SSIHI Pilot Studies Program

By: Susan Samueli Integrative Health Institute

The Susan Samueli Integrative Health Institute (SSIHI) Pilot Studies Awards are designed to support exceptionally innovative research projects that provide an understanding of the mechanistic basis or clinical outcomes related to integrative health therapies. This program encourages early exploration of research ideas from UCI and UCI-affiliated faculty members which have the potential to create or contribute to the evidence base of integrative health. We had a large number of applications for this award and appreciate the partnership with ICTS in the application review process.

Congratulations to the following pilot award recipients:

  • Yama Akbari, MD, PhD (lead PI)
  • Robert Wilson, PhD (co-PI)

The Role Of Ketones In Protecting The Brain And Heart During Ultra-Short Caloric Restriction

550,000 people in the U.S. suffer from cardiac arrest (CA) each year. Only ~175,000 survive CA and only ~17,500 of survivors have good outcomes because survivors often develop severe neurological deficits. While coronary artery disease (CAD) is the most common cause of sudden CA, a multitude of other factors also may cause and/or contribute to such circulatory failure. Non- CAD mechanisms of CA include respiratory failure, hemorrhagic shock, inherited and acquired cardiomyopathies, toxic-metabolic insults, drug overdose, and other causes. Only ~175,000 survive CA and only ~17,500 of survivors have good outcomes because survivors often develop severe neurological deficits. Thus, there is a strong need for development of novel treatments to improve survival and outcome for CA patients, including both cardioprotection and neuroprotection.

For almost a century, caloric restriction (CR) has been shown to have numerous health benefits in humans and animals. CR, defined as reduction in calorie intake, can involve daily, lifelong adherence to strict diet or intermittent fasting. Most CR research has focused on long-term (chronic) CR, adherence to which can be challenging. Thus, there is significant clinical interest in short-term CR, which can last from days to months and has also been shown to have numerous neuroprotective and cardioprotective benefits.

Read the full article on the Susan Samueli Integrative Health Institute website.

New Spectral Fluorescence Lifetime Imaging Method Developed for Investigating Live Cells

UC Irvine biomedical engineering researchers have developed a new fast, robust microscopy imaging technique that could better capture detailed and precise information of cellular processes, such as characterizing migrating cancer cells. The technique combines two broadly applied microscopy methods – spectral imaging and fluorescence lifetime imaging microscopy (FLIM) – by developing a true parallel detection system for simultaneous measurements that can be processed in real time.

Led by Enrico Gratton, Distinguished Professor of biomedical engineering and director of the Laboratory for Fluorescence Dynamics at the Samueli School of Engineering, the team published their research in the April 15, 2021, issue of Nature Methods.

“This new technique works on live cells; there is no need for fixation,” said Gratton. “We believe the information we obtain could be augmented by genomic and proteomics data. More importantly, Phasor S-FLIM can provide results in tissues that are difficult to measure using these omics approaches. This would be a new paradigm for researchers who are using advanced imaging to solve hard-to-investigate living cells and gain important insights on human health.”

The new fluorescence microscopy method uses the color properties and emission duration of fluorescent dyes to achieve high specificity and sensitivity in imaging living cells. It is an extremely valuable tool in biomedical research as most of today’s microscopes rarely obtain emission spectrum and fluorescence lifetime, and only a handful can do it on the same microscope. This process is, however, very slow and requires high power for illumination, greatly limiting the acquisition speed and damaging the sample.

Read the full article on the UCI Samueli School of Engineering website.

Clinical Publication showcase Modulim’s breakthrough imaging technology

“Quantifying dermal microcirculatory changes of neuropathic and neuroischemic diabetic foot ulcers
using spatial frequency domain imaging: a shade of things to come?,” was recently published in BMJ
Open Diabetes & Res Care. The clinical publication showcases how spatial frequency domain imaging
(SFDI) technology helped to identify a foot ulcer three months prior to the ulcer having breached the
skin surface.

Modulim, a company hosted in UCI Beckman Laser Institute & Medical Clinic’s Photonic Incubator,
delivers transformative optical solutions that help people live healthier, longer lives. Modulim’s Clarifi
Imaging System, powered by SFDI, helps clinicians identify compromised circulation at the point of care
through non-contact rapid microvascular assessment of tissue. Clinicians and healthcare systems are
empowered by SFDI images to make proactive, data-driven decisions in a multidisciplinary care setting,
in order to reduce lower-limb complications caused by diabetes, kidney disease and peripheral arterial
disease.

The following video reveals the physiology of diabetic complication and how Clarifi powered by SFDI can
help identify pre-ulcerative conditions early.

Clarifi — SFDI Powering Value-Based Care on Vimeo

Founded by Institute alumnus and current chief technology officer, David Cuccia, Modulim is based in
Irvine with a team dedicated to delivering powerful healthcare solutions that elevate and standardize
health care delivery, while improving patient outcomes. Modulim received CE mark for the Clarifi
Imaging System. The company has placed multiple units at podiatry, dialysis and vascular clinics.

Click here to learn more about Modulim.

Botvinick Wins Grant to Develop Advanced Monitor for Type 1 Diabetes

By: Anna Lynn Spitzer, UCI Samueli School of Engineering

April 6, 2021 – UC Irvine’s Elliot Botvinick, professor of biomedical engineering, has been awarded a three-year, $3.5 million grant from The Leona M. and Harry B. Helmsley Charitable Trust to further the development of an innovative continuous-use monitor for those with Type 1 diabetes. The first-of-its-kind device will simultaneously measure insulin, glucose, lactate, oxygen and the ketone body beta-hydroxybutyrate with a single probe inserted just beneath the skin.

Called iGLOBE (Insulin + Glucose + Lactate + Oxygen + Beta-HydroxybutyratE) LifeStrip, the monitor utilizes light and chemistry to provide sensing capabilities for multiple analytes, which can be critical for controlling blood glucose and detecting possible dangerous events in those with the disease. The device will include continuous insulin monitoring and improve dosing efficacy by providing real-time feedback on the dynamics of insulin-pump therapy as well as real-time estimates of a patient’s sensitivity to the insulin.

It is also important to monitor blood glucose in those with Type 1 diabetes, also known as insulin dependent diabetes. When blood glucose is elevated above normal values, a condition called hyperglycemia, the body produces a chemical called beta-hydroxybutyrate through a metabolic reaction. Elevated beta-hydroxybutyrate is associated with diabetic ketoacidosis, a dangerous condition, which can result in hospitalization or death. iGLOBE monitors this chemical both as a “smoke alarm” to indicate dangerous levels and as an additional test to ensure automated insulin delivery is functioning properly.

Monitoring lactate, produced during exercise, is important as well, as it can indicate changing metabolic states, which can lead to changes in blood glucose in the hours after exercise. Knowledge of such metabolic shifts will improve glucose prediction and improve insulin dosing.

“Clinical evidence suggests that both beta-hydroxybutyrate and insulin sensing would improve outcomes and decrease the rates of hospitalization, severe morbidity and death associated with hypo- and hyperglycemia,” said Botvinick, who is also associate director of UCI’s Edwards Lifesciences Center for Advanced Cardiovascular Technology and a professor of surgery at UCI Beckman Laser Institute (BLI).

Botvinick is collaborating with Gregory Weiss, UCI professor of chemistry, molecular biology and biochemistry, who is managing the project’s protein chemistry and protein engineering aspects, including development of insulin-sensing films; and David O’Neal M.D., professor of endocrinology at Australia’s University of Melbourne, where the device ultimately will undergo animal and human trials. The team includes John Weidling, BLI associate project scientist, and biomedical engineering graduate students Toni Wilkinson and Dat Nguyen.

The device includes an insertion system that allows the thin fiber sensor to be inserted by a spring-loaded custom needle, which users will place just beneath the skin, either in the abdomen or the upper arm. Researchers also will generate designs for mass-manufacturing capability and assembly, ensuring that processes adhere to FDA guidelines.

Botvinick believes his group’s multi-analyte system is the first of its kind. The work is a continuation of a current device developed by his team that includes sensors for glucose, lactate and oxygen; its primary advantage over commercially available and emerging products is the relative ease by which analyte-measurement pads can be added without significantly increasing the size of the probe.

The addition of beta-hydroxybutyrate and insulin monitoring capabilities has the potential to be life-altering. “When taken together, glucose, lactate, beta-hydroxybutyrate and insulin monitoring can transform the care of people with type 1 diabetes,” Botvinick said. “iGLOBE can improve glucose control, compensate for glucose variations associated with exercise, inform of possible or current diabetic ketoacidosis and inform of failing or failed insulin delivery.”

The Leona M. and Harry B. Helmsley Charitable Trust aspires to improve lives by supporting exceptional efforts in the U.S. and around the world in health and select place-based initiatives. It has awarded more than $3 billion since its inception in 2008.

Read full article on the UCI Samueli School of Engineering website.

The World’s Youngest Billionaires 2021 Include A Teenager From Germany, A Crypto Magnate And A Stanford Dropout

By: Ariel Shapiro, Forbes

Photo by: Forbes

From an 18-year-old drugstore heir to founders of food delivery service DoorDash and electric vehicle parts maker Luminar, here are the ten billionaires still under the age of 30.

Austin Russell spent his teens doing research at the University of California at Irvine’s Beckman Laser Institute. The lanky 6-foot-4 entrepreneur dropped out of Stanford in 2012 to found laser lidar (an acronym for light, detection and ranging) startup Luminar Technologies after getting a $100,000 fellowship from billionaire tech investor Peter Thiel. Its sensors now help self-driving cars of such customers as Volvo, Toyota and Intel’s Mobileye see in 3D. The company listed via a SPAC merger in December 2020, catapulting him into the billionaire ranks overnight.  At age 26, he is the world’s youngest self-made billionaire now that Kylie Jenner, 23, has fallen from the ranks.

He is also one of just four self-made billionaires in their 20s—all new—who made this year’s Forbes World’s Billionaires list. The others include Andy Fang and Stanley Tang, both 28, who joined the three comma club after the food delivery service that they founded in 2013, DoorDash, went public in December. They are worth $2 billion apiece.

Read the full article on Forbes.

David Cuccia of Modulim recognized as Orange County Business Journal Excellence in Entrepreneurship Awards Nominee

Modulated Imaging Inc. (DBA Modulim), Irvine
David Cuccia, Ph.D., Founder & CTO

Modulim is a medical device company spun out of the Photonic Incubator in the Beckman Laser Institute
and Medical Clinic (BLI) at UC Irvine. Dr. Cuccia founded Modulim to develop optical technologies that
will impact a number of clinical problems in the diagnostic and therapeutic monitoring sector,
particularly prediction, staging and monitoring of chronic wounds. To date, Dr. Cuccia and his team
have successfully raised approximately $11 million in grant funds and $10 million in private capital to
develop the company. Modulim received 501(k) FDA clearance and CE Mark for Clarifi, a quantitative,
non-contact optical device for wide-field imaging of subsurface circulatory compromise, and aided at
helping Diabetic patients avoid complications such as chronic wounds and resulting amputations.
Modulim received its own CPT code, 0061U, which allows doctors to typically bill $25 patient visit.

Click here to learn more about Modulim. Click here to learn more about the Orange County Business
Journal’s Excellence in Entrepreneurship Awards.

New Toothpaste Said to Improve Periodontal Symptoms

By: Dental Review News

As COVID-19 complications are linked to gum disease, LivFresh novel toothpaste eases symptoms

Dental Review reports from the USA: Scientists at UCI’s Beckman Laser Institute & Medical Clinic conduct the first ever study to show that brushing with a novel toothpaste improves symptoms in patients with periodontitis

While several recent studies show that people with chronic gum disease are more likely to experience potentially life-threatening complications if they contract COVID-19, a new study shows promise in addressing the root issue.

Researchers at the University of California Irvine’s Beckman Laser Institute & Medical Clinic recently reported results of a six-month study, published in The Journal of Periodontology, showing for the first time that a novel toothpaste demonstrated medically significant improvements in the health of the gums of patients with periodontitis, the most severe form of gum disease.

Gum disease affects 65 million Americans today (almost half of Americans adults over 30 years of age). New research has shown that COVID-19 patients with gum disease are almost nine times more likely to die compared to those without gum disease.

They were also 3.5 times more likely to be admitted to intensive care, and 4.5 times more likely to need a ventilator. The study found that severe gum disease (periodontitis) is highest among ethnic minorities (63.5% of Hispanic, 59.1% of African American, and 50% of Asian Americans). In other words, severe gum disease could be a contributing factor to a high risk of COVID-related complications and deaths, especially in ethnic communities.

Read the full article on Dental Review News.

As Scientists Link COVID-19 To Gum Disease, A Double-Blind Study Finds That A New Toothpaste Significantly Improves Gum Health

Scientists at UCI’s Beckman Laser Institute & Medical Clinic conduct the first ever study to show that brushing with a novel toothpaste improves symptoms in patients with periodontitis

Irvine, Calif, March 24, 2021 — While several recent studies show that individuals with chronic gum disease are more likely to experience potentially life-threatening complications if they contract COVID-19, a new study shows promise in addressing the root issue. Researchers at the University of California Irvine’s Beckman Laser Institute & Medical Clinic recently reported results of a six-month long study, published in The Journal of Periodontology, showing for the first time that a novel toothpaste demonstrated medically significant improvements in the health of the gums of patients with periodontitis, the most severe form of gum disease.

(Link to study: https://aap.onlinelibrary.wiley.com/doi/10.1002/JPER.20-0721)

Gum disease affects 65 million Americans today (almost half of Americans adults over 30 years of age). New research has shown that COVID-19 patients with gum disease are almost nine times more likely to die compared to those without gum disease. They were also 3.5 times more likely to be admitted to intensive care, and 4.5 times more likely to need a ventilator. Furthermore, a study in the Journal of Periodontology found that severe gum disease (periodontitis) is highest among ethnic minorities (63.5% of Hispanic, 59.1% of African American, and 50% of Asian Americans). In other words, severe gum disease could be a contributing factor to high risk of COVID-related complications and deaths, especially in ethnic communities.

As a part of her focus on translational research, Dr. Petra Wilder Smith initiated a double-blinded study testing a novel dental gel against an FDA approved anti-gingivitis toothpaste to investigate their effects on gum health in patients with early to moderate periodontitis. The six-month long study compared how the two toothpastes affected periodontal pocket depths, gingival inflammation, and gum bleeding in patients with periodontitis who were in maintenance care.

The findings revealed that subjects who brushed with the novel LivFresh Dental Gel experienced clinically and statistically significant improvements in their symptoms versus the control group that brushed with an over-the-counter, FDA-approved anti-plaque, anti-gingivitis toothpaste.

Dental plaque is the root cause of gum disease and a primary barrier to healing and resolution of periodontitis. Several previous laboratory and clinical studies by Wilder-Smith’s group have demonstrated that the novel formulation retards on a molecular level dental plaque formation, attachment and re-accumulation at the tooth surface by increasing its negative charge. The charged surface prevents early individual plaque islands from coalescing into larger deposits, discourages plaque from attaching to the tooth surface and supports the breakup of existing plaque deposits. Thus, by inhibiting dental plaque, the novel formulation reduces the presence of the harmful plaque bacteria and bacterial products that are implicated in chronic gum disease.

In individuals who brushed with the test gel, pocket depths in the gums improved in more than 80% of diseased sites. Additionally, subjects who brushed with the new formulation had 2.5 times less gum inflammation and 1.9 times less gum bleeding, when compared to the group using the conventional toothpaste.

“This novel dental gel represents a potentially groundbreaking tool for improving and maintaining gum health in patients suffering from periodontal disease. The results of our studies show that periodontal patients may be able to obtain significant oral health benefits through this new formulation,” said Wilder-Smith, the study’s primary investigator and professor and director of dentistry at Beckman Laser Institute & Medical Clinic. “We anticipate that this novel formulation, when used in combination with professional periodontal care, may revolutionize healing in the gums and maintenance of periodontal health.” Larger and longer studies are now in progress to solidify these finding.

This study was supported by National Institutes of Health grants, the Arnold and Mabel Beckman Foundation and Livionex Inc. The authors report no conflicts of interest related to this study.

The UCI Beckman Laser Institute & Medical Clinic is one of five national Beckman Institutes supported by the Arnold and Mabel Beckman Foundation with others at: California Institute of TechnologyUniversity of Illinois Urbana-ChampaignStanford University, and City of Hope Hospital and Medical Center.  Each Beckman Institute is dedicated to cutting-edge research at the interface between disciplines. The UCI location is a unique translational technology center, moving new technologies rapidly from the laboratory benchtop to the patient bedside. 

InfraDerm Takes a Deeper Look at Skin

By: Ethan Perez, UCI Beall Applied Innovation
Photo by: UCI Beall Applied Innovation

The UCI startup is developing a better imaging platform to aid in the diagnosis, management and understanding of skin conditions.

Skin cancer and other skin conditions afflict a large portion of the population. According to the American Academy of Dermatology Association, skin cancer alone is the most common cancer in the United States, with an estimated one-in-five Americans developing skin cancer in their lifetime.

To diagnose and treat skin cancer and other skin conditions, dermatologists use a number of tools and techniques at their disposal to give their patients the best outcomes possible.

UCI startup InfraDerm is developing a noninvasive imaging platform to monitor the effects of skin therapies, understand the biology that underlies skin diseases and skin conditions, and aid in the diagnosis of skin diseases.

Read full article on UCI Beall Applied Innovation.

Gratton Wins Britton Chance Biomedical Optics Award

By: UCI Samueli School of Engineering

The International Society for Optics and Photonics (SPIE) recognized Enrico Gratton with the 2021 Britton Chance Biomedical Optics Award at the SPIE Photonics West virtual conference in March. The award cited Gratton’s significant contributions to biophotonics – the science of producing and utilizing photons or light to image, identify and engineer biological materials. SPIE specifically noted his development of innovative ultrafast optical imaging and spectroscopy methods and their integration into microfluidic platforms.

This award was “a great honor” for Gratton who considers Chance, for whom the award was named, a “great friend.” In his presentation at the conference, Gratton shared his own experiences in meeting Chance, a National Academy of Sciences member and an Olympic gold medalist in sailing who died in 2010, and doing research together.

Read the full article on the UCI Samueli School of Engineering website.