While blood vessel diseases are treatable in many cases, this can vary from patient to patient, and it can be difficult to find the right cure for every patient. Some patients may be underdosed, while others get too many drugs unnecessarily. To help make the process more efficient, researchers from Baylor College of Medicine, Texas Children’s Hospital and Texas A&M University are working to design technology to predict the workings of vascular diseases and responses to drugs at a patient-specific level.

Dr. Abhishek Jain, assistant professor in the Department of Biomedical Engineering at Texas A&M, and his collaborator, Dr. Jonathan Flanagan, assistant professor of pediatrics-hematology at Baylor College of Medicine and Texas Children’s Cancer and Hematology Centers, recently were awarded the Trailblazer Award from the National Institutes of Health National Institute of Biomedical Imaging and Bioengineering for their research in sickle cell disease (SCD).

SCD is a group of genetic disorders that cause red blood cells to become misshapen and break down. From an early age, patients with sickle cell disease have a high risk of vascular disease and even stroke. Current models to test drugs used to treat SCD are not reliable and cannot accurately predict how a person’s body will respond to the medication. It is also difficult to predict which patients with the disease have the highest risk of suffering a stroke versus those who have the lowest.

The team is designing an organ-on-a-chip, consisting of a device that will mimic an artery of a pediatric sickle cell disease patient, and the associated biological readouts will provide information on the progression of vaso-occlusion, including during drug treatment.

“The major outcome of this research will be that we will acquire a strong proof of feasibility of an organ-on-a-chip system that may predict occlusive events in SCD in a disease and patient-specific manner,” Jain said. “This will be an important contribution in potentially reducing deaths from cardiovascular events and stroke among children having sickle cell disease because this methodology will help determine new medications and new uses of existing medications quickly and cost-effectively for this disease and others down the line.”

To train the technology to interpret data from the blood, researchers are isolating the cells of the blood vessel – progenitor endothelial cells – from blood samples of both healthy and SCD volunteers. When they include these cells and the blood flow of the same patient within their medical device, they will be able to predict if the patient will respond to drugs that prevent stroke or not.

“Approximately 10 percent of all SCD patients will suffer a clinically overt stroke before adulthood. The causes of stroke in SCD are poorly understood and there is an urgent need to define the underlying mechanisms. With a platform technology such as this, we may be able to identify the regulatory genes that cause stroke and find the most effective therapy to prevent stroke in these patients,” Flanagan said

The Trailblazer Award is an opportunity for new and early stage investigators to pursue research programs such as this that integrate engineering and physical sciences with life and behavioral sciences. High-impact projects will have the potential to transform understanding or practice by applying an innovative approach to an appropriate biomedical challenge to generate informative and impactful data or craft a solution to a significant problem. The team was awarded $580,000 for use over a three-year period.