can precisely manipulate small volumes of reagents and cells for “lab-on-a-chip” assays. We proposed converting the ionizing energy released during radioactive decays into a permanent integrated fluorescent signal that can be quickly read out at a later time. With funding from NCI and Damon Runyon, we developed a novel assay using a chemical droplet sensor that irreversibly turn fluorescent in response to ionizing radiation. This approach is conceptually similar to ﬂuorescence-activated cell sorting (FACS), but instead of detecting speciﬁc cell-surface biomarkers, cells are selected on the basis of a functional assay, which provides real-time information on the activity of a given pathway (for instance, glycolysis) or on the aﬃnity of a radiolabeled drug for a cellular target.
- Sengupta D, Mongersun A, von Eyben R, Abbyad P & Pratx G, “Multiplexed measurements of single-cell FDG uptake and lactate release using droplet microfluidics,”Technol. Cancer. Res. Treat., pp. 1-9
- Gallina ME, Kim TJ, Shelor M, Vasquez J, Mongersun A, Kim M, Tang SKY, Abbyad P & Pratx G, “Towards a droplet-based single-cell radiometric assay”, Anal. Chem. 89 (12), pp 6472–6481, May 2017
X-ray molecular imaging
Molecular imaging offers the ability to probe subtle biological signals that are characteristic of disease onset and progression. It can also monitor the response of a disease to treatment before any anatomical changes occur. Our research explores two emerging imaging techniques that can probe multiple disease biomarkers in a non-invasive fashion. In both imaging techniques, a contrast agent is introduced that can produce a distinguishable signal when irradiated with X-ray. This feature makes it possible to obtain molecular information during a CT examination. The two imaging techniques differ in the following: In X-ray luminescence imaging, the contrast agent is a radioluminescent nanoparticle that produces near-infrared light under X-ray irradiation. In X-ray fluorescence imaging, the contrast agent is a high-atomic-number element that emits a characteristic X-ray signal under irradiation.
Pratx G, Carpenter CM, Sun C & Xing L, "Tomographic molecular imaging of X-ray-excitable nanoparticles", Opt. Lett. 35(20), pp. 3345-3347, Oct. 2010 [Pubmed]
Pratx G, Carpenter CM, Sun C & Xing L, "X-Ray luminescence computed tomography via selective excitation: A feasibility study", IEEE Trans. Med. Imag. 29(12), pp. 1992-1999, Dec. 2010 [Pubmed]
Sun C, Pratx G, Carpenter CM, Liu HG, Cheng Z, Gambhir SS & Xing L, "Synthesis and radioluminescence of PEGylated Eu3+-dopednanophosphors as bioimaging probes", Adv. Mater., 23(24), pp. H195-H199, Jun. 2011 [Pubmed]
Bazalova M, Kuang Y, Pratx G & Xing L, "Investigation of x-ray fluorescence computed tomography (XFCT) and K-edge imaging", IEEE Trans. Med. Imag. 31(8), pp. 1620-1627, Aug 2012 [Pubmed]
Kuang Y, Pratx G, Bazalova M, Meng B, Qian J & Xing L, "First demonstration of multiplexed X-ray fluorescence computed tomography (XFCT) imaging", IEEE Trans. Med. Imag. 32(2), pp. 262-267, Feb 2013 [Pubmed]
Ahmad M, Pratx G, Bazalova M & Xing, L., "X-Ray Luminescence and X-Ray Fluorescence Computed Tomography: New Molecular Imaging Modalities," Access, IEEE , vol.2, no., pp.1051,1061, 2014 [Pubmed]
High-performance medical computing
Efficient computing now requires using multi- and many-core processors--which embed multiple computing elements in a single chip. New medical imaging algorithms must be designed that are aware of the parallel computing capabilities of new computer hardware. In our work, we develop medical imaging algorithms adapted to these new parallel architectures. Clinically, those algorithms can shorten the time required to process data by as much as tenfold, removing a critical bottleneck in the clinical workflow. One of the most promising platform for medical computing is the graphics processing unit: originally a gadget sought by serious computer gamers, it is now used as an inexpensive supercomputer on-a-chip by researchers in all fields.
Pratx G, Chinn G, Olcott PD & Levin CS, "Fast, accurate and shift-varying line projections for iterative reconstruction using the GPU", IEEE Trans. Med. Imag. 28(3), pp. 435-445, Mar. 2009 [Pubmed]
Pratx G & Xing L, "Monte Carlo simulation of photon migration in a cloud computing environment with MapReduce", J. Biomed. Opt. 16(12) pp. 125003, Dec. 2011 [Pubmed]