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Gap/Need

gapneed-figure-1Biospecimens are used for diagnostic, therapeutic, and epidemiologic purposes.  Millions of blood biospecimens are tested every day for a wide range of biomarkers for cardiovascular risk/disease (e.g. C-reactive proten, N-BNP, Cystatin C, Lp-PLA2, MR-proADM, and MR-proANP), blood borne diseases (HIV, hepatitis, HTLV) and Ventilator Induced Lung Injury (IL-6, IL-8, IL-10, TGF-b, INF-g, etc.). Similarly, certain biospecimens (macromolecules, cells and tissues) are used for therapeutic purposes to treat diseases.  For example, a growing number of individuals who survive heart attacks are being treated with mesenchymal stem cells (Reed, Noga et al. 2009) in order to stimulate repair of the damaged heart tissue.

gapneed-figure-2Biospecimen procurers and users are separated by gaps, which are typically both physical (different location) and temporal (different time).  The usefulness of a biospecimen is determined in large part by our ability to efficiently preserve the critical biological properties of the biospecimen (e.g. stabilization of the biomarkers) and its function (e.g. for therapeutic purposes). Conventional methods of preserving biospecimens were developed in the 1970's and there has been little evolution in the techniques used to preserve biospecimens in the intervening decades.  As a result, today we are in a situation where we have very limited knowledge, technology and resources (and thus we fail) to successfully preserve the most promising diagnostic and therapeutic biospecimens we have discovered to date.