Research projects

Blood-Brain barrier opening
Principal Investigator
Elisa E. Konofagou, Ph.D.

Students / Research Scientists
Babak Baseri, M.S.
James J. Choi, M.S.
Thomas Deffieux, Ph.D.
Eugenia Han
Jennifer Hui
Yao-Sheng Tung, M.S.
Shougang Wang, Ph.D.

Collaborators
Mark A. Borden, Ph.D., Department of Chemical Engineering, Columbia University
Truman R. Brown, Ph.D., Department of Biomedical Engineering and Radiology, Columbia University
Karen E. K. Duff, Ph.D., Department of Pathology, Columbia University
Barclay Morrison III, Ph.D., Department of Biomedical Engineering, Columbia University
Scott A. Small, M.D., Department of Neurology, Columbia University

Summary
Many neurological disorders remain intractable to treatment by therapeutic agents due to the brain’s natural defense: the Blood-Brain Barrier (BBB). The BBB impedes entry of virtually all molecules from blood capillaries to brain tissue; rendering thus potent neurologically active substances and drugs ineffective, simply because they cannot be delivered to where they are most needed. As a result, the BBB is the rate-limiting factor in brain drug delivery. The only truly transient, local, and non-invasive opening of the BBB under study as of now is with focused ultrasound (FUS).

The purpose of this project is to understand the mechanism, ensure the safety and efficacy, and optimize the methods of BBB opening using FUS. Using the mouse as a model, the BBB was opened in vivo using FUS and ultrasound contrast agents. The entire procedure was monitored with contrast-enhanced high-resolution MRI (9.4 Tesla), allowing for detailed spatial analysis of the opening. Histological analysis was also performed to determine whether any damage to the neurons and the vascular system was present. On-going studies will lead to the development of optimal parameters to induce BBB opening, performing of long term studies of this phenomena, and testing for the delivery of model drugs.

Support
NIH R21 EY018505
NSF CAREER 0644713
Kinetics Foundation

Recent Journal Publications
Choi JJ, Feshitan JA, Baseri B, Wang S, Tung Y-S, Borden MA, Konofagou EE.
Microbubble-size dependence on focused ultrasound-induced blood-brain barrier opening in mice.
Trans IEEE Biomed Eng. 2009 [in review]

Choi JJ, Wang S, Tung Y-S, Morrison B 3rd, Konofagou EE.
Molecules of various pharmacologically-relevant sizes can cross the ultrasound-induced blood-brain barrier opening in vivo. Ultrasound Med Biol. 2009 [in press]

Choi JJ, Wang S, Brown TR, Small SA, Duff KE, Konofagou EE.
Noninvasive and transient blood-brain barrier opening in the hippocampus of Alzheimer's double transgenic mice using focused ultrasound.
Ultrason Imaging. 2008 Jul;30(3):189-200.

Choi J. J., Pernot M., Brown T. R., Small S. A., and Konofagou E. E.
Spatio-temporal Analysis of Molecular Delivery through the Blood–Brain Barrier using Focused Ultrasound
Phys Med Biol, 2007 (in press).

Choi J. J., Pernot M., Small S. A., and Konofagou E. E.
Noninvasive, Transcranial and Localized Opening of the Blood-Brain Barrier using Focused Ultrasound in mice.
Ultrasound Med Biol, 33(1):95-104, 2007.

Recent Abstracts and Conference Proceedings
Choi JJ, Feshitan JA, Baseri B, Wang S, Tung Y-S, Borden MA, Konofagou EE.
Brain region and microbubble-size dependence of the focused ultrasound-induced blood-brain barrier opening in mice in vivo. IEEE International Ultrasonics Symposium, Rome, ITA. Sept. 20-23, 2009.

Konofagou EE, Choi JJ, Baseri B, Tung Y-S.
Mechanism and safety of FUS-induced BBB opening
9th International Society on Therapeutic Ultrasound, Aix-en-Provence, France, Sept. 21-24, 2009 (in press).

Choi JJ, Wang S, Tung Y-S, Baseri B, Morrison B 3rd, Konofagou EE.
Delivery of pharmacologically-relevant sized molecules through the ultrasound-induced blood-brain barrier opening in vivo. Neuroscience, Chicago, IL, USA, Oct. 17-21. 2009.

Yao-Sheng Tung, James J. Choi, Elisa E. Konofagou
Identifying the Inertial Cavitation Threshold of Monodispersed Microbubbles and Skull Effects in a Vessel Phantom Using Focused Ultrasound
9th International Symposium on Therapeutic Ultrasound, Aix-en-Provence, France, September 23-26, 2009.

Yao-Sheng Tung, James J. Choi, Shougang Wang, Jameel A. Feshitan, Mark A. Borden and Elisa E. Konofagou
Identifying the Inertial Cavitation Threshold In a Vessel Phantom Using FUS and Microbubbles
ASA


Choi JJ, Wang S, Lee A, Brown TR, Small SA, Duff KEK, Konofagou EE.
Noninvasive and transient blood-brain barrier opening in the hippocampus of Alzheimer's APP/PS1 mice using focused ultrasound
Neuroscience, Washington, DC, USA, Nov. 15-19. 2008.

Wang S, Choi JJ, Tung Y-S, Morrison B 3rd, Konofagou EE.
Qualitative and quantitative analysis of the molecular delivery through the ultrasound-enhanced blood-brain barrier opening in the murine brain.
IEEE International Ultrasonics Symposium, Beijing, CHN, Nov. 2-5, 2008.

Wang S, Baseri B, Choi JJ, Tung Y-S, Morrison B 3rd, Konofagou EE.
Qualitative and quantitative analysis of molecular delivery through the ultrasound-induced blood-brain barrier opening in mice.
8th International Symposium on Therapeutic Ultrasound, Minneapolis, MN, USA, Sept. 10-13, 2008

Konofagou EE, Choi JJ, Baseri B, Lee A.
Characterization and optimization of trans-blood-brain barrier diffusion in vivo.
8th International Symposium on Therapeutic Ultrasound, Minneapolis, MN, USA, Sept. 10-13, 2008

Choi JJ, Feshitan JA, Wang S, Tung Y-S, Baseri B, Borden MA, Konofagou EE.
The dependence of the ultrasound-induced blood-brain barrier opening characteristics on microbubble size in vivo.
8th International Symposium on Therapeutic Ultrasound, Minneapolis, MN, USA, Sept. 10-13, 2008

Choi JJ, Wang S, Tung Y-S, Morrison B, Konofagou EE.
Trans-blood-brain barrier delivery of compounds at pharmacologically relevant molecular weights in the hippocampus of mice using Focused Ultrasound.
Acoustics 2008, Paris, FRA. June 29 - July 4, 2008.

Choi J.J., Wang S., Morrison B. and Konofagou E.E.,
Molecular Delivery and Microbubble Dependence Study of the FUS-induced Blood-Brain Barrier Opening In Vivo.
IEEE International Ultrasonics Symposium, New York, NY, USA. Oct. 28-31, 2007.

Choi J.J., Small S.A., Brown T.R., and Konofagou E.E.,
Non-invasive Generation and Monitoring of Ultrasound-induced Blood-Brain Barrier Opening in the Murine Hippocampus.
Proceedings of the International Society of Magnetic Resonance in Medicine, Berlin, DEU. 2007;2265.

Konofagou E.E. and Choi J.J.,
Noninvasive and Reversible Opening of the Blood-Brain Barrier using Focused Ultrasound.
Leading Edge Symposium, Atlantic City, NJ, USA. May 3, 2007. [Invited]

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