Maxime Gauberti Mimicking white blood cells to improve imaging diagnosis
Maxime Gauberti, neuroradiologist at CHU de Caen Normandie, deputy director of the « tPA and neurovascular disorders » team, at the Physiopathology and Imaging of Neurological Disorders (PhIND) unit, GIP Cyceron, Caen
- 2024 • Impulscience
Most diseases cause subtle disturbances to the immune system. Current medical imaging methods lack sensitivity and thus struggle to detect them. To overcome this difficulty, Maxime Gauberti intends to develop a new family of contrast agents to improve the performance of these techniques. This strategy is based on the synthesis of particles that mimic the functions of our white blood cells.
Detecting the beginnings of the immune response
When we are affected by an autoimmune pathology or cancer, our body naturally triggers an immune response designed to combat the disease. Identifying the first signs of this response, such as the attachment of white blood cells to the inner lining of blood vessels, could make it possible to establish an early diagnosis of these pathologies. This same approach could also help to monitor a patient's response to a given treatment.
In order to observe the body's immune response in minute detail, one of the avenues being explored is the development of ultrasensitive molecular imaging. This would make it possible to visualize normal and pathological molecular mechanisms inside blood vessels. For the time being, non-invasive imaging methods are not yet able to capture the full complexity of these mechanisms in the vascular system, because they are not sufficiently sensitive.
A paradigm shift to improve medical imaging performance
To achieve resolution on a molecular scale, contrast agents need to be injected into the body prior to the imaging procedure. The particles carrying these agents need to be between ten and fifty nanometres in size, equivalent to the size of certain viruses, in order to attach to the inner wall of the blood vessels, before the immune system destroys them like any foreign body. Maxime Gauberti is proposing a paradigm shift. He has created so-called "submicroscopic" particles with a diameter twenty to fifty times greater, a format similar to that of white blood cells.
These new particules have a number of advantages. They are capable of transporting up to 64,000 times more contrast products than a nano-sized particle, thereby improving the sensitivity of imaging techniques. What's more, once they have entered the bloodstream, they interact more easily with blood vessel walls, increasing their chances of binding. Finally, they have the advantage of being too large to pass through the vessel wall. This means that they cannot accumulate in unwanted areas of the body, which tends to increase the specificity of the imaging.
Testing the effectiveness of promising particles in vivo
With Impulscience®, Maxime Gauberti's team plans to create four types of submicrometric particles that can be used to map the immune response within a living organism. Each particle will be made up of a different material adapted to a given imaging technique.
The aim of an initial series of investigations will be to optimize the synthesis and targeting of the different particles. These devices will then be tested in mouse models expressing various pathological situations. Other models will be used to assess whether these particles can help predict the body's response to immunotherapy in cancer or autoimmune disease. By increasing our knowledge of the development and mode of action of these large particles, Maxime Gauberti's work should help to improve molecular imaging by providing new tools for diagnosing human diseases.
Maxime Gaberti in a few words
Maxime Gauberti is a radiologist who obtained MD and PhD diplomas while being part of the Ecole de l’Inserm Liliane Bettencourt program. Throughout his research career, he has been interested in neurovascular pathologies and the development of molecular imaging, which enables molecular and cellular events to be visualized non-invasively.
Following on from his scientific career, he specialized in interventional and diagnostic neuroradiology at Caen University Hospital. Since 2020, he has been a Senior Registrar and Assistant Hospital Registrar, dividing his time between research and interventional radiology at Caen Normandy University Hospital. He is currently deputy director of the "tPA and neurovascular disorders" team in the Physiopathology and Imaging of Neurological Disorders unit at the GIP Cyceron in Caen.
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2007-2019 MD/PhD diplomas, Neurobiology and Neurosciences at École de l’Inserm Liliane Bettencourt
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2020 CCA-Inserm-Bettencourt
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2024 Impulscience®