Bright Future for Light Therapy Firm BioPhotas

BY PETER J. BRENNAN, Orange County Business Journal

Patrick Johnson says his medical device company’s product to reduce wrinkles through low-level light therapy has three distinct advantages over aesthetics industry competitors that supply neurotoxins like Botox. “It’s nontoxic, noninvasive, natural—we’re just reminding the body how to heal itself,” Johnson, co-founder and chief executive of Tustin-based BioPhotas Inc., told the Business Journal during a tour of the company’s new facility. “It takes a little longer to see results as opposed to a neurotoxin, but you got the results naturally. The skin doesn’t become rigid.”

BioPhotas, which he founded along with Kathleen Buchanan in 2011, is gaining traction, with sales to consumers and medical professionals approaching $25 million annually and nearing 50 employees.

The company on June 19 is inaugurating its new headquarters on Red Hill Avenue in Tustin. Its 25,000-square-foot facility, which is on a five-year lease, is at an office complex that sits across the street from the Tustin Legacy development. The new facility is double the size of its prior facility in Anaheim’s Platinum Triangle.

The reason for the move is simple.

“It’s the growth that we’ve been experiencing and the growth that we’re planning,” he said. “We bit off more than we can chew when we picked this facility. We think we can triple our size in this facility.”

Like Hydration

Johnson has a deep background in medical devices, having worked as CEO of Pro-Dex Inc., a maker of powered surgical products, and as divisional general manager at Sybron Dental Specialties, a one-stop shop for endodontists.

He was initially skeptical about light therapy, which was developed at NASA (see story, this page).

Before Johnson began the company, he did a three-month deep dive into the industry, becoming impressed with the clinical research done at some of the world’s most prestigious research centers. The company’s worked with wound healing researchers at UCI Beckman Laser Institute & Medical Clinic, among others.

“Light therapy is the functional equivalent of hydration. It’s good for everything,” Johnson said. “As we age, our bodies lose the ability to heal themselves the way they were originally designed. The fundamental benefit of light therapy is getting the body back to repairing itself the way it was originally designed.”

He also found why other companies failed at this new technology.

“It seemed the people who tried to commercialize this technology came and went very quickly,” he said. “My diagnosis was they were trying to be cosmetic companies. They weren’t trying to be high road medical device companies. That’s the approach we took. We’re going to do the heavy regulatory lifting to bring products to market.”

BioPhotas also went through Octane’s Launchpad accelerator for business and life sciences companies.

Orthopedics Background

Because of Johnson’s background in orthopedics, he knew how the industry employed bendable thermal devices to manage pain and accelerate healing. When he started BioPhotas, he saw competitors use rigid flat panels that hung over the patients.

“Intuitively, it struck me that if you could wrap the area of treatment, it would be more effective,” he said. “The key differentiator to our product is that it’s flexible in the area of treatment.”

He was able to reduce the costs from as much as $15,000 charged by competitors down to $1,200 by using fewer lights and less energy.

“If you can get light emissions closer to the skin, the light doesn’t have to be as powerful. By decreasing the power of the device, you take a lot of cost out of it.”

Celluma

Nowadays, BioPhotas’ key product line, called Celluma, has received Food and Drug Administration approval to treat acne, wrinkles, arthritis and muscle and joint aches.

Celluma delivers a combination of blue, red and near-infrared light energy that can switch its technology to treat specific conditions at various layers in the skin.

The company’s website lists Celluma products ranging from $299 to treat skin conditions, to $1,645 for its flagship product to remove wrinkles, to $15,000 for a full body case.

Johnson says hair restoration will become a bigger part of the company’s business, noting that besides men becoming balder, about 40% of women over 40 report hair loss.

For now, aesthetics such as removing wrinkles or acne is the key growth driver.

“People want to retain a youthful look and light therapy is really good for that,” he said. “The beauty market has huge growth drivers, even in a down economy.”

The light therapy isn’t the same as sitting in the sun because it doesn’t have UV lights, Johnson said.

Debt-Free, Profitable

The company, which was initially funded by high-net-worth individuals, is debt-free and has been profitable for the past five years, he said.

“As an operator, your job is to make money. When we founded BioPhotas, I brought that approach to it. It wasn’t about building sales as quickly as possible and losing a lot of money that some subsequent round of investors would have to pay for it,” Johnson said.

“I see this company as my professional dissertation. Throughout my professional career, I always made notes to myself about when I own my own company, it’s going to be different. To a great degree, BioPhotas is the company that I always wanted to work for.”

The ‘Hyper-Aging’ Effects of Space Travel

BioPhotas Inc.’s principal product, Celluma, got a development push thanks to NASA.

The U.S. space agency, which was worried about the effect of gravity on astronauts during long-term space missions, developed light emitting diode therapy and in 2000, it issued a press release discussing the “healing power of light.”

“Using powerful light-emitting diodes, or LEDs, originally designed for commercial plant growth research in space, scientists have found a way to help patients here on Earth,” NASA said.

In 2015, NASA conducted a double-blind study on Scott Kelly, who was in space for a year, and his twin brother Mark Kelly, also an astronaut who spent the year on Earth mimicking exercises by his brother.

“Scott came back significantly more aged and, in less health, than Mark who stayed on Earth,” BioPhotas CEO Patrick Johnson said.

“NASA was looking for a way to counteract that effect on deep space exploration, particularly when you’re thinking of sending astronauts to Mars, where the fast track is a couple of years,” he said. “There are a whole bunch of implications on retaining good cellular functions here on Earth.

“It turns out that cellular functions rely on gravity. In the absence of that gravity, bad things start to happen,” Johnson said. “Essentially the body enters a state of hyper aging.”

Click here to read the Orange County Business Journal article.

Kristen M. Kelly, MD selected as fellow in the Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program

The Office of the Dean is pleased to announce the acceptance of Kristen M. Kelly, MD, as a fellow in the Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program. Dr. Kelly is chair of the Department of Dermatology at the UCI School of Medicine,  and a professor in the Departments of Dermatology and Surgery at UCI School of Medicine. She is also a clinical researcher at the UCI Beckman Laser Institute & Medical Clinic.

ELAM is an intensive one-year program of leadership training with extensive coaching, networking and mentoring opportunities aimed at expanding the national pool of qualified women candidates for leadership in academic medicine, dentistry and public health. Dr. Kelly will participate in this one-year curriculum focused on strategic finance, organizational dynamics and personal leadership effectiveness.

Click here to learn more about Kristen Kelly, MD.

Miles Journeyed for Morgan Josey

Wilder-Smith celebrates ACES program mentee’s dental school graduation

On Saturday, May 20, Morgan Josey, who participated in UCI Beckman Laser Institute & Medical Clinic’s Historically Black Colleges and Universities (HBCU) Access to Careers in Engineering and Sciences (ACES) undergraduate summer training program, graduated from the Meharry Medical College School of Dentistry.  During the summer of 2018, Morgan participated in the ACES program as a junior studying Biology at Albany State University.

As Morgan’s mentor while in the ACES program, Dr. Petra Wilder-Smith, the Institute’s director of Dentistry and professor of Medicine, traveled over 2,000 miles from Orange County, California to Nashville, Tennessee to watch Morgan cross The Grand Ole Opry House Auditorium’s stage with her dental degree.

“I was delighted to participate in this important day celebrating Morgan’s graduation,” said Dr. Wilder-Smith, “During Morgan’s time as a summer student researcher at UCI, she channeled her insatiable curiosity and considerable talents into a project to improve oral cancer screening participation in local underserved individuals attending community clinics.”

“With her warm personality and friendly smile, Morgan was able to build bridges with many of the patients, helping them to overcome their fear of clinics and to undergo oral cancer screenings – often for the first time,” continued Dr. Wilder-Smith, “Morgan was awarded a research award for this work, which she presented at a national conference.”

Morgan continued to grow and develop her clinical skills as a dental student at Meharry Medical College.  She exemplified the mission of the school to improve the health and health care of minority and underserved communities, placing special emphasis on providing opportunities to people of color and individuals from disadvantaged backgrounds, regardless of race or ethnicity; delivering high quality health services and conducting research that fosters the elimination of health disparities.

“I am certain that Morgan will be a positive force in the lives of her dental patients, and I know that her integrity, dedication and care for all will serve as an inspiration to us all.”

Click here to learn more about the Institute’s HBCU ACES summer undergraduate training program.

UCI ICTS SMAART Awardees

Congratulations to the UCI Institute for Clinical & Translational Science (ICTS) Summer Medical Student Alzheimer and Aging Research Training (SMAART) Awardees Supported by the National Institute on Aging (NIA)

Mio Jang
Identifying cerebrovascular imaging parameters as preclinical biomarkers for Alzheimer’s disease
Mentor: Bernard Choi, PhD

Cerebral blood flow is shown to decline before noticeable cognitive impairment in Alzheimer’s disease (AD), highlighting the critical need to determine cerebrovascular biomarkers concerning the disease progression.  Additionally, the scarcity of three-dimensional (3D) vasculature from AD models has limited whole-brain neurovascular dysfunction analysis.  This project aims to validate imaging biomarkers using 3D cerebrovasculature, which will help enhance our understanding of neurovascular changes associated with early AD pathogenesis.

Milind Vasudev
Electrochemical therapy on Duroc swine and treatment in diabetic dermatopathology
Mentor: Brian Wong, MD, PhD

This research project investigates the potential of electrochemical therapy (ECT) for the treatment of cutaneous markers of diabetic pathology.  ECT is a needle electrode-based technology that alters the cellular matrix of targeted tissues, particularly collagen, by producing acid and base reactions via hydrolyzed water through an electrical potential.  The project aims to examine the effects of ECT on collagen structure in hypertrophic scars induced via burns, which serve as a proxy for altered wound healing in diabetic pathology.

Click here to visit the UCI ICTS website to learn more.

Pulsed Laser Make Headway in Treating Cardiovascular Disease

Optical fibers deliver laser light that helps image the severity of arteriosclerosis, break apart plaques with ablation, and heal damaged tissue after surgery.

Douglas Farmer, Senior Editor, Photonics.com

Patients with heart disease often face a daunting journey from diagnosis to treatment. They may learn, after experiencing chest pains or shortness of breath, that they have arteriosclerosis, or damaged arteries, through a test such as a coronary angiogram, which shows via x-rays whether blood vessels are restricted. In extreme cases, coronary artery bypass surgery is performed, which is a highly invasive procedure with a lengthy recovery time. But due to the specificity made possible by laser-based techniques, shorter and more effective diagnostics and therapeutics are becoming increasingly viable in clinical settings.

Heart disease has long been the leading cause of death in the U.S., costing 697,000 men and women their lives in 2020, according to the Centers for Disease Control and Prevention (CDC). The most common form of heart disease is coronary artery disease, which is the result of plaque buildup — composed of cholesterol and other deposits — that narrows the arteries over time, restricting blood flow to the heart. Approximately 382,820 U.S. citizens died from coronary artery disease in 2020, and millions more were afflicted with the condition, the CDC reported.

The American Heart Association attributes these alarming statistics to a number of health and lifestyle behaviors: Smoking, sedentary living, and a poor diet lead to high blood pressure and elevated glucose and cholesterol. To make matters worse, many of these behaviors have only risen among people who have limited access to medical care.

This depressing reality has galvanized the expansion of solutions in laser-based cardiology research at numerous institutions, as well as inspired innovation at companies whose systems have been applied in experiments that go beyond traditional protocols, such as the administration of pharmaceuticals. Lasers were employed to destroy arterial plaques at the Oregon Medical Laser Center in the 1990s. Since then, the advancement of endoscopic imaging and catheterization of surgical tools has improved the precision of laser delivery, as optical coherence tomography (OCT) and other imaging modalities have guided the treatment to the source of the problem. This trend accelerated with the U.S. Food and Drug Administration’s clearance of the cardiovascular technology produced by Ra Medical in 2017, through which laser therapy could be delivered through a liquid core catheter. This has continued with recent research regarding the use of excimer laser coronary angioplasty, which uses lasers to create a vapor bubble that breaks up plaques. Researchers at the University of Kansas, Washington University at St. Louis, and elsewhere believe that, in time, this could create a fundamental change in clinical protocols for the treatment of atherosclerosis.

The utility of mid-IR lasers

The need to identify and treat arterial plaques has affected the types of lasers that have found their way into the commercial market. Several companies, such as DRS Daylight Solutions, develop quantum cascade lasers (QCLs) that take aim at plaques and other markers of cardiovascular health. The lasers were first developed in 1994 and function at wavelengths in the mid-IR range, between 2500 and 25,000 nm. In this range, lasers provide coherent and polarized light in continuous-wave or pulsed form, with the advantage of spectral repeatability, and they are aligned to capture the chemical fingerprint of specific molecules, such as glucose, proteins, and lipids.

“It really depends on how you want to use the QCL,” said Jason Sorger, a senior field service engineer with DRS Daylight. “For example, lasers in this range have been shown to be effective in the identification of atherosclerosis with photoacoustic microscopy, and you need really high-quality laser light for that application.”

In a recently published study, a pulsed quantum cascade laser, the MIRcat from DRS Daylight, was used in mid-IR optoacoustic microscopy. Laser pulses are absorbed into tissue, which causes thermal expansion and the release of ultrasonic waves that reveal structural details. This effect helps determine the composition of plaques in human carotid artery samples, which includes cholesterol, carbohydrates, lipids, and proteins (Figure 1). In a system used for this experiment, the quantum cascade laser provided the optoacoustic signal, which was detected by a 20-MHz ultrasound transducer that receives the echoes created, and the results were digitized using data-acquisition software1.

For this type of analysis to be practical in a clinical setting, according to Sorger, the lasers must provide spectral repeatability, or hit the desired spectral range every time a reading is sought, which requires precise tuning. Tunable mid-IR lasers are useful in glucose monitoring, capturing the specific spectral details at a depth of up to 100 µm in a complex mixture of biomolecules after being integrated into a noninvasive glucometer that is attached to the skin2. Elevated levels of glucose can result not only in diabetes but also in cardiovascular disease.

While quantum cascade lasers provided by companies such as DRS Daylight have found a niche in research applications, to proliferate in medical diagnostics, they will need very high throughput, meaning the capture of reliable data at speeds necessary for swift medical diagnosis. Companies such as DRS are devising various ways to package the lasers for integration into common medical devices, Sorger said.

“It’s difficult to have high quality at high speed,” he said. “It is essential to have even power distribution and good illumination sources so you get better data that can be reproduced reliably each time the laser is fired.”

Lasers aimed at plaque buildup

Historically, doctors have used balloon angioplasty and implanted stents to treat blood vessels that are narrowed by plaque buildup. In most percutaneous coronary interventions, a wire is guided through an artery past the blockage point and a tiny balloon attached to a catheter is inflated to widen the artery opening to allow increased blood flow to the heart. A stent is then put in place to keep the vessel functional by holding it open. This procedure, while it can be effective, is not without limitations, and complications may eventually result.

“Over time, the stent can narrow, and scar tissue forms,” said Marc Sintek, an interventional cardiologist and associate professor of medicine at Washington University School of Medicine in St. Louis. “The composition of plaque buildup and scar tissue in the stent is complicated, but the laser can get past that structure by breaking up that hardened material.”

In excimer laser coronary angioplasty (ELCA), the plaque material absorbs fiber laser pulses that last only nanoseconds in the UV range, which provides the photons with the energy to break apart the molecular bonds. Water is then vaporized, creating a bubble that causes additional ruptures in the plaques. Equipment for ECLA is manufactured by Philips, and the system contains a unit that generates the laser beam that is delivered through a set of catheters of various sizes, containing numerous fibers surrounding a guidewire.

Two years ago, a study was conducted to determine the safety of ELCA using procedures that were reported to the National Cardiovascular Data Registry (NCDR) and the CathPCI Registry (the percutaneous coronary intervention registry) between 2009 and 2018. The risk of complications, such as perforation, remained low for treatments such as using ECLA to treat in-stent restenosis, or the gradual narrowing of the vessel after a stent is in place. In the case of chronic total occlusions, the risk was higher than average. According to Sintek, the higher risk was partially attributable to the compromised health of patients suffering from chronic total occlusions. The study authors acknowledged that ELCA should therefore be administered carefully on a case-by-case basis3.

Sintek partially attributed the low use of ELCA by medical professionals to the expense and complication of installing the laser system in a clinical setting. He said initial uses of the technology required a 240-V receptacle.

“But our current system can plug into any outlet,” Sintek said. “There are a number of procedures a cardiologist can use, but I look at it like a carpenter with a toolbox and having every tool available. Today, the hot topic is precision medicine, and lasers are enabling that precision in treating coronary artery disease.”

Honing the catheter method

A team of researchers from the Beckman Laser Institute and Medical Clinic at the University of California, Irvine, in collaboration with University of Texas Health, has been developing a catheter-based system to deliver a laser-induced shockwave to break up calcification in arteries. The system combines optical fibers that deliver 755-nm alexandrite laser pulses with a fluid-filled balloon that expands to about 2 mm to make contact with the arterial wall through a guided catheter. Various pulse durations were used in coronary artery phantoms to effectively fracture the calcium deposits.

“The balloon, in this case, is merely the conduit for the pressure waves to the area that is being treated,” said Nitesh Katta, a postdoctoral researcher at the Beckman Laser Institute. “It clears an acoustic path for the laser to induce fractures, breaking up the calcium deposits.”

The technology is called intravascular laser lithotripsy, and it is rooted in transferring laser energy to pressure waves involving light as opposed to electricity. The system can be guided using OCT, and it is generally used when the vascular network is partially occluded or blocked.

“The ultimate goal is to reestablish compliance in the artery and do it without a stent,” Katta said. Compliance refers to improving the arterial mechanical performance as it relates to improving blood flow to a particular part of the network. Alternative methods include rotational atherectomy, in which a rotating burr is sent through the artery, or electric discharge plasma mediated shockwave therapy, which uses electrical pulses to generate shockwaves that create cracks in calcium deposits. But the latter treatment must be used sparingly because it runs the risk of disrupting the cardiac rhythm.

The term laser lithotripsy is derived from its common use in urology to break up kidney stones. And with the integration of industrial thulium fiber lasers (either femtosecond or picosecond), its utility has expanded to include potential applications in cardiology (Figure 2). Katta was awarded a research grant from the American Society for Laser Medicine and Surgery for this work, which began with the use of a preclinical animal model.

The group has also been exploring the utility of lasers for cutting through chronic total occlusion, which often has a cap of calcified material with softer lipids underneath. Traditional treatments include pharmacological treatments and coronary artery bypass, but the former does not treat the underlying causes of blockage and the latter is highly invasive.

In response, the UC Irvine group, in collaboration with University of Texas Health, constructed a catheter system, which was also guided by OCT and that contained a fiber-coupled holmium laser that fired 200-µs pules (see first image in article). The laser worked alongside a 200-µm conduit that fed CO2 via a pump mechanism for cooling. An IR camera was used to image the laser-irradiated region. This technique worked in a series of ex vivo samples, as well as in an in vivo rabbit femoral model. According to the team, the technique could be improved by limiting the volume of CO2, or through the use of chilled saline needled through a valve at the catheter tip, which could be guided by advanced imaging techniques for improved maneuverability.

“Occlusion typically occurs in ‘bends’ of the arteries, so it’s important we have maximum flexibility in the tip,” Katta said. “We are looking at the use of photoacoustic imaging and other techniques to guide the procedure.”

Sealing the deal

The role of lasers in both diagnosis and treatment can be integrated with other photonic technologies, such as in the sealing of blood vessels following surgeries to treat cardiovascular disease. A team at the University of North Carolina at Charlotte (UNCC), for example, has developed a system that uses an IR laser to seal blood vessels, and it subsequently uses UV light to monitor the fluorescence that displays whether the seal has taken.

The UNCC researchers simulated a potential future medical protocol by utilizing a 1470-nm diode laser to cut and seal blood vessel models at power levels of <25, ~100, and 200 W. Beam profiles and seal zones were carefully analyzed along with blood pressure. The 1470-nm wavelength is ideal because it parallels the wavelength absorption of water, which compressed blood vessels mostly consist of. Sealing procedures have historically been accomplished with radiofrequency and ultrasonic devices, but the laparoscopic device jaws need time to cool between applications. Experiments performed with porcine blood vessels have shown the IR laser to be an effective tool4.

The group has also designed a transparent quartz laparoscopic jaw with a side-firing 110-W, 1470-nm fiber laser attached to a servo motor. A thermal camera and micro-thermocouples were used to monitor temperature changes in the tissue while laser sealing was tested on 20 ex vivo vessel samples through 550-µm core fibers. An LED was used with fibers connected to a spectrometer with a long-pass filter to establish the presence of fluorescence that was indicative of a proper seal5.

Nathaniel Fried, a UNCC professor in the Department of Physics and Optical Science, directed the research. Successful seals were accomplished at 30 W for 5 s with the 1470-nm laser, and shorter seals of 1 s at higher powers have been previously demonstrated as well, he said.

The researchers said they will focus future efforts on producing a handheld device for sealing and cutting in animal models.

“For next steps, we would like to integrate the optical feedback systems, diffuse optical transmission and/or fluorescence, into a standard 5-mm-OD, Maryland-style, laparoscopic jaw,” Fried said. “We would also like to create a fully automated system, with closed-loop feedback to immediately deactivate the laser once we have achieved a successful seal.”

References

1. M. Visscher et al. (2022). Label-free analytic histology of carotid atherosclerosis by mid-infrared optoacoustic microscopy. Photoacoustics, Vol. 26, No. 100354.

2. T. Lubinski et al. (2021). Evaluation of a novel invasive blood glucose monitor based on mid-infrared quantum cascade laser technology and photothermal detection. J Diabetes Sci Technol, Vol. 15, No. 1, pp. 6-10.

3. M. Sintek et al. (2021). Excimer laser coronary angioplasty in coronary lesions: use and safety from the NCDR/CATH PCI Registry. Circ Cardiovasc Interventions, Vol. 14, No. 7, p. e010061.

4. N. Giglio and N. Fried. (2021). Sealing and bisection of blood vessels using a 1470 nm laser: optical, thermal, and tissue damage simulations. Proc SPIE, Vol. 11621.

5. N. Giglio et al. (2022). Reciprocating side-firing fiber for laser sealing of blood vessels. Proc SPIE, Vol. 11936.

Microlasers Target Heart Cells During Contraction

While high-speed imaging methods to capture the beating heart are readily available, measuring contractions deep within scattering cardiac tissue is still a huge challenge. A spectroscopic technique developed at the University of Cologne is changing that.

Researchers have applied whispering gallery mode (WGM) micro- and nanolasers to interact with live cardiac cells, which they found provide accurate spatial and temporal information about heart dynamics during the process of contraction (see figure). The basic principle behind WGM lasers is that when energy is pumped into a tiny sphere, the resulting emission pulse gains strength, similar to how audio waves move in a dome. The lasers have the capacity to detect minute changes of cardiomyocytes, the cells responsible for the heart contraction. This capacity has the potential to advance the research and therapy of heart defects.

The team used this approach in zebrafish embryos and in thick living mouse cardiac slices, said Marcel Schubert, a professor for biointegrated photonics. In the researchers’ experiments, 15-µm spherical microlasers were placed in contact with the contractile fibrils of the zebra-fish heart. According to Schubert, each laser pulse captured a fast snapshot of the cell in the contractility cycle. Performing hundreds of these measurements per second allowed for the reconstruction of a contraction curve.

“We are measuring very small shifts in the microlaser emission wavelength, which we analyze with an optical model to extract physical information about the lasers and about the cell,” Schubert said.

The team is excited about what the future of their research will uncover, he said.

“There are different directions we would like to follow. One is a more fundamental look into the contractile properties of individual cells, which we can measure localized with very high precision. The other is the further application of WGM lasers in large and optically thick cardiac tissue and even entire organs,” Schubert said.

Click here to read full article on Photonics.com.

UC Irvine-led study reveals first clear link between chronic kidney disease and stroke risk

Photo credit: School of Medicine

Reducing renal disease may ultimately improve brain health

Irvine, Calif., May 3, 2023 — A study led by University of California, Irvine neurology and nephrology experts has revealed the first clear link between chronic kidney disease and increased cerebrovascular disease. It was previously thought that renal disease’s effects on the brain were largely due to hypertension, but researchers discovered that CKD promoted the development of cerebral microhemorrhages independent of blood pressure.

Findings, recently published online in the Journal of Neuroinflammation, show that a mix of gut-derived bacteria-dependent toxins and urea, which accumulates in kidney failure, can cause vascular injury and microhemorrhages in the brain.

“CKD is increasingly recognized as a stroke risk factor, but its exact relationship with cerebrovascular disease is not well understood. Our study provides crucial insights into the underlying mechanisms of brain injury that can occur in CKD, offering new therapeutic targets that involve treating kidney disease,” said Dr. Mark Fisher, professor of neurology in the UCI School of Medicine and corresponding author. “Observations have shown that people with advanced kidney disease are at a higher risk for stroke, suggesting that we can ultimately enhance brain health by reducing renal disease.”

Researchers randomly divided aged female and male mice into control and CKD groups. They found that CKD produces brain microhemorrhages without hypertension and to a greater extent in mice with more severe kidney injury. They also observed a sex difference, whereby males showed a more pronounced increase in microhemorrhages than females.

“The effects of CKD are associated with blood-brain barrier impairment, which is caused by uremic toxins and microglia, the brain’s resident immune cells. We know that inflammatory cells in the brain play an important role in how CKD causes cerebrovascular disease, but we need to understand this relationship in better detail,” said Dr. Wei Ling Lau, associate professor of medicine-nephrology in the UCI School of Medicine. “It remains to be seen if just treating kidney disease by itself will improve brain health.”

The team also included researchers from the departments of neurology, medicine-nephrology, pathology & laboratory medicine in the UCI School of Medicine, the UCI Institute for Memory Impairments and Neurological Disorders, and the department of biomedical and pharmaceutical sciences in the School of Pharmacy at Chapman University.

This work was supported by National Institute of Neurological Disorders and Strokes under award numbers R01NS20989 and R01NS113337, and by the National Institutes of Aging, R01AG072896 and R01AG062840, of the National Institutes of Health.

Click here to read the full UCI News article.

CHRIS BARTY

Chief technology officer and co-founder, Lumitron

UC Irvine professor Chris Barty has built a pioneering laser X-ray unlike any in the world – capable of producing images 1,000 times sharper than conventional X-rays while performing radiation therapy with 100 times less radiation. The Stanford grad, who has secured more than $34 million in funding, says the machine will revolutionize radiotherapy. 

 IN THE NEWS: In February, Barty’s machine successfully produced a train of 100 consecutive, high-charge and perfectly timed micro-bunches of electrons at 99.9% of the speed of light. 

 IN HIS WORDS: “This ultrashort duration and high energy has the potential to dramatically reduce the side effects of conventional radiation therapy.”

Click here to read the Irvine Standard May 2023 issue.

Biology Runs in the Blood

Olamide Fategbe, UC Irvine graduate student, shares his undergraduate summer program experience in UC Irvine Beckman Laser Institute & Medical Clinic’s Access to Careers in Engineering and Sciences (ACES) program and his Nigerian roots

Before coming to UC Irvine, you were at Alcorn State University, correct?

Originally, I’m from Nigeria. Yoruba is my traditional ethnic group. It’s one of the three major ethnic groups in Nigeria, where there are more than 100 different cultures. My culture is Yoruba, which is predominantly in the southwestern part of Nigeria, and we speak Yoruba language.

I came to the U.S. for college at Alcorn State University. Mississippi was my first home here.

What brought you to Alcorn?

Back in Nigeria, I tried to get into medical school. I thought I wanted to be a doctor. The way it is in Nigeria – you get into medical school directly from high school. I didn’t get in, so my parents said to try the SATs. I tried and I passed.

Then, I applied to Alcorn and a couple of other schools. Alcorn gave me a full ride scholarship, so I decided to go there.

What was your impression of the United States?

It’s very different from Nigeria. I grew up in Lagos. People from different parts of the country live and speak different languages, but English is the national language. Everyone speaks a variation of English called pidgin English – that’s how most people communicate informally.

In Mississippi, the majority of students are indigenes of the state and everyone speaks English. The culture is also really different from Lagos.

I was the first in my family to leave Nigeria and study in the U.S. It is eye opening being from a different part of the world. It was a big culture shock, but I appreciated the experience.

There are a lot of African Americans at Alcorn. The culture is inclusive – it’s really dynamic.

How did you hear about the ACES program?

One of my professors at Alcorn – Assistant Professor of Chemistry Dr. Stefan Cooper – previously worked at Hampton University. He had a connection to Institute Associate Director and Project Scientist Dr. Sari Mahon.

Dr. Cooper shared about the program and urged me and others to apply. I was a student in his lab, so I applied.

What did you think about the program?

It was awesome! ACES was the first internship that I had that was really rewarding and engaging. In addition to lab work, there were other sessions or events – like team building opportunities.

I gained a lot. The program was why I applied to grad school. The experience showed me that I enjoyed research and that I wanted to learn more.

Had you previously done research before ACES?

Back in Nigeria, I wasn’t exposed to research. At Alcorn, I had an internship at another university. I didn’t do any research and the program wasn’t as engaging as ACES.

The only experience I had with research was in Dr. Cooper’s lab at Alcorn. The research was mainly around organic chemistry concepts. There was a lot of reading and presenting opportunities. It gave me a head start for ACES.

What project did you work on in ACES?

I worked with Professor of Surgery and Biomedical Engineering Dr. Thomas Milner. We worked on using percutaneous coronary interventions to treat chronic total occlusions (CTOs) in coronary arteries.

The main method was using lasers and stents to treat total occlusions. In the end, I was a part of the team, writing the proposal for the project.

Did you connect with any other faculty or program leaders while you were in ACES?

A number of UC Irvine faculty oversaw the program. Every morning, we met with a program leader, including Drs. Mahon, Venugopalan and Potma. The meetings were helpful in networking and getting to know one another.

I worked with the team in Dr. Milner’s lab. I even met other researchers – collaborators from an institution in Texas. That was a good networking opportunity too.

We also had a general meeting with students from other UC Irvine summer research programs. I met students from other schools during those meetings.

What made you decide to come to UC Irvine versus other schools?

I applied to schools everywhere in the U.S., including some University of California (UC) schools. I chose UC Irvine because I felt like I had a family – a network. I already knew Dr. Mahon and others. They were supportive and helpful in navigating the application process.

Another reason why was my experience on visiting day – a day for prospective new students. Professor of Developmental and Cell Biology Dr. Peter Donovan gave us a tour. The way he depicted UC Irvine was awesome. He sold me on the university. He’s very jovial. Naturally, that drew me to the school. I’m currently in Dr. Donovan’s stem cell biology class.

What interests you about cardiovascular research?

While doing the literature search in ACES, I discovered that heart disease, or heart failure, is one of the major causes of death in the U.S. There aren’t many treatments for this condition, besides heart repair and regeneration.

That really struck me. I wanted to see the role that biology could play in trying to solve the problem of heart disease or heart failure.

I also have a huge interest in stem cells. I thought it would be a cool research project to see how stem cells and cardiovascular research merge. For example, can we use biology to have alternative treatments for cardiac diseases?

What research are you doing now?

I’m still rotating projects. The first rotation I had was research on stem cells and the skin.

Right now, I’m working with vascular chronic kidney diseases and how chronic kidney disease relates to vascular damage in the brain.

How did you get involved with that project?

At the beginning of the year, the principal investigator (PI) gave a presentation at the faculty introduction. Her presentation was interesting, so decided that I wanted to rotate in her lab to work on the project.

My third rotation has to do with vasculature in pregnancy – blood transfer/flow between mother and fetus. Right now, I think the whole trajectory of my career is leaning toward vasculature. I one hundred percent enjoy what I am doing. It’s a win-win.

How do you like being at UC Irvine?

UC Irvine is a really good school. I’ve been here for six months, and I’ve enjoyed it so far.

I live on campus in graduate housing. It’s awesome. I have a strong sense of the student community and I’ve met a lot of people. I’m getting accustomed to the culture. It’s great.

Are you enjoying your professors?

The professors are great. This is where you’re kind-of struggling because grad school is very different from undergrad. In undergrad, you’re basically fed information. All you have to do is understand and pass a test.

In grad school, you are outsourcing information, and the professors are there as a guide. It can be hard to navigate, but the faculty show a readiness and willingness to help.

What would you like to do in the future?

Right now, I am certain that I will go into industry after my Ph.D. program. I may work on vascular-related projects for a big pharma company.

I also enjoy teaching. In undergrad, I was a tutor for a few years, which I enjoyed.

If you had to sum up ACES and how it impacted you, what was the biggest impact?

The biggest impact ACES had was on my decision to apply to grad school. I realized how much I enjoy research. If I didn’t have the opportunity to be a part of ACES, then I probably wouldn’t be in grad school.

What did you like most about ACES?

My favorite thing about the program is the network. UC Irvine grad students, who were former ACES students, facilitated and advised us during ACES. That had a major impact. The grad students gave us a different perspective about what it was like to be at UC Irvine.

I especially related to UC Irvine grad student Chris Johnson. We connected. He shared advice. Chris was one of the first people I contacted when I arrived in Irvine. He showed me around and told me the do’s and don’ts of UC Irvine.

UC Irvine grad student Breyah Matthews was also helpful. I think having the grad students as a resource was a major advantage for us undergrad students.

How can we improve the program? What can we do to support other students?

It would be great to make the opportunity available to a larger group of students. There are so many students out there who could benefit.

What does your family think about you being a grad student at UC Irvine?

My mom is a biology teacher. She has an understanding and can relate to what I’m working on – what I’m experiencing. She used to give me books to read about biology and the human body. The values she instilled – it was a no brainer to pursue science.

She’s the major inspiration behind my interest in biology. My mom is one hundred percent on board and is happy about what I’m doing.

UC Irvine Summer Institution Pride

Sydney Williams, UCSF graduate student, shares her undergraduate summer program experience in UC Irvine Beckman Laser Institute & Medical Clinic’s Access to Careers in Engineering and Sciences (ACES) program and what it means to be a Black woman in science

I noticed you’re wearing a UC Irvine sweatshirt.

I still represent my summer institution. I bought it during my first summer at UC Irvine and it’s still holding on.

How did you hear about ACES?

My friend Lauryn was an ACES alum and recommended that I apply. At the time, I was a freshman and didn’t think I’d be accepted.

My entire life, I thought I would go to medical school and hadn’t considered doing research or pursuing grad school. As a first-generation college student and in my community, we [African Americans] aren’t typically exposed to science.

What led you to think that you wanted to be an M.D.?

Science was always my thing. Growing up, I loved studying the body – anatomy and physiology. I studied a book of the systems of the body.

Then, I got hurt playing basketball. When I went to rehab, I thought about becoming a physician, specializing in sports medicine or becoming a physical therapist. I didn’t have the best impression about the benefits of having a Ph.D. It wasn’t until I had research experience. Before that, I was purely chasing opportunity.

The summer before my senior year, I realized that I hadn’t set myself up for success in applying to medical school. That’s when I started thinking about grad school. I had to do my own research on what it actually meant to do research. Only then, did I consider other potential paths.

Then, COVID hit, which changed my course. Within the fall of my senior year, I became serious about Ph.D. programs.

Institute Associate Director and Project Scientist Dr. Sari Mahon suggested that I connect with her daughter who worked in industry. That’s when I truly understood what doing research meant and the various pathways to industry. With a Ph.D., there was much more to offer, than what I originally thought.

Next thing you know, I was writing applications, scheduling interviews and was on the first plane to California.

What did you think about the ACES program? What research did you do?

ACES was my gateway to graduate school. It really opened my eyes to all things research.

My first project was in the Berns lab at the Institute under Dr. Nicole Wakida and the late Institute Founding Director Dr. Michael Berns, who I loved. We worked on the activation and function of microglia, immune cells of brain that respond central nervous system that repair the brain after infection and traumatic injuries. At the time, astrocytes were becoming a hot topic in neuroscience.

My second project was under UC Irvine Professor of Pulmonology Dr. Matt Brenner and Dr. Mahon, studying cyanide poisoning. I worked in chemistry and biology. I learned how to do infusions and other techniques, like which spectrophotometer to use and practicing dilution techniques.

I was also playing with engineering. I created a device that made it easy to read cyanide poisoning in blood. The project spearheaded my interest in drugs and toxins. It led me to the Pharmaceutical Sciences program that I’m in now. It was really fun presenting the project. To this day, I still
have the poster.

Tell me a little bit about the program. What aspects of ACES did you like?

The support from the Principal Investigators (PIs) and the Engineers was awesome. I appreciated gaining real life experience. You had to be in the lab, dedicated to the project to get results.

I also enjoyed meeting other people. With the program dedicated to HBCUs, these type of HBCU programs are few and far between in comparison to the majority of universities in the nation. To find a group of Black scientists interested in doing something that was unheard of, or not known, was really cool.

I still talk to a lot of the students I met. They’re all doing phenomenal things. It’s really cool to see these brilliant minds – people who look just like me. ACES brought us together and created a phenomenal community.

Did you feel supported while in ACES?

I still talk to Dr. Mahon and former UC Irvine Assistant Dean of the Office of Access and Inclusion Dr. Sharnnia Artis. They made sure that I was good – on a personal note and academically. They asked if I there was anything that I needed and if I had any questions.

It was an awesome introduction to what I’m doing now. Without the program, I don’t think I would have seriously considered graduate school.

What are you doing now? What research are you doing?

I feel like I stumbled into my Ph.D. program. Unlike most people, when I joined the program, I didn’t have a research interest in mind.

Now, I’m a rising second-year in the Pharmaceutical Sciences and Pharmacogenomics program at UC San Francisco (UCSF). I joined the Lakkaraju lab, studying age related macular degeneration (AMD).

We’re studying the molecular mechanisms behind the causes of AMD and repurposing common drugs known to either restore or at least halt the progression of AMD. This is all in the hopes of restoring sudden vision loss.

I chose the Lakkaraju lab based on the mentorship opportunity. The bonus was that the field is very niche. We don’t have a lot of answers and it’s not a saturated market.

Being novel, leaves ample space to study and figure out answers to questions that we haven’t even considered. I think most people don’t even know what AMD is, but it’s so common. I’m excited to see what I can do.

What does your community at home think about you being in the Ph.D. program? Your family? Your professors at Hampton University?

My Hampton family was thrilled – they were extremely excited. My Ronald McNair Scholars program family at Hampton encouraged me to pursue the summer research opportunity at UC Irvine in the first place. They think UCSF is a great school and can’t believe I’m on the West Coast.

My immediate family – they’re super excited. Every other time we talk, I break down what I’m working on.

From observing ACES seminars, it seems like the program teaches students not only how to be a scientist, but also how to translate research into layman’s terms. Was this valuable?

It is much bigger skill set than people realize. It is very underrated. It’s extremely hard to remove the jargon and translate research. You have to break down the science – plain and simple.

The ACES symposiums, introducing how to present at conferences, definitely helped. Before ACES, I didn’t realize how people were explaining their research.

I feel like science communication is the one barrier between people who don’t know about science and people who do. I would love to bridge that gap.

I’ve already spent several summers coming home, sharing my posters with my family. I hope to use the training that I’ve had in ACES and in the Ph.D. program to communicate better. I’m going to spend the next four years practicing. That’s the plan.

It sounds like mentorship was something that you gained from ACES. How are important are these connections?

I want to maintain connections with people from the past – like those at UC Irvine.

Now, I work with students in high school and undergrad programs that are helping Black and Brown students. I see value in mentoring, since those who mentored me are the whole reason why I’m in grad school.

During my first year, my main focus was building connections and networking. I was not only getting acclimated to classes, but I was also talking to PIs. I want to talk to people in different career fields – authors in science communication, consultants on TV shows or those in the pharma and biotech industries. That’s where my trajectory is now.

It seems like you’re doing all the right things to lead you to where you want to be. How is your first year in grad school going?

I would not trade my first year for anything. The first year is typically very difficult. The support and preparation that I received in ACES and at Hampton helped me join the communities that I’m now a part of.

I was a sheltered child from Charlotte, North Carolina without much experience outside Charlotte. These past experiences helped me feel comfortable being me, while also learning new things.

I’ve met new people. I’ve eaten new food. I’m stepping out of my comfort zone – intentionally trying to build a community. I’ve enjoyed the accumulation of these experiences because they’ve taught me to be intentional about what I want.

There’s so much growth to be had in a Ph.D. program. My goal is to grow as a person. Over time and after my dissertation, I’ll figure out where I’ll land.

Would you recommend ACES to others?

Absolutely – I’ve shared with many others. From someone who was never exposed to science prior, ACES is extremely important. ACES provides the opportunity to get your feet wet and even swim a little bit. That’s the fun part.

You get to see what you don’t know. Everything feels new – the symposiums, the people, the scientific jargon. The program allows you to explore without being overwhelmed. It’s extremely important for anyone who’s interested in science – even if only slightly interested.

What has it meant being a Black woman in science?

To be a black woman in science is huge. I’m still learning about the impact because I’m still new to what it means. It’s pretty revolutionary because there’s a lot of science that gets swept under the rug or ignored because it doesn’t talk to the majority.

Being present in these spaces and making my presence felt is important. I want others to know I’m here. I want my voice to be heard in these research experiences.

It’s a challenge because I’m triple minority. I’m a Black, queer woman in science. I have a lot of populations to represent. I’m going to make sure that we’re represented. I’m going make my mark regardless.

I’m happy to have a community. Through B-STEM, our Black excellence in STEM group, and some of our other extracurricular groups, I don’t feel like I’m by myself. It’s a journey.

As a university, what can we do better to help support students?

I think continuing the bridge to Historically Black Colleges and Universities (HBCUs) is extremely important.

Continuing to cultivate an environment of inclusivity is huge. It’s not just about having a diversity, equity and inclusion (DEI) panel or having a DEI event. I already know what it’s like to be Black or Brown. I’ve lived it my entire life. What I do need is for people to show up and not just be figureheads – to put action behind it and make sure that there are spaces, where we feel supported.

If there’s prejudice or discriminative acts, we need to make sure that someone’s there to stick up for us. I think the little things go a long way, like being open to learning about the boundaries that have been set or the stigmas that had been implied for years.

I think a lot of people believe that science is free from all of those stigmas and that it is objective, which couldn’t be further from the truth. It’s important for people to learn and be willing to continue to learn. Otherwise, there won’t be much change.

I’m blessed to say that I’ve had this opportunity, but I know that not everyone does. There definitely needs to be improvement – there needs to be change.

On the hunt for hair loss cures

UCI researchers garner national attention for breakthroughs to reverse baldness

Seeing children devastated by severe hair loss spurred Dr. Natasha Mesinkovska’s quest for a remedy. Dissecting rat whiskers as a teenager led Maksim Plikus into baldness research.

Although they tackle the problem of thinning manes from different angles — Plikus as a laboratory scientist and Mesinkovska as a dermatologist treating patients — their efforts have helped make UC Irvine a leader in the field, from bench to bedside.

“Hair is the next frontier,” Mesinkovska says.

But it’s cloaked in mystery. What makes locks curly versus straight — or an eyelash different from the hair in a beard or a ponytail?

“Nobody knows for sure,” Plikus says. “There’s a lot we still don’t fully understand.”

In a recent interview, he and Mesinkovska discuss research obstacles, hair enigmas, dubious baldness elixirs and promising new findings, including Plikus’ discovery of a molecule that revived dormant follicles in mice.

Much of a person’s self-image is tangled up in tresses, says Mesinkovska, an associate professor and vice chair of dermatology research at the UCI School of Medicine and former chief scientific officer of the National Alopecia Areata Foundation, which combats hair loss disease. A healthy mane signifies youth, beauty and vitality, she adds.

When it falls out, the emotional impact can be dramatic.

“People plead to be in our clinical trials,” says Plikus, a UCI professor of developmental and cell biology who worked in a Los Angeles hair transplant clinic — where grafts from the back of a person’s head are moved to the top — before deciding to get a PhD.

But such studies are rare, partly because federal agencies are tightfisted when it comes to funding baldness research, Mesinkovska says. Hair disorders aren’t fatal, so they’re not a top priority, Plikus explains.

Another problem is that mice, the most common laboratory test subjects, are poor stand-ins for people. For starters, their fur is unaffected by testosterone, which plays a powerful role in human hair growth (and loss), Plikus notes. Rodent hair is also much shorter, so even if a treatment successfully resurrects mouse fur, there’s no guarantee it will work similarly on people, he says.

“We want strands that imitate the original color, length and curvature of a person’s hair,” Plikus says. “But we can’t promise what the new growth will look like. Pigment is especially difficult to reconstruct.”

The same follicles that produce blond hair in a baby might later sprout dark locks, he adds: “How it switches, we don’t know. It’s fascinating.”

To get around the gulf between experimenting on mouse versus human hair, some researchers have tried to grow the latter in petri dishes. But the lab version lasts only a few days, Plikus says.

Others, including UCI scientists, often use computer models based on digitized data from human tissue. “We have cartoon hair growing on a computer screen,” Plikus says.

Mesinkovska has employed artificial intelligence in some of her research. She also recruited patients for a recent New England Journal of Medicine study in which a rheumatoid arthritis drug reversed hair loss in nearly 40% of people with severe alopecia areata.

“My life’s passion is how to grow hair, how to keep the hair we have on our head and how to make it look good,” says Mesinkovska, a Yugoslavia native who moved by herself to the United States at age 16, earned a PhD and an MD, and has co-authored more than 50 scholarly papers on hair loss.

“There are so many things out there that promise to restore hair — from shampoos and gels to devices, lights and helmets,” she says, but most are “snake oil” or based on questionable research. Attempts to clone or 3D-print new hair haven’t yet succeeded.

One treatment with mixed results involves implanting laboratory-cultured hair cells in a person’s scalp. The results last about nine months, Mesinkovska says, adding that the procedure isn’t cheap.

Last year, Plikus made international headlines after his team discovered SCUBE3, a natural protein molecule that restored hair growth in bald mice.

SCUBE3 most likely would be microinjected less than a millimeter beneath a person’s skin, a “fairly painless” process that would have to be repeated periodically to maintain hair growth, Plikus says. He has co-founded a biotechnology company, Amplifica, to potentially commercialize the breakthrough.

He expects human trials on the protein compound to begin later this year.

Read the full article in UCI Health Live Well.