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J Med Oncl Ther 2017 Volume 2 | Issue 3

allied

academies

International Conference on

Oncology and Cancer Therapeutics

October 30- November 01, 2017 | Chicago, USA

Notes:

Background:

In pathology, examination of cellular structures and

molecular composition using diffraction-limited microscopy is key

to diagnosis. Recently, a new approach, Expansion Microscopy,

was developed to enable physical magnification and high

resolution imaging of cell lines and mouse brain sections with

conventional optical microscopes, by embedding them in a dense

swellable polymer and addingwater to swell the polymer after the

enzymatic digestion of the proteins. The purpose of our study is to

develop a pathology-optimized physical tissue expansion method

for nanometer imaging and investigation of clinical tissue samples

and to analyze its utility in diagnostic pathology and research.

Methodology:

We developed a pathology optimized physical

tissue expansion method called Expansion Pathology (ExPath),

which uses clinically optimized chemistry, labeling and imaging

methodologies to enable the expansion and visualization

of both human FFPE and frozen clinical samples, including

previously stained/unstained, mounted/unmounted and whole

tissue slide/tissue microarrays sections, of a wide variety of

fixed human tissue types and pathologies.

Findings:

This ExPath protocol enabled expansion of human

normal and cancer tissues ~4.5x in linear dimension and ~100x

in volume, with a post-expansion measurement error of 3-7%.

Physicaltissueexpansionpushestheopticalmicroscopesbeyond

their limits (currently 250 nm in resolution), by enabling for the

first time ~70 nm resolution imaging of diverse biomolecules in

intact tissue with an optical microscope. With ExPath, certain

lesions and pathologies of the kidney previously diagnosed

with an electron microscopy (EM) can now be diagnosed

with a conventional optical microscope after physical tissue

expansion, an inexpensive, faster and reliable strategy. It also

enables high-fidelity computational discrimination between

early breast neoplastic lesions that to date have challenged

human judgment.

Conclusion:

ExPath offers new approaches for assessing

pathologically important features in human tissue. It may

eliminate the need for EM in diagnosis of certain diseases

for which EM is required for diagnosis and it can improve the

computational discrimination between pathological lesions

that are hard to distinguish with existing techniques. ExPath

may enable routine use of nanoscale imaging in molecular

pathology and research.

Speaker Biography

Octavian Bucur is working as an Instructor in the Departments of Pathology and

Medicine at the Harvard Medical School, BIDMC, in Boston, MA, focusing on the

development and application of new experimental and computational technologies

with significant impact in molecular, diagnostic pathology and personalized medicine.

He is also a member of the Ludwig Cancer Center at Harvard and Broad Institute of

MIT and Harvard. In collaboration with Dr. Edward Boyden’s laboratory at MIT, he has

developed a pathology-optimized physical tissue expansion method called Expansion

Pathology that enables ~100 times expansion in volume of any type of clinical specimen

and visualization of 70-80 nm structures with conventional optical microscopes

(currently limited to ~250 nm resolution). Expansion Pathology has the potential of

replacing electron microscopy in diagnosis and investigation of certain pathologies and

nanometer structures (Nature Biotechnology, in press; 3 patents filed).

e:

obucur@bidmc.harvard.edu

Octavian Bucur

BIDMC, USA

Expansion pathology: Physical tissue expansion for nanoscale imaging and

investigation of clinical specimens