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Pharmaceutical Discovery, Sep 1, 2005 
Can Medical Image Analysis Change the Economics of Drug Development?
Edward Ashton

A History of DNA Microarrays
Every cell in the human body carries an individual's genetic information in DNA, of which genes are specific parts that encode for proteins to allow biological activity to occur. Whether certain genes are active or not can be measured using microarrays, which can probe tens of thousands of genes simultaneously. What is the technology behind these arrays? How can one put that many features in such a small space?
Tom A. van de Goor
Pharmaceutical Discovery

 

Tom A. van de Goor
Each human cell contains an estimated 30,000 genes. At birth these genes are present and, unless mutations occur, remain stable during the person's entire life. The genetic make-up determines what a cell can do and whether there is an inherent susceptibility to a particular disease.

Researchers have identified several diseases that are caused by genetic predisposition. One example is cystic fibrosis, which is caused by a defective gene that affects cells that produce mucus, sweat, saliva and digestive juices. The viscosity of these secretions is much more dense in cystic fibrosis patients. Screening parents for these genes helps them assess their risk of having children with the disease. Each year approximately 3200 babies in the US are born with cystic fibrosis and 1 in 25 Caucasians are carriers for the disease. There are several techniques that can be used to probe genes. Quantitative polymerase chain reaction (PCR) is used when the number of genes is limited (around 100 or so) but arrays excel in massively parallel investigation.

The Starting Point

 

Figure 1. The link between genomics, proteomics and drug development. Research identifies genetic predisposition to disease. With microarray experiments, RNA levels can be determined, indicating whether the gene is active or not. However, at the protein level disease is expressed in the cell. Drugs targeting these proteins are developed. Genotyping can be used during clinical trials to have the most effective patient group, while protein identification can be used as a diagnostic for disease.
Depending upon a variety of circumstances, including disease, genes get turned on or off. This causes mRNA to be produced, forming the template for the production of proteins. mRNA is an indication of what proteins the cell is trying to express, although it is not always a good correlation to the protein levels, which determines the actual cell activity (Figure 1). Also, the response of a cell to disease or an external effect such as a drug response typically is not a single gene event. In the May 15, 2003, issue of Cancer Research, a group from the University of Michigan (Ann Arbor, Michigan, USA) used microarrays to identify 158 genes associated with pancreatic cancer that were differentially expressed as compared to people with a healthy pancreas. Authors of a paper in Cancer Research in January 15, 2002, used microarrays with more than 23,000 features to predict the response to anti-cancer drugs in terms of efficacy and toxicity on a group of patients. Determining individual response to medication in studies such as these is a first step toward personalized medicine and, perhaps, more effective treatments overall. But what exactly are these extremely useful life science tools? How are they created? And what is their role — current and future — in the drug discovery process?

Types of Microarrays

The first arrays, created in the mid 80s, were called macro arrays. They were fabricated by spotting DNA probes on a membrane-type material with spot sizes of about 300 microns, which limited the density of the spots to about 2000 probes. They mostly were used for DNA clones, PCR products or oligonucleotides and typically were used with radioactively-labeled targets.

 

Figure 2. An example of a custom-made pin spotter (Image courtesy of Pat Brown Lab, Stanford University).
Next came microarrays, which were created by using pin spotters. These are pin-based robotic systems that can dispense an accurate volume of a DNA solution in a spot of about 150 microns onto a glass slide. DNA clones, PCR products or presynthesized oligonucleotides can be bound to the glass surface to create high-density arrays. An example of such a system is shown in Figure 2.

The Process

By the mid 90s, researchers were using microarrays to investigate differences in expression profiles for tissues of different types to evaluate bacterial cell lines in different stages of their life cycle, to investigate which genes were involved in cell division and to investigate drug dosing series. The general process for using microarrays is as follows: templates for genes of interest are obtained and amplified by PCR. Following purification and quality control, aliquots (~5 nL) are printed on coated glass microscope slides. Total RNA from both the test and reference sample is fluorescently labeled with either Cy3– or Cy5–dUTP using a single round of reverse transcription. The fluorescent targets are pooled and allowed to hybridize, under stringent conditions, to the clones on the array.

 

Figure 3. Expression profiling using cDNA microarrays.
Fluorescence detection of the probe response is done using a confocal laser microscope. Monochrome images from the scanner are imported into software, where the images are pseudo-colored and merged. The software attaches information about the clones — including gene name, clone identifiers, intensity values, intensity ratios, normalization constants and confidence intervals — to each target. Data from a single hybridization experiment is viewed as a normalized ratio (that is, Cy3/Cy5), in which significant deviations from 1 (no change) are indicative of increased (>1) or decreased (<1) levels of gene expression relative to the reference sample. In addition, data from multiple experiments can be examined using any number of data mining tools. This process is described in Figure 3.

 

Figure 4. Agilent inkjet technology for synthesis of oligonucleotide 60-mer arrays. Probes are built up on the surface of the array by precision deposition of reagents.
Rather than making arrays in the laboratory using spotters, several vendors offer DNA microarrays that have been synthesized in situ on a surface, creating high-density oligonucleotide arrays that have up to 500,000 probe sequences. The first company to commercialize this type of technology was Affymetrix (Santa Clara, California, USA), which uses a proprietary light-directed oligonucleotide synthesis approach. A solid support is derivatized with a covalent linker molecule terminated with a photo labile protecting group. Light is directed through a mask to deprotect and activate selected sites, and protected nucleotides couple to the activated sites. The process is repeated, activating different sets of sites and coupling different bases, allowing arbitrary DNA probes to be constructed at each site. Affymetrix uses a different detection scheme than previously described where mRNA is reverse transcribed into cDNA and then copied into biotinylated cRNA. The biotin-streptavidin complex then is used to add the fluorescent tag. The complex has a very high binding constant, allowing for very stringent binding conditions. The reason for the very high density of the Affymetrix array (up to 500,000) while there are only 30,000 human genes is the fact that they use only 25-mer probes, which don't offer the required specificity. To overcome this issue, up to 20 sequences per gene are used to increase the overall confidence level.

 

Figure 5. Phosphoramidite chemistry allows high-yield synthesis of oligonucleotide probes, allowing long probes to be synthesized.
Another vendor offering oligonucleotide arrays is Agilent Technologies. Its process is shown in Figure 4. The accuracy of its inkjet printing technology is used to build the oligonucleotides on standard format glass slides using phosphoramidite chemistry, as shown in Figure 5.

 

Figure 6. An Agilent 25,000-feature mouse catalog array.
The advantages of using commercially produced microarrays are the quality and uniformity of the arrays. With inkjet technology there is no need to create expensive masks, allowing full flexibility and cost-effective production of microarrays. Because of the reaction efficiency of the chemistry, 60-mer probes can be created, allowing for increased sensitivity and specificity as compared to shorter probes. Coverage with a 44,000-feature array, as is shown in Figure 6, is therefore similar to the higher-density Affymetrix arrays. A lot of attention is put into the sequence selection, where modeling tools are used to optimize the probes that are selected for the array in order to avoid differences between splice variants.

Alternative Approaches with Microarrays

As effective and efficient as microarray technology is, further approaches are being investigated. One of the most time-consuming steps in utilizing microarray technology is hybridization. During this step, the target molecules have to find the complementary probe on the surface, typically by molecular diffusion. To decrease time needed for the hybridization step, Nanogen Inc. (San Diego, California, USA) developed an electronic microarray, utilizing the natural charge of the DNA molecules. Applying an electric current to individual test sites on the microarray enables rapid movement and concentration of the molecules. Molecular binding onto the microarray is accelerated up to 1000 times as compared to traditional passive methods. Nanogen's technology involves electronically addressing biotinylated DNA samples, hybridizing complementary DNA reporter probes and applying stringency to remove unbound and nonspecifically-bound DNA after hybridization. Density, however, currently is limited to 100 test sites.

Another alternative to the fluorescence detection used in most systems is Applied Biosystems Inc.'s (ABI, Foster City, California, USA) chemiluminescence system, which overcomes the use of high-priced fluorecent dyes. An increase in detection sensitivity is obtained by combining a three-dimensional (3-D) substrate surface with the chemiluminescence chemistry on nylon substrate bound to glass slides. The spot size is about 150 microns, allowing for up to 18,000 probes. In ABI's system, the 60-mer oligonucleotide probes are synthesized prior to spotting on the substrate.

Past, Present and Future of Microarrays

Microarray technology today is an integral part of drug discovery. It is used for target identification in investigating the gene expression profile of disease. It then is used to screen potential drug candidates by looking at which genes are affected by the respective drugs. Next, it is used in target validation in large patient groups and is starting to be used in ADME/Tox studies. An increasing number of catalog arrays is available, and custom arrays are available commercially as well, giving increased access for researchers to different model systems. In addition, equipment is readily available to create microarrays by spotting in the laboratory, providing researchers with maximum flexibility. New applications are becoming available with additional advantages. An example of this new readiness is the formation of Agendia (Amsterdam, The Netherlands), a Dutch company with roots in the Dutch Cancer Institute (Amsterdam, The Netherlands) and the goal of becoming the leading provider of gene expression services. Using microarray technology from Agilent, Agendia profiled almost 300 patients for 70 gene prognosis profiles that were earlier discovered. The gene expression profile studied is a more powerful predictor of the outcome of disease in young patients with breast cancer than standard systems-based examination of tissue samples. Patient specific treatment is a first step towards personalized medicine.

Another new application is comparative genomic hybridization (CGH). In this approach, researchers look directly at the genomic DNA, rather than the expression profile of RNA, allowing direct measurement of the copy number of a given gene. This is important in cancer research, allowing faster chromosome mapping.

Another new technique is location analysis — combining DNA protein complexes with antibody affinity purification to study where proteins attached to the DNA and where the promotor regions are.

Perhaps microarray technology will soon be ready to make it to the big time — the doctor's office — where patients will receive their own genetic profile, which will determine both personalized treatment in case of disease or suggested lifestyle changes that could prevent health problems in the future.

Tom A. van de Goor is project manager for LC–MS solutions at the Integrated Biology Solutions unit of the Life Science and Chemical Analysis business at Agilent Technologies in Santa Clara, California, USA. He can be reached at

References

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