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Biobanks,

 

an

 

under

used resource

Mark Divers

Karolinska Institutet Biobank och BBMRI.se

Vinnova‐VR workshop , Stockholm, juni 2012

Forskningsinfrastruktur för industriella innovationer

But biobanking is hot!

Big

 

interest

• >$1B technology spend per year

Big

 

population

 

studies

 

appeared

• Hunt, deCode, UK Biobank, LifeGene, LifeLines, Kadoorie

Big

 

analysis transformation

• Genetic and protein technologies

Big

 

discussion

• Many hopes, many fears

2

Growing impact on

 

medical research

(2)

What is

 

a

 

biobank?

Organiserad

 

collection of biological samples

– Often human

Archived long

term

– Frozen: ‐20, ‐80, ‐190°C

Searchable &

 

accessible

– Samples and data

Used for

 

research,

 

development and

 

healthcare

– Described as gold‐mine!

Regulated by

 

law

Biobank landscape of Sweden

579 Biobanks

(3)

3

Biobank landscape of Sweden

– for healthcare

Tissue 114 M sampels Cells 28, 7 M Blood/plasma 4530000 Serum 2200000 DNA/RNA 69000 Bone 110000 Others 106000

Biobank landscape of Sweden

– for research

Blood/Plasma 4,2 M Serum 2,3 M DNA/RNA 572000 Tissue 51000 Urin 230000 Salivia 112000 Other 47000
(4)

The

 

biobanks

 

of KI

 

and

 

BBMRI.se

 

are a

 

rich source

 

of samples:

 

150

 

studies

Population cohorts

• TwinGene, LifeGene, 

EpiHealth

• Karma, Stockhom‐2

Disease based studies

• Cancer • CV • Neurological • Inflammatory • Immunological Quality registers

A good climate for biobank-based

research in Sweden

Well

characterised population

• personal number system • systematic registries

Track

record

• Eg Swedish Twin Registry ”TwinGene”

Large population

 

cohorts emerged 2009

(5)

5

But challenges too

Fragmentation

Organisational

Logistic

Economic

Complex ethico

legal

 

landscape

EU BBMRI initiative: our chance to

create biobanks of the future

Technology:

 

test

 

and

 

apply

 

the

 

best!

Network:

 

connect

 

modern

 

biobanks!

• Vision: 300 biobanks throughout EU

Harmonise:

 

evolve

 

common

 

standards!

Add

 

big

 

public

 

health

 

value!

Swedish

 

Science

 

Research

 

Council

 

and

 

KI

 

fund BBMRI.se

for

 

5

 

years

(6)

large-Scale Swedish Biobanking (SSB);

a service for big national studies

Some biobank

 

accounts May

 

2012

Total KIBB BBMRI.se

# studies 150 140 10

# samples 2 634 210 584 578 2 049 632 # donors 233 950 153 201 80 749 # DNA samples 197 519 138 963 58 556 # withdrawals >225 000 >175 000 >50 000

(7)

7

Creating a BBMRI.se national network

13

Progressive build up in medical universities

•Goteborg node •launch Jan 2012 •1st project: Scapis •Malmö node •launch 1Q2012 •1st projects: EpiHealth, MKC, MFM 

•Linköping, Umeå, Uppsala to come

•Linköping launch 1H2013?

•Projects identified

Starting co‐ordination with healthcare biobanking Co‐ordinated:

Sample format

Data format

Processes

Equipment & consumables

Access and use

Unifying Swedish

 

biobanks

 

further

University

 

+

 

Healthcare

 

biobanks

National

 

common

 

infrastructure

VR

 ‐

SKL

 

declaration

Regional

 

partnerships,

 

eg

Uppsala

 

biobank

Göteborg

Region

 

Skåne

KI

 

– SLL

(8)

Why are we biobanking?...

 

to

 

advance medical research!

Combine with modern

 

bio

analysis

• Systematic • Statistical power

Huge

 

potential

 

for

 

public

 

health

Study publications GALLSTEN 4 PAIN 2 BAMSE 8 SCALE 15 Ekonomiskt beteende 2 TwinGene & Euroclot 13 HARMONY & SATSA 12

KTS 1 CAPS 40 Totalt 97 Emerging highlights •Multiple Sclerosis •TwinGene •Broad

•Influenza Like Illnesses

•Prostate Cancer

What is

 

the

 

value of biobanking?...

Multiple Sclerosis research gives a great example*

~17K

 

MS

 

cases in

 

Sweden

Many represented in

 

our biobank

New

 

therapy,

 

Tysabri™

• Monoclonal antibody

• Very effective, very expensive

• Serious side effects in some (polyoma viral cross‐reacton)

(9)

9

Biobanking adds big value

Clinical

 

practice

Health

 

economy

Drug development

Ethical credibility

Better screening, diagnosis and 

treatment match

Better public health for lower cost

Increased trust and support

Matching patients to treatments

eg HPV, MS

eg MS, HIV, HPV

eg HPV

2012-01-03 Mark Divers

Biobanks

 

for

 

industrial innovation?

Discovery

 

&

 

Development

Pharmaceuticals

Biomarkers

Patient

 

subtyping

Metabolites

Safety profiling

Diagnostics

(10)

19 Lab Operations Carita Rask Jaspal Singh Cecilia Agardh Peter Arnerlöv Anci Carman Pia Hillelson Camilla Lagerberg Vian Osman Amina Said Anette Selander Johanna Smith Siwonne Andersson Emma Ridell William Day Valentina Novak Karin Lindqvist Biobank IT Eva Büren Staffan Bergh Jonas Birgersson Ulrika Bohlin Jesper Lind Johan Stenninger José Tapia Anni Åsberg Niclas Ahlin Project coordination Anders Brinne Biobank Development Gunnel Tybring Quality Anette Petersson Mirja Larsson

Acknowledgements

The LifeGene Crew including Jens Mattsson Kicki Kjaergaard Mats Thurman Camilla Björk Thomas Bergman

The BBMRI Crew

Joakim Dillner Jan-Eric Litton Mats Hansson Göran Hallmans Ulf Landegren Joakim Galli Lars-Olof Hansson Joyce Carlsson Lisen Arnheim-Dahlström Sofie Pettersson Martin Fransson Loreana Norlin Maria Anderberg Others @ KI Henrik Grönberg Per Hall Nancy Pedersen Rune Franson Per Spångeus Customer Relations Tove Rylander-Rudqvist Cecilia Björkdahl

The Biobank Crew

More info

http://ki.se/kibiobank www.bbmri.se www.lifegene.se

References

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