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0 The 7 th Technological presentation March, 19 th 2010

The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

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Page 1: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

0

The 7th Technological presentation

March, 19th 2010

Page 2: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

1

Table of Contents

1. Opening remarksHisashi Ietsugu

President and CEO2. Direction & Strategy of R&D

Mitsuru WatanabeMember of the Managing Board and Executive Officer

Head of R&D3. Progress of R&D project

Mitsuru WatanabeMember of the Managing Board and Executive Officer

Head of R&D1)Progress status in launching stage

(1) Rapid diagnosis of lymph node metastasis technology (OSNA)(2) Bird flu diagnosis technology(3) Digital blood smear preparation technology(4) Reagent preparation technology

2) Progress status in practical stage(5) Blood testing technology(6) Cervical cancer screening technology(7) Postprandial hyperglycemia monitoring technology

Kaoru AsanoExecutive Officer, Central Research Laboratories

3) Progress status in research stage(8) CTC Detection Technology(9) CNS disease diagnosis Technology with DNA chip

Page 3: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

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1. IntroductionHisashi Ietsugu, President and CEO

Page 4: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

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R&D Investment Policy

研究開発投資に対する基本的な考え方

As a technologyAs a technology--oriented company, oriented company, our R&D investment benchmark is 10% of net sales.our R&D investment benchmark is 10% of net sales.

Sysmex’s Basic Policy on R&D Investment

More companies boosting healthcare offeringsMore companies boosting healthcare offeringsCompanies entering from other fields of businessM&A activities accelerating growth

Reinforce R&D, the wellspring of corporate growthReinforce R&D, the wellspring of corporate growth

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R&D Investment Trends

8.19.0

10.79.2

5.54.94.13.5

6.5

9.3 9.68.38.98.7 8.79.1 8.4 8.5

0

3

6

9

12

2001 2002 2003 2004 2005 2006 2007 2008 20090

15

30

R&D expenditure R&D expenditure per net sales

■■ 2000 Central Research Laboratories2000 Central Research Laboratories

■■ 2008 2008 TechnoparkTechnopark

Aggressive ongoing investment in R&D

■■ 2002 International Reagents 2002 International Reagents Corporation becomes subsidiaryCorporation becomes subsidiary

■■ 2004 BMA Laboratory2004 BMA Laboratory

■■ 2006 R&D Center Europe2006 R&D Center Europe

(Billions of yen) (%)

(Years ended March 31)

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Expansion of Overseas Development Bases-Recent Developments-

中国診断薬開発センター中国診断薬開発センター

December 2009 Establishment withinSysmex Wuxi Co., Ltd.

Reasons for EstablishmentDevelopment of reagents (mainly immunochemistry)Joint research with local university hospitalsClinical evaluation

欧州欧州R&DR&Dセンターセンター (ドイツ)(ドイツ)

July 2006 OpeningOctober 2009 Lab relocation and expansion

Reasons for EstablishmentClinical evaluation in hematology and life sciencesDevelop products tailored to European needs

R&D Center Europe (Germany)

Diagnostic Reagent Development Center in China

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Moving into the 2nd Decade of the Central Research Laboratories

新規技術の獲得

Commercializing high-value-added analysis parametersPromoting R&D in life sciences (cancer, lifestyle diseases)

Realizing the “Disease Management” Concept

Reason for establishing Central Research Laboratories (2000)Contribute to development of preventive and regenerative medicine

Reason for establishing Central Research Laboratories (2000)Contribute to development of preventive and regenerative medicine

Lymph node metastasis testing technology (expand applicable cancer types)Cervical cancer screening technologyCancer recurrent prediction technologyCancer treatment effectiveness prediction technologyMinimally invasive glucose monitoring technologyClinical condition simulation technology

・・・

The gene amplification detector RD-100i

November 2008System for rapid detection of breast System for rapid detection of breast cancer lymph node metastasis cancer lymph node metastasis based on OSNA method covered by based on OSNA method covered by Japanese health insuranceJapanese health insurance

Designated reagent Technopark (Kobe)

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2. Direction & strategy of R&DMitsuru Watanabe

Member of the Managing Board and Executive Officer Head of R&D

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・ Improvement of QOL / extension of healthy life expectancy

・ Improvement of Medical economy value

Providing highly valuable diagnostics testing to optimize and standardize medical care

Providing highly valuable diagnostics testing to optimize and standardize medical care

A Unique & Global Healthcare Testing Company

Vision of R&D activity

Shaping the advancement of health care

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Direction of R&D activity

Clinical value improvement

Early detection

Selection of medical treatment

Efficiency

Usability improvementQuality

OperabilityEnvironmental

friendliness

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Outline of technology strategy (1)

Improvement of clinical value

Early detection Selection of medical treatment

Medical treatment and diagnosis in Combination (towards personalized medicine)

To select an effective or a free side-effect drug for individuals

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Outline of technology strategy (2)

Improvement of usability

EfficiencyQuality

OperabilityEnvironmental friendliness

Advanced countries: Providing high-value-added system that

improves productivity of clinical test to reach the limit

Rising countries: Providing low cost prevalent instruments

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Technology platform

Infectious diseases

Cancer

Chronic diseases

Hematology and

Immune diseases

Self pr

oduc

ed

reage

nts

Screening

Early detection

Early detection

Early detection

Treatment monitoring

Treatment monitoring

Sensinggel reservoir

Gene

Mult

i colo

r de

tecti

on

Amplification

High se

nsitiv

e

techn

ology

High sensitive

technology

Rapid

diagnosis

Rapid diagnosis

Measurement ofbiochemical parameters

Mea

sure

men

t of

bioch

emica

l

para

met

ers

Stai

ning

Test

pap

er

Fluor

esce

nce m

ethod

Simplification

SimplificationOptimization of number of items

Preparation of biomathematical model

Selection of therapeutic drug

Selection of therapeutic drug

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3. Progress of R&D projectMitsuru Watanabe

Member of the Managing Board and Executive OfficerHead of R&D

1)Progress status in launching stage(1) Rapid diagnosis of lymph node metastasis technology (OSNA)(2) Bird flu diagnosis technology(3) Digital blood smear preparation technology(4) Reagent preparation technology

2)Progress status in practical stage(5) Blood testing technology(6) Cervical cancer screening technology(7) Postprandial hyperglycemia monitoring technology

Kaoru AsanoExecutive Officer, Central Research Laboratories

3)Progress status in research stage(8) CTC detection technology(9) CNS disease diagnosis technology based on DNA chip

Page 15: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

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Reporting subjects and policy of technological presentation

1.Reporting subjects ・Technical features of Sysmex technology and product・Technical themes that Sysmex conducts R&D and their clinical benefits・Outline of Sysmex Technology Strategy

2.Policy regarding report of technological themes To explain R&D themes in below 3 steps<Research stage>Start of research and basic consideration

・Magnitude of value in practical use・Explanation of future plan of R&D

<Practical stage> Elemental research, practical and product commercialization stage

・Technological impact on characteristics of products<Launching stage> Accomplishment of development & introduction to market

・Details of technological features and superiority

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Definition of R&D stage

Research stageResearch stage Launching stageLaunching stagePractical stagePractical stage

10~50%

Start of research or basic consideration

Objective means an establishment of measurement principle and a verification of clinical value.

Start of full-scale R&D activity towards commercialization

50~80%

Completion of product commercialization and determination of launching

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(1) Rapid diagnosis of lymph node metastasis technology (OSNA)

1)Progress status in launching stage

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Clinical research result

3 Perpetual samples(after operation)

CK19 mRNA(as same as breast cancer)

Evaluation protocol

a b c d

b, d

Marker gene : CK19Pathological test

OS

NA

+ -

33

2 92

1

a, c

Concordance rate :97.6%

OSNA -Lymph node metastasis of colon cancer-

The 38th Association of Cancer and Lymph node 2006

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Clinical research resultMarker gene : CK19

Concordance rate :94.4%

Pathological test

OS

NA

+ -

40

5 113

4

Perpetual sample (after operation) CK19 mRNA

(as same as breast cancer)

Evaluation protocol

a b

ba

OSNA - Lymph node metastasis of stomach cancer-

The 62nd Annual Meeting of the Japanese Society of Gastroenterological Surgery(2007)

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(2) Bird flu Diagnostic technology

1) Progress status in launching stage

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Threat of bird (avian) influenza

0

50

100

150

200例数

2003 2004 2005 2006 2007 2008 2009

鳥インフルエンザ感染症例

確定症例

死亡例

Infection risk still remains due to circulation of bird influenza virus

A summary of tracking avian influenza A specimens and viruses shred with WHO from 2003-2009

Isolated case

Dead case

Sam

ples

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Key technology of detection for corresponding with bird influenza

ヒトインフルエンザウイルス(A型)

鳥インフルエンザウイルス

ヒトインフルエンザウイルス(A型)

鳥インフルエンザウイルス

Successful development of a specific antibody that recognizes an amino acid difference in between human and bird influenza virus

Nucleic protein of bird influenza virus

498aa1aa101aa

100aa

Nucleic protein of human influenza virus

1aa 498aaSpecific antibody that can recognize an amino acid difference

Val Asp

Arg Asp

Human influenza virus (type A)

Bird influenza virus

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Advantages of nucleic protein detection

Human influenza virus

Nucleic protein

H1N1 H2N2 H3N2 H5N1 H7N7 H9N2

Covering all bird influenza viruses except H5N1 by targeting nuclear protein

Bird influenza virus

Surface antigen

Nucleic protein

Discrimination of nucleic protein difference

Surface antigen

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Features of bird influenza corresponding kit

Bird influenza virus

Human influenza virus

Bird influenza corresponding kit

Detection

Not detected

Human influenza rapid diagnosis kit

Detection

Detection

Specific detection of bird influenza and elimination of seasonal influenza/swine influenza

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(3) Digital blood smear preparation technology

1)Progress status in launching stage

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Utilizing part time doctor or external body is the only way to perform bone marrow diagnostic examination at the institutions having no permanent hematologist who is in shortage.

Realization of telediagnosis by digitized microscope image of blood

smear

Blood film

Digital blood smear

Medical needs in blood smear preparation

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③ Image tiling technology to synthesize images captured at neighboring area into one image

Digital blood smear preparation technology

②Synthesis technology of images captured at different focus position

“The first achievement in the world”Capture and synthesis of blood smear images with 100-fold oil-immersion objective lens.

撮像面

スライドガラス

血液細胞

①Technology to capture multiple images at different focus position under microscope

Before synthesis

After synthesis

Focus point

Focusing position

Glass slide

Blood cellsOil-immersion objective lens (×100)

Blood film

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Satellite lab.

Core local hospital

Local supporting hospital

【Hematologist】

Physicians’ office

Physicians’ officePhysicians’ office

Physicians’ office

Target segment of digital blood smear

Medical area having no permanent hematologist

Overseas Inst.

International contribution to medical care

Efficient operation of medical resource

Morphology standardization

Training

Clinical case study

Informed concent

Survey e-Japan strategy ⅡImprovement of operational efficiency at medical institutions and medical service

u-Japan framework Contribution to realize digitization of medical information and advancement and integration of medical information system

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(4) Reagents preparation technology

1)Progress status in launching stage

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Reagents preparation technology(dilution unit and accurate conductance meter)

Concentrated reagent

No.1

Dilution/mixing

chamber<x 25>

Hematology analyzer Reagent

reservoir

Filter

RO-deionized

water

Concentrated reagent

RO-deionized water

DiaphragmPump <X 25>

Flow type small conductance meter

<RO-deionized water>

Flow type small conductance meter<diluted reagent >

Flow type small conductance meter<diluted reagent >

Sysmex

XE-5000

Sysmex

XE-5000

16.5

cm

Flow type small conductance meter

<RO-deionized water>

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Reagent preparation unit: RU -10

・Size : 30(W) x 30(D) x 57(H) cm, Weight : 24 kg・Footprint : 20L reagent pack size (Space-saving)・Size : 30(W) x 30(D) x 57(H) cm, Weight : 24 kg・Footprint : 20L reagent pack size (Space-saving)

conductance meter unitconductance meter unit

Page 32: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

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Concentrated dilution buffer

10L

20L20L20L

Application system employing reagent preparation technology

Sysmex

XE-2100

Sysmex

XE-2100

Sysmex

XE-2100

Sysmex

XE-2100

RO-deionizedwater

Preparation deviceRU-10

Preparation deviceRU-10

1 box/month10Lconcentrated dilution buffer

17.4箱10L20L

・low-frequency event of reagent exchange・Reduction of trash/CO2

・Easy-to-use by small package

・low-frequency event of reagent exchange・Reduction of trash/CO2

・Easy-to-use by small package

20 box/month

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(5) Blood testing technology・Accurate detection technology of low platelet counting・Efficacy management technology for wide-range Lab test settings

2) Practical stage

Page 34: The 7th Technological presentation - SysmexReporting subjects and policy of technological presentation 1.Reporting subjects ・Technical features of Sysmex technology and product

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Orifice

Sheathreagents Sheath

Nozzle

Conventional technology for platelet countingAperture impedance method with

hydrodynamic focusing

Difficult to count platelet accurately for patient who has a particular disease

<Abnormal>

Red cell

<Normal>

Red cellPlatelet

size

Platelet

size

Abnormal plateletsFragmented red cells

Abnormal red cells

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New platelet counting technology

Flowcytometry

Successful development of accurate platelet counting technology by using specific fluorescent staining on Flowcytometry

Result

Platelet

Small or Fragmented Platelet

Siz

e

Fluorescent

Realization of staining specificitythat is equivalent to MAb

dye

dye

dye

dye

Enhanced accuracy in abnormal cell detection

Platelet specific fluorescent staining

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Clinical value of low platelet counting

Diagnosis

Test

Transfusion

Reducing blood transfusion riskSide effects, Infection, Medical cost

No-Transfusion

Necessity of Platelet transfusion and determination of dosage

Platelet≦20,000/μL

Platelet>20,000/μL

Optimization of platelet transfusionContribution to QOLContribution to QOL((side effect, prevention of infectionside effect, prevention of infection))Contribution to improvement of medical economyContribution to improvement of medical economy

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(6) Cervical cancer screening technology

2) Practical stage

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Cervical cancer screening system

Pretreatment device Measurement device(FCM)

Cell dispersion

Epithelial cell collecting FCM Analysis/Result

Analysis unitPreservative

solution

Liquid cytology sample

DNA staining

Under development of fully-automated high-speed systemUnder consideration of stability improvement with sample preservative solution

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Future of HPV test (estimate)Cytology screening would increase by introducing automation technology in not only advanced

countries but also rising countries.

HPV test would gradually increase, especially in advanced country.

The number of cytology screening will be influenced by introducing preventive vaccine after 2020.

2010 2025 2050

JPN/US/EUHPV

secondarytest

JPN/USHPV

secondary test

EUHPV primary test

(over-35s?)

JPN/US/EUHPV

Primary test(Incl. typing)

JPN/USHPV

secondary test

The

num

ber o

f sam

ple

Estimate of cytodiagnosis for cervical cancer and HPV test in advanced country

Under discussion tocover HPV testing

HPV testRisk of cancer is a small

percentage of infected patient.

HPV test : Risk test

Cytology screening :Complementary test

The number of HPV test (estimate)

The number of cytodiagnosis(estimate)

Test for presenceof “cancer”

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(7) Postprandial hyperglycemia monitoring technology

2) Practical stage

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What is post-meal hyperglycemia?

Post-meal hyperglycemia : risk factor of large vessel disease (cerebral accident, myocardial infarction)

Fasting glucose Post mealglucoseafter 2 hours

Development of device which is able to simply and exactly monitor post-meal hyperglycemia

Normal medical checkup

Found by medical checkup

Unfound by medical checkup

Pre-diabetes (Post-meal hyperglycemia)

Meal

Maximum fasting glucose level

Maximum post-meal glucose level

Blo

od g

luco

se le

vel

Advanced diabetes

Pre-diabetes(Post-meal hyperglycemia)

Normal

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Body fluid extractionBody fluid extraction

Body fluid extraction technology

Pore makingPore making Glucose measurementGlucose measurement

Promoting commercial realization

Painless!

Stick gel patch (for 2hours)

Nonrestrain!Measurement of glucose in the gel patch

Micro poreGel patch

Glucose

Blood glucose

AUC

Glucose concentration

Glucose in the gel patch Equivalent for value of integral ofblood glucos(AUC*)

*AUC: Area under the curve

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R2 = 0.8214

0

200

400

600

800

0 200 400 600 800

血糖値から算出したAUC(mg・h/dl)

本システムで測定した

AUC(

mg・

h/dl

)

糖尿病患者

健常人

Clinical evaluation result

<Screening of pre-diabetes status>

Diabetes( >320mg/dl・h)

Borderline Normal( <275 mg/dl・h)

Diabetes 31 1 0Borderline diabetes 7 2 1

Normal 0 3 5N=50

IG-AUCGlucose

0

100

200

300

400

500

0 30 60 90 120Time (minutes)

Glu

cose

leve

l (m

g/dl

) Conventional parameter:borderline,

IG-AUC: diabetes

Conventional parameter & G-AUC : diabetes

◆ Diabetes patient(after treatment)

◆ Healthy volunteer(normal)

The Japan Diabetes Society(2009)

AUC from glucose level(mg・h/dl)

AU

C fr

om th

e sy

stem

(mg・

h/dl

)

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(8) CTC (Circulating Tumor Cell) detection technology

3)Research stage

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What is CTC?

Cancer cells from a few to hundreds of thousands in 10ml blood(40 - 50 billion RBC and 30 - 90 million WBC in 10ml blood)

Cancer cells from a few to hundreds of thousands in 10ml blood(40 - 50 billion RBC and 30 - 90 million WBC in 10ml blood)

Requirement of ultra-high sensitive measurement

Cancer (primary tumor)

Blood vessel

Cancer (metastatic tumor)

Circulating Tumor Cells

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Diagnostics by using virus (1)

Cell

Telomere(Key player pf cell division)

Cell division

Telomeric shortening

Normal cell

Cancer cell

Arrest in cell division

Telomere maintenance

Telomerase activity is observed in almost cancer.

↑Increase of telomerase activity

Chromosome

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Diagnostics by using virus (2)

Virus

- ®OBP 401 (TelomeScanOncolys BioPhama Inc.)

hTERTpromoter

Adenovirus genome

GFP

Cancer cell

Virus proliferationGFP expression

Normal cell

Fluorescent

Infection

GFP

Replication In activated telomerase cell

Detection of proliferative and live cancer cell

Genetic modification

*GFP:green fluorescent protein from Aequorea victoria

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Diagnostics by using virus (3):Establisment measurement system

WBC

RBC

WBC

RBC

(5) Incubation(24h) (6) RBC removal(7) CTC detection

(microscope)

WBCWBC

WBC

RBC

(1) Blood drawing (2) Serum removal (3) Virus infection

Merged Picture (GFP, Transmission)

Combination of venture’s and Sysmex technology

OBP-401

Special preservative solution

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Evaluation study using clinical sample

Breast cancer recurrent patient GFP positive cell

Fluorescent image Phase contrast image

Large nucleus

Fluorescent image Immunostaining image(CA 15-3)

Capturing cancer cell CA15-3:breast cancer marker

Lung cancer patient GFP positive cell

Fluorescent image

Stomach cancer patient GFP positive cell

Fluorescent image

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Clinical value

Risk predictionEarly detectionPrognosis (recurrence prognosis)Evaluation of cancer drug effect Monitoring

Operation Hormonal therapy

Diagnostic imaging

Chemotherapy

Evaluation of cancer drug effect

Days Hormonal therapy

Recurrence monitoring

CTC test CTC

number

Recurrence monitoring

Diagnostic imaging

Possibility of various application

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Promotion of clinical research

National cancer center hospital

Lung cancer

Breast cancer

All cancer other than lung & breast cancer

Other research institution

Kitazato university

Osaka university

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Comparison with competitor’s technology

Antibody stainTelomerase activity

Principle

FDA approval (metastatic breast cancer, colon cancer, prostate cancer)

Suitable for several type of cancer

Notes

Detection* and count of cancer cell from image of nuclear stain and immunostaining

Detection and count of live cell that is key factor of metastasis.

Characteristics

Veridex(J&J)CellSeach®

Sysmex

Virus

* Subjective judgment

Anti-EpCAMMagnetic beads

Cytokeratin

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(9) Technology of CNS disease diagnosis based on DNA chip

3)Research stage

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What is DNA chip?

Constitution of 1.3 million features*

Affymetrix GeneChip®

Different probes in each compartment

25 bases

Possible to a comprehensive analysis of gene

*: in case of U133 plus2.0

Image of fluorescence signal

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54

Dynamic range : 6.0x103~1.2x106 copy/μL

Sensitivity : 600 copy/ μL Reproducibility : CV < 15%

Dynamic range : 6.0x103~1.2x106 copy/μL

Sensitivity : 600 copy/ μL Reproducibility : CV < 15%

Performance of DNA chip (expression analysis)

100,000

1.E+001.E-011.E-021.E-031.E-041.E-051.E-06

10,000

10

100

1,000

Sign

al

Expression Volume(Copy Number)

102 103 104 105 106 107 108101

・ Gene1・ Gene2・ Gene3

≒ Performance of QRT-PCR

Adequate performance for multi-parameter measurement PF

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Issue of DNA chip for diagnosis

Cancer tissue

Disease state 1

Disease state 2

Gene set (different expression level)

(g1、g2・・・・・gn)

Algorithm= a1・g1 +a2・g2+

・・・・・・・・・・・・・+an・gn

Conventional analysis method

Signature

Example : recurrence

Example : non recurrence

IssueEasily obtainable desired out come with several terms of thousands of parameters (Over-training)

↓Different results in each test

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Condition of clinical DNA chip as diagnostic tool

Essential requirementsTo obtain stable clinical result by any laboratories

Sufficient requirementsTo obtain adequate and clinical performance

Sample preparation methodQuality assurance methodAnalysis method

Development of original DNA chip technology

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Technology acquisition strategy of clinical DNA chip

Diagnosis by DNA chipDiagnosis by DNA chip

Disease analysis (directly)Disease analysis (directly) Disease analysis (indirectly)Disease analysis (indirectly)

Few approach in the world

Approachesby companies or

research institutes

Primary tumor Blood

Cancer

Technology introduction+

Sysmex technology

Chronic disease

Development of DNA chip

in Sysmex

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58

Chronic disease:

Blood U133 human genome expression Establishmentof diagnostic method

Development of clinical DNA chip for chronic diseases

How to elucidate disease condition from blood?

Target:Systemic diseasesNo effective biochemical marker available

Central nervous system

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Original analysis technology

Using Gene Ontology,Genes are classified by their function

Gene cluster AGene cluster A

Gene cluster BGene cluster B Gene cluster CGene cluster C

NormalNormalDiseaseDisease

A B

C

Pattern comparison byusing the average of each gene cluster

Expected meritStable analysis result (robust)

Easy interpretation of relation between

clinical findings and disease condition

Expected meritStable analysis result (robust)

Easy interpretation of relation between

clinical findings and disease condition

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Chronic Fatigue Syndrome

Normal (1,000 people)Normal (1,000 people)

Chronic Fatigue (94 people)

Treatment required (16 people)

CFS(2.3 people)

HeadacheLack of

concentration

Feverish

Current issue 1. There is no objective diagnostic method.2. Difficult to diagnose by non-specialist.

* Difficulty in early detection leads to severe condition

* Repeating doctor shopping

For a long time..

CFS isa complicated disorder caused by infection and/or stress (chemical, biological, psycho-social situation).

Central nerve system dysfunction that is triggered by abnormal immune system (TGF-β and IF etc.).

CFS isa complicated disordera complicated disorder caused by caused by infection and/or stress (chemical, biological, infection and/or stress (chemical, biological, psychopsycho--social situation).social situation).

Central nerve system dysfunctionCentral nerve system dysfunction that is that is triggered by triggered by abnormal immune system abnormal immune system (TGF(TGF--ββ and IF etc.).and IF etc.).

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Score = The average of [(Signal-the average of healthy individual) / SD of healthy individual]

Extraction of 9 gene clusters(function) for disease condition analysis

CFS analysis by DNA chip (1)

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

2

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

2

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

2

Score

Score

Score

Energy production Anti-oxidation T-cell function

Normal

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

2

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

2

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

2 Normal

CFS

-1.5

-1

-0.5

0

0.5

1

1.5

2

-1.5

-1

-0.5

0

0.5

1

1.5

2

Normal

CFSCFS

Score

Virus infection

- 3

- 2

- 1

0

1

2

3

4

5

6

7

- 3

- 2

- 1

0

1

2

3

4

- 3

- 2

- 1

0

1

2

3

4

5

6

7

Normal

CFS

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CFS analysis by DNA chip (2)

Normal CFS

T cell Activity

Anti-oxidationability

Energy Production

Virus infection

T cell Activity

Anti-oxidationability

Energy Production

Virus infection

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Sensitivity 94.0%Specificity 92.0%Concordance 93.3%

Sensitivity 94.0%Specificity 93.5%Concordance 93.7%

~ Comparison between young normal and CFS ~

~ Comparison between normal and CFS by matching ages ~

585Normal

694CFS

-+

DNA chip

18713Normal

694CFS

-+

DNA chip

CFS analysis by DNA chip (3)

The 16th Japan Mibyou System Association (2009)

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